Lead and Copper Customer Input

Lead and Copper Customer Survey

Pipe Material Identification
In an effort to stay ahead of EPA's Revised Lead and Copper Rule, Powdersville Water is asking their customers for input. Please complete the brief survey below.
Name*

First NameLast Name
Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone (primary)*

Area CodePhone Number
E-mail*
PhoneEmail
YesNoUnknown
YesNoPartiallyUnknown
Service Line OnlyInternal Plumbing OnlyBoth the Service Line and Internal Plumbing
PVCPEXHDPECopperGalvanizedLeadOther
PVCPEXHDPECopperGalvanizedLeadOther
YesNo
I authorize Powdersville Water to use the information I provided to help comply with EPA's Revised Lead and Copper Rule.

For more information on the Lead and Copper Rule, please click here.

For additional information on the latest Lead and Copper Rule Revision, please click here.
Should be Empty:

Lead and Copper Customer Survey