Title Page
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CF-SITE-A55
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Conducted on
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A55 raised by
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Location
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Build Town Ref
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PDP
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DP #
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A55#
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Chamber Type / Pole Reference
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Contractor
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Chamber 1 Description
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Chamber 2 Description
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Blockage Location:
- Tarmac
- Grass
- Concrete
- Gravel
- Unmade Ground
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Blockage Distance from Chamber 1 (m)
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Blockage Distance from Chamber 2 (m)
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Duct Reference:
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X and Y
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Duct Length (m)
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Any TM Required?
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Is the duct section on a red route or bus lane?
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Is the duct section on a cycle lane?
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Number of Bores:
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Number of cables currently in bore:
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Current capacity of bore:
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Rods used:
- 6mm
- 9mm
- 11mm
- 14mm
- 25mm
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Site Photo from approx 2m away:
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Rod in Bore:
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Site photo 2:
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Rod in receiving bore:
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"X" and "CF" sprayed to mark blockage:
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Any additional photos:
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Any additional comments
