Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 66199 View Log Groundwater Site
Well Label: 153949
Start Card: 1073622
Original Report:
Owner Well Nbr: WELL #4
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 05/17/2024
Land Owner
Name: THOULFEKAR AIRAHEM
Company:
Address: 7117 GRIFFIN LANE

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.23876600
Longitude: -122.92204300
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S2.00W27SWNE
Tax Map:
Tax Lot: 211
Lot:
Block:
Subdivision:
Street of Well: 7117 GRIFFIN LANE, MEDFORD OR 97501
WM District: 13
Surface Elev: 3077.63 FT
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/15/2024
Completed Date: 05/17/2024
Drill Method: Rotary Air
Depth of Completed Well: 540.00
Est. Depth Drilled: 540.00
Special Standards:
Seal Placed Method: OTHER - DRY POURED
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)
110.000.0060.00
26.0060.00540.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0060.0031.0027.38
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
Screens
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Well Test
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Well Test
Temperature: 55 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 198.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 82.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 78.00
Post-Static Water Level Date: 05/17/2024
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/17/202482.0092.0078.005.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0016.00BROWN CLAY 
216.0042.00TAN CLAY 
342.0052.00BROWN/GREY WEATH APPLEGATE GROUP 
452.00228.00GREY APPLEGATE GROUP MEDIUM 
5228.00437.00DARK GREY APPLEGATE GROUP MEDIUM 
6437.00466.00GREY APPLEGATE GROUP MEDIUM 
7466.00540.00DARK GREY APPLEGATE GROUP MEDIUM 
Well Constructor
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Bonded Driller Name: KEVIN GILL
Bonded Driller Company: CLOUSER DRILLING INC
Bonded Driller Number: 1835
Bonded Date Signed: 05/29/2024
Unbonded Name: KLIPFEL,JASON
Unbonded Company: CLOUSER DRILLING
Unbonded Number: 2009
Unbonded Date Signed: 05/20/2024
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
Permit: G 18271
Documents
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TitleDocument TypeSourceDownload Image
JACK 66199WELL REPORTDRILLERImage