Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: KLAM 56020 View Log Groundwater Site
Well Label: 37535
Start Card: 183716
Original Report: KLAM 12680 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 06/28/2007
Land Owner
Name:
Company: CROSSROADS MOBILE HOME PARK
Address: 6767 TINGLEY LANE

KLAMATH FALLS, OR 97603
Location
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Latitude/Longitude
Latitude: 42.16526348
Longitude: -121.77498407
Horiz. Error: 250.00 ft.
Location
County: KLAM
TRSQQ: WM39.00S9.00E21SWNW
Tax Map:
Tax Lot:
Lot:
Block:
Subdivision:
Street of Well: 6767 TINGLEY LANE
WM District: 17
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 06/27/2007
Completed Date: 06/28/2007
Drill Method: Cable
Depth of Completed Well:
Est. Depth Drilled:
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:
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 34.0
Post-Static Water Level Date: 06/28/2007
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: LARRY G DESPAIN
Bonded Driller Company: VANMETER & DESPAIN WELL DRILLING
Bonded Driller Number: 1228
Bonded Date Signed:
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
IS Groundwater determined KLAM 12680 is the original report.