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City of Hollister
Customer Contact Report
Route To:
Associate Engineer (Utilities) Utilities Supervisor Senior Maintenance Worker
Maintenance Engineering
Date: _________________ Time: _____________
Name of Contact: __________________________________
Address: ______________________________ Mailing Address: _______________________
Phone Number: _________________________ Account Number:_______________________
___ Sewer Inspection ___ Sewer Spill (See back of Contact Report)
___ Sewer Connection ___ Report of Sale/Transfer ___ Emergency H2O Turn Off
___ Backflow Required? ___ Change of Address ___ End H2O Meter Read
___ Odor Complaint ___ H2O Service: On/Off ___ High Water Use
Reason for Call:
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Office Comments:
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Supervisors Comments:
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Staff Generating Report:______________________________________________
Problem Corrected? _________ Inspected By:__________________________ Date:______
Follow Up Activities: ____________________________________________________________
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Correspondence sent out? ________ Dated:___________