Summary of Lead Service Line Inventory - Blackberry Hill Water District (NY3905683)

I. System Information

Water System Name Blackberry Hill Water District
PWS ID Number NY3905683

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

Contact Name Tyler Post
Contact Phone Number 845-677-3839
Contact Email Address tylerp@vri-usa.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 206
Total Number of Identified Service Lines 206
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 206
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 206 0
Customer - Side Service Lines 0 0 GSL 206 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 206 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 184 184
Field Inspection 21 21
Customer Identification with Photo or other Verification NA 0
Excavation 1 1
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 VRI at 845-677-3839 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.

Tyler Post
Name
Operator
Title

Date