Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JOSE 60298 View Log Groundwater Site
Well Label: 127037
Start Card: 1036914
Original Report: JOSE 60213 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 10/27/2017
Land Owner
Name: JASON COLE
Company:
Address: 15250 WATER GAP RD. WILLIAMS, OR

JACKSONVILLE, OR 97530
Location
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Latitude/Longitude
Latitude: 42.26390700
Longitude: -123.28112000
Horiz. Error: 99.00 ft.
Location
County: JOSE
TRSQQ: WM38.00S5.00W15NESW
Tax Map:
Tax Lot: 401
Lot:
Block:
Subdivision:
Street of Well: 15250 WATER GAP RD. WILLIAMS, OR
WM District: 14
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/27/2017
Completed Date: 10/27/2017
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
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)
110.000.0040.00
26.0040.00240.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
2Bentonite Chips0.0040.0041.0018.26
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 78.00.250ST ●  
2Casing6.00 ● 2.00 78.00.250ST ●  
3Liner4.00 0.00 162.00SCH 40PL  
Temporary Casing
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Perforations
Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level: 0.00
Pre-Static Water Level Date: 10/27/2017
Post-Static Water Level: 0.00
Post-Static Water Level Date: 10/27/2017
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
110/27/2017113.00171.00 6.50.300
Lithology
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Material
RowFromToMaterialStatic Water Level
10.00240.00EXISTING BOREHOLE 
20.00240.00INSTALLED NEW LINER TO 162 FEET 
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: 11/03/2017
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
UNSTABLE MATERIAL BELOW 162'. INSTALLED ARTESIAN KIT.
Documents
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TitleDocument TypeSourceDownload Image
JOSE 60298EXEMPT USE MAPDRILLERImage
JOSE 60298WELL REPORTDRILLERImage