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Please complete this form as fully as possible. The more information that you give us the more accurate we can make our quote or estimate.
Contact Name
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First Name
Last Name
Business Name
Correspondence Address
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Street Address
Street Address Line 2
City
County
Post Code
Email Address
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example@example.com
Phone Number
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Dialing Code
Phone Number
Site Address where work is to take place (if different)
Street Address
Street Address Line 2
City
County
Post Code
Which services are you interested in or would you like a quote for?
Legionella Risk Assessment
Legionella Testing. Please note we only carry out Legionella Testing when there is a valid Legionella Risk Assessment in place.
CPD Accredited Legionella Training
Temperature Monitoring
Cleaning & Disinfection of Cold Water Storage Tanks
Cleaning & Disinfection of Spray Outlets
TMV Failsafe Checks/Maintenance
For Legionella Testing how many Legionella samples do you require (if known or required)
Description of the site (for example, 15 en-suite bedroom care home)
How is your water heated and how many water heaters do you have? (for example, Combi Boiler or 2 Immersion Heaters)
Do you have Cold Water Storage Tanks, if so how many and where are they fitted?
How many outlets do you have? (for example, 10 showers, male and female toilets with 10 basins each)
Do you have Thermostatic Mixing Valves fitted?
Do you have a previous Legionella Risk Assessment and when was it carried out?
Please attached your previous risk assessment (if possible).
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