Summary of Lead Service Line Inventory - Country Childrens Center, 466 Cross River Road, Katonah, NY 10536 (NY5930045)

I. System Information

Water System Name Country Childrens Center, 466 Cross River Road, Katonah, NY 10536
PWS ID Number NY5930045

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

Contact Name Polly Peace
Contact Phone Number 914-242-0520, ext 201
Contact Email Address ppeace@countrychildrenscenter.org

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 1
Total Number of Identified Service Lines 1
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 1
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 1 0
Customer - Side Service Lines 0 0 GSL 1 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 1 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1 1
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 Contact the Country Childrens Center at 914-242-0520, ext 201

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.

Polly Peace
Name
Executive Director
Title
07/25/24
Date