Page 1: Site Details

  • Prepared by

  • Site ID (Tower Number)

  • Please attach a photo of site ID placard on entrance gate

  • Conducted on

Page 2: Meter Specifications

  • What is the size of the main meter system (bank/gutter/multiple panel)?

  • Please include a legible photo of the main meter system disconnect (both up close and from a distance)

  • What is the existing panel voltage? This should also include the phase.

  • Please include a legible photo showing the panel voltage and phase (sticker, etched placard, etc) - if no way to tell please take photos to document inability to determine.

  • How are the meters arranged?

  • Please provide a photo of the meter arrangement from a distance so it can be drawn on the OLD

  • 1st Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • 2nd Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • 3rd Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • 4th Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • 5th Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • 6th Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

Page 3: Transformer

  • Transformer type?

Transformer Details

  • Transformer ID#?

  • Please attach a photo of the transformer (including ID# if possible)

  • Transformer tag if available

Page 4: Misc. Notes

  • Please note any outlying conditions or configurations

  • Please include a photo of above conditions/configurations where applicable

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