Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 71215 View Log
Well Label: 116188
Start Card: 1025353
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 01/21/2015
Land Owner
Name: MATT DAY
Company: SILVER FOX RV PARK
Address: PO BOX 189

ESTACADA, OR 97023
Location
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Latitude/Longitude
Latitude: 45.22548780
Longitude: -122.23594747
Horiz. Error: 99.00 ft.
Location
County: CLAC
TRSQQ: WM4.00S5.00E18NESW
Tax Map:
Tax Lot: 2100
Lot:
Block:
Subdivision:
Street of Well: 40505 SE HWY 224
WM District: 20
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 01/12/2015
Completed Date: 01/21/2015
Drill Method: Rotary Air
Depth of Completed Well: 220.00
Est. Depth Drilled: 220.00
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
210.0021.0038.00
38.0038.00220.00
Seal
RowMaterialFrom (ft)To (ft)Amount
1Bentonite Chips0.002.00 
2Cement with 3% Bentonite2.0038.00 
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
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Screens
Well Test
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Well Test
Temperature: 54 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: 165.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 142.0
Post-Static Water Level Date: 01/21/2015
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
11/21/2015165.00220.00142.0096.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.0017.00BROWN CLAY 
217.0078.00GRAY ROCK 
378.0091.00RHODODENDRON ROCK 
491.00140.00GRAY ROCK 
5140.00178.00MULTI COLORED ROCK FRACTURED 
6178.00181.00GRAY BASALT 
7181.00220.00MULTI COLORED ROCK FRACTURED 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: 04/02/2015
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
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