Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 66413 View Log Groundwater Site
Well Label: 153334
Start Card: 1076269
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 12/10/2024
Land Owner
Name:
Company: JOHN ALAN BECK LIVING TRUST
Address: BOX 1716

JACKSONVILLE, OR 91530
Location
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Latitude/Longitude
Latitude: 42.27988000
Longitude: -122.95649000
Horiz. Error: 99.00 ft.
Location
County: JACK
TRSQQ: WM38.00S2.00W8SENE
Tax Map:
Tax Lot: 100
Lot:
Block:
Subdivision:
Street of Well: NO ASSIGNED ADDRESS. WEST GRIFFIN CREEK RD, MEDFORD, OR 97501
WM District: 13
Surface Elev: 2663.41 FT
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 12/09/2024
Completed Date: 12/10/2024
Drill Method: Rotary Air
Depth of Completed Well: 400.00
Est. Depth Drilled: 400.00
Special Standards:
Seal Placed Method: OTHER - POURED BENTONITE
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)
112.000.0018.00
26.0018.00400.00
Seal
RowMaterialFrom (ft)To (ft)AmountAmount Calc.
1Bentonite Chips0.0018.0017.00 
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: 52 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids: 187.00 ppm
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 350.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 200.00
Post-Static Water Level Date: 12/10/2024
Static Water Level
RowDateFrom(ft)To(ft)SWLEst. Flow RatePSI
112/10/2024350.00360.00200.003.0 
Lithology
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Material
RowFromToMaterialStatic Water Level
10.003.00BROWN CLAY 
23.0010.00BROWN SANDSTONE MED 
310.0018.00GRAY SANDSTONE MED 
418.00350.00GRAY SANDSTONE HARD 
5350.00400.00GRAY SANDSTONE HARD W/ FRACTURES 
Well Constructor
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Bonded Driller Name: BARRY PELKEY
Bonded Driller Company: APPLEGATE WELL DRILLING LLC
Bonded Driller Number: 1648
Bonded Date Signed: 12/30/2024
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
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Documents
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TitleDocument TypeSourceDownload ImageReceived Date
JACK 66413EXEMPT USE MAPDRILLERImage12/30/2024
JACK 66413WELL REPORTDRILLERImage12/30/2024