Installation of Fixed Capacitive HSWIM Sensors

Table 6b: Acceptance certificate for TEL cap WIM site
Name of site:
Site number:
Name of client:
Name of contractor:
Acceptance Check List
Description In Order Remarks
1. Documentation
a. Detailed site sketch Y/N
b. Locality sketch Y/N
c. Locality information Table 1 Y/N
d. Lane information Table 2 Y/N
e. Approvals Table 3 Y/N
f. Sensor description Table 4 & 4b Y/N
h. Construction quality report Tab 5 Y/N
2. Physical Appearance
a. Saw-cuts and sealant Y/N
b. Trenches Y/N
c. Mounting block Y/N
d. Draw boxes Y/N
e. General Y/N
3. Loops Table 6 Filed Y/N
4. Capacitive sensor Table 4b Filed Y/N
5. Support slab approved Y/N
Site Acceptable YES NO If no attach a snag list.
Signatures:
Client representative:
Contractor:
Name Signature Date
MS001-96100-52 Installation of Fixed Capacitive HSWIM Sensors Issue5 1 March 2005
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