What is your request
  Turn off water
Turn Off Water – Meter Reading Required
  123
Turn Off Water: Serial # Required
  1,234,567
Turn Off Water: Date for requested action Required
  08/18/2022
Lateral Selection
  31.5
Turnouts for Lateral 31.5
  MC
Contact information
Name
  test
Email
  test@gmail.com
Phone #
  (123) 456-7890
Remarks
  This is a test for Lateral 31.5 Turnout MC.