Summary of Lead Service Line Inventory - The Village of Herkimer (NY2102306)

I. System Information

Water System Name The Village of Herkimer
PWS ID Number NY2102306

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

Contact Name Dana Sherry
Contact Phone Number (315)-866-3303
Contact Email Address mayordanasherry.voh@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 2249
Total Number of Identified Service Lines 0
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 0
Total Number of Unknown Service Lines 2249
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 49 2200
Customer - Side Service Lines 0 0 GSL 0 2249
Total Number of Service Lines in the Distribution System 0 0 GSLRR 0 2249
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 0
Excavation 48 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 The municipality will be posting the DOH LSLI template on their website

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.

Dana Sherry
Name
Mayor
Title

Date