Well Information
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Identification
Type of Report: Water Well
Type of Work: ABANDONMENT
Well Report: CLAC 72230 View Log
Well Label: 116199
Start Card: 1030736
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 05/30/2016
Land Owner
Name: TONY DENTEL
Company: PORTLAND GENERAL ELECTRIC
Address: 121 SAW SALMON ST

PORTLAND, OR 97402
Location
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Latitude/Longitude
Latitude: 45.14440930
Longitude: -121.77054063
Horiz. Error: 99.00 ft.
Location
County: CLAC
TRSQQ: WM5.00S8.00E22SESE
Tax Map:
Tax Lot: N/A
Lot:
Block:
Subdivision:
Street of Well: NORTH ARM TIMOTHY LAKE CAMPGROUND NO ADDRESS AVAILABLE
WM District: 20
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/27/2016
Completed Date: 05/30/2016
Drill Method: Rotary Air
Depth of Completed Well:
Est. Depth Drilled: 163.50
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
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Cement with 3% Bentonite0.00163.506110.00 
Abandonment Log
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Casing/Liner
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Temporary Casing
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Perforations
Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level:
Post-Static Water Level Date:
Static Water Level
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Lithology
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Materal
RowFromToMaterialStatic Water Level
10.00131.00PERFORATED CASING 
2131.00163.50PUMPED FULL W/ CEMENT 
Well Constructor
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Bonded Driller Name: GEORGE YOUNGBERG
Bonded Driller Company: YOUNGBERG PUMP & WELL DRILLING
Bonded Driller Number: 1771
Bonded Date Signed: 06/08/2016
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
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Documents
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TitleDocument TypeSourceDownload Image
CLAC 72230EXEMPT USE MAPDRILLERImage
CLAC 72230WELL REPORTDRILLERImage