Summary of Lead Service Line Inventory - Camp Smith NYS (NY5902878)

I. System Information

Water System Name Camp Smith NYS
PWS ID Number NY5902878

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

Contact Name Steves Vanderpool
Contact Phone Number 518-786-4367
Contact Email Address steves.vanderpool.mil@army.mil

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 23
Total Number of Identified Service Lines 4
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 4
Total Number of Unknown Service Lines 19
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 7 16
Customer - Side Service Lines 0 0 GSL 4 19
Total Number of Service Lines in the Distribution System 0 0 GSLRR 4 19
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 7 7
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 Internal Website/Memorandum

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.

Mark Madison
Name
Environmental Programs Specialist
Title
10/16/24
Date