Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: HARN 52255 View Log Groundwater Site
Well Label: 115854
Start Card: 1026158
Original Report:
Owner Well Nbr: 2
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 07/11/2015
Land Owner
Name: CAMERON MOLT
Company: MOLT, KEATON
Address: 72299 TURNOUT RD

BURNS, OR 97720
Location
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Latitude/Longitude
Latitude: 43.55523806
Longitude: -118.93147132
Horiz. Error: 99.00 ft.
Location
County: HARN
TRSQQ: WM23.00S32.00E30NWNE
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: RYE GRASS LN; 2411 FT E OF OLD EXPERIMENT RD
WM District: 10
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/22/2015
Completed Date: 07/11/2015
Drill Method: Reverse Rotary
Depth of Completed Well: 255.00
Est. Depth Drilled: 345.00
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
1Casing16.00 2.00 76.00 .375 Steel ●  
2Casing16.00 166.00 205.00 .375 Steel ●  
3Casing16.00 215.00 255.00 .375 Steel ●  
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: 54 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 675.00
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 55.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 55.00
Post-Static Water Level Date: 07/11/2015
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: TERRY DAUGHERTY
Bonded Driller Company: RIVERSIDE INC
Bonded Driller Number: 1505
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 ImageReceived Date
HARN 52255WELL REPORTDRILLERImage7/27/2015