Complete this form for ALL scanning projects. For use with the Breuckmann SmartScan HE, Konica Minolta VIVID 9i, Leica C10, Z+F Laser Imager 5006i, and Optech ILRIS 3d.
| 1) Project Name: | |
| 2) Survey Area Name: | |
| 3) Site or Feature Number:* | |
| 4) Location of Survey: | |
| 5) Date(s) of Survey (day month year): | |
| 6) Duration of Survey (total field time hours): |
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| 7) Scan Instrument(s): |
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| 8 ) Scan Units: | |
| 9) Company Name: | |
| 10) Scan Operator(s): |
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| 11) Total Number of Scans: |
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12) Control Data Collected:  No  Yes |
– Control file name: |
13) RGB data capture:  No Yes – Internal  Yes – External |
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| 14) Estimated data resolution across survey area: | |
| 15) Estimated total of points collected: | |
| 16) Survey goal and intended use of data: |
Attachments:
17) Scan Forms: Total count ________
18) Planimetric map of survey area and scan coverage
19) Images from survey: _______________________________________
20) General Notes/Other: __________________________________ ____