HomeMy WebLinkAbout1989-05-16 Water Well RecordSMTEOrMMMliOTA nMIflMBrr OT HBALTH
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30 Teat Well
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•sASING BDMM.LUL X WIGHT. Above/
Surface_______
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1285 French Creek
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lOMacb 40ThrcaM
ZOGalv 90 Welded
321
Drive Shoe? Yeu___No____
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in. to _fimmmrandATioNLOG /ftWei^tCOLORFROMTOIt.in. to _
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Type---------------Ify------------aay lit 20S %
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ft. and ftSet bHween
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laNdaurface
Date Meaaured
> * *99^ lat^euriace)
----------------------ft after______________bn. piiiapiiii
----------------------ft. after______________bra. aumoina
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IQ Piilcaa adapter. maflufjfNnf______________________
20 Baacment idlaet 30 At leaat 12" above craand
40 Plastic casing protectian_________
WELL GROUTED?
O Yes □ No
lO Neat Cemrnl
Graul malertal ____
X natural Backf lU
20 Bmiunile 30________________________________
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14 NEAREST SOURCES OF POSSIBLE CONTAMINATION
diiectij^
Well diamlKted upon tnnplMmn? OYea □ No
15. PUMP >-2>89
WyersDate maiallcd ONei inaialled
Manufacturer's tH
Model numbtr HP Volta2n
Length of drop (capacity OUlM.l^calv;
Maieri^ol drop pipe
Type: lO Submersible 30 L.& Turbine SO Reciprocating
20Jei 40 Ceninhmal CO__________________________
I& EXISTING WELLS ^
Unused weU on properu* OYes ONo
Vm a aieaW Whaf. U araWd Abandoned □ Permanent □ Temperary □ Not aealid17. HMAHCS. ELEVATION. SOUECE OF DATA. etc.
IB WATER WEa CONTRACTORS CERTIFICATION
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