Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: DESC 57065 View Log
Well Label: 76091
Start Card: 172554
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/26/2005
Land Owner
Name:
Company: J J YOUTH SERVICES
Address: 16161 BURGESS RD

LA PINE, OR 97739
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: DESC
TRSQQ: WM22.00S10.00E3NENW
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: 16161 BURGESS RD
WM District: 11
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/25/2005
Completed Date: 05/26/2005
Drill Method: Drill Auger
Depth of Completed Well: 30.00
Est. Depth Drilled: 30.00
Special Standards:
Seal Placed Method: OTHER - POURED
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: 18.00 ft to 20.00 ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite 0.0018.0012.00 
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
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Screens
Well Test
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Well Test
Temperature: 48 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: 10.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 10.00
Post-Static Water Level Date: 05/25/2005
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/25/200510.0030.0010.0020.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.004.00SOIL AND PUMICE 
24.0015.00CLAY AND GRAVEL 
315.0030.00BLACK SAND10.00
Well Constructor
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Bonded Driller Name: STEVE MATHERS
Bonded Driller Company: MATHERS DRILLING CO
Bonded Driller Number: 1528
Bonded Date Signed: 07/10/2005
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
DESC 57065WELL REPORTDRILLERImage