Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 53836 View Log Groundwater Site
Well Label: 36964
Start Card: 127803
Original Report:
Owner Well Nbr:
Company Job Nbr: 4-3400
Primary Use: IRRIGATION
Complete Date: 05/16/2000
Land Owner
Name:
Company: ROGUE VALLEY MANOR
Address: 1200 MIRA MAR AVE

MEDFORD, OR 97504
Location
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Latitude/Longitude
Latitude: 42.30916666
Longitude: -122.84361111
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM37.00S1.00W32NENW
Tax Map:
Tax Lot: 3400
Lot:
Block:
Subdivision:
Street of Well: 1200 MIRA MAR AVE
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/09/2000
Completed Date: 05/16/2000
Drill Method: Rotary Air
Depth of Completed Well: 400.00
Est. Depth Drilled: 400.00
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: 55 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: 275.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 62.00
Post-Static Water Level Date: 05/16/2000
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: SIG MILKOWSKI
Bonded Driller Company: GRIBBLE WELL DRILLING
Bonded Driller Number: 705
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
JACK 53836WELL REPORTDRILLERImage