Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 66201 View Log Groundwater Site
Well Label: 154227
Start Card: 1073665
Original Report:
Owner Well Nbr: WELL #6
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: 42.23830300
Longitude: -122.92321700
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: 3054.46 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: 240.00
Est. Depth Drilled: 240.00
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)
110.000.0040.00
26.0040.00240.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0040.0019.0018.26
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: 54 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 224.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 50.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 34.00
Post-Static Water Level Date: 05/17/2024
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/17/202450.0078.0034.0030.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0026.00BROWN CLAY 
226.0052.00GREY GREEN APPLEGATE GROUP MEDIUM 
352.0078.00GREY GREEN APPLEGATE GROUP BROKEN 
478.00240.00GREY 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 66201EXEMPT USE MAPDRILLERImage
JACK 66201WELL REPORTDRILLERImage