Summary of Lead Service Line Inventory - Village of Tuxedo Park (NY3503557)

I. System Information

Water System Name Village of Tuxedo Park
PWS ID Number NY3503557

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

Contact Name
Contact Phone Number
Contact Email Address

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 692
Total Number of Identified Service Lines 2
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 2
Total Number of Unknown Service Lines 690
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 1 GSL 2 689
Customer - Side Service Lines 0 0 GSL 8 684
Total Number of Service Lines in the Distribution System 0 0 GSLRR 2 690
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1 0
Field Inspection 2 7
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 Please contact Village of Tuxedo Park office for a copy

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.

_____________________________________
Name
_____________________________________
Title

Date