Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JOSE 59715 View Log Groundwater Site
Well Label: 119106
Start Card: 1028634
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 11/19/2015
Land Owner
Name:
Company: SOUTHERN AMALGAMATED DEVELOPMENT LLC
Address: 66 LENOX POINTE NE

ATLANTA, GA 30324
Location
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Latitude/Longitude
Latitude: 42.21558000
Longitude: -123.24080000
Horiz. Error: 99.00 ft.
Location
County: JOSE
TRSQQ: WM38.00S5.00W36SESW
Tax Map:
Tax Lot: 3900
Lot:
Block:
Subdivision:
Street of Well: 1100 FINDLEY 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: 11/19/2015
Completed Date: 11/19/2015
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
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 2.00 18.00 .250 Steel ● 18.00
2Liner4.00 0.00 240.00 .250 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: 52 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 123.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 210.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 46.00
Post-Static Water Level Date: 11/19/2015
Static Water Level
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Material
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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:
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 59715WELL REPORTDRILLERImage1/14/2016