Lead Service Line Questionaire

What year do you believe your home was constructed?

Have you ever replaced or repaired your drinking water service line?

Yes

No

Other

What type of plumbing do you believe you have in your home or building?

How confident are you in knowing information about your water service line?

Very Confident/ I know the material of my service line.

Somewhat confident/I have some knowledge.

Not Confident/I am guessing.

I don't have any information and the service line material is unknown.

Do you have access to the service line entering your house through a:

Basement

Crawl Space

Not Accessible

Are you interested in OPTIONAL testing of your water service line for lead, if the property is deemed elegible?

Yes

No

Maybe