Summary of Lead Service Line Inventory - LSLI_NY2502551 Keshequa Elementary School (NY2502551)

I. System Information

Water System Name LSLI_NY2502551 Keshequa Elementary School
PWS ID Number NY2502551

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

Contact Name James Van Sickle
Contact Phone Number (585)468-2900 x1134
Contact Email Address jvansickle@keshequa.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 2
Total Number of Identified Service Lines 2
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 2
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 2 0
Customer - Side Service Lines 0 0 GSL 2 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 2 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 2 2
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 Contact Director of Facilities (585)468-2900 x1134 jvansickle@keshequa.org

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.

James Van Sickle
Name
Director of Facilities
Title
10/07/24
Date