Title Page
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Document No.
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Project Number
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Project Name
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Conducted on
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Prepared by
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Location
Description of the Issue
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Problems/Concerns
Issue
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When was this issue discovered?
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Classify the issue into one of the following:
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Describe the issue
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Picture of the issue
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Priority
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Can work be completed in other areas until this issue is resolved?
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Response requested
Resolution
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Recommendation to resolve the issue