Summary of Lead Service Line Inventory - Varick 4 (NY4914541)

I. System Information

Water System Name Varick 4
PWS ID Number NY4914541

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

Contact Name Benjmain Karlsen
Contact Phone Number 315-719-7844
Contact Email Address Varickwater@yahoo.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 164
Total Number of Identified Service Lines 164
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 164
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 164 0
Customer - Side Service Lines 0 0 GSL 164 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 164 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 140 158
Field Inspection 5 5
Customer Identification with Photo or other Verification NA 1
Excavation 0 0
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 19 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 4782 RT 96 Romulus Ny 14541

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.

Benjamin Karlsen
Name
Water Superintendent
Title
10/16/24
Date