Title Page
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Document No.
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TRANCHE #
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Asset ID. ie RVX xxxxxx
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Conducted on
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Prepared by
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Location
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Contracting Company
Site Information
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Region
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Depot
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WASP #
Signage Requirements
Sign Conditions
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Condition of Sign 1
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Photo of Sign 1
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Sign 1 GPS location: move device to directly below sign
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Visibility of sign traversing upstream
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Visibility of sign traversing downstream
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Sign is Graffiti free
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Site clean and free from waste materials on ground
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Sign 1 Mounting type
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Land or Water
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Footing Type
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Condition of Sign 2
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Photo of Sign 2
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Sign 2 GPS location: move device to directly below sign
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Visibility of sign traversing upstream
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Visibility of sign traversing downstream
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Sign is Graffiti free
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Site clean and free from waste materials on ground
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Sign 2 Mounting type
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Land or Water
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Footing Type
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Additional Sign
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Condition of Sign 3
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Photo of Sign 3
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Sign 3 GPS location: move device to directly below sign
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Visibility of sign traversing upstream
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Visibility of sign traversing downstream
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Sign is Graffiti free
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Site clean and free from waste materials on ground
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Sign 3 Mounting type
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Land or Water
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Footing Type
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Condition of Sign 4
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Photo of Sign 4
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Sign 4 GPS location: move device to directly below sign
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Visibility of sign traversing upstream
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Visibility of sign traversing downstream
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Sign is Graffiti free
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Site clean and free from waste materials on ground
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Sign 4 Mounting type
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Land or Water
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Footing Type
Pole Information
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Pole Number
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Pole Number
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Additional pole(s)
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Pole Number
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Pole Number
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Additional pole(s)
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Pole Number
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Pole Number
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Additional pole(s)
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Pole Number
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Pole Number