Document B5q57nZXGj2DjRQB38YK964vo

PPEERRFFLLUUOORROOCCAARRBBOONN ((PPFFCC))--CCOONNTTAAIINNIINNGG FFIIRREEFFIIGGHHTTIINNGG FFOOAAMMSS AANNDD TTHHEEIIRR UUSSEE IINN FFIIRREEFFIIGGHHTTIINNGG TTRRAAIINNIINNGG IINN MMIINNNNEESSOOTTAA DDEELLTTAA PPRROOJJEECCTT NNOO.. AA0O0O8S--111100--00 PPrreeppaarreedd ffoorr:: MMiinnnneessoott5aa20PPooLlallltuutatiiyooennteCCooRnntotraroodll AAggeennccyy St.Paul, MN 55155 520 Lafayette Road St. Paul, MN 55155 PPrreeppaarreedd bbyy:: DDa5et9lt1taa0EERnnivcvieirrooCnnrmmeeeenknttPaaallrCCkowonansysu,ultlStaaunntstss,,1Ii0nn0cc.. 5910 RiSSchehooCr6roe5revv1iei)eekww5P,3,a9MM-rkNN3w4554a569y11, 22S66uite 100 (651) 639-9449 JJuunnee 3300,,22000088 22222222..00000011 EE2xxh2hi2ibb2iitt 2222 State of Minnesota v. 3M Co., Court File No. 27-CV-10-28862 SSTTAATTEE__0022882200995588 TAOFBCONLTENETS TABLE OF CONTENTS 1.0 INTRODUCTION. 1 1.0 INTRODUCTION .................................................................................................................................... 1 1.1 PUIDOS 1d SCOPE OfSOIVCES 1... crore] 1.1 Purpose and Scope of Services ............................................................................................... 1 1.2500Of9Wo0rk... --- ot 1.2 Scope of Work........................................................................................................................... 1 13 Limitations. 3 1.3 Limitations ................................................................................................................................. 3 20 PFC BACKGROUND 4 2.0 PFC BACKGROUND ............................................................................................................................. 4 21 ChemiosftPFrCsy. 0) 2.1 Chemistry of PFCs .................................................................................................................... 4 22 Manufacture of PFCs. hy 2.2 Manufacture of PFCs ................................................................................................................ 4 22.1 ECFProcess. ............ | 2.2.1 ECF Process ............................................................................................................. 5 22.2 TOIOMeNZBON PAOCOSS reer 2.2.2 Telomerization Process ............................................................................................ 5 23 Other PFCs. 5 2.3 Other PFCs ...............................................................................................................................6 24 PGsinthe Environment. 7 2.4 PFCs in the Environment.. ........................................................................................................ 7 25 PFCs and Human Heath. 7 2.5 PFCs and Human Health .......................................................................................................... 7 26 The USEPA and PFCs, 8 2.6 The USEPA and PFCs .............................................................................................................. 8 30 FIREFIGHTING FOAM 10 3.0 FIREFIGHTING FOAM ........................................................................................................................ 10 3.1 DevealndToyppesomfFierefnighitng Foams. 10 3.1 Development and Types of Firefighting Foams ...................................................................... 10 32 Applicaton of Frefghiing Foams. 12 3.2 Application of Firefighting Foams ........................................................................................... 12 33UsersofFirefighting Foams. A -- 3.3 Users of Firefighting Foams .................................................................................................... 13 34 PFCs in Firefighting Foams. 1 3.4 PFCs in Firefighting Foams .................................................................................................... 13 35 ManufacotfFurfrigehtrinsg Foarn. in 3.5 Manufacturers ofFirefighting Foam ........................................................................................ 14 40 USE OF FIREFIGHTING FOAMS IN MINNESOTA. 1s 4.0 USE OF FIREFIGHTING FOAMS IN MINNESOTA ............................................................................. 15 4.1 Intewritvh Miineneswotsa Frefighing Organizations 1s 4.1 Interviews with Minnesota Firefighting Organizations ............................................................ 16 42 Survey Maingto Minnesola Firefighing Organizations 18 4.2 Survey Mailing to Minnesota Firefighting Organizations ........................................................ 18 43 Minnesota FirefightingOrganization SurveyResuls......__.__._ [ve 4.3 Minnesota Firefighting Organization Survey Results .............................................................. 19 43.1 Survey Rosuls-Municipal Fire Departmars. 1 4.3.1 Survey Results- Municipal Fire Departments ........................................................ 19 432 Survey ReAisrporu t FirelDepasrtme- nts. 2 4.3.2 Survey Results- Airport Fire Departments ............................................................. 22 433 SurveyResuls - FirefTiraginihngtScihonolgs. 2 4.3.3 Survey Results- Firefighting Training Schools ....................................................... 23 43.4 Survey Resuls- Petroleum Refineries 2% 4.3.4 Survey Results- Petroleum Refineries ................................................................... 24 43.5 Survey Resuls- Camp Ripley. 2 4.3.5 Survey Results- Camp Ripley ................................................................................ 25 50RANKING CRITERIA FORFIREFIGHTING FOAM TRAININGSITES... 25 5.0 RANKING CRITERIA FOR FIREFIGHTING FOAM TRAINING SITES .............................................. 25 5.1 RANKING CRITERIA 2 5.1 RANKING CRITERIA .............................................................................................................. 25 52 NON-RANKED TRAININGSITES LLL... 2 5.2 NON-RANKED TRAINING SITES .......................................................................................... 27 50 TRAINING SITE RANKING RESULTS 2 6.0 TRAINING SITE RANKING RESULTS ................................................................................................ 27 6.1 RANKING RES-MUUNILCIPTALFISRE DEPARTMENTS 2 6.1 RANKING RESULTS- MUNICIPAL FIRE DEPARTMENTS ................................................. 28 52 RANKING RESULTS - AIRPORT FIRE DEPARTMENTS 2 6.2 RANKING RESULTS- AIRPORT FIRE DEPARTMENTS ..................................................... 28 6.3 RANKING RES- UFIRLEFITGHTISNG TRAINING SCHOOLS. 2 6.3 RANKING RESULTS- FIREFIGHTING TRAINING SCHOOLS ............................................ 