PROPOSED SITE COLLOCATION SUMMARY

FOR
COLO SHARED INFRASTRUCTURE

SITE NAME OWNER

SIMPANGDMT
20SDA044
INDOSAT SITE ID
CLIENT SITE ID -------

SITE COORDINATE S 07.48599 E 112.59380

SITE ADDRESS DESA SIMPANG RT 6 RW 1 KEC. PRAMBON, KAB. SIDOARJO

Other Licensed
Operator
Client Name
TELKOMSEL
Prepared by DAYAMITRA
TELEKOMUNIKASI
Survey date
 DOCUMENT COMPLETION CHECK LIST
for TSSR DESIGN REVIEW

Site Name : SIMPANGDMT

Indosat Site ID 20SDA044

Client Site ID :

LONG ; S 07.48599 E 112.59380

Site Coordinate

DESA SIMPANG RT 6 RW 1 KEC. PRAMBON, KAB. SIDOARJO

Site Address

No Description OK NOK NA

1 Cover ~ ~ ~

2 ~ ~ ~
BeritaAcara Survey Form
3 ~ ~ ~
List of Existing Antenna & Proposed Antenna
4 ~ ~ ~
RBS Foundation Layout Drawing
5 ~ ~ ~
Antenna Placement Layout Drawing
6 Foto of RBS Placement Plan ~ ~ ~

7 Foto of Antenna Placement Plan ~ ~ ~

Submitted by, Checked by,

PT. DAYAMITRA TELEKOMUNIKASI PT. INDOSAT

(.....) (.)
 Li s t of E x is ti ng Ante nna & P ropos ed Ante nna

Site Name : SIMPANGDMT

Indosat Site ID : 20SDA044
Client Site ID :

I. Existing Antennas

Size Azimuth
Description /Diameter Qty Height
(o) Remarks
(m) (pcs) (m)
Antena MW 1.20 01 34.50 50 Existing
Antena Sector 2.90 3 52.50 120/270/0 Existing

II. Proposed Antennas

Weight
Indosat
Size Inc. Qty Height Feeder
Azimuth Recomm
Description Type /Diameter Mounting (pcs) (mAgl) Diameter
(o) en
(m) Bracket (inch)
dation
(Kg)
3 43.00 90,210,310 Feeder
GSM Sector 1 - Less
MW 1 - 1 35.00 103
RRU 3 43.00

III. Proposed BTS

BTS Type Dimension (m2) Indosat Recommendation

Outdor Cabinet 3.5 x 2.1

Prepared by, Proposed by, Approved by,

PT. DMT PT. TELKOMSEL PT.INDOSAT

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