| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
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2 | Lead Service Line Inventory Template | |||||||||||||||||||||||||
3 | *Please enter information in the empty box next to each section | Water System Name | Village of Golf | System ID Number: | IL 0311080 | Current Inventory Date: | 4/15/2025 | |||||||||||||||||||
4 | *Please enter totals in the empty box next to each category | Total Service lines: | 173 | Total Lead: | 29 | Total Non-Lead: | 144 | Total Galvanized Requiring replacement: | 0 | Total Unknown: | 0 | Website link to Material Inventory: | ||||||||||||||
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7 | Service Address | Lead and Copper Sample site number. | Is this a high-risk Facility or Area? | Service Line Newly Identified Since Last Submitted Inventory | Year PWS-Owned Service Line was Installed | Year Customer Side Service Line was Installed | Source of Information Used for Service Line Identification | Gooseneck/ Pigtail | PWS-Owned Service Line Material | Customer Side Service Line Material | Classification for Entire Serivice Line | Was Galvanized Service Line Material ever downstream of Lead? | Date Customer Notified of Lead Service Line | Was a Lead Service Line Previously Replaced at this Location? | Date Lead Service Line Replaced | Material of Service Line Replacement | Has the customer refused access to the property? | Date of customer waiver or IDPH notification, if customer refused access to property | ||||||||
8 | Lead and Copper Sample site number is the 7 digit number starting with "LP" or " LA". / If address is not a lead and copper sample site mark "N/A" | EXAMPLES: | Yes (Y) or No (N) | What year was the PWS-Owned service line installed, if known? | What year was the customer side service line installed, if known? | How was the Material of this Service Line Identified? EXAMPLES: Construction Records, Visual Inspections, Survey Response, Maintenance Records, etc... | EXAMPLES: | EXAMPLES: | EXAMPLES: | EXAMPLES: | If any galvanized service line material was ever downstream of a Lead section, mark Yes (Y). If the galvanized service line material was never downstream of any Lead section, mark No (N). / If Yes, that section of service line should be marked as Galvanized Requiring Replacement in the appropriate immediately preceding column(s). | Enter date customer was notified of Lead Service Line. / If Service Line is not Lead put N/R | Yes (Y) or No (N) | If previous column was marked (Y), provide date the Lead Service Line was replaced. / Leave blank if previous column was (N). | EXAMPLES: | Yes (Y) or No (N) | IF customer refused access to property, date waiver obtained by PWS or date PWS notified IDPH of refusal to sign waiver. / Leave blank if customer has not refused access. | |||||||||
9 | Group Homes, Parks, Playgrounds, Special Care Facilities, Hospitals, Clinics, Child Care Facilities | Copper - No Lead Solder (C) | Copper - No Lead Solder (C) | Copper - No Lead Solder (C) | Lead (L) | Copper - No Lead Solder (C) | ||||||||||||||||||||
10 | Copper - Lead Solder (CLS) | Copper - Lead Solder (CLS) | Copper - Lead Solder (CLS) | Galvanized Requiring Replacemnt (GRR) | ||||||||||||||||||||||
11 | Galvanized (G) | Galvanized (G) | Galvanized (G) | Unknown (U) | Galvanized (G) | |||||||||||||||||||||
12 | Lead (L) | Galvanized Requiring Replacemnt (GRR) | Galvanized Requiring Replacemnt (GRR) | Non-Lead (NL) | Plastic - PVC, HDPE, PEX (P) | |||||||||||||||||||||
13 | Cast/Ductile Iron or Transite (O) | Lead (L) | Lead (L) | Cast/Ductile Iron or Transite (O) | ||||||||||||||||||||||
14 | Yes (Y) or No (N) | Plastic - PVC, HDPE, PEX (P) | Cast/Ductile Iron or Transite (O) | Cast/Ductile Iron or Transite (O) | Leave blank if no Lead Service Line was replaced. | |||||||||||||||||||||
15 | Unknown (U) | Plastic - PVC, HDPE, PEX (P) | Plastic - PVC, HDPE, PEX (P) | |||||||||||||||||||||||
16 | Unknown Not Lead (UNL) | Unknown (U) | Unknown (U) | |||||||||||||||||||||||
17 | Unknown Not Lead (UNL) | Unknown Not Lead (UNL) | ||||||||||||||||||||||||
18 | 29 Logan Terr | LC1T001 | N | N | Unknown | 1942 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
19 | 48 Briar Rd | LC1T021 | N | N | Unknown | 1942 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
20 | 9 Orchard Ln | LC1T017 | N | N | Unknown | 1951 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
