Title Page
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Job Number
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Site Address
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Conducted on
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Installed by
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Lockbox works completed?
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Please provide details
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Please provide photos of the lockbox and connection to tap bank.
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Have you fire sealed the hole into the property?
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Please provide photo.
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Has the socket been installed?
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Please provide details
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Please provide photos of the VM socket installed.
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Was the socket tested?
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Please provide details
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Please provide pictures of the test on meter screen.
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Test Notes
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By signing the below, I confirm the work has been carried out to a satisfactory standard.
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Residents Name