Berkeley County Public Service Water District is working on a project to provide inventory to the Health Department for Lead and Copper Rule Revisions. In order to compile a database of the materials used in our customer’s service lines and plumbing required to meet the guidelines for sampling please take a few minutes to submit this questionnaire. If you would prefer to complete a printed form, click here Name of Person Filling Out Questionnaire (required) Account Number Phone Number Address (required) Year Home Was Built (If Unknown, Best Guess is Fine) (required) Type (check one) Single Family Multi-Family Commercial Industrial Materials What material(s) is your service line made of where it enters your home? Lead Copper Galvanized Steel Polyethylene/PVC/Plastic Unknown Your service line is the piping that runs from your meter into your home. This will be the material of the piping where it enters your home. Has the home always been connected to public water? Yes No What Material are the pipes in your house or business made of? What Material are the pipes in your house or business made of? Lead Copper PVC PEX Other... What Material are the pipes in your house or business made of? Other... How old are the pipes inside your house? (If Unknown, Best Guess is fine) installed before 1982 installed after 1982 but before 2014 installed 2014 or later Do you have a water softener or a whole home water purification system or any other treatment device installed in your house or business? Yes No If your home or business meets the criteria for lead and copper sampling, would you be willing to participate in this testing? Yes No During testing, a Water District Employee would bring an empty bottle to your house, provide you with documentation and instructions on collecting the sample, and pick it up the next morning. Sampling frequency is typically every three years and is conducted at no cost to you. Thank you for participating in this survey; the data collected will allow us to provide accurate sampling and test results to determine the level of lead and copper found in our homes and businesses and to make appropriate treatment changes to lower or eliminate lead or copper leaching from service line, plumbing, and fixtures in our customers’ homes and business. We appreciate your time. By entering my initials, I certify that the above information is accurate to the best of my knowledge. Leave this field blank