Summary of Lead Service Line Inventory - Verona WD (Rte 356 + Hamlet) (NY3230037)

I. System Information

Water System Name Verona WD (Rte 356 + Hamlet)
PWS ID Number NY3230037

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

Contact Name Tim Dodge
Contact Phone Number 315-534-8913
Contact Email Address Watersuper@townverona.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 568
Total Number of Identified Service Lines 568
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 568
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 568 0
Customer - Side Service Lines 0 0 GSL 568 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 568 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 547 0
Field Inspection 0 568
Customer Identification with Photo or other Verification NA 0
Excavation 21 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 Town of Verona Website Townverona.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.

_____________________________________
Name
Water Operator in Responsible Charge
Title
09/09/24
Date