Summary of Lead Service Line Inventory - Great Valley Town W.D. 1 (NY0412218)

I. System Information

Water System Name Great Valley Town W.D. 1
PWS ID Number NY0412218

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

Contact Name Justin Chudy
Contact Phone Number 716-945-3130
Contact Email Address Jchudy@salmun.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 85
Total Number of Identified Service Lines 85
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 85
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 85 0
Customer - Side Service Lines 0 0 GSL 85 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 85 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 0
Excavation 85 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: 225 Wildwood Ave Ste. 6 Salamanca NY 14779
If under 50,000 customers: Explain how to access the inventory Paper copy can be viewed at above address

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.

Justin R. Chudy
Name
Operator in Responsible Charge
Title

Date