Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JOSE 13630 View Log Groundwater Site
Well Label:
Start Card: 6192
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 04/04/1989
Land Owner
Name: MR MATHIS
Company:
Address: 2104 HUBBARD LN

GRANTS PASS, OR 97527
Location
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Latitude/Longitude
Latitude: 42.41371279
Longitude: -123.38720498
Horiz. Error: 1000.00 ft.
Location
County: JOSE
TRSQQ: WM36.00S6.00W27
Tax Map:
Tax Lot: 2300
Lot:
Block:
Subdivision:
Street of Well: 2104 HUBBARD LN
WM District: 14
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 04/04/1989
Completed Date: 04/04/1989
Drill Method: Rotary Air
Depth of Completed Well: 200.00
Est. Depth Drilled: 200.00
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:
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: 100.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 50.0
Post-Static Water Level Date: 04/04/1989
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: RANDALL E AVELLAR
Bonded Driller Company:
Bonded Driller Number: 1379
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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