Summary of Lead Service Line Inventory - VIllage of Otisville (NY3503552)

I. System Information

Water System Name VIllage of Otisville
PWS ID Number NY3503552

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

Contact Name Frank Valentino Jr
Contact Phone Number 845-386-5172
Contact Email Address dpw@villageofotisville.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 374
Total Number of Identified Service Lines 285
Total Number of Lead Service Lines 0
Total Number of GSLRR 4
Total Number of Non-LSL 281
Total Number of Unknown Service Lines 89
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 2 GSL 286 86
Customer - Side Service Lines 0 4 GSL 292 78
Total Number of Service Lines in the Distribution System 0 4 GSLRR 281 89
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 87 44
Field Inspection 0 109
Customer Identification with Photo or other Verification NA 0
Excavation 189 141
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: dpw@villageofotisville.com
If under 50,000 customers: Explain how to access the inventory Information will be on the village 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.

Frank Valentino Jr
Name
_ Village Public Works Supt / Water_Dept__________________________________
Title

Date