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Controle opérationnel portant sur la commune de
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N° du PEI
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PEI :
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-
Date de saisie de la dernière fiche :
-
Adresse :
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Précision sur l'adresse :
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remarque relative
au controle précédent
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Question
Choix
Précisions complémentaires
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Le PEI est-il présent sur le terrain ?
Oui
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Non
Peux t-on accéder jusqu'au PEI ?
Oui
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Non
Clôture
Voie non carrossable
portail fermé non équipé d'un dispositif de déverrouillage
Le PEI est il numéroté ?
Oui
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Non
Absent
Illisible
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Y a t-il une signalisation du PEI ?
Oui
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Non
Absence
Dégradée
Les composants principaux du PEI sont-ils présents ?
Oui
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Non
Joints
Bouchon
Le PEI est il en bon état ?
Oui
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Non
Corrosion
Peinture
Socle d'ancrage
Fuite
Chainette
Couvercle
Capot
Peux t-on se raccorder au PEI ?
Oui
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Non
Végétation empéchant la manoeuvre
Obstacle fixe
1/2 raccord cassé ou manquant
Peux t-on manoeuvrer le dispositif d'ouverture d'eau
du PEI ?
Oui
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Manoeuvre difficile (grippé...) ou volant cassé
Non
Carré de manoeuvre cassé / Manoeuvre impossible
Vanne H.S. (PEA)
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Le PEI est-il alimenté en eau ?
Oui
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Non
Peut-on vidanger le PEI ?
Oui
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Non
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saisie effectuée par
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