21 | 20 Dover Ln | LC1T002 | N | N | Unknown | 1947 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
22 | 31 Briar Rd | N/A | N | N | Unknown | 1948 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | U | U | L | L | 5/14/2024 | N | |||||||||||||
23 | 5 Overlook Dr | LC1T003 | N | N | Unknown | 1939 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
24 | 26 Briar Rd | N/A | N | N | Unknown | 1930 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | U | U | L | L | 5/14/2024 | N | |||||||||||||
25 | 8 Briar Rd | LC1T004 | N | N | Unknown | 1940 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
26 | 3 Briar Rd | N/A | N | N | Unknown | 1953 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | U | U | L | L | 5/14/2024 | N | |||||||||||||
27 | 13 Overlook Dr | LC1T005 | N | N | Unknown | 1941 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 4/14/2024 | N | |||||||||||||
28 | 47 Overlook Dr | N/A | N | N | Unknown | 1940 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | U | U | L | L | 5/14/2024 | N | |||||||||||||
29 | 11 Dover Ln | LC1T006 | N | N | Unknown | 1926 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
30 | 18 Briar Rd | LC1T007 | N | N | Unknown | 1943 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | L | L | L | L | 5/14/2024 | N | |||||||||||||
31 | 49 Park Ln | N/A | N | N | 2016 | 2016 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
32 | 75 Park Ln | N/A | N | N | 2001 | 2001 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
33 | 25 Briar Rd | N/A | N | N | Unknown | 1953 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
34 | 18 Blossom Ln | N/A | N | N | Unknown | 1973 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
35 | 63 Overlook Dr | N/A | N | N | Unknown | 1986 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
36 | 32 Briar Rd | N/A | N | N | 2021 | 2021 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
37 | 54 Park Ln | N/A | N | N | 2001 | 2001 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
38 | 17 Briar Rd | N/A | N | N | 1997 | 1997 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
39 | 14 Dover Ln | N/A | N | N | 2003 | 2003 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
40 | 50 Overlook Dr | N/A | N | N | Unknown | 1918 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
41 | 18 Park Ln | N/A | N | N | Unknown | 1950 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | C | C | C | NL | N/R | N | |||||||||||||
42 | 28 Park Ln | N/A | N | N | Unknown | 1957 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
43 | 34 Briar Rd | N/A | N | N | Unknown | 1952 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
44 | 10 Henneberry Ln | N/A | N | N | Unknown | 1989 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
45 | 10 Briar Rd | N/A | N | N | Unknown | 1941 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | C | C | C | NL | N/R | N | |||||||||||||
46 | 15 Blossom Ln | N/A | N | N | Unknown | 1897 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | C | C | C | NL | N/R | N | |||||||||||||
47 | 40 Briar Rd | N/A | N | N | 2001 | 2001 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
48 | 44 Briar Rd | N/A | N | N | Unknown | 1955 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
49 | 2 Clyde Rd | N/A | N | N | Unknown | 1949 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
50 | 11 Henneberry Ln | N/A | N | N | Unknown | 1959 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
51 | 56 Overlook Dr | N/A | N | N | Unknown | 1914 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | C | C | C | NL | N/R | N | |||||||||||||
52 | 26 Park Ln | N/A | N | N | Unknown | 1926 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
53 | 33 Park Ln | N/A | N | N | Unknown | 1951 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
54 | 21 Park Ln | N/A | N | N | Unknown | 1963 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
55 | 2 Elm Cir | N/A | N | N | Unknown | 1962 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
56 | 77 Overlook Dr | N/A | N | N | 2016 | 2016 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
57 | 55 Overlook Dr | N/A | N | N | 2016 | 2016 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
58 | 49 Briar Rd | N/A | N | N | 2001 | 2001 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
59 | 8 Henneberry Ln | N/A | N | N | 2007 | 2007 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
