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WELL COMPLETION. REPORT STATE-OF CONNECTICUT.
CPR-9 REV.11_e2 DEPARTMENT OF CONSUMER PROTECTION 7WELL
T'fill'in
WFLU DRILLING BOARD
165 CAPITOL AVE.
HARTFORD,CONNECTICUT 06106
NAME ADDRESS
OWNER *TACK s 480 ?WZ-M ROAD.,: r-. y�wi- 1
¥tT. � .,�. tip'
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LOCATION (No. & Street) (Town)
OF WELL WUMM DR.
(Lot Number)
BUSINESS
DOMESTIC ESTABLISHMENT FARM
PROPOSED TEST WELL
USE OF
PUBLIC
WELL AIR
SUPPLY ❑ INDUSTRIAL CONDITIONING ((SpS cify)
COMPRESSEDDRILLING OTHER
EQUIPMENT ROTARY A PERCUSSION PERCUSSION R
(Specify)
CASING LENGTH(feet) DIAMETER(inches) WEIGHT PER FOOT IV S E WAS GAStNG GR UTED?
DETAILS THREADED WELDED YES NO ®YES', NO
YIELD HOURS YIELD (G.P.M.)
TEST BAILED PUMPED COMPRESSED AIR 20
WATER MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet)
LEVEL Depth of Completed Well
in feet below L.
surface:
MAKE 100
SCREEN LENGTH OPEN TO AQUIFER (feet)
DETAILS SLOT SIZE DIAMETER(inches) GRAVEL SIZE(inches) FROM(feet) TO(feet
IF GRAVEL Diameter of well including
PACKED: gravel pack(inches):
DEPTH FROM LAND SURFACE
FEET TO FEET FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
two permanent landmarks.
Sated Clay L��
U?
/ r \\
r.x
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
s .
DATE WELL COMPLETED PERMIT NO. REGISTRATION NO. DATE OF REPORT
WEL R(Signature) ..
DEPT. OF ENVIORNMENTAL PROTECTION-WATER RESOURCES
12/02/2008 12:24 2033890910 AQUATEK LAB PAGE 01101
1 uatek Labs
131 Bradley Road-Woodbridge,CT 06525
Water Analysis Report
WATER SOURCE: 8 WINDSHIRE DRIVE - SOUTH WINDSOR, CT
NO TREATMENT, FIRST FLOOR BATH SINK
TO. CHARY, ANDREW DATE: 01/26/2008
180 JOHN OLDS DRIVE TEST##: C1126809
MANCHESTER, CT 06042
BACTERIOLOGICAL EXAMINATION
Total Coliforms Present Absent X
Fecal Coliforms Present Absent X
RESULT AL UNITS
PHYSICAL/CHEMICAL EXAMINATION
Turbidity 4 .5 5. 0 NTU
Color 20 15 ---
Odor N.D. 2 --
pH 7. 8 10 . 0 - 6.4 ---
Calcium 38 . 5 None mg/L
Magnesium 3 . 5 None mg/L
Hardness 110. 6 200 mg/L
Nitrate Nitrogen 2 .2 10 . 0** mg/L
Nitrite Nitrogen N.D. 1. 00** mg/L
Sulfate 8 .4 250 . 0 mg/L
Sodium 8.1 28 .0 mg/L
Chloride 21.1 250 . 0 mg/L
Copper N.D. 1. 30** mg/L
* Iron 0 .37 0. 30 mg/L
Manganese N.D. 0 . 05 mg/L
CONCLUSIONS: Based on the above results, this water was safe
for drinking purposes at the time the sample was collected.
Sampled By: John Dominick under the direction of Aquatek Labs.
AL = Advisory Level = EPA Maximum Contaminant Level (MCL) or State
enforceable standard when value followed by ** .
N.D. = None Detected
* = exceeds AL, see attached sheet
f below AL, see attached sheet
David M. Graham, Ph.D.
Laboratory Director
CT License #IPH-0466
Woodbridge ■ old Saybrook ■ Glastonbury