Summary of Lead Service Line Inventory - ENCHANTED MOUNTAINS RECOVERY CAMPUS (NY0430128)

I. System Information

Water System Name ENCHANTED MOUNTAINS RECOVERY CAMPUS
PWS ID Number NY0430128

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

Contact Name JASON M. MCCARTHY
Contact Phone Number 716-373-5230
Contact Email Address jay@kellnerwater.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 2
Total Number of Identified Service Lines 2
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 2
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 2 0
Customer - Side Service Lines 0 0 GSL 2 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 2 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 2 2
Field Inspection 0 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.
If under 50,000 customers: Explain how to access the inventory Contact Kellner, LLC. - 716-373-5230

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.

Jason M. McCarthy
Name
Operator
Title
10/01/24
Date