Toshiba Strata AirLink Installation Manual page 111

UTAM FREQUENCY COORDINATION SERVICE REQUEST
Type of Request (circle one): New-Permanent/New-Temporary/Reiteration/Removal/Relocation
Installation Date:
If Temporary, Proposed Activation Date:
Dealer Name:
Dealer Contact:
Customer Name:
Street:
City:
State:
Part 4 - Equipment Information
No. of Base Stations (antennas) Inside:
Max. Height (inch/feet) and/or Floor of Base Stations Inside:
UTAM ID: BSIA CJ6CCLMU00022
Band: Isochronous
Building Loss: Unknown
Latitude:
Zone 1 or Zone 2:
PFC ID (if not a new site)
Jeff Parkin
Name/Signature of Company Rep./Coordinator:
Title: Primary Frequency Coordinator
UTAM Member Contact (if different from above): Paul Keith
Strata AirLink Installation Guide
Part 1 - Installation Status
Part 2 - Dealer Information
Part 3 - Site Information
Zip:
DO NOT WRITE BELOW THIS POINT
Part 5 - System Information
Base Station: CJ6DT-WRLS-BS-01
Power/Device (mW) - Fixed: 40mW
Max. Horizontal Distance: 2,000 ft. (default)
Longitude:
FIPS No.:
UTAM Site ID:
Part 6 - Approvals
5/00
Removal Date:
Telephone:
Fax:
County of Installation:
Customer Contact:
Customer Contact Telephone:
Customer Contact Fax:
No. of BSIA Controllers:
Outside:
Handset: CJ6DT-WRLS-HS-01
Mobile: 5mW
Telephone: (949) 598-4980
Fax: (949) 583-3097
Date:
Appendix – Specifications
UTAM, Inc.
No. of Handsets:
Outside:
101