Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 61947 View Log
Well Label: 114621
Start Card: 1023257
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 06/05/2014
Land Owner
Name:
Company: HAYS RANDOLPH LLC
Address: PO BOX 1220

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.50337000
Longitude: -122.90248000
Horiz. Error: 13.90 ft.
Location
County: JACK
TRSQQ: WM35.00S2.00W26NWNE
Tax Map:
Tax Lot: 106
Lot:
Block:
Subdivision:
Street of Well: 13325 ANTIOCH RD. WHITE CITY, OR 97503
WM District: 13
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 06/04/2014
Completed Date: 06/05/2014
Drill Method: Rotary Air
Depth of Completed Well: 500.00
Est. Depth Drilled: 500.00
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)
110.000.0033.00
26.0033.00500.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0033.0012.00 
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: 55 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: 237.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 89.00
Post-Static Water Level Date: 06/05/2014
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
16/5/201415.0019.0089.005.0 
26/5/2014237.00239.0089.000.5 
36/5/2014370.00375.0089.001.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0015.00TIGHT BROWN CLAY & BROWN SANDSTONE 
215.0019.00BROKEN SANDSTONE BROWN 
319.00167.00GREY SANDSTONE HARD 
4167.00171.00DARK GREY CLAYSTONE 
5171.00500.00GREY/GREEN CLAYSTONE 
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: 11/21/2014
Unbonded Name: LEWIS,RYAN
Unbonded Company:
Unbonded Number: 1955
Unbonded Date Signed: 11/21/2014
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
JACK 61947EXEMPT USE MAPDRILLERImage
JACK 61947WELL REPORTDRILLERImage