Summary of Lead Service Line Inventory - BLOOMFIELD VILLAGE (NY3401155)

I. System Information

Water System Name BLOOMFIELD VILLAGE
PWS ID Number NY3401155

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

Contact Name Daniel Whittaker
Contact Phone Number 5856577319
Contact Email Address dpw@bloomfieldny.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 447
Total Number of Identified Service Lines 130
Total Number of Lead Service Lines 0
Total Number of GSLRR 36
Total Number of Non-LSL 94
Total Number of Unknown Service Lines 317
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 321 126
Customer - Side Service Lines 0 36 GSL 146 265
Total Number of Service Lines in the Distribution System 0 36 GSLRR 94 317
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 351 0
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 181
Excavation 2 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:5R ELM STREET
If under 50,000 customers: Explain how to access the inventory The Village of Bloomfield website

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.

Daniel Whittaker
Name
DPW Superintendent
Title
10/16/24
Date