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FINISH LARGE ¼ ¼ ¼ ¼ DEPTH (FT) AT ABOVE BELOW AT ABOVE BELOW AT ABOVE BELOW AT ABOVE BELOW SITE NAME H-SERIES UWN H H H H SITE ADDRESS Environmental Well as defined in Minnesota Statute 103I.005 Subdivision 8a. Industrial AC Irrigation Residential NTNCPWS TNCWS Other: Yes No Is the well obstructed? Yes No Is the well multi-cased? Yes No Does the well have and annular space between casings or the borehole? Yes No Does the well penetrate a confining layer? USE/TYPE OF...

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