OR41 94704 LAKEWOOD SHOP CTR/SUPER SAVE Classification: NON-TRANSIENT NON-COMMUNITY
Contact: JAMIE PALODICHUK Phone: 541-842-2418
718 BLACK OAK DR STE A County: JACKSON
MEDFORD, OR 97504 Activity Status: ACTIVE Feb 08, 1990 -- History
Population: 50Number of Connections: 2
Operating Period: January 1 to December 31Regulating Agency: JACKSON COUNTY
Certified Operator(s)Owner Type: PRIVATE
Required: YLicensed By: OHA
Distribution class: SApproved Drinking Water Protection Plan: No
Treatment class: NoneSource Water Assessment: No
Filtration Endorsement Required: NoLast Survey Date:  Mar 10, 2016
Sources
Facility ID Facility Name  -  Well Logs Activity Status Availability Source Type
EP-A EP for WELL A GW
SRC-AA WELL A Permanent GW
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Treatment
State ID Facility Name Treatment Process Treatment Objective Filter Type
WTP-ATP FOR WELLRESID. MAINT. HYPOCHLORINATIONOTHER

Consumer Confidence Reports (Last 5 Years)
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Cross Connection/Backflow Prevention Information (Last 3 Records)
Only community water systems require annual summary reports and annual cross connection program implementation fees.

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