Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 58079 View Log
Well Label: 84579
Start Card: 182393
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY , OTHER - PUBLIC
Complete Date: 07/28/2006
Land Owner
Name: VERN ROLLINS
Company:
Address: 2210 S PACIFIC HWY

TALENT, OR 97540
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: JACK
TRSQQ: WM38.00S1.00E31NWNW
Tax Map:
Tax Lot: 800
Lot:
Block:
Subdivision:
Street of Well: 2200 S PACIFIC HWY
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 07/27/2006
Completed Date: 07/28/2006
Drill Method: Rotary Air
Depth of Completed Well: 65.00
Est. Depth Drilled: 82.00
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
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: 74 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:
Pre-Static Water Level: 0.80
Pre-Static Water Level Date: 07/27/2006
Post-Static Water Level: 6.00
Post-Static Water Level Date: 07/29/2006
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: FRED KRASNER
Bonded Driller Company: PIONEER DRILLING
Bonded Driller Number: 796
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
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Documents
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TitleDocument TypeSourceDownload Image
JACK 58079WELL REPORTDRILLERImage