Impairment Request  1-22-09
All information must be provided.  Signal levels are necessary, not optional.
 

Basic Info                                                                                                       

Type  

Corp
                 Node

                  Date

            Address

 IT Contact Number

            Account

                  Time

Reporting Tech

Nature of Prob

  Levels:                                                                                        
            Lowband
dBmV
           Highband
dBmV
      Downstream
dBmV -8 to +8
            Transmit:
dBmV 30 to 52
                   MER
Above +30
                   BER
Run The 200 Second Test
                   Corr

               UnCorr

              Err Sec

             Sev Sec

 Tap Info                                                                                         
          # of Ports

                 Value

Approved by


          Comments:Enter details of problem & Location of Tap