Ez-access PATHWA MODULAR ACCESS SYSTEM Manuel d'utilisateur télécharger pdf (Page 8)

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SITE EVALUATION

SITE EVALUATION WORKSHEET

SECTION 1 - JOB SITE & END-USER INFORMATION

TODAY’S DATE

END USER LAST NAME

END USER FIRST NAME

TELEPHONE

JOB SITE ADDRESS

CITY

STATE

ZIP

SECTION 2 – EVALUATOR INFORMATION

EVALUATION DATE

EVALUATION COMPANY NAME

EVALUATOR’S NAME

TELEPHONE

EVALUATOR’S ADDRESS

CITY

STATE

ZIP

SECTION 3 – CONSIDER THE FOLLOWING

TOTAL RISE

ENTRANCE

FRONT REAR SIDE GARAGE

SCALE: 1 SQUARE = 1 FOOT (BE SURE TO NOTE OBSTACLES SUCH AS DRIVEWAY, SIDEWALKS, TREES, SHRUBS, ETC.)

NOTES

FAX 1-800-630-2350 • PHONE 1-800-451-1903

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