Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 63759 View Log Groundwater Site
Well Label: 133121
Start Card: 1042310
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 04/01/2019
Land Owner
Name:
Company: MEDFORD SCHOOL DISTRICT 549C
Address: 500 MONROE ST

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.23480600
Longitude: -123.04498200
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S3.00W27NESW
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: 156 UPPER APPLEGATE RD. JACKSONVILLE, OR 97530
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

Note: Tax lot overlay available only for a few counties.
Well Construction
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Construction
Start Date: 04/01/2019
Completed Date: 04/01/2019
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
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)
110.000.0060.00
26.0060.00240.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0060.0035.0027.38
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 ● 2.50 77.50 .250 Steel ● ● 77.50
2Liner4.00 3.00 240.00 SCH 40 Plastic  
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
1LAZER CUT/SAWCUT Liner4.00207.00227.00 32.0001.0003116
2LAZER CUT/SAWCUT Liner4.00227.00240.00 0.1884.00051
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: 226.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 91.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 23.00
Post-Static Water Level Date: 04/01/2019
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
14/1/201991.0094.0023.003.0 
24/1/2019128.00134.0023.005.0 
34/1/2019183.00185.0023.003.0 
44/1/2019209.00212.0023.009.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0023.00BROWN CLAY & SMALL GRAVEL 
223.0051.00BRN BASALT/SM GRAVEL (CONGLOMERATE) 
351.0074.00BROWN/GREY BASALT MEDIUM 
474.00149.00GREY BASALT MEDIUM 
5149.00161.00DARK GREY BASALT HARD 
6161.00240.00GREY BASALT MEDIUM 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 04/09/2019
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 63759EXEMPT USE MAPDRILLERImage4/9/2019
JACK 63759WELL REPORTDRILLERImage4/9/2019