Information
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Service Technician
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Service Technician Phone Number
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Service Technician Contact Number
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Installation Date
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Customer
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Image of Front of Property (Street Identification)
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Home Number
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Mobile Number
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Email
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Location
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Tank Initial Observations
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Brand
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Number of Tanks
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Tank Type
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Pump Type
- Lowana
- Davey
- Orange
- Grunfos
- SWT
- Other
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Controller Type
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Document No.
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Conducted on
TANK
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Take an Image of Tank
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Clean Filter Bag
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Clean Filter Bag Notes
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Leaf Basket
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Leaf Basket Notes
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Clean out First Flush Diverter
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Clean Out First Flush Diverter Notes
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Clean Stainless Steel Tube
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Check Stainless Steel Tube Notes
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Clean Base of Tank
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Clean Base of Tanks Notes
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Clean Inlet Water Quality
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Check Inlet Water Quality Notes
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Check Backflow
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Check Backflow Notes
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Check for Groundwater
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Check for Groundwater Notes
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Check Pump Connections
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Check Pump Connections Notes
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Pump Rectification
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Pump Rectification Notes
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Check Pipework through Wall
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Check Pipework through Walls Notes
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Check Seals around Tank & Lid
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Check Seals around Tank & Lid Notes
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Treat Water Notes
CONTROL BOX
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Take an Image of Control Box
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Controller Type
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Box Condition
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Box Condition Notes
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Secure to Wall
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The Box is not Secured Properly to the Wall
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Connecting Pipework OK
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There is a Problem with the Connecting Pipework
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No Leaks
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Leaks have been Identified
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Flow Switch Operation
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An Issue with the Flow Switch Operation has been Identified
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Pump Operation & Pressure
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An Issue with the Pump's Operation & Pressure has been Identified
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Limiting Valve Pressure
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LED Working
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LED Indicators are not Functioning Properly
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Check Outlet Filters
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An Issue with Outlet Filters has bee Identified
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Valves & "Y" Strainers Fitted
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An Issue with the Valves & "Y" Strainers has been Identified
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Overall Comments
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We Recommend the Next Scheduled Service Occurs at
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Client Agrees to Next Schedule Service
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Signed by Technician
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Date & Time
CREDIT CARD DETAILS
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$ Amount
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Name on Card
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Expiry Date
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CCV
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Card Number
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Client Credit Card Signature