Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: LINN 62396 View Log
Well Label: 128143
Start Card: 215246
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/21/2018
Land Owner
Name:
Company: US FOREST SERVICE
Address: 4200 ROOSEVELT BLVD

EUGENE, OR 97402
Location
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Latitude/Longitude
Latitude: 44.34156729
Longitude: -122.00035673
Horiz. Error: 99.00 ft.
Location
County: LINN
TRSQQ: WM14.00S7.00E20SENW
Tax Map:
Tax Lot: 100
Lot:
Block:
Subdivision:
Street of Well: USFS ROAD 2600, ICE CAP CRK CAMPGROUND\NMCKENZ, IE BRIDGE, OR 97477 WELL #1
WM District: 2
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/17/2018
Completed Date: 05/21/2018
Drill Method: Rotary Air , Rotary Mud
Depth of Completed Well: 180.00
Est. Depth Drilled: 180.00
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)
110.000.0018.00
26.0018.00180.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite 0.0018.0017.508.22
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 ● 2.00 18.00 .250 Steel ●  
2Liner4.00 2.00 180.00 SDR 26 Plastic ●  
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 48 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 68.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 125.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 119.00
Post-Static Water Level Date: 05/21/2018
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/21/201827.00180.00119.0023.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0011.00SAND AND GRAVEL 
211.0035.00GRAY BASALT 
335.00115.00DENSE GRAY BASALT 
4115.00140.00GRAY BASALT 
5140.00180.00BLACK/PURPLE BASALT 
Well Constructor
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Bonded Driller Name: JEFF HENDRICKSON
Bonded Driller Company: HENDRICKSON WELL DRILLING INC
Bonded Driller Number: 1553
Bonded Date Signed: 06/25/2018
Unbonded Name: HENDRICKSON,CHESTON
Unbonded Company: HENDRICKSON WELL DRILLING INC
Unbonded Number: 1859
Unbonded Date Signed: 05/29/2018
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
LINN 62396EXEMPT USE MAPDRILLERImage6/25/2018
LINN 62396WELL REPORTDRILLERImage6/25/2018