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WELL CVfNER AND ADDRESS <br />WELL LOCATION <br />MILLER'B SIGNATURE <br />SECTION <br />BLOCK <br />W� RKORD <br />VILLAGE bF ORONO <br />CRYSTAL MAY. MINN. <br />MILLING COMPANY ADDRESS TELEPHONE <br />�111 <br />SIZE OF WELI -INCHES <br />�) r <br />WELL DEPTH l- l _FEET <br />CAGING DEPTH ' 7 FEET <br />WATER LEVEL n FEET <br />DRAW DOWN FEET AT GPM <br />CAPACITY GALLONS PER/HIS. <br />OEIRH OF IMPERVIOUS FORMATION- 2 -7 FEET CASED WITH <br />SCREEN FEET <br />MAKE AND TYPE MATERIAL: <br />0 <br />INCHES/BY-INCHES WELDED JOINT <br />SCREWED JOINT, <br />(OVER) <br />KIND OR FORMATION <br />COLOR <br />STARTED <br />DEPTH <br />ENOED <br />DEPTH <br />THICKNESS <br />or <br />►ORMATION <br />REMARKS <br />c ' <br />13 <br />164, <br />3_ f <br />.......................... T-11- <br />EXTERIOR SPACE AROUND CASING SEALED WITH: CEMENT GROUT FUDDLED CLAY OTHER <br />DISINFECTANT USEO-- <br />HOUND LEFT IN WELL <br />(OVER) <br />