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WELL OWNER AND ADDRESS <br />WELL LOCATION SECTION LOT BLOCK <br />WELL RECORD <br />VILLAGE OF ORONO <br />CRYSTAL BAY, MINN. <br />DRILLER'S SIGNATURE DATE PERMIT NUMBER <br />DRI ING COMPANY ADDRESS TELEPHONE <br />&Z,C l'Q- -- - - <br />SIZE OF WELD - s INCHES <br />WELL DEPTH <br />2/0 <br />FEET <br />C/ <br />CASING DEPTH a FEET <br />-- <br />WATER LEVEL SS FEET <br />DRAW DOWN—.1-4'^ _FEET AT —oe GPM <br />CAPACITY GALLONS 1 2'(5 Q PER/HR. <br />DEPTH OF IMPERVIOUS FORMATION 24?q FEET CAGED WITH <br />SCREEN FEET INCHES/BY 2 INCHES WELDED JOINT 0 <br />MAKE AND TYPE MATERIAL: Zco? Z . Vo SCREWED JOINT [� <br />REMARKS: <br />(OVER) <br />KIND OF FORMATION <br />COLOR <br />STARTED <br />DEPTH <br />ENDED <br />DEPTH <br />THICKN[9S <br />of <br />I FORMATION <br />REMARKS <br />AR1�sA�cl lZ�c� <br />f -C 2 <br />EXTERIOR SPACE AROUND CAVING SEALED WITH: O C=MENT GROUT rJl PUDDLED CLAY 0 OTHER <br />DISINFECTANT USED T I� <br />"Al Imm I fir R - _ • �� <br />