Summary of Lead Service Line Inventory - North Country School INC. (NY1518736)

I. System Information

Water System Name North Country School INC.
PWS ID Number NY1518736

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

Contact Name Christopher Wood
Contact Phone Number 518-304-3018
Contact Email Address Cwood@northcountryschool.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 28
Total Number of Identified Service Lines 28
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 28
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 4 GSL 24 0
Customer - Side Service Lines 0 0 GSL 28 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 28 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 12 28
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 It's posted in our staff room

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.

Christopher Wood
Name
Maintenance Department Manager
Title
09/20/24
Date