Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JOSE 57366 View Log
Well Label: 87920
Start Card: 1000280
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: INDUSTRIAL
Complete Date: 11/16/2006
Land Owner
Name: GLENN F. WOODBURY
Company:
Address: 1772 ROSS LN

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.06747700
Longitude: -123.70338900
Horiz. Error: 99.00 ft.
Location
County: JOSE
TRSQQ: WM40.00S9.00W25NWNE
Tax Map:
Tax Lot: 2000
Lot:
Block:
Subdivision:
Street of Well: 469 LONE MOUNTAIN RD OBRIEN, OR 97534
WM District: 14
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 11/16/2006
Completed Date: 11/16/2006
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
Special Standards:
Seal Placed Method: OTHER - DRY POURED
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: ft to ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
RowDiameter (in)From (ft)To (ft)
110.000.0018.00
36.0018.00240.00
Seal
RowMaterialFrom (ft)To (ft)Amount
1Bentonite Chips0.0018.00 
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 54 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: 35.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 18.0
Post-Static Water Level Date: 11/16/2006
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
111/16/200635.0038.0018.002.0 
211/16/200692.0096.0018.003.0 
311/16/2006202.00206.0018.003.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.004.00BROWN CLAY TIGHT 
34.0013.00BROWN CLAY & GRAVEL W/BOULDERS 
513.0035.00BLACK SHALE BROKEN 
735.00240.00BLACK SHALE 
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: 11/17/2006
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
Comments
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TypeComments
CN