Summary of Lead Service Line Inventory - Plandome Village (NY2902846)

I. System Information

Water System Name Plandome Village
PWS ID Number NY2902846

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

Contact Name Steven Flynn
Contact Phone Number 516-627-1748
Contact Email Address dpw@villageofplandome.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 455
Total Number of Identified Service Lines 437
Total Number of Lead Service Lines 0
Total Number of GSLRR 1
Total Number of Non-LSL 436
Total Number of Unknown Service Lines 18
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 436 19
Customer - Side Service Lines 0 1 GSL 436 18
Total Number of Service Lines in the Distribution System 0 1 GSLRR 436 18
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 436 437
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 Village Hall will have printed copy available for view

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.

Steven Flynn
Name
Water Department Foreman
Title
10/15/24
Date