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WELL LOCATION <br />MINNUMA _ ._ IwwwyrDi!!A LIMIKA r t eru tee r. <br />t G 1MLL AND BORING RECORD - <br />Qps <br />cp.+rNOM <br />m"Immm Sam" chmpw 1031 <br />Tawlstrq Nom <br />Toj*%s No.Rarlp <br />NaC� <br />WELL DEPTH (Wmp ) <br />Dsls V mk C MWW <br />_ <br />Hou- ifto dW, Strait! Nom, Cry, IOM ZIP Cods of WON Loc~ <br />or Rre Number <br />DRILLING METHOD <br />(c,, , , <br />r all; , ltc,.-.:' I rte_, i :.: <br />i <br />n Cable Toa ❑ Duran n Duo <br />❑ Auger QiRIa-ty ❑ Jeri' <br />n - <br />Show esm toeelion d war in section grid w*h 'X'. Sketch map of wall auto, <br />Shot"prop" unes. <br />DRILLNG FLUID <br />oads am Wwv <br />N <br />-� -i- - - <br />I <br />USE n MwWorng n <br />Oamelic o Community PWS � <br />IQ <br />._� ewe <br />n trtlpahon (-I Noncommunay PWS ; I Ran"" <br />w E - <br />n Test War n Oawwnrlp n <br />CASING Dnve Show n VM C) No <br />HOLE DAM. <br />L <br />. n S -el n ThreaOsd n WstdW <br />P -sac <br />L—� <br />CASING DIAMETER WEIGHT <br />_ m. a - - -� —I R. - - be -M. <br />�/,.�o' e. <br />PROPERTY OWNERS NAME_ <br />7 rl1 w i i 1 ( t • ; : <br />_ <br />— 'ML to d. = MA. <br />in. a - - fr. — — bsJ. <br />'- N.A"�DIE <br />— in. b — a• <br />Pt*W y omw s maft address d d0leta ten war Iocaton atldreas aldra-d above. <br />lit, iILi <br />SCREEN_ OPEN HOLE <br />5: 5(:4 <br />Make .10 �. <br />TYW—tTr�Tri�=r=--r.4-:1� Drrtl. r <br />SIoUGmum <br />Set between FITTINGS: <br />STATIC WATER LEVEL <br />1 'L •. --ft. f]:bebw O abolw wt' wxtaos Dale <br />WELL OWNER'S NAME <br />PLWMNG LEVEL (below ISM surf <br />t L I. alter J ha. ptwgrg <br />Well onewes nlrI adbns r dP* m Inn prope ft omief s aderew ind Cana above. <br />WELL HEAD COMPLETION <br />t'.: 1 e;..! ! r'• �' <br />, _ <br />El Pmm adapter alw%Aceaw Model <br />O C WWq Pro-ceon _ O 12 N. aloe WOM <br />❑ CIE 1atel- WW - eel godnIpm ONLY) <br />GAOLITwn wpORIMTION <br />wall groulap j7 yes ONO <br />nW O NOW uo n BsnloN- O Coneh t114409060wolbnb <br />Grout MMnw <br />GEOLOGICAL MATERIALS <br />COLOR <br />HARDNESS OF <br />FROM <br />TO <br />MATERIAL <br />from ft jt 1. _ ❑ yea. OAA <br />from b A. 13Vft ❑ beep <br />from b N ❑ yes. ❑ bap <br />NEARS BOUNCE OF CONTAMINATION <br />eel Sny % N <br />Was- upon canpleam ? ares ❑ No <br />. <br />P1IIp <br />- J-9•7 <br />❑ No a-tsw DMI/ awtmm _ <br />C.1E1�' <br />-: t. + <br />I <br />' 1 r: <br />Mos,bmwsmrm <br />Mo" fl., h r r HP 11-- VaMa 2 3 <br />tlan Ieh d drop plea IL <br />water sand <br />r•r r r v: <br />i�' <br />t; <br />I vrewlae Taat caoae� L a►r . c <br />Type: 0 Subsarable ❑ L.S. Timbre ❑ A cip ling ❑ JM 0 - <br />-ABANDONED <br />ABANDONED WELLS <br />Don properly here any not M Iwo no not wale' wea(s)9 O Yn U Ib <br />VARIANCE <br />was a v&wm gran-' ham the MDH kx INs mp ❑ rte CI No <br />WELL CONTRACTOR CERTIFICATION <br />LAMB asclorl0 arraal a naeerr <br />This wellWes drwa under my supervam ane elo'do'r-s w1h Mlnr-aaa RWw Chapter 6725. <br />The irNontlallon oorlterra m On -ports that b to best d my' Op <br />REMARKS. ELEVATION. SOURCE OF DAl r►, alc. <br />11._..".:c; Cf- <br />Lr- or Reg ft <br />Chuck <br />t^:Lu,rcAWwi"'0 0a- <br />LOCA COPY <br />5 8 8 0 5 0 <br />Nor- at Drs Olalr <br />IsaBNapbee• +Atte <br />POW <br />