Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: CLAC 73963 View Log Groundwater Site
Well Label: 127369
Start Card: 1038333
Original Report:
Owner Well Nbr: 01
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 04/13/2018
Land Owner
Name: PATRICK POOLER
Company: TAP-RELOOP LLC
Address: 27503 SE NELSON RD

SANDY, OR 97055
Location
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Latitude/Longitude
Latitude: 45.32195500
Longitude: -122.21833900
Horiz. Error: 250.00 ft.
Location
County: CLAC
TRSQQ: WM3.00S5.00E8NWSE
Tax Map:
Tax Lot: 2200
Lot:
Block:
Subdivision:
Street of Well: 27501 SE NELSON RD, SANDY
WM District: 20
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/09/2018
Completed Date: 04/13/2018
Drill Method: Rotary Air
Depth of Completed Well: 254.00
Est. Depth Drilled: 254.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement:
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
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Seal
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Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1Casing6.00 3.00 228.00 .250 Steel ●  
2Liner4.00 18.00 254.00 SCH 40 Plastic ●  
Temporary Casing
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Perforations
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Screens
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Well Test
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Well Test
Temperature: 52 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 44.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 149.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 202.00
Post-Static Water Level Date: 04/13/2018
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: CHRISTEN BLAND
Bonded Driller Company: SKYLES DRILLING, INC
Bonded Driller Number: 2006
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload Image
CLAC 73963WELL REPORTDRILLERImage