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Appendix a site survey, Station information forms – Gasboy Islander PLUS User Manual

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APPENDIX A

SITE SURVEY

STATION INFORMATION FORMS

(To be filled during site survey)

Home Base Station

Date:_______

Prepared by:

Name:______ e-mail:__________ Phone:_______

Gas station info:

Company name __________________ Tel: ____________

Contact person:

__________________ Mobile Phone:_____

Fax:

____________

A. STATION INFORMATION

• Power line 110VAC

220VAC

Other____

• Power stabilizer/UPS available? ______________ Spec _________________
• Station name __________________________
• Location _________________________
• FCC Tel. No._____________ / Direct connect _____________
• Internet connectivity method (Modem, GPRS, cable, frame relay,

SAT,ADSL etc) ______________

• Number of dispensers (to be connected to FCC): ______
• Number of nozzles (to be connected to FCC): ______
• Number of Authorizers required _____

Islander PLUS Manual

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