Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Type of Marker Post installed
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Unique ID Ref Number
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If Concrete face plate renewal, has plate been renewed?
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Is marker post above pipeline, (If not is it within 3M of Pipeline) Farmer to agree.
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Is Marker post in a Rural or Urban area?
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If M4 has this been installed at a depth of 0.5?
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If AMP, is no dig label approximately eye level?
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Signature of installer.