Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: TILL 51959 View Log
Well Label: 96433
Start Card: 196270
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: OTHER - CAMPGROUND
Complete Date: 01/13/2009
Land Owner
Name:
Company: U.S. DEPARTMENT OF AGRICULTURE
Address: SIUSLAW NATIONAL FOREST
PO BOX 1148
CORVALLIS, OR 97339
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: TILL
TRSQQ: WM3.00S10.00W30NENW
Tax Map:
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: SAND LAKE CAMPGROUND; 7000 GALLOWAY, CLOVERDALE
WM District: 1
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 01/13/2009
Completed Date: 01/13/2009
Drill Method: OTHER - WELL HEAD EXTENSION
Depth of Completed Well: 73.90
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
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: 11.00
Post-Static Water Level Date: 01/13/2009
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: STEVEN N STADELI
Bonded Driller Company: WESTERBERG DRILLING
Bonded Driller Number: 688
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 Image
TILL 51959WELL REPORTDRILLERImage