BRUCE R. ROACHE Pool Leak Detection Job Data Form

Please call us at 860-355-3202 or complete and SUBMIT this form to request pool leak detection and repair service. We will call or e-mail you before the end of the day to confirm the details, answer questions, give estimated costs for service and gain your authorization to proceed with the work.

Remember, the more information we have about your pool, the better we can discuss the service needed and plan the repair visit.

Contact information:

Your name:

Email address:

Home + Cell Phone number:

Pool Owner Name, Street Address, City, State:

Best way to contact you:

By e-mail

By phone

If by phone, when (and which phone) is the best time to contact you?

Describe the POOL

My Pool is:

Above Ground Vinyl Liner Pool

Vinyl Liner In Ground Pool

Cement / Gunite Pool

Please fully describe your pool leak and water conditions: Leaking __ inches/day?
When did leak begin? WATER CLEAR? BOTTOM CLEAN?
POOL FULL?
ANY WINTER LOSS?

A FULL, CRYSTAL CLEAR, and VACUUMED CLEAN pool is required to guarantee a thorough inspection.

If your pool is CLOSED, NOT FULL, CLOUDY, or the BOTTOM IS DIRTY : I will do my best, but there is NO GUARANTEE.

If You Have An EMERGENCY JOB That Requires SAME DAY Service, Be certain to explain that in the Data Box

Reminder notes:

Underwater Pool Inspections are not possible if the pool is filthy or I cannot see. The water must be safe and sanitary to swim in.

Please make certain the pool area is not locked, and provide information on any gate codes or electric cover keys.