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Appendix a site survey form – Gasboy Fuel Point PLUS Station User Manual

Page 108

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108

Fuel Point PLUS Station Equipment Manual

APPENDIX A SITE SURVEY FORM

Date

__/__/________

Prepared by

_____________

e-mail

______@_____

Phone

_____________

Gas Station Details

Company Name

_____________

Address

_____________

Contact person

_____________

Phone

_____________

Contact person

_____________

Station Name

______________________________

Site Name

______________________________

No. of Nozzles

_____________

Make

_____________

_____________

_____________

Model

_____________

_____________

_____________

No. of Dispensers

_____________

Dispenser Models

_____________

_____________

_____________

Suggested location for Wireless Gateway (attach picture)

P/S Source (AC/DC)

_____________

Distance between P/S and each Wireless Gateway unit

_____________

_____________

LAN infrastructure in forecourt

Y/N

Distances