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HomeMy WebLinkAbout1994-12-08 Water Well Sealing RecordMwwwsota Well and Borvg 14" OR mORErID LOCATION IA 00*507A DEPARTA1ENT OF HEALTH SOB" No M 61623 cwT Nam• WELL AND BORING SEALING RECORD m—letsota uno- No A&Vw5ofe Stefs "CT1 ne tof F031 of W-sos No Renne in ..a,......,_ — Tow wv Nemo — lbwttsl No JR&W No Section To 11:je~ Isrn b I Dawe Sealed AWcowWr Dab WA Orono 118 23 S 0-< 4V wso" Cowfue"d NMww" Strew Ao*"% a F.o Ws bw and Cay of WcA w Ow.q Locator / tSa 468X Bayside Rd Orono Dep•,B.tweSea" „ OrgnoDpth Setwe Sam beam 01 .N w Od+q Shrkh map d eea or bo.nq SINK Warn L.-,14 Actualf in esaar rd so a tocal.or aMw.q propeAT t.rs .Daft and NAI - s O Apppowntle N r � S.qr Awha ❑ Ulft- ••tff h �— babte aOoM la.td t r �Iti _._ _ .. _ • _ _� , , I CASING TYPE W r r r r r _r •'- •� rte. %J-4 n Rask (-I T4 ❑ Ottw t Screen trim — W .L][= h Open Nob hon M — II ONSTwUCT10N1DEEwISKKL I Obu,KtRll ❑ OeMn ❑ !• ?M w s NAME ton aie p,IVs a pump .. - T1pe d deb.s rexrutron 1Aea.g Adbesf � WN+e++ trvn prspMi adyMt .+dcsMb ah>.+ Of»tructa..Drp.st"arwrv+..A' of ❑m. c/o Edina Reality PUW Wayzata/Lake Htke Office SUB pUA'lO Don Gamble, 1120 E. Wayz Blvd. Mrrw..d ❑"°'° o our. _ cASIIIa GEOLO61CAL YAT1111ALCOIOw POIIIUTION MOI to Dw ~ Dept" Se. n or.rave hotsR Arw%sW space eWsltr prou-r M ttel tvws.r rrd[ab estarretad .ormalron lop hon rr.arbl' Rea a bwvrp � �_ 't'' . Yes .(t . to 1rr h O v4o O res ❑ No O U Anorn Drift J h O ref ONO ❑ res O No O tmw%o.rr n hom to _ h O T. O No ❑ res ONO O l)rwwon - METHOD USED TO SEAL ANNULAR SPACE WMEEN i CASINOS. OR CASINO ANO OOIIE HOLE. - - -- - N. Amm. Spec. IF.., ❑ Am.Aar sr ice protAed rrs" trema• per _ O Cas.." PMwat m aw"osl IT O P0d0raw ❑ Aw--1 It ❑ P*o,. tM ❑ %^..w — GRo1rtTIID IATERu►L 6towq mab..M "tar 60 trom ,�— w w h y.rOt —__ hpf FEIAIIRS. SOURCE Of DATA. dIiICULMS IN MALMO in __._ h sa•*% _-- bop► hum w h prdfbap UNSEALED WELLS IND SOwINOS Garr u seaMd owl w bwrq on prow"' �: res UCENMD OR REGISTERED CONTRACTOR CERTIFICATION This well w boo - two feabd w aao.deree wilt 1Arww.4a Rubs Chsgw A US The .0co"w ". curerrd a M rpwl • true.o M bs.t o." Brow Wpe Don Stodo a Well drilling -ca-, dweg27179Cwwahr An -was Nair Lti. M �. 12-8-94 Aa (//�� Jim Antonson r' rAl r!)VY H b61 f / 3 N.nudMwnSwWV ~at ftvV — r{U,4N"