Well Information
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Identification
Type of Report: Water Well
Type of Work: NEW
Well Report: JACK 11901 View Log Groundwater Site
Well Label:
Start Card:
Original Report:
Owner Well Nbr:
Company Job Nbr:
Primary Use: DOMESTIC
Complete Date: 09/03/1986
Land Owner
Name: ROBERT JACOBSON
Company:
Address: 6351 HILLCREST ROAD

MEDFORD, OR 97501
Location
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Latitude/Longitude
Latitude: 42.32940471
Longitude: -122.75898019
Horiz. Error: 500.00 ft.
Location
County: JACK
TRSQQ: WM37.00S1.00W25NENE
Tax Map:
Tax Lot: 200
Lot:
Block:
Subdivision:
Street of Well: 6351 HILLCREST ROAD
WM District: 13
Surface Elev:
Well Report Mapping Tool
Tax Lots

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Well Construction
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Construction
Start Date:
Completed Date: 09/03/1986
Drill Method:
Depth of Completed Well: 227.00
Est. Depth Drilled: 227.00
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
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: 0.00
Pre-Static Water Level:
Pre-Static Water Level Date:
Post-Static Water Level: 120.00
Post-Static Water Level Date: 09/03/1986
Static Water Level
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Material
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Well Constructor
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Bonded Driller Name: ROANLD J MARTINSON
Bonded Driller Company: MARTINSON WELL DRILLING INC.
Bonded Driller Number: 999
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 11901WELL REPORTDRILLERImage