Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: WASC 51343 View Log Groundwater Site
Well Label: 24386
Start Card: 101313
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 04/21/2005
Land Owner
Name: MARVIN POLEHN
Company: POLEHN, DONELLA
Address: 3573 OLNEY RD

THE DALLES, OR 97058
Location
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Latitude/Longitude
Latitude: 45.52127000
Longitude: -121.16640000
Horiz. Error: 15.00 ft.
Location
County: WASC
TRSQQ: WM1.00N13.00E35SWSW
Tax Map:
Tax Lot: 7412
Lot:
Block:
Subdivision:
Street of Well: 3452 FIVE MILE RD
WM District: 3
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 01/19/2005
Completed Date: 04/21/2005
Drill Method: Rotary Air
Depth of Completed Well: 202.00
Est. Depth Drilled: 202.00
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
79950Casing10.00 1.00 77.00 .250 Steel ● 77.00
79951Casing8.00 1.50 139.00 .250 Steel ● 139.00
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: 8.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 1.00
Post-Static Water Level Date: 04/30/2005
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: GILBERT CLAYTON
Bonded Driller Company: GILBERT CLAYTON WELL DRILLING
Bonded Driller Number: 569
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
WASC 51343WELL REPORTDRILLERImage5/11/2005