Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 71235 View Log Groundwater Site
Well Label: 116751
Start Card: 211281
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 04/03/2015
Land Owner
Name: RON RAINES
Company: RAINES, BARB
Address: PO BOX 936

CANBY, OR 97013
Location
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Latitude/Longitude
Latitude: 45.19272000
Longitude: -122.67092000
Horiz. Error: 11.00 ft.
Location
County: CLAC
TRSQQ: WM4.00S1.00E27NWSE
Tax Map:
Tax Lot: 602
Lot:
Block:
Subdivision:
Street of Well: 9479 S HEINZ 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: 03/30/2015
Completed Date: 04/03/2015
Drill Method: Rotary Air
Depth of Completed Well: 257.00
Est. Depth Drilled: 257.00
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 1.50 242.00 .250 Steel 242.00
2Liner4.00 200.00 241.00 40 Plastic  
3Liner4.00 256.00 257.00 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: 56 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: 20.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 25.10
Post-Static Water Level Date: 03/03/2015
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: STEVEN N STADELI
Bonded Driller Company: WESTERBERG DRILLING
Bonded Driller Number: 688
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 Image
CLAC 71235WELL REPORTDRILLERImage