Summary of Lead Service Line Inventory - MTN View Estates HOA (NY1921639)

I. System Information

Water System Name MTN View Estates HOA
PWS ID Number NY1921639

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

Contact Name Joseph Myers
Contact Phone Number (518)528-8842
Contact Email Address jmwater@verizon.net

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 3
Total Number of Identified Service Lines 3
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 3
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 3 0
Customer - Side Service Lines 0 0 GSL 3 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 3 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 3 0
Field Inspection 0 3
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 Inventory will be sent to each homeowner.

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.

Joseph Myers
Name
Operator
Title
10/14/24
Date