Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: WASH 53776 View Log Groundwater Site
Well Label: 18412
Start Card: 115063
Original Report:
Owner Well Nbr:
Company Job Nbr: 516
Primary Use: DOMESTIC
Complete Date: 07/06/1998
Land Owner
Name: HENRY ROSHAK
Company:
Address: 7120 SW 125TH PLACE

BEAVERTON, OR 97008
Location
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Latitude/Longitude
Latitude: 45.41602300
Longitude: -122.84694300
Horiz. Error: 200.00 ft.
Location
County: WASH
TRSQQ: WM2.00S1.00W7NENE
Tax Map:
Tax Lot: 3110
Lot:
Block:
Subdivision:
Street of Well: BULL MOUNTAIN RD
WM District: 18
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 07/01/1998
Completed Date: 07/06/1998
Drill Method: Rotary Air
Depth of Completed Well: 380.00
Est. Depth Drilled: 380.00
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: 69 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: 140.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 170.00
Post-Static Water Level Date: 07/01/1998
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: RODNEY C ERLER
Bonded Driller Company: AMERICAN WELL DRILLING INC.
Bonded Driller Number: 663
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
WASH 53776WELL REPORTDRILLERImage