Summary of Lead Service Line Inventory - William George Agency LSLI NYPWS5405812 (NY5405812)

I. System Information

Water System Name William George Agency LSLI NYPWS5405812
PWS ID Number NY5405812

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

Contact Name Lawrence B Lipfert
Contact Phone Number 607-342-3909
Contact Email Address lipfertl@gjrmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 48
Total Number of Identified Service Lines 47
Total Number of Lead Service Lines 0
Total Number of GSLRR 3
Total Number of Non-LSL 44
Total Number of Unknown Service Lines 1
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 17 GSL 29 2
Customer - Side Service Lines 0 5 GSL 43 0
Total Number of Service Lines in the Distribution System 0 3 GSLRR 44 1
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 48 0
Field Inspection 0 48
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 Service Line Inventory is avaialbe to be reveiwed in my office where it is posted

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.

Lawrence B Lipfert
Name
Risk and Safety Officer
Title
09/27/24
Date