113 Metro Drive, Anderson SC 29625
888-669-7551 | www.duffieldaquatics.com
Preventative Maintenance
Customer Report
Date
*
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Month
-
Day
Year
Date
Work Order Name
*
Facility Name
*
Site Name
*
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Time In
*
1
2
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4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Time Out
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Technician Name
*
First Name
Last Name
Technician Email
*
example@example.com
Technician Mobile:
Technician Mobile
*
-
Area Code
Phone Number
Heading
Territory Manager Name
*
First Name
Last Name
Territory Manager Email
*
example@example.com
Overall Condition of Pool
1
2
3
4
5
Water Test
ORP
*
pH
*
Chlorine
*
CYA
*
Calcium Hardness
*
Total Alkalinity
*
Temperature
*
TDS
*
CSI Index
*
pH + CHF + TAF + Temp - TDS
Equipment
CO2
CO2
System Notes
Controller
Controller
System Notes
Chemical Feed - Liquid Chlorine
Chemical Feed - LIquid Chlorine
System Notes
Chemical Feed - pH
Chemical Feed - pH
System Notes
Pulsar System
Pulsar System
System Notes
Filter
Filter
System Notes
Saline Chlorination System
Saline Chlorination System
System Notes
UV
UV
System Notes
VFD
VFD
System Notes
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Parts Used
Signatures
Tech Signature
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