Natural Gas Survey for Residential

This questionnaire is a requirement by the Office of Pipeline Safety.  Last month you received a letter regarding excavating practices near or around natural gas pipelines.  The information you return is vital to us and will not be shared.  Please take a moment to fill out the questionnaire that was provided to you with a pre-paid postage envelope or continue filling out this survey.  Thank you for your time.  

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* 1. Name and Address of Person completing the survey.

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* 2. Today's Date    &     Are you a Nebraska City Utilities gas customer?

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* 3. Do you understand the content of the materials previously sent to you or as viewed on NCU website?

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* 4. Who would you call in case of natural gas leak?

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* 5. Who would you call before digging on your property?

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* 6. How can you tell if you have a natural gas leak on your property?

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* 7. Can natural gas ignite on its own?

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* 8. Other than the materials sent to you/seen on NCU website, have you heard or seen any other materials on natural gas safety? If yes, how or where?

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* 9. What is one way to receive additional information?

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* 10. Electronic signature verifying your consent to use this information to better our education policies for the future.  (Please type your first and last name) 

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