Summary of Lead Service Line Inventory - Town of Perrysburg Versailles Water District (NY0430097)

I. System Information

Water System Name Town of Perrysburg Versailles Water District
PWS ID Number NY0430097

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

Contact Name Daniel Stang
Contact Phone Number 7165324090
Contact Email Address Perrysburgtownclerk@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 65
Total Number of Identified Service Lines 65
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 65
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 65 0
Customer - Side Service Lines 0 0 GSL 65 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 65 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 64 65
Field Inspection 1 0
Customer Identification with Photo or other Verification NA 0
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 On record at town clerks office. Available upon request.

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.

Daniel Stang
Name
Water Superintendent
Title
10/17/24
Date