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STATE OF MINNESOTA OEPARTlENT OF HEALTH <br /> ABANDONED I�LL RECORD <br /> � ��T�� p�y��� MINNESOTA UNIQUE MELL N0. � <br /> (leev� pl�nk 11 nOt known) <br /> County Nawe <br /> To�+nshiD Na� T Sn10 Numb�r R�nq� NuaD�r Section No. FryCtla�of 4 �. MELL DEPTN (capl�ted) Oate s��l�d <br /> N <br /> �0110 11.7 Sr 23 �� �S .S'�' � � /L ,s ft. /� /r� (/ O <br /> Nuaertul Street Address and City oI U�11 louNon or Otstanc� fro� Road 5. DRILLlNG METN00 (if knovn) <br /> Int�rs�ctton 1�]C�bla tool �p�wrs� 7❑Dr1v�n 1�Oug <br /> �-. <br /> 175 Landmark I?rive Orono, Mn. �D"o>>� �oa sp��� ep eor.a ty] <br /> Show exact loc�tton of weit 30 Rot�ry 60 Jttt�d �Vowr Auqer <br /> (tn satl0n qrid rttn '%') Sk�ttn w�p of wll loutton 6. OBSTRUCTIONS <br /> N W I 1 obstruttW�Y�s � No <br /> _ � _ ,_ _, �a ODstructtoes rwortd�f Y�s [�No If o0structtons unnot bt <br /> , • i � � �. n�oved, Contatt lIDN <br /> w _ : : : .I- - - E''`�N uo (�\ e.fon :..,,�y. <br /> , . , �. _7' n �' <br /> , , , , � 1. USE <br /> - - � ' ' y�. � �� 1�OoMstic �IbntcoHnq �IN�t Loop <br /> _' <br /> , • � . I 2�] [rrly�tlon �►ublte �Industry <br /> ..�. . ..... _.� . .... <br /> 1 C� ap T.:c w.ii ep��c�w� iap co.���+.i <br /> �_1 SV__� 1[]A1r Condttiontng 1][� <br /> 2. PROPERTY OYNER'S NAME Mailiny Address if dlfferent than B. CASIN6(5) <br /> property addr�ss indlcated aDove 1�Bluk IQ TAnad�d 7[] <br /> �e Harren 2Q Wlv• S[�W1d�d <br /> 3�Piastic EQ SLalnl�ss Sq�l <br /> MARDNESS Of , ? <br /> �. FORMNT[ON LOG COLOR FORINTION FROM TO — 1n• to /O l tt. <br /> If not know�, indfcate fone�ttOn log fron� n�w wll or n��rby rell. 1n. LO It. <br /> ��� 9. SCREEN <br /> �Scr��n�d w�ll Iro*�tt. t0 fOs ft. <br /> , (If knovm) <br /> �Op�n Nol• fro��It. te� ft. ' <br /> 10. STAT C YATER LEYEL <br /> �f, ft.�Nlp+ ��Oow c <br /> l+nd suMau O�b 1Masund �t� 7 a� <br /> I1. MELLNEAO CWWlETION <br /> 10 iitlass AdaPt�� �Fou�d lurt�d <br /> �Basa�nt ofts�t 9� <br /> �Well Ptt <br /> 16. IiEl41RKS. ELEVATION, SOUNCE Of pATA - CASINGS aEMOVED, CASINGS PEBFOIGTED. ETC. <br /> 12. GROUT[NG INFORlMT[ON <br /> Grout 3" Wel l l05' Deep Approx. �""` c'"'"` �°inton1i � <br /> 4 Bags �£II12Tlt Grout �at�r1�1 iroejGsto L'" tt. cu. yds <br /> I1 Bag �3entonite — — <br /> 2 Hours I..abor, 2 rlen & Grout P�np 13. NEAREST SOURCES OF CONTAMINAtION <br /> _ t�et direction type <br /> Yell alsinf�ctM ONon s��itnqt (�Y�s <br /> 1�. PUMP ❑Reeawd �Not Pr�s�et <br /> Type: 1[1 SuDwrsibl� �L.S. Turpin� �ReclDrocating <br /> 2[�J�t �CtntNfugal 6� <br /> 15. EXISTIN6 WELIS (Pl�as� tk�te� touttons af abandoned and <br /> �etiv� wlls in n��ts seetton or on Oaek.) <br /> Othfr unufed rell(f) On prop�rtyT �T�f �No <br /> AOanOoned: �V�nan�nt �TaiyOrary �Not s��l�d <br /> 1�. WTEN YELL CONTRACTORS CEIlTIfiUTION <br /> Thls �wil ws se�led undlr�y JuNsdtetton �ed tMf nport <br /> is tru� to the Oest of �y knowi�dq� and D�if�f, <br /> , ' <br /> U censp lustn�ss Nw liC�ns No. <br /> �wa�.:, 345 <br /> Slyn� '+�' D�t� <br /> i�rk St�lz °iu <br /> iFIC1Al ABANOOMED YELL 4ECON0 (!4y be ustd for Vrop�rty Trantfer) N�r of Or111�r <br /> INPQTIIIT r llli MZ37 DEdD <br />