Beverage Installation Site Survey Form

Self Serve

Dedicated 20amp circuit for unit within 6'?

Yes No

Drain within 6' from unit and ice maker?

Yes No

Dedicated 20amp circuit for ice maker within 6'?

Yes No

Outlet for carb/pump deck under unit?

Yes No

Water source for carb/pump deck under unit? Or supplied from backroom?

Outlet for carb/pump deck in backroom?

Yes No

Note: If pump deck in backroom, 100ft extension needed for carb probe connection.

IBD

Measurement from counter top to ceiling *

Counter capable of supporting IBD full of ice?

Yes No

No shelving/monitors/plumbing that would impede placement?

Yes No

How will lines be ran to connections (thru counter or cutouts in back)?

If thru counter, are there cupholders under that would impede?

Yes No

Location aware counters may need rework/cutouts?

Yes No

Drop In

Counter capable of supporting drop-in unit?

Yes No

No shelving/monitors that prevent drop-in placement?

Yes No

Enough depth below counter for install/connection?

Yes No

Enough depth for carb/pump deck under drop-in?

Yes No

No plumbing/electrical conflicts under counter?

Yes No

Location aware counters may need rework/cutouts?

Yes No

Drive Thru

Dedicated 20amp circuit for unit within 6'?

Yes No

Drain within 6' from unit and ice maker?

Yes No

Dedicated 20amp circuit for ice maker within 6'?

Yes No

Outlet for carb/pump deck under unit?

Yes No

Outlet for carb/pump deck in backroom?

Yes No

Note: If pump deck in backroom, 100ft extension needed for carb probe connection.

Restaurant

Dedicated 20amp circuit for unit within 6'?

Yes No

Drain within 6' from unit and ice maker?

Yes No

Dedicated 20amp circuit for ice maker within 6'?

Yes No

If installing Twin Pour: outlet for pump deck under unit?

Yes No

Backroom

BIB rack needed?

Yes No

Size of BIB rack (X by X)

# of BIB racks (QTY)

Condition of syrup pumps

Number of syrup pumps needed

Number of beverage lines needed

Length of line runs — Self Serve

Length of line runs — Drive Thru

Line Routing

Line run overhead?

Yes No

If overhead: lines come down inside wall?

Yes No

Wall free of plumbing/electrical/cross bracing and open on top?

Yes No

If not inside wall: lines come down outside wall?

Yes No

If outside/visible: lines need to be covered?

Yes No

Any firewalls need to be breached?

Yes No

Is ceiling space a plenum?

Yes No

If plenum: customer must run fireproof conduit/chase with sweeping 90s.

Line run underground?

Yes No

Equipment & Utilities

Condition of carbonators

Number of carbonators needed (QTY)

Number of water boosters needed (QTY)

Number of pump decks needed (QTY)

Note: Pump decks come with unit.

Enough 115v outlets for carbonator/pump deck and boosters within 3'?

Yes No

Need wall shelves for carbonator/pump decks?

Yes No

Need floor stands for carbonator/pump decks?

Yes No

Water & Ice

Correct beverage filter and shutoff?

Yes No

No RO water?

Yes No

No scale inhibitor (beverage)?

Yes No

No soft water?

Yes No

Correct ice maker filter and shutoff?

Yes No

Scale inhibitor for ice maker?

Yes No

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Beverage Installation Site Survey

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