Description
Everything You Need in One Organized Document
If you have been looking for a water service line material identification and lead survey form that actually works the way you need it to, this is it. We designed this 5-page fillable PDF covering Property and Service Line Record Information, Visual Identification at Meter and Curb Stop, Scratch Test and Magnet Test Results, Galvanic Connection and Interior Plumbing Assessment, and Classification and Replacement Program Enrollment specifically for Water utilities and lead service line replacement program managers who want something practical, organized, and ready to use right away.
Instead of cobbling together spreadsheets, random notes, and half finished templates, you get one clean document that covers everything. Open it on your computer, tablet, or phone. Type directly into the fillable fields. Or print it out and fill it in by hand. Either way, you are organized in minutes instead of hours.
What Is Inside this 5-page Template
Property address, service line install date if known, meter pit or interior entry location, and historical records review
Fill in the details that matter most to you. Every field is designed to capture exactly the information you need, with plenty of space for notes and additional details.
Visual inspection at meter connection (utility side) and at home entry (customer side), color and corrosion notes
Fill in the details that matter most to you. Every field is designed to capture exactly the information you need, with plenty of space for notes and additional details.
Scratch test results (silver=lead, copper=copper, dull gray=galvanized), magnet test (steel vs non-ferrous), and photo documentation
Fill in the details that matter most to you. Every field is designed to capture exactly the information you need, with plenty of space for notes and additional details.
Galvanic connection between dissimilar metals, interior plumbing material, and lead solder presence assessment
Fill in the details that matter most to you. Every field is designed to capture exactly the information you need, with plenty of space for notes and additional details.
Service line classification (lead, galvanized, copper, unknown), LCRR compliance category, and replacement priority enrollment
Fill in the details that matter most to you. Every field is designed to capture exactly the information you need, with plenty of space for notes and additional details.
Who This Is For
This template was built for Water utilities and lead service line replacement program managers. Whether you are just getting started or have been at it for years, having a proper system saves you time and keeps everything in one place. No more scattered notes, forgotten details, or reinventing the wheel every time.
Why People Love This Template
The fillable PDF fields let you type directly into the document on any device. No special software required. The clean, minimal design looks professional without being cluttered. And because everything fits in one document, you always know where to find what you need.
You can reuse this template as many times as you want. Print extra copies, save different versions for different projects, or keep one master copy that you update over time. One purchase, unlimited personal use.
Frequently Asked Questions
What devices does this work on?
Any device with a PDF reader. That includes computers (Mac and Windows), iPads, Android tablets, and phones. Works with Adobe Acrobat, Apple Preview, Google Drive, and most built in PDF viewers.
Can I print this out?
Yes. The layout is designed to look great both on screen and on paper. Print as many copies as you need.
Is this a subscription?
No. One time purchase, instant download, use it forever.
Digital download. You will receive instant access after purchase.











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