Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: DESC 58772 View Log Groundwater Site
Well Label: 98420
Start Card: 1007186
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 06/26/2009
Land Owner
Name: JERRY BALDOCK
Company:
Address: 17530 FORKED HORN

SISTERS, OR 97759
Location
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Latitude/Longitude
Latitude: 44.26173958
Longitude: -121.45681967
Horiz. Error: 100.00 ft.
Location
County: DESC
TRSQQ: WM15.00S11.00E19SENE
Tax Map: 151119 A0 0300
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: 17530 FORKED HORN RD,SISTERS,OR
WM District: 11
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 06/24/2009
Completed Date: 06/26/2009
Drill Method: Rotary Air
Depth of Completed Well: 410.00
Est. Depth Drilled: 410.00
Special Standards:
Seal Placed Method: C
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
RowDiameter (in)From (ft)To (ft)
112.000.0072.00
28.0072.00410.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.002.001.00 
2Cement2.0072.0055.00 
Abandonment Log
No data matches search criteria.
Casing/Liner
Temporary Casing
No data matches search criteria.
Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perforation
Size		Screen/Slot
Size Width		Slot LengthNbr of Slots
1MACHINE Liner6.00330.00350.00 0.1253.000228
2MACHINE Liner6.00370.00390.00 0.1253.000228
Screens
No data matches search criteria.
Well Test
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Well Test
Temperature: 53 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
Analysis
No data matches search criteria.
Static Water Level
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Static Water Level
Depth First Water: 300.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 260.00
Post-Static Water Level Date: 06/26/2009
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
16/23/2009300.00395.00260.0050.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0025.00SAND PUMICE BROWN 
225.0032.00GRAVELS GRAY 
332.0042.00CLAY GRAVELS BROWN 
442.0067.00LAVA BROKEN POOR CIRCULATION 
567.00110.00LAVA GRAY HARD 
6110.00120.00LAVA MEDIUM 
7120.00132.00BASALT RED CINDERS 
8132.00175.00SANDSTONE BROWN 
9175.00188.00SAND GRAY COARSE 
10188.00220.00BASALT CLAY SEAMS BROWN 
11220.00275.00SANDSTONE BROWN 
12275.00360.00BASALT BLACK 
13360.00395.00BASALT LAVA MIX CLAY SEAMS BROWN 
14395.00410.00CONGLOMERATE BROWN 
Well Constructor
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Bonded Driller Name: JACK ABBAS
Bonded Driller Company: ABBAS WELL DRILLING CO
Bonded Driller Number: 1720
Bonded Date Signed: 06/28/2009
Unbonded Name: PECK,ALLEN R
Unbonded Company: ABBAS WELL DRILLING CO
Unbonded Number: 1831
Unbonded Date Signed: 06/28/2009
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
3 YARDS SAND GROUT 5 FEET - 80 FEET
Documents
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TitleDocument TypeSourceDownload Image
DESC 58772WELL REPORTDRILLERImage