Title Page
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Support Structure Number
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Conducted on
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Type of equipment at this location.
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What is the transformer size?
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Picture of transformer name plate
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Overall picture of transformer inside
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Will equipment need to be replaced?
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
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Primary wire in equipment
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Are there legible labels on this wire and if so enter comments.
Secondary side
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Is there a pedestal off of this transformer?
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What is the pedestal number?
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Does pedestal need to be replaced?
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What is the wire size to the pedestal?
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Is there another pedestal off of this transformer?
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What is the pedestal number?
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Does the pedestal need to be replaced?
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What size is the wire to the pedestal?
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Is there another pedestal off of this transformer?
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What is the pedestal number?
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Does the pedestal need replaced?
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What size is the wire to the pedestal?
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Inspected by:
