Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 63355 View Log
Well Label: 128701
Start Card: 1037070
Original Report:
Owner Well Nbr: 128701
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 12/07/2017
Land Owner
Name:
Company: SO ORE HISTORICAL SOCIETY
Address: 106 N CENTRAL AVE

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: JACK
TRSQQ: WM37.00S2.00W21NESE
Tax Map:
Tax Lot: 9800
Lot:
Block:
Subdivision:
Street of Well: 1053 HANLEY RD. MEDFORD, OR
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 12/07/2017
Completed Date: 12/07/2017
Drill Method: Rotary Air
Depth of Completed Well: 120.00
Est. Depth Drilled: 120.00
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)
110.000.0014.00
26.0014.00120.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
2Bentonite Chips0.0014.0011.006.39
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
1(Casing)Pre-Alteration6.00 ● 1.00 12.00.250ST ● 38.00
2Casing6.00 ● 2.00 38.00.250ST ● ● 38.00
3Liner4.00 0.00 120.00sch 40PL  
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
2AIR AND SAW CUT Casing6.0014.0020.00 0.1881.000336
1AIR AND SAW CUT Liner4.00100.00120.00 0.1884.00060
Screens
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Well Test
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Well Test
Temperature: 56 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 340.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 14.00
Pre-Static Water Level: 8.00
Pre-Static Water Level Date: 12/07/2017
Post-Static Water Level: 8.00
Post-Static Water Level Date: 12/07/2017
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
112/7/201714.0027.008.007.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.00120.00SPECIAL STD FOR 14' SEAL DUE TO SALT 
20.00120.00OVERDILLED AND PULLED CASING 
30.00120.00INSTALLED NEW CASING TO +2'-38' 
40.00120.00AIR PERFORATIONS 14'-20' IN STEEL CASING 
50.00120.00BENTONITE SEAL 0'-14' 
60.00120.00CLEANED WELL TO 120' AND INST. LINER 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 03/23/2018
Unbonded Name: PETERSON,SHAWN
Unbonded Company:
Unbonded Number: 1994
Unbonded Date Signed: 03/23/2018
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload Image
JACK 63355WELL REPORTDRILLERImage