Title Page
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Site conducted
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PURPOSE
This certificate must be completed by a Certified Person to confirm that the meter and its installation complies with the requirements of the South Australian Licensed Water Use Meter Specification (SA Specifications) and Australian Standard 4747 – Meters for non-urban water supply. This is an ‘approved Water Meter Validation Certificate’ under the SA Specifications and the Landscape South Australia (Water Management) Regulations 2020. The completed certificate must be provided to the Water Licence Holder and submitted to the Department for Environment and Water within 14 days of validation through the online meter notification form (or alternatively via email or post). -
Brief location description
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Conducted on
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Prepared by
LICENCE HOLDER
PART 1: WATER LICENCE HOLDER DETAILS
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Water license number
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Water license holder name
- SOUTH AUSTRALIAN WATER CORPORATION
- OTHER
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Enter Water licence holder name
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Enter Postal Address
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Enter Phone number
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Postal Address
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Phone number
Contact person or agent – if the water licence holder is not the main contact, provide a contact person or agent’s name below
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Name
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Phone
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Email address
- licencedmetersmanagement@sawater.com.au
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Enter Name
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Phone
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Email address
VALIDATION
PART 2: VALIDATION CERTIFICATE REASON
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Select Validation Certificate Reason
- New meter installation and validation (fill out parts 3, 5 and 6)
- Revalidation of an existing meter (fill out parts 4, 5 and 6)
PART 3: NEW METER INSTALLATION AND VALIDATION
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Only complete if a new/replacement meter has been installed and validated
METER DETAILS
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Date meter installed
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Meter make
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Meter model
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Add photo(s) of installed flowmeter
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Meter size (DN in mm)
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Meter serial number
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Add photo(s) of Serial Plate showing Serial No clearly
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Pipe size (DN in mm)
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Meter reading (at installation)
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Unit of measure
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If other, please specify:
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Number of digits
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Power Source
- Hardwired
- Plug-in
- Battery
- Solar powered
- Other
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If other, please specify:
GPS location of meter (fill out Easting/Northing OR Longitude/Latitude)
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Select closest location from map
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Select GPS reading type
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Latitude
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Longitude
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Datum used for location of meter
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If other, please specify:
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Has the meter been pattern approved?
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Pattern approval no
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If not, specify why:
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Is the meter fit for purpose?
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If not, specify why:
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Is the meter fitted with telemetry?
WATER SOURCE DETAILS
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Is this a new water source?
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Water source ID (description as appears on water licence)
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Water source type
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Water source description (i.e. well unit or permit number, dam capacity, gps coordinates):
INSTALLATION DETAILS
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Has the meter been installed in accordance with the pattern approval certificate and the SA Licensed Water Use Meter Specification?
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Pipe length upstream of meter (in m)
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Pipe length downstream of meter (in m)
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Add photo(s) of Installation
VALIDATION DETAILS
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Date of validation
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Meter reading at validation
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Add photo of Totaliser / Meter Register
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Security seal numbers (N/A if none applied)
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Add photo(s) of each Security Seal showing seal numbers clearly
PART 4: REVALIDATION OF AN EXISTING METER
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Only complete this part for an existing meter installation
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Reason for validation
- Re-validation after a change to the meter installation that may affect meter accuracy
- Re-validation after security seals are broken by someone not authorised
- Re-validation after security seals are broken for maintenance by a certified person
- Re-validation of a meter (other)
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Please specify:
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Meter Serial No
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Add photo(s) of Serial Plate showing Serial No clearly
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Meter reading (include units)
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Add photo of Totaliser / Meter Register
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Water source ID (as described on licence)
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Date
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Security seal numbers
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Add photo(s) of each Security Seal showing seal numbers clearly
CHECKLIST
PART 5: VALIDATION CHECKLIST
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Please complete this checklist to ensure all items are assessed when performing the validation
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1. Has a pattern approved meter been used?
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If not, specify why:
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2. Is the meter fit for purpose (suited to intended purpose, installation configuration and operating conditions)?
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If not, specify why:
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3. Has the meter been installed in accordance with the pattern approval certificate, the manufacturer’s specifications and the SA Licensed Water Use Meter Specifications?
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If not, specify why:
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4. Is the site safe and accessible for meter reading and maintenance?
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If not, state observations:
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5. Is there any evidence of tampering?
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if yes, please specify:
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6. Are all configurable parameters on the meter, including software versions, consistent with the meter’s factory calibration?
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If not, specify why:
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7. Has an internal check of the meter and the lead in/lead out pipework revealed that the pipework and meter is:
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a) Clear of any build up (i.e. sediment, calcium, iron oxide, iron bacteria, algae etc.)
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b) Round and clear of obstructions
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c) Satisfactory quality?
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8. Where the flow computer allows notification of errors, are any errors active/observed?
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if yes, please specify:
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9. Has meter and pipework seals been installed to both the meter and connecting pipework?
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If not, specify why:
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10. Has approved seals with a unique number been used?
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If not, specify why:
CERTIFICATION
PART 6: CERTIFICATION
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I certify that:
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I am a Certified Person for the purpose of validating meter installations
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The meter and its installation is approved for use and is compliant with the requirements of the South Australian Licensed Water Use Metering Specifications and Australian Standard 4747
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Enter justifications:
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The information in this Certificate is accurate, true and complete
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Name of Certified Person
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Certified meter installer/validator number
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Contact number
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Email address
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Signature
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Date
SUPPORTING INFORMATION
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I have attached photographs
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Please attach photographs of the meter serial number, the meter dial/display and the site showing the whole meter installation including where seals have been attached.
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Photographs can be uploaded individually on the meter notification form, attached below or emailed with the validation certificate to the Department for Environment and Water.