Summary of Lead Service Line Inventory - Valleyview Village Park (NY4710782)

I. System Information

Water System Name Valleyview Village Park
PWS ID Number NY4710782

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

Contact Name Lucille Bertone
Contact Phone Number 518-622-8200
Contact Email Address Lucille Bertone

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 13
Total Number of Identified Service Lines 13
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 13
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 13 0
Customer - Side Service Lines 0 0 GSL 13 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 13 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 13 13
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

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.

Lucille Bertone
Name
Operator
Title
10/09/24
Date