Service Identification Survey

This should not take more than 10 minutes of your time. Thank you!

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* 1. Your Name:

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* 2. Home Address:

Street and Number

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* 3. Contact Info

Email

Phone Number

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* 4. If you know your water account number, please enter it here:

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* 5. Year your home was built (if known):

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* 6. Year your home was connected to water (if known):

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* 7. Upload picture(s) here:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 8. Material of water service entering home:

Plastic

Copper (scratching will reveal "new penny" color)

Galvanized Steel (will be magnetic)

Lead (will not be magnetic)

Unknown

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* 9. Additional Notes or Questions