Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 6 Section 1: Customer & Appointment Information Job ID *Appointment Date *Arrival Time: *Technician #1 (First & Last) *Technician #2 (First & Last)Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCustomer Required to be On-Site? *NoYesPets *NoYesGate Codes *NoYesNeigborhood GateProperty Gate File Spa? Number NextSection 2: Pool Condition Upon Arrival Water Level *NormalLowVery LowEmptyWater Condition *ClearMurkyGreenDirty/Debris PresentEquipment Operational? *YesNoPartiallyWere Pre-Service Conditions Met? *YesNo (Please Explain)Please Explain *Section 3: System Confirmed On Site Pool TypePool OnlyPool + SpaNegative/Infinity EdgePool FeaturesWater Features PresentAutoFillIn floor Cleaning SystemScuppersBubblersBlowerPressure Side CleanerDid You Discover any Additional Features? *NoYes, Please ExplainAdditional Features Discovered *Please Note any Discrepancies from Intake FormsThis is in addition to any additional features discovered. If none, leave blank.NextSection 4: Tests Performed Electronic Water Loss Analysis *YesNo Test Results * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Upload Test PDFDye Testing *YesNoFindings of Dye Testing *Equipment Inspection *YesNoEquipment Inspection Findings *File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload Skimmers Tested? *YesNoNumber # of Skimmers *12345+If there are More than 5 Skimmers, Please Enter the Total Number Here. *Skimmer 1 Test Results *Skimmer 2 Test Results *Skimmer 3 Test Results *Skimmer 4 Test Results *Skimmer 5 Test Results *Skimmer 6 Test Results *Skimmer 7 Test Results *Pool Light Niche Inspected? *YesNoNumber # of Pool Lights *12345+This Does NOT include the Spa Lights.Are the Pool Lights LED? *YesNoIf there are 5 or more Lights Please Enter the Total Number of Lights Here *Pool Light 1 Test Results *Pool Light 2 Test Results *Pool Light 3 Test Results *Pool Light 4 Test Results *Pool Light 5 Test Results *Pool Light 6 Test Results *Spa Light Niche Inspected? *YesNoNumber of Spa Lights *12345Are the Spa Lights LED? *YesNoSpa Light 1 Test Results *Spa Light 2 Test Results *Spa Light 3 Test Results *Spa Light 4 Test Results *Spa Light 5 Test Results *Main Drain Inspected? *YesNoNumber # of Drains *123Drain 1 Test Results *Drain 2 Test Results *Drain 3 Test Results *Autofill Inspected? *YesNoAutofill Test Results *Spa Testing Completed?YesNoSpa Damage *Cracks ObservedTile Line SeparationJet Bodies & Fitting DamageMain Drain Crack or DamageLeaks at Equipment to SpaFile Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload Did You Isolate and Run the Spa? *YesNoDescribe Observations *Does the Spa Have Check Valves? *YesNoDo They Appear to be Functioning Properly? *YesNoDid You Perform Dye Testing in the Spa? *YesNoReturns *PassFailDrain(s) *PassFailLight(s) *PassFailDye Testing Notes *Was Pressure Testing Performed? *YesNoPool Skimmer Line(s) *PassFailMain Drain Line(s) *PassFailReturn Lines *PassFailPSI Air/Water *PSI Air/Water *PSI Air/Water *Hold Time Air/Hold Time Water *Hold Time Air/Hold Time Water *Hold Time Air/Hold Time Water *Notes *Notes *Notes *Suction Side Cleaner Line *PassFailWater Feature(s) *PassFailAutofill *PassFailPSI Air/Water *PSI Air/Water *PSI Air/Water *Hold Time Air/Hold Time Water *Hold Time Air/Hold Time Water *Hold Time Air/Hold Time Water *Notes *Notes *Notes *Spa Suction Line/Drain *PassFailSpa Return Lines *PassFailBlower Line *PassFailPSI Air/Water *PSI Air/Water *PSI Air/Water *Hold Time Air/Hold Time Water *Hold Time Air/Hold Time Water *Hold Time Air/Hold Time Water *Notes *Notes *Notes *NextSection 5: Findings Was a Leak Discovered? *YesYes, Multiple LeaksNoPrimary Leak Location *First ChoiceSecond ChoiceThird ChoiceSecondary Leak Location *First ChoiceSecond ChoiceThird ChoiceLeak(s) are Clearly Marked *YesNoPlease Explain *Additional Media to Support Findings File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload File Upload Drag & Drop Files, Choose Files to Upload Detailed Findings *NextSection 6: Recommendations Recommended Action(s) *Repair recommendedMonitor after isolationRe-test after repairFull system re-test neededPool must be refilled / cleaned before complete testingNo leak confirmed at this timeRecommendation Details *Were Any Repairs Performed During Today's Visit? *YesNoDescribe Repairs Performed *Repair Authorization *ClientOfficeBothNextSection 7: Technician Certification Technician Printed Name *FirstLastAdditional Technician Notes *Technician Signature * Clear Signature Date *Save Field Report