Summary of Lead Service Line Inventory - Dannemora Water District #2 (NY0900230)

I. System Information

Water System Name Dannemora Water District #2
PWS ID Number NY0900230

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

Contact Name William Gurbal
Contact Phone Number 518-645-4765
Contact Email Address william.gurbal@doccs.ny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 44
Total Number of Identified Service Lines 44
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 44
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 44 0
Customer - Side Service Lines 0 0 GSL 44 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 44 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 43 42
Field Inspection 0 1
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. Address:
If under 50,000 customers: Explain how to access the inventory contact Town Clerk at 518-492-7541 ext 4

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.

William Gurbal
Name
District #2 operator
Title
08/13/24
Date