White Feather

Water Survey Applicant Details:

Enrollment #

Organization Name

84342

Phone

Email

Contact Name

Type of Organization

Title/Position

Heard About Program

Address

Joined

Apr 5, 2021

Participated

Water Efficiency Survey Process:

arrow&v
Applied
Survey Reviewed
Survey Sent
Devices Received
Devices Installed
Rebate Completed

Ice Machines

Are there any ice machines?

#1 Ice Machine

Brand Name:

Model:

Approximate Year Installed:

Total Dimensions (W x D x H):

Type of Unit:

Adjacent to any Ovens?

Location / Description

Corrosion or Deposits Visible?

Water Filter Present?

Photo:

Paper Structures

Admin Notes

#2 Ice Machine

Brand Name:

Model:

Approximate Year Installed:

Total Dimensions (W x D x H):

Type of Unit:

Adjacent to any Ovens?

Location / Description

Corrosion or Deposits Visible?

Water Filter Present?

Photo:

Paper Structures

#3 Ice Machine

Brand Name:

Model:

Approximate Year Installed:

Total Dimensions (W x D x H):

Type of Unit:

Adjacent to any Ovens?

Location / Description

Corrosion or Deposits Visible?

Water Filter Present?

Photo:

Paper Structures