Well Information
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Identification
Type of Report: Water Well
Type of Work: ABANDONMENT
Well Report: WASH 82221 View Log Groundwater Site
Well Label: 54912
Start Card: 1076080
Original Report: WASH 12170 View Original Log
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 11/13/2024
Land Owner
Name: ALAN VOLM
Company: PACIFIC CREST STRUCTURES, INC.
Address: 17750 SW UPPER BOONES FERRY RD

PORTLAND, OR 97224
Location
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Latitude/Longitude
Latitude: 45.34748000
Longitude: -122.78873000
Horiz. Error: 99.00 ft.
Location
County: WASH
TRSQQ: WM2.00S1.00W34SESE
Tax Map: 2S134DD
Tax Lot: 500
Lot:
Block:
Subdivision:
Street of Well: 10800 SW TONQUIN RD, SHERWOOD
WM District: 22
Surface Elev: 265.96 FT
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 11/13/2024
Completed Date: 11/13/2024
Drill Method: Rotary Air
Depth of Completed Well: 0.00
Est. Depth Drilled: 380.00
Special Standards:
Seal Placed Method: OTHER - PUMPED AT BOTTOM
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
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite 0.007.003.003.00
2Cement with 5% Bentonite7.00380.0059.0045.00
Abandonment Log
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Casing/Liner
Temporary Casing
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Perforations
Screens
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Well Test
Temperature:
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
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Analysis
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Static Water Level
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Static Water Level
Depth First Water:
Pre-Static Water Level: 104.00
Pre-Static Water Level Date: 11/13/2024
Post-Static Water Level:
Post-Static Water Level Date:
Static Water Level
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Lithology
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Material
RowFromToMaterialStatic Water Level
10.00380.00ABANDONMENT ONLY 
Well Constructor
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Bonded Driller Name: CHRISTEN BLAND
Bonded Driller Company: SKYLES DRILLING, INC
Bonded Driller Number: 2006
Bonded Date Signed: 11/15/2024
Unbonded Name: MELONUK,JUSTIN
Unbonded Company: SKYLES DRILLING INC
Unbonded Number: 1884
Unbonded Date Signed: 11/15/2024
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Comments
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Comments
Cement reported in original seal, location & amount unknown
Documents
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TitleDocument TypeSourceDownload Image
WASH 82221WELL REPORTDRILLERImage