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WELL OWNER AND ADDRESS <br />rWELL RECORDSI M 7 <br />WELL LOCATION SEPION {.OT/ a CK VILLAGE OF ORONO <br />SD GI � �fiA f. 4 CRYSTAL SAY. MINN. <br />DRILLER'• SIGNATURE oa Cs'1L "C /�DATVVVE�E PERMIT NUMBER <br />,0& - po <br />RILLIN OMPA DRESS TELEPHONE <br />SIZE OF WELL ! INCHES <br />WELL DEPTH_ _FEET <br />CASING DEPTH aA Z./ _FEET <br />WATER LEVEL—�D _FECT <br />DRAW DOWN ON a FEET AT 440 GPM <br />CAPACITY GALLONS AZIF 40 C3 —PER/HR. <br />DEPTH OF IMPERVIOUS FORMATION __ __ FEET Ct SED WITH <br />SCREEN FEET INCHES/BY --INCHES WELDED JOINT ❑ <br />MAKE AND TYPE MATERIAL: SCREWED JOINT,R' <br />ARKS: <br />(OVER) <br />. • <br />KIND OF <br />. <br />OF <br />_ <br />IF�� <br />• <br />/ ILA. i. <br />_ ��r • <br />EXTERIOR SPACE AROUND CASING S ALED WITH ❑ CEMENT GROUT ;?L_PUDDLED CLAY 0 OTHER <br />DISINFECTANT US <br />HOURS LEFT IN WELL— — <br />(OVER) <br />