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WATER WELL INFORMATION <br /> <br /> ~,.o_.c~T,ON <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />[PART B <br /> <br />WELL CONSTRUCTION <br /> <br />C] Woo~ ~Ches <br /> <br />MATERIAL: <br /> <br /> ~ I~ast,c <br /> I'1 01her <br /> <br />Length: <br /> <br />Drop I%oe Length- no~-submersible <br />Below Ground Level) <br /> <br />other <br /> <br />inches <br /> <br />feet <br /> <br />DRILLING METHOD {If knownl <br /> n Mud Ratify <br /> <br /> i ) <br />r-lswh <br /> <br />-+NE~- <br /> _,_t~,_ <br /> ~.~+ <br />--t-SE <br /> <br />gpm <br /> <br />USE: <br />I'1 Domestic [:) Public Supply <br />D L,vestock D Commercief <br /> <br />Pumping Wato~ Liver Below I~r~l ~rtoce: <br /> feet <br /> date melsured <br /> how measured (steel tope. etc. ) <br /> <br />DD~g <br /> <br />O othe~ <br /> <br />F~owing Well: <br /> <br />OYes ONo <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />PART C <br /> <br />CASING' [:) Filled with Sediments <br />D C~acked ~) Incrusted <br />I-I Holes I-1 Other <br /> <br />~CREEN lif one exists): <br /> InCruSted ri Rusted/Corroded <br /> Ptu~ged I-t Other <br /> <br /> WELL CONDITION <br /> <br />Comenent (describe method of inspection): <br /> <br />OROP PiPE: l-I Water Marks <br /> I'1 Rusted/Co.oded ri Othe~ <br /> t't Ho~es;Crack$ <br /> <br /> I'1 Pt~gged Lines [:] Other <br /> D SlGNATI <br /> <br /> <br />