HomeMy WebLinkAbout90-XX1G
STATE OF MINNESOTA DEPARTMENT OF HEALTH
ABANDONED WELL RECORD
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Numerical street Marts a,a Flt, .f Nall Louden or Distance f. bad
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s. MILLING MF.',= (If asked)
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3[] Rate, 40 JattN r
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6. OBSTRUCTIONS
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raaiVN. tbGCt 1011
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]. USE
If Dennis', Q w nitering BO wet LOO,
20 Irrigation U pual It U Industry
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_ _.. _ _.
x] That mall IE3 Wit -lpel 'To C ,ial
1[] Air Conditioning 110
L / pROFERTY MNER'S MINE Milling address If diff than
property address indicated slaw
B. CASING(S)
in BGct No nresident 10
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ED Gals. SD N.IM
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NATTINESS M
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If Net seer, indicate formation Ing frN nw ril or astray rll.
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11. NELLNFAO CO 10
a Pit]... dbwr Q g.uK GerIK
10 ws.mant offset so
16. REMARKS, ELEVATIOX. SOURCE Of MTA - GSIN65 NFNpVED. GSINGS peRfOMTFO, ETC.
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ap man vat
1[. 6K in INi00NTIN
in wet Caws 20 bnGniG 30
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]]. LM CONTAMINATION
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TYR! IN Gbbreiw x] L.S. TYrbiK 1 13 Reciprocating
2 13 "t 4 13 C"WINPl U
15. EXISTING NELLS (PINK mate IM,tiaea gf weNwd aM
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11. M WILL �u C I
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