SITE SURVEY FORM

BUNNserve SV#:

Freshdesk #

Site Name:

Site Contact:

Site Address:

Site City/State/ZIP:

Site Telephone:

Service Provider Company Name:

Technician/Surveyor Name:

Date of Survey:

*** Picture Required

1. Electrical Requirements:

Required Electrical 110V, 15A. One Electrical Source dedicated to machine only. Not shared. Are any electrical modifications required to make site ready for equipment installation? YES NO If YES, provide specific details: ______________________________________________________

*** If equipment to be replaced is “hard-wired”, please notify site which NEMA approved receptacle is needed and contact support@botrista.io IMMEDIATELY.

2. Plumbing Requirements: (Please take photos of the water source) a) Water line (cold and hot) accessible within 3 feet of machine placement.

Cold water Hot water

b) Floor drain, or sink drain within 10 feet of machine, must be on the same wall. Please select the drain type. Floor drain Sink drain

Are any plumbing modifications required to make site ready for equipment installation? YES NO

3. Space Requirements:

Footprint - 35” wide (includes 4” each side for air circulation) x 35” deep x 66” tall.

Is sufficient space available for placement of equipment? YES NO If NO, are alternatives available? Provide Details: Refer to Equipment Specifications Document Does the location of the machine interfere with any existing equipment or safety devices YES NO

4. Water Filtration System:

Please verify site has a water filtration system. If unavailable customer will need purchase filter system. Please ensure site has sufficient space.

Filter water: available unavailable, filter installation is required

5. Internet Access:

Is Wi-Fi available on site? YES NO If YES, Wi-Fi Name: ______________________ Password _____________________

6. Does the location have an ice machine? YES NO 7. Where do they prefer to store ingredients (BIBs)?

Please verify site has enough space to store BIBs.

In dry-good (ambient temperature) Walk-in Fridge (cold storage)

8. Does the location have a countertop to place the sealer? (only for the location that applies) YES NO

To be completed by Site Contact: Surveyor has explained and documented all modifications necessary to make my site ready for equipment installation. I agree to complete these modifications and understand that I am responsible for all costs associated with improvements. Upon completion of modifications, I understand that I must contact Botrista support@botrista.io to schedule my installation.
Site Contact Name (Please Print)	Site Contact Signature	Date

Bunn Tech: Please email form to Bunnserve.installs@bunn.com

Botrista: Please email to support@botrista.io