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1) CONTRACT HOLDER DIRECT CUSTOMER DOING WORK FOR__________________________________

Eaton
specify company you are subcontracted by
2) GENERAL *****Required******
Markley Group
COMPANY NAME ___________________________________________________________________________________
1 Summer Street
ADDRESS 1 ________________________________________________________________________________________

ADDRESS 2 _________________________________________________________________________________
Boston
CITY _________________________________________________________ MA
STATE ____________ 02110
ZIP _______________

3) CONTACT INFORMATION *****Email address required******

Scott Shrago
NAME_________________________________ PHONE____________
617-851-4275 EMAIL _____________________________
sshrago@markleygroup.com

4) BATTERY INFORMATION ***** All fileds Required******

MFR MM/YYYY Date Alpha Mumeric DC POSTS
Deka
MFR________________ HR7500ET
MODEL___________________ 04/2020
DATE_________ Code__________
04/2020 480
LINK_____ PERJAR_____
2

5) STRING / SYSTEM NAME (Customer designation)

SYSTEM NAME_______________________________________________________________________________________
Suite 305- C

6) CABINETS ONLY *****All relative cabinet information is equired******

TRAYS PER JARS PER STRINGS PER TRAYS PER NUMER OF String NO
STRING ________
10 STRING ________
40 CABINET _______
1 CABINET _______ CABINETS ______
10 5
Disconnect
6) RACKS ONLY ******All relative rack information is required******
CELLS CELLS RACKS TIERS JARS SEISMIC
PER STRG _______ PER JAR ______ PER STRG______ PER RACK_______ PER TIER_______ RATING ______

8) CHARGER/UPS ****Required - Equipment information and serial number is necessary for system identification****
INSTALL MM/YYYY
Eaton
MFR________________________ 9395
MODEL_________________ SERIAL # _______________________
EN452BPP07
DATE ________

9) FACILITY / SAFETY EQUIPMENT

GENERATOR SPILL KIT
FIRE SUPPRESSION HYDROGEN FAN
EYE WASH STATION VENT FAN

SHOWER EXPLOSION PROOF LIGHTS NO

SPILL CONTAINMENT

10) BATTERYROOM
LOCATION SELECT ONE FLOOR SELECT ONE
✔ OFFICE____ ✔ CONCRETE____
CARPET___ RAISED FLOOR____ TILE____
COMPUTER______ MECHANICAL____
ENVIRONMENT SELECT ONE CONCRETE SEALED OTHER___________________
✔ DOOR WIDTH (INCHES)__________ STEPS
CONTROLLED____ UNCONTROLLED____ VENTALATED____

11) LOADING DOCK Y/N YES

DOCK HEIGHT_______________ CEILING HEIGHT______________ TRAILER ACCESS

12) ELEVATOR (Only if required to access batteryroom) Y/N YES

STYLE PASSENGER FRIEGHT CAPACITY (Lbs)

****** Additional information on next page

13) ADDITIONAL INFORMATION e.g. after hour access, factors inhibiting delivery /replacement of equipment or battery, etc.

14) DIRECTIONS