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 bank system?

  • Please include a photo of the main meter bank system disconnect

  • Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • Meter Number

Meter Face

  • Please attach photo of corresponding meter face

  • Service Disconnect Rating - Amps/Volts

  • Line Side Conductor Rating

  • Load Side Conductor Rating

  • 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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