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Water Service Line Material Survey
1.
What is your name?
2.
What is the address of the property?
3.
Phone Number
4.
Email Address
5.
Was the structure constructed before 1986?
Yes
No
Unsure
6.
What is your relationship to the structure?
Owner
Renter/Tenant
Property Manager
Other
7.
Have you previously had your water service line repaired or replaced?
Yes
No
Unsure
8.
If yes, describe what work was done, including the year the work was completed, and provide us any supporting documentation (ie: receipts, photos, etc) if available.
9.
Identify Service Line Material
The following link can be used to help identify your service line material:
Identifying Service Line Material (LSLR)
10.
What is the material of the water service line?
Copper
Galvanized Steel or Iron
Plastic
Lead
Unsure
11.
What methods were used to determine your service line material?
Visual Inspection
Scratch Test
Magnet Test
Lead Swab Test
Plumbing Records
Qualified Professional
12.
If possible, please provide photos as evidence of your material test. Take photos of your water meter, the water service line and any other evidence that may show the material used in the water service line.
(Photo size is limited to 10mb per uploaded image)
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