Water Service Line Material Survey
This form is for Boerne Utilities customers to self report the material of the customer-owned water service line, if it is known. For questions about this form and Boerne Utilities' ongoing Lead and Copper Pipe Inventory work, please contact Customer Care and Billing at (830) 249-9511 option 1.
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Year Home Was Built
*
Type of Occupancy
*
Owner
Renter/Tenant
What type of material is used for the drinking water service line that runs from your meter to your home? You may choose more than one.
*
Lead (blue grey color)
Copper (bronze or green color)
Galvanized Iron/Steel (dull silver/grey color)
Plastic (white plastic)
PEX (red or blue tubing)
HDPE (black or blue hard plastic tubing)
Unknown
Other
How did you determine the material of your water service line?
*
Visual Inspection
Plumbing Records
Lead Test Kit
Scratch Test
Other
To the best of your knowledge, has there ever been lead on the customer-owned portion of the drinking water service line?
*
Yes
No
Unknown
Are there any known lead connectors or lead solder? (Lead connectors are short pieces of pipe that can be bent and are used as a connector between to rigid pipes. Lead solder is a metal alloy used to melt together two different pieces of pipe.)
*
Yes
No
Unknown
Does the interior home or building plumbing contain copper pipes with lead solder installed prior to July 1, 1988?
*
Yes
No
Unknown
Please upload any supporting documentation you may have such as photos, plumbing record, etc.
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