Water Service Line Material Survey Question Title * 1. What is your name? Question Title * 2. What is the address of the property? Question Title * 3. Phone Number Question Title * 4. Email Address Question Title * 5. Was the structure constructed before 1986? Yes No Unsure Question Title * 6. What is your relationship to the structure? Owner Renter/Tenant Property Manager Other Question Title * 7. Have you previously had your water service line repaired or replaced? Yes No Unsure Question Title * 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. Question Title * 9. Identify Service Line MaterialThe following link can be used to help identify your service line material: Identifying Service Line Material (LSLR) Question Title * 10. What is the material of the water service line? Copper Galvanized Steel or Iron Plastic Lead Unsure Question Title * 11. What methods were used to determine your service line material? Visual Inspection Scratch Test Magnet Test Lead Swab Test Plumbing Records Qualified Professional Question Title * 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) Done
