Lead and Copper Assessment SurveyCustomer Name (required)Property Address (required)Phone Number (required)Is the water service line entering the building , plastic or metal? (If plastic, do not complete the Metal Type or Scratch and Magnet Test) (required)Metal Type? (Choose from Dropdown List)CopperSilverGrayScratch Test (Choose from dropdown list)Hard to scatch? Dull in appearance?Soft and easy to scratch? Shiny in appearance?Magnet Test - Does the magnet stick? (Choose from dropdown listYesNoSize of Pipe (required)Photo Submission - Upload here or text to 916 806-0510There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
