Summary of Lead Service Line Inventory - Leewood Knolls (NY5503405)

I. System Information

Water System Name Leewood Knolls
PWS ID Number NY5503405

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 43
Total Number of Identified Service Lines 43
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 43
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 1 GSL 42 0
Customer - Side Service Lines 0 1 GSL 42 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 43 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 41 40
Field Inspection 0 2
Customer Identification with Photo or other Verification NA 0
Excavation 1 1
Sequential Sampling 0 0
Statistical Analysis/Predictive Model 1 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 Contact the Company or DOH

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/Operator
Title
10/16/24
Date