Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 62965 View Log Groundwater Site
Well Label: 125241
Start Card: 1033879
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 03/30/2017
Land Owner
Name: ANTHONY TINGHITELLA
Company:
Address: 621 DATE PALM RD.

VERO BEACH, FL 32963
Location
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Latitude/Longitude
Latitude: 42.23903000
Longitude: -122.92149000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S2.00W27SWNE
Tax Map:
Tax Lot: 211
Lot:
Block:
Subdivision:
Street of Well: 7117 GRIFFIN LANE MEDFORD, OR 97501
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

Note: Tax lot overlay available only for a few counties.
Well Construction
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Construction
Start Date: 03/28/2017
Completed Date: 03/30/2017
Drill Method: Rotary Air
Depth of Completed Well: 340.00
Est. Depth Drilled: 340.00
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
26.0039.00340.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0039.0023.0017.80
Abandonment Log
No data matches search criteria.
Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1Casing6.00 ● 2.00 98.00 .250 Steel ● ● 98.00
2Liner4.00 2.00 340.00 Sch 40 Plastic ● 98.00
Temporary Casing
No data matches search criteria.
Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perforation
Size		Screen/Slot
Size Width		Slot LengthNbr of Slots
1AIR AND SAW CUT Casing6.0050.0070.00 0.1881.000480
2AIR AND SAW CUT Liner4.0060.00100.00 0.1884.000120
3AIR AND SAW CUT Liner4.00320.00340.00 0.1884.00060
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: 215.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 50.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 26.00
Post-Static Water Level Date: 03/30/2017
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
13/30/201750.0070.0026.0014.0 
23/30/2017218.00220.0026.002.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0032.00RED/BROWN CLAY MEDIUM SOFT 
232.0082.00LIGHT GREY BASALT MEDIUM 
382.00340.00DARK GREY BASALT 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: 03/30/2017
Unbonded Name: PETERSON,SHAWN
Unbonded Company:
Unbonded Number: 1994
Unbonded Date Signed: 03/30/2017
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload Image
JACK 62965EXEMPT USE MAPDRILLERImage
JACK 62965WELL REPORTDRILLERImage