Summary of Lead Service Line Inventory - H.V WATER CO. INC. (NY3503606)

I. System Information

Water System Name H.V WATER CO. INC.
PWS ID Number NY3503606

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

Contact Name BILL SAMORA
Contact Phone Number 917-642-6161
Contact Email Address BILL.SAMORA@KONE.COM

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 100
Total Number of Identified Service Lines 100
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 100
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 100 0
Customer - Side Service Lines 0 0 GSL 100 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 100 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 100 78
Field Inspection 0 10
Customer Identification with Photo or other Verification NA 12
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

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.

BILL SAMORA
Name
FINANCE
Title
10/16/24
Date