1

Name of Neighborhood or Homeowner Association

 *

Name of Neighborhood or Homeowner Association

2

Address of Association

 *

Address of Association

3

Utility Account Number(s)

Utility Account Number(s)

4

Contact Name

 *

Contact Name

5

Title or position (Board member, property manager, etc.)

 *

Title or position (Board member, property manager, etc.)

6

Contact Phone Number

 *

Contact Phone Number

7

Contact Email Address

 *

Contact Email Address

8

Number of sprinkler controllers and zones (If zone number is unknown, list number of controllers)

 *

Number of sprinkler controllers and zones (If zone number is unknown, list number of controllers)

9

Does an irrigation contractor or landscape management company maintain the irrigation system? 

Does an irrigation contractor or landscape management company maintain the irrigation system?

Yes

No

10

Is there a site or irrigation plan available?

Is there a site or irrigation plan available?

Yes

No

11

Many associations prefer conservation staff reset the irrigation controller during the sprinkler assessment, if needed. Does your association prefer water conservation staff set the irrigation controller?

 *

Many associations prefer conservation staff reset the irrigation controller during the sprinkler assessment, if needed. Does your association prefer water conservation staff set the irrigation controller?

Yes

No

12

Any other comments or questions.

Any other comments or questions.

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