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�i a i t ur n i nntso i n �rac i�tn r oF FiEALTH <br /> ABANDONED MELL RECORD <br /> �. �ourcoM of wcu M�.,€:eian�NrQnoE kn,�r,�,)N0. <br /> `°""`y """ Henne in <br /> Tounsnl0 N�u� Tornsntp Nueb�r 0.enge Nunber Section No. Fractlon �. MELL DEVTN (copl�t�d) O�t� 5��1�E <br /> Wayzata 117 ;� 23 °� 17 NW �',sl� ��� rc. �l a� l �v <br /> r no s y <br /> Nu�rrfcal Strt�t Address �nd City ot M�11 Loc�tion or D1st�nc� fro� Ro�d 5. ILLING METH00 (if known) <br /> Interstttion <br /> Cabl� tool 1�lyr�n� 7[]Or1v�n lq]Dug <br /> 3315 Crystal �3ay Road Wayzata, N�V. 55391 �,�,,,,, q� �A1r epe�rya ��p <br /> Shor exact loc�tton of wll <br /> �Not�ry 60 JKUd �Powtr Aug�r <br /> (tn settlon grld rith •X') Sk�tth �yp of w�ll lotatl0n 6. OBSTRUCTIONS <br /> N n/ w„ cescn�caa�$( •: ❑ No <br /> _ � _ _ : ._ _. Obstructions n1(evid�T�s �No If obstructtons c�nnot De <br /> � nwr�d, contut IDN <br /> M - - - • - - -I- - - E ' �...�,�9. <br /> :_ : :_ : T '. E <br /> ' y,R' � ( ���a/ 1�Qy ��' �Dorstic �Mpnttoriny �FNat loop <br /> . : I 2[�IrMgatlon 5�Pubite � Industry <br /> ••:. . _ �.. _.�.. _. .. � <br /> 3p r.:c wii 6p w����p.t iap w�..rc�.i <br /> �----1 .iL---� •_�J� 7[]Atr Lond1t1oninq 11� <br /> 2. PRODERTY OMNER'S NAME i�n111nq Address 1f at!tereni Cha.^. S, S kG(,) ��l <br /> property addnss lndtuted aDov� �Bl�ck �wnn�� 7Q <br /> Ronald Burger SAME ��.,�, �,�,a, <br /> �fl�sttc 60 541n1�ss SU�1 <br /> HARONESS OF <br /> 3. FORMIITION LOG COLOR FORMATION fROM TO �°• � 2 8 ft. <br /> If not known, tndicate for�ytlon loq fro� ntr w�ll or n��rby w�ll. 1e. W ft. <br /> �Tlft 0 32� 9. SCREEN <br /> [�s�r..�w r.i� r,�o. 28 re. w32 re. <br /> (If knorn) <br /> ❑Op�n No1� Ieo�_ft. to_ ft. <br /> 10. STATIC YATER LEY[L <br /> � ft. b�lor �]sbovo C� <br /> 1•na �u Wu w.sund ✓ �c <br /> 11. YELINEAD COIilETION <br /> 10 P1tl�tf Adapq� �Found lurt�d <br /> 2�B�sNwnt otfs�t � <br /> �W11 P1t <br /> 16. REMARKS. ELEVATION. SOURCE OF DATA - CASIN6S REMOVEO, CASIN6S PERFOMTED, ETC. <br /> 12. 1GR�,O�UTIN6 INFORINTION <br /> y�N��t Cwnt �B�ntoniq � <br /> Graut 3" Well Approx. 32' Deep r� <br /> Grout yt�rt�l irow�to� ft, cu. yds <br /> 2 Bags Cement <br /> 4 Lbs. Bentonite — — <br /> 2 Men, Labor, Rig and Cement Grout PLunp 1�. NEAREST SWRCES Of CONTAMINATiON <br /> _ t��� dtrectlon typi <br /> IN11 dlsinfect�d b�fon s�a11nq7 �Y�f <br /> 14. PUlIV �Re�oved �Not Pns�nt <br /> >'� <br /> Typ�: 1[I Sub�rnlpl� ��.5. TuM1n� �R�clproc�ting <br /> �J�t �GntMfuqal 5� <br /> 15. EXISTING MELLS (pl��f� sk�tcb lxatlous of �bandon�d and <br /> aettv� �wlls tn r�rks s�e on or on D�ck.) <br /> Other unuf�d r�lt(s) On proptrtyT �Tts No <br /> ADandon�d: �V�ryMnt �Twporary � t aled <br /> 17. WTER V1ELL CONTRACTORS CEIt7IFiCATION <br /> TAis w�ll was s��led und�r wy jurisdictton �nd thls report <br /> is tru� to tM O�st ot �ay knarl�dq� and Dtlief. <br /> DON STODOLA WELL DRILLING CO. , INC. <br /> L1c�nst� 6uttn�ss Nur Ltcens• Na.,7172 <br /> L <br /> Addr�st1530 inneto a, . 45 <br /> Styn Wt� � — <br /> _ Mark Sr ol a o.t. 5-24-90 <br /> OFFiCIAI ABANOONED �ELL RECORD (May b� us�d for irop�rty Transt�r) Nair o1 Drtil�r <br /> IMPGRTAM!': Plld II�IT9 Dd6D <br />