Summary of Lead Service Line Inventory - Village of Coxsackie (NY1900027)

I. System Information

Water System Name Village of Coxsackie
PWS ID Number NY1900027

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

Contact Name Adelord (Al) Preville
Contact Phone Number 518-731-2626
Contact Email Address apreville@waterplantcoxsackie.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1000
Total Number of Identified Service Lines 253
Total Number of Lead Service Lines 133
Total Number of GSLRR 13
Total Number of Non-LSL 107
Total Number of Unknown Service Lines 747
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 76 0 GSL 259 714
Customer - Side Service Lines 62 15 GSL 295 629
Total Number of Service Lines in the Distribution System 133 13 GSLRR 107 747
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 309 205
Field Inspection 12 195
Customer Identification with Photo or other Verification NA 94
Excavation 0 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 125 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 VillageofCoxsackie.com

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.

Adelord (Al) Preville
Name
V/O Coxsackie Water Dept. Superintendent
Title
10/07/24
Date