Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: MARI 67957 View Log Groundwater Site
Well Label: 120925
Start Card: 215093
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 04/30/2018
Land Owner
Name: BLAKE CROSBY
Company: CROSSROADS LLC
Address: 8648 CROSBY RD NE

WOODBURN, OR 97071
Location
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Latitude/Longitude
Latitude: 45.12076000
Longitude: -122.90554000
Horiz. Error: 16.00 ft.
Location
County: MARI
TRSQQ: WM5.00S2.00W23NWSW
Tax Map:
Tax Lot: 2000
Lot:
Block:
Subdivision:
Street of Well: 7645 JENSEN RD, GERVAIS
WM District: 16
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 01/03/2018
Completed Date: 04/30/2018
Drill Method: Cable
Depth of Completed Well: 343.00
Est. Depth Drilled: 343.00
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
1Casing16.00 2.00 297.33 .375 Steel ● 297.33
2Liner12.00 258.00 343.00 .250 Steel ●  
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: 53 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 88.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 121.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 37.70
Post-Static Water Level Date: 04/01/2018
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: IVAN GROSSEN
Bonded Driller Company: GROSSEN'S WELL DRILLING
Bonded Driller Number: 783
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
MARI 67957WELL REPORTDRILLERImage