Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: WASH 72512 View Log Groundwater Site
Well Label: 113881
Start Card: 210538
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 02/26/2014
Land Owner
Name: GRACE DINSDALE
Company: BLOOMING NURSERY
Address: 3839 SW GOLF COURSE RD

CORNELIUS, OR 97113
Location
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Latitude/Longitude
Latitude: 45.57332477
Longitude: -123.03679768
Horiz. Error: 99.00 ft.
Location
County: WASH
TRSQQ: WM1.00N3.00W15SENE
Tax Map:
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: 34875 NW ZION CHURCH RD
WM District: 18
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 02/20/2014
Completed Date: 02/26/2014
Drill Method: Rotary Mud
Depth of Completed Well: 212.00
Est. Depth Drilled: 212.00
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
1Casing6.00 2.00 198.00 .250 Steel ●  
2Casing6.00 208.00 212.00 .250 Steel ●  
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: 56 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)
Bailer12.095.0 1.50.13
Bailer20.0120.0 1.50.17
Bailer24.0140.0 1.50.17
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 198.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 19.50
Post-Static Water Level Date: 02/26/2014
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:
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Documents
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TitleDocument TypeSourceDownload Image
WASH 72512EXEMPT USE MAPDRILLERImage
WASH 72512WELL REPORTDRILLERImage