Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: DESC 62612 View Log Groundwater Site
Well Label: 142005
Start Card: 1051576
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 04/23/2021
Land Owner
Name: FRED SZKOTIK
Company:
Address: P.O BOX 8299

BEND, OR 97708
Location
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Latitude/Longitude
Latitude: 44.22553915
Longitude: -121.43992079
Horiz. Error: ft.
Location
County: DESC
TRSQQ: WM15.00S11.00E32NWSE
Tax Map:
Tax Lot: 300
Lot:
Block:
Subdivision:
Street of Well: 17895 2ND STREET BEND OREGON 97703
WM District: 11
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/21/2021
Completed Date: 04/23/2021
Drill Method: Rotary Air
Depth of Completed Well: 337.00
Est. Depth Drilled: 340.00
Special Standards:
Seal Placed Method: OTHER - DRY BENTONITE
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)
112.000.0025.00
28.0025.00340.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite 0.0025.0017.0014.18
Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1Casing8.00 ● 2.00 38.00 .250 Steel ● ● 337.00
2Liner6.00 8.00 337.00 .188 Steel ●  
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: 54 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 70.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 258.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 258.00
Post-Static Water Level Date: 04/23/2021
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
14/23/2021258.00340.00258.0025.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.006.00TOP SOIL COBBLE ROCK 
26.0075.00BROWN SS TUFF 
375.0080.00LAVA ROCK 
480.0095.00BROWN SS TUFF 
595.00101.00LAVA ROCK 
6101.00115.00BROWN SS TUFF 
7115.00190.00LAVE ROCK COMGL 
8190.00213.00BROWN SS CONGL 
9213.00220.00LAVA ROCK HARD 16YDS SG CEMENT 50/260 
10220.00235.00BROWN SS 
11235.00239.00PINK SS 
12239.00270.00BROKEN LAVA BROWN LAVA CONGL 
13270.00340.00BROKEN CINDERS LAVA CONGL 
Well Constructor
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Bonded Driller Name: NEIL FAGEN
Bonded Driller Company: AIKEN WELL DRILLING INC.
Bonded Driller Number: 1970
Bonded Date Signed: 05/05/2021
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload ImageReceived Date
DESC 62612EXEMPT USE MAPDRILLERImage5/5/2021
DESC 62612WELL REPORTDRILLERImage5/5/2021