Summary of Lead Service Line Inventory - HOUNSFIELD WD 3 (WESCOTT BEACH) (NY2230115)

I. System Information

Water System Name HOUNSFIELD WD 3 (WESCOTT BEACH)
PWS ID Number NY2230115

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

Contact Name
Contact Phone Number
Contact Email Address

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 87
Total Number of Identified Service Lines 86
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 86
Total Number of Unknown Service Lines 1
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 87 0
Customer - Side Service Lines 0 0 GSL 86 1
Total Number of Service Lines in the Distribution System 0 0 GSLRR 86 1
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 87 87
Field Inspection 0 0
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

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 Warneck
Name
Water Operator
Title

Date