Summary of Lead Service Line Inventory - Boces-Ellicottville (NY0416814)

I. System Information

Water System Name Boces-Ellicottville
PWS ID Number NY0416814

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

Contact Name Robert Crowley
Contact Phone Number 716 376 8349
Contact Email Address Robert_crowley@caboces.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1
Total Number of Identified Service Lines 1
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 1
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 1 0
Customer - Side Service Lines 0 0 GSL 1 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 1 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 1 1
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. 5550 Rt242E Ellicottville NY 14731
If under 50,000 customers: Explain how to access the inventory post on Boces web site

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.

Robert Crowley
Name
Sr. Maint. Mechanic/ water operator NY0038767
Title

Date