Summary of Lead Service Line Inventory - Middlesex Water District #1 (NY6101265)

I. System Information

Water System Name Middlesex Water District #1
PWS ID Number NY6101265

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

Contact Name Alan L. Williams
Contact Phone Number 585-554-6952 Home 585-314-9355 Cell
Contact Email Address alewis4811@gmail.com

III. Summary of Inventory

Total Number of Service Lines in the Distribution System 174
Total Number of Identified Service Lines 174
Total Number of Lead Service Lines 0
Total Number of GSLRR 0
Total Number of Non-LSL 174
Total Number of Unknown Service Lines 0
Service Lines Lead GSL or GSLRR Non-Lead Unknown
PWS - Side Service Lines 0 0 GSL 0 0
Customer - Side Service Lines 0 0 GSL 0 0
Total Number of Service Lines in the Distribution System 0 0 GSLRR 0 0
Service Line Identification Methods
Identification Methods PWS- Side SLs Customer-Side SLs
Historical Records 1 31
Field Inspection 22 179
Customer Identification with Photo or other Verification NA 0
Excavation 40 40
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 Website www.middlesexny.org

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.

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