Title Page
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Audit Title
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Conducted on
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Requested by
Member Information
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Name:
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Service Address:
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Location #:
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Notes:
Meter Information
In:
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Meter #:
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Name:
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Reading:
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Location #:
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Notes:
Out:
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Meter #:
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Name:
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Reading:
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Location #:
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Notes:
Transformer/Regulator/Capacitor/OCR Information
Up:
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Serial #:
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Volts:
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Size (KVA):
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Type:
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Make:
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Location Served:
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OH or URD:
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Notes:
Down:
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Serial #:
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Volts:
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Size (KVA):
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Type:
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Make:
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Location Served:
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OH or URD:
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Notes:
Construction Jobs
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WO #:
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Location #:
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Description:
Retirement Jobs
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WO #:
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Location #:
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Description:
Outage Information
OH Outage:
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Location #:
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Name:
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Cause Description:
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Notes:
URD Outage:
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Location #:
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Name:
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Cause Description:
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Notes:
Member Issue
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Location #:
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Name:
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Member Issue Description: