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WELL LOCATION <br />NPOSUMA DWARF MIR Of HEALTH rwrrvwawfA vnR.1%m rsct.c rR.. <br />WELL RECORD 548561 <br />PouMy 1" 4 <br />i tp=*pin <br />MWtrlesah s"U" Cht>p r tax <br />Town" Norm <br />C�ocu) <br />TO"f*V No, <br />117 <br />Renee No. <br />Section No. Frachm <br />l 4 V. <br />WELL DEPTH (oompMlw) <br />n <br />Dell Work COM~ <br />like rMJl Skeet Address end City of WN Laeebon or Fin Number <br />DRILLING METHOD <br />- <br />❑ Cebte Tod t I Oman ❑ Due <br />❑ AuW rl Raery N .IMled <br />❑ H' <br />— <br />Brow emcl krcaMon a in section rid saw "x SMk"ch rnaip of wepla�rolyc.uon <br />_ --- <br />DRILLING FLUID <br />lir �t.7 <br />K roedi w4 tetildrt : <br />1 _♦ L_ .J` <br />r <br />_ i _ _ _ _ _ i' <br />yy r t E --- <br />T❑ <br />' i M.• wi <br />' <br />USE <br />kOOrt'•eec ❑ Mwww" <br />U Irtipason o f>,Ibke RerrreOW <br />O TM WN ❑ oewalerr,+o 0 <br />CASING onrn. Shoo? ❑ Yes n No <br />NOTE DIAM. <br />-;- ; - -.- 1 • <br />❑ Si" 0 Tlreoded 011111i'' <br />I'—�— 1 Lk <br />cl,Pntic ❑ <br />CASING DIAMETER WEIGHT <br />kis Io bsAL <br />— in, to R. beJR. <br />_ — in. so . R. EaIR. <br />/ .i ( R. <br />t:r <br />_ in. b _ R <br />PROPERTY OWNER'S NAME <br />. cily F:ic:e7; cram <br />MoWg edbMe M d owl wen properly wdresskldealsd above. <br />014; ierr "hire Lane <br />SCREEN OPEN HOLE <br />Me" JO(jn�an hen ILIO R. <br />Type Din". _ <br />Solbetwean Iti-- R.era Ob w. FITT1t•IiB: <br />STATICWATER LEVEL <br />F'. - , R. 4,odie ❑ above 4nd suaeoe Dots nieeoiaed �" %" 1 <br />GEOLOGICAL MATERIALS <br />COLOR <br />HARDNEMATESS S IAL OF <br />FROM <br />TO <br />PUMPING LEVEL (below W4 Kv%=) <br />Clay <br />Blase. <br />�; <br />(' <br />: ' <br />f 1 — R. aflar l e, hrL PLO 0 ?t? pp.m. <br />WELL HEAD COMPLETION <br />clay <br />Yel lcrw <br />} <br />j ' <br />`-. ' <br />p Pekue adeps r manufackxer P, n i t r�•� r t P t- IModel <br />O Cas" Piowdm (112 in. sboiiio Woft <br />Clay <br />GROUTING INFORMATION <br />Wel prgaw? [),Yes n No <br />.x'771C( ar Gravel'i <br />i11 <br />GrowMetwiel O Neel cement �B"101W' - <br />" (I b —30 R. O yds. Gt- Ops <br />from 10 R. ❑ yds O Ops <br />from to R. O yds. O bops <br />NEAREST KNOWN SOURrE OF CONTAMINATION <br />Was OrakMeCleO upon oonpie0on? d Ves O No <br />PUMP <br />NotinsteMed DalenaYNd_ �rri—� <br />Mowraclum is rune <br />Model rkariber A HP Valle <br />LNVM of drop pipe . R. capeery <br />Preewe Tar* Capecey <br />Type: M Subrnersrde LS L.S. Turbine Cl Rsaproccatirrp 0 Jet U <br />ABANDONED WELLS <br />Does property he" any nol m use and not seated well(s)? n Yea Q_ No <br />WELL CONTRACTOR CERTIFICATION <br />This wee was drilled under my supervision and in accordance with Minnesda Rules. Ctrepla arts. <br />The vilormation conitaered m Ills report is nue to die haat a my knmWpe. <br />Lmvanneeded <br />L! t, :': Ci;riay:u J, Lulidalz ou. a <br />REMARKS, ELEVATION, SOURCE OF DATA, etc. <br />L Nrrw Lie. or Reg. No. <br />jut 2 e 1995 <br />_ <br />i �I <br />-� <br />- AWnorrred — <br />Aspreenaahve � yture �, <br />Nome or ower neo <br />ea (I•.,r. ,1,2) <br />LOCAL COPY 15485611Hlol�ee <br />