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Customer Trial Survey

This is an Adams Power Services Trial Survey Form. When time permits, please take a few moments to prepare a sample

Report and send the results by clicking the "SUBMIT" button below

Host Name

Room Number

Site an: ITN ? (Y/N)

Environmental:

Room

Length Ft

Width Ft

Height, (lowest)

Sprinklers / Water?

Windows

Size, (W X H)

Number

Located? (Select all that apply)

Wall Obstructions

Average size, (Sq Ft)

Which Walls? (Select all that apply)

Grounding

Grounding Bar

Grounding Isolated?

Bay Space Available

If not Enter required bay increase (item 3.5.3)

Cable Rack Needed?

Isolation Pads Required?

UPS Survey: (item 3.5.4)

Existing UPS? (item 3.2)

Bat Reserve Time hours, (item 3.1).

Model

Capacity

Existing Load

Remote Ready?

Com Port?

UPS NOTES

CISCO X - UPS Capacity (item 3.5.6)
: UPS size needed (including networkability, item 3.3); Note: Replacement UPS must have Switched Outlet Groups for Smart-UPS, (item 3.4)

AC Power Survey: (Item 3.5.1)
: Existing AC Power:; Voltage; Breaker Size:; Suitable for Growth? (Y/N)

Breaker Mounts Available? Y/N

Outlets Required? (Y/N)

Volt/Amp Draw at this site:

HVAC Survey: (item 3.5.2); Existing HVAC? (Y/N); Existing HVAC Load; Expected HVAC Load; Distribution Needed?, (ducts); Capacity OK?

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