Lead Service Line Customer Survey

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Due to recent revisions by EPA of the lead and copper rule, we are required to perform an inventory of service line materials within our service area. The Roanoke Rapids Sanitary District needs your help to gather information about the plumbing entering your home or business. Following the steps below please examine the water supply pipe between the meter and your home or business and identify the pipe material

Know Your Material and How to Identify

<span style="color: #000000;"><strong>Due to recent revisions by EPA of the lead and copper rule, we are required to perform an inventory of service line materials within our service area. The Roanoke Rapids Sanitary District needs your help to gather information about the plumbing entering your home or business. Following the steps below please examine the water supply pipe between the meter and your home or business and identify the pipe material</strong></span><br><br><br>Know Your Material and How to Identify

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* 1. Select the image of a water tower

None of the above

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* 2. Address

Name

Address

City/Town

Email Address

Phone Number

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* 3. Service Line Material

Plastic (PVC, Poly, Pex)

Lead

Copper

Galvanized

Lead-Lined Galvanized

Unknown

Other (please specify)

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* 4. Service Line Size

3/4"

1"

1.5"

2"

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* 5. Installation Date

Date / Time

Date

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* 6. Customer Signature