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WELL OWNER AND ADDRESS <br />�'.c�...`�.� WELL RECORD <br />WELL OCATION SECTION LOT @LOCK VILLAGE OF ORONO <br />/�'J �� :? r— /Q I CRYSTAL NAY. MINN. <br />DRILL` R'S SIGNATURE DATE PERMIT NUMDER <br />DRILLING COMPANY ADDRESS TELEPHONE <br />SIZE OF WELL INCHES WATER LEVEL R� FtR <br />�f 0 Of <br />WELL DEPTH ---FEET DRAW DOWN-10 FEET AT GPM <br />CASING DEPTH_ .-FEET <br />CAPACITY GALLONS -PER/HR. <br />DEPTH OF IMPERVIOUS FORMATION / %/ / FEET CASED WITH <br />SCREEN !A FEET INCHES/my 41 INCHES WELDED JOINT 0 <br />MAKE AND TYPE MATERIAL: SCREWED JOINT' <br />(OVER) <br />KIND OF FORMATION <br />COLOR <br />STARTED <br />DEPTH <br />ENDED <br />DEPTH <br />TMIGIN[ss <br />OF <br />FORMATION <br />REMAhKS <br />171 <br />ly//7) <br />Al <br />EXTERIOR $FACE AROUND CASINO SEALED WITH: ❑ CEMENT GROUT FUDDLED CLAY 0 OTHER <br />DISINFECTANT USED <br />HOURS LEFT IN WEL' <br />(OVER) <br />