Title Page
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Project Number
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Conducted on
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Company
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Location
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Can the gas meter/s be moved to a compliant location without venting the casing pipe?
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Does the meter position meet 4352 standards? (Take Picture of gas meter location including surrounding area)
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Does the service run under any structure?
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Is the structure a carport (If not describe the nature of the structure - Photos and notes)
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How many open sides does the structure have?
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How many partially open sides does the structure have?
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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
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RECOMMENDATION (What do you recommend needs to be done at this location to eliminate risk)
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ASSUMPTIONS FOR THIS RECOMMENDATION
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Service provider representative
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MGN representative
