HomeMy WebLinkAbout1988 - well water analysis ti
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7444C eerf a jt e'b , lac.
617 13th AVE. SO. • HOPKINS, MINNESOTA 5534:1 • 93S aii6
Stodola Well Drilling June 2, 1988
15306 Highway 7
Minnetonka, Mn. 55345
REPORT OF WATER ANALYSIS
(received from you\ May 26, 1988
Our laboratory reports these analytical results, determined on a sample J on
s
Well water
from
Blake Bichanick
332 W. Lake St.
Long Lake, Mn.
Unique Well # 441066
Bacteria (Coliform group) less than 1/100 ml
Nitrate nitrogen 0.0 mg/1
Conductivity, Specific 540. micromhos
The results of these tests indicate that this well is producing water
that is free of contamination, is safe for domestic use, and meets
the standards for F.H.A. , V.A. , or conventional loans.
Twin City Water Clinic, Inc.
Bill Van Arsdale
Analytical laboratory Consulting engineer
Water analysis reagents Boiler water chemicals
17.1 parts/million equals 1 0 grain/gallon
A - STATE OF MINNESOTA DEPARTMENT OF HEALTH
1.LOCA1. WATER WELL RECORD MINNESOTA UNIQUE WELL NO. A 4
Canty Nam. i Minnesota Statutes 156A.01-.08 (,-�/or Wafer Sample 1 CI /6 6'l09
Township Name, Township Number Range Number Section No. Fraction 4.WELL DEPTH(completed) Date of Completion
1' or or ,/� .: ,,'/ „4,:1/4�
._t' S H, ”' a".-, ,; k 1,4;,. ft. ., r.t'y cv;
Distance and Direction from Road Intersection or Street Address and City of Well Location 5.DRILLING METHOD
10 Cable tool 40 Reverse 70 Driven 100 Dug
Show exact location of well in section grid with"X." Sketch map of well location. 20 Hollow rod 50 Air 80 Bored 110
N
1 t i Addition Names j .. S: 30 Rotary 60 Jetted 90 Power gauger
t ' ' 6.DRILLING FLUID
IX
�__�_ Block Number �
W 4* ' t E 7.USE
l6Domestic 40 Monitoring 80 Heat Pump
I ' Lot Number 20 Irrigation 50 Public 90 Industry
fe mt. 30 Test Well 60 Municipal 100 Commercial
- —r 1 70 Air Conditioning 110 _
I mile---♦ 8.CASING HOLE DIAM.
2.PROPERTY OWNER'S NAME HEIGHT:Above/Below
t" � 1t]Black ,40 Threaded
k,3' ake 3.Lv.2.ilaf..Yi ct5'. 20Galy. 5❑Welded Surface ft.
esDrive Shoe? YesNo__
Address
33 BlAkti. Lake
g:ireLt 30 Plastic 60
0• 1. " Or(Jnofi Long Lake, MN. in.[o
i ; c ft. Weight t .9_
lbs./ft. _gin. to_ft.
_
3. FORMATION LOG COLOR HARDNESS OF FROM TO in.to ft. Weight lbs./ft. —gin. to_ft.
FORMATION
in.to ft. Weight lbs./ft. _in. to-1t.
‘...:1.:::--:: `>'-+ 9.SCREEN Or open hole
-- from ft.to. ft.
tt Make ''"i , _,
-
rf�; J.::.I Type Z�, .. .( �_+i Dis. sE
Slot/Gauze • -- Lengt f
FITTINGS:
- Set between - •- ft.and 1 ` , ft.
10. STATIC WATER LEVEL
--1- ft.l'}below ❑above Date Measured r -=i:-�-+`r
land surface
11. PUMPING LEVEL(below land surface)
= ft.after • hrs.pumping • _ g.p.m.
..._ ft.after _- - hrs.pumping g.p.m.
12. HEAD WELL COMPLETION
--)IE .7 1f7;Pitless adapter.manufacturer ;?[r-(z -,_^_ _' model
�\/���+j M 20 Basement offset 3f,3`At least 12"above ground
M� V 40 Plastic casing protection
13.WELL GROUTED?
ZO Yes ❑No
1❑Neat Cement 20 Bentonite 10 '-r t�•ai_ pa,-•';r t''-i. f I
Grout material from to ft.cu.yds.
14. NEAREST SOURCES OF POSSIBLE CONTAMINATION
feet direction type
Well disinfected upon completion? l3 Yes 0 No
15. PUMP
Date installed ---t?._ 0 Not installed
Manufacturer's name -
Model number HP - Volts -
Length of drop pipe ft. capacity - g.p.m.
Material of drop pipe '-' ...,f.,-•••:-.•!•-;
o - 1
Type:1C{Submersible 30 L.S.Turbine 50 Reciprocating
20Jet 40 Centrifugal 60
16. EXISTING WELLS
Unused well on property? 0 Yes ❑LNo
Use a second sheet,i/needed Abandoned 0 Permanent 0 Temporary 0 Not sealed
17. REMARKS,ELEVATION,SOURCE OF DATA,etc.
• 18.WATER WELL CONTRACTORS CERTIFICATION
This well was drilled under my jurisdiction and this report is true to the best of my
knowledge and belief.
,""`"_4,1 ,., '-','"'1'.:",:f K t•+i.vY 7 L �t I&n `.+, /7..;,--, -
..,.......�. a
Wire`s-ue"tJi�sInecs`�7�ame `- "F Liceitu Ao`. —
Address �.-. 1:..4 :. y 8 ..E1.:1. I.':
Signed - -Dater'
Authorized Representative - `
__—. • Date -
Name of Driller _ {"
4410667/76�
LOCAL COPY 7/76
HE-01205-(12(Rev.10/851