Summary of Lead Service Line Inventory - Rushville Village (NY3401164)

I. System Information

Water System Name Rushville Village
PWS ID Number NY3401164

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

Contact Name Neal Curtis
Contact Phone Number 585-554-3415
Contact Email Address dpw@villageofrushville.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 8
Total Number of Identified Service Lines 8
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 8
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 12 1
Customer - Side Service Lines 0 0 GSL 25 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 8 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1 0
Field Inspection 2 14
Customer Identification with Photo or other Verification NA 1
Excavation 9 10
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 A hard copy will be available in the Village office

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.

Neal Curtis
Name
Public Works Supervisor
Title
12/03/24
Date