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TWIN CITY WATER CLINIC, INC.
617 13th Ave. So.
Hopkins, Minnesota 55343
(612) 935-3556
03/14/93
Stodola Well Drillin�
15306 Hwy 7
Minnetonka, MN 55345
938-2111
Lab # : 18970
RHPORT OF WATEft ANALYSIS
Our laboratory reports these analytical results, determined on a
sample taken by YOU on 03/OS/93 from the followin� location:
,
� • Tony Eiden Company
Unique # 515576
2550 Fox St
Orono, Mn
Coliform Bacteria <1/100 ml
Nitrates Nitrogen 3_ 15 mg/1
The results of these tests indicate that this well is producing water
that meets the standards for F.H.A. , V.A. , or conventional loans.
. � ,
. \�\�`i�y Water Clinic , Inc .
` � ��\,
Bill , Arsdale
Brian Blair
� - _
WELL LOCATION MINNESOTA DEPARTMENT OF HEALTH MINNESOTA UNIQUE WELL NO.
CounryName WELL RECORD � � � � � �
���)j,� Minnesota Statutes Chapter f031
Township Name Township No. - Range No. Section No. Fraction WELL DEPTH(completed) Date ork Completed �
L�TY?l'ft�+ � � f d� {�� y. v. v. �a� � i-'n-'�`�
Numerical Street Address and City of Well Lxation or Fire Number DRILLING METHOD
� Cable Tool ❑ Driven ❑ Dug
`'���'� � P' i�`"' �f���� ❑ Auger �,Rotary ❑ Jetted
Show exact location of well in section grid with"X'. Sketch map of well location. ❑
Showing property lines,
N �y�'' roa�,apd buildings. DRIILING FLUID
I � _1 _1_ ./7' �' .�.'.[��.i�'r'1#'.k^a
--r- ti- � i J��Y
i � i Yw ,USE ❑ Heating/Cooling
_�_ ___ �_ �_ � �� �, �1 Domestic ❑ Monitoring
yy i ; i E ❑ Irrigation ❑ Public ❑ Industry/Commercial
_1_ _1_ __ __ T ❑ Test Well ❑ Dewatering O Remedial
1 ' � '
' h mi. CASING Drive Shoe? jt�Yes ❑ No HOLE DIAM.
--�- �- ; -r- I r[7 Steel ❑ Threaded � ❑ Welded
� ' 1 �
❑ Plastic ❑
F—I mile—�
CASING DIAMETER WEIGHT
PROPERTY OWNER'S NAME e.". ���"+ Z i'.FE� "/ �
in.to ft. Ibs./R. /.�
- �in.to��ft.
�.�.`CsY't�r �.`l�@.� E.�:�1if�L�.%'":y in.to ft. Ibs✓ft. in.to! � ft.
Mailing address if different than property address indicated above. in.to ft. Ibs./ft. _in.to_ft.
SCREEN OPEN HOLE
� Make .7f3�'tY!�':CiYd from ft.to ft. t
TYPe4'�+-�, . .�Y���,�3 —Diam. n -
.�cc-�..t����'1'��.'�l`r7
4�liti ���..4ILZ.Y� �.�1?��. SIoVGauze ,�. Length LJ,�_
D������ �� cjr�Li;�ti Setbetween ft.and it. FITTINGS:
STATIC WATER LEVEL
HARDNESS OF _,� � �;,
GEOLOGICAL MATERIALS COLOR MATERIAL FROM TO � ft.}�] below ❑ above�and surface Date measured .�-�-._
PUMPING LEVEL(below land surface)
��,, �� 'q; } ft. atter hrs.pumping g.p.m.
WELI HEAD COMP�ETION
i� li;e �r;i, r� pitlessadaptermanufacWrer ���t���s���� Model
4.:1� - & .;:�It�
❑ Casing Protection 7�] 12 in.above grade
�-ti A:�,, & (i3-�-�%Yn� ,,i'� ��;� � GROUTING INFORMATION
Well grouted? ❑ Yes Gj,�No
Grout Material ❑ Neat cement ❑ Bentonite
from to R. ❑ yds. ❑ bags
from
from to ft. ❑ yds. ❑ bags
NEAREST KNOWN SOURCE OF CONTAMINATION
feet direction type ��
Well disinfected upon completion? �Yes ❑ No
PUMP
❑ Not installed Date installed �^G�'i �'�!�'
Manufacturer's name 1'�VE'�'S
Model number HP � Volts "�''�j�
Length of drop pipe � lft�. Capacity t��z �r g.p.m.
Pressure Tank Capacity V ti� �uC:37 �.i-1�.E'.�& �
Type: �Submersible ❑ LS.Turbine ❑ Reciprocating ❑ Jet ❑
ABANDONED WELLS
Does property have any not in use and not sealed well(s)? ❑ Yes f�No
_ "� � WELL CONTRACTOR CERTIFICATION
y A �„ �� This well was drilled under my supervision and in accordance with Minnesota Rules,Chapter 4725.
� L The information contained in ihis report is true to the best of my knowledge.
Use a second sheet,i/needed � �C�.i�'��j�{:y �r��T� ���p.� �}�� �.��� G����
REMARKS,ELEVATION,SOURCE OF DATA,etc. Licensee eusiness Name Lic.or Reg.No.
�"%�� '. - ,
�-�.-�13
�-
7�thonzed RepresenhaBve S�gnature Date
0�+�'_ _ Bi1I Ii..i<j<� �-�`-��
� f
yi
� L=�'�'i � � Name ol Driller Date
!
LOCAL COPY � ��5 �6 HE-01205-04(Rev.S/92)