Scotts Valley Water District - Annual Recycled Water Customer Site Inspection Report

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Annual Recycled Water Customer Site Inspection Report

This form is the annual Site Inspection Report for recycled water customers with the Scotts Valley Water District.

*First Name

*Last Name

*Email Address

*Phone Number

*Recycled Water Use Site

*Inspection Type

Initial Site Inspection

Annual Site Inspection

Program Inspection

*Is there evidence of recycled water runoff from this site?

Yes

Other

*Is there an odor of wastewater at this recycled water use site?

Yes

Other

*Is there evidence of recycled water ponding?

Yes

*If so, is there evidence of mosquito breeding within the area due to ponded recycled water?

Yes

*Are there breaks or leaks in the recycled water system piping or tubing on this site?

Yes

*Are there broken, plugged, or otherwise faulty drip irrigation emitters or spray irrigation sprinklers on this site?

Yes

*Are advisory signs, tags, stickers, above ground pipe markings, etc. legible and posted or attached to equipment, consistent with approved site plans, to inform the public that recycled water is in use?

Yes

*List actions being taken to correct any problems indicated above:

Confirm

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