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Home My WebLink AboutWell info ' { - \ - Jcvin �itc� 1/Vater ��inic, J�ric. � 617 13th Ave So • Hopkins, Minnesota 55343 • (612) 935 - 3556 07/06l1998 Stodola Well Drilling 15306 Hwy 7 Minnetonka MN 55345 938-2111 REPORT OF WATER ANALYSIS ' Lab#: 35270 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 06/30/1998 from the following location: Steinner Kopplelman 1540 Bohns Point Rd. Orono,Mn Unique Well#615552 Coliform Bacteria <1/100 ml Nitrates Nitrogen <1.0 mg/I The results of these tests indicate that this well is producing water that meets the standards for F.H.A., V.A., or conventional loans. This report is an analysis for coliform and nitrate only and does not include anaiysis of Lead and other contaminants. (Uniess as specified by client). , i Water Clinic, Inc. Bill A sd e Analyical laboratory ConaWtiqg F.qgineer Waler Analysis Reagenls f�uiler Water Chenucsls � Lab CeAification k 027-053-ll9 , , .� �., : _ °�! ,�-,,,�„ WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO. CountyName WELL AND BORING RECORD � 61 �J 5 �J 2 �3�nnv�I TI Minnesota Statutes Chapter 103/ Township Name Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed fl. orono 117 ?3 U9 ,�. �, ��. 1�J0' 6-3C?-98 House Number,Street Name,City,and Zip Code of Well Location or Fire Number DRILLING METHOD i�40 BOh�1'S Pt RG� Urs�na, ?� � `"`' ❑ CableTool l7 Driven ❑ Dug • • • '�'�3�� ❑ Auger �7 Rotary ❑ Jetted Show exact location of well in section grid with"X". Sketch map of well location. ❑ _ Showing property lines, - roads and buildings. DRILLING FLUID WELL HYDROFRACTURED? ❑YES �NO N i i � i �2��.�3ll�t� FROM ft.to ft. _i _i_ _i_ _- USE O Monitoring ❑ Heating/Cooling � i i i i Domestic � ❑ Community PWS ❑ Indust /Commercial i � � i ❑ Irrigation ❑ Noncommunit PWS ry w E T �, ❑ Test Well y ❑ Remedial � i i i I � ❑ Dewatering ❑ -r -�- -r- -r t� i i i i �/ZM.1e L CA91NG Drive Shoe? ❑ Yes '�i No HOLE DIAM. _i_ _ i _i _ _i_ �- ❑ Steel ❑ Thread�l�� ❑ Welded � �- � � 1 � (� � Plastic ❑ F—,M��e—� �O f��!5 �" � � � CASING DIAMETER WEIGHT PROPERTYOWNER'SNAME 1� in.to�_ft. ],�� Ibs./ft. � in.to �t�ft. t�"��yl,r��s� � �� r�r�y�r�� I'�� in.to ft. Ibs./ft !/�_� . t Property owner's mailing address if different than well location address indicated above. in.to ft. Ibs./ft. in.to ft. 3 E3 2 O S� f��Y� �� SCREEN OPEN HOLE ��I�+t��it7� a�• 5539I Make • from ft[o ft. Typ��3 t1t]_��C �t�el Diam. M SIoUGauze r��f� Length �� Set belween ft.and ft. FITTINGS 7�► � S�d N �`j �} STATIC WATER LEVEL , WELL OWNER'S NAME �� tt.�below ❑ above land surface Date measured Fi.��(1.�. $ PUMPING LEVEL(below land surface) Well owner's mailing address if different than property owner's address indicated above. �� ft. af[er ��'i hrs.pumping �(�1 a i r g.p.m. WELL HEAD COMPLETION .�i7 Pitless adapter manufacturer Model '�LJ Casing Protection �1 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMAvTION Well grouted? L.xLYes ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ Bentonite ❑ Concrete Q(High Solids Bentonite MATERIAL from ro ft. ❑ ds. ba s —$— �� .�— Y � 9 from to ft. ❑ yds. ❑ bags F]'.11 RrGut� S C?f � from co n. ❑ yas. ❑ bags NEAREST KNOWN SOURCE OF CONTAMINATION : � y'T'(,s ��PiCa ��C1WII � � � �L� �j�f feet �t'.�LI�� direction ��_f�type Well disinfected upon completion? ❑ Yes ❑ No ��G�� C��3� S%li1Cl �rGSWTi S G{� �U PUMP ❑ Not installed Date installed ��1��7 p Y"��r �`'3'Z�` Gray � �� z�� Manufacturer'sname tt8�'. Jacket Model number Q 113 8�4 HP�_ voiu 2 3 0 - Length of drop pipe �3 __ ft. Capacity 1� g.p.m. Type: f?Submersible ❑ L.S.Turbine ❑ Reciprocating ❑ Jet L7 ABANOONED WELLS y' � Does property have any not in use and not sealed well(s)? ❑ Yes Q-No . VARIANCE Was a variance granted from the MDH for this well? ❑ Yes [.�No WELL CONTRACTOR CERTIFICATION Use a second sheet,il needed This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725. REMARKS,ELEVATION,SOURCE OF DATA,etc. The in�ormation contained in this report is true to the best of my knowledge. DON SI'{3DQF3A WFI.�,LDRILLI�IG C0. , I�tC. �� s� " Licensee Bu "ness Na : Lic Reg.l�lo��g "";"'^ 1� � � �r S Autho¢ed Represerf(eti✓e Signature . '� Date ��2i1C?{ I`�C?QI2 ��-��—�$ Name ol Driller Date LOCAL COPY �15 5 5� HE-01205-06(Rev.9/97) �