Form Center

2. Hose Size*
   -- Select One --1.75" (1 3/4")2.5" (2 1/2")5'
3. Hose Length*
   -- Select One --25 foot50 Foot100 Foot
4. Hose Color*
5. Unit / Station Hose assigned*
   ex. Station 1 hose rack and/or U121
7. Hose testing identification number*
   Number located on sticker (look at coupling)
8. Red Tagged?*

   1. Completed

   Place red tag on hose coupling. (Date/Time/Unit/Damage all need to be on red tag)
10. Description of damage*
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit Submit and Print

* indicates a required field