Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: YAMH 1719 View Log
Well Label:
Start Card: 40490
Original Report:
Owner Well Nbr:
Company Job Nbr: 1283
Primary Use: DOMESTIC
Complete Date: 04/29/1992
Land Owner
Name: MOHAMMED JABER
Company:
Address: 18050 SE WALLACE RD

DAYTON, OR 97114
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: YAMH
TRSQQ: WM5.00S3.00W16SWSE
Tax Map:
Tax Lot:
Lot:
Block:
Subdivision:
Street of Well: 18050 SE WALLACE RD
WM District: 22
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/24/1992
Completed Date: 04/29/1992
Drill Method: Cable
Depth of Completed Well: 140.00
Est. Depth Drilled: 150.00
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
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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: 53
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: 112.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 38.0
Post-Static Water Level Date: 04/29/1992
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: ROBERT SHELBURNE
Bonded Driller Company: BLUE WATER DRILLING CO.
Bonded Driller Number: 417
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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