Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: POLK 53358 View Log Groundwater Site
Well Label: 107968
Start Card: 1016953
Original Report:
Owner Well Nbr: 2750
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 06/20/2012
Land Owner
Name:
Company: XNOVO LLC
Address: 1551 OAK AVE

SAINT HELENA, CA 94574
Location
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Latitude/Longitude
Latitude: 44.98185000
Longitude: -123.09909000
Horiz. Error: 11.00 ft.
Location
County: POLK
TRSQQ: WM7.00S3.00W7NWNE
Tax Map:
Tax Lot: 208
Lot:
Block:
Subdivision:
Street of Well: GIBSON RD NW, SALEM
WM District: 22
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 06/19/2012
Completed Date: 06/20/2012
Drill Method: Rotary Air
Depth of Completed Well: 201.00
Est. Depth Drilled: 211.00
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
Test TypeYield (gpm)DrawdownDrill Stem/
Pump Depth		Duration (hr)Calculated Specific Capacity (gpm/ft)
Air35.0 2011.0 
Air35.0 1801.0 
Air18.0 1551.0 
Air35.0 2014.0 
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 162.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 136.00
Post-Static Water Level Date: 06/20/2012
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: DAVID PAYSINGER
Bonded Driller Company: BLUE WATER DRILLING CO INC
Bonded Driller Number: 1438
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
POLK 53358WELL REPORTDRILLERImage