Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 61775 View Log
Well Label: 114220
Start Card: 1022207
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 02/12/2014
Land Owner
Name: ANDREA COOK
Company:
Address: PO BOX 5111

CENTRAL POINT, OR 97502
Location
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Latitude/Longitude
Latitude: 42.32356000
Longitude: -122.94326000
Horiz. Error: 16.40 ft.
Location
County: JACK
TRSQQ: WM37.00S2.00W28SWNE
Tax Map:
Tax Lot: 3800
Lot:
Block:
Subdivision:
Street of Well: 4425 W. MAIN ST MEDFORD, OR 97501
WM District: 13
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 02/12/2014
Completed Date: 02/12/2014
Drill Method: Rotary Air
Depth of Completed Well: 55.00
Est. Depth Drilled: 55.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: ft to ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
RowDiameter (in)From (ft)To (ft)
110.000.0018.00
26.0018.0055.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0018.0012.00 
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: 56 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: 53.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 17.00
Post-Static Water Level Date: 02/12/2014
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
12/12/201453.0055.0017.0010.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0029.00BROWN CLAY & COBBLE W/MED 
229.0053.00BLUE/GREY CLAY W/GRAVEL & FINE SAND 
353.0055.00COURSE SAND BLACK & WHITE 
Well Constructor
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Bonded Driller Name: KEVIN D GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 04/01/2014
Unbonded Name: SPLIETHOF,JUSTIN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 1945
Unbonded Date Signed: 04/01/2014
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
JACK 61775EXEMPT USE MAPDRILLERImage
JACK 61775WELL REPORTDRILLERImage