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:

Meter 1 Details
Meter Size or Main Water Line * Enter other details	Meter Model	Meter Serial # *	Flange Type
Meter Size or Main Water Line * Enter other details	Flange Bold Pattern .	PSI at Meter (Before Backflow) * *Required - Please Check Backflow Certification For Reference (if any)	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 After The Meter Outlet Fitting or Flange	*Please upload at least one meter picture. .... .... .... ....
Pipes/Plumbing Pictures: Between Meter & Backflow (if any)	*Please upload at least one pipes/plumbing picture. .... .... .... ....
Valve Type & Details:

Water & Sewer Billing Details
Billing Cycle Start Day Of Month:
Utility Billing Platform Link: Not Required
Billing Username/Email: Not Required
Billing Password: Not Required
Upload Your Water Bills Here: Not Required	Accepted formats: PDF, JPG, PNG, DOC, DOCX

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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