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Service Line Inventory Form
Creating records of water service line materials to help St. Ansgar continue to meet USEPA and DNR requirements. For more information from the USEPA you can visit:
https://www.epa.gov/ground-water-and-drinking-water/revised-lead-and-copper-rule
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* Indicates required question
Property Owner's Name or Name of Business:
*
Your answer
Phone Number:
*
Your answer
Email:
Your answer
Property Street Address:
*
Your answer
Year Your House Was Built:
Your answer
Type of service:
*
SIngle Family
Business/Commercial
Multi Family
Other
Year of Service Line Installation:(if you know)
Your answer
What kind of pipe do you have?
*
Plastic
Galvanized
Copper
Lead
Unknown
Required
Have you replaced or had maintenance done to your service line?
Your answer
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