Customer Owned Service Line Material Survey
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1.
What material is the customer owned portion of your service line?
(Required.)
Plastic (High Density Polyethylene or PVC)
Copper
Galvanized Steel
Lead
Other (please specify)
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2.
What material is used inside of your home for the plumbing?
(Required.)
Plastic (PEX, PVC. etc.)
Copper
Galvanized Steel
Other (please specify)
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3.
What year was your residence constructed? (Estimate if the exact year is unknown.)
(Required.)
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4.
What is your name?
(Required.)
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5.
What is your service address?
(Required.)
6.
What is your six digit account number?
*
7.
What is your phone number?
(Required.)