Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 72323 View Log Groundwater Site
Well Label: 121462
Start Card: 212781
Original Report:
Owner Well Nbr: 02
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 07/15/2016
Land Owner
Name:
Company: POLEHN HEIGHTS WATER ASSOCIATION INC.
Address: PO BOX 1434

OREGON CITY, OR 97045
Location
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Latitude/Longitude
Latitude: 45.29910000
Longitude: -122.43642000
Horiz. Error: 7.00 ft.
Location
County: CLAC
TRSQQ: WM3.00S3.00E21NENE
Tax Map:
Tax Lot: 2600
Lot:
Block:
Subdivision:
Street of Well: 21185 S RICHARD CT (NEAREST), OREGON CITY
WM District: 20
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 07/07/2016
Completed Date: 07/15/2016
Drill Method: Rotary Air , OTHER - HOLTE
Depth of Completed Well: 330.00
Est. Depth Drilled: 330.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement:
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
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Seal
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Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
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Screens
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Well Test
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Well Test
Temperature: 57 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 14.80 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 41.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 235.00
Post-Static Water Level Date: 07/15/2016
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: STEVEN C BLAND
Bonded Driller Company: SKYLES DRILLING INC
Bonded Driller Number: 1592
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
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Documents
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TitleDocument TypeSourceDownload Image
CLAC 72323EXEMPT USE MAPDRILLERImage
CLAC 72323WELL REPORTDRILLERImage