Title Page
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Scheme Name
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Scheme Number
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Protection Type
- Impress Current (single)
- Impress Current (Multiple)
- Sacrificial Anode
TR locations
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TR Name
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TR Location
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Pressure Rating
- HP
- IP
- MP
- LP
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Survey Date
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Survey Type
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Surveyed By
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Email
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Contact Number
Fault Details
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Add Fault
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Test Post Number
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Location
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On Potential (mV)
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Off Potential (mV)
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Fault Description
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Remediation Action Required
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Anode Reading (mV)
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Anode Current
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Deadside Reading (mV)
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Liveside Reading (mV)
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Coupon Reading (mV)
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Is the test post in grass verge, tarmac footpath, tarmac road, flagged footpath, concrete footpath, block paving, public or private land?
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Other considerations e.g. railway crossings, bridges, dual carriageways etc?
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Is traffic management required e.g. Lane closure, 2 way temporary traffic lights?
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Does the test post need relocating?
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UpTime Amendment/s Required