Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 59131 View Log
Well Label: 94435
Start Card: 1006776
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/18/2009
Land Owner
Name: JAMES & SANDRA BLANKENSHIP
Company:
Address: PO BOX 664

SHADY COVE, OR 97539
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: JACK
TRSQQ: WM33.00S2.00E9SWSE
Tax Map:
Tax Lot: 1100
Lot:
Block:
Subdivision:
Street of Well: 2651 MILL CREEK DR PROSPECT, OR 97536
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/16/2009
Completed Date: 05/18/2009
Drill Method: Rotary Air
Depth of Completed Well: 460.00
Est. Depth Drilled: 0.00
Special Standards:
Seal Placed Method:
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
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Seal
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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: 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: 371.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 309.00
Post-Static Water Level Date: 05/18/2009
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/18/2009371.00380.00309.007.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.000.00REMOVED LINER AND SEALED OFF LOWER AQUIFER WITH 
20.000.0010 SACKS OF BENTONITE. REINSTALLED LINER WITH CAP 
30.00460.00ON BOTTOM AT 460'. 
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: 05/29/2009
Unbonded Name: GILL,CHARLIE
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 1504
Unbonded Date Signed: 05/29/2009
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
Comments
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Documents
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TitleDocument TypeSourceDownload Image
JACK 59131WELL REPORTDRILLERImage