60 | 37 Briar Rd | N/A | N | N | Unknown | 1941 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
61 | 47 Park Ln | N/A | N | N | Unknown | 1965 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
62 | 55 Park Ln | N/A | N | N | Unknown | 1923 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
63 | 4 Clyde Rd | N/A | N | N | 2009 | 2009 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
64 | 70 Golf Rd | N/A | N | N | Unknown | 1977 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
65 | 43 Briar Rd | N/A | N | N | Unknown | 1954 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
66 | 64 Park Ln | N/A | N | N | 2004 | 2004 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
67 | 8 Orchard Ln | N/A | N | N | Unknown | 1963 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
68 | 59 Park Ln | N/A | N | N | Unknown | 1912 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
69 | 27 Park Ln | N/A | N | N | Unknown | 1972 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
70 | 4 Orchard Ln | N/A | N | N | Unknown | 1988 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
71 | 39 Briar Rd | N/A | N | N | Unknown | 1942 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
72 | 25 Logan Ter | N/A | N | N | Unknown | 1957 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
73 | 20 Park Ln | N/A | N | N | Unknown | 1945 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
74 | 5 Orchard Ln | N/A | N | N | Unknown | 1967 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
75 | 31 Park Ln | N/A | N | N | Unknown | 1952 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
76 | 35 Logan Ter | N/A | N | N | 2018 | 2018 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
77 | 5 Henneberry Ln | N/A | N | N | Unknown | 1964 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
78 | 7 Orchard Ln | N/A | N | N | Unknown | 1995 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
79 | 30 Briar Rd | N/A | N | N | Unknown | 1940 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
80 | 29 Park Ln | N/A | N | N | Unknown | 1963 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
81 | 50 Park Ln | N/A | N | N | Unknown | 1957 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
82 | 50 Briar Rd | N/A | N | N | Unknown | 1943 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
83 | 47 Briar Rd | N/A | N | N | 2008 | 2008 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
84 | 35 Overlook Dr | N/A | N | N | Unknown | 1928 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
85 | 26 Logan Ter | N/A | N | N | Unknown | 1939 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
86 | 1 Elm Cir | N/A | N | N | Unknown | 1962 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
87 | 58 Overlook Dr | N/A | N | N | Unknown | 1944 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
88 | 52 Briar Rd | N/A | N | N | Unknown | 1959 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
89 | 1 Orchard Ln | N/A | N | N | Unknown | 1981 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
90 | 27 Logan Ter | N/A | N | N | 2006 | 1928 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
91 | 51 Briar Rd | N/A | N | N | 2015 | 2015 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
92 | 17 Clyde Rd | N/A | N | N | Unknown | 1953 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
93 | 62 Park Ln | N/A | N | N | 2006 | 2006 | Historical Record- Construction or Plumbing Code | C | C | C | NL | N/R | N | |||||||||||||
94 | 2 Orchard Ln | N/A | N | N | Unknown | 1918 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
95 | 44 Park Ln | N/A | N | N | Unknown | 1960 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | C | C | C | NL | N/R | N | |||||||||||||
96 | 25 Park Ln | N/A | N | N | Unknown | 1963 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
97 | 2 Henneberry Ln | N/A | N | N | Unknown | 1965 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
98 | 17 Blossom Ln | N/A | N | N | Unknown | 1987 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | C | C | C | NL | N/R | N | |||||||||||||
99 | 40 Park Ln | N/A | N | N | Unknown | 1957 | Historical Records | C | C | C | NL | N/R | N | |||||||||||||
100 | 61 Overlook Dr | N/A | N | N | Unknown | 1996 | Historical Record- Water System Record/Investigation- Visual Inspection (professional) | C | C | C | NL | N/R | N | |||||||||||||