Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: WASH 78965 View Log Groundwater Site
Well Label: 137365
Start Card: 1047937
Original Report:
Owner Well Nbr: 3279
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 07/23/2020
Land Owner
Name: SEIJE AND MASAE YANO
Company:
Address: 21845 SW CHAPMAN RD

SHERWOOD, OR 97140
Location
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Latitude/Longitude
Latitude: 45.34732333
Longitude: -122.90554994
Horiz. Error: 99.00 ft.
Location
County: WASH
TRSQQ: WM2.00S2.00W35SWSW
Tax Map:
Tax Lot: 100
Lot:
Block:
Subdivision:
Street of Well: 21845 SW CHAPMAN RD, SHERWOOD, OR 97140
WM District: 18
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 07/01/2020
Completed Date: 07/23/2020
Drill Method: OTHER - NONE
Depth of Completed Well:
Est. Depth Drilled: 100.00
Special Standards:
Seal Placed Method: OTHER - POUR/PROBE/HYDRATE
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
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.002.502.001.00
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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Lithology
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Material
RowFromToMaterialStatic Water Level
10.002.50UNABLE TO LOCATE ORIGINAL LOG. WORK TO 
20.002.50ADD 8" CASING TO EXISTING 8" CASING THAT 
30.002.50WAS BELOW SURFACE GRADE AT PUMPHOUSE 
40.002.50CONCRETE FLOOR. BENTONITE CHIPS PLACED 
50.002.50AROUND NEW CASING TO SURFACE. 
60.002.50WELL ID TAG ATTACHED TO NEW CASING. 
Well Constructor
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Bonded Driller Name: DAVID PAYSINGER
Bonded Driller Company: BLUE WATER DRILLING CO INC
Bonded Driller Number: 1438
Bonded Date Signed: 07/23/2020
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
WASH 78965WELL REPORTDRILLERImage7/25/2020