Long Island Water Services: Free Water Testing

Free Water Testing from
Long Island Water Services

Please fill out the form below for a Free Water Test from
Long Island Water Services.

There is no obligation.

First Name:
Last Name:
Company Name:
Street Address:
City:
State:
Zip Code:
Daytime Phone Number: (please include area code)
Evening Phone Number: (please include area code)
Email Address:
Number of people living in the home or working in the office:
Are you the homeowner or Property Owner? Yes No
What type of water supply do you have? Municipal Private Well Not Sure
Have you noticed any of the following? Please check all that apply: Chlorine smell Iron stains Black stains Rotten smell Blue/green stains Spotty dishes/glassware Scale build-up on fixtures/showerheads Dry skin
Are you concerned about the lead in your water? Yes No
Do you currently have any of the following filtration systems? Check all that apply. Whole House Single Tap Under the Sink Faucet Mounted None
Do you purchase bottled water? Yes No
If Yes, is the bottled water Store bought Home Delivery Both

Certified Water Specialists.
Licensed to Test & Treat water by the Department of Consumer Affairs.