Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JOSE 59580 View Log Groundwater Site
Well Label: 119111
Start Card: 1027595
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 08/12/2015
Land Owner
Name:
Company: ROGUE RIVER TRUST % JAMES J STOUT PC
Address: 419 S. OAKDALE DR.

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.22507800
Longitude: -123.29087400
Horiz. Error: 200.00 ft.
Location
County: JOSE
TRSQQ: WM38.00S5.00W33SENE
Tax Map:
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: 1001 TETHROW RD. WILLIAMS OR 97544
WM District: 14
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 08/12/2015
Completed Date: 08/12/2015
Drill Method: Rotary Air
Depth of Completed Well: 140.00
Est. Depth Drilled: 140.00
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)
110.000.0018.00
26.0018.00140.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0018.0010.00 
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 ● 2.00 18.00 .250 Steel ● ● 18.00
2Liner4.00 ● 0.00 140.00 .250 Plastic ● ● 18.00
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 52 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 63.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 120.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 13.00
Post-Static Water Level Date: 08/12/2015
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
18/12/2015120.00130.0013.0050.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0010.00GRANITE BROWN SOFT 
210.0015.00GRANITE GRAY MED HARD 
315.0060.00GRANITE GRAY HARD 
460.00140.00GRANITE GRAYHARD W/F 
Well Constructor
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Bonded Driller Name: BARRY PELKEY
Bonded Driller Company: APPLEGATE WELL DRILLING LLC
Bonded Driller Number: 1648
Bonded Date Signed: 08/17/2015
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JOSE 59580EXEMPT USE MAPDRILLERImage8/17/2015
JOSE 59580WELL REPORTDRILLERImage8/17/2015