Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 69332 View Log Groundwater Site
Well Label: 105640
Start Card: 208961
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 11/12/2012
Land Owner
Name: JERRY LASSELLE
Company: HLH FARMS INC.
Address: 5120 SW BORLAND RD

TUALATIN, OR 97062
Location
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Latitude/Longitude
Latitude: 45.28772000
Longitude: -122.63107500
Horiz. Error: 200.00 ft.
Location
County: CLAC
TRSQQ: WM3.00S1.00E25NENW
Tax Map:
Tax Lot: 00503
Lot:
Block:
Subdivision:
Street of Well: 22025 S CENTRAL POINT RD, OREGON CITY
WM District: 20
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 09/19/2012
Completed Date: 11/12/2012
Drill Method: Cable
Depth of Completed Well: 205.00
Est. Depth Drilled: 250.00
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
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1Casing8.00 2.00 137.83 .250 Steel ● 137.83
2Casing6.00 116.66 138.37 .250 Steel ● 137.83
3Casing6.00 148.75 181.56 .250 Steel ● 137.83
4Casing6.00 186.89 205.00 .250 Steel ● 137.83
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: 53 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: 128.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 68.00
Post-Static Water Level Date: 11/12/2012
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: IVAN A GROSSEN
Bonded Driller Company: GROSSEN'S WELL DRILLING
Bonded Driller Number: 783
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 ImageReceived Date
CLAC 69332WELL REPORTDRILLERImage12/4/2012