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2. 2019 WCWRA Program/Services Survey
   (Please complete and submit the survey by June 21, 2019.)
4. Water System Name
6. Survey Completed By
8. Water System Meter Survey Questions
10. Does your water system currently have radio or electronic read water meters?

    1. Yes

    1. No
12. What type?
13. How old are the meters?
15. Do you current have equipment and software to read the meters?

    1. Yes

    1. No
16. Is there an annual or software update fee?

    1. Yes
    2. No
17. How much is that fee?
19. How old are your manual read meters?
20. Are you thinking of replacing them in the near future?

    1. Yes
    2. No
22. Would you be interested in discussing ways the WCWRA may be able to provide this service for your system or act as a back-up to your current system?

    1. Yes

    1. No
24. Water System Billing Survey Questions
26. Does your water system currently have a electronic billing program?

    1. Yes

    1. No
28. What is the billing program or software?
29. Is there a fee to maintain or upgrade this program?

    1. Yes
    2. No
31. How much does it cost?
32. How old is the billing program or software?
34. How do you bill your customers?
36. Would you be interested in discussing ways the WCWRA may be able to provide this service for your system or act as a back-up to your current system?

    1. Yes

    1. No
38. Water System Sampling Survey Questions
40. Do you currently collect your own monitoring water samples?

    1. Yes

    1. No
42. Who collects the samples for you?
43. Is there a fee for this service?

    1. Yes
    2. No
44. What is your cost?
46. Does your system currently participate in the WCWRA water sampling program to receive a reduced rate on the water sample analysis charge?

    1. Yes

    1. No
48. Would you like to see the WCWRA program expand to include the development of your systems water sampling plan and actual sample collection?

    1. Yes

    1. No
50. Leak Detection and GIS Mapping Assistance
52. Does your water system utilize any of these services?
54. Emergency Leak Detection

    1. Yes
    2. No
55. Leak Detection System Surveys

    1. Yes
    2. No
56. GIS Mapping Assistance

    1. Yes
    2. No
58. Would you like more information on this service?

    1. Yes

    1. No
60. Do you currently have another company providing this service?

    1. Yes

    1. No
62. If Yes what is the name of the product or provider?
64. Would you like to discuss how the WCWRA may be able to provide and/or expand the service to your system?

    1. Yes

    1. No
66. Please Explain:
68. Water Operator / Operations Questions
70. Don you envision your water system needing a new or replacement certified water operator and/or back-up operator within the next 5 years?

    1. Yes

    1. No
72. If Yes how Soon?
73. Would you like to see the WCWRA providing this service?

    1. Yes

    1. No
75. Are there other operation and/or maintenance concerns that you are currently experiencing and or will likely face in the near future?

    1. Yes

    1. No
77. Please Explain:
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79. 1. Receive an email copy of this form.
80. Email address

    This field is not part of the form submission.

81. Submit Submit and Print

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