L. Richards Plumbing & Heating, Inc.
Water-mains, Sewers, Violations Removal, Plumbing Repairs.
185-04 Williamson Ave.
Springfield Gardens
NY
11413
(718) 949-3567
LenPlumb@MSN.Com
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Water Analysis
Water Consumption Analysis Form
Water Consumption Analysis
Please fill out this form completely and accurately. We will get in touch with you shortly to arrange an appointment.
Service Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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Armed Forces Americas
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State
ZIP Code
Contact Name
*
First
Last
Phone
*
Alternate Phone
Email
Do you have an irrigation system?
*
Yes
No
If yes, how many minutes does it run?
*
Please enter a value between
0
and
99999
.
How many times Per Day?
Please enter a value between
0
and
99999
.
How many times Per Week?
Please enter a value between
0
and
99999
.
Additional Timer Information:
Is there an irrigation timer?
*
Yes
No
If yes, is it adjusted for seasons?
Yes
No
Do you have a swimming pool, pond or hot tub?
*
Yes
No
If yes, does it autofill?
Yes
No
Do you have a water softener?
*
Yes
No
If yes, does it autobackwash?
Yes
No
Last service date:
Have you checked for leaks? (toilets, faucets, etc.)
*
Yes
No
Are there wet spots in the yard?
*
Yes
No
Do you have an evaporative cooler?
*
Yes
No
Would you like to be present during the on-site analysis?
*
Yes
No
If yes, please provide some flexible dates and times. You will be contacted prior to the on-site visit to schedule an appointment:
Best Appointment Date
Best Appointment Time
:
HH
MM
AM
PM
Please supply any additional information:
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