Current Lead and Copper Rule - Forms
This information is provided by the Nebraska Department of Water, Energy, and Environment to assist the public and regulated community.
Form Type
Forms
Form
25-014
Revised Date
Files
| Attachment | Size |
|---|---|
| 25-014-1 Form 1 - LCR Sampling Instructions.pdf | 157.62 KB |
| 25-014-3 Form 3 - LCR Creating a Sample Site Plan.pdf | 344.18 KB |
| 24-015-4 Form 4 - Certification of Results Distribution.pdf | 143.42 KB |
| 24-015-5 Form 5 - LCR Results Report.pdf | 229.13 KB |
| 25-014-6 Form 6 - Consumer Notice of Lead & Copper Results.pdf | 141.54 KB |
| 25-014-7 Form 7 - Certification of Homeowner as Sampler.pdf | 185.76 KB |