Summary of Lead Service Line Inventory - New Life Christian School (NY2622689)

I. System Information

Water System Name New Life Christian School
PWS ID Number NY2622689

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

Contact Name Richard Gass
Contact Phone Number (337)802-6440
Contact Email Address rgass722@gmial.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 4
Total Number of Identified Service Lines 4
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 4
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 4 0
Customer - Side Service Lines 0 0 GSL 4 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 4 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 4 4
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 New Life Christian School , 1528 River Rd Hamilton, NY 13346

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.

Richard Barnes
Name
Grade C Operator
Title
10/15/24
Date