Title Page
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Document No.
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Audit Title
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Client / Site
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Location
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Phone Number
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Conducted on
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Prepared by
Kitchen
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Sink - Drainage
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Faucet
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Strainers
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Drain Piping <br>
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Emergency Shut Off
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Dishwasher<br>
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Water Filter/ RO
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Garbage Disposal
Other Sink
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Sink- Drainage
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Faucet
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Strainers
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Drain Piping
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Emergency Shut Off
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Dishwasher
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Water Filter/ RO
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Garbage Disposal
Bathroom #1
Hand Sink
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Drainage
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Faucet
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Drain Piping
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Emergency Shut Off
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Water Supplies
Tub/ Shower
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Drainage
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Faucet
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Drain Piping
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Shower Head & Spout
Toilet
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Fill Valve
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Flush Valve
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Toilet Seat
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Tank/ Bowl
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Emergency Shut Off
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Water Supply<br>
Bathroom #2
Hand Sink
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Drainage
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Faucet
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Drain Piping
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Emergency Shut Off
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Water Supplies
Tub/ Shower
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Drainage
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Faucet
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Drain Piping
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Shower Head & Spout
Toilet
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Fill Valve
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Flush Valve
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Toilet Seat
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Tank/ Bowl
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Emergency Shut Off
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Water Supply
Bathroom #3
Hand Sink
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Drainage
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Faucet
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Drain Piping
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Emergency Shut Off
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Water Supplies
Tub/ Shower
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Drainage
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Faucet
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Drain Piping
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Shower Head & Spout
Toilet
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Fill Valve
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Flush Valve
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Toilet Seat
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Tank/ Bowl
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Emergency Shut Off
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Water Supply
Water Heater
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T&P Valve
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Water Connections
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Expansion Tank
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Emergency Water Shut Off
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Emergency Gas Shut Off
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Gas Supply
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Gas Venting System
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Electrical Wiring
Laundry
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W/M Drain
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W/M Hoses
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Laundry Sink
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Dryer Connections Including Gas
Outside
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Sewer Cleanout
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Stop and Waste Valve
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Hose Faucets
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Notes & Recommendations
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This inspection is intended to alert you of potential issues with the plumbing system. Neither J Geyer Plumbing, Inc. or the technician shall be liable for any damages which may arise from any identified or unidentified plumbing or drainage problem, but shall be the responsibility of the owner of the property. This inspection carries no guarantees.
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Customer Signature
