Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: MARI 57704 View Log Groundwater Site
Well Label: 55502
Start Card: 141251
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY , OTHER - MUNICIPAL
Complete Date: 10/24/2003
Land Owner
Name:
Company: CITY OF KEIZER
Address: 930 CHEMAWA RD NE

KEIZER, OR 97303
Location
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Latitude/Longitude
Latitude: 45.03035705
Longitude: -123.01926494
Horiz. Error: 100.00 ft.
Location
County: MARI
TRSQQ: WM6.00S3.00W23SWSE
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: NEAR 1065 BAIR RD
WM District: 16
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 06/13/2003
Completed Date: 10/24/2003
Drill Method: Cable
Depth of Completed Well: 410.00
Est. Depth Drilled: 410.00
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: 55 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: 93.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 79.0
Post-Static Water Level Date: 10/24/2003
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: MICHAEL WALDROOP
Bonded Driller Company: STETTLER SUPPLY CO.
Bonded Driller Number: 633
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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