Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JOSE 57356 View Log Groundwater Site
Well Label: 87914
Start Card: 1000163
Original Report:
Owner Well Nbr: 2
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 10/26/2006
Land Owner
Name: DONN LEWIS
Company: LEWIS REV. TRUST
Address: 3200 RIVANNA CT

WOODBRIDGE, VA 22192-3373
Location
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Latitude/Longitude
Latitude: 42.16339200
Longitude: -123.62688300
Horiz. Error: 100.00 ft.
Location
County: JOSE
TRSQQ: WM39.00S8.00W22SENE
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: LAUREL RD CAVE JUNCTION, OR (WELL #2)
WM District: 14
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/25/2006
Completed Date: 10/26/2006
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
Special Standards:
Seal Placed Method: OTHER - DRY POURED CMT CAP
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: ft to ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack: 12.00 ft to 240.00 ft
Filter Pack Material: PEA GRAVEL
Filter Pack Size: PEA GRAVEL
Bore Hole
RowDiameter (in)From (ft)To (ft)
110.000.0020.00
36.0020.00240.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Cement0.002.002.00 
2Bentonite Chips2.0020.008.00 
Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1Casing6.00 ● 2.00 78.00 .250 Steel ● ● 78.00
2Liner4.00 0.00 240.00 SCH 40 Plastic ● 78.00
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 56 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: 82.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 24.00
Post-Static Water Level Date: 10/26/2006
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
110/26/200682.00240.0024.005.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0028.00BROWN CLAY TIGHT 
328.0042.00TAN CLAY TIGHT 
542.0071.00BROWN CLAY & GRAVEL 
771.0073.00GREY CLAY 
973.0081.00BROWN SERPENTINE BROKEN 
1181.00240.00GREY SERPENTINE 
Well Constructor
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Bonded Driller Name: KEVIN D GILL
Bonded Driller Company: CLOUSER DRILLING, LLC
Bonded Driller Number: 1835
Bonded Date Signed: 11/09/2006
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
JOSE 57356WELL REPORTDRILLERImage