Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 34196 View Log Groundwater Site
Well Label:
Start Card:
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 10/17/1978
Land Owner
Name: GLENN HOLLISTER
Company:
Address: 7714 KINGSTON CIR

WHITE CITY, OR
Location
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Latitude/Longitude
Latitude: 42.49144572
Longitude: -122.94518431
Horiz. Error: 1000.00 ft.
Location
County: JACK
TRSQQ: WM35.00S2.00W28SESW
Tax Map:
Tax Lot: 1501
Lot:
Block:
Subdivision:
Street of Well: 3000 OLD SAMS VALLEY RD
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 10/17/1978
Completed Date: 10/17/1978
Drill Method: Rotary Air
Depth of Completed Well: 180.00
Est. Depth Drilled: 180.00
Special Standards:
Seal Placed Method: OTHER - 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)
110.000.0022.00
26.0022.00180.00
Seal
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:
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: 138.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 32.00
Post-Static Water Level Date: 10/17/1978
Static Water Level
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Lithology
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Material
RowFromToMaterialStatic Water Level
10.003.00SOIL BROWN 
23.0017.00SANDSTONE BROWN 
317.0032.00SANDSTONE GRAY 
432.0036.00CLAYSTONE GRAY 
536.00180.00SANDSTONE GRAY 
Well Constructor
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Bonded Driller Name: SIG MILKOWSKI
Bonded Driller Company: GRIBBLE WELL DRILLING, INC.
Bonded Driller Number: 705
Bonded Date Signed: 10/17/1978
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 34196WELL REPORTDRILLERImage10/18/1978