Title Page
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Conducted by
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Collection date and time
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Location
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Project code
Survey Information
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Is this a last minute meter relocation, due to the service pipes not going back to point
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Has the customer agreed new service location with the team and signed they are happy (if no please add in notes)
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Meter relocation type (add image)
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Have all possible options been explained to the customer
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Add images of the route planned
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Additional information about planned route
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Is a carpenter required (if required, add information in note's)
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How many meter's of pipe work is required
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28mm quantity
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22mm quantity
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EB required
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Has the customer agreed to the route planned and happy for the work to go ahead (if no add in note's)
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Has the customer refused to allow the work to go ahead (if yes add in note's)
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Have you explained to the customer, if they refuse to allow the work to go ahead, this could delay the time the customer's gas can be restored
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I agree and understand, refusing to allow the work to go ahead could possibly cause a delay in the restoration of my gas supply. (customer signature) (print name and sign) (add additional information in note's to prevent gas restoration if applicable)
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All the work has been explained to me by the engineer, and all options explored, in regard's to the route planned due to the new meter relocation, I am happy for the work to go ahead (customer signature) (print name and sign)
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Additional comment's (conductor)
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Material Required
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Conductor (print name and sign)
