Summary of Lead Service Line Inventory - Valatie Village (NY1000244)

I. System Information

Water System Name Valatie Village
PWS ID Number NY1000244

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

Contact Name Ed Czyzewski
Contact Phone Number 518-758-1971
Contact Email Address water-wastewater@valatievillage.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 228
Total Number of Identified Service Lines 153
Total Number of Lead Service Lines 0
Total Number of GSLRR 3
Total Number of Non-LSL 150
Total Number of Unknown Service Lines 75
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 167 61
Customer - Side Service Lines 0 3 GSL 208 17
Total Number of Service Lines in the Distribution System 0 3 GSLRR 150 75
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 150 91
Field Inspection 16 120
Customer Identification with Photo or other Verification NA 0
Excavation 2 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 A hard copy will be in the Village Office

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.

Edward M Czyzewski
Name
Water-Wastewater Superintendent
Title
11/18/24
Date