Summary of Lead Service Line Inventory - Kingsbury Industral Park (Queensbury) (NY5730125)

I. System Information

Water System Name Kingsbury Industral Park (Queensbury)
PWS ID Number NY5730125

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

Contact Name JOHN ROSATI
Contact Phone Number 518-375-1791
Contact Email Address Water@kingsburyny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 32
Total Number of Identified Service Lines 32
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 32
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 32 0
Customer - Side Service Lines 0 0 GSL 32 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 32 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 32 32
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 Inventory will be available at the Town Hall and Highway Garage

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.

John C. Rosati
Name
WATER OPERATOR NY0043550
Title
10/09/24
Date