Summary of Lead Service Line Inventory - Shelter Island Heights Property Owners Corporation (NY5103243)

I. System Information

Water System Name Shelter Island Heights Property Owners Corporation
PWS ID Number NY5103243

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

Contact Name John Michalak Operator. Stella Lagudis Owner
Contact Phone Number 631-749-0139 ext 109
Contact Email Address Slagudis@siheights.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 196
Total Number of Identified Service Lines 196
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 196
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 196 0
Customer - Side Service Lines 0 0 GSL 196 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 196 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 144 122
Field Inspection 6 74
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 Office, email, US Mail,

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.

Stella Lagudis
Name
General Manager
Title
10/15/24
Date