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Metropolis Lead Service Line Survey
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* Indicates required question
Street Address
*
Your answer
What year was your home or building built?
*
Before 1983
Between 1983-1988
After 1988
Unsure
What is the material of your water service line outside? (from City valve/meter to foundation)
*
Lead
Copper
Galvanized
Plastic
Unsure
What is the material of your water service line inside? (at least 18 inches past foundation)
*
Lead
Copper
Galvanized
Plastic
Unsure
Contact Name
Your answer
Phone Number
*
Your answer
Email Address (Optional)
Your answer
Additional Comments
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