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STATE OF MIItESMA PffmUmm DEPAArImfW of HEALTH WATER WELL RECORD � mm "O' <br />1. I.DCATIDp DP 19 1 Minnsnntc 9.wes. 1dfA.A1-.C. U. <br />127503 <br />Count, sae: --- rr.rtlm set m Daher Twnehlp .umber %am puler ,.---------- <br />DSSSanes and Direction fTos Road Inte nactloas or ltreet Addras. slab Cltr o Ye � stlMam a. <br />caret !nnllon or call le asetlm geld rqth X. Sketch amp or wll 3odaUm. yELl .1 eoopleted Dime of Co.pletlm — <br />e 7-2243 <br />E�L <br />SCable tml 40 Perene '❑ Drl ran -_ _ IDQ Due -- <br />T 1011ollw, rod %n Air AC: Hand <br />. 5 ai. �� ♦t. 1[XIloterf - 6C] Jetted �0 Pwer AugeT <br />1 t r,� �Doerstlr 40Puh11c S."ly 7v Industry <br />=Q Irrf retl o.m So Air Conditioning °u c—rr1.1 <br />2. rp11111TI011 Ia' --� COIAp ►DRIMTIdI ►IIDp TO If u ^ea �e 11 60 <br />7. ^AS IRIt REIOIT: AOore Ulal <br />e IAM. <br />- --- 'M"sM4bI welded -Urfa" -ft. <br />IN no Blwk 16 Cats. ❑ <br />-----_ - _ 4 In. to n. depth Yelobt---les.ir. <br />saw�3 -. -__In. tc- _- n. depth <br />-_-- --- ---In. tr-_ n. depta Drl se Sh_I Ifes- No <br />or open hole <br />---- _-- —-.---- —._ v,►r _ rrua rt. to ft. <br />- "I1.- kioe_1 ---- DL� <br />to <br />t� f TTIRGSI <br />49 <br />Set betreen It. and � t. <br />n. ,nd <br />a.d II. <br />-- -it.L. ..,,mp shoot, If Isedisd <br />. l :i Ajl.. rYATID,r.—Ia C6 Ii' DATA. sit. <br />LOCAL CO <br />-- <br />_- n. [belw ❑.bore Uate Ilsasu"d--7-2240 <br />end surface <br />KWING ISM. <br />after_--- hrs. pumping_ <br />11. WELL NiAD TWLET103 ---- <br />IM Pftle s adaptor -r, basesent offaet 10 At least 12" eb- <br />12. Yell Rtouud! -------------•�----F_a~ <br />Cu. <br />In last ceasnt :❑bentmlte 7�AmOmmL, --- i <br />_._ Depth: frm rt. to rt. <br />to -_rt• <br />ll. le.rest source of pns.lele eontrlostfon <br />--_-. _.rest dl net/m __---type <br />Ye11 dielnfaeted .yin -mlettm! Tee l00 <br />Date Installed-_ _ -- <br />0.4.t Installed <br />M-facturer'. last 121110111f __ <br />M.d.l 9Wthef-- __---- --- -IIP 3 ':..u_ _ <br />-- --'- Length of drop pipe -A�---- f7. ­,arltr <br />Material nr Nvp pipe_-I*.���:--"-�---.----`---- <br />type: I[Srbaers it,,. <br />In L... :carol.+e 1U list 1protat lnm _7 <br />In Jet :Q Centel fugal _da <br />.-- 1A. VATPR YIS.f. MF,PA-O" tERfInCATI,DI <br />This ee11 see drl ll.d Under m lurm.Alrtlal asA this roport I. true to <br />._ iw her of tY snorted" and heltef. <br />w <br />Authorlted Mpnsentatfre <br />—�wass,nr'-._--t 16 /IM <br />