Summary of Lead Service Line Inventory - Letchworth State Park - South (NY6011828)

I. System Information

Water System Name Letchworth State Park - South
PWS ID Number NY6011828

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

Contact Name Paul Holderer
Contact Phone Number 585.683.8854
Contact Email Address paul.holderer@parks.ny.gov

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 33
Total Number of Identified Service Lines 31
Total Number of Lead Service Lines 0
Total Number of GSLRR 6
Total Number of Non-LSL 25
Total Number of Unknown Service Lines 2
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 6 GSL 25 2
Customer - Side Service Lines 0 6 GSL 25 2
Total Number of Service Lines in the Distribution System 0 6 GSLRR 25 2
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 0 0
Field Inspection 33 33
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 Posted at Visitor Center, Camp Contact, Quonset Building, and all permanent employee locations

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.

Paul Holderer
Name
Senior Filter Plant Operator
Title

Date