Asset Type

Recovery Reason *

Asset Status

Serial Number

Weight (KG) *

(LB)

Asset ID

TE Number

Pole Label

Operational Label

= 1000 }>

PCB Content *

PCB Field Screening Test *

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This asset must be transported to Licenced PCB Facility within two days to comply with EPA Licence 21901.

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Please include at least one clear nameplate photo.

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