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rAermapc hvo<5)e(Pire., o CoA <br />SBAS PRE-INSTALLAT'ION SITESURVEY <br />< ' <br />Date �l <br />Customer <br />Contact name Phone <br />Technician Company <br />Electrician //IA-',? — Company UA44�2 <br />,74 <br />Instructions: Fill out each section completely as possible. Take pictures of the general <br />installation layout and close up shots as needed for detait. <br />If pictures cannot be provided provide a sketch of the installation site with as much <br />detail as possible. <br />(Using Figure I below measure the following) <br />1. Voltage - No Load (1-1 - L2) (1-2 - L3) 4,9 (e) , (LI - 1-3) 41, <br />2, Single Phase Three Phase - Frequency (Hertz) 50 60 <br />3, Service Panel Amperage AiPS <br />4. Wire Size to Panel AWG <br />5. Distance from the Electrical Supply Panel to the proposed compressor location. Feet <br />Ll L2 L3 <br />A------- B <br />C <br />T1 T2 T3 <br />Frigate 1, Electrical Measurements <br />Electrician Signature: Z I Z / /Z/ <br />