Title Page
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Valve number
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Date and time
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Address
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Person conducting audit
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Is access to asset possible?
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Type of Valve
- Retic Valve
- Trunk Manhole
- Trunk Scour
- Retic Scour Valve
- Trunk Air Valve
- Trunk Valve
- Bypass
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Condition of Coupling
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Coupling A1 thickness (mm)
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Coupling A2 thickness (mm)
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Coupling A3 thickness (mm)
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Coupling B1 thickness (mm)
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Coupling B2 thickness (mm)
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Coupling B3 thickness (mm)
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Coupling C1 thickness (mm)
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Coupling C2 thickness (mm)
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Coupling C3 thickness (mm)
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Bolt condition
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Bolt sizing
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Photo of Valve
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Comments
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Additional comments
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Is leak present?
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Photo of leak
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Comment
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Reason
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Photos of approximate location
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Was dewatering required?
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Photo of dewatering
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Extra comments
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All information in the form has been completed and is accurate to the best of my knowledge