29 6.4 RANKING RESULTS - PETROLEUM REFINERIES 2 6.4 RANKING RESULTS- PETROLEUM REFINERIES ............................................................. 29 6.5 RANKING RES- UCAMLP RITPLESY co 30 6.5 RANKING RESULTS- CAMP RIPLEY .................................................................................. 30 70 CONCLUSIONS. 7.0 CONCLUSIONS ................................................................................................................................... 30 7.1 PROSINFIREFIGHTFOIANMG... 0 7.1 PFCs IN FIREFIGHTING FOAM.............................................................................................. 30 72HIGHESTRISK TRAINING SITES FOR PFOSIPFOA RELEASE 0 7.2 HIGHEST RISK TRAINING SITES FOR PFOS/PFOA RELEASE ......................................... 30 73 POTENTIAL NON-POINT SOURCES 3 7.3 POTENTIAL NON-POINT SOURCES ..................................................................................... 31 8.0 RECOMMENDATIONS. 2 8.0 RECOMMENDATIONS ......................................................................................................................... 32 90 REMARKS wn 9.0 REMARKS ........................................................................................................................................... 33 100 REFERENCES. % 10.0 REFERENCES ................................................................................................................................... 34 110 SOURCES % 11.0 SOURCES ......................................................................................................................................... 36 22222222..00000022 SSTTAATTEE__0022882200995599 PDPeEFlCCa-CCPoonrntotaaitinniinNnggoFFAiaretf0nigth1tning5g FFooaamm aannddTThheeiirrUUssee iinn FFriraetfgigphttiinngg TTrraainmiengg iinn MMiinnnneessoottaa Delta Project No. AOOB-11 0-0 PPaaggeelii TTTaaabbbllleee211 TTTTaaaabbbblllleeee24d3 TTTTaaaabbbbllleleee 6554 Table 6 AAAppppppeeennndddixiiABAxx AAAAppppppppeeeennnnddddiiiixxxx CCDB AAAAppppppppeeeennnnddddiiiixxxx FEED AppendiGx Appendix F AppendixG LiLsisttooffTTaabblleess AUUlSl.S.M.uMMnaiancnuifupaafalcctFtuiurrreeerrDssoepofaf riFtrirmefefginghthttQinnuggesFFtooiaaomnmnssaie Responses AMMMuullunnMniiccicuiiinpppiaaacllilpFFFaiiilrreeeFirDDDeeeeppDpaaaerrrptttammmreetemnnnttetsnwwiTtitthQhhautNNTeoorstaFFioiiinrrneenWffaiigighrhhettiinRCngeg sFFlpoooaBanammsFeosUUsasseemss QT`MrQuuauienenssiicttniiiopgonSannltaaFeiirisrreeewiRRDteeehssppp3aoo1rnntmssFeeeossnatffsmrooTmUmhsaAAeltirpTpororartitnaaWnnddithRReeCffiilnaneesrrsyyBFFiiFrreeoaDDmeeppsaarrttmmeennttss aanndd TTrraaiinniinngg SScchhoooollss Training Sites with 3M Foam Use LiLsisttooffAAppppeennddiicceess QQQuuueeessstttiiiooonnnnnnaaaiiirrreeesss totoo//fMfrioonmmneUUs..oSS.t.aMMUaasnneuurfsafaccotftuurFrieerrressfioogfhftFFiiinrrgeeffFiiggohhattiimnnsgg FFooaamms.s QQQQuuuueeeessssttttiiiioooonnnnnnnnaaaaiiiirrrreeeessss tffforooomMmminAMMinurunepnisocirocittippaiaaUlrl oFsFieiDrreespDDaoerfeptFpmaiaerrrenitfmtmigsee.hnntiitnssg Foams QQQQuuuueeeessssttttiiiioooonnnnnnnnaaaaiiiirrrreeeessss ffffrroooommmm OAFFiiiilrrrepeRffoeiigrfgthihFtntiienirnrgegieTTDsrreaaaipinnnadiirnntgCmg aeSSmncchtphsoooRolilspsley Indidual Training Ste Profies Questionnaires from Oil Refineries Individual Training Site Profiles and Camp Ripley 22222222..00000033 SSTTAATTEE__0022882200996600 PDPeEFlCCa-CCPoonrntotaaitinniinNnggoFFAiaretf0nigth1tning5g FFooaamm aannddTThheeiirrUUssee iinn FFriraetfgigphttiinngg TTrraainmiengg iinn MMiinnnneessoottaa Delta Project No. AOOB-11 0-0 PPaaggeelii TTTaaabbbllleee211 TTTTaaaabbbblllleeee24d3 TTSTacaabhbblolleeeol554s Table Schools Table 6 AAAppppppeeennndddixii8Axx AAAAppppppppeeeennnnddddiiiixxxx CCDB AAAAppppppppeeeennnnddddiiiixxxxEED? Appendix G Appendix F AppendixG LLiissttooff TTaabblleess AUUlSl.S.M.uMMnaiancnuifupaafalcctFtuiurrreeerrDssoepofaf riFtrirmefefginghthttQinnuggesFFtooiaaomnmnssaie Responses AMMMuullunnMniiccicuiiinpppiaaacllilpFFFaiiilrreeeFirDDDeeeeppDpaaaerrrptttammmreetemnnnttetsnwwiTtitthQhhautNNeooTsrtFFiaoiiinrrneenffWaiigigrhhhettiinRCngeglasFFspoosoaanBmmseFUUsossaeems Questiomaie Municipal Fire Questionnaire Responses Departments Responses fromThat from Alport and Refnery Fie Train With Class B Foams Airport and Refinery Fire DDeeppaarrttmmeennttss aanndd TTrraaiinniinngg TTrraaiinniinnggSStietesswiwtithh 33M1 FFooaamm UUssee: LLiissttooffAAppppeennddiicceess QQQuuueeessstttiiiooonnnnnnaaaiiirrreeesss tttooo//fMfrioronmmneUUs..oSS.t.aMMUaasnneurufsafoaccfttuuFrrieerrressfioogfhftFFiiinrrgeeffFiiggohhattiimnnsgg FFooaamms.s QQQQuuuueeeessssttttiiiioooonnnnnnnnaaaaiiiirrrreeeessss tffforooomMmminAMMfnuufrenpisociocittippaFaaiUllrseFFeiiDrrreespDDaoerfeptFpmaiaerrernttfmtmigsee.hnntlitnssg Foams QQQQuuuueeeessssttttiiiioooonnnnnnnnaaaaiiiirrrreeeessss ffffrroooommmm OAFFiiiilrrrepeRffoeiigrfgthihFtntiienirnrgegieTTDsrreaaaipinnnadiirnntgCmg aeSSmncchtphsoooRolilspsley Indwidual Training Ste Profiles Questionnaires from Oil Refineries Individual Training Site Profiles and Camp Ripley 22222222..00000044 SSTTAATTEE__0022882200996611 PPEERRFFLLUUOORROOCCAARRBBOONNSS IINN FFIIRREEFFIIGGHHTTIINNGG FFOOAAMM AANNDD TTHHEEIIRR UUSSEE IINN FFIIRREEFFIIGGHHTTIINNGG TTRRAAIINNIINNGG IINN MMIINNNNEESSOOTTAA DDEELLTTAA PPRROOJJEECCTT NNOO.. AAQOUOBS--111100:-00 11.00 WINTTRROODDUUCCTTIIOONN 1P 11.1 Pu urpor seaanndp dSSccooo ppeeoofs fSSerevrvieciceess: Dea Delta CCoonnssuutltaannttss ((DDeekltaa)) wwaass rreettaaiinneedd aanndd aauuthhoorrizzeedd bbyy tthhee MMiinnnneessoottaa PPoollluuitioonn Cano Control AAggeennccyy ((MMPPCCAA)) t1o0 ccoonndduucctt rreesseeaarrcchh iinnttoo tthhee pprreesseennccee ooff ppeerrffloouurroaccaarrbboonnss ((PPFFCCss)) iinn ffirreeffigghhtiinngg ffooaammss aanndd tthhee uussee ooff tthheessee ffooaammss iinn ffiirreeffigighhttiningg trraaiinniinngg iinn MMiinnnneessotoata,. SSppeceicfiificcaallllyy., thhee ttyyppeessooff rfiereffiigghhtiinngg ffooaammss tthhaattccoonnttaaiinnoorr ccoonnttaaiinneedd PPFFCCss,, aanndd tthhee llooccaattiioonnss wwhheerree tthhee PPFFCC--ccoonnttaaiinninngg ffirreeffiigghhtiinngg ffooaammss aarree oorr wweerree uusseedd iinn feirfeifgighhitiinngg trraaiinniinngg iinn MMiinnnneessotoata,, wweerree rreesseeaarrcchheedd ffoorr thhiisspprroojjeecctt. TThhee ggooaall ooff tthhiiss rreesseeaarrcchh pplaann iiss ttoo dent identify itssites iinn MMiinnnneessaottaa wwhheerree cceerrttaaiinn ttyyppeess ooff PPFFCCss ooff ppaarrttiiccuullaarr eennvviirroonnmmeennttaall ccoonncceernn aat tthiiss itimmee,, ppeerrfuluoorrooooccttaannee ssuullffoonnaattee ((PPFFOOSS)),, ppeerrlfluuoorrooooccttaannooiicc aaccidd ((PPFFOOAA)) aanndd ppeerrffloouurroobbuuttaannooiicc aacciidd ((PPFFBA)A,),mmaayybbee pprreesseenntt iinn tthhee eennvviirroonnmmeenntt ddueuttootethhee rreeppeeaatteedd uussee ooff ffirreeffiigghhttiinngg ffooaammssaat efghing firefighting ttraaiinniinngg llooccaattioornss.. 