Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 62626 View Log Groundwater Site
Well Label: 122114
Start Card: 1030772
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 06/03/2016
Land Owner
Name:
Company: MARTIN FARM PROPERTIES LLC
Address: 1 MAIN ST 401

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.30741000
Longitude: -122.94975000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM37.00S2.00W33NWSW
Tax Map:
Tax Lot: 1000
Lot:
Block:
Subdivision:
Street of Well: 4753 SOUTH STAGE RD. MEDFORD, OR 97501
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 06/03/2016
Completed Date: 06/03/2016
Drill Method: Rotary Air
Depth of Completed Well: 120.00
Est. Depth Drilled: 120.00
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)
110.000.0078.00
26.0078.00120.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0028.0019.0012.78
Abandonment Log
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Casing/Liner
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: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 420.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 37.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 19.00
Post-Static Water Level Date: 06/03/2016
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
16/3/201637.0053.0019.007.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0028.00TIGHT BROWN CLAY 
228.0029.00BRN/TAN CLAY W/SILT/SAND/GRVL 
329.0035.00BROWN SANDSTONE WEATHERED 
435.00106.00BRN/GREY SANDSTONE WEATHERED 
5106.00120.00DK GREY SANDSTONE HARD 
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: 06/10/2016
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 Image
JACK 62626EXEMPT USE MAPDRILLERImage
JACK 62626WELL REPORTDRILLERImage