Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: LINN 62989 View Log Groundwater Site
Well Label:
Start Card:
Original Report:
Owner Well Nbr: 1
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date:
Land Owner
Name: NIELS JENSEN
Company:
Address: RT 1 BOX 46

HALSEY, OR 97348
Location
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Latitude/Longitude
Latitude: 44.38916133
Longitude: -123.03973493
Horiz. Error: 100.00 ft.
Location
County: LINN
TRSQQ: WM13.00S3.00W34SESW
Tax Map: 13S03W34
Tax Lot: 301
Lot:
Block:
Subdivision:
Street of Well: 33679 HWY 228
WM District: 2
Surface Elev: 293.59 FT
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Tax Lots

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Well Construction
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Construction
Start Date:
Completed Date:
Drill Method:
Depth of Completed Well: 70.00
Est. Depth Drilled: 70.00
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
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:
Bonded Driller Company: PREPARED BY OWRD STAFF
Bonded Driller Number: 99999999
Bonded Date Signed:
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
LINN 62989WELL REPORTOWRDImage