1S12.2 cScoopeoopffWWoeorrkk TThhee ffoolllloowwiinngg ssccooppee ooff wwoorrkk wwaass ccoonndduucctteedd uunnddeerr MMaasstteerr CGoonnltrraacctt NNuummbbeerr AA4488444400 aanndd CCoolnrtraacctt WWoorrkk OOrrddeerr NNuummbbeerr SSFFODEEG0B8110,0. TTaasskk 11 -- RReesseeaarrcchh OOuuttlliinnee DDeelltaa pprreeppaarreedd aa rreesseeaarrcchh oouuttilinnee., iinncclluuddiinngg iissssuueess ttoo bbee aaddddrreesssseedd aanndd qquueessttiioonnss ttoo bbee aannsswweerreedd bbyy thhiiss PPEFCC rreesseeaarrcchh pprroojjeecctt. TThhee oouultliinnee wwaass ssuubbmmiittteedd 1to tthhee MMPPCCAA ffoorr rreevviieeww aanndd ccoommmmeenntt aatt thhee tatstart ooff hithis rreesseeaarrcchh pprroojjeecct ttoo eennssuurree tthhaatt DDeellltaa wwoouulldd mmeeeett tthhee pprroojjeecctt rreeqquuiirreemmeennttss aanndd eexxppeeccttaattiioonnss ooff tthhee PMCPAC.A. TTaasskk 22-- PPFECC BBaacckkagrroouunndd RReesseeaarrcchh Dots Delta's bbaacckkggrroouunndd rreesseeaarrcchh iinnccliuuddeedd rreevviieeww ooff rreeaaddilyy aavvaaiilaabbllee iinnffoorrmmaattiioonn oonn tthhee cchheemmisisttrryy ooff PPFFCCss., ccuurrtreenntt SSttaattee aanndd FFeeddeerraall gguuiiddeelliinneess erellatteedd ttoo tthhee PPFFCCs ooff ccoonncceerrnn ((PPFFOOSS,, PPFFOOAA aanndd PPFFEBAA)), aanndd thhee hheeaalltthh ccoonncceerrnnss aassssoocciiaatteedd wwiitthh hthoossee PPFFCCss.. RReessoouurrcceess ffoorr TTaasskk22 iinncclluuddeedd PPFFCC rreesseeaarrcchh aallreeaaddyy ccoonndduucctteeddbbyy tthhee MMPPCCAA aanndd iinnffoorrmmaattiioonn aavvaaiillaabbllee oonn tthhee wweebbssiiteess ffoorr tthhee MMPPCCAA,, MMiinnnneessoottaa DDeeppaarrttmmeenntt ooff HHeeaallthh ((MWODHH)),, tthhee UU..SS.. EEnnvviirroonnmmeennttaall PPrrootteeccttiioonn AAggeennccyy ((UUSSEEPPAA)) wweebbsistiteess,, aanndd ootthheerrss.. 22222222..00000055 SSTTAATTEE0_202882200996622 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 aeZ Page 2 `TTaasskk33.--PPFFCC-C-ConotnataiinniinnggFiFriree SSuupppprreessssiioonnFFooaammBBaacckkggrroouunnddRReesseeaarrcchh DDoetltaa rreesseeaarrcchheedd tthhee hhiissttoorryy aanndd ddeevveellooppmmeenntt ooff ffiirreeffigighhttiningg ffooaammss aanndd tthhee uussee ooff PPFFCCss iinn ffooaammss,, iiddeennttiiffiieedd tthhee ppaasstt aanndd ccuurrrreenntt mmaannufuafaccttuurreerrss aanndd ttyyppeess ooff PPFFCC-c-coonnttaaiinniinngg ffiirreeffigighhttiinngg ffooaammss,, iiddeennttiiffiieedd tthhee mmaajjoorr uusseerrss iinn MMiinnneessooltaa ooff PPFFCC-c-coonntataiinniinngg ffirreeffiigghhttiinngg ffooaammss,, aanndd iiddeennttiiffiieedd FFeeddeerraall oorr SSttaattee rreegguullaattiioonnss rreeggaarrddiinngg tthhee uussee ooff PPFFCC--ccoonnttaaiiniinngg ffooaammss.. RReessoouurrcceess ffoorr TTaasskk 33 iinncclluuddeedd tthhee ffoolllloowwiinngg:: iinnffoorrmmaattiioonn aavvaaiilaabbllee aatt tthhee wweebbssiitteess ffoorr vvaarriioouuss. mmaannuufafaccttuurreerrss ooff ffiirreeffigighhttiinngg ffooaammss;; wweebbssiitteess ffoorr vvaarriioouuss ffiirreeffigighhttiningg oorrggaanniizzaattiioonnss aanndd eennttiteiess,, iinncclluuddiinngg tthhee MMiinnnneessoottaa SSttaattee FFiirree MMaarsrshhala,l, tthhee NNaattiioonnaall FFiirree PPrrootteeccttiioonn AAssssoocciiaattiioonn,, tthhee UU..SS.. FFiiree AAddmmininiissttarattiioonn,, tthhee FFiirree FFiigghhitiinngg FFooaamm CCooaalltitiioonn,, aanndd tthhee bbrraanncchheess ooff tthhee UU..SS.. mmiillitlayry;; aanndd., nnuummeerroouuss ppeerriiooddiiccaallss aavvaaiilaabbllee aalt tthhee FFiiree//EEMMSS/S/Saafefettyy CCeenntteerr LLiibbrraarryy ooff tthhee MMiinnnneessoottaa SSttaattee CCoolllleeggeess aanndd UUnniivveerrsistieess m(MsNcSC)U.). DDeellttaa aalssoo ssuurrvveeyyeedd tthhee UU..SS.. mmaannuufafaccttuurreerrss ooff ffiirreeffigighhttiinngg ffooaammss ttoo oobbtaaiinn iinnffoorrmmaaltiioonn rreeggaarrddiinngg tthhee ffooaamm bbrraannddss tthheeyy ccuurrrreennttllyy pprroodduuccee aanndd Nhiissotorriiccaallllyy mmaaddee,, aanndd wwhheetthheerr oorr nnoolt PPFFCCss aarree oorr wweerree uusseedd iinn tthhee pprroodduuccttiioonn ooff thhoossee ffooaammss.. TTaasskk d4=- Iinntteerrvviieewwss: DDeellttaa iinntteerrvvieiewweedd tthhee ffoolllolowwiinngg ppeerrssoonnss rreeggaarrddiinngg ffiirreeffigighhttiningg ffooaammss,, uusseerrss ooff ffiirreeffigighhttiinngg ffooaammss iinn MMiinnnneessoottaa,, aanndd llooccaattiioonnss wwhheerree frfire ffigghhitiinngg ffooaammss aarree oor wweerree hhiissttoorriiccaallllyy uusseedd ffoorr trraaiinniinngg ppuurrppoosseess:: O.Dr.. JJeennnniiffeerr FFiieelldd,, pprrooffeessssoorr aatt OOrreeggoonn SSttaattee UUnniivveerrssitiy aanndd rreseesarechaerroocffPhPEeFCCrss iinn ffiirreeffigighhttiinngg ffooaammss;; MMrr. T"Toomm CCoorrttiinnaa ooff tthhee FFiirree FFiigghhttiinngg FFooaamm CCooaallittioonn;; MMr.r. MMiitcchh HHuubbeerrtt ooff TTyyccoo FFiirree && SSeeccuurlriyty,, mmaakkeerrss ooff AAnnssuull ffooaamm pprroodduucctsts;; MMr.r. JJeerrrryy RRoosseennddaahhll,, MMiinnnneessoottaa SSttaattee FFiirree MMaarrsshhaall;; MMi.r. DDoonn BBeecckkeerriinngg,, SSttaattee DDiirreeccttoorr ooff FFiirree,, EEmmeerrggeennccyy MMeeddicicaall SSeerrvviicceess aanndd SSaaffeeltyy TTrraaiinniinngg aalt MMiinnnneessoottaa SSttaaltee CCoolllleeggeess aanndd UUnniivveerrssiititeis:; MMr.r. RRoobbeerrtt BBoerrgg,, HHoommeellaanndd SSeeccuuririttyy PPllaannnneerr wwiilthh thhee MMiinnnneessoottaa DDeeppaarrttmmeenn!t ooff HHoommeellaanndd `SSeeccuurrittyy aanndd EEmmeerrggeennccyy MMaannaaggeemmenetn;t; MMss.. BBaarrbb MMeeyyeerr,, FFoorreessttrryy PPrrooggrraamm CCoooorrddiinnaaltoorr wwiithh tthhee. MMiinnnneessoottaa DDeeppaarrttmmeennttooff NNaattuurraall RReessoouurcrceess;; aanndd., MMss..TToonnii HHoowwlel,l, MMaannaaggeerr ooff EEnnvviirroonnmmeennttaallAAfffaairrs aalt thhee MMeetrtrooppoolilittaann AApiroprotrt CCoommmmisisssiioonn EEnnvviirroonnmmeenntt DDeeppaarrttmmeentn.t. TTaasskk =5- QQuueessttiioonnnnaaiirree MMaaiilliinngg AA qquueessttiioonnnnaaiirree rreeggaarrddiinngg tthhee uussee ooff ffirreeffiigghhttiinngg ffooaammss iinn ffirree trraaiinniinngg eexxeerrcciisseess wwaass mmaaiilleedd t(o0 uusseerrss ooff ffiirreeffigighhttiningg ffooaammss iinn MMiinnnneessoottaa iddeennttifieedd iinnTTaasskk44,, iinnccluucdiinngg aalll ifirree ffiigghhttiinngg ddeeppaarrttmmeennttss iddeennttifeiedd oonn tthhee MMiinnnneessoottaa SSttaattee FFiirree MMaarrsshhaall'ss wweebbssiittee ((wwwww..ffirre.ssttaattee..mmnn.uuss)),, ffirreeffigghhtterr trraaiinniningg ccoolllleeggeess iinn MMiinnnneessoottaa,, aaiirlppoorttss wwiitthh ddeeddiiccaatteedd ffirree ddeeppaarrttmmeennttss,, MMiinnnneessoottaa''ss ttwwoo ooiil rreeffiinneerriieess,, aanndd CCaammpp RRiipplleeyy.. TThhee qquueessttiioonnnnaaiirreess rreeqquueesstteedd iinnffoorrmmaattiioonn rreeggaarrddiinngg tthhee ttyyppeess aanndd aammoouunntt ooff ffiirreeffigighhttiinngg ffooaamm uusseedd iinn ffiiree ttrraaiinniinngg aanndd fefire rreessppoonnssee,, tthhee llooccaatiioonnssooff tthhee ttraaiinniinngg aarreeaass uusseedd bbyy tthh e frfire ddeeppaarrttmmeennttss,, aanndd tthhee ffaatlee ooff thhee ssppeenntt fooaamm uusseedd iinn ttrraaiinniinngg.. 