Summary of Lead Service Line Inventory - High Ridge Water Company (NY5521677)

I. System Information

Water System Name High Ridge Water Company
PWS ID Number NY5521677

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 29
Total Number of Identified Service Lines 29
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 29
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 29 0
Customer - Side Service Lines 0 0 GSL 29 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 29 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 24 24
Field Inspection 0 0
Customer Identification with Photo or other Verification NA 0
Excavation 5 5
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 Contact the Water Company

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
03/01/24
Date