Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 728 View Log Groundwater Site
Well Label: 103828
Start Card: 12857
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 09/27/1989
Land Owner
Name: JIM MARTINSON
Company:
Address: PO BOX 1004

SHADY COVE, OR 97539
Location
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Latitude/Longitude
Latitude: 42.60898000
Longitude: -122.82571210
Horiz. Error: 500.00 ft.
Location
County: JACK
TRSQQ: WM34.00S1.00W16SWSE
Tax Map:
Tax Lot: 1700
Lot:
Block:
Subdivision:
Street of Well: NEXT TO 6675 ROGUE RIVER DR
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date: 09/27/1988
Completed Date: 09/27/1989
Drill Method: Rotary Air
Depth of Completed Well: 123.00
Est. Depth Drilled: 123.00
Special Standards:
Seal Placed Method:
Abandonment Start Date:
Abandonment Completed Date:
Backfill
Backfill Placement:
Backfill Material:
Explosives Used:
Explosive Type:
Explosive Amount:
Filter Pack
Filter Pack:
Filter Pack Material:
Filter Pack Size:
Bore Hole
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Seal
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Abandonment Log
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Casing/Liner
RowCasing/LinerDiameter (in)Above Land SurfaceFrom DepthTo (ft)GaugeMaterialWeldGlueThreadShoe
Inside		Shoe
Outside		Shoe
Other		Shoe
Location
99Casing6.00 2.00 38.00 .250 Steel ● 38.00
100Liner4.00 0.00 123.00 160 Plastic ●  
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: 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: 54.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 29.00
Post-Static Water Level Date: 09/27/1989
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: JOAQUIN MEDINA JR
Bonded Driller Company: MEDINA WELL DRILLING
Bonded Driller Number: 1207
Bonded Date Signed:
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 Image
JACK 728WELL REPORTDRILLERImage