22222222..00000066 SSTTAATTEE__0022882200996633 PDPeEFlCCa.-CCroonnoataeminiinnNggoEFArirCeeifOiggBhh1iti1nn0gg0FFooaamm aanndd TThheairrUUssee iinn FFriroeffgighhttiinngg Trangin Training in MMiinnnneesscottaa Delta Project No. AOOB-11 0-0 Foes Page 3 `TTaasskk66=-TTaabblleeooff FFiirreeTTraraininiinnggSiStiteess AA ttaabbllee ooff iefire trraaiinniinngg ssiitteess wwhheerree PPFFCC-c-coornttaaiinniinngg tefire ssuupppprreessssiioonn ffooaammss aarreeoorrwweerree uusseedd wwaass pprreeppaarreedd.. IInnffoorrmmaattiioonn ssuummmmaarriizzeedd iinn tthhee ttaabbllee iinnccluuddeess ddeeppaarrttmmeennttssi/aaggeenncciieess/ieenntiitiieess uussiinngg tthhee ttrraaiinniinngg ssiitee,, tthhee ssiitee ssiizzee aanndd llooccaattiioonnss ((aadcdersess,s, alattiutuddeef/olonngguitcued,e,ohor eothrer ddeessccrriippttiioonn.), tthhee ttyyppeess ooff ffirreeffiigghhttinngg ffooaammss uusseedd., tthhee eessttiimmaatteedd mmoonntthlyy oorr aannnnuuaall aammoouunntt ooff ffooaamm ddiisscchhaarrggeedd aatt tthhee se,site, wwhheetthheerr oorr nnoolt tthhee ssittee iiss aaccitivvee oorr iinnaaccttiivvee,, aanndd wwhheetthheerroor nnoot ppootteennttiiaall erecceeppttoorrss wweerree denied identified wwiitthhiinn aa cera certain ddiissttaannccee ooff tthhee ssiitee ((sseeee TTaasskk. 77., bbeeilooww),). SStiteess wweerree rraannkkeedd bbaasseedd oonn tthhee ttyyppeess aanndd qquuaannitittieess ooff ffooaamm ddiisscchhaarrggeedd nin ttrraaiinniinngg eexxeerrcciisseess aanndd tthhee pprreesseennccee ooff ppootteennttiiaall nneeaarrbbyy eennvviiroonnmmeenntatall reecceeppttoorrss aanndd tthheeiir proxi proximity oto tthh e ssiitee.. OOrnllyy rreessppoonnddiinngg ffirree ddeeppaarrttmmeennttss aannddsscchhoooolswweerree inncciluudeedd iinn thhee rraannkkiinngg.. TTaasskk 77 - RReecceeppttoorr SSuurrvveeyy. eta Delta ccoonnssuulteedd tthhee MMODHH''ss CCoouunnttyy WWeleli/IInnddeexx ((CCWH)I)G(wwnwh.heeaatlthhs.sattaete.mmnnu.ussi/ddisvtse/ethc/cuwiil) ttoo eidnetnittifyy wwaatteerr sSuuppppllyywweetllss aanndd ggrroouunnddwwaatteerr mmoonintitoorriinngg els wells tthhaatt hhaavvee bbeeeenn rreeggiisstteerreedd wwiitthh aanndd mmaappppeedd bbyy hthee MMODHH,, aanndd wweellllhveeaadd pprrootteecctiioonn aarreeaass nneearatthhre ttrraaiinniinngg aarreeaass.. TThhee CCVWII mmaappppiinngg pprrooggrraamm iinncclluuddeess 1tooppooggrraapphhiicc mmaappss thhaatt wweerree uusseedd ttoo eidnetntiifyy ssuurrffaaccee wwaalteerrss nneeaarr tthhee trraaiinniinngg aarreeaass.. PPoolteennttiaal rreecceepptlorrss aarroouunndd ffirreefifghhttinngg trraaiinniinngg iessites wweerree erie identified ttooaa oonnee mmiillee rraaddiuus.. DDoetltaa aalssoo rreeffeerreenncceedd tthhee UUS.S.. FFiisshh && Wide Wildlife SSoenrviicee''ss NNeaftioornaall WWeetltlaannddss. Iinnvveennttoorryy MMaagpppeerr (tp vetlandsts esas 0) (http://wetlandsfws.er.usqs.qov) ttoodideennitifyywweteltlaannddss llooccaatteedd wit within oonnee mmiilteooff thhee ttraaiinniinngg ssiitteess.. TTaasskk 88. - TTrraaiinniinngg SSiittee SSuummmmarairieess IInnffoorrmmaattiioonn fforr ffiirreeffigighhttiningg ttrraainniinngg ssitteess rraannkkeedd wwiitth tthhee hhiigghheesstt iednetnitfifiieedd penta potential irisskk 0to thhee eennvviirroonnmmeenntt wwaass ccoommppiileedd nointo aa TTrraaiinniinngg SStitee SSuummmmarayry.. IInnffoorrmmaattiioonn in ithhee TTrraaiinniinngg SeSite SSuummmmarairieess iinncdluudceedd iinnffoorrmmaattiioonn dented identified iinn TTaaskss&6kaansndd 77,, pplluss ccoonnttaacctt iinnffoormmaattiioonn ffoorr aeacchh se,site, wweellll llooggss ffoor nneeaarrbbyy wer water we wells ented identified oonntthhee CCYWA,I, aanndd aannyy ootthheerr ppeerrttiinneenntt ssittee--ssppeecicfiic minoforrmmaattioonn. TaTasskk 9 -RRepepoorrtt eta Delta ccoomppiielesd thhee iinnffoorrmmaattiioonn ggaatthheerreedd iinn TTaasskkss 11 tthhrroouugghh it 8 into tthhiiss ccoommpprreehheennssiivvee rreeppoorrtt. 11.33 ULmimititaattiioonnss DDeetltaa''ss rreesseeaarrcchh aanndd tthiiss rreeppoorrtt aarree ssuubbjjeecctt t(o0 tthhee ffoolllolwwiinngg liimmititaattiioonnss:: + aeDnetdltaa poobubtbtaaliisnnheeded.d, rremeevvdiieiewaw,eedd,,aaannnddd eepvviaaollvuudaaettededd viinnoffloourrnmmlaaatrtiiiooynn aabvyvaaiilafabrbellee dffreropomamriFFmeeeddneesrr,aall aafnnrddefgSShtttaaittneeg.eerniftfiotiiaeemss omamafnantdnuhfueafpaacucctbcutulurirsreehrarsecs,yd, oaarnnmddaeuoodhftiehhanee,trrikkacnnnioodywwollfeepddtrhgogievesaiadibbenllfdeeorppmveearotrssliuooonnnnstsa..riDlDyeellitbaa'y'ss services do nol include the verfication fire departments, firefighting foam services do not include the verification + IDoDnefeftklhotaaremaddaiticddicounnnrooalrtcepypgeeaorrrrffdooairnrumgmthaaetnhnneyyticslsitoiyttceaotrrfieeothcncsioos,nninnnaaafrioisasrsmnsaagannetccimoeeenn.ooirrsddiiarreenccdttllyyphooybbsssiecerarvlveechaaannryyacotoeffrttihhseticffisrreeotftraahiinneiinngtgrssainittieenssg. Information regarding the locations, arrangements and physical characteristics of the training 22222222..00000077 SSTTATAETE0_208282200996644 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 aPaggee d4 sbSitteeiss caarreeviinanffeertrrreeddnlfrrooommmatiionnnffo.orrmmaattiioonn oobbttaaiinneedd ffrroomm tthhee ffirree ddeeppaarrttmmeennttss aanndd mmaappss aanndd ootthheerr publicly available information. Perfuorocarbons (PFCs) are a class o2f.0maPnF-CmaBdAeCKchGeRmiOcUalNsDderived rom hydrocarbons, where the. hPyedrrflougoeroncaartboomnss h(aPvFeCsb)eeanrereaplcalacesds boyf mflauonr-imneadaetomcsh.emPicaCls daererivcehdarfarcotmerihzyeddrobcyarcbhoanisn,s wofhecraerbthoen ahtyodmrosgeofnvaartoyminsg lheanvgethsbe1eonwhriecphlacfleudoribnye