I I (k A T ION OI %1 11 I
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<br />Ilolam, .nd ❑aUw
<br />SMrW Iain Irk MKw rk .rtl « ktlmn
<br />M
<br />m
<br />�— 1 mi L
<br />2 /OIIMATION LOT:
<br />to l soil
<br />yellow clay
<br />blue clay
<br />gray sand
<br />E
<br />T
<br />1
<br />STATE III MINNIS"TA Off Ak TMLNT III MALIN
<br />WATER WELL RECORD
<br />NrnNan/I SIa1Ylr/ })6A III III
<br />nrnMW NumMt Mangr Numn« 41 b• + Nn 1 r.. bun 1. pMOPt l
<br />N F r W r �
<br />m SUtr, Add,. , and Cd, of Well 4k.tmn Add�ir
<br />W.L Numn«
<br />Los Numb«
<br />( OL(Ht
<br />U.. 6 n«vrM .11wsf. It nal.,led
<br />le REMARKS. P.I.F.VATION SOURCE OP DATA. W
<br />SLr1,N m.P of -N1 I.M.. S a WELL
<br />SO - 3 IR
<br />L CITY OF OR
<br />L,., , --AL COPY
<br />/NOM I TO
<br />cz 6
<br />2 76
<br />26 1y7 ly7
<br />It F 207
<br />U
<br />g. USE
<br />iNim,tlK
<br />l0 irnpum
<br />M/MNf'SO iA L'NtOU[ M,f/,/.
<br />"S.0111,_ 190309
<br />aJefftfq AndesteM
<br />1 375 Q. Ad
<br />I .t.d) _ f1EGrwtliM
<br />207 -- 5-27 �
<br />401tmm 7011a1•ra IOOU.g
<br />SOA, &08..d 110_
<br />401.U,d $OP,—,, A.g.r
<br />AD P.mk S.PPIP TO Ind..NP
<br />SDMumaP.1 gOCmmmgrruf
<br />60 A., rnnau.,nlq o0
<br />SING
<br />,1CCAILJ
<br />X
<br />HEIGHT:
<br />A6on/BrdW
<br />HOLE DIAM
<br />IY«L
<br />6UTer,adrd
<br />-
<br />SOWNdod
<br />-' -I
<br />-
<br />h.
<br />Y
<br />.
<br />�
<br />64
<br />I
<br />Me
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<br />1
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<br />H. Wr1g1111�ier"
<br />Ieg.Kt.
<br />M. to
<br />h. W.IgM
<br />�— 1 mi L
<br />2 /OIIMATION LOT:
<br />to l soil
<br />yellow clay
<br />blue clay
<br />gray sand
<br />E
<br />T
<br />1
<br />STATE III MINNIS"TA Off Ak TMLNT III MALIN
<br />WATER WELL RECORD
<br />NrnNan/I SIa1Ylr/ })6A III III
<br />nrnMW NumMt Mangr Numn« 41 b• + Nn 1 r.. bun 1. pMOPt l
<br />N F r W r �
<br />m SUtr, Add,. , and Cd, of Well 4k.tmn Add�ir
<br />W.L Numn«
<br />Los Numb«
<br />( OL(Ht
<br />U.. 6 n«vrM .11wsf. It nal.,led
<br />le REMARKS. P.I.F.VATION SOURCE OP DATA. W
<br />SLr1,N m.P of -N1 I.M.. S a WELL
<br />SO - 3 IR
<br />L CITY OF OR
<br />L,., , --AL COPY
<br />/NOM I TO
<br />cz 6
<br />2 76
<br />26 1y7 ly7
<br />It F 207
<br />U
<br />g. USE
<br />iNim,tlK
<br />l0 irnpum
<br />M/MNf'SO iA L'NtOU[ M,f/,/.
<br />"S.0111,_ 190309
<br />aJefftfq AndesteM
<br />1 375 Q. Ad
<br />I .t.d) _ f1EGrwtliM
<br />207 -- 5-27 �
<br />401tmm 7011a1•ra IOOU.g
<br />SOA, &08..d 110_
<br />401.U,d $OP,—,, A.g.r
<br />AD P.mk S.PPIP TO Ind..NP
<br />SDMumaP.1 gOCmmmgrruf
<br />60 A., rnnau.,nlq o0
<br />SING
<br />,1CCAILJ
<br />X
<br />HEIGHT:
<br />A6on/BrdW
<br />HOLE DIAM
<br />IY«L
<br />6UTer,adrd
<br />}0(:d.
<br />SOWNdod
<br />Swf«.
<br />h.
<br />Y
<br />)❑ %egtl�
<br />64
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<br />ft Ic,
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<br />r.
<br />�(��J
<br />207
<br />FITTINGS
<br />$.I 6rT.em
<br />fl. and
<br />(1.
<br />fl. and
<br />fl.
<br />.. STAIlt WAILK LL.tL a
<br />lead wtf«e
<br />to. PUMPING LEV LL (6d.. land (wlaca
<br />ft. Nb, Nn Pumping 100
<br />it Ow Nn. Pumping g P.m.
<br />I1. WILLHLAD(OMPLLTION (..�
<br />PIUwa ".plat m.ul.r,unt,ll��iQr nrnJel
<br />}r0 BaMm.m offMl l0 A t Iwt 12 .b.r. p ane
<br />tit WELL GROUTED, ��
<br />❑Y« LAW.
<br />1� ]NUI frmrnl }j]Nrnlumrr l��
<br />finui mWrl.I Irm II t'u 1'da
<br />IJ. NEAREST SOURCES Or POSSIBLE CONTAMINATION
<br />Not d.«Uon
<br />wrtl dwnlrcted .poo armp«mn! Y'r N••']
<br />14. PUMP
<br />ONr 1MtNNd ❑ N« IMsgNed
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<br />Mndrl NumM Ice' HP. _Volta
<br />Lrn(In of drnP Ploo , N. (•pure �— 1� —• J'_S P.
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<br />irp l
<br />I10L.E.TIMYr TON«IprKNrq
<br />1Dlrl ADlrnln(ugr 60
<br />16 WATER WILL CUNTNACtOItSCENTIFICATIOM
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