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 PAGE______OF______
POWER SUPPLY:
Who supplies power to site?_________________________________________________
Location of nearest representative:_________________________________________
Where does power come onto site?____________________________________________
How can this primary source be incapacitated?_______________________________
____________________________________________________________________________
____________________________________________________________________________
Type of primary power: Single Phase ( ) 2 phase ( ) 3 phase ( ) 50Hz ( )
60Hz ( ) 110 V ( ) 220V ( ) Other ( ) Specify ______________________________
Is power stable? Yes ( ) No ( )
Spikes ( ) Brownouts ( ) Other_____________
Cable Runs: Exposed (
) Conduit (
) Cable Trays (
)___________________
____________________________________________________________________________
Is there a source of emergency power on-site? Yes ( ) No ( ) If yes: Gas ( )
Diesel ( ) Battery ( ) Combination:_________________________________________
Capacity:_________________________ Manufacturer:____________________________
____________________________________________________________________________
Where located?______________________________________________________________
Fuel source:________________________________________________________________
Are these areas secured?____________________________________________________
____________________________________________________________________________
Does system provide uninterruptible power? Yes ( ) No ( ) If no, time to
full capacity:______________________________________________________________
What does system support?____________________________________________________
____________________________________________________________________________
Comments:___________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
13.02-166
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