Summary of Lead Service Line Inventory - Upper Jay Water District (NY1500294)

I. System Information

Water System Name Upper Jay Water District
PWS ID Number NY1500294

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 132
Total Number of Identified Service Lines 95
Total Number of Lead Service Lines 0
Total Number of GSLRR 6
Total Number of Non-LSL 89
Total Number of Unknown Service Lines 37
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 132 0
Customer - Side Service Lines 0 6 GSL 89 37
Total Number of Service Lines in the Distribution System 0 6 GSLRR 89 37
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 132 32
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 63
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