Summary of Lead Service Line Inventory - Shorehaven PWS (NY1302807)

I. System Information

Water System Name Shorehaven PWS
PWS ID Number NY1302807

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

Contact Name Gerald Gilnack
Contact Phone Number 845-229-2524
Contact Email Address jgilnack@dutchessny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 97
Total Number of Identified Service Lines 93
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 93
Total Number of Unknown Service Lines 4
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 96 1
Customer - Side Service Lines 0 8 GSL 85 4
Total Number of Service Lines in the Distribution System 0 0 GSLRR 93 4
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 96 96
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 Request copy from DCWWA

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.

Gerald Gilnack
Name
Sample Supervisor
Title

Date