Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 65393 View Log
Well Label: 114220
Start Card: 1050157
Original Report: JACK 64494 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: COMMUNITY
Complete Date: 12/02/2020
Land Owner
Name: ANDREA COOK
Company:
Address: PO BOX 5111

CENTRAL POINT, OR 97502
Location
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Latitude/Longitude
Latitude: 42.32352000
Longitude: -122.94333000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM37.00S2.00W28NWSE
Tax Map:
Tax Lot: 3800
Lot:
Block:
Subdivision:
Street of Well: 4425 W. MAIN ST. MEDFORD OR 97501
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

Note: Tax lot overlay available only for a few counties.

Well Construction
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Construction
Start Date: 12/02/2020
Completed Date: 12/02/2020
Drill Method: Rotary Air
Depth of Completed Well: 53.00
Est. Depth Drilled: 53.00
Special Standards:
Seal Placed Method: OTHER - NOT DISTURBED
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement: ft to ft
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack: 5.00 ft to 53.00 ft
Filter Pack Material: SILICASAND
Filter Pack Size: 6/9
Bore Hole
RowDiameter (in)From (ft)To (ft)
110.000.0014.00
26.0014.0053.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0014.0010.006.39
Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)From (ft)To (ft)GaugeMaterialWeldGlueThreadShoe
Inside
Shoe
Outside
Shoe
Other
Shoe
Location
1P6.00-2.0038.00.250ST  
2C6.00-2.0038.00.250ST  
3L4.003.0053.00SCH40PL  
Temporary Casing
No data matches search criteria.
Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perferation
Size
Screen/Slot
Size Width
Slot LengthNbr of SlotsTele/Pipe size
1LAZER CUT L4.003.0053.00 0.0321.0007790 
2LAZER CUT C6.0014.0025.00 0.1881.000216 
Screens
No data matches search criteria.
Well Test
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Well Test
Temperature: 56 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 370.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level: 8.00
Pre-Static Water Level Date: 12/02/2020
Post-Static Water Level: 8.00
Post-Static Water Level Date: 12/02/2020
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
112/2/202014.0025.008.008.0 
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.0053.00PULLED PUMP EQUIP 
20.0053.00INSTALLED NEW LINER 
30.0053.00FILTER PACKED WELL 
40.0053.00SPEC STAND APPRVD FOR JACK 64494 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 06/16/2022
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
No data matches search criteria.
Documents
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TitleDocument TypeSourceDownload Image
JACK 65393EXEMPT USE MAPDRILLERImage
JACK 65393WELL REPORTDRILLERImage