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Last Updated:

6/22/2020

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Yes

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VISIT SITE VIEW PRIVACY POLICY VIEW TERMS OF SERVICE

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Your Name

First Name, Last Name

Your Address

Home Address

Phone Number

Phone

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to e id.

El Dorado Irrigation District:...

A new entry to a form/survey has been submitted.

Form Name:	Recycled Water Inspection Request
Date & Time:	06/24/2020 10:49 AM
Response #:	811
Submitter ID:	20764
IP address:	49.144.205.65
Time to complete:	3 min. , 41 sec.

Survey Details

Page 1

EID Recycled Water Program inspection requests will be completed within two business days after the request date.

Please note: The day of the request is not recognized as the first business day.

Fields marked with * are required to be completed to process the request.

Select the type of inspection below:

(?) Front Yard - Final Inspection

Other - please provide details if "Other" was selected in the drop down menu above:

Jon

Contact First Name:

Levi

Contact Last Name:

Martinez

Company/Business Name:

megalab

Contact Phone Number:

(079) 702-7642 ext. Jon

Please add the address locations and lot number for each location.

Inspection Addresses:

Lot Number (if known)

Location 1

187 Langham Road

166 Langham Road

Location 2

201 Langham Road

238 Langham Road

Location 3

144 Langham Road

194 Langham Road

Location 4

119 Langham Road

164 Langham Road

Location 5

186 Langham Road

143 Langham Road

Contact Email:

Additional Information:

Jon

Thank you,
El Dorado Irrigation District

This is an automated message generated by the Vision Content Management SystemT. Please do not reply directly to this email.

Raw Data Registration Structure Registration Form Text

Registration

Select the type of inspection below: * Select the type of inspection below:

First name

Last name

Business name

Phone

Home address

(Select an Answer)

Data Name	Data Type	Options
Select the type of inspection below: * Select the type of inspection below:	Text Box
First name	Text Box
Last name	Text Box
Business name	Text Box
Email	Text Box
Phone	Text Box
Home address	Text Box
	dropdown	(Select an Answer)

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Comment on: 01/09/2020