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LCRR Survey
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Service Address
*
Your answer
What is your water service line material (from meter to house, if known, otherwise what kind of line comes through the wall from outside)
*
Lead
Galvanized Steel
Copper
HDPE (Black, dark grey, or blue hard plastic)
PVC (White plastic)
Pex (Semi hard blue or clear)
Other non-lead
Exterior water line size (diameter)
*
5/8"
3/4"
1"
2"
4"
Unknown
What was the approximate year the water service line was installed?
*
Your answer
Please select your building type:
*
Single family residence
Multi Family Residence
Building
Other
Number of buildings on your water meter:
*
One
More than one
Do you have a water softener?
*
Yes
No
Do you have a water filter or other water treatment?
*
Yes
No
If you have no water softener, filter, or other water treatment, would you be willing to take a lead & copper sample for a $10 water bill credit? Samples would be taken once or twice every year.
Yes
No
Clear selection
Residence's internal water line material: (plumbing inside the house)
*
Lead
Galvanized Steel
Copper, installed previous to 1986
Copper, installed after 1986
HDPE (Black, dark grey, or blue hard plastic)
PVC (White plastic)
Pex (Semi hard blue or clear)
Other non-lead
Residence's secondary internal water line material: (more options for plumbing inside the house)
Lead
Galvanized Steel
Copper, installed previous to 1986
Copper, installed after 1986
HDPE (Black, dark grey, or blue hard plastic)
PVC (White plastic)
Pex (Semi hard blue or clear)
Other non-lead
Clear selection
Year range internal plumbing was installed or updated:
*
Before 1986
Between 1986 & 2014
After 2014
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