Summary of Lead Service Line Inventory - Goshen Village (NY3503528)

I. System Information

Water System Name Goshen Village
PWS ID Number NY3503528

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

Contact Name Erin Harrison
Contact Phone Number 845-764-0044
Contact Email Address eharrison@villageofgoshen-ny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1907
Total Number of Identified Service Lines 788
Total Number of Lead Service Lines 1
Total Number of GSLRR 0
Total Number of Non-LSL 787
Total Number of Unknown Service Lines 1119
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 1 0 GSL 786 1119
Customer - Side Service Lines 1 0 GSL 910 993
Total Number of Service Lines in the Distribution System 1 0 GSLRR 787 1119
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1665 1488
Field Inspection 2 288
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 https://www.villageofgoshen-ny.gov/department-of-public-works/

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.

Erin M Harrison
Name
Chief Operator
Title

Date