Customer name (required) Customer email (required) Customer Address (required) Date Total # of Zones Store Number Make/Model of Controller Zone 1 Broken / Missing Heads (Qty) Clogged Nozzles (Qty) Misaligned Spray Patterns YesNo Over-spray onto Pavement YesNo Broken Piping YesNo Incorrect Head Spacing YesNo Extremely Dry Areas YesNo Insufficient Operating Pressure YesNo Excessive Runoff and Erosion YesNo Zone Valves Functional YesNo Number of Heads in the Zone (Qty) Drip Lines in Zone YesNo Spray Heads in Zone YesNo Rotor Heads in Zone YesNo Zone Run Time (minutes) Days Each Zone is Being Watered Notes and Comments Δ