Summary of Lead Service Line Inventory - C Grant Grimshaw School (NY3318532)

I. System Information

Water System Name C Grant Grimshaw School
PWS ID Number NY3318532

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

Contact Name Anthony Vadala
Contact Phone Number 315-420-7876
Contact Email Address avadala@lafayetteschools.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 3
Total Number of Identified Service Lines 3
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 3
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 3 0
Customer - Side Service Lines 0 0 GSL 3 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 3 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 3 3
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: N/A
If under 50,000 customers: Explain how to access the inventory PWS has visually confirmed no LSL, GSLRR, or unknown SLs. Public LSLI is not required.

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.

Anthony Vadala
Name
Water Operator
Title
10/10/24
Date