Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 62586 View Log Groundwater Site
Well Label: 148746
Start Card: 1030154
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/13/2016
Land Owner
Name: DARREN GLAHN
Company:
Address: 705 SOLDIER CREEK RD

GRANTS PASS, OR 97524
Location
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Latitude/Longitude
Latitude: 42.51149000
Longitude: -122.80865000
Horiz. Error: 25.00 ft.
Location
County: JACK
TRSQQ: WM35.00S1.00W22NESW
Tax Map:
Tax Lot: 1000
Lot:
Block:
Subdivision:
Street of Well: 14010 HWY 62 EAGLE POINT OR 97524
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/01/2016
Completed Date: 05/13/2016
Drill Method: Rotary Air
Depth of Completed Well: 200.00
Est. Depth Drilled: 200.00
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)
110.000.0039.00
26.0039.00200.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0039.001400.00700.00
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 ● 1.00 39.00 .250 Steel ● ● 40.00
2Liner4.00 0.00 200.00 .250 Plastic ● ● 40.00
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 122.00 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:
Pre-Static Water Level Date:
Post-Static Water Level: 15.00
Post-Static Water Level Date: 04/01/2016
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
14/1/201620.0025.0015.0015.0 
24/1/2016160.00165.0015.0010.0 
34/1/2016180.00185.0015.0010.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0025.00CLAY 
225.00200.00CLAYSTONE 
Well Constructor
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Bonded Driller Name: BRAD MILKOWSKI
Bonded Driller Company: GRIBBLE WELL DRILLING
Bonded Driller Number: 1661
Bonded Date Signed: 05/23/2016
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
JACK 62586WELL REPORTDRILLERImage5/23/2016