afluloomrisnearaetosmtrso.ngPlyFCbosradreed,chmaarkaicntgerPizFeCdsbdyurcahbaliensanodf hcaarrbdofno bartoemaksdoofwvnar(y1i)n.gPlFeCngsthhsavtoe wbheeicnhufslueodrinsiencaetotmhes 1ar9e5s0t1rosngplryodbuocnedeidnd,usmtraikailnganPdFcCosnsduumraebrlepraondduchtasrdhatol abrreeahkedaotwannd(1 s).aPiFnCrseshiastvaentbeaennduwsaetdersinrceepelthleant19(52)0.s PtoFCprsodhuacveeinbdeuesntriaulseadndinc aonsvuamrieelryproofdpurcotsdutchtast ianrecluhdeinagt satnadinsrteasinistraenstisftaabnrticasnadndwactaerrperte,pceollaalnitng(2s).forPF1C00sd hpaavcekagbienegn, unosne-dstiinckacovoakriweatrye,of hperrobidcuicdets. and insecticide formulations, and firefighting including stain-resistant fabrics and carpet, and insecticide formulations, and firefighting oars (3). coatings for food foams (2)(3)(4). packaging, non-stick cookware, herbicide 2C21.1hCehemmiistrsyootffPPrFFCCyss. TThheerree aarree tthhrreeee ccllaasssseess ooff PPFFCCss ccoonnssiiddeerreedd ffoorr thhiiss pprroojjeecct:t: ppeerrffluucorrooccaarrbbooxxyyllaatteess,, ppeerrffluuoorriinnaatteedd ssuullffoonnaatteess,, aanndd fflluuoorrootteelloommeerr ssuullffoonnaatteess ((55)).. PPeerrffluuoorrooccaarrbbaoxxyyllaatteess aarree ffuullllyy ffluuoorriinnaatteedd ccaarrbboonn mmaoleleccuuleless. wwiilthh aa ccaarrbbooxxyyllaattee ggrroouupp oonn tthhee eenndd ooff tthhee cchhaainin.. PPeerrfflluuoorriinnaatteedd ssuullffoonnaatteess aarree ffuullllyy fRluuoorriinnaatteedd ccaarrbboonn mmoolleceucleus wwiitthh aa ssuullffoonnaattee ggrroouupp oonn tthhee eenndd ooff tthhee cchhaaiinn.. FFlluuoorrootteelloommeerr ssuullffoonnaatteess aarree ppaarrttialllyy fuluoroirinnaatteedd mmooleleccuuleless.. IInn rreeffeerrriinngg ttoo ffluluoororoteelloommeerr ssuullfoonnaatteess., tthhee rraattioo oofftthhee nnuummbbeerr ooff ffluuoororcoacrabornbso0n(9Xs)) aanndd hhyysdrrooccaarrbboonnss(MY) aarree pprreesseenntteedd aass XX.:YY.. SSoo,, 2a66::22 fuluoroorotteelloommeerr ssuullffoonnaattee hhaass ssixx ffluuodirinnaatteedd ccaarrbboonnss. aanndd ttwwoo hhyyddrrooccaarrbboonnss iinn tthhee lfluuoorrooaallkkyyll cchhaaiinn ((55)).. PPFFCCs mmaayy hhaavvee vvaarriioouuss ffuunnccitioonnaall ggrroouuppss aattttaacchheedd,, ssuucchh aass ssuullffoonnaattee,, ooccttaannooiicc aacciidd oorr bbuuttaannooiicc aaccidd ggrroouuppss,, mmaakkiinngg tthhee ffoollloowwiinngg ccoommppoouunnddss wwhhiicchh aarree tthhee ffooccuuss ooffttihiss rreesseeaarrcchh: + prpeeegrriffsluutrcoyrroonoouccmttabaneneer ssiuunlleffoonpnaaartteeen((!PPsFFuOOlSfS)o.)n,icCCscFFd1S7OSi0s3.s,taaennd88-u-ccnhhdaaoiirnncccaaasrrebboornnogiccsooimmrpypoonuoun.ndd,1,76hh3aa.s2s3-nno1o.ssppeePcciFiffOicccSacas5see.a perfluorinated sulfonate. registry number; the parent perfluorinated sulfonate. sulfonic acid is listed under case registry no. 1763-23-1. PFOS is a + pPpeeFrrOffluuAoorraooococrciotaannnycomiiccraaecfcieiddrs((PPloFFOOApA)e.r),fuCCoarHHoFoFc1i5<a00n2,c,iacanna8Bc--dcchhaaaiinnndccaairtrsbboopnnr,,inccciaapssaeel rrseealgglisiss.ttrryyThnnoeo.. m33o335s5:t-667-7c1-o,1m. mTTohhnee pccPehhFreeOfmmliAuiccoaaralolccraiionrnnbyottmhxhyiisslaretgg.frreoorusupptoiiss pttehhrefeluoaarmmomomocotnaniniuuomimc sal.acid salt, which is aso known and its principal salts. which is also known as C8. PFOA is a The most common as C8. PFOA is a + ppeerrflfuuoroorcoabrbuolxaynlaaoteci.dc (PFBA), GHF,O;, a &-chaincarbon, case registry no. 375-22-4, PFBAis part ofthe perflorocarboxylate perfluorobutanoic acid (PFBA), part of the perfluorocarboxylate group. C4HF7 group. 0 2, a 4-chain carbon, case registry no. 375-22-4. PFBA is PPFFOOSS,, PPFFOOAA aanndd PPFFBBAA aarree ppeerrssiisstteenntt iinn tthhee eennvviirroonnmmeenn!t aanndd ddoo nnoott ddeeggrraaddee uunnddeerr eennvviiroonnmmeennttaall ccoonnddiitiioonnss ((UUSSEEPPAA,, MMDDH)H.). 22.22 MMaannuuffaacctutruerooeff PPEFCCss PPFFCCss aarree mmaannuuffaaccttuurreedd uussiinngg oonnee ooff ttwwoo mmeetthhooddss:: tthhee SSiimmoonnss eelleccitrroo--cchheemmiiccaall Mfluuoorriinnaattiioonn ((EECCFF)) pprroocceessss uusseedd eexxcclluussiivveellyybbyy 33MM;; oo,r, aa etelloommeerriizzaatiioonn pprroocceessss ((66)) 22222222..00000088 SSTTAATTEE__0022882200996655 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 aPaggee s5 222.21.1EECCFFPPrroocceessss TThhee EECCFF pprroocceessss uusseedd eexxcclluussiivveellyy bbyy 33MM ggeenneerraatteess ffuulllyl fflluuoorriinnaatteedd ccoommppoouunnddss iinn bbrraanncchheedd-- aanndd ssttrraaiigghhtt-cchhaaiinnss wwiithh bboolthh eevveenn aanndd oodddd nnuummbbeersroosff ppeefrflluoorrooccaarrbboonnss ((66)7()7.). PPeerrffluuoorriinnaatteeddssuulflfoonnaatteessaarree mmaaddee uussiinngg tthhee EECCFF pprroocceessss.. TThhee cchheemmiiccaall ooff iinntteerreesstt iinn tthhee EECCFF pprroocceessss iiss ppeerrfflluuoorrooooccttaanneessuullfoonnyyll fuluoorriiddee ((PPOOSSFF)),, CCfF;SSO0:FF.. TThhee ffiinnaall ddeeggrraaddaattiioonn pprroodduucctt ooff PPOOSSFF aanndd iitss ddeerriivveedd pprroodduuccttss iinncclluuddee. PPFFOOSS aanndd PPFFOOAA (8).8 17 (8). PPFF2OOSS ccaann oonnllyy bbee pprroodduucceedd bbyy tthhee EECCFF pprroocceessss oorr bbyy tihhee ddeeggrraaddaattiioonn oorr mmeettaabboolliissmm ooff ootthheerr fflluuoorroocchheemmiiccaallss pprroodduucceedd bbyy EECCFF ((98)).. PPFFOOSS ddooeess nnoott ddeeggrraaddee eexxcceepptt bbyy ccoommbbuustsitioonn,, aanndd iiss ppeerrssiisstteenntt iinn tthheeenevnivriroonnmmeenntt ((99).). PPFFOOAA ccaann rreessuulllt ffroomm tthhee mmaannuuffaaccttuurree ooff PPFFCCss bbyy bbootthh tthhee EECCFF pprroocceessss aanndd aa tteelloommeerriizzaattiioonn pprroocceessss ((sseeee SSeeccttiioonn 22..22..22)) ((66)).. IIt iisnnoott cclleeaarr ffrroomm aavvaaiilaabbllee elitrearattuurree iiff PPFFBBAA iiss mmaaddee uussiinngg tthhee EECCFF pprroocceessss.. 33MM ddiissccoonnttiinnuueedd tthheeiirr pprroodduuccttiioonn ooff PPFFOOAA,, PPFFOOSS. aanndd PPFFOOSS-r-reellaatteedd pprroodducutcs iinn 22000022 ((1100),). TThheerree aarree. ootthheerr ccoommppaanniieess iinn tthhee wwoorrldd tthhaatt mmaannuuffaaccituurree oorr ssuuppppllyy PPFFOOSS aanndd PPFFOOAA,, aanndd tthheerree aarree ssttoocckkppiilleess ooff ffiirreeffigighhttiningg ffooaamm mmaaddeebbyy 33MM aanndd tthhee EECCFF rreemmaaiinniinngg ((1111)).. 