Summary of Lead Service Line Inventory - Troutbeck (NY1330035)

I. System Information

Water System Name Troutbeck
PWS ID Number NY1330035

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

Contact Name Operator: H2O Innovations Engineer: Rennia Engineering Design
Contact Phone Number Operator: 845-888-5755 Engineer: 845-877-0555
Contact Email Address les.coon@h2oinnovation.com; wsuzuki@renniadesign.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 8
Total Number of Identified Service Lines 8
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 8
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 1 GSL 7 0
Customer - Side Service Lines 0 1 GSL 7 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 8 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1 0
Field Inspection 7 8
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 Inventory will remain on file with the 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 T. Suzuki
Name
Staff Engineer
Title
10/11/24
Date