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Water Meter Verification Certificate Form

This document is a water meter verification form for the Tasman District Council, requiring details such as consent holder information, meter specifications, and verification results. It includes sections for recording flow rates, compliance with accuracy requirements, and any recommended actions. The form must be completed and signed by a verifier, with attachments for meter photos and verification equipment details.

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mgabim_88
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269 views2 pages

Water Meter Verification Certificate Form

This document is a water meter verification form for the Tasman District Council, requiring details such as consent holder information, meter specifications, and verification results. It includes sections for recording flow rates, compliance with accuracy requirements, and any recommended actions. The form must be completed and signed by a verifier, with attachments for meter photos and verification equipment details.

Uploaded by

mgabim_88
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Water Meter Verification

TO: Tasman District Council


Private Bag 4
Richmond 7050

Consent Holder(s) Name:

Resource Consent number(s): Meter ID:

Consented flow rate: l/s

Meter Type (Select one): Electronic Capable Non-pulse

Model and Serial Number: Meter Size:

Tamper proof seal(s) in place: Yes No

PLEASE ATTACH A PHOTO OF THE METER DIAL

Volume per pulse: m3/pulse

Location:

GPS Co-ordinates (NZTM): (Easting) (Northing)

Verification Date (DD/MM/YYYY):

Installed Water Measurement System


Brief description: (e.g. data logging/telemetry, other notable features)

Reading at start of verification: m3 (State units if different)

Reading at end of verification: m3 (State units if different)

Verification System Details


PLEASE ATTACH A PHOTO OR SKETCH OF THE VIEW OF THE HEADWORKS, SHOWING THE POSITION OF THE VERIFICATION METER.

Method used: (e.g reservoir/time calculation, volumetric, orifice meter, another meter i.e. magflow etc)

Verification equipment serial number:

Verification equipment are currently calibrated and certified: Yes No (ensure council has a copy of latest certificate)

Verification equipment available on request: Yes No

If using a clamp-on water meter for verification, prior approval from council is needed per application. If approval is granted:

Pipe outside diameter:

Pipe wall thickness: mm

Pipe material:

EP-RC034 9/14
1/2
Verification Results
No of different Duration Installed system Reference system Flow rate (l/s) Error % Individual accuracy
flow rates volume (m3) volume (m3) compliant within
tested Va Vb (Va-Vb)/Vb*100 ±5% (Y/N)
1

Note: The number of tests should reflect the range of expected flow rates, with a minimum of three flow rates tested. Verification flows
should be done at or around the consented flow rate and or the flow rate the well is usually pumped at. Ultimately these flows will
be controlled by the measurement system type and site conditions. Please note below if unable to vary the flow or reach maximum
consented flow rate.

Compliance with Accuracy Requirement


I/We have found that with regards to the accuracy requirement of the Regulations, the water measurement system is: (please tick one)

Pass Pass within Council discretion Non-compliant

General Inspection Notes and any Recommended Action


Recommended remedial action: (if any)

I/WE HAVE DISCUSSED THE RECOMMENDED ACTION WITH THE CONSENT HOLDER.

Verifier’s name: Signed by: (verifier)

Company Name:

Company Contact Phone Number:

Company Address:
3777 Hot House Communications

Date: (DD/MM/YYYY)

If you have any enquiries, or need some assistance contact the


Tasman District Council’s Richmond Office:
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