Well Information
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Identification
Type of Report: Water Well
Type of Work: ABANDONMENT
Well Report: WASC 52704 View Log Groundwater Site
Well Label:
Start Card: 1044435
Original Report: WASC 3023 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 11/19/2019
Land Owner
Name: DOUGLAS LEE
Company:
Address: 13340 GOODALL RD.

LAKE OSWEGO, OR 97034
Location
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Latitude/Longitude
Latitude: 45.65567490
Longitude: -121.35979500
Horiz. Error: 100.00 ft.
Location
County: WASC
TRSQQ: WM2.00N12.00E18NESE
Tax Map:
Tax Lot: 1200
Lot:
Block:
Subdivision:
Street of Well: 11885 DRY CREEK RD, MOSIER OR 97040
WM District: 3
Surface Elev:
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Tax Lots

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Well Construction
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Construction
Start Date: 11/19/2019
Completed Date: 11/19/2019
Drill Method: Rotary Air
Depth of Completed Well: 480.00
Est. Depth Drilled:
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
Seal
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Abandonment Log
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Casing/Liner
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Temporary Casing
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Perforations
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Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level:
Post-Static Water Level Date:
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: MICHAEL MERRITT
Bonded Driller Company: M & M WELL DRILLING
Bonded Driller Number: 1879
Bonded Date Signed: 01/08/2020
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Documents
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TitleDocument TypeSourceDownload Image
WASC 52704WELL REPORTDRILLERImage