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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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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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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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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Blower on site?
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Replacement cost
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Notes
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Other items on site, vac plate, deck lid etc
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Replacement cost
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Notes
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Water Quality Comments
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SUMMARY COMMENTS
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