• Image field 88

  • Culligan Quench 1010,1030,1070 Technical Site Survey 

  • Tools Required:  

    • iPhone Camera 
    • Measuring tape  
    • Thermometer 
    • Pressure gauge 
    • TDS meter 
    • Bucket 
    • Level  
  • Date Performed
     - -
  • Format: (000) 000-0000.

  • Location/Space:

  • Is the proposed installation site base a solid concrete slab? If No, please provide details.
  • Is there any doorway or hallway the unit would be brought through that is less than 46in W x 78in H? *Walk the route from the delivery point to the install location to confirm this.*
  • Is this an outdoor installation space?*
  • Is floor level in the installation space*

  • Take a picture of the proposed unit location from 10 feet back. Picture must include all connections, walls, surfaces, and show any potential obstructions. See example:

  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • Water Source:

  • Water Source Type*
  • Is there a back flow preventer on the water supply line or branch line that will feed the ice bagger? If yes, please take a picture from 1 foot away and attach.*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Size of Water Supply Line*
  • Connection Type*
  • Connection Size*
  • Is this a dedicated branch line that will only supply the ice machine? If No, please provide brief details*
  • Is there a filtration system upstream from the connection for the system? If yes, please provide model(s) of filtration and obtain picture from 2ft away. See photo example:*

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Take a picture of the water connection from 2 feet away to include both the supply line and connection point. Please see examples below:

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Drain: 

    Please locate the drain dedicated for ice bagger installation. Take a picture from 2’ away and 10’ away (to show distance from install location). Acceptable drains are floor drains, floor sinks, floor troughs, and low or floor-level mop sinks.    

  • Is this a floor drain?*

  • Electrical: 

    Please take photos (at 1ft) of each outlet required for the specific system. See example below:  

     

  • 1010 System Requirements (2 outlets are required for the unit):
  • 1030 System Requirements (2 outlets are required for the unit):
  • 1070 System Requirements (2 outlets are required for the unit):
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • *After you submit this form please call the sales engineer on Teams and let them know that you have submitted the form. If they are not available, please leave a message stating that the form was submitted with the customer, time, and date.

  • Should be Empty: