Title Page
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Build Town
- SSD AC1
- SSD AC2
- SSD AC 3
- SSD AC4
- SSD AC5
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PDP Number
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Prepared by
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Conducted on
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Location
Build Complete
- Identification
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Type of Chamber
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Type of Chamber
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Image of the DP or TJ
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Minimum of 4 photos showing: 1) Entry & exit bores 2) Chamber overview with PIANOI label visible 3) Surrounding area photo
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Current Bore Capacity (in)
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Current Bore Capacity (out)
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Additional Comments
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Building Name or Location Name
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Building Image
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Lead-In Image
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Pole Details/Birth Mark
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Pole Size
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Image of the DP or TJ
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DP or DJ Number
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CF Pole or BT Pole
