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Tell us who you are :

Company name

First and last name *

E-mail *

Title *

EIN

Phone number *

Instrumentation

Name of the structure/building *

Type of structure

Location *

Technical documents

Plan

Beginning of instrumentation

Day

Month

Year

Duration of instrumentation

Questions

	Yes	No	Not specified
Is this a daytime installation ?	Yes	No	Not specified
Will OSMOS be in charge of the means of access ?	Yes	No	Not specified
Will the equipment have to be shipped outside of France ?	Yes	No	Not specified
Does the site present any risks. Is it secured ?	Yes	No	Not specified

Additional information

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