Summary of Lead Service Line Inventory - DELHI VILLAGE (NY1200257)

I. System Information

Water System Name DELHI VILLAGE
PWS ID Number NY1200257

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

Contact Name JEROME DECKER
Contact Phone Number 6077462257
Contact Email Address WATER@VILLAGEOFDELHI.COM

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 642
Total Number of Identified Service Lines 523
Total Number of Lead Service Lines 19
Total Number of GSLRR 1
Total Number of Non-LSL 503
Total Number of Unknown Service Lines 119
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 522 120
Customer - Side Service Lines 19 1 GSL 622 0
Total Number of Service Lines in the Distribution System 19 1 GSLRR 503 119
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1 0
Field Inspection 0 642
Customer Identification with Photo or other Verification NA 0
Excavation 496 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: 9 COURT STREET, DELHI NY, 13753
If under 50,000 customers: Explain how to access the inventory AVAILABLE FOR PUBLIC VIEWING AT VILLAGE HALL

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 BROWN P.E.
Name
PROJECT ENGINEER
Title

Date