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Test your pipeline safety knowledge

Test your pipeline knowledge! By completing this survey your name will be entered into a monthly drawing for a $25 gas card. Winners will be notified by either phone or email, and with your permission, posted to the CHS website.

If you have additional questions or concerns, please call us at 1-855-4-CHSPIPE or 406-628-5443 or email us at publicawareness@chsinc.com.

First name

Last name

Email address

Phone number

Street address Please verify your address is correct Please confirm the address entered is valid by checking the checkbox

We will not sell or distribute your personal information. This information is requested solely for notification purposes for contest winners and to compile statistical summaries of survey participation.

How did you find out about this survey? Internet ad Company website Mailer Friend Telephone book Other

If other, please explain

In the last two years, have you received or heard information relating to pipeline or terminal safety? Yes No

Are you aware of the National Pipeline Mapping System (NPMS) for pre-incident planning purposes? Yes No

How would you know there is a pipeline near you? Pipeline markersign Received mailing Pipeline runs through property Other

If other, please explain

What actions would you likely take prior to digging or excavating? Call 811 Submit 811 notification online Call Pipeline Company Nothing

Are you aware of hazards associated with an unintended release from a pipeline or terminal? Yes No

Do you know how to recognize a pipeline leak? Yes No

What would you do in the event of a pipeline emergency? Evacuate the area From a safe place call 911 From a safe place call the pipeline company All of the above Nothing

How well informed would you say you are regarding pipelines in your community? Very well informed Somewhat Informed Not too informed Not informed at all

Would you like additional information, or do you have any questions or feedback for CHS? Yes No

Questions or Feedback

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