Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 66200 View Log Groundwater Site
Well Label: 154226
Start Card: 1073666
Original Report:
Owner Well Nbr: WELL #5
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: 42.23786600
Longitude: -122.92266200
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 LN, MEDFORD OR 97501
WM District: 13
Surface Elev: 3042.85 FT
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/17/2024
Completed Date: 05/17/2024
Drill Method: Rotary Air
Depth of Completed Well: 300.00
Est. Depth Drilled: 300.00
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)
110.000.0050.00
26.0050.00300.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
3Bentonite Chips0.0050.0023.0022.82
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: 56 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 166.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 58.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 38.00
Post-Static Water Level Date: 05/17/2024
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/17/202458.0078.0038.009.0 
25/17/2024123.00125.0038.003.5 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0039.00BROWN CLAY 
239.0057.00GREY GREEN APPLEGATE GROUP MEDIUM 
357.0078.00GREY GREEN APPLEGATE GROUP BROKEN 
478.00123.00GREY GREEN APPLEGATE GROUP MEDIUM HARD 
5123.00125.00GREY GREEN APPLEGATE GROUP BROKEN 
6125.00300.00GREY GREEN APPLEGATE GROUP MEDIUM HARD 
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: SPLIETHOF,JUSTIN
Unbonded Company: CLOUSER DRILLING INC
Unbonded Number: 1945
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 66200WELL REPORTDRILLERImage