Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: TILL 52871 View Log
Well Label: 133902
Start Card: 1042854
Original Report:
Owner Well Nbr: NW
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 05/17/2019
Land Owner
Name:
Company: CLOVERDALE GRADE SCHOOL
Address: 36925 HWY 101 S

CLOVERDALE, OR 97112
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: TILL
TRSQQ: WM4.00S10.00W34NWNW
Tax Map:
Tax Lot: 800
Lot:
Block:
Subdivision:
Street of Well: 36925 HWY 101 S
WM District: 1
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/15/2019
Completed Date: 05/17/2019
Drill Method: Rotary Air
Depth of Completed Well: 138.00
Est. Depth Drilled: 138.00
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
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: 2350.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 80.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 63.00
Post-Static Water Level Date: 05/17/2019
Static Water Level
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Materal
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Well Constructor
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Bonded Driller Name: WILLIAM BLAIR
Bonded Driller Company: DICKERSON WELL DRILLING
Bonded Driller Number: 1571
Bonded Date Signed:
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
Comments
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Documents
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TitleDocument TypeSourceDownload Image
TILL 52871WELL REPORTDRILLERImage