Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 72055 View Log Groundwater Site
Well Label: 118259
Start Card: 212304
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 02/15/2016
Land Owner
Name: JERRY LASSELLE
Company:
Address: 5120 SW BORLAND RD

TUALATIN, OR 97062
Location
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Latitude/Longitude
Latitude: 45.28810000
Longitude: -122.63110000
Horiz. Error: 250.00 ft.
Location
County: CLAC
TRSQQ: WM3.00S1.00E25NENW
Tax Map:
Tax Lot: 501
Lot:
Block:
Subdivision:
Street of Well: 21861 S CENTRAL POINT RD, CANBY
WM District: 20
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 02/09/2016
Completed Date: 02/15/2016
Drill Method: Rotary Air
Depth of Completed Well: 197.00
Est. Depth Drilled: 197.00
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 15.00 134.60 .250 Steel ●  
2Liner4.50 3.00 197.00 .200 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: 95.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 65.70
Post-Static Water Level Date: 02/15/2016
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 72055WELL REPORTDRILLERImage