Title Page
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Pm Order No.
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EC Tag
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56C Cable Replacement
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New Business / WRO (PG&E estimate included with Crew instructions)
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Location
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Conducted on
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Prepared by
Jobsite Details
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1.) USA Required?
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USA notes:
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USA photo
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2.) Traffic Control Required?
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Traffic Control notes:
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Traffic Control photo
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3.) No Parks Required?
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No Parks notes:
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No Parks photo
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4.) Crane Required?
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Yes, crane required (brief description):
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Crane notes:
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Crane Photo:
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5.) PSC Required?
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PSC notes:
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PSC photo
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6.) AT&T / Comcast Required?
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AT&T / Comcast notes:
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Communication photo
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7.) Civil Support Required?
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Civil notes:
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Civil photos
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8.) Tree Trimming needed?
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Tree Trimming notes:
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Tree Trimming photos
Equipment/ Special Conditions
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Notes:
Outage Setups
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Each project will require different types of outage information. Below you will choose between PG&E's "Application for Work" types:
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Notification / Other Required?
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Notification/Other details (Address / meter #)
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Non Test Required?
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Non-Test details
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Transformer Only Required?
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TX details
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End of Line Required (EOL)?
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EOL details
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EOL Limit 1
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Clearance Required?
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Clearance details
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Clearance Limit 1
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Clearance Limit 1 Notes
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Clearance Limit 2
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Clearance Limit 2 Notes
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Clearance Limit 3
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Clearance Limit 3 Notes
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Clearance Limit 4
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Clearance Limit 4 Notes
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Clearance Limit 5
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Clearance Limit 5 Notes
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Clearance Limit 6
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Clearance Limit 6 Notes
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Is phasing required?
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Location
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Is rotation required?
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Location
Existing Field Conditons
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Existing G.O. 95/128 infractions must be identified on pre-field check by GF. Infractions will either need to be repaired by foreman onsite during construction of EC/ER tag created to be repaired at later date by other. If EC/ER tags are identified, provide pictures of each item for submittal process
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Are all work locations clear of existing infractions?
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Infraction 1
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Infraction Detail
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Infraction 2
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Infraction Detail
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Infraction 3
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Infraction Detail
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Infraction 4
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Infraction Detail
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Infraction 5
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Infraction Detail
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Infraction 6
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Infraction Detail
Additional photos
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Additional photos and jobsite information
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Add media
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Notes:
