Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: POLK 52023 View Log
Well Label: 65554
Start Card: 166050
Original Report:
Owner Well Nbr: 1
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 08/12/2004
Land Owner
Name: DON ROBERTS
Company: ROBERTS, SHARON; JOHNSON, CLAY AND RHONDA
Address: 3395 PACIFIC HWY

INDEPENDENCE, OR 97351
Location
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Latitude/Longitude
Latitude: 44.88221100
Longitude: -123.23191300
Horiz. Error: 50.00 ft.
Location
County: POLK
TRSQQ: WM8.00S4.00W18NWNW
Tax Map:
Tax Lot: 202
Lot:
Block:
Subdivision:
Street of Well: 3395 PACIFIC HWY
WM District: 22
Surface Elev: 194.50 FT
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Tax Lots

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Well Construction
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Construction
Start Date: 08/09/2004
Completed Date: 08/12/2004
Drill Method: Rotary Air
Depth of Completed Well: 260.00
Est. Depth Drilled: 260.00
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
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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: 22.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 12.00
Post-Static Water Level Date: 08/12/2004
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: RONALD SPENGLER
Bonded Driller Company: RON ROBINSON WELL DRILLING
Bonded Driller Number: 1585
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload Image
POLK 52023WELL REPORTDRILLERImage