Summary of Lead Service Line Inventory - S&E MOBILE HOME PARK LLC (NY3700942)

I. System Information

Water System Name S&E MOBILE HOME PARK LLC
PWS ID Number NY3700942

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

Contact Name ERNIE PETERS
Contact Phone Number 314-625-7858
Contact Email Address SEMHP@CNYMAIL.COM & ERNIEPETERS1@OUTLOOK.COM

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 74
Total Number of Identified Service Lines 31
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 31
Total Number of Unknown Service Lines 43
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 31 43
Customer - Side Service Lines 0 0 GSL 73 1
Total Number of Service Lines in the Distribution System 0 0 GSLRR 31 43
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 31 73
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 Call park office- 315-625-7858

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.

Ernie Peters
Name
Owner
Title
08/27/24
Date