1. WATER METER READING ON DRAINING DATE________________ GAL.
2. WATER OFF AT METER VALVE_____ YES___ or NO___ Located at:____________
3. WATER OFF AT HOUSE VALVE:___ YES or NO___ Located at:_____________
4. DRAIN WITH AIR PRESSURE___ YES or NO____
5. HOT WATER HEATER DRAINED___ YES or NO___ Located at:_______________
6. HOT WATER HEATER------BREAKER OFF_______GAS OFF___Located at:__________
BREAKER OR GAS VALVE SHOULD BE TAGGED OFF: DO NOT TURN ON UNTIL HEATER REFILLED
7. DISHWASHER CYCLED DRY___ YES or NO___ or NONE___
8. REF, ICE MAKER CYCLED DRY___ YES or NO___ or NONE___
9. FREESTANDING ICE MAKER(s) CYCLED DRY___ YES or NO___ or NONE___
10. WASHING MACH. CYCLED DRY___YES or NO___ or NONE___ Located at:_____________
11. WATER FILTERS DRAINED____YES or NO_____or NONE___ Located at:______________
12. ANTIFREEZE IN TRAPS and FIXTURES_____YES or NO___or NONE___
13. OPEN DIVERTER VALVES___ YES or NO____
14. VALVES IN HOUSE LEFT ___ OPEN or CLOSED___
15. OUTSIDE SPIGOTS, SHOWERS, ETC. HAVE BEEN LEFT____ OPEN or CLOSED____
16. ANY EXTRA WORK REQUIRED DETAILED BELOW: