Summary of Lead Service Line Inventory - Jay Water District (NY1500279)

I. System Information

Water System Name Jay Water District
PWS ID Number NY1500279

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

Contact Name Paul Mintz
Contact Phone Number 518-578-5957
Contact Email Address watersewersuper@townofjayny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 256
Total Number of Identified Service Lines 112
Total Number of Lead Service Lines 1
Total Number of GSLRR 33
Total Number of Non-LSL 78
Total Number of Unknown Service Lines 144
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 21 GSL 70 165
Customer - Side Service Lines 1 33 GSL 161 61
Total Number of Service Lines in the Distribution System 1 33 GSLRR 78 144
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 91 57
Field Inspection 0 1
Customer Identification with Photo or other Verification NA 137
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: N/A
If under 50,000 customers: Explain how to access the inventory The inventory will be kept on file at the Town office. Statement will be added to the Annual Water Quality Report.

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.

______________Paul Mintz____________
Name
_________Chief Water Operator________
Title

Date