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er Number:SAP EC Notification Number: _ <br />I Electric Cor <br />•V | Work F <br />nTjfcfl OVERH <br />SECTION 1 - TO BE COMPLETED BY FIELD PERSONNEL <br />ic Corrective <br />Form <br />j OVERHEAD <br />*FDA Description <br />(Enter highest priority Facility/Damage/Action from back of Form): <br />Facility:Damage:Action: <br />A 4 <br />PRIORITY <br />DA- Emergency <br />D B - Urgent <br />D E^U Months <br />D<REG - Next Insp <br />*Reporting Information: <br />'Identified in Field By: (PG&E - LAN ID)A n 5 f <br />'LAN ID <br />'Identified in Field On: <br />'Recommended Repair Date <br />Work Type Code: <br />MM DD YY <br />n I t ^ I If 'E Crew Size rew Size <br />DD YY <br />'Estimated Elec Labor Hrs: <br />Estimated Gas Labor Hrs: <br />Reference Information (Circuit & SSD Required at entry in to SAP - to be verified by Clerical if unknown in field) <br />'Plat Map:'Circuit:•SS0:Pole # (Required if numbered Pole)Equipment #: <br />I63aaas32 <br />Meter #: <br />Location Information (* Location Number required for Compliance Inspection or Patrol) <br />'Location #: 'Sti -eet Address: <br />'Main Workcenter: <br />5V ^cA^ <br />Cross Street:'City: <br />Latitude/ Longitude: <br />.5 -7 , 1 r T6 sr 1 ^1 V £<* 7 -/ <br />identified in Field During (Required - Check One): Secondary Field Identification (Check all that apply); <br />Q^Compliance Inspection D Trouble-Work D Equipment Inspection LJ Joint Pole D Customer D Substation D PG&E/QA Audit <br />D Compliance Patrol D Crew-Work n Pole Test & Treat D Other D UWF (Urban Wildfire Area) D Work Verification D CPUC Audit <br />D Infrared (Check only if attaching IR Data Sheet) D SmartMeter™ <br />"Conductor Type (Required - Check One): <br />D Secondary D Service D Service / Streetlight Conductor <br />ERR Pin (Reference Only) D PIN#: <br />OIS: (Required if Outage Related) n CIS #: <br />Field Condition - Exposure (Check all that apply - provide supporting comments if addition information is needed for field); <br />D High Public Exposure OR Public Gathering Area (school park, mall, etc.) D Commereial / Industrial Customer D Extreme or High Fire Risk Area <br />D Residential Area fS^T^emote (Ag or Low Populated Area, etc.) D Waterway <br />Field Condition - Accessibility (Check all that apply - provide supporting comments if addition information is needed for field): <br />D Nc>Road Access n Seasonal Work; (Dry, Harvest, Snow, etc.) Cannot Work From / _ To _ __/__ <br />Q^fraffic Control Plan Reguired MM / DD MM / DD <br />D Customer Issue (will not allow PG&E on property, etc.) D City Moratorium; Cannot Work From /_ _ To / <br />D CGI (Can't Get In): Dog, Locked Gate, Etc. MM / DD MM / DD <br />D Rear Easement D Special Circumstances: <br />'Is a Clearance required? D Yes D No 0"Dnknown B"T?TA/LTA D Flagging Required? D USA Required? <br />*Field Comments (Describe the work required and the equipment and materials needed. For example: Special tools or equipment, any unusual conditions, <br />speciakircumstances, and supporting comments related to Exposuic o^Acccssilnliiy): <br />Digital Pictured: <br />Bird Report Event Log #:•Bird Incident No.: (Required for BGR/57R Raptor Work): <br />SECTION 2 - TO BE COMPLETED BY CREW PERSONNEL IF WORK IS COMPLETED IN FIELD (EMERGENCY OR SAME-DAY): <br />Completed By (LAN ID): <br />Signature: <br />Completed byT-Man? <br />/ verify that all maintenance on this notification is completed <br />Completed On: <br />* Reviewed By: <br />Actual Labor Hours: <br />DO YY <br />Compliance Department Review <br />'Reviewed On:I I <br />Version 1.6, Effective 6/26/2012