Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: YAMH 56904 View Log Groundwater Site
Well Label: 114518
Start Card: 1024251
Original Report:
Owner Well Nbr: 2867
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 09/15/2014
Land Owner
Name: MIKE FRANK
Company:
Address: 12489 KAME TERRACE CT

SHERWOOD, OR 97140
Location
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Latitude/Longitude
Latitude: 45.33122893
Longitude: -122.92411935
Horiz. Error: 99.00 ft.
Location
County: YAMH
TRSQQ: WM3.00S2.00W10NENW
Tax Map:
Tax Lot: 1003
Lot:
Block:
Subdivision:
Street of Well: 30520 NE BELL RD, NEWBERG
WM District: 18
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 09/05/2014
Completed Date: 09/15/2014
Drill Method: Rotary Air
Depth of Completed Well: 522.00
Est. Depth Drilled: 522.00
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 2.00 277.00 .250 Steel ● 277.00
2Liner4.00 142.00 522.00 SCH 40 Plastic ●  
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: 421.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 330.00
Post-Static Water Level Date: 09/15/2014
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: DAVID PAYSINGER
Bonded Driller Company: BLUE WATER DRILLING CO INC
Bonded Driller Number: 1438
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
YAMH 56904EXEMPT USE MAPDRILLERImage10/6/2014
YAMH 56904WELL REPORTDRILLERImage10/6/2014