Title Page
Transformer Changeout Sheet
-
Service Order Number
-
Work Order Number
OLD Transformer Information
-
Nameplate Photo (if Legible)
-
Manufacture Name
-
KVA
- 1.5
- 3
- 5
- 7.5
- 10
- 15
- 25
- 37.5
- 50
- 75
- 100
- 150
- 167
- 200
- 250
- 300
- 500
- 750
- 1000
- 1500
-
OLD Serial Number
-
Voltage
-
Impedence
NEW Transformer Information
-
Nameplate Photo (if Legible)
-
Manufacture Name
-
KVA
- 1.5
- 3
- 5
- 7.5
- 10
- 15
- 25
- 37.5
- 50
- 75
- 100
- 150
- 167
- 200
- 250
- 300
- 500
- 750
- 1000
- 1500
-
NEW Serial Number
-
Voltage
-
Impedence
METERS Served
-
(1)
-
(2)
-
(3)
-
(4)
-
(5)
-
(6)
-
Signature
