Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: TILL 51358 View Log
Well Label: 66968
Start Card: 166438
Original Report:
Owner Well Nbr: 1
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 10/02/2004
Land Owner
Name: MR ERIC FITZSIMONS
Company: FITZSIMONS, MRS ERIC
Address: 12820 SE 22ND ST

BEAVERTON, OR 97008
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: TILL
TRSQQ: WM1.00S8.00W12NENW
Tax Map:
Tax Lot: 1300
Lot:
Block:
Subdivision:
Street of Well: 24725 WILSON RIVER HWY
WM District: 1
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/01/2004
Completed Date: 10/02/2004
Drill Method: Rotary Air
Depth of Completed Well: 205.00
Est. Depth Drilled: 205.00
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: 11.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 41.00
Post-Static Water Level Date: 10/02/2004
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: LARRY C EVEY
Bonded Driller Company: LARRY EVEY WELL DRILLING INC.
Bonded Driller Number: 1221
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 Image
TILL 51358WELL REPORTDRILLERImage