Page 1: Site Details
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Prepared by
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Site ID (Tower Number)
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Please attach a photo of site ID placard on entrance gate
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Conducted on
Page 2: Meter Specifications
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What is the size of the main meter bank system?
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Please include a photo of the main meter bank system disconnect
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Meter Number
Meter Face
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Please attach photo of corresponding meter face
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Service Disconnect Rating - Amps/Volts
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Line Side Conductor Rating
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Load Side Conductor Rating
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Meter Number
Meter Face
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Please attach photo of corresponding meter face
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Service Disconnect Rating - Amps/Volts
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Line Side Conductor Rating
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Load Side Conductor Rating
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Meter Number
Meter Face
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Please attach photo of corresponding meter face
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Service Disconnect Rating - Amps/Volts
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Line Side Conductor Rating
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Load Side Conductor Rating
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Meter Number
Meter Face
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Please attach photo of corresponding meter face
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Service Disconnect Rating - Amps/Volts
-
Line Side Conductor Rating
-
Load Side Conductor Rating
-
Meter Number
Meter Face
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Please attach photo of corresponding meter face
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Service Disconnect Rating - Amps/Volts
-
Line Side Conductor Rating
-
Load Side Conductor Rating
-
Meter Number
Meter Face
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Please attach photo of corresponding meter face
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Service Disconnect Rating - Amps/Volts
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Line Side Conductor Rating
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Load Side Conductor Rating
Page 3: Transformer
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Transformer type?
Transformer Details
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Transformer ID#?
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Please attach a photo of the transformer (including ID# if possible)
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Transformer tag if available
Page 4: Misc. Notes
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Please note any outlying conditions or configurations
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Please include a photo of above conditions/configurations where applicable