Summary of Lead Service Line Inventory - New Baltimore Water District # 3 (NY1930086)

I. System Information

Water System Name New Baltimore Water District # 3
PWS ID Number NY1930086

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 5
Total Number of Identified Service Lines 1
Total Number of Lead Service Lines 0
Total Number of GSLRR 1
Total Number of Non-LSL 0
Total Number of Unknown Service Lines 4
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 0 5
Customer - Side Service Lines 0 1 GSL 4 0
Total Number of Service Lines in the Distribution System 0 1 GSLRR 0 4
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 2 0
Field Inspection 0 5
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 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