NCC SHARES RADIO INTERFERENCE REPORT Ver 4
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Send to NCCSHARES@DHS.GOV If you need assistance call 1-703-235-5329 |
| 1. Information Concerning SOURCE
of Interference |
a. Call Sign, Bearing or Other
Identification
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b. Measured Frequency in kHz
To be completed by SPO: Assigned Freq. in kHz
RFA SER.
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c. Class of Emission and Nature of
Traffic Transmitted
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| d. Measured Bandwidth of Interfering Signal
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| e. Signal Strength
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f. Date and Time Interference Started (indicate which time zone, e.g. EST or EDT)
Date Interference Started
Time
Time Zone (e.g. EST, EDT...)
Duration in Minutes or Hours
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2. Information Concerning Station RECEIVING
Interference
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a. Call Sign, Bearing or Other Identification
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b. Measured Frequency in kHz
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c. Class of Emission and Nature of
Traffic Transmitted
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| d. Authorized Bandwidth and Measured Bandwidth
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e. Geographical Location (street address or city and state; format for lat/lon: ddmmssN dddmmssW - degrees, minutes, seconds, no decimals;
North or South, East or West)
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REMARKS
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3. Information Concerning Person or Office Submitting Report |
POC INFO
Name Address
Phone
Email
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This template generates a formatted text message only for email sending |