Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: DESC 52939 View Log
Well Label: 36903
Start Card: 126273
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 04/06/2000
Land Owner
Name:
Company: JIVANJEE ARCHITECT; SAJ
Address: 9055 SW BEAVERTON HILLSDALE HWY

PORTLAND, OR 97225
Location
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Latitude/Longitude
Latitude:
Longitude:
Horiz. Error: ft.
Location
County: DESC
TRSQQ: WM22.00S10.00E3NWNW
Tax Map:
Tax Lot: 301
Lot:
Block:
Subdivision:
Street of Well: 16137 BURGESS RD, LA PINE
WM District: 11
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 04/06/2000
Completed Date: 04/06/2000
Drill Method: Cable
Depth of Completed Well: 28.00
Est. Depth Drilled: 28.00
Special Standards:
Seal Placed Method: C
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)
110.000.0018.00
26.0018.0028.00
Seal
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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: 43 F
Lab Analysis:
Lab Analysis Done By:
Total Dissolved Solids:
Water Quality Concerns:
Well Test
Analysis
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Static Water Level
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Static Water Level
Depth First Water: 12.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 12.00
Post-Static Water Level Date: 04/06/2000
Static Water Level
Lithology
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Materal
RowFromToMaterialStatic Water Level
10.0012.00PUMICE GRAVEL CLAY12.00
212.0028.00CINDERS SAND 
Well Constructor
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Bonded Driller Name: DAVID PALMER
Bonded Driller Company: PALMERS WELL DRILLING
Bonded Driller Number: 1559
Bonded Date Signed: 04/15/2000
Unbonded Name:
Unbonded Company:
Unbonded Number:
Unbonded Date Signed:
Other Name:
Other Affiliation:
Other License Nbr:
Geologist Engineer:
Geologist Date Signed:
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Documents
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TitleDocument TypeSourceDownload Image
DESC 52939WELL REPORTDRILLERImage