Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: WASH 68482 View Log
Well Label: 100336
Start Card: 205058
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 12/04/2009
Land Owner
Name: CLINT HAUGEN
Company: HAUGEN, CYNTHIA
Address: 48400 WILSON RIVER HWY

TILLAMOOK, OR 97141
Location
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Latitude/Longitude
Latitude: 45.59007487
Longitude: -123.53375291
Horiz. Error: 200.00 ft.
Location
County: TILL
TRSQQ: WM1.00N7.00W10NWNW
Tax Map:
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: 48400 WILSON RIVER HWY
WM District: 1
Surface Elev: 601.08 FT
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Tax Lots

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Well Construction
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Construction
Start Date: 12/01/2009
Completed Date: 12/04/2009
Drill Method: Rotary Air
Depth of Completed Well: 100.00
Est. Depth Drilled: 107.00
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: 54 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: 30.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 16.00
Post-Static Water Level Date: 12/04/2009
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: ROY N JANNSEN
Bonded Driller Company: A M JANNSEN WELL DRILLING CO INC
Bonded Driller Number: 1266
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
WASH 68482EXEMPT USE MAPDRILLERImage12/9/2009
WASH 68482WELL REPORTDRILLERImage12/9/2009