Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 66224 View Log Groundwater Site
Well Label: 154236
Start Card: 1073753
Original Report:
Owner Well Nbr: WELL #2
Company Job Nbr:
Primary Use: IRRIGATION
Complete Date: 06/03/2024
Land Owner
Name: THOULFEKAR AIRAHEM
Company:
Address: 7117 GRIFFIN LANE

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.23924090
Longitude: -122.92124300
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: 3102.43 FT
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 05/28/2024
Completed Date: 06/03/2024
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 Chips0.0058.0028.0026.47
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: 168.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 68.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 43.00
Post-Static Water Level Date: 06/03/2024
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
16/3/202468.00222.0043.000.3 
26/3/2024242.00248.0043.001.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.0012.00BROWN CLAY & WEATH APPLEGATE GROUP 
212.0043.00BRN CLY & WEATH APPL GRP & GREY APPL GRP 
343.00308.00GREY APPLEGATE GROUP MEDIUM 
4308.00430.00DARK GREY APPLEGATE GROUP MEDIUM 
5430.00618.00GREY APPLEGATE GROUP MEDIUM 
6618.00716.00DARK GREY APPLEGATE GROUP MEDIUM 
7716.00863.00GREY APPLEGATE GROUP MEDIUM 
8863.001040.00DARK 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: 06/19/2024
Unbonded Name: KLIPFEL,JASON
Unbonded Company: CLOUSER DRILLING
Unbonded Number: 2009
Unbonded Date Signed: 06/05/2024
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 66224EXEMPT USE MAPDRILLERImage6/19/2024
JACK 66224WELL REPORTDRILLERImage6/19/2024