2.2.22.22TeTleolommereirzizaattiioonnPPrroocceessss TThhee tteelloommeerrizzaattiioonn pprroocceessss ccrreeaatteess aa fflluuoorriinnaatteedd tteelloommeerr tthhaatt sis ddiifeferreenntt ffroomm aann EECCFF--mmaaddee fflluuoorrininaatteedd mmoolleeccuullee iinn tthhaatt tthheeyy oonnllyy hhaavvee aann eevveenn nnuummbbeerr ooff fflluuoorriinnaatteedd ccaarrbboonn aattoommss aanndd tthhee mmoolleeccuullee iiss pprreeddoommininaanntltlyy ssttrraaiigghhtt-cchhaaiinneedd ((66))7(7).). IInn aaddddititiioonn,, tthhee fflluuoorrootteelolmomeerrizzaattiioonn pprroocceessss iinnsseerrttss aann eetthhyyll ggrroouupp. bbeettwweeeenn tthhee ffluuoorrooaallkkyyll cchhaaiinn aanndd tthhee ffuunnccttiioonnaall ggrroouuppoonn tthhee eenndd., wwhhiicchh ddiifffeerreennttiiaatteess tthhee aattoomm ffrroomm aann EECCFF--pprroocceessss fflluuoorriinnaatteedd mmoolelecculuele.. IInn rreeffeerrriinngg ttoo ffluuoorroolteelloommeerr ssuullffoonnaatteess,, tthhee nnuummbbeerrooffffuluoorrooccaarrbboonnss. 0(X%) aanndd hhyyddrrooccaarrbboonnss ((Y)) aarree ddeessiiggnnaatteedd aass arattioo XX.:YY.. SSoo,, ssiixx- aannddeeigighhtt-cchhaaiinn flluuoorroolteelloommeerr ssuullfoonnaatetess. ((FFItSS)) wwoouulldd bbee rreeffeerrreedd ttoo aass 66::22 FFItSS aanndd 88::22 FFStS,, rreessppeectcitivveelyly.. PPeerrffluuoorrooccaarrbbooxxyyllaatteess ((iinncclluuddiinngg PPFFOOAA aanndd PPFFBAA)) aanndd ffluuoorrootteelloommeerr ssuullffoonnaatteess aarree mmaaddeeusuisinngg aa tteelloommeerriizzaattioonn pprroocceessss.. AAllUUS.S.. mmaannufuafaccttuurreerrss ooff ffiirreeffigighhttiinngg ffooaammss eexxccoepptt 33MM uussee aa ffooaamm ssuurrffaaccttaanntt mmaaddee wwiithh aa tteelloommeerriizzaattiioonn pprroocceessss.. AAnnaallyyssiiss ooff fflluuoorrootetelolmomeerr--bbaasseedd aaqquueeoouuss fiilmm--foomrmiinngg ffooaamm ((AAFFFFFF)) ccoonncceennttrraattee ffoouunndd tthhaatt iitt ccoonnttaainisnasa ssmmaallll aammoouunntt ooff ffluuoorroolteelloommeerr ssuullffoonnaatteess aanndd tthhaalt ffluuoorrooaallkkyyllthhiiooaammiidcoo ssuullffoonnaatetse aarree tthhee mmaaiinn aanniioonniicc fflluuoorroossuurrfaaccttaanntt iinn tthhee ccoonncceennttrraatteess ((55)).. AAccccoorrddiinngg ttoo DDrr.. JJeennnniiffeerr FFiieeldd,, aa pprrooffeessssoorr aatt OOrreeggoonn SSttaattee UUnniivveerrssiittyy aanndd rreesseeaarrcchheerr ooff PPFFCCss iinn ffiirreeffigighhttiinngg ffooaammssaanndd tthhee eennvviirroonnmmeentn,t, ffluuoorrooaallkkyyltthhiiooaammiiddoo ssuullffoonnaatteess aarree aa ccllaassss ooff cchheemmiiccaallss mmaaddeebbyytthhee tteelloommeerriizzaattiioonn pprroocceessss tthhaatt sshhaarree aa ccoommmmoonn bbaacckkbboonnee bbuutt wweeiigghh mmoorree tthhaann tthhee 88::22 aanndd 66::22 tteelloommeerr ssuullfoonnaatetess.. DDrr.. FFeielldd aanndd hheerr ccoolllleeaagguueess hhyyppootthheessiizzee tthhaatt fMluuoorrooaallkkyyltihhiooaammiiddoo ssuullffoonnaatteess bbrreeaakk ddoowwnn ftoo 66::22 aanndd 28:2 tteelloommeerr ssuullffoonnaatteess iinn tthhee eennvviirroonnmmeentn.t. DDrr.. FFiieled iinnddiiccaatteedd tthhaatt ccuurrrreennttllyy tthheerree iiss llelittle rreesseeaarrcchh ddaattaa sshhoowwiinngg wwhheetthheerr oorr nnaott 88:22 fflluoorrootteelloommeerr ssuullffoonnaatteess ccaann bbrreeaakk ddoowwnn ttoo PPFFOOAA,, wwhhiille ssoommee oollddeerr rreesseeaarrcchh hhiinntteedd tthhaat it mmaayy bbee ppoossssiibbllee. 22222222..00000099 SSTTAATTEE__0022882200996666 oan rin som ar rs in Toes rst PFC-Containing Firefighting Foam and Their Use in Firefighting Training in Minnesota A Eom Delta Project No. A008-11 0-0 Page 6 J 1 or Stn. 0 FF Soa Sa, SRE SR According to Mr. Tom Cortina of the Fire Fighting Foam Coalition, telomer-based firefighting foams eo. Gta TTS contain predominantly (75 to 80%) six-chain carbon fluorosurfactants (6:2 FtS), with varying percentages rr err ST ATs Sv of eight-chain or higher homologues (8:2 FtS). According to a 2002 report, telomer-based surfactants re ---- TR rea biodegrade to a fluorinated carbon chain molecule, and that this fluorinated carbon chain molecule is not arr SR TTI expected to further degrade. However, this final degradation product molecule has not been established es sss cnn 35 FP sr rs 1 PH but the two possibilities are perfluorohexanoic acid (PFHxA) or another unknown molecule (8). PFHxA is note can namoogon of POR (4, or can ta gti 1 moun denon a shorter chain homologue of PFOA (8). More recent data regarding this unknown final degradation Tm------------ product molecule of telomer-based surfactants was not found during this project. 223.3OtOhtheerrPPFFCss tn mor tates conduc oy PE manda, USEPA thr ov sd on PEGS To date most studies conducted by PFC manufacturers, the USEPA and others have focused on PFOS 2 on. 5th PEE cases rts 3 non of kote comnts of aya aon one and PFOA. But the PFC classes include a number of fluorinated compounds of varying carbon chain lleennggtthh,, iinncclluuddiinngg tthhee ffoolllolowwiinngg (1122):): cooy ||woB Chemical Group esteemneusmss,nts. [[[FFpF[rrreeoviengrshnn |eeepasvttamssseuvpepneooscssassnssons[[[r[semeossas[mowmsncroaeeosecr|s|||o05 oems77]ss| Perfluorinated carboxylic acids, s| group includes PFOA. Ertl, [a ee [esss | o| Compounds are possible breakdown products or Hn [A ete [serr e | s 10] manufacturing intermediates of Sore [FEromm|EsE rssar so[awo orrose|. s1e]s other PFCs. Chemical Acronym PFBA PFPeA PFHxA PFHpA PFNA PFDA PFUnA PFDoA Chemical Name perfluorobutanoic acid perfluoro-n-pentanoic acid perfluorohexanoic acid perfluoroheptanoic acid perfluorononanoic acid perfluorodecanoic acid perfluoroundecanoic acid perfluorododecanoic acid CAS Registry No. 375-22-4 2706-90-3 307-24-4 375-85-9 375-95-1 335-76-2 2058-94-8 307-55-1 No. of Fluorinated Carbon Chains 4 5 6 7 9 10 11 12 etego |[PrESn Perfluorinated sultanates, group RE Er includes PFOS. PFTA PFBS PFHxS perfluorotridecanoic acid |Jeomiosmvnmem|m|Gozrooasess||rs+ asltss| perfluorobutane sulfonate rrr a----. perfluorohexane sulfonate ss 1-octanesulfonic not determined 29420-49-3 355-46-4 not determined 4 6 62 FtS acid, 3,3,4,4,5,5,6,6,7,7,8,8,8- -- 6 Fluorotelomer Sultanates tridecafluoro-, ammonium salt 82 FtS -- -- 8 ee Following 3M's decision in 2000 to stop production of PFOS-related fluorochemicals, 3M changed its ete chert ar tas. robs 50 ot hy. 4 sow sad on 3 orca fluorination chemistry and reformulated its products so that they are now based on a four-carbon ets comput cous. of EGS clos prturantan ote Fred USEPA fluorinated compound "cousin" of PFOS called perfluorobutane sulfonate (PFBS). 3M received USEPA ------------------r er approval for, and is now manufacturing, eighteen new PFBS-based chemistries (13). 