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PRELIMINARY ACCEPTANCE TEST REPORT
suenane: Biv AnbCxA0 Why VATOLAT SAKA g2mn
Site Number: Date of PAT: 29/057).2016
PRELIMINARY ACCEPTANCE TEST OF TI ONLY
@ ‘TI Works / Testing accepted without any snags ba
® ‘TI Works/Testing accepted with minor snags me
See list of Outstanding Work ltems attached To =
(pages te)
0) Site Work Not Accepted/ Major snags identified
+ See separate comments attached (pages __to__) L_]
Note: The completion of this document does not constitute the TI acceptance of the
site. Nor does it exclude the customer from raising these or additional snags for the
site, site documentation ar EPM data related to the site.
Name: 122/09
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NSN - airtel madagascar PROJECT
Outstanding Item List
Site No: Page. Total number of items:
Site Name: MYDEANS VEY VAAL LMA PAT Completion Date:
OIL Clearance Date:
Preliminary Acceptance Test performed with the outstanding items described below.The outstanding
items shall be cleared one week from the PAT Completion Date.
# Outstanding items List Clearance | wiinesed by (sign)
NSN-TI Contractor wn sir
Date: _fO/gersnle paw: 2081200 at:
Name: dian Name: _NDOAWA Name
siomive: gave Signature
Outstanding Items List cleared:
NSN-TI Contractor NSN
Date: Date:
Name: Name:
Signature: Signature:= Telecom Implementation cl
lecom Imp! Acceptance Checklist Dm
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