Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: LANE 71946 View Log
Well Label: 107897
Start Card: 207982
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 08/22/2012
Land Owner
Name: JIM JENNINGS
Company: KOUNTRY VILLAGE
Address: 93590 HWY 99S

JUNCTION CITY, OR 97448
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: LANE
TRSQQ: WM16.00S4.00W5SWSW
Tax Map:
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: 93590 HWY 99S
WM District: 2
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 08/21/2012
Completed Date: 08/22/2012
Drill Method: Rotary Air
Depth of Completed Well: 120.00
Est. Depth Drilled: 120.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement:
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Explosives Used:
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Filter Pack
Filter Pack:
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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: 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: 78.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 18.0
Post-Static Water Level Date: 08/22/2012
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: DONALD "JOE" LOVING
Bonded Driller Company: MID VALLEY DRILLING INC
Bonded Driller Number: 751
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
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