Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: WASH 61468 View Log Groundwater Site
Well Label: 66965
Start Card: 166439
Original Report:
Owner Well Nbr: 2
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 08/31/2004
Land Owner
Name: RENNE BERBLINGER
Company: HAYES, BRUCE (C/O)
Address: 8667 NW GALES CREEK RD

FOREST GROVE, OR 97116
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: WASH
TRSQQ: WM1.00N4.00W8NE
Tax Map:
Tax Lot: 2900
Lot:
Block:
Subdivision:
Street of Well: 8740 NW GALES CREEK RD
WM District: 18
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 08/31/2004
Completed Date: 08/31/2004
Drill Method: Rotary Air
Depth of Completed Well: 83.00
Est. Depth Drilled: 83.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement:
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Explosives Used:
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Filter Pack
Filter Pack:
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Bore Hole
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Seal
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Abandonment Log
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Casing/Liner
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Temporary Casing
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Perforations
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Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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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: 14.00
Post-Static Water Level Date: 08/31/2004
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:
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Other Name:
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Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
WASH 61468WELL REPORTDRILLERImage9/3/2004