City of Albion
Water Service Line Customer Survey
Water Service Line Customer Survey
Name
*
First Name
Last Name
Address
*
Street Address
Mailing Address/PO Box
City
Please Select
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State
Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
(Exambple) user@albionidaho.org
Back
Next
Are you aware of water service line replacement or repairs at your home?
*
Please Select
Yes
No
If Yes, please describe-
Brief Description and rough estimate of date performed
Back
Next
Service Line Identification
Please Answer Each Question to the Best of Your Knowledge. If you have questions please contact the Office or Maintenance @ 208-647-4644
What is the material of the service line pipe entering your home/building?
*
Copper
Plastic/Poly
Galvanized iron or steel
Lead
Other/Unknown
How did you determine the material? (See above for helpful instructions)
*
Scratch/Magnet test
Visual
Lead swab test
Plumber or other qualified professional
Would you like additional assistance with locating your service line or determining it's material?
*
Please Select
Yes
No
(Optional) Include a photo or your service line.
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