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11i v <br />or Stem Adirer and City <br />STATE OF MIIHNZSOTA DUARTMENT OF HEALTH <br />WATEN WELL RECORD MINNESOTA UNIQUE WELL NO <br />Mr.autak Srhao 1564 01 OR f Wak, Seaq+e <br />SWIM No Frartron a WELL DEPT11(o iso"adl ir <br />Y <br />AM,tw Name <br />-r- <br />1 <br />, , <br />ute,lrr <br />IS <br />, <br />La Flamm <br />2. POMETY OWNER'S NAMt <br />in <br />3 f C' Fbmj� t Arn 1,ina <br />F <br />J <br />3 FORMATION LOG <br />COLOR <br />He �u.rrr <br />JV <br />Ir.— <br />F:IEVATNtN ?I11'RLI. (B DATA rti <br />race/ a ,s.W i <br />LOCAL CONY <br />map <br />FROM I T( <br />)awNG METHOD <br />10 Calk told 413 Re -- <br />20 1"10. roll (' j2AAlr <br />A&Xotwy I ff, <br />426520 <br />1--•:-e.0 <br />orin," Ins Dq <br />1 l0 — <br />7 US& t,,.. Utt 1 y 1 <br />..- <br />IODomestnc 40Mmtlonrtg IDRIopump <br />20krtlplron 5CIPuMr 901Muory <br />30Test Well `LJ 60Muntol"M ,- 1g1Cmtuueo'i <br />70 Air Condnnrlwr 110 <br />6 CASING r_.-..--- ..'—.. - <br />HOLE DIAM. <br />HWIfT: Abooe/hrbw <br />IrO+ack pThIN%!d <br />Sudwr It <br />20 Gal. 50 weMld f <br />Dr., til,or! YesQ_ No— <br />l0 ram. 60 <br />lu II Weight 1.L•�Lla>L_. Ih, rll. <br />Jn. lo_1I1. <br />Wrobt the r11, <br />ten- to�Jl. <br />Weight The <br />_in toJJI. <br />9 <br />Or ,pins Ink <br />altiCItEE glkjoi"� <br />Me - <br />'S. <br />Inar, 1t m <br />_ It. <br />TyR .lt sr f el1 A %t.1 _— <br />SlouCrauae_ III 1�r,Rlh <br />ae <br />L <br />Net leween —>� tl II and _.1Lti. f1TT <br />INGS' <br />It Mow 0 abaye Date Messand-- <br />lard strtare <br />11 PIMPING LEVEL Itolo- land .urfaal <br />r tr <br />11 alley hra pwnpuy ._. _. Rpm. <br />filer hrs pumping __ ____ _- Rpm. <br />12 HEAD WELL COMPLETION <br />m P,Iless adapler manulaourer - j*j i L - W;I-- madrl'--_---- <br />20 Halmenl dfan )p At least 12" abure gn,und <br />40 Plato. caarng poenum.___-- _ <br />I., WELL GROUTED' <br />J19 Yrs ❑ Nn <br />ID Neat Cement 20 llrntrn,Ir ckf�u <br />In,m --_-.-_lu _ (I m Inks _-_---. <br />14 NEAREST S(HIRCES OF POSSMLE CONTAMINATION <br />--_ _.._Het dtreettm type <br />Nrll dninfn led up,m iumplM.w,' (Wes ❑ No <br />� <br />1-m oAled _ um.a.. Aafi______ _ ____-- _. ❑ Nut installed <br />M(drl number HP <br />p—. <br />I� *1 h ,e drug pp —. It spawn, 1L Spin <br />Mai".. d dmp ppr 1" GRIM pipe - - - - - - <br />Type )I Submerrlk :O L.S Tarlttte 50 Rmpn.l,ng <br />MJet 40 Lentrdutpl 60 - - <br />16 EXIS1INt. WT.LLs <br />Unuaed .ell m poprty' O Yes Oh., <br />Abandoned 0 14rmanent ❑ lemporan D Nut ,r.M <br />In WATER WELL CONTRALIORNCERTIFICATION <br />1'h,s well was drtlM urder m,I tunsd.t.rn and this rrprt ,% troy to ttnr best d my <br />krn.lrillp and belief <br />1[ <br />Ix..rr Ar.rwess . ar••77 Luets <br />Add. _15314 111,17�f ---- <br />Sltnel_- _ _-_ '' 1_ ILtr <br />�u,h.—M Rrpearnutn, <br />tir/ri'�S.T-44 <br />T' a�i r . rJ4r <br />S r 7a pM <br />r, n arf <br />HE U121C, 1Q ,pies Iu-d5r !/n yRR1 <br />426520 <br />