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Run: Lead Service Line Inventory Field Verification

Use this Lead Service Line Inventory Field Verification template to document public-side and customer-side service line materials, capture evidence, and upda...

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Inspection Details and Location

Service address or location identifier recorded critical (required)

Inspection date and time recorded critical (required)

Inspector name and crew/organization recorded critical (required)

Inspection scope identified critical (required)

Access constraints or site limitations documented

Verification Method and Evidence

Verification method selected critical (required)

Material evidence captured in field notes critical (required)

Photo evidence captured for exposed line or fitting

Any uncertainty or conflicting evidence documented

Public-Side Service Line Material Classification

Public-side service line material classified critical (required)

Public-side line material observed at accessible point critical (required)

Public-side line continuity verified from main to meter or service connection critical (required)

Yes No N/A

Public-side fittings or transition materials documented

Customer-Side Service Line Material Classification

Customer-side service line material classified critical (required)

Customer-side line material observed at accessible point critical (required)

Customer-side line continuity verified from meter to building entry critical (required)

Yes No N/A

Interior access, meter location, or alternate verification notes documented

Inventory Update, Notifications, and Sign-Off

Inventory record updated or flagged for follow-up critical (required)

Customer notification required or completed

Corrective action or follow-up task documented

Inspector signature critical (required)

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