Title Page
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Site conducted
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Conducted on
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Prepared by
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Make
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Model
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Serial Number
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Date of Calibration
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TMV location
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Asset No.
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TMV picture
What is the temperature of the cold feed(pipe)?
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What is the reason for the temperature being out of specified range?
What is the temperature of the hot feed(pipe)?
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What is the reason for the temperature being out of specified range?
What is the temperature of the mixed hot?
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What is the reason for the temperature being out of specified range?
What is the temperature of the mixed cold?
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Are there any strainers?
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Have you cleaned the strainers?
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Why have you not cleaned the strainers?
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Has the TMV passed the failsafe test?
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If FAIL, what is the reason for this and what action is required?
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Are there any remedials required?