Well Log Sections
 
Well Location Section
County:
Township:
Orig. Owner's Last Name:
Orig. Owner's First Name:
Street Address of
Well Location:
City:
Zip Code:
Permit Number:
Section Number:
Lot Number:
Use of Well:
Geographic Well
Information Section

Latitude:

Longitude:
Zone Code:
Source of Above Coordinates:
Datum Plane:
Elevation of Well:
Accuracy:
Elevation Source:
Optional Written
Description of Well Location:
Well Test Section
Dry Hole?
Pre-pumping Static Level:
Date of Test:
Static Level Measured from:
Test Method Used:
Test Rate:
Duration of Test:
Feet of Drawdown:
Sustainable Yield:
Flowing Well Indicator:
Comments:
Pump/Pitless Section
Type of Pump:
Capacity:
Pump Set At:
Installed by:
Construction Details Section
Drilling Method:
1 Borehole Diameter:
1 Borehole Depth:
1 Casing Diameter:
1 Casing Length:
1 Casing Thickness:
Casing Height Above Ground:
Screen Section
Diameter:
Slot Size:
Screen Length:
Screen Type:
Material of Screen:
Screen Set Between From:
Screen Set Between To:
Gravel Pack
(filter pack) Section
Material Size:
Volume/Weight Used:
Installation Method:
Depth: Placed From:
Depth Placed To:
Grout Section
Material:
Volume/Weight Used:
Installation Method:
Depth: Placed From:
Depth Placed To:
Drilling Log Section
Color:
Texture:
Formation:
To: and From:
Add Another Row:
Aquifer Type:
Water Encountered at:
Total Depth of Well:
Date of Well Completion:
Submitting and Validation
of Well Log