Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Site type
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Cabinet inspection
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Space available
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Site operation
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Wiring
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Meter location
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Meter reading
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Meter reading
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Supply potable
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Pumps
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Make
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Model
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Size
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Starter
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Age
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Tank Size
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Tank Type
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Discharge pipe size
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Meter size required
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Valve 1 operates
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Ohms
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Notes
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Valve 2 operates
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Ohms
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Notes
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Valve 3 operates
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Ohms
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Notes
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Valve 4 operates
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Ohms
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Notes
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Valve 5 operates
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Ohms
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Notes
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Valve 6 operates
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Ohms
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Notes
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Valve 7 operates
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Ohms
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Notes
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Valve 8 operates
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Ohms
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Notes
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Valve 9 operates
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Ohms
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Notes
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Valve 10 operates
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Ohms
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Notes
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Valve 11 operates
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Ohms
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Notes
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Valve 12 operates
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Ohms
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Notes
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Valve 13 operates
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Ohms
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Notes
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Valve 14 operates
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Ohms
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Notes
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Valve 15 operates
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Ohms
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Notes
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Valve 16 operates
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Ohms
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Notes
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Valve 17 operates
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Ohms
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Notes
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Valve 18 operates
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Ohms
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Notes
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Valve 19 operates
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Ohms
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Notes
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Valve 20 operates
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Ohms
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Notes
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Valve 21 operates
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Ohms
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Notes
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Valve 22 operates
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Ohms
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Notes
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Valve 23 operates
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Sprinkler
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Notes
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Valve 24 operates
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Sprinkler
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Notes
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Valve 25 operates
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Sprinkler
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Notes
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Valve 26 operates
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Sprinkler
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Notes
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Valve 27 operates
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Sprinkler
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Notes
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Valve 28 operates
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Sprinkler
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Notes
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Valve 29 operates
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Sprinkler
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Notes
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Valve 30 operates
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Sprinkler
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Notes
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Valve 31 operates
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Sprinkler
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Notes
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Valve 32 operates
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Sprinkler
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Notes
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Valve 33 operates
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Sprinkler
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Notes
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Valve 34 operates
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Sprinkler
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Notes
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Valve 35 operates
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Sprinkler
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Notes
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Valve 36 operates
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Sprinkler
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Notes
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Valve 37 operates
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Sprinkler
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Notes
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Valve 38 operates
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Sprinkler
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Notes
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Valve 39 operates
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Sprinkler
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Notes
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Valve 40 operates
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Sprinkler
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Notes
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Valve 41 operates
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Sprinkler
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Notes
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Valve 42 operates
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Sprinkler
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Notes
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Valve 43 operates
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Sprinkler
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Notes
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Valve 44 operates
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Sprinkler
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Notes
Existing controllers
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Type
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Communication
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Controller 1
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Model
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Stations used
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Address
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Address pump start
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Station Qnt
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MV Output(s)
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Comments
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Controller 2
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Model
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Stations used
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Address
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Address pump start
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Station Qnt
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MV Output(s)
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Comments
Monitoring
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Notes
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Notes
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Notes
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Notes
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Notes
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Notes
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Notes
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Notes
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Notes
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Notes
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Other