Summary of Lead Service Line Inventory - Forest Park 2 (NY5510721)

I. System Information

Water System Name Forest Park 2
PWS ID Number NY5510721

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

Contact Name Ronald J Piccone
Contact Phone Number 845-838-1700
Contact Email Address Jamie@picconemgmt.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 31
Total Number of Identified Service Lines 28
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 28
Total Number of Unknown Service Lines 3
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 31 0
Customer - Side Service Lines 0 0 GSL 28 3
Total Number of Service Lines in the Distribution System 0 0 GSLRR 28 3
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 28 30
Field Inspection 0 0
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 A hard copy will be availabile for residents to request at the office located on 37 Styles Way Lagrangeville, NY 12540

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.

Ronald J Piccone II
Name
Vice President
Title
11/20/24
Date