Well Information
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Identification
Type of Report: Water Well
Type of Work: ABANDONMENT
Well Report: JACK 64281 View Log
Well Label:
Start Card: 1046162
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC , COMMUNITY
Complete Date: 01/20/2020
Land Owner
Name: PATRICK REYNOLDS
Company:
Address: 15095 OR-238

APPLEGATE, OR 97530
Location
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Latitude/Longitude
Latitude: 42.25682997
Longitude: -123.16751986
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S4.00W22NWNW
Tax Map:
Tax Lot: 1200
Lot:
Block:
Subdivision:
Street of Well: 15095 OR-238, APPLEGATE, OR 97530
WM District: 13
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 01/20/2020
Completed Date: 01/20/2020
Drill Method: Rotary Air
Depth of Completed Well: 0.00
Est. Depth Drilled:
Special Standards:
Seal Placed Method: OTHER - UNDISTURBED
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
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Seal
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Abandonment Log
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Casing/Liner
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Temporary Casing
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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: GARY NEWMAN
Bonded Driller Company: SOUTHERN OREGON WELL DRILLING INC
Bonded Driller Number: 1798
Bonded Date Signed: 01/20/2020
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
This well was Identified by OHA to be abandoned to OWRD standards. Pump was removed. Well was verified clear of any obstruction. Well seal was undisturbed. Well was sounded(26'), and water tests were taken. Well was chlorinated prior to abandonment. Casing was ripped and well bore was filled using 22 sacks of 3/8 inch bentonite chips. topped with 1 sack cement.
Documents
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TitleDocument TypeSourceDownload Image
JACK 64281WELL REPORTDRILLERImage