Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: POLK 51072 View Log Groundwater Site
Well Label: 10958
Start Card: 122676
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: OTHER - TEST
Complete Date: 11/05/1999
Land Owner
Name:
Company: CITY OF INDEPENDENCE
Address: PO BOX 7

INDEPENDENCE, OR 97351
Location
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Latitude/Longitude
Latitude: 44.86076200
Longitude: -123.18262500
Horiz. Error: 100.00 ft.
Location
County: POLK
TRSQQ: WM8.00S4.00W21NWSE
Tax Map:
Tax Lot: 204
Lot:
Block:
Subdivision:
Street of Well: NE CORNER OF POLK ST AND RIVER DR
WM District: 22
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/26/1999
Completed Date: 11/05/1999
Drill Method: Cable
Depth of Completed Well: 100.00
Est. Depth Drilled: 100.00
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: 54 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: 10.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 26.00
Post-Static Water Level Date: 11/03/1999
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: MICHAEL WALDROOP
Bonded Driller Company: STETTLER SUPPLY CO.
Bonded Driller Number: 633
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
POLK 51072WELL REPORTDRILLERImage