Summary of Lead Service Line Inventory - Long Beach City (NY2902834)

I. System Information

Water System Name Long Beach City
PWS ID Number NY2902834

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 8602
Total Number of Identified Service Lines 182
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 182
Total Number of Unknown Service Lines 8420
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 182 GSL 124 8296
Customer - Side Service Lines 0 182 GSL 0 8420
Total Number of Service Lines in the Distribution System 0 0 GSLRR 182 8420
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 124 0
Field Inspection 182 182
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.

_____________________________________
Name
_____________________________________
Title

Date