Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 63194 View Log
Well Label: 121216
Start Card: 1036041
Original Report: JACK 62555 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 08/29/2017
Land Owner
Name:
Company: WEST JACKSON PROPERTIES LLC
Address: 1840 E BARNETT RD SUITE G

MEDFORD, OR 97504
Location
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Latitude/Longitude
Latitude: 42.22030000
Longitude: -122.74091000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S1.00E31NESE
Tax Map:
Tax Lot: 1303
Lot:
Block:
Subdivision:
Street of Well: 1001 W JACKSON RD. ASHLAND, OR 97520
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 08/29/2017
Completed Date: 08/29/2017
Drill Method: Rotary Air
Depth of Completed Well: 300.00
Est. Depth Drilled: 300.00
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: 15.00 ft to 300.00 ft
Filter Pack Material: SILICA SAND
Filter Pack Size: 6/9
Bore Hole
RowDiameter (in)From (ft)To (ft)
110.000.0023.00
26.0023.00300.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
2Bentonite Chips0.0023.0034.0010.50
Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1(Casing)Pre-Alteration6.00 ● 2.00 28.00 .250 Steel ● ● 23.00
2Casing6.00 ● 2.00 23.00 .250 Steel ● ● 23.00
3Liner4.00 3.00 300.00 sch 40 Plastic ● ● 23.00
Temporary Casing
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Perforations
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: 330.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 137.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 28.00
Post-Static Water Level Date: 08/29/2017
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
18/29/2017137.00138.0028.002.0 
28/29/2017153.00154.0028.004.0 
38/29/2017251.00253.0028.0024.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.00300.00FLUSH THREAD LINER 6/9 FILT PCK 
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: 09/14/2017
Unbonded Name: SPLIETHOF,JUSTIN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 1945
Unbonded Date Signed: 09/14/2017
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload Image
JACK 63194EXEMPT USE MAPDRILLERImage
JACK 63194WELL REPORTDRILLERImage