Summary of Lead Service Line Inventory - Lakeview Apartments (NY1322659)

I. System Information

Water System Name Lakeview Apartments
PWS ID Number NY1322659

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

Contact Name Scott Osborn
Contact Phone Number 845-416-4262
Contact Email Address scotto@vri-usa.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 9
Total Number of Identified Service Lines 0
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 0
Total Number of Unknown Service Lines 9
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 0 9
Customer - Side Service Lines 0 0 GSL 9 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 0 9
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 0 9
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 Contact VRI Environmental Services @ 845-677-3839

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.

Scott Osborn
Name
Area Manager - VRI
Title
10/14/24
Date