22222..00010 STATE_02820967 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 aeT Page 7 Lil Little iinnffoorrmmaattiioonn oorr rreesseeaarrcchh ddaattaa iiss rreeaaddiillyy aavvaaiilaabbllee rreeggaarrddiinngg tthhee cchheermisisttrryy ooff PPFFBAA,, oorr wwhhaalt ccoommppoouunnddss mmaayy bbrreeaakk ddoowwnn ttoo PPFFBBAA,. LLiitttlee iinnffoorrmmaattiioonn iiss aavvaaiilaabbllee rreeggaarrdciinngg ssppeecciiffiicc uusseess ooff PPFFBBAA aanndd tthheessee ootthheerr PPFFCCss oofthfeerr tthhaann ttoo iinnddiiccaattee tthheeyy hhaavvee bboeeenn uusseedd iinn pprroodduuccttss ssuucchh aass ssttaaiinn--reessiissttaanntt ffaabbrriiccss aanndd ccaarrppeet,t, aanndd ccooaattiinnggssfoforrffoooodd ppaacckkaagginingg.. SSoommee ccoommppoouunndd--ssppeecciifficc pprroodduucctt uusseess aarree aass ffoolllloowwss:: + 3a3MnMimmndaaunnsutufifaaaclcttcuuurresetddoPPmeFFrBAfAoraatutsiitess iCCnootmttataakggieengGGrproohvvoeet,o, gMMriainnpnnhoiescsooittaamffa(a1cc4i)ll.iltyy othruougghh 11999988.. PPFFBBAA wwaass ss0oildd tfoo an industrial customer for use in making photographic film (14). + PPFFBBSS iiss aann aaccttiivvee iinnggrreeddiieenntt iinn 33Mss nneeww SSccooltcchhggaarrdd ffoorrmmuullaattiioonn ((1155).). 224.4 PPFFCCssiinntthheeEEnnvviirroonnmmeenntt TThhee ssttrreennggtthh aanndd dduurraabbiillittyy ooff PPFFCCs tthhaalt mmaakkee tthheemm iiddeeaall iInn aa vvaarriieettyy ooff ccoonnssuummeerr pprroodduuccttss aallssoo mmaakkee. tthheemm rreessiissttaanntt ttoo bbrreeaakkddoowwnn iinn tthhee eennvviirroonnmmeentn.t. PPFOOSS,, PPFFOOAA aanndd PPFFBBAA aarree ppeerrssiisstteenntt iinn tthhee eennvviirroonnmmeenntt aanndd ddoo nnoott ddeeggrraaddeeuunnddeerreennvviirroonnmmeennttaall ccoonnddiittiioonnss ((1166)()6)E(MMDDHH.). IInn MMiinnnneessootata,, PPFFCCss hhaavvee bbeeeenn iiddeennttiiffiieedd aatt ffoorrmmeerrddisisppoossaallsseitess uusseedd bbyy 33MM iinn LLaakkee EEllmmoo,, OOaakkddaallee,, aanndd WWoooodbdubruyry., aass wweellll aass iinn tthhee aarreeaa ooff M3M''ss mmaannufuafaccttuurriinngg ffaaciiilittyy iinn CCooltitaaggee GGrroovvee.. AASs ppaarrtt ooff iitss oonnggooiinngg. iinnvveessttiiggaattiioonn ooff PPFFCCss,, tthhee MMPPCCAA hhaass ccoonndduucctteedd aa vvaarriieetlyy ooff PPFFCC ssaammpplliinngg iinn MMiinnnneessoottaa''ss aammbbiieenntt eennvviirroonnmmeentn.t. SSaammpplleedd mmeeddiiaa iinncclluuddee sshhaallllooww ggrroouunndd wwaatteer iinn uurrbbaann aanndd aaggrriiccuullttuurraall aarreeaass,, ssuurrffaaccee wwaatteerr iinn uurrbbaann aanndd rreemmoottee aarreeaass,, fhfish ttissssuuee iinn uurrbbaann aanndd rruurraall llaakkeess,, mmuullitippllee mmeeddiiaa aatt llaannddffiillss ssttaatteewwiiddee,, mmuulltitplee mmeeddiiaa aatt wwaassttee wwaatteer trreeaattmmeenntt ppllaanntss ssttaatteewwiiddee,, uurrbbaann ssttoorrmmwwaatteerr,, aanndd ssuubbuurrbbaann aaiirr.. AA nnuummbbeerr ooff ssaammpplleess hhaadd nnoo ddeetteecctteedd PPFFCC,, bbuutt PPFECCs wweerree ddeetteecctteedd aat llooww ccoonncceennttrraattiioonn iinn aat lleeaasstt aonnee ssaammppllee ffroomm eeaacchh mmeeddiiaa ((MMPPCCAA)). PPFFCCss iinn tthhee eennvviiroonnmmeenntt aarree nnoott lIimmiitteedd ttoo MMiinnnneessoottaa aanndd hhaavvee bbeeeenn ddeetteecctteedd wwoorrldw-wididee iinn eennvviirroonnmmeennttaall mmeeddiiaa,, aanniimmalasls,, ffiisshh,, aanndd hhuummaannss.. TThhee rreedudctuioncootffiPPFoFCCsn.s sas aa ggrreeeennhhoouussee ggaass aarree ppaarrtt ooff tthhee KKyyooltoo PPrroottooccool.l. TThhee EEnnvviirroonnmmeennttaall AAggeennccyy ooff EEnnggllaanndd aanndd WWaalleess ppuubbilisshheedd iinn 22000044 aann EEnnvviirroonnmmeennttaall RRiisskk EEvvaalluuaatitioonn' RReepporotr:t: PPeerrffluloorrooooccttaanneessuilpphhoonnaattee ((PPFFOOSS)) ((1111)).. OOtthheerr EEuurrooppeeaann ccoouunnttriieess ((AAuussttrriiaa,, DDeennmmaarrkk,, GGeerrmmaannyy)) hhaavvee iimmpplleemmeenntteedd pphhaassee--oouuttss ooff PPFFCCss ((1177).). AAuusstrtriiaa''ss bbaann oonn PPFFCC--ccoonnttaaniniinngg ffirree eexxttiinngguuiisshheerrss aanndd ffooaammss hhaass ttaakkeenn eeffffeecct,t. TThhee EEuurrooppeeaann UUrniioonn aanndd CCaannaaddaa hhaavvee pprrooppoopepdeada pphhaasseedd bbaann oonn tthhee uusseeooffeexxiissttiinngg ssttoocckkss ooff PPFFOOSS--bbaasseedd ffiirreeffigighhttiningg ffooaammss aass ppaarrtt ooff bbrrooaaddeerr PPFFOOSS rreegguullaattiioonnss ((1188).). WWhhiillee oouurr uunnddeerrssttaannddiinngg ooff tthhee bbrreeaaddithh ooff PPFCCSs iinn tthhee eennvviiroonnmmeenntt aanndd tthhee iimmpplliiccaattiioonnss ffoorr tthhee hheeaalltthhooff tthhee eenmvrioronnmmeenntt aanndd hhuummaannss iiss iinnccoommpplleettee aanndd sstiilll eevvoohlviinngg,, PPFFCCs aarree tthhee ssuubbjjeecctt ooff oonnggooiinngg rreegguullaattiioonnss aanndd ccoonnttiinnuueedd ssttuudiiess aaccrroossss tthhee UUrniitteess SSttaatteoss aanndd wwoorrlldd--wwiiddee.. 22.55 PPEFCCss aanndd HHuummaann HHeeaalltthh AAccccoorrddiinngg ttoo tthhee MMiinnnneessoottaa DDeeppaarrttmmeenntt ooff HHeealailhth,, nneeaarrllyy aallll ppeeooppllee hhaavvee ssoommee aammoouunntt ooff PPFFCCss iinn htheeiirr bblloooodd.. SSttuuddiieess bbyy tthhee CCeenntteerr ffoorr DDiisseeaassee CCoonnlrtrooll aanndd PPrreevveennttiioonn ((CCDDCC)) ppuubblliisshheedd iinn 22000077 ffoouunndd tthhaalt PPFFOOSS,, PPFFOOAA aanndd PPFFHHXxSS wweerree ddeetteecctteedd iinn aapppprrooxxiimmaatteellyy 9988%%ooff tthhee ppooppuullaattiioonn ((1199).). TThhee wwaayy tthhroouugghh 22222222..00001111 SSTTAATTEE__0022882200996688 PDPeEFlCCa.-CCroonnoataeminiinnNggoEFArirCeeifOiggBhh1iti1nn0gg0FFooaamm aanndd TThheairrUUssee iinn FFriroeffgighhttiinngg Trangin Training in MMiinnnneesscottaa Delta Project No. AOOB-11 0-0 Foes Page 8 wwhhiicchh PPFFCCs aarree eenntteerriinngg tthhee bblooooddssitrreeaamm iis nnoolt hthoorroouugghhllyy uunnddeerrssttooooddaattithsis itimmee.. EExxppoossuurree cou could ooccccuurr tthhrroouugghh tthhee uussee ooff ccoommmmerecriciaall pprroodduuccttss tthhaatt ccoonnataiinn PPFFCCss,, tthhrroouugghh eexxppoossuurree ttoo ccoonnttaammiinnaatteedd eennvviirroonnmmeennttaall mmeeddiiaa ((ssooili,l, aaiirr, wwaattee)r),, oorr tthhrroouugghh ffoooodd.. PPFFOOSS aanndd PPFFOOAA aarree bboioaaccccuurmulualattiivvee iinn hhuummaanns.s aanndd aanniimmaalls.. LLeessss iiss kknnoowwnn aabboouutt ootthheerr PPFFBAA PPFFCCss iinn tthhee bbooddyy.. TThhee UUSSEEPPAA hhaass pprreeppaarreedd aa DDrraafftt RRiisskk AAsssseessssmmeennttootfhthee PPootteennttiiaall HHuummaann HHeeaalltthh EEffffeeccttss AAssssoocciiaatteedd wwiitthh EExxppoossuurree ttoo PPeerrflufourooorctoaonocictAAcaciniddaaainncdd IItss SSalltts ddaatteedd JJaannuuaaryr4y4,, 22000055,. HHoowweveevre.r, thhee ereppaorrtt hhaass nnoott bbeeeenn ffiinnaallizizeedd aanndd ccaannnnoott bbee ccilteedd oorr qquuoolteedd. TThhee difdraft rreeppoorrtt iiss aavvaaiilaabbllee onne