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WELL OWNER AND ADDRESB
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WELL RECORD
VILLAGE OF ORONO
WELL LOCATION SECTION LOT
BLOCK _ -
CRYSTAL BAY. MINN.
r)RILLER'S SIGNATURE
DATE PERMIT NUMBER
DRILLING COMPANY �ADDRESS TELEPHONE
i
SIZE OF WELL _INCHES
i
WATER LEVEL FEET
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WELL DEPTH n / ._FEET
DRAW DOWN _FEET A"f GPM
j CASING IJEPTH _FEET
I
CAPACITY GALLONS_ PER/HR.
DEPTH O1- IMPERVIC`LrS FORMATION
_ ___FEET CASED WITH
SCREEN _�_FEET_�_INCHES/BY 3 -INCHES WELDED JOINT
MAKE AND TYPE MATERIAL:
SCREWED JOINT All
REMARKS:
(OVER)
KIND OF FORMATION
COLOR
STARTED
DEPTH
ENDED
DEPTH
THICKNESS
or
FORMATION
REMARKS
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L
EXTERIOR SPACE AROUND CASING SEALED WITH: ❑ CEMENT GROUT ❑ PUDDLED CLAY ❑ OTHER
DISINFECTANT USEI
HOURS LEFT IN WE
(OVER)