Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: LINN 55856 View Log
Well Label: 66693
Start Card: 160288
Original Report:
Owner Well Nbr:
Company Job Nbr: DR-1806
Primary Use: DOMESTIC
Complete Date: 11/25/2003
Land Owner
Name:
Company: ALBANY R V AND TRAILER
Address: 1197 CENTURY DR

ALBANY, OR 97322
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: LINN
TRSQQ: WM10.00S3.00W33SESW
Tax Map:
Tax Lot: 1201
Lot:
Block:
Subdivision:
Street of Well: 1197 CENTURY DR
WM District: 16
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 11/25/2003
Completed Date: 11/25/2003
Drill Method: Rotary Air
Depth of Completed Well: 53.00
Est. Depth Drilled: 22.00
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
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: 17.0
Post-Static Water Level Date: 11/25/2003
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: CHARLES D NUGENT
Bonded Driller Company: NUGENT DRILLING CO.
Bonded Driller Number: 664
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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