Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JOSE 59705 View Log
Well Label: 87920
Start Card: 1028474
Original Report: JOSE 57366 View Original Log
Owner Well Nbr: 87920
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 10/12/2015
Land Owner
Name: GLENN & LORI S. WOODBURY
Company:
Address: 1772 ROSS LANE

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.06747700
Longitude: -123.70338900
Horiz. Error: 99.00 ft.
Location
County: JOSE
TRSQQ: WM40.00S9.00W25NWNE
Tax Map:
Tax Lot: 2000
Lot:
Block:
Subdivision:
Street of Well: 469 LONE MOUNTAIN RD. O'BRIEN OR 97534
WM District: 14
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/12/2015
Completed Date: 10/12/2015
Drill Method: Rotary Air
Depth of Completed Well: 170.00
Est. Depth Drilled: 170.00
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)
110.000.0024.00
26.0024.00170.00
Seal
RowMaterialFrom (ft)To (ft)Amount
2Bentonite Chips0.0024.00 
Abandonment Log
No data matches search criteria.
Casing/Liner
RowCasing/LinerDiameter (in)From (ft)To (ft)GaugeMaterialWeldGlueThreadShoe
Inside
Shoe
Outside
Shoe
Other
Shoe
Location
1P6.00-2.00158.00.250ST 158.00
2C6.00-2.00158.00.250ST 158.00
Temporary Casing
No data matches search criteria.
Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perferation
Size
Screen/Slot
Size Width
Slot LengthNbr of SlotsTele/Pipe size
1HOLTE AIR C6.0020.0040.00 0.1881.000480 
2HOLTE AIR C6.0040.0060.00 0.1881.000480 
3HOLTE AIR C6.0080.0085.00 0.1881.000240 
4HOLTE AIR C6.00100.00104.00 0.1881.00096 
Screens
No data matches search criteria.
Well Test
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Well Test
Temperature: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 205.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 20.00
Pre-Static Water Level: 7.0
Pre-Static Water Level Date: 10/12/2015
Post-Static Water Level: 7.0
Post-Static Water Level Date: 10/12/2015
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
110/12/201520.0038.007.000.5 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.00170.00ORIGINAL BOREHOLE 
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: 01/05/2016
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
Comments
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TypeComments
EF Amended via email from Helen Gill/bmg
CN Cleaned well to 170'. Would not stay open past this depth. Perforated steel casing 20'-25', 40-60', 80'-85', 100-104'.