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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Property Owner's Name or Name of Business: *
Phone Number: *
Email:
Property Street Address: *
Year Your House Was Built:
Type of service: *
Year of Service Line Installation:(if you know)
What kind of pipe do you have? *
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Required
Have you replaced or had maintenance done to your service line?
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