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Groundbed Replacement Checklist <br />Description of Request (details shall be populated in notification comments field) <br />Distribution Transmission ❑ <br />CP New ❑ CP Replace 14 <br />Nature of request? <br />P-tr6-rO <br />Location of request? Trj S <br />How was request identified? Fi cr 7- S <br />CPA Up? ❑ Yes N No <br />if No, date CPA found down: `1 _ �e� _ � a O <br />Request Validation Test Results <br />Is CPA clear of contacts? [� Yes ❑ No <br />if no explain: <br />Is this rectifier operating properly? W Yes ❑ No <br />if no explain: <br />Number of additional rectifiers in CPA? ❑ Yes N No <br />Provide rectifier equipment #'s (include current outputs): <br />Was anode%athode wire checked for continuity? �] Yes ❑ No <br />if no explain: <br />Were all defects detected by the above methods corrected? C4 N/A ❑ No <br />if no explain: <br />Notification Attachments <br />W Cathodic Protection Station Report and Interference Test <br />CP Annual Report (last 2 years — run from SAP) <br />Current Requirement Worksheet <br />Groundbed Replacement Checklist 1 1 of 1 Version 1 04/28/2016 <br />