Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 73278 View Log
Well Label: 125660
Start Card: 1035359
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 07/19/2017
Land Owner
Name: DAVID
Company: COUNTRY CLUB WATER DISTRICT
Address: PO BOX 168

BRIGHTWOOD, OR 97011
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: CLAC
TRSQQ: WM2.00S6.00E26SENE
Tax Map:
Tax Lot: 1100
Lot:
Block:
Subdivision:
Street of Well: 21323 COUNTRY CLUB ROAD
WM District: 20
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 07/17/2017
Completed Date: 07/19/2017
Drill Method: Rotary Air
Depth of Completed Well: 381.00
Est. Depth Drilled: 381.00
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)
110.000.0098.00
26.0098.00381.00
Seal
RowMaterialFrom (ft)To (ft)Amount
1Cement with 2% Bentonite0.0098.00 
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
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Screens
Well Test
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Well Test
Temperature: 54 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 132.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 274.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 192.0
Post-Static Water Level Date: 07/19/2017
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
17/19/2017274.00374.00192.0060.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.003.00TOP SOIL 
23.0012.00BROWN CLAY W/ COBBLES 
312.0016.00MULTI COLORED ROCK 
416.0021.00MULTI COLORED BLACK ROCK/FRACTURED 
521.0082.00MULTI COLORED ROCK 
682.00152.00BLACK BASALT 
7152.00166.00RED LAVA ROCK 
8166.00249.00BLACK BASALT 
9249.00262.00MULTI COLORED BLACK ROCK 
10262.00311.00BLACK BASALT 
11311.00314.00BLACK AND GREY BASALT 
12314.00320.00MULTI COLORED ROCK 
13320.00381.00BLACK BASALT 
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: 07/22/2017
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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