Information
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Terminal ID:
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Service Order number or UFB Cabinet ID:
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Prepared by
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Tech/Company
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CAUSE CODE:
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Splices installed:
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Where is the issue? What is required to repair issue?
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What is the specific location of each issue encountered. (eg in front of 10 Bob St)
What tasks where performed at each location. Ex Dig and fix of 100mm duct outside 10 Bob St. -
ADD Photos of issue and work completed:
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General Comments
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Codes Claimed:
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Codes claimed Ex: MC12x1…etc
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