Summary of Lead Service Line Inventory - Village of Whitehall (NY5700124)

I. System Information

Water System Name Village of Whitehall
PWS ID Number NY5700124

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

Contact Name Steve Brock
Contact Phone Number 518-499-1575 or 518-320-5024
Contact Email Address brock4808@hotmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1261
Total Number of Identified Service Lines 0
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 0
Total Number of Unknown Service Lines 1261
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 0 1261
Customer - Side Service Lines 0 0 GSL 568 693
Total Number of Service Lines in the Distribution System 0 0 GSLRR 0 1261
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 568
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 LSLI will be posted to Village website

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.

Steven Brock
Name
DPW Foreman
Title
10/16/24
Date