Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 62556 View Log
Well Label: 121217
Start Card: 1030008
Original Report: JACK 19985 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 03/29/2016
Land Owner
Name:
Company: BDN LLC
Address: 953 EMIGRANT CREEK RD.

ASHLAND, OR 97520
Location
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Latitude/Longitude
Latitude: 42.22069000
Longitude: -122.74109000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S1.00E31
Tax Map:
Tax Lot: 1400
Lot:
Block:
Subdivision:
Street of Well: 2073 HWY 99 ASHLAND, OR 97520
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 03/28/2016
Completed Date: 03/29/2016
Drill Method: Rotary Air
Depth of Completed Well: 262.00
Est. Depth Drilled: 262.00
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
RowDiameter (in)From (ft)To (ft)
110.000.0018.00
26.0018.00262.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
2Bentonite Chips0.0018.0010.008.22
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 67 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 280.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 235.00
Pre-Static Water Level: 31.00
Pre-Static Water Level Date: 03/28/2016
Post-Static Water Level: 31.00
Post-Static Water Level Date: 03/29/2016
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
13/29/2016235.00237.0031.0020.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.009.00OVERDRILLED WELL & PULLED CASING 
29.00262.00INST. NEW CASING & SEAL CLEANED & LINED 
Well Constructor
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Bonded Driller Name: KEVIN D GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 04/01/2016
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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Documents
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TitleDocument TypeSourceDownload Image
JACK 62556WELL REPORTDRILLERImage