Post-Lead Service Line Replacement Sampling Request

This interest form is intended only for customers that have recently had their lead service line replaced (either full or partial replacement) and wish to have their water lead levels measured following the service line work.

If you have not had your service line replaced but are interested in having your water lead levels measured, please contact 215-685-6300 and request lead testing.

Email for non-humans

Name *

Street Address *

City

State

Zip Code *

Phone Number *

Email

Date of Service Line Replacement *

Use the calendar to select the date your service line was replaced.

Replacement Type

• Full – Main to Meter
• Partial – Main to Curb
• Partial – Curb to Meter
• I’m not sure

Submit