ULTRAPROBE® 3000 LEAK DETECTOR
RESERVATION FORM
To reserve the Ultraprobe® 3000 leak detector, fill out the following information, and return this form to your utility as
listed below. An account representative will contact you.
Keep a copy of this form to make your follow-up survey request,
a
s well as for futur
e
r
e
servations; we r
e
commend annual inspections
.
Commercial customers with at least 10 hp of air compressors that operate at least 2,000 hours per year may borrow the leak
detector FREE for one week to locate air leaks (INITIAL SURVEY), and then again to verify repairs (FOLLOW-UP SURVEY).
I am a customer of: Austin Utilities Owatonna Public Utilities Rochester Public Utilities
FOR INITIAL SURVEY: Today’s Date: Requested Date for Leak Detector:
FOR FOLLOW-UP SURVEY: Today’s Date: Requested Date for Leak Detector:
Company Name:
Utility Account Number:
Contact Name:
Address:
City: State: Zip:
Daytime Phone:
E-mail:
FAX, MAIL, OR E-MAIL A SCANNED COPY OF YOUR COMPLETED FORM TO:
Austin Utilities Owatonna Public Utilities Rochester Public Utilities
Attn: Commercial Acct Rep Attn: Commercial Acct Rep Attn: Commercial Acct Rep
400 - 4th Street NE P.O. Box 800 4000 East River Road NE
Austin, MN 55912 Owatonna, MN 55060 Rochester, MN 55906-2813
507.433.5045 fax 507.451.4940 fax 507.280.1542 fax
KellyL@austinutilities.com GreenJ@owatonnautilities.com TDeBoer@rpu.org
(mm/dd/yy) – Please submit your request at least two weeks before your leak survey is scheduled.
(mm/dd/yy) – Please submit your request at least two weeks before your leak survey is scheduled.
