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2. Instructions

   ACWD offers a Do-It-Yourself (DIY) Residential Home Water Use Survey that customers can complete to evaluate opportunities for efficiency in indoor and outdoor water use. Please reference the guides linked in each section for step by step instructions on how to conduct each portion of the home water audit. A section of the survey includes checking toilets for leaks and measuring flow rates of faucets using everyday items found around your home.

   Submit your findings to ACWD by completing the online form below, or downloading a physical copy to complete and mail to: Alameda County Water District, C/O Water Conservation, 43885 S. Grimmer Blvd., Fremont, CA 94538 to receive a free hose nozzle! Please also download the accompanying guide for instructions and help completing the survey. 

   Please contact ACWD’s Water Use Efficiency Team by emailing us or calling (510) 668-4218 if you have any questions.

   Thank you for participating and taking this step towards having a more water wise home!

4. Contact Information
6. First Name*
7. Last Name*
9. ACWD Account Number
10. Email Address*
12. Phone Number*
13. Survey Completion Date*

    Date you completed the home survey

15. Street Address*

    The residential address the survey was completed for.

17. City

    1. Fremont
    2. Newark
    3. Union City

    You must be a member of one of these communities in order to be eligible to receive free devices as part of the survey program.

18. Zip Code
20. Number of People in Household

22. ACWD rolled out Advanced Metering Infrastructure (AMI) that provides customers with detailed water use information. Eventually, every meter in the ACWD service area will be a smart meter.

    If you have a smart meter, the meter box lid will be plastic, or you will see a 3-inch black circle lid. Please do not attempt to lift the lid as this may damage the wiring. If you have a smart meter, proceed to the "My Smart Water Connect AMI Portal Usage" section below. If you do not have a smart meter, please conduct the meter check, pin test, and house line test sections. 

24. Meter Check and Pin Test

    If you do not have an AMI smart meter installed yet, did the water meter move after turning off all water using fixtures and appliances? View instructions on how to conduct a Meter Check and Pin Test.

    1. Yes (Go to House Line Test section)
    2. No (Go to Indoor Tests section)
25. House Line Test

    Only conduct this test if you do not have an AMI meter and are checking your standard meter. 

    After turning off the main water valve and conducting the house line test, does the meter move? View instructions on how to conduct the House Line Test.

    1. Yes (Leak may be outdoors)
    2. No (Leak may be indoors)
27. My Smart Water Connect AMI Portal Usage

    This applies only if you have an AMI smart meter installed. Did you see continuous consumption on your water usage or have you received a leak alert via the My Smart Water Connect customer portal? View instructions on how to determine if you have continuous consumption via the My Smart Water Connect Portal.

    If you did not see continuous consumption, continue to "Indoor Tests."

    1. Yes
    2. No
29. Toilet Leak Checks
31. Number of Toilets in Home
    -- Select One --1234+

    Select the number of toilets in your home and conduct toilet leak tests for each. Select all issues that you observe for each toilet. View instructions on how to check toilets for leaks.

33. Bathroom 1

    1. Hissing/running water noise
    2. Water level tank is too high
    3. Flapper is leaking (observed colored water in toilet bowl after dye tab test)
    4. No issue
34. What is the gallons per flush (GPF) rate of the toilet in Bathroom 1?

    Typically, toilets are labeled near the back of the toiler seat or inside the tank (e.g. 1.6 gpf). If you do not know, leave blank.

36. Bathroom 2

    1. Hissing/running water noise
    2. Water level in tank is too high
    3. Flapper is leaking (observed colored water in toilet bowl after dye tab test)
    4. No issue
37. What is the gallons per flush (GPF) rate of the toilet in Bathroom 2?
39. Bathroom 3

    1. Hissing/running water noise
    2. Water level in tank is too high
    3. Flapper is leaking (observed colored water in toilet bowl after dye tab test)
    4. No issue
40. What is the gallons per flush (GPF) rate of the toilet in Bathroom 3?
42. Bathroom 4

    1. Hissing/running water noise
    2. Water level tank is too high
    3. Flapper is leaking (observed colored water in toilet bowl after dye tab test)
    4. No issue
43. What is the gallons per flush (GPF) rate of the toilet in Bathroom 4?
45. If you have 5 or more bathrooms, please list the issues you found and flush rate for each additional toilet here

    Example: "Toilet 5 - 1.6 gpf. Hissing, flapper is leaking. Toilet 6 - No issue."

47. Indoor Tests

    Record the flow rate in gallons per minute (GPM) for the sinks and showerheads in your home. (E.g.  1.5 GPM). View instructions on how to measure flow rates of fixtures and how to find other common sources of indoor leaks.

49. Kitchen Sink GPM

    *1.5 GPM or less is considered efficient

51. Bathroom 1 - Sink

    *Sinks: 1.0 GPM or less is considered efficient

    
    

52. Bathroom 1 - Showerhead

    *Showers: 1.5 GPM or less is considered efficient

54. Bathroom 2 - Sink
55. Bathroom 2 - Showerhead
57. Bathroom 3 - Sink
58. Bathroom 3 - Showerhead
60. Bathroom 4 - Sink
61. Bathroom 4 - Showerhead
63. If you have 5 or more bathrooms, please fill in information for the additional bathrooms here

    Example: "Bathroom 5 - Sink: 1.5 GPM, Showerhead: 1.5 GPM. Bathroom 6 - Sink: 2.0 GPM, Showerhead: 2.5 GPM"

65. Did you find any leaks indoors?

    1. Yes
    2. No
66. If yes, where were the leaks?
68. Outdoor Tests
70. Irrigation

    Complete this section to report what you discovered during your irrigation check. View instructions for how to identify common sources of outdoor leaks.

    Check all that apply. 

    1. Leaking valve - Irrigation valve box has standing water
    2. Sprinklers spraying onto sidewalks, driveways, or streets
    3. Sprinkler heads misting
    4. Broken sprinkler heads
    5. Spray patterns appear blocked
    6. Mismatched sprinkler heads
    7. Sprinkler spray pattern does not reach the adjacent sprinkler head
    8. Moss or mushrooms growing around plants
    9. Lack of mulch around shrubs, trees, and flowers
    10. High and low water use plants grouped together on same irrigation valve
    11. Soil is saturated after watering only for a few minutes
    12. Water runoff from slopes
    13. I do not have an irrigation system
72. Did you find other irrigation issues not mentioned here?
74. Did you find any leaks outdoors?

    1. Yes
    2. No
76. If yes, where were the leaks?
78. Other Water Use

    Did you complete the About My Home Survey in the My Smart Water Connect customer portal?

    *Note: We strongly recommend you complete this survey as well so the ACWD Water Use Efficiency Team can provide additional recommendations for programs and resources that are specific to your needs. View instructions for how to find the About My Home Survey in the My Smart Water Connect Portal.

    1. Yes
    2. No
80. Do you have any other comments?
Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit

* indicates a required field