Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 57200 View Log Groundwater Site
Well Label: 74257
Start Card: 170559
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 11/30/2004
Land Owner
Name: DAVID EAGLE
Company:
Address: 12590 APPLEGATE RD

JACKSONVILLE, OR 97530
Location
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Latitude/Longitude
Latitude: 42.24939500
Longitude: -123.12624100
Horiz. Error: 200.00 ft.
Location
County: JACK
TRSQQ: WM38.00S4.00W24NESW
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: 12590 APPLEGATE 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: 11/17/2004
Completed Date: 11/30/2004
Drill Method: Rotary Air
Depth of Completed Well: 440.00
Est. Depth Drilled: 440.00
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
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
77628Casing6.00 1.00 81.00 .250 Steel ●  
77629Casing5.00 0.00 219.00 .250 Steel ●  
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: 62 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: 168.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 150.00
Post-Static Water Level Date: 11/30/2004
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: JERRY CORDONIER
Bonded Driller Company: ARTESIAN DRILLING
Bonded Driller Number: 1457
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
JACK 57200WELL REPORTDRILLERImage