Summary of Lead Service Line Inventory - Woodside Homes Mobile Home Park (NY4130008)

I. System Information

Water System Name Woodside Homes Mobile Home Park
PWS ID Number NY4130008

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

Contact Name Alan Stuart
Contact Phone Number 518-733-5714
Contact Email Address alanlstuart@outlook.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 16
Total Number of Identified Service Lines 16
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 16
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 16 0
Customer - Side Service Lines 0 0 GSL 16 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 16 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 16 16
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. https:www.health.data.ny.gov
If under 50,000 customers: Explain how to access the inventory Letter will be sent with AWQR that there are no LS and to contact office to see 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.

Alan L. Stuart
Name
Owner
Title
09/23/24
Date