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Home My WebLink AboutWell info rw� c�-y w�� c � � , 1�,� 617 13th Ave So � Hopkins, Minnesota 55343 � (612) 935 - 3556 09/20/2000 Stodola Well Drilling 3841 Norch Main St. l3oni facius MN 55375 938-21 1 1 REPORT OF WATER ANALYSIS Lab #: 359 Our Laboratory reports these analytical resulrs, determined on a sample taken by CLIENT on 09/18/2000 from the following location: Tom Wilbur 1410 Cherry Place Orono,Mn Unique Well #655008 Coli form eacteria <1/100 ml Nitrates Nitrogen <1.0 mg/1 The results of these rests 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 nitrare only and does not include. analysis oj�Lead and arher contaminants. (Unless as speci fied by client). ` Tw' Ciry Water Clinic, Inc. � Bill�,\ �� V Lab Cerii�cation#lY17-053-I 19 f j WELL LOCATION MINNESOTA DEPARTIuIENT OF HEALTH MINNESOTA UNIQUE WELL NO. �o��tY Name WELL AND BORING RECORD 6 5 5 0 0 8 Minnesota Statutes Chapter 103/ Towns ip a Township No. Range No. Section No. Fraction WELL DEPTH(completed) Date Work Completed - n. ,. ,. 226 9—IS-00 House um er,Street Name, i y,and Zip Code o ell Location or Fire Number DRILLING METHOD ❑ Cable Tool ❑ Driven ❑ Dug ❑ Auger �.Rotary ❑ Jetted ��. S ow exact locahon of we � sec ion gnd wi ". � e ch map el ocation. ❑ . � Showing property lines, � - � .� . �� roads and buildings. DRILLING FLUID WELL HYDROFRACTURED7 ❑YES �[l0 N '._� '.� %�_..7� �t'�..1'��-._1�.. , , , , ---_— uick— �1 FROM n.�o n. -; -,- -;- -,- USE ❑ Monitoring ❑ Heating/Cooling i i � i Domestic � ❑ Community PWS �] Indust /Commercial - _i_ _ _i_ ❑ Irrigation ry i -J i i ❑ NoncommunityPWS ❑ Remedial - w e T ;------�-�------�--� ❑ Environ.Bore Hole i i � � `` ❑ Dewatering ❑ i i r r '/ZIM1e ` �w CASING Drive Shoe? ❑ Yes �Flo HOLE DIAM. _i _i_ _i_ _i_ � o ❑ Steel ❑ Threaded ----0 Welded i- i i i �Plastic ❑ S �1 Mile-� . ,.. _..... CASING DIAMETER WEIGHT � PROPERTY OWNER'S NAME __�_in.ro_ 21 gn. sdr'�21 �bs/h _�n$o_._t� ------in.to__ ft. _ _ _ Ibs./ft. _in.to_� b rop owne i in dress if diNerent than well location address indicated above. in.to _fl. _______ _Ibs./ft. in.to ft. }�� SCREEN OPEN HOLE S$�e as a+��+0e Make �� irom ft.to ft. Type 9!t A�!12 P R fi S4�'PA� Diam. SIOVGauze_____._ /�1'1 C1 Length_ �f � I � -•��—�F--.t--- Set between _��___tt.and__�_tt. FITTINGS:_ STATIC WATER LEVEL WELL OWNER'S NAME _ft.,�'below ❑ above land surface Date measured PUMPING LEVEL(below land surface) ` Well owner's mailing address if different than property owner's address indicated above. 21 O _ft. after___ ��J__hrs.pumping� g.p.m. WELL HEAD COMPLETION �(Pitless adapter manufacturer vh i t e�jg_�g_� Model CI Casing Protedion .�,Ff 12 in.above grade ❑ At-grade(Environmental Wells and Borings ONLY) GROUTING INFORMATION Well grouted? ,f�Yes ❑ No GEOLOGICAL MATERIALS COLOR HARDNESS OF FROM TO Grout Material ❑ Neat cement ❑ eenronite ❑ Concrete �High Solids BeMonite MATERIAL from_ to ft. [li yds.f�'bags � ��-- —�i� .. from_ to ft. Q�c�.l7 bags cIa elloW oft 0 22 f��m—�-�-- to� n n�fur� e d�f� bags F NEAREST KNOWN SOURCE OF CONTAMINATION � sand eis ellow oft —� `ee' __-�—_ _d'��e�pti�- type Well disinfected upon completion7 �Yes ❑ No C1S rAVe� r$ f PUMP Cl Not installed Date installed��}�A�l sand �la �f Manufacturer'sname ________ .________________ ; Model number ________ HP_��_�_ Volts�Qn C1� �gQel Length of drop plpe _ __ tt. Capacity __________.__g.p.m. 4 __�-- Type:�Submersible �7 L.S.Turbine ❑ Reciprocating ❑ Jet ❑ ABANDONED WELLS Does property have any not in use and not sealed well(s)? ❑ Yes fi�No VARIANCE Was a variance granted from the MDH for this well? f�Yes ❑ No TN#pS� � 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,ELEVAT�ON,SOURCE OF DATA,etC. The information contained in this report is true to the best of my knowledge. Dan Stodala �tillimgCo.F_�rac-.-??t-,7 License usiness e L�c.or Reg.No. i on'rtie pr nt v ig'n - Date �� Name ol ro er �� D e LOCAL COPY 6 5 5 O O H HE-01205-07(Rev.2/99)