Site Access Request Form

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

SITE ACCESS REQUEST

Request date
SITEACCESS0150800
All requests have an estimated response time of 24 hours.
2024-06-05
(Tiempo estimado de respuesta de 24 horas).

REQUESTER DETAILS (DATOS DEL SOLICITANTE)

Country (País) Ecuador

Requester (Solicitante) JOSE VASQUEZ

Company (Empresa) TELYDATA

Contractor (Contratista) OTECEL S.A.

PTI - SITE DETAILS (DATOS DEL SITIO)

PTI - Site ID EC-GY-1108

Client - Site ID S090156 Juan_Montalvo

PTI - Site Name Juan_montalvo

A UNA CUADRA DE LA IGLESIA BAUTISTA NUEVA VIDA/Clave NO

PTI - Description to Access Site /Modo de Acceso: CERRADURA MECANICA

VISIT DETAILS (DETALLES DE LA VISITA)

Activities start date (Fecha inicio) 2024-06-05 Activities start time (Hora inicio) 14:33:59

Activities end date (Fecha fin) 2024-06-06 Activities end time (Hora fin) 15:34:34

Is this an emergency request Yes

Site accessing personnel (Listado de cuadrilla)

No. Personal name ID Number Phone Number Email Company

1 CIRINO CHIRINOS YUNER ALBERTO 0963922141 0969160604 null TELYDATA

2 CORONEL CIRINO ANGEL ENRIQUE 0950563999 0983058231 null TELYDATA

3 ZAVALA NUNURA WISTHON LENIN 1315289825 0992887743 null TELYDATA

4 CASTRO VILLAMAR JOSE VINICIO 0953913829 0982082931 null TELYDATA

5 GARCIA LEON HUGO VIRGILIO 0919176297 0983208242 null TELYDATA

6 MORENO GODOY HERNAN GUSTAVO 0918857509 0963098860 null TELYDATA

7 MENDEZ ALVARADO WILMER ARMANDO 0941619090 0969727299 null TELYDATA

8 GUERRERO CONDE DIEGO ARMANDO 1719877761 0962901928 null TELYDATA

10

11

12

13

14

15

Crew Supervisor (Responsable de actividades)

CIRINO CHIRINOS YUNER ALBERTO


Contacts: 0969160604

Activities to carry out during the visit (Actividades a ejecutar)(comma separated):

Revisión de FO Um Emergente

Comments (Comentarios)(comma separated):

OBSERVATIONS (OBSERVACIONES)
In case of anomalies found or general problems in the site, feel free to send your comments to nocpti@phoenixintnl.com or call the number left below on Access Confirmation
( De encontrar anomalias o problemas en general en el sitio, favor enviar sus comentarios a nocpti@phoenixintnl.com,
O llamar al numero dejado en la corfirmacion de acceso.)

ACCESS CONFIRMATION (APROBACION DE ACCESO)


APPROVED
Network Operation Center
Contacts (Contactos) : undefined , nocpti@phoenixintnl.com

You might also like