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City of Lynden

cityhall@lyndenwa.org

300 4th St, Lynden, WA, 98264, US

360-354-1170

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Customer Water Service Line Survey

Thank you for taking the time to complete this survey. Please refer to our website https://www.lyndenwa.org/403/Lead-Service-Line-Inventory for more information on how to test your service line. If you are unable to locate your service line or if you have any questions, please contact Matt Miller with the Public Works Department at (360) 354-3446 or by email.

 

Full Name

Full Address

Type of Occupancy?

Has the service line ever been replaced?

Service Line Material Classification

Service Line Pipe Size

Date Inspection Completed.

Date Picker

Please supply a picture of the service line where it was inspected, if possible.

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