Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 62091 View Log Groundwater Site
Well Label: 117231
Start Card: 1025473
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 02/02/2015
Land Owner
Name: TODD PERSHING
Company:
Address: P.O BOX 6140

AUBURN, CA 95604
Location
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Latitude/Longitude
Latitude: 42.19078608
Longitude: -123.03707666
Horiz. Error: 200.00 ft.
Location
County: JACK
TRSQQ: WM39.00S3.00W10NWSE
Tax Map:
Tax Lot: 600
Lot:
Block:
Subdivision:
Street of Well: 3063 UPPER APPLEGATE RD. JACKSONVILLE OR 97530
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 01/30/2015
Completed Date: 02/02/2015
Drill Method: Rotary Air
Depth of Completed Well: 540.00
Est. Depth Drilled: 540.00
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)
110.000.0019.00
26.0019.00540.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0019.0013.009.00
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: 343.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 124.00
Post-Static Water Level Date: 02/02/2015
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
12/2/2015343.00344.00124.002.5 
22/2/2015461.00462.00124.002.5 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.006.00BROWN CLAY & SMALL 
26.0065.00BROWN/GREY/GREEN SERPENTINE MED 
365.00540.00GREY/GREEN SERPENTINE HARD 
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: 04/05/2015
Unbonded Name: SPLIETHOF,JUSTIN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 1945
Unbonded Date Signed: 04/05/2015
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
JACK 62091WELL REPORTDRILLERImage