ATC NJ Aerial Construction
Billing & Backup
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Date
*
-
Month
-
Day
Year
Date
Node #
*
Tech 1/Crew
*
Please Select
Robert Reilly
Jacob Pamplin
Richard Dubas
Dean Smith
Alan Ellis
Roland Vega
Will Harris
Billy Marples
Ink Master Jared
Tom Post
James Jack
Adrian Chavez
Trea Mowatt
Spare 1
Spare 2
Tech 2/Crew
Please Select
Robert Reilly
Jacob Pamplin
Richard Dubas
Dean Smith
Alan Ellis
Roland Vega
Will Harris
Billy Marples
Ink Master Jared
Tom Post
James Jack
Adrian Chavez
Trea Mowatt
Spare 1
Spare 2
Construction Type
*
Aerial Coax
Aerial Fiber
Other
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Aerial Coax
# of Runs
Please Select
1
2
3
4
5
6
7
8
9
10
# of Runs Under 1000'
Please Select
1
2
3
4
5
6
7
8
9
10
A13 Aerial Coax Setup Fee
Run 1 Cable Size
Please Select
500 MC2
650 MC2
750 MC2
500 P3
625 P3
750 P3
875 P3
540 QR
715 QR
860 QR
Other
Run 1 Total Footage
A11 O/L Coax
Run 1 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
NA
F40 Fiber Enclosure Aerial - DE/RE
Run 1 Point A Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 1 Point B Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 1 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 1 Coax Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 2 Cable Size
Please Select
500 MC2
650 MC2
750 MC2
500 P3
625 P3
750 P3
875 P3
540 QR
715 QR
860 QR
Other
Run 2 Total Footage
Run 2 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
NA
F40 Fiber Enclosure Aerial - DE/RE
Run 2 Point A Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 2 Point B Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 2 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 2 Coax Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 3 Cable Size
Please Select
500 MC2
650 MC2
750 MC2
500 P3
625 P3
750 P3
875 P3
540 QR
715 QR
860 QR
Other
Run 3 Total Footage
Run 3 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
NA
F40 Fiber Enclosure Aerial - DE/RE
Run 3 Point A Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 3 Point B Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 3 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 3 Coax Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 4 Cable Size
Please Select
500 MC2
650 MC2
750 MC2
500 P3
625 P3
750 P3
875 P3
540 QR
715 QR
860 QR
Other
Run 4 Total Footage
Run 4 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
NA
F40 Fiber Enclosure Aerial - DE/RE
Run 4 Point A Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 4 Point B Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 4 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 4 Coax Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 5 Cable Size
Please Select
500 MC2
650 MC2
750 MC2
500 P3
625 P3
750 P3
875 P3
540 QR
715 QR
860 QR
Other
Run 5 Total Footage
Run 5 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
NA
F40 Fiber Enclosure Aerial - DE/RE
Run 5 Point A Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 5 Point B Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 5 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 5 Coax Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Notes
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Aerial Fiber
# of Fiber Runs
Please Select
1
2
3
Run 1 Fiber Count
Please Select
12
24
48
96
192
Other
Run 1 Point A Fiber Footage #
# @ pole. Point A on side with larger footage #
Run 1 Point B Fiber Footage #
# @ pole. Point B on side with smaller footage #
Run 1 Billing Footage
F3 O/L Fiber
Run 1 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
F40 Fiber Enclosure Aerial - DE/RE
Run 1 Point A Tail Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 1 Point B Tail Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 1 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 1 Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Including slack locations and Point A & B fiber #s
Cancel
of
Run 2 Fiber Count
Please Select
12
24
48
96
192
Other
Run 2 Point A Fiber Footage #
# @ pole. Point A on side with larger footage #
Run 2 Point B Fiber Footage #
# @ pole. Point B on side with smaller footage #
Run 2 Billing Footage
F3 O/L Fiber
Run 2 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
F40 Fiber Enclosure Aerial - DE/RE
Run 2 Point A Tail Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 2 Point B Tail Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 2 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 2 Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Including slack locations and Point A & B fiber #s
Cancel
of
Run 3 Fiber Count
Please Select
12
24
48
96
192
Other
Run 3 Point A Fiber Footage #
# @ pole. Point A on side with larger footage #
Run 3 Point B Fiber Footage #
# @ pole. Point B on side with smaller footage #
Run 3 Billing Footage
F3 O/L Fiber
Run 3 # of Fiber Storages Dropped
Please Select
1
2
3
4
5
6
7
8
9
10
F40 Fiber Enclosure Aerial - DE/RE
Run 3 Point A Tail Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 3 Point B Tail Pic.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 3 Fiber Storage/Enclosure Pic(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Run 3 Pic. of As-built
Browse Files
Drag and drop files here
Choose a file
Including slack locations and Point A & B fiber #s
Cancel
of
Notes
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Billing Quantities (READ ONLY section)
For this submission
Total O/L Coax footage (A11)
A11 - O/L Coax
Total O/L Fiber footage (F3)
F3 - O/L Fiber
Total DE/RE Fiber Enclosure (F40)
F40 - DE/RE Fiber Enclosure
Total Set-up fees (A13)
A13 - Aerial Coax Set Up Fee
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