Summary of Lead Service Line Inventory - Powell Road Mobile Home Park (NY1302115)

I. System Information

Water System Name Powell Road Mobile Home Park
PWS ID Number NY1302115

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

Contact Name Richard Rennia Sr. (Operator) Wilson Suzuki (Engineer)
Contact Phone Number 845-877-3306 (Operator) 845-877-0555 (Engineer)
Contact Email Address rdrennia@aol.com (Operator) wsuzuki@renniadesign.com (Engineer)

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 156
Total Number of Identified Service Lines 156
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 156
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 53 GSL 103 0
Customer - Side Service Lines 0 0 GSL 156 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 156 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 156 156
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. Address:
If under 50,000 customers: Explain how to access the inventory On-file with water operator of record

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.

Wilson Suzuki
Name
Staff Engineer
Title
10/15/24
Date