Summary of Lead Service Line Inventory - NYSOCFS Highland Residential Center (NY5503015)

I. System Information

Water System Name NYSOCFS Highland Residential Center
PWS ID Number NY5503015

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

Contact Name Hillary Farrell - Senior Filter Plant Operator
Contact Phone Number 845-691-6006 ext 1413
Contact Email Address hillary.farrell@ocfs.ny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 22
Total Number of Identified Service Lines 22
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 22
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 22 0
Customer - Side Service Lines 0 0 GSL 22 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 22 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 22 9
Field Inspection 0 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:629 North Chodikee Lake RD Highland NY 12528
If under 50,000 customers: Explain how to access the inventory A copy of the service line inventory is available by contacting the water plant 845-691-6006 ext1413

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.

_____________________________________
Name
_____________________________________
Title

Date