Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 30272 View Log
Well Label: 55707
Start Card: 15180
Original Report:
Owner Well Nbr: 4
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 06/17/1990
Land Owner
Name: WAYNE BREEZE
Company:
Address: 7159 PINE RIDGE DR

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: JACK
TRSQQ: WM37.00S1.00E19NWSW
Tax Map:
Tax Lot: 1100
Lot:
Block:
Subdivision:
Street of Well: 7159 PINE RIDGE DR
WM District: 13
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 06/16/1990
Completed Date: 06/17/1990
Drill Method: Rotary Air
Depth of Completed Well: 220.00
Est. Depth Drilled: 220.00
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: 58 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 130.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 140.00
Post-Static Water Level Date: 06/17/1990
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: JOHN STUDEBAKER
Bonded Driller Company: JOHN STUDEBAKER
Bonded Driller Number: 679
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload Image
JACK 30272WELL REPORTDRILLERImage