Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 56571 View Log Groundwater Site
Well Label: 67129
Start Card: 158678
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 12/05/2003
Land Owner
Name:
Company: HOFFMAN INNOVATIVE LAND GROUP LLC
Address: 1764 ASHLAND MINE RD

ASHLAND, OR 97520
Location
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Latitude/Longitude
Latitude: 42.20413638
Longitude: -122.75059758
Horiz. Error: 1000.00 ft.
Location
County: JACK
TRSQQ: WM39.00S1.00E6NESW
Tax Map:
Tax Lot: 1600
Lot:
Block:
Subdivision:
Street of Well: 2155 ASHLAND MINE RD
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 12/02/2003
Completed Date: 12/05/2003
Drill Method: Rotary Air
Depth of Completed Well: 198.50
Est. Depth Drilled: 242.00
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: 56 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)
Air125.0 242.001.0 
Air80.0 142.000.0 
Air105.0 162.000.0 
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 134.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 74.00
Post-Static Water Level Date: 12/05/2003
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: FRED KRASNER
Bonded Driller Company: PIONEER DRILLING
Bonded Driller Number: 796
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 56571WELL REPORTDRILLERImage12/12/2003