Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: CLAC 55757 View Log
Well Label: 39120
Start Card: 131498
Original Report:
Owner Well Nbr: 1
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 06/22/2000
Land Owner
Name:
Company: FOREST PARK MOBILE HOME VILLAGE
Address: 18830 S HWY 99 E

OREGON CITY, OR 97045
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: CLAC
TRSQQ: WM3.00S1.00E2SWSE
Tax Map:
Tax Lot: 1600
Lot:
Block:
Subdivision:
Street of Well: 18830 S HWY 99 E
WM District: 20
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 06/22/2000
Completed Date: 06/22/2000
Drill Method: OTHER - PUMP HOIST
Depth of Completed Well: 125.00
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
Temporary Casing
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Perforations
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Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 21.0
Post-Static Water Level Date: 06/22/2000
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: STEVEN C BLAND
Bonded Driller Company: SKYLES DRILLING
Bonded Driller Number: 1592
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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