Summary of Lead Service Line Inventory - Bridleside Apartments (NY5930137)

I. System Information

Water System Name Bridleside Apartments
PWS ID Number NY5930137

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

Contact Name Heather Rysinger
Contact Phone Number (845)798-1507
Contact Email Address heather.rysinger@h2oinnovation.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 10
Total Number of Identified Service Lines 10
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 10
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 10 0
Customer - Side Service Lines 0 0 GSL 10 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 10 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 10 10
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 System Map

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.

Heather Rysinger
Name
Project Manager
Title
10/11/24
Date