Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JOSE 60550 View Log
Well Label: 132676
Start Card: 1041341
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 12/06/2018
Land Owner
Name: GLENN & WOODBURY
Company:
Address: 932 ANDREWS WAY

EAGLE POINT, OR 97501
Location
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Latitude/Longitude
Latitude: 42.06613846
Longitude: -123.70715538
Horiz. Error: 99.00 ft.
Location
County: JOSE
TRSQQ: WM40.00S9.00W25NWNE
Tax Map:
Tax Lot: 2000
Lot:
Block:
Subdivision:
Street of Well: 469 LONE MOUNTAIN RD. O'BRIEN RD. OR 97534
WM District: 14
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 11/19/2018
Completed Date: 12/06/2018
Drill Method: Rotary Air
Depth of Completed Well: 40.00
Est. Depth Drilled: 40.00
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)
115.000.008.00
210.008.0040.00
Seal
RowMaterialFrom (ft)To (ft)Amount
1Bentonite Chips0.008.007.26
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perferation
Size
Screen/Slot
Size Width
Slot LengthNbr of SlotsTele/Pipe size
1TORCH/AIR C10.008.0018.00 0.1886.00040 
2TORCH/AIR C10.008.0018.00 0.1881.00086 
Screens
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Well Test
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Well Test
Temperature: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 81.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 8.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 2.0
Post-Static Water Level Date: 12/06/2018
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
112/6/20188.0010.002.002.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.0010.00BROWN CLAY, BOULDERS AND GRAVEL 
210.0040.00GREY SHALE MED HARD 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 01/04/2019
Unbonded Name: SPLIETHOF,JUSTIN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 1945
Unbonded Date Signed: 01/04/2019
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
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