Well Tag: Property Owner: Address: Address2: Part of Lot: Lot: Concession: Township: County: City/Town: Province: Postal Code: Home Phone: Mobile Phone: Email:
Well Tag: Property Owner: Address: Part of Lot: Lot: Concession: Township: County: UTM East: UTM North:
Well Depth: Casing Size: Casing Thickness: Casing Type: Casing Amount: Hole Diameter: Sleeve Details: Screen Details: Grout Type: Grout Amount: Where Found: Clear/Cloudy: Static Level: Rec. Pumping Rate: GPM: Draw Down: Kind of Water:
Date: Technician: Allan Hopper Matthew Hopper Paul Hopper Phillip Hopper Ron Hopper Scott Hopper Tim Hopper Allan Hopper and Scott Hopper Allan Hopper and Matthew Hopper Ron Hopper and Allan Hopper Matthew Hopper and Phillip Hopper Licence #:
Date: Technician: Allan Hopper Matthew Hopper Paul Hopper Phillip Hopper Ron Hopper Scott Hopper Tim Hopper Allan Hopper and Scott Hopper Allan Hopper and Matthew Hopper Ron Hopper and Allan Hopper Matthew Hopper and Phillip Hopper Licence #:
Volume Displaced: Chlorine Level: De-Chlorination Date: Chlorination Notes: Well Depth: Casing Amount: Static Level: Pump Set: Rec. Pumping Rate:
1min: 2min: 3min: 4min: 5min: 6min: 7min: 8min: 9min: 10min: 15min: 20min: 25min: 30min: 40min: 50min: 60min:
1min: 2min: 3min: 4min: 5min: 6min: 7min: 8min: 9min: 10min: 15min: 20min: 25min: 30min: 40min: 50min: 60min:
