Site Survey

Company Information
Company Name: *		Order # / Reference: *
Contact Name: *		Title:
Email: *		Phone: *
Property Address: *

Property Details
How many meters does this property have? *	📋 You will need to fill:
How many stories/floors? *
Do you have a pump/meter room? *	Yes No
Do you have a booster pump? *	Yes No
Any issues/complaints with pressure or leaks? *	Yes No Details:
Property/Business Type: *	Other Details:

Water & Sewer Billing Details
Billing Cycle Start Day Of Month:
Utility Billing Platform Link:
Billing Username/Email:
Billing Password:
Upload Your Water Bills Here:	Accepted formats: PDF, JPG, PNG, DOC, DOCX

Meter 1 Details

Meter Size or Main Water Line *

Meter Model

Meter Serial # *

Flange Type

Flange Bold Pattern

PSI at Meter (Before Backflow) *

PSI at Property (After Backflow) *

Pipe Material *

Steel

Copper

Galvanized Steel

Ductile Iron

PVC

CPVC

Other

Pipe Wall Thickness *

Schedule 40

Schedule 80

Type K

Type L

Type M

Other

Meter Pictures: Up Close and Further Away

Pipes/Plumbing Pictures: Between Meter & Backflow (if any)

Notes:

Size of the pipe after the meter and joining(backflow) must be equal to the sum of the sizes of the meters or smaller never greater than this.
Incoming pressure from the city or water supplier, the closest to the water meter or possible installation zone
Attach photos of installation location.

Property Manager or Facilities Engineer
Contact Name:		Phone:
Title/Role:		Email:

Technician / Plumber Information
Company Name:		Contact Name:
Phone:		Email:

Additional Notes:

Survey Submitted By: *
Signature: *

Notes:

The AquaFlow Valve cannot be installed on a fire line. Please ensure that installation pipe is not the same as the fire line pipe.

Once survey is submitted our engineering team will review all the information provided and will update with any other required information.

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