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
-
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)
Page 4: Misc. Notes
-
Please note any outlying conditions or configurations
-
Please include a photo of above conditions/configurations where applicable