TO 31M1-2FMQ19-514 Upgrade Questionnaire

Preliminary Site Information - Complete one form per site

Fields marked with * are required.
Contact Information:      
Primary Alternate
First Name*  Last Name*   First Name* Last Name*  
   
Title     Title    
       
E-mail*     E-mail*    
 
Commercial Phone*     Commercial Phone*    
   
This must be a commercial phone number with area code and not a DSN number.
         
         
Location/Base*     AMS Serial Number*  
 
           
Shipping Information:      

Ship To:		      
* Mailing Address (for shipping by UPS)  
*      
*
     
     
   
Additional Information Needed:  
We need to collect information about each ceilometer at your site.  The pictures below represent the two standard installation configurations found at most bases.  Please provide the serial numbers of the ceilometers at your site with the corresponding installation configuration described below.  If you have a ceilometer installation that does not match either picture below enter its serial number(s) under Other and describe the installation in the text box below.  You can click on the picture to enlarge it.
 
  Primary Site Congifuration The ceilometer is adjacent to the thunderstorm sensor   Discontinuity Configuration The ceilometer is about 7 ft from the 3m tower  
Co-located Not Co-located    Other
       
   Serial Number Serial Number Serial Number
      *          
                 
                 
                 
If you have installation(s) that do not match either of the two installation depicted above please describe them below:
   

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