Site Survey

Company Information (One Site-Survey Per Building)

Property Details

Do you have a pump/meter room?
Do you have a booster pump?
Any issues/complaints with pressure or leaks?

Meter 1 Details

The FCD Cannot Be Installed On Any Fire Line

Taking pictures: Select the specific Checkbox below to take that picture.
There are two link options: Upload Files, or, Upload Using Camera on a mobile phone.
NOTE: DO NOT use HEIC images. Set mobile phone for JPG image capture

--- Will only accept JPG, JPEG, or PNG images. ---

M1-1. Picture Taken:
M1-2. Picture Taken of:
M1-3. Picture Taken of:
M1-4. Picture Taken of:. Picture Taken of:
M1-5. Picture Taken of:. Picture Taken of:
M1-6. Picture Taken of:
Is the pipe size/diameter of your pipe change in size downstream after the meter throughout your property?
*Required - Please Check Backflow Certification For Reference (if any)
M1. Pipe Material
M1. Pipe Wall Thickness:

IMPORTANT DIRECTIONS FOR PHOTOS/PICTURES REQUIRED:

1. Meter Size And Pipe Diameter Size At The End Of The Meter, Confirmation Required
2. Flow Direction Of Your Water Is Required To Confirm - Arrows Usually Help Identify
3. Focus At the End/Outlet Of Meter - This Helps Us Determine Where The FCD Can Be Installed

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 5 files.
Up Close and After The Meter Outlet Fitting or Flange
Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 5 files.
Between Meter & Backflow (if any)

Water & Sewer Billing Details

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 6 files.

Notes:

1. 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.                                              2. Incoming pressure from the city or water supplier, the closest to the water meter or possible installation zone.                                                                                                        3. Attach photos of installation location.

Property Manager or Facilities Engineer

Technician / Plumber Information

Authorization & Confirmation:

The valve CANNOT be installed on any fire line system. Please ensure that the meter(s) are not the same for fire.

I Have Confirmed These Statements:

Person Submitting Site Survey

Clear Signature

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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