Queen City, TX · Cass County
Lead Service Line Inventory Certification
Public water system representatives use this certification to confirm completion of a lead service line inventory and certify the information submitted.
What this form is
This form certifies completion of a lead service line inventory. The public water system representative checks the appropriate boxes, enters the water system name and PWSID, and signs the certification; the form states that all information on the page is required. It also includes certifications about the accuracy of the information and the system’s responsibilities for identified service lines.
Who needs it
A public water system representative certifying completion of the system’s lead service line inventory needs to complete and sign this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This certification is signed without a notary; the signer completes and signs the form, and no notarized attachment or related step is mentioned.
How to submit this form
- 1
Download The Certification
Download the Lead Service Line Inventory Certification PDF.
- 2
Complete The Form
Check the appropriate boxes, enter the PWS name and PWSID, and complete the required certification.
- 3
Keep Supporting Records
Keep resources and information used to develop the inventory available for review; the form says these records do not need to be submitted to TCEQ.
- 4
Submit The Certification
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Lead Service Line Inventory Certification?
- It is a certification for a public water system representative to confirm completion of a lead service line inventory and certify the information submitted.
- Who completes this certification?
- The public water system representative completes the form by checking the appropriate boxes, entering the water system name and PWSID, and signing the certification.
- Do I need a notary for the Lead Service Line Inventory Certification?
- No. The form calls for the public water system representative to sign, with no notary or notarized attachment mentioned.
- How do I submit the Lead Service Line Inventory Certification?
- Submit it to the city department named on the form; check the city website for current contact details.