Summary of Lead Service Line Inventory - Great Meadow/Washington Correctional Facilities (NY5704191)

I. System Information

Water System Name Great Meadow/Washington Correctional Facilities
PWS ID Number NY5704191

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

Contact Name James Cardinale (GM), Brooke Blaise (W)
Contact Phone Number 518-639-5516 ext. 3952 (GM), 518-639-4486 ext. 2000 (W)
Contact Email Address jamiecardinale@hotmail.com (GM), Brooke.Blaise@doccs.ny.gov (W)

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 121
Total Number of Identified Service Lines 121
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 121
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 121 0
Customer - Side Service Lines 0 1 GSL 120 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 121 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 61 2
Field Inspection 60 119
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.
If under 50,000 customers: Explain how to access the inventory Posted at the Water Filter Plant, Powerhouse, PS Office, and available by request

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.

Roger Willingham(GM), Roger Dubray (W)
Name
Plant Superintendent
Title
09/19/24
Date