Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: POLK 53472 View Log Groundwater Site
Well Label:
Start Card:
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date:
Land Owner
Name: BOGDAN CACEU
Company:
Address: 6722 REED COLLEGE PLACE

PORTLAND, OR 97202
Location
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Latitude/Longitude
Latitude: 44.90372820
Longitude: -123.34115577
Horiz. Error: 200.00 ft.
Location
County: POLK
TRSQQ: WM8.00S5.00W6NESE
Tax Map:
Tax Lot: 1800
Lot:
Block:
Subdivision:
Street of Well:
WM District: 22
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date:
Completed Date:
Drill Method: OTHER - DUG WELL (SUMP)
Depth of Completed Well: 7.00
Est. Depth Drilled: 7.00
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
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Temporary Casing
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Perforations
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Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 0.00
Post-Static Water Level Date: 01/22/2013
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: PREPARED BY OWRD STAFF
Bonded Driller Company: PREPARED BY OWRD STAFF
Bonded Driller Number: 99999999
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 53472WELL REPORTOWRDImage