Title Page
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Apartment Number / Meter Name
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Conducted on
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Photo of Meter Face
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Meter Serial Number
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Meter Brand
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E3 Register (kWh)
Airconditioning Off
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Temp T1
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Temp T2
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Flow Rate 1
Airconditioning On
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Temp T1
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Temp T2
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Flow Rate 2
Airconditioning Off
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Flow Rate 3
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Voltage on Pulse Cable
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Polarity Check on Pulse Cable
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Notes or Remarks