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