Information
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Document No.
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Date and Time of Handover
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Pool Technician
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Customer Name
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Customer Address
Pool size & surface
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Surface of the pool
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- Pebble
- Fibreglass
- Vinyl liner
- Quartzon
- Concrete
- Painted
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Pool size-volume of water
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- 5,000
- 10,000
- 15,000
- 20,000
- 25,000
- 30,000
- 35,000
- 40,000
- 45,000
- 50,000
- 55,000
- 60,000
- 65,000 plus add to notes
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Notes-
Pool Pump
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Make
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Model
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Age
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Notes
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Add media
Chlorinator
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Make
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Model
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Age
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Notes
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Add media
Cell
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Make
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Model
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Age
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Notes
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Add media
Filter
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Make
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Model
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Age
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Notes
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Add media
Fence
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Make
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Gate
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Age
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Notes
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Add media
Water Test Results
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Chlorine
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- Add one bag of shock and clear $19
- Increase out put on chlorinator
- Decrease out put on chlorinator
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Stabiliser
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- Add 1 kg stabiliser $15
- Add 2kg stabiliser $30
- levels are high drain some water from pool
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pH
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- Add acid to pool 500 ml $3
- Add acid to pool 1 litre $6
- Add acid to pool 2 litres $8
- Add pH increaser to pool 1 kg $12
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Alkalinity
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- Add 2kg buffer $14
- Add 4kg buffer $20
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Salt
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- Add 1 bag of salt $12
- Add 2 bags of salt $24
- Add 3 bags of salt $36
- Add 4 bags of salt $48
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Hardness
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- Add cal plus 2 kg $14
- Add cal plus 4kg $20
Maintenance Equipment
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Pool Pole Onsite?
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- New pole $58
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Notes
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Add media
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Leaf Rake Onsite?
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- New leaf rake $38
- New leaf shovel $48
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Notes
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Add media
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Vacuum Head Onsite?
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- New vacuum head pebble pool $38
- New vacuum head fibreglass with brush $32
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Notes
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Add media
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Large Brush Onsite?
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- New pool broom $28
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Notes
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Add media
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Algae Brush Onsite?
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- New algae brush stainless $28
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Notes
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Add media
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Hose Onsite?
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- New hose 9 metres $45
- new hose 11 m $54
- New hose 13 m $58
- New hose 15 m $64
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Notes
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Add media
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Skimmer Basket Onsite?
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- Poolrite $58
- Poolstore $48
- Waterco $28
- Quiptron or equivalent $18
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Notes
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Pump Basket Onsite?
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- Onga $18
- Astral $22
- Davey $18
- Haywood $36
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Notes
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Add media
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Latch Assembly Onsite?
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Replacement cost
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Notes
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Pool Cleaner Onsite?
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Replacement estimate
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Notes
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Add media
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Resuscitation Sign Onsite?
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- Plastic CPR sign $18
- Metal color bond CPR sign $28
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Notes
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Add media
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Pool Gate Self latching and closing
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- Replacement adjustable hinges $45
- Magna latch $58
- Hinges less than 900 mm apart needs to spike $5
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Notes
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Add media
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Light Onsite?
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Estimate replacement / repair
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Notes
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Main Drain Onsite?
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Replacement cost
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Notes
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Add media
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Blower on site
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Replacement cost
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Notes
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Add media
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Other items, vac plate, Deck lid, etc
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Replacement cost
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Notes
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Add media
Pool Certificate
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Pool Certification Checked?
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Follow-Up Action Required?
Checklist
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Vacuum
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Notes
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Clean Cells
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Notes
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Water Testing
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Notes
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Brush
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Notes
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Back Wash
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Notes
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Filtration and Pool Photo
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Pool Photo
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Leaf Rake
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Notes
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Clean Filter
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Notes
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Handover Bag
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Notes
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Empty Basket
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Notes
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Backwashing
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Notes
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Notes
Tenant
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Tenant Signature and Name