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Digital Signage Live Data
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Field Data Collection Form (Water Conservation) Form
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Field Data Collection Form (Water Conservation) Form
First Name
*
Last Name
*
Business Name
Street Address
City
Zip Code
Title
Telephone
Email
Cell
Date of Report
Comments if Any
Is your Residential Gallons per Capita Day below 65
Yes
No
Is your Unaccounted for Water below 10
Yes
No
Do you have an Emergency Management Plan describing procedures for handling water emergencies
Yes
No
Do you have a Drought Management Plan
Yes
No
Do you conduct an annual water audit of your system
Yes
No
Do you conduct a full leak detection program for your distribution system every two years
Yes
No
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