Summary of Lead Service Line Inventory - Blenheim-Gilboa Power Project - Security Complex (NY4708532)

I. System Information

Water System Name Blenheim-Gilboa Power Project - Security Complex
PWS ID Number NY4708532

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

Contact Name David Weiman
Contact Phone Number 518-287-6340 or 518-431-9739
Contact Email Address david.weiman@nypa.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 2
Total Number of Identified Service Lines 2
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 2
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 2 0
Customer - Side Service Lines 0 0 GSL 2 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 2 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 2 2
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 LSLI Summaries to be sent to all Blenheim-Gilboa Employees.

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.

David J Weiman
Name
Sr. Civil / Structural Engineer II
Title
11/01/24
Date