Summary of Lead Service Line Inventory - FISHS EDDY COMMUNITY WATER (NY1200260)

I. System Information

Water System Name FISHS EDDY COMMUNITY WATER
PWS ID Number NY1200260

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

Contact Name LORI LAMICA NELSON
Contact Phone Number 6073632703
Contact Email Address GOTAKEEPER7@GMAIL.COM, EastBranchValleyInc@protonmail.com.

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 44
Total Number of Identified Service Lines 37
Total Number of Lead Service Lines 0
Total Number of GSLRR 6
Total Number of Non-LSL 31
Total Number of Unknown Service Lines 7
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 45 0
Customer - Side Service Lines 0 6 GSL 31 7
Total Number of Service Lines in the Distribution System 0 6 GSLRR 31 7
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 45 0
Field Inspection 0 44
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

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.

Lori Lamica Nelson
Name
Water Operator
Title
10/16/24
Date