Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: UMAT 3605 View Log Groundwater Site
Well Label:
Start Card:
Original Report:
Owner Well Nbr: 0
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 01/16/1986
Land Owner
Name: LEROY HAAGEN
Company:
Address: 8326 MIDDLEWAY

VANCOUVER, WA 98664
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: UMAT
TRSQQ: WM5.00N28.00E35SW
Tax Map:
Tax Lot:
Lot:
Block:
Subdivision:
Street of Well: JOY LANE & ALPINE DRIVE
WM District: 5
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 01/16/1986
Completed Date: 01/16/1986
Drill Method: Rotary Air
Depth of Completed Well: 140.00
Est. Depth Drilled:
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
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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: 110.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 110.0
Post-Static Water Level Date: 01/16/1986
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: PATRICK C WALLACE
Bonded Driller Company:
Bonded Driller Number: 9999
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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