Lead and Copper Sampling Volunteer Form

The New Hampshire Drinking Water and Groundwater Bureau requires Pennichuck Water to test your water system for many contaminants including lead and copper.  This requirement states that we are to collect lead and copper samples from our customers’ home taps periodically.  Please fill out form below if you would like to become a volunteer to collect a water sample from your home and have it tested for lead and copper.  There is no charge for the analysis.

  • Name * Required
  • Property Address * Required
  • Mailing Address * Required