Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: LANE 74694 View Log Groundwater Site
Well Label: 121833
Start Card: 1031826
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 08/23/2016
Land Owner
Name: NINA WIERSMA
Company:
Address: 25961 HWY 36

CHESHIRE, OR 97419
Location
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Latitude/Longitude
Latitude: 44.17503100
Longitude: -123.33057600
Horiz. Error: 200.00 ft.
Location
County: LANE
TRSQQ: WM16.00S5.00W18SESE
Tax Map:
Tax Lot: 500
Lot:
Block:
Subdivision:
Street of Well: 25961 HWY 36, CHESHIRE, OR 97419
WM District: 2
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 08/18/2016
Completed Date: 08/23/2016
Drill Method: Rotary Air
Depth of Completed Well: 102.00
Est. Depth Drilled: 102.00
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)
110.000.0048.00
26.0048.00102.00
Seal
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 ● 2.00 48.00 .250 Steel ● ● 48.00
2Liner4.50 2.00 102.00 SDR 26 Plastic ● ● 48.00
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 57 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 102.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 82.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 22.00
Post-Static Water Level Date: 08/23/2016
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
18/23/201662.00102.0022.0075.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.001.00TOPSOIL 
21.0041.00BROWN CLAY 
341.0082.00BLUE SANDSTONE 
482.00102.00BROKEN BLUE SANDSTONE 
Well Constructor
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Bonded Driller Name: CASEY JONES JR
Bonded Driller Company: CASEY JONES WELL DRILLING CO INC
Bonded Driller Number: 1541
Bonded Date Signed: 08/24/2016
Unbonded Name: HOLLEY,MICHAEL J
Unbonded Company: CASEY JONES WELL DRILLING CO INC
Unbonded Number: 1839
Unbonded Date Signed: 08/24/2016
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
LANE 74694WELL REPORTDRILLERImage8/24/2016