Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: YAMH 55954 View Log
Well Label: 79387
Start Card: 1013345
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: OTHER - NON COMMUNITY TRANSIENT
Complete Date: 05/16/2011
Land Owner
Name:
Company: OREGON PARK & RECREATION DEPT.
Address: 725 SUMMER ST. NE SUITE C

SALEM, OR 97301
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: YAMH
TRSQQ: WM5.00S3.00W33SWNW
Tax Map:
Tax Lot: 600
Lot:
Block:
Subdivision:
Street of Well: MAUD WILLIAMS STATE PARK 22800 WALLACE ROAD. NW SALEM, OR 97304
WM District: 22
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/16/2011
Completed Date: 05/16/2011
Drill Method:
Depth of Completed Well:
Est. Depth Drilled: 9.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: ft to ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.009.005.00 
Abandonment Log
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Casing/Liner
Temporary Casing
Perforations
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Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level:
Post-Static Water Level Date:
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: THOMAS R DANNISON JR
Bonded Driller Company: TURNER WELL DRILLING
Bonded Driller Number: 1679
Bonded Date Signed: 07/19/2011
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
Comments
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Comments
EXCAVATED SOILS FROM AROUND THE WELL CASING TO A DEPTH OF 9'. REMOVED THE UPPER 10' OF WELL CASING & REMOVED THE WELL ID TAG. INSTALLED & WELDED INTO PLACE A NEW SECTION OF WELL CASING. INSTALLED 10" TEMPORARY SURFACE CASING AND BACKFILLED THE EXCAVATED HOLE AROUND IT. INSTALLED A NEW SURFACE SEAL USING BENTONITE CHIPS AS WE EXTRACTED THE 10" TEMPORARY SURFACE CASING. INSTALLED THE WELL ID TAG ON THE NEW SECTION OF WELL CASING.
Documents
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TitleDocument TypeSourceDownload Image
YAMH 55954WELL REPORTDRILLERImage