Summary of Lead Service Line Inventory - Town Of Salem Water Department (NY5730106)

I. System Information

Water System Name Town Of Salem Water Department
PWS ID Number NY5730106

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

Contact Name Eric Rogers
Contact Phone Number (518)429-8531 Cell (518)854-9712 Office
Contact Email Address salemwaterdept@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 409
Total Number of Identified Service Lines 409
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 409
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 409 0
Customer - Side Service Lines 0 0 GSL 409 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 409 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 409 409
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 Paper field prints / watched system go in NEW 2003

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.

Eric Joseph Rogers
Name
Chief Water Plant Operator
Title
03/20/23
Date