Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 62687 View Log Groundwater Site
Well Label: 115701
Start Card: 1031778
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC , INDUSTRIAL , IRRIGATION , OTHER - APPLYING FOR WATER RIGHT
Complete Date: 08/16/2016
Land Owner
Name: JERRY SCHATZ
Company: G AND N REALITY
Address: P O BOX 718

MEDFORD, OR 97504
Location
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Latitude/Longitude
Latitude: 42.40936370
Longitude: -122.82849263
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM36.00S1.00W28NESW
Tax Map:
Tax Lot: 600
Lot:
Block:
Subdivision:
Street of Well: EAST END OF RANDALL STREET.
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 08/15/2016
Completed Date: 08/16/2016
Drill Method: Rotary Air
Depth of Completed Well: 205.00
Est. Depth Drilled: 205.00
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)
110.000.0019.00
26.0019.00205.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0019.009.009.00
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 59 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 235.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 65.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 8.00
Post-Static Water Level Date: 08/16/2016
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
18/15/201675.0080.008.003.0 
28/15/2016145.00150.008.0019.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0012.00SOIL BROWN, W/CLAY 
212.0014.00SANDSTONE W/CLAY 
314.00205.00SANDSTONE 
Well Constructor
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Bonded Driller Name: GARY NEWMAN
Bonded Driller Company: SOUTHERN OREGON WELL DRILLING INC
Bonded Driller Number: 1798
Bonded Date Signed: 08/16/2016
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
This well Is drilled as an exempt domestic well. However, we are applying for a water right for this well. This well is placed as far away as possible from any intermittent stream in the area as possible.
Documents
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TitleDocument TypeSourceDownload Image
JACK 62687EXEMPT USE MAPDRILLERImage
JACK 62687WELL REPORTDRILLERImage