Summary of Lead Service Line Inventory - Crosby Juengst Farm Association Inc (NY5916740)

I. System Information

Water System Name Crosby Juengst Farm Association Inc
PWS ID Number NY5916740

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

Contact Name Cynthia M. Curtis
Contact Phone Number 914-274-7206
Contact Email Address cynthiamcurtis@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 14
Total Number of Identified Service Lines 14
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 14
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 6 GSL 8 0
Customer - Side Service Lines 0 2 GSL 12 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 14 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 13 0
Field Inspection 1 1
Customer Identification with Photo or other Verification NA 13
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: We are private. Members have access to our records.
If under 50,000 customers: Explain how to access the inventory

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.

Cynthia M. Curtis
Name
Treasurer
Title

Date