Title Page
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Project/Network/Order Number
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Project Description
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Conducted on
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Inspector:
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FLOC:
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Corrective Action Date:
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Structure Number (XXX-XXX):
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Structure Type:
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Pole Number
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Pole Length
- 45
- 50
- 55
- 60
- 65
- 70
- 75
- 80
- 85
- 90
- 95
- 100
- 105
- Other
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Pole Length (Other)
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Pole Class
- 1
- 2
- 3
- 4
- 5
- H1
- H2
- H3
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Pole Species
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Latitude (decimal degrees)
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Longitude (decimal degrees)
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Remarks