Well Information
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Identification
Type of Report: Water Well
Type of Work: ALTERATION
Well Report: JACK 66170 View Log Groundwater Site
Well Label: 115349
Start Card: 1073226
Original Report: JACK 62051 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 04/02/2024
Land Owner
Name:
Company: BGE PROPERTIES LLC
Address: 19 N BARNEBURG RD

MEDFORD, OR 97504
Location
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Latitude/Longitude
Latitude: 42.30479500
Longitude: -122.94844400
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM37.00S2.00W33SESW
Tax Map:
Tax Lot: 1400
Lot:
Block:
Subdivision:
Street of Well: 4610 SOUTH STAGE RD, MEDFORD, OR 97501
WM District: 13
Surface Elev: 1647.15 FT
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/02/2024
Completed Date: 04/02/2024
Drill Method: Rotary Air
Depth of Completed Well: 240.00
Est. Depth Drilled: 240.00
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:
Filter Pack Material:
Filter Pack Size:
Bore Hole
RowDiameter (in)From (ft)To (ft)
110.000.0038.00
26.0038.00240.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
2Bentonite Chips0.0038.0023.0017.34
Abandonment Log
No data matches search criteria.
Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
1(Casing)Pre-Alteration6.00 ● 2.00 122.00 .250 Steel ● ● 122.00
2(Casing)Pre-Alteration4.00 0.00 240.00 Sch40 Plastic ● 122.00
3Casing6.00 ● 2.00 122.00 .250 Steel ● ● 122.00
4Liner4.00 4.00 230.00 Sch40 Plastic ● 122.00
Temporary Casing
No data matches search criteria.
Perforations
RowMethodMaterialCasing/LinerDiameter (in)From (ft)To (ft)Perforation
Size		Screen/Slot
Size Width		Slot LengthNbr of Slots
3AIR/LAZER/SAW CUT Casing6.00100.00120.00 0.1881.000480
1AIR/LAZER/SAW CUT Liner4.00104.00144.00 0.0321.0006226
2AIR/LAZER/SAW CUT Liner4.00204.00230.00 0.1884.00078
Screens
No data matches search criteria.
Well Test
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Well Test
Temperature: 53 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 86.00 ppm
Water Quality Concerns:
Well Test
Analysis
No data matches search criteria.
Static Water Level
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Static Water Level
Depth First Water: 101.00
Pre-Static Water Level: 6.00
Pre-Static Water Level Date: 04/02/2024
Post-Static Water Level: 6.00
Post-Static Water Level Date: 04/02/2024
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
14/2/2024101.00118.006.0027.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.004.00DARK BROWN CLAY TIGHT 
24.0077.00BROWN CLAY TIGHT 
377.00123.00GREY CLAY LARGE GRAVEL & FINE SAND 
4123.00206.00GREY/GREEN SANDSTONE 
5206.00240.00LIGHT GREY SANDSTONE. WELL SILTED TO 
6206.00240.00HOLE: 230' CONFIRMED BY CAMERA, WELL DID 
7206.00240.00NOT HAVE LINER - SOMEONE HAD REMOVED 
8206.00240.00IT. INSTALLED LINER AFTER CAMERA 
9206.00240.00INSPECTING WELL. 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 04/12/2024
Unbonded Name: GILL,RYAN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 2063
Unbonded Date Signed: 04/12/2024
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
Well silted to 230'. Confirmed by camera. Well did not have liner - someone had removed it. Installed liner after camera inspecting well.
Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 66170EXEMPT USE MAPDRILLERImage4/12/2024
JACK 66170WELL REPORTDRILLERImage4/12/2024