Summary of Lead Service Line Inventory - Tupper Lake Village (NY1600012)

I. System Information

Water System Name Tupper Lake Village
PWS ID Number NY1600012

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

Contact Name Mark Robillard
Contact Phone Number (518) 637-4340
Contact Email Address mrobillard@villageoftupperlake.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 2169
Total Number of Identified Service Lines 1114
Total Number of Lead Service Lines 0
Total Number of GSLRR 1
Total Number of Non-LSL 1113
Total Number of Unknown Service Lines 1055
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 4 GSL 1113 1052
Customer - Side Service Lines 0 4 GSL 1110 1055
Total Number of Service Lines in the Distribution System 0 1 GSLRR 1113 1055
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 911 935
Field Inspection 3 3
Customer Identification with Photo or other Verification NA 0
Excavation 203 178
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 www.tupperlakeny.gov

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.

Mark Robillard
Name
Water Superintendent
Title
10/11/24
Date