Summary of Lead Service Line Inventory - Village of Green Island (NY0100195)

I. System Information

Water System Name Village of Green Island
PWS ID Number NY0100195

II. Contact Information for Owner / Licensed Operator of Record Completing the Form

Contact Name Maggie Alix
Contact Phone Number 518-273-2201
Contact Email Address maggie.alix@villageofgreenisland.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1029
Total Number of Identified Service Lines 426
Total Number of Lead Service Lines 4
Total Number of GSLRR 22
Total Number of Non-LSL 400
Total Number of Unknown Service Lines 603
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 1039 1
Customer - Side Service Lines 4 22 GSL 401 614
Total Number of Service Lines in the Distribution System 4 22 GSLRR 400 603
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1032 96
Field Inspection 8 19
Customer Identification with Photo or other Verification NA 365
Excavation 0 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 0 0

IV. Inventory Availability - The inventory must be available to public

If 50,000 customers or greater: Posting the inventory online water system's website. Address:
If under 50,000 customers: Explain how to access the inventory A hard copy of the inventory will be made available by contacting the Village Officeby phone at 518-273-2201or by email at Michele.Bourgeois@villageofgreenisland.com

V. Certifications

By submitting this form, I have verified and certify the information listed in this form is true and accurate to the best of my knowledge and belief.

Maggie A. Alix
Name
Executive Assistant to the Mayor
Title
12/24/24
Date