Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 58839 View Log Groundwater Site
Well Label: 92534
Start Card: 195770
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 07/11/2008
Land Owner
Name: KATHARINE COLLINS
Company:
Address: 9280 CRATER LAKE HWY

EAGLE POINT, OR 97524
Location
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Latitude/Longitude
Latitude: 42.21830336
Longitude: -122.85499164
Horiz. Error: 200.00 ft.
Location
County: JACK
TRSQQ: WM38.00S1.00W32NWNW
Tax Map:
Tax Lot: 1100
Lot:
Block:
Subdivision:
Street of Well: 3300 ANDERSON CREEK RD, TALENT
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 07/10/2008
Completed Date: 07/11/2008
Drill Method: Rotary Air
Depth of Completed Well: 300.00
Est. Depth Drilled: 300.00
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: 57 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: 175.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 28.00
Post-Static Water Level Date: 07/11/2008
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: BRAD MILKOWSKI
Bonded Driller Company: GRIBBLE WELL DRILLING
Bonded Driller Number: 1661
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 58839WELL REPORTDRILLERImage8/4/2008