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Gas Operation and Maintenance: Continuing Surveillance Report Form Mobile App

The Gas Operation and Maintenance: Continuing Surveillance Report Form mobile app is intended for inspection of both main and service lines. Complete this form annually. Label Left screens work best with tablets.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Gas Operation and Maintenance: Continuing Surveillance Report Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    CITY OF

  • Ico statictext

    WHEN TO COMPLETE: Complete this form annually.

  • Ico dropdown

    Distribution System Patrolling Completed:

  • Ico date

    Date Completed:

  • Ico dropdown

    Distribution Gas Leak Survey Completed:

  • Ico date

    Date Completed:

  • Ico integer

    Number of Gas Leaks Pending From: Last Review:

  • Ico integer

    This Review:

  • Ico dropdown

    Pressure Regulator Stations Inspected:

  • Ico date

    Date Completed:

  • Ico dropdown

    Gas System Pressure Records Reviewed:

  • Ico date

    Date Completed:

  • Ico dropdown

    Relief Valves Inspected & Adjusted if Needed:

  • Ico date

    Date Completed:

  • Ico dropdown

    Valve Maintenance & Inspection Completed:

  • Ico date

    Date Completed:

  • Ico dropdown

    Atmospheric Corrosion Control Completed:

  • Ico date

    Date Completed:

  • Ico dropdown

    External Corrosion Control Completed:

  • Ico date

    Date Completed:

  • Ico dropdown

    Internal Corrosion Control Completed:

  • Ico date

    Date Completed:

  • Ico dropdown

    Monthly CP Rectifier Inspection Completed: xx

  • Ico date

    Date Completed:

  • Ico dropdown

    Annual Class Location Reviews Completed:

  • Ico date

    Date Completed:

  • Ico dropdown

    Unaccounted For Review Completed:

  • Ico date

    Date Completed:

  • ...and More!

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