CBT Master Sample Sheet
Cable #
Section #
GP21 Cable Type
Telco Cable Type
Insulation Type
N/A
PIC
PIC PVC
PAP
GEL
Gel Screened
PAP Screened
Tinned Copper
Gopher Tape
Bale
Sum of Total Pairs
Sample Sequence
Total Pairs A
Total Cu Weight
Company Name
Choose Company
Gauge A
N/A
13
14
16
19
22
24
26
Foil
Cu %
State Code
Choose State
Alberta
British Columbia
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Cu Weight A
Pb Weight
Date Sampled
Total Pairs B
Pb %
Test Section Circumference (in)
Gauge B
N/A
13
14
16
19
22
24
26
Foil
Waste Weight
Wet/Dry
Wet
Dry
Cu Weight B
Sampler
Total Weight
Total Pairs C
Supervisor
Sheath Type
No Sheath
Lead
Poly
Bonded Poly
Poly Wrapped Lead
Gauge C
N/A
13
14
16
19
22
24
26
Foil
Sheath Weight
Cu Weight C
Inner Sheath Type
N/A
Aluminum
Steel
Bonded
Lead
Total Pairs D
Inner Sheath Wt.
Gauge D
N/A
13
14
16
19
22
24
26
Foil
Cable Guard Type
N/A
Aluminum
Steel
Plastic
Gopher Tape
Cu Weight D
Cable Guard Wt.
Comments