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WELL OR BORING LOCATION MINNESOTA DEPARTMENT OF HEALTH Sealing NO
C - -" Name WELL AND BORING SEALING RECORD li imesaa unpue N.
Scott Minna la Su nms. G„apbr I" a W - serves No.
H 36939
Towns Name
Glendale
T.—n I No
115N
Range No
21W
Senor No
31
Frazlwn Ivn q 1
SW.. NW
non, So."
1 10 -6 -93
Ala!o.mab Dale Well
«Banrg Code. tl
r a City City of wH or B°nrg L «alg
Numerical steel Add,, or F�rte NumCep �
c5j. 2,,j S. H
Oepm No,— Soo,., a
O! ..al Oener 117 X
Stow eaaci bC3no5d well °r Nnrg SxelCn ma ° °1 x¢II Or
m g rip wnr�1 �„ i N i .°eaf— SnowIr!g prone n
+t41.0_' na d eui
. Singe Agu!l., O Munia°u!le!
SIa12 Yi Le+el a AGGU!ile
.,on,a.
❑ image
92 N X mbw .10 WM sunan
CASING TYPE
. Sigel 11 PlaskC ❑ Tile 11 Olne!
y
W �_ r 28
---- 113 of 117 N. D Nae Irom to N
OBSTNUCMOWDEmN LL
COR'_oon E] GAros ❑ Fill
PROPERTY OWNCR'S NAME
Tim & Rosemary Houle
105 ft. of drop pipe & pump wire
Mating AtltlressARMM,NiYwpropenY aJtlress MinleU
��
New
' /
rvpe a ae1v.Slplwmn"n
ONSIMVJOBU!iz�Fi!emoreJ ?.Yec ON.
WYP
.RNnoetl ❑NNP ❑D,„e, submersible
V
6'•�- Ys /+ e �Ar q, S 3 71
GEOLOGICAL MATERIAL
COLOR
NAflIXIEGS OF
fO'M'ArION
FROM
TO
CASING
Diameter, UeplN Satin .,e hole? Annular all "ARRY, g "of
4 m. lrwn O l0 113 M1. (3 Tes No ❑Yes ❑ No ❑ UMVaw!
"Imm -1° X UY. ❑No ❑Y« ❑,b ❑uamear
in frMn 10 X. ❑ Tes ❑ No ❑ Ye. ❑ NA o UMa an
METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINOS, OR GM AND SORE Ni
II n°I known. iMicale eslimaletl brtnalion IN !!?m ea!nT - wen or M^nritf.
Clay
0
10
sand (rocky)
10
60
sand
60
135
IN No Annular Space Files
❑ Mnular span gl°u1eE i.M 1.Oge
❑ Cas.g Per aranor emoeal
— .n Nano 10 X. ❑ PeH«Me0 ❑ Rel,iP.ee
n. Imn to X. ❑ FMIMaIal O Reilealea
Ty°eapMo
llor
❑ Dne,
GROUTING BINATIONAL
cr«A" mM«I.I neat cement ,mm 6 117 „- — FMW. 9 b
II to n. r..lUa - Daw
REMARKS. SOURCE OF DATA. DIFFICULTIES IN SEALING
Geology taken from a well we drilled i
1971. 2 hepas South from this above
address.
IMaEAItD wElu AND eIMwNLs
(SW of NW of SW, section 31, township
DEMV AWWWrg KY„„YpWM? ❑Yea ow
115N, range 21W)
LMMMMOR RFAIge1EDCONTRACTORCWRTMTCATTOM
TnNw„„r Uairvea...IeW b „Pmmuln KMl Mnn,bY Rull CW W 4725, TIY AKORIrMmI.M„iW n RM ny„n A
MN b „le bet d XM baNl,ep,.
Hartmann Well Co. 40174
CPlFdofBUFYn NMro LcNNFpRepebYW Nn
nre 10 -11 -93
=vi Hart mann
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Welt, DEFT C 'j - -- - - - — - - -- - — -