Summary of Lead Service Line Inventory - Village of Angelica (NY0200312)

I. System Information

Water System Name Village of Angelica
PWS ID Number NY0200312

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

Contact Name Archie McRae
Contact Phone Number 585-466-7431
Contact Email Address Village.Angelica@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 434
Total Number of Identified Service Lines 429
Total Number of Lead Service Lines 0
Total Number of GSLRR 33
Total Number of Non-LSL 396
Total Number of Unknown Service Lines 5
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 434 0
Customer - Side Service Lines 0 33 GSL 396 5
Total Number of Service Lines in the Distribution System 0 33 GSLRR 396 5
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 380 0
Field Inspection 1 104
Customer Identification with Photo or other Verification NA 303
Excavation 53 22
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 21 Peacock Hill Road, Angelica, NY 14709

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.

Archie McRae
Name
Water Operator
Title
10/15/24
Date