contact us

Contact Us

To be scheduled at our earliest convenience, complete the accompanying form. To schedule a specific date, complete the form and select the pick a day option.

Otherwise, call us at (763) 363-7695 for more specific scheduling.

Who is your Water Provider? (Utility) *

Where is the Backflow Preventer(s) located? *

Do you have a copy of the last test report?

Yes

No

If not no worries

Test Report Upload

Anything else you would like us to know?

First Name *

Last Name *

Phone *

Email *

Address

Street Address *

City *

State

Country

Postal code *

I consent to getting texts regarding scheduling of my appointment and personal communications.

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Office: 6322 Rolling Hills Rd, Corcoran

Call: (763) 363-7695

Email: [email protected]

Site: www.aquashieldtest.com

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