Summary of Lead Service Line Inventory - Hurley (NY5503369)

I. System Information

Water System Name Hurley
PWS ID Number NY5503369

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

Contact Name Jeff Vogt
Contact Phone Number 845.331.2201
Contact Email Address jeff@rollingmeadowswater.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 811
Total Number of Identified Service Lines 811
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 811
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 84 GSL 727 0
Customer - Side Service Lines 0 49 GSL 762 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 811 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 545 640
Field Inspection 0 7
Customer Identification with Photo or other Verification NA 0
Excavation 266 164
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: rollingmeadowswater.com
If under 50,000 customers: Explain how to access the inventory

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.

__________Jeff Vogt_________________
Name
_______________Owner_____________
Title

Date