Summary of Lead Service Line Inventory - Palmer Center UGARC (NY5530295)

I. System Information

Water System Name Palmer Center UGARC
PWS ID Number NY5530295

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

Contact Name Christopher Gibbons
Contact Phone Number 845-332-8549
Contact Email Address Chrisg@ugarc.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 7
Total Number of Identified Service Lines 7
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 7
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 7 0
Customer - Side Service Lines 0 0 GSL 7 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 7 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 3 3
Field Inspection 4 4
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 The inventory will be sent via email to all staff and family members of Residents.

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.

Christopher Gibbons
Name
Assistant Director of Plant Operation
Title
03/07/24
Date