Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 56573 View Log
Well Label: 68223
Start Card: 161945
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 10/29/2003
Land Owner
Name: RALPH GEORGE
Company:
Address: PO BOX 715

ASHLAND, OR 97520
Location
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Latitude/Longitude
Latitude: 42.18339705
Longitude: -122.65625280
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM39.00S1.00E13NWNW
Tax Map:
Tax Lot: 2003
Lot:
Block:
Subdivision:
Street of Well: 2925 HWY 66
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/29/2003
Completed Date: 10/29/2003
Drill Method: Rotary Air
Depth of Completed Well: 380.00
Est. Depth Drilled: 380.00
Special Standards:
Seal Placed Method: OTHER - POURED DRY
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: ft to ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
RowDiameter (in)From (ft)To (ft)
110.000.0039.00
26.0039.00380.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite 2.0039.0015.00 
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: 58 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: 330.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 23.10
Post-Static Water Level Date: 10/29/2003
Static Water Level
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Lithology
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Material
RowFromToMaterialStatic Water Level
10.002.00TOP SOIL 
22.0033.00DECOMPOSED GRANITE 
333.00330.00BROWN SILTSTONE 
4330.00380.00BROKEN BROWN CLAYSTONE 
Well Constructor
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Bonded Driller Name: DARRYL BAKER
Bonded Driller Company: ASHLAND DRILLING
Bonded Driller Number: 1478
Bonded Date Signed: 12/02/2003
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
Bentonite seal was left down 2 ft. to leave room for pitless.
Documents
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TitleDocument TypeSourceDownload Image
JACK 56573WELL REPORTDRILLERImage