Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 70825 View Log Groundwater Site
Well Label: 114800
Start Card: 1024724
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 10/21/2014
Land Owner
Name: SCOTT GUSTAFSON
Company:
Address: 978 N ALDER ST

CANBY, OR 97013
Location
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Latitude/Longitude
Latitude: 45.26097000
Longitude: -122.65887000
Horiz. Error: 4.00 ft.
Location
County: CLAC
TRSQQ: WM3.00S1.00E35SWSW
Tax Map:
Tax Lot: 801
Lot:
Block:
Subdivision:
Street of Well: 23885 S. BLOUNT RD
WM District: 20
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/16/2014
Completed Date: 10/21/2014
Drill Method: Rotary Air
Depth of Completed Well: 262.00
Est. Depth Drilled: 262.00
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)
111.580.0021.00
27.5821.00262.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.002.001.50 
2Cement2.0021.001190.00 
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 ● 2.00 262.00 .250 Steel ● ●  
2Liner4.00 2.00 222.00 200 Plastic ●  
Temporary Casing
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Perforations
Screens
Well Test
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Well Test
Temperature: 57 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: 250.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 84.00
Post-Static Water Level Date: 10/21/2014
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
110/21/2014250.00262.0084.00200.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.002.00TOP SOIL 
22.0010.00BROWN SILTY CLAY 
310.0030.00GRAY CLAY 
430.0098.00SAND & GRAVEL 
598.00110.00GRAY CLAY 
6110.00115.00SAND W/ PEA GRAVEL 
7115.00250.00BLUE CLAY W/ SANDSTONE LAYERS 
8250.00262.00MULTI COLORED SAND & PEA GRAVEL W/B 
Well Constructor
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Bonded Driller Name: GEORGE YOUNGBERG
Bonded Driller Company: YOUNGBERG PUMP & WELL DRILLING
Bonded Driller Number: 1771
Bonded Date Signed: 11/03/2014
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload Image
CLAC 70825EXEMPT USE MAPDRILLERImage
CLAC 70825WELL REPORTDRILLERImage