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2. In-home lead testing
   The Environmental Protection Agency (EPA) banned the use of lead and lead solder in 1987. Household plumbing generally consists of copper, galvanized steel, plastic pipe or a mixture of these materials. Copper pipe does not contain lead but the joining solder used until 1987 may. Homes built prior to 1960 could have lead plumbing. If your home was built between the years 1982-1987, or before 1960, please answer the following questions.
4. What year was your house built?*
   -- Select One --After 19871982-19861981-19601960-1930Before 1930Don't know
5. Has the plumbing in your house been replaced since 1987?*

   1. Yes
   2. No
   3. Don't know
   4. Replacement (please identify below)
7. Describe the replacement location(s):
9. Do your pipes appear to be lead?

   Lead pipes are dull gray and soft metal. They turn bright gray when scratched with a coin or screwdriver. Galvanized steel is hard and creates a metallic sound when tapped. You may find these in your crawl space or basement.

   1. Yes

   1. No

   1. Don't know
11. Do your copper pipes have lead solder?

    Copper pipes installed before 1987 may have lead solder. Conduct a scratch test or purchase a chemical test kit to determine if the solder is lead. The lead solder test kit is available at most hardware stores.

    1. Yes

    1. No

    1. Don't know
13. First Name*
14. Last Name*
16. Address1*
18. City
19. State
20. Zip
22. Telephone Number*
    xxx-xxx-xxxx
23. Email Address
25. Note:
    Not all homes may be eligible for the in-home lead test from Castle Rock Water. If we identify that your house does not meet the criteria, and you are still interested in the water testing, please contact the Colorado Department of Public health and Environment at 303-692-3090 or Colorado.gov/CDPHE
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27. 1. Receive an email copy of this form.
28. Email address

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29. Submit

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