on-line aalt www.e6p53a.gGoOvV/OoPpPptU!ppfIoOaA/ppuUbDsS/pIfpooaariTskk.hitmm. IInn JJaannuuaarryy 22000088 tthhee MMiinnnneessoottaa DDeeppaarritmmeenntt ooff HHeeaatlthh iissssuueed iitss fiinnaall rreeppoorrtt oonn hheeaalltth irisskkss ffoorr PPFFCCss ((2200)).. TThhee rreeppoorrtt nnootteesstthhe ffoollloowwiinngg rreeggaarrddiinngg PPFFCCss aanndd hhuummaann hheeaatlthh oefffeeccsts:: e""TTxhhpeeorrseeedaarrteeo aaPFffeCewsw sdstutuurddiinieegss mooaffnuhhfeeaaacltlttuhhrieenffgffeeccattnssdiinnfoppueenoodpplelne.o. 3MaMppassrtteuunddtiieedhdatrthhmee thhoeeawalolttrhhkeoorff 3IheMMaliwhw.oorrkkTeewrross snietexdupwidobieesosserdnhhbtaaoavvbeeiPeFbbsCeeaeesnnndduccProoFinnnCdgduulccmottveaeeddnsutiffoaochtddueeertmtineegrrammiaiennneed'iiffobutohhnoeeddrr.eenEoiiasscah3appsrrateeurlleadaynttiiotfononhsusahhnriidmppabbtoseemttawwwleooleerdknneecrthrheeheaesahheletehaai.ntlthhbTiwtooohff `w7nw0eee,wiig0gbh0hot0tronoprrebhaoaptbehlieeerrsemmaxenepadoasssuPuerFrdeeCssLoleoofvPfegFglrsrOooiAwwntththihnewwdiimrthhiontkiihninecncgrrre'eswaaabsstiilnonegogrdPP.inFFECCOahclliheeovvseetalulssnddyIinnfWottehuhsenetdmmaVaolihtsrhegmerin.ra.illaAAdieshhceeuraaentladthhesresswtainuuyd.dbyirtoiohnff ggi7nee0nn,t0eehr0eraa0,lb,pothedheyoe,spsleeebssuettuuxhddpiioeeesssesssdthuhdtoooiwwesPtthFhhaOaat vAhtheeeinnlloedelvvreeisnllshskionoowfgfnPPwFFtaCChtassetrninhitnethhOeePhFeeionCnvvsaiirnoohdnnammvWeeenenthstatmmrVaamyiyerbgdbieneipaeIlionnpiskkleeeu.ddnttdoToehccerwhrheaaafnnyog.greeeIsns, t[tinooxxrtiihcceoeollodobggoiissdttyss, have feted on amma but the studies have have relied on animal studies o delermine whelhr an not shown that the PFCs have studies to determine whether an exposure 0 PFCs may be harmed people. Therefore, exposure to PFCs may be harmful." IInn AAuugguusstt 22000077,, tthhee MMODHH sseett ffoorrtht ithhee ffoollloowwiinngg HHeeaalllthh RRiisskk LLiimmitis ffoorr ccoonncceernitrraattiioonnss ooff PPFFOOSS aanndd PPFFOOAA iinn ddrriinnkkiinngg wwaatteerr: 00..55 ppaarrtis--ppeerr--bbiilllioonn ((ppppbb)) ffoorr PPFFOOAA aanndd 00.3.3 ppppbb ffoorr PPFFOO.S. SSiinnccee tthhaat tiimmee,, aaddddiitiioonnaall `reesseeaarrcchh ddaattaa hhaass bbeeccoammee aavvaaiillaabbllee aanndd tthhee MMDDHH hhaass, pprrooppoosseedd aa rreevviisseedd HHeeaatlthh RRiisskk LTLimit ooff 00..33 ppppbb ffoorr bbootthh PPFFOOAA aanndd PPFFOOSS.. TThhee nneeww rreesseeaarrcchh rreelliieedd uuppoonn bbyy tthhee MMODHH iinnddiiccaatteess tthhee hheeaalltthh ccoonncceerrnnss. erellaatteedd ttoo PPFFOOSS aarree eeffffeeccttss oonn tthhee lfiivveerr aanndd tthhyyrrooiidd:; hheeaalltthh ccoonncceermnss reellaatteedd ttoo PPFFOOAA aarree eefffeecctss oonn tthhee vliveerr,, sslioowweedd ddeevveellooppmmeenntt iinn ffeettuusseess,, rreedduucceedd nnuummbbeerr ooff reedd bblloooodd cceellllss,, aanndd cchhaannggeess ttoo tthhee iimmmmuunnee. ssyysstteemm.. T"Thhee MMODHH iinnddiiccaatteess tthhaatt ssuufffficcieenntt toi toxicity ddaattaa ddooeess nnoott eexxiisstt 0to ccaallccuullaattee aa cchheemmiiccaakl-ssppeecciifficc hheeaalltthhbbaasseedd vvaalluuee ((HHBBVV)) ffoorr PPFFBBAA.. TThhee ddaattaa tthhaatt aarree aavvaaiillaabbllee ffoorr PPFFBBAA iinnddiiccaattee tthhaatt iitt iis lleessss ttooxxiicc tthhaann PPFFOOAA,, aa ssiimmiilaarr cchheemmicicaall,, aanndd tthhee MMODHH bbeelliieevveess tthhaatt 11 ppppbb iiss aa pprrootteeccttiivvee nnuummbbeerr ffoorr PPFFBBAA,, bbaasseedd oonn tthhee mmaosstt rreecceenntt ssccieennccee,, aanndd iiss pprrootteeccttiivvee eevveenn ooff hthoossee wwhhoo mmaayy hhaavvee hhiigghheerr rreellaattiivvee wwaatteerr ccoonnssuummppitiioonn aratteess,, ssiucchh aass pprreeggnnaanntt wwoommeenn., nnuurrssiinngg mmootthheerrss aanndd ssmmaalll cchhkilditreenn ((MMDDHH).). 2U 26.6TThS hee USEEPAaP annddPPA EFCCss IInn 11999999 tthhee UUSSEEPPAA bbeeggaann aann iinnvveessttiiggaattiioonn iinntfoo PPFFOOSS aaffteerr rreecceeiivviinngg ddaattaa ffrroomm 33MM tthhaalt PPFFOOSS wwaass. ppeerrssiisstteennt,t, bboioaaccccuummuullaattivvee aanndd uunneexxppeecctteeddilyy ttooxxiicc ((1166).). UUtltiimmaalteellyy 33MM cceeaasseedd pprroodduuccltiioonn ooff PPFFOOSS iinn 22000022.. 33MM aallssoo ffoouunndd PPFFOOAA iinn hhuummaann bblloooodd aass ppaarrtt ooff thheeiirr PPFFOOSS ssttuuddiieess ((1186)).. IInn JJuunnee 22000000 tthhee UUSSEEPPAA 22222222..00001122 SSTTAATTEE__0022882200996699 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 aes Page 9 eexxppaannddeedd tthheeiir iinnvveessttiiggaattiioonn ttoo iinnccluuddee ootthheerr PPFFCCs,s, iinncclluuddiinngg PPFFOOAA,, iinn oorrddeerr ttoo ddeetteerrmmiinnee iiff oothheerr PPFFCCs.s rreepprreesseenntt ssiimmiilaarr ccoonncceerrnnss aass PPFFOOSS ((1166).). 1Inn 22000033 tthhee UUSSEEPPAA iissssuueedd aa rreeqquueesstt foorr iinnffoorrmmaattiioonn oonn PPFFOOAA aanndd aa ssoofliiccittaattioonn ttoo iinntleerreesstteedd ppaarrttieess t(o0 ddeevveelloopp eennffoorrcceeaabbllee ccoonnsseenntt aaggrreeeemmeennttss ((EECCAASs)) ((1166)).. TToo ddaattee oovveerr 11.,330000 ddooccuummeennttss hhaavvee bbeeeenn sSuubbmmiittteedd (to0 tthhee UUSSEEPPAA uunnddeerr hsthis rreeqquueesstt,, aanndd aarree aavvaaiillaabbllee aattvwwww.rreegguullaattiioonnss.ggoovv uunnddeerr ddoocckkeelt EEPPAA.HHQQ--OOPPPPTT--220000330-001021.2. AA ffiinnaall EECCAA bbeettwweeeenn tthhee UUSSEEPPAA aanndd AAGGCC CChheemmicicaallss AAmmeeririccaass,, IInncc..;DDalakikiinn AAmmeerriicaa,, IInncc.;; DDyynneeoonn,, LLLLCC:; aanndd E..1l. dduu PPoonntt ddee NNeemmoouurrss aanndd CCoommppaannyy ((tthhee CCoommppaanniieess)) wwaass ppuubblliisshheedd iinn tthhee FFeeddeerraall RReeggisistteerr oonn JJuulyl8y8,, 22000055 ((2211)).. IIn tthhee EECCAA,, tthhee CCoommppaanniieess aaggrreeeedd oto ppeerrffoorrmm iinncciinneerraattiioonn tteesstiinngg ooff ffoouurr ffluuoorrooppoollyymmeerr cchheemmiiccaallss ttoo ddeelteemrmmiinnee wwhheetthheerr iinncciinneerraattiioonn ooff tthheessee ffluluoorrooppoollyymmeerrss iiss rreelleeaassiinngg PPFFOOAA ttoo. tthhee eennvviirroonnmmeenntt. AA MMeemmoorraannddaa ooff UUnnddeerrssttaannddiinngg ((MMOOUU)) bbeettwweeeenn tthhee UUSSEEPPAA,, 33MM CCoommppaannyy aanndd DDyynneeoonn,, LLLLCC wwaass. eexxeeccuutteedd iinn OOccttoobbeerr 22000044 ffoorr PPFFOOAA ssiittee--rerllaatteedd eennvviirroonnmmeennttaall aasssseessssmmeenntt pprrooggrraamm ((2222)).. TThhee MMOOUU ccaalllss ffoorr aa pphhaasseedd aapppprrooaacchh ffoorr aaddddtitiioonnaall eennvviirroonnmmeennttaall mmoonnititoorriinngg aanndd ootthheerr ddaattaa ccoolllleeccttiioonn,, ppaarriticcuullaarrllyy iinn thhee aarreeaass ooff ssooili,l, bbