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NJ Lead Service Line Replacement Form - City of Trenton 2018-2025 free printable template

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LEAD×SERVICE×LINE×REPLACEMENT×Formal×form×to:Trenton×Water×Works. O.×Box×528Trenton,×NJ 08604Re: Lead×Service×Line×Replacement×Program OR×take×a photo×of the×completed×form×and×email×to twwleadprogram×Trenton.org
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How to fill out NJ Lead Service Line Replacement Form

01
Obtain the NJ Lead Service Line Replacement Form from the appropriate state website or local authority.
02
Fill in your personal information, including name, address, and contact details.
03
Provide information about the property, including the type of service line and construction year.
04
Indicate the reason for the replacement request, such as health concerns or municipal requirements.
05
Attach any necessary supporting documents such as proof of ownership or previous inspection reports.
06
Review the form for completeness and accuracy.
07
Submit the completed form to the designated local authority or state department as instructed.

Who needs NJ Lead Service Line Replacement Form?

01
Homeowners who have lead service lines and need to replace them.
02
Landlords responsible for rental properties with lead service lines.
03
Municipalities involved in lead service line replacement initiatives.
04
Residents concerned about lead exposure in drinking water.
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The NJ Lead Service Line Replacement Form is a document required by the state of New Jersey for reporting the replacement of lead service lines to ensure compliance with health and safety regulations.
Municipalities, public water systems, and water purveyors that are involved in the replacement of lead service lines are required to file the NJ Lead Service Line Replacement Form.
To fill out the NJ Lead Service Line Replacement Form, you need to provide details about the location of the service line, the date of replacement, the type of materials used, and any other relevant information as specified in the form's instructions.
The purpose of the NJ Lead Service Line Replacement Form is to track and document the replacement of lead service lines to protect public health by ensuring that the water supply is free from lead contamination.
The information that must be reported includes the service line location, date of replacement, contractor details, materials used for the replacement, and whether any lead was found during the replacement process.
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