Well Information
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Identification
Type of Report: Water Well
Type of Work: DEEPENING , ALTERATION
Well Report: CLAC 59115 View Log Groundwater Site
Well Label: 65642
Start Card: 154513
Original Report: CLAC 53992 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 07/17/2003
Land Owner
Name: R VERNE GINGERICH
Company:
Address: 28350 S MOLALLA FOREST RD

CANBY, OR 97013
Location
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Latitude/Longitude
Latitude: 45.19692916
Longitude: -122.62444988
Horiz. Error: 50.00 ft.
Location
County: CLAC
TRSQQ: WM4.00S1.00E25SENE
Tax Map:
Tax Lot: 202
Lot:
Block:
Subdivision:
Street of Well: 28350 S MOLALLA FOREST RD
WM District: 20
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/08/2003
Completed Date: 07/17/2003
Drill Method: Cable
Depth of Completed Well: 489.00
Est. Depth Drilled: 489.00
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
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
66322Casing12.00 1.00 325.00 .250 Steel ● 489.00
66323Casing12.00 485.00 489.00 .250 Steel 489.00
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 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
Test TypeYield (gpm)DrawdownDrill Stem/
Pump Depth		Duration (hr)Calculated Specific Capacity (gpm/ft)
Pump200.052.0 1.03.85
Pump400.0127.0 3.03.15
Pump500.0181.0 8.02.76
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 192.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 75.30
Post-Static Water Level Date: 07/09/2003
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: STEVEN N STADELI
Bonded Driller Company: WESTERBERG DRILLING
Bonded Driller Number: 688
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
CLAC 59115WELL REPORTDRILLERImage7/21/2003