Atmospheric Corrosion Control Inspection Form
Company Name
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Inspector Name
First Name
Last Name
Inspection Date
-
Month
-
Day
Year
Date
Corrosion control information
Designation of line
Please Select
Transmission
Distribution
Line size
Area of corrosion
Please Select
Pipe
Meter set
Fitting
Regulator
Support
Vent
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Corrective measures taken
Are below actions taken?
Rows
Yes
No
Painted
1
2
Coated
3
4
If any other actions taken please specify
Please specify type of painting or coating used
Additional inspection information
Inspector Signature
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