Summary of Lead Service Line Inventory - Town of Collins Water District 1,2 (NY1404560)

I. System Information

Water System Name Town of Collins Water District 1,2
PWS ID Number NY1404560

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

Contact Name Jake Hansen-Ivett
Contact Phone Number 716-426-5473
Contact Email Address gowandawater77@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 424
Total Number of Identified Service Lines 26
Total Number of Lead Service Lines 0
Total Number of GSLRR 14
Total Number of Non-LSL 12
Total Number of Unknown Service Lines 398
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 39 385
Customer - Side Service Lines 0 14 GSL 282 128
Total Number of Service Lines in the Distribution System 0 14 GSLRR 12 398
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 30 0
Field Inspection 9 397
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 Go to clerks office and request 14093 Mill St.

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.

Jake Hansen-Ivett
Name
Water Operator
Title
10/09/24
Date