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* 1. Within the past three years, do you recall receiving information from a pipeline company?

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* 2. How well informed are you regarding pipelines in your community?

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* 3. Do you know how to recognize a pipeline leak?

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* 4. How do you know if there is a pipeline near you?

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* 5. Are you aware of the National Pipeline Mapping System (NPMS)?

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* 6. Are you familiar with the one call system/811?

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* 7. If you are planning on digging, which of the following actions will you take?

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* 8. What will you do if you see construction-related activity on or near a pipeline right-of-way?

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* 9. Are you aware of the prevention measures pipeline companies take to maintain safe operations?

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* 10. Does your community have an emergency response plan in the event of a pipeline incident?

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* 11. Additional Comments

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* 12. Please complete this section for our records.

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