Title Page

  • Project Number

  • Conducted on

  • Company

  • Location
  • Can the gas meter/s be moved to a compliant location without venting the casing pipe?

  • Does the meter position meet 4352 standards? (Take Picture of gas meter location including surrounding area)

  • Does the service run under any structure?

  • Is the structure a carport (If not describe the nature of the structure - Photos and notes)

  • How many open sides does the structure have?

  • How many partially open sides does the structure have?

  • Other factors to be considered (list below) Please explain the location characteristics i.e. carport, nature of air flow, structure above etc.. Include photos of the location

  • RECOMMENDATION (What do you recommend needs to be done at this location to eliminate risk)

  • ASSUMPTIONS FOR THIS RECOMMENDATION

  • Service provider representative

  • MGN representative

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