Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 66223 View Log Groundwater Site
Well Label: 153948
Start Card: 1073621
Original Report:
Owner Well Nbr: WELL #3
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 05/28/2024
Land Owner
Name: THOULFEKAR AIRAHEM
Company:
Address: 7117 GRIFFIN LANE

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.23976500
Longitude: -122.92132900
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: 3103.25 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: 05/28/2024
Drill Method: Rotary Air
Depth of Completed Well: 1040.00
Est. Depth Drilled: 1040.00
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)
110.000.0058.00
26.0058.001040.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0058.0029.0026.47
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
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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: 150.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 230.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 37.00
Post-Static Water Level Date: 05/28/2024
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
15/28/2024230.00236.0037.000.3 
25/28/2024448.00457.0037.001.5 
35/28/2024553.00567.0037.002.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0017.00BROWN CLAY & WEATHERED APPLEGATE GROUP 
217.0027.00TAN CLAY & WEATHERED APPLEGATE GROUP 
327.0037.00WEATH APPLEGATE GRP & GREY APPLEGATE GRP 
437.00196.00GREY APPLEGATE GROUP MEDIUM 
5196.00391.00DARK GREY APPLEGATE GROUP MEDIUM 
6391.00761.00GREY APPLEGATE GROUP MEDIUM 
7761.00859.00DARK GREY APPLEGATE GROUP MEDIUM 
8859.001040.00GREY 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: 06/19/2024
Unbonded Name: KLIPFEL,JASON
Unbonded Company: CLOUSER DRILLING
Unbonded Number: 2009
Unbonded Date Signed: 06/03/2024
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 ImageReceived Date
JACK 66223EXEMPT USE MAPDRILLERImage6/19/2024
JACK 66223WELL REPORTDRILLERImage6/19/2024