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WELL OW ER AN ADDRESS I <br />v i�� J ,� l �' � WELL RECORD <br />WELL LOCATION SECTION L BLOCK VILLAGE OF ORONO <br />CRYSTAL DAY, MINN. <br />DRILLER'S SIGNATURE DATE J PERMIT NUMDER <br />DRILLING COMPANY <br />ADDRESS <br />TELEPHONE <br />74 <br />SIZE OF WELT INCHES WATER LEVEL.-_ -FEET <br />WELL DEPTH _FEET DRAW DOWN ---FEET AT GPM <br />CASING DEPTH <br />-FEET I CAPACITY GALLONS - <br />DEPTH OF IMPERVIOUS FORMATION __ -- _FEET <br />SCREEN FEET--- INCH ES/BY <br />MAKE AND TYPE MATERIAL: <br />REMARKS: <br />(OVER) <br />INCHES <br />-_-PER/H R. <br />CASED WITH <br />WELDED JOINT O <br />SCREWED JOINT O <br />THICKNEs <br />STARTED ENDED OF <br />KIND OF FORMATION COLOR DEPTH DEPTH FORMATION REMARKS <br />EXTERIOR SPACE AROUND CAG SCALED WITH: CEMENT GROUT <br />k f <br />DISINFECTANT USED — <br />U. PUDDLED CLAY ❑ OTHER <br />HOURS LEFT IN WELL_ <br />(OVER) <br />