*1.Street Address (Required)(Required.)

2.Property Owner Name (Last, First) (Required)

3.Phone (Required)

4.Email Address

*5.When was your housebuilt? (Required)(Required.)

1988 or before

1989 - 2024

6.Year your water service line was installed? (If unknown, reply UNKNOWN.)

7.To the best of your knowledge, what is your pipe material between the water main and your water meter? (Required)

Lead Pipes - Soft, easily scraped silver. Magnet will not stick.

Galvanized Steel - When scraped, will have a gray color. Magnet will stick.

Copper Pipes - When scraped, will have a penny color.

P.E. (Polyethylene) - Plastic. Typically black or blue in color.

Unknown but installed after 1988 state lead ban.

Unknown.

8.Is a lead connector currently present in the area between the water main and service lines? (e.g. Gooseneck, Pigtail, Other)

Yes

No

Unknown

9.Was lead ever upstream of this service line? (exclude connector)

Yes

No

Unknown