SAQR N1420 San Mateo-Salinungan West Option A

SMART FTK PROJECT
ERICSSON APPROVAL FORM
ITEM DISCIPLINE APPROVED / REJECTED CHECKED BY DATE ERICSSON REMARKS
1 SAQ
2 RF
3 TRM
4 CME
Site Acquisition Report (SAQR)
Doc. Ref. No.: TSD-RO-SF-SAQR
Date: February 21, 2021
Owner TSD Revision 0 Page: Page 1 of 16
VENDOR Ericsson Telecommunications

SITE ID N1420 CANDIDATE A
SEARCHING NAME San Mateo-Salinungan West
SITE NAME San Mateo-Salinungan West
REGION II
VENDOR DETAILS
COMPANY NAME: Ericsson Telecommunications AGENTS NAME: Virgilio Todeno Jr.
OFFICE TELEPHONE NO.: MOBILE PHONE NO.: 9474264138
OPERATOR REVIEW COMMENTS
SIGNATURE: x ACCEPTABLE ACCEPTABLE BUT “NOT PREFERRED” REJECTED
SAQ NAME: REASON:
DATE:
SIGNATURE: ACCEPTABLE ACCEPTABLE BUT “NOT PREFERRED” REJECTED
RF NAME: REASON:
DATE:
TRM NAME: REASON:
DATE:
CME NAME: REASON:
DATE:
SAQ = SITE ACQUISITION, RF = RADIO FREQUENCY PLANNING, TRM = TRANSMISSION PLANNING,

CME = CIVIL, MECHANICAL AND ELECTRICAL
COMMENTS
1.0 SITE LOCATION

BUILDING NAME (IF ROOFTOP): NA
Salinungan West, San Mateo, Isabela

SITE ADDRESS:
POST CODE/ZIP CODE 3318
COORDINATE SYSTEM USED
LONGITUDE (E) - FROM GPS: 121.615968 LATITUDE (N)- FROM GPS: 16.865597
DISTANCE OF SITE FROM SEARCH GROUND HEIGHT – ASL (ABOVE

112 m
RING CENTRE POINT (USE GPS): SEA LEVEL) FROM GPS:
High Rise Building High Rise Building Shop House
Shopping Centre Club House Hotel
Rooftop Billboard Housing Estate x Vacant Land

SITE TYPE:
Squatters Land Greenfield Billboard Golf Course
Water Tank Co-location with Co-location with
Other
ANTENNA SUPPORT
x New Existing
STRUCTURE:
Rooftop - Wall Mount Rooftop - Tower Rooftop - Bipod
Rooftop - Poles Rooftop - Guyed Pole Rooftop - Billboard
EXISTING/EXPECTED ANTENNA Greenfield - Monopole x Greenfield - Self Support Water Tank

SUPPORT STRUCTURE:
Greenfield - Guyed Greenfield - Billboard
Other
PROPOSED OR EXISTING HEIGHT

OF ANTENNA SUPPORT 48 m
STRUCTURE:
HEIGHT OF BUILDING (IF

NA NO. OF FLOORS: NA
ROOFTOP):
EQUIPMENT LOCATION: Van / Cabin Existing Room x Outdoor Cabinet
AREA AVAILABLE FOR LEASE: 224 sqm

2.0 SITE OWNER/PROVIDER

x Single Couple Family
Organization Municipality Barangay

TYPE OF OWNERSHIP:
Operator - Globe Operator - SUN Operator - San Miguel
Unclear Other
DOES THE OWNER HAVE THE

ORIGINAL COPY OF THE TITLE x Yes No
DEED AND OTHER DOCUMENTS?
DOES THE SITE PROVIDER/OWNER

LEASE THE PROPERTY FROM Yes x No
ANOTHER COMPANY/PERSON?
DO THE PROVIDER/OWNER/S LIVE

OUTSIDE THE PHILIPPINES OR Yes x No
TRAVEL A LOT?
NAME (1): Rodolfo Angel
ADDRESS (1): Salinungan West, San Mateo, Isabela
POST CODE/ZIP CODE (1): 3318 OFFICE/HOME TELEPHONE NO.:
MOBILE TELEPHONE NO: 9356412581 MOBILE TELEPHONE NO:
NAME (2):
ADDRESS (2):
POST CODE/ZIP CODE (2): OFFICE/HOME TELEPHONE NO.:
MOBILE TELEPHONE NO: MOBILE TELEPHONE NO:
IF THE OWNER LIVES IN A FOREIGN

COUNTRY, DOES HE/SHE HAVE A Yes, (Provide Details Below) x No
POWER OF ATTORNEY?
NAME:
ADDRESS:
POST CODE/ZIP CODE: OFFICE/HOME TELEPHONE NO.:
MOBILE TELEPHONE NO: FAX NO. :
ADDITIONAL COMMENTS:
The Lessor is willing to engage in a lease contract of ten(10) years with complete property documents.
3.0 SITE ACCESS

IS THE SITE ACCESSIBLE 24 HOURS IF ‘NO’ WHAT ARE THE
x Yes No
A DAY, 7 DAYS A WEEK? ACCESS HOURS?
WHAT IS THE PROCESS TO

FOLLOW TO ACCESS THE SITE?
Name: PHONE NO.:

CONTACT PERSON FOR ACCESS:
Name: PHONE NO.:
4.0 SITE DEVELOPMENT WORKS

GREENFIELD SITES
WHAT IS THE LENGTH OF THE NEW
x <50m 51-150m 151-300m 301-500m 500+
ACCESS ROAD REQUIRED?
HOW FAR AWAY IS THE NEAREST

x <50m 51-150m 151-300m 301-500m 500+
POWER LINE?
IS THE SITE ON A SLOPE? x No Yes, What is the Slope? 1 Vertical = Horizontal
Swamp or Pond Rocky Ground Reclaimed Land

IS THE SITE LOCATED IN ONE OF
THE FOLLOWING CONDITIONS?
Dense Forest x None of these
ACCORDING TO THE OWNER IS THE

x No Minor Flooding (<0.5m) Minor Flooding (>0.5m)
SITE PRONE TO FLOODING?
ROOFTOP SITES
OVERALL STRUCTURAL CONDITION /

New Good Average Poor (Aged, Lots of Cracks)
INTEGRITY OF BUILDING?
DO ANY APPROVED BUILDING PLANS

& DRAWINGS EXIST FOR THE Yes No
BUILDING?
AGE OF BUILDING: YEARS
This vacant lot is located inside the lessor's residential compound along the barangay road of Salinungan West. Cutting down some trees
will be needed.
ADDITIONAL ITEMS TO BE DONE

1) CANDIDATE LOCATION IN REGARD TO SEARCH RING
2) MAPAND DIRECTIONS TO SITE.
3) PANORAMIC PHOTOS – FROM 0° TO 330° (IN 30° INCREMENTS)
4) SITE PHOTOS - SEE BELOW FOR MINIMUM PHOTOS REQUIRED.
FOR ROOFTOP/ROOFTOP CO-LOCATION

Front of the Building Side of the Building Tower/Bipod/Pole Location
Equipment Housing Location
OR
FOR GREENFIELD/GREENFIELD CO-LOCATION

Entrance to Site Access Road Route Nearest Power line
Tower/Monopole Location Equipment Housing Location
CANDIDATE LOCATION IN REGARD TO SEARCH RING NORTH↑
CANDIDATE LOCATION
FRONT OF BUILDING / ENTRANCE TO SITE

SIDE OF SITE
ACCESS ROAD TO THE SITE

ACCESS ROAD TO THE MAIN ROAD
PANORAMIC 0 DEGREES
PANORAMIC 30 DEGREES





SITE MAP & DIRECTIONS TO SITE (Remember to indicate the North Point on the Map)
PLEASE STATE DIRECTIONS TO THE SITE BELOW –

This vacant lot is located inside the lessor's residential compound along the barangay road of Salinungan
West.
Owner TSD Revision 0 Page 15 & 16 of 16
N/A
Photo No. 1 TAPPING POINT Photo No. 2
N/A N/A
Photo No. 3 Photo No. 4
N/A N/A
Photo No. 5 Photo No. 6

SAQR N1420 San Mateo-Salinungan West Option A

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SMART FTK PROJECT

ERICSSON APPROVAL FORM

ITEM DISCIPLINE APPROVED / REJECTED CHECKED BY DATE ERICSSON REMARKS

Date: February 21, 2021

Owner TSD Revision 0 Page: Page 1 of 16

VENDOR Ericsson Telecommunications

OPERATOR REVIEW COMMENTS

SIGNATURE: x ACCEPTABLE ACCEPTABLE BUT “NOT PREFERRED” REJECTED

SAQ NAME: REASON:

SIGNATURE: ACCEPTABLE ACCEPTABLE BUT “NOT PREFERRED” REJECTED

SIGNATURE: ACCEPTABLE ACCEPTABLE BUT “NOT PREFERRED” REJECTED

TRM NAME: REASON:

SIGNATURE: ACCEPTABLE ACCEPTABLE BUT “NOT PREFERRED” REJECTED

CME NAME: REASON:

SAQ = SITE ACQUISITION, RF = RADIO FREQUENCY PLANNING, TRM = TRANSMISSION PLANNING,

Date: February 21, 2021

Owner TSD Revision 0 Page: Page 2 of 16

1.0 SITE LOCATION

Salinungan West, San Mateo, Isabela

POST CODE/ZIP CODE 3318

COORDINATE SYSTEM USED

DISTANCE OF SITE FROM SEARCH GROUND HEIGHT – ASL (ABOVE

High Rise Building High Rise Building Shop House

Shopping Centre Club House Hotel

Rooftop Billboard Housing Estate x Vacant Land

Water Tank Co-location with Co-location with

Rooftop - Wall Mount Rooftop - Tower Rooftop - Bipod

Rooftop - Poles Rooftop - Guyed Pole Rooftop - Billboard

EXISTING/EXPECTED ANTENNA Greenfield - Monopole x Greenfield - Self Support Water Tank

PROPOSED OR EXISTING HEIGHT

HEIGHT OF BUILDING (IF

EQUIPMENT LOCATION: Van / Cabin Existing Room x Outdoor Cabinet

AREA AVAILABLE FOR LEASE: 224 sqm

Date: February 21, 2021

Owner TSD Revision 0 Page: Page 3 of 16

2.0 SITE OWNER/PROVIDER

Organization Municipality Barangay

DOES THE OWNER HAVE THE

DOES THE SITE PROVIDER/OWNER

DO THE PROVIDER/OWNER/S LIVE

NAME (1): Rodolfo Angel

ADDRESS (1): Salinungan West, San Mateo, Isabela

POST CODE/ZIP CODE (1): 3318 OFFICE/HOME TELEPHONE NO.:

MOBILE TELEPHONE NO: 9356412581 MOBILE TELEPHONE NO:

POST CODE/ZIP CODE (2): OFFICE/HOME TELEPHONE NO.:

MOBILE TELEPHONE NO: MOBILE TELEPHONE NO:

IF THE OWNER LIVES IN A FOREIGN

POST CODE/ZIP CODE: OFFICE/HOME TELEPHONE NO.:

MOBILE TELEPHONE NO: FAX NO. :

Date: February 21, 2021

Owner TSD Revision 0 Page: Page 4 of 16

3.0 SITE ACCESS

WHAT IS THE PROCESS TO

Name: PHONE NO.:

4.0 SITE DEVELOPMENT WORKS

HOW FAR AWAY IS THE NEAREST

IS THE SITE ON A SLOPE? x No Yes, What is the Slope? 1 Vertical = Horizontal

Swamp or Pond Rocky Ground Reclaimed Land

ACCORDING TO THE OWNER IS THE

OVERALL STRUCTURAL CONDITION /

DO ANY APPROVED BUILDING PLANS

AGE OF BUILDING: YEARS

Date: February 21, 2021

Owner TSD Revision 0 Page: Page 5 of 16