Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: BENT 7870 View Log
Well Label:
Start Card: 83458
Original Report:
Owner Well Nbr:
Company Job Nbr: 1211
Primary Use: COMMUNITY
Complete Date: 08/25/1995
Land Owner
Name: JERROLD W SAMS
Company:
Address: PO BOX 454

CORVALLIS, OR 97339
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: BENT
TRSQQ: WM13.00S7.00W15SWSW
Tax Map:
Tax Lot:
Lot:
Block:
Subdivision:
Street of Well: CROOKED CREEK MOBILE HOM PARK
WM District: 1
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 08/25/1995
Completed Date: 08/25/1995
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
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: 55
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: 235.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 23.0
Post-Static Water Level Date: 08/25/1995
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: DONALD J LOVING
Bonded Driller Company:
Bonded Driller Number: 751
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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