Summary of Lead Service Line Inventory - Village of Round Lake (NY4500167)

I. System Information

Water System Name Village of Round Lake
PWS ID Number NY4500167

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

Contact Name John Stevenson
Contact Phone Number 518 587-5830
Contact Email Address clerk@roundlakevillage.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 431
Total Number of Identified Service Lines 431
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 431
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 432 0
Customer - Side Service Lines 0 0 GSL 431 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 431 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 428 431
Field Inspection 0 0
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 Available at Round Lake Village Office

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.

John Stevenson
Name
Sept. Public Works Superintendant
Title

Date