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DEC-18-201z 14:41 FROM:LEUTHNER WELL INC 9524432546 T0:2494616 P.1 <br /> WELL Op BpRING LpCAI IUN MINNESOTA OEPAqTMENT OF HEALTH MiNNESOTa uNipUEW�Cl, <br /> `°u"'v"°'"° "i—'� WELL AND BORING RECORD -. "ND°oR'"cNo. ,� ,. <br /> - ...., <br /> � Ml�neeotn Siasutea,Chepte�103! l 813 .9 6 <br /> 1i,w:,i p rvnme IOwne�lp Nu. 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I <br /> ,,. <br /> .�`� �Yde. J i9ede <br /> GEO f�IGAI MATENIALS HAIIpNG$$pF <br /> COI,OR FROM TO From,__,�,Tp _�� i <br /> MATERIAL -- -- C,I;YU6. '�Bnpa <br /> �.: ,.�. <br /> _. _. From.._ To--°-_ q .. . __— �l vae. �;oage <br /> �._ __..._...,,:.. ,_._. <br /> ` � � _ NEARG^,T KNOWN SOURCE OF CONTAMINATION ' � <br /> � ' / � <br /> � - ' - ,_._�_�Ibtll � ......_._.___...— redlon ,��+�'�+�y,�r.JYDo <br /> . '. ' Woll dlFlnloniod uDon compiellm�7 i �Yye Lj Nu <br /> m <br /> (,� f. --..... . ' <br /> -... ._. <br /> , � PUMp -- --- <br /> ..;., <br /> '� � � J ollnelalled D <br /> �.�N elo InBIp11eU.......... <br /> " � ' � �' �� •-- <br /> __ .:. _ <br /> � ��- Menul�iurore mm�o� <br /> , C' Monoi NumUoi _ ...._ _ �_.._. .. <br /> . . ,�,� .,,.,._.�. � _.........,.. i ip� ��} <br /> � . . , ����-' � .... ... �� : � ' ,/ .. . oll _ 7�_- <br /> v a.. <br /> ,. � ... _ , �.nnp��nl AroD P�Do..._�. �Q q. C:� u�l <br /> � ,` 'Gr---._.. „ P Y- �• . . 9.p.�n. <br /> . � � : .i ': _ � <br /> . .. _ ' •.`.�_ ADAMDONED WEbLS �...I L.S.11u0lno j�R�iproc[illnp l .�Jel I ���.. .. { . . • <br /> __ _ Ooee propeny hwe un ral in use and nol aealeG well e)7 r]Yea ;Nc I <br /> „ '^��•• VARIANCE <br /> Wos o varianco_grontea hnm Ihe MDH Inr�171n wqq7 U lba J�f No TN� <br /> �,.... , - ..._.._ . . ..—,-Z._.,�.c.-;•.`�_r,: <br /> " WHLL CONTqACTOR CERTIPICATION <br /> � TAIB W011 Wee IIfIIIEh unOqr my sUDarv�el6��11G In BCCDidelic9 WIIII Mln,letu�Y Rldps,CII(g110r�72u <br /> uoo�omounq ahocr,��nesdea. Tho inlormation Cam9in a In ihie reparl le i�uo I�Iho bosl ol my knowledpe. <br /> REMAFK3,eLEVAnoN,SOUacG oF OA7A.eta � "�"�"""' ' <br /> ifY _y_ .... <br /> cene e Buelne e N m Lic. r pdp. � <br /> `�. � <br /> � ���� oe�r _. <br /> � 0 tn1 ���Rnp: p. m #� ., <br /> w i nrni rnov � '7 !l+I �1 �1/` �iU'!!s._ .n._ /.�, . . ?� <br />