Summary of Lead Service Line Inventory - Inc. Village of Saltaire Water District (NY5103281)

I. System Information

Water System Name Inc. Village of Saltaire Water District
PWS ID Number NY5103281

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

Contact Name Vernon Henriksen
Contact Phone Number (631) 793-4366
Contact Email Address vhmasel@aol.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 441
Total Number of Identified Service Lines 255
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 255
Total Number of Unknown Service Lines 186
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 255 186
Customer - Side Service Lines 0 0 GSL 425 16
Total Number of Service Lines in the Distribution System 0 0 GSLRR 255 186
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 181 59
Field Inspection 8 199
Customer Identification with Photo or other Verification NA 0
Excavation 62 125
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 22 16

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 Residents will be notified via email that the inventory is available on the village websight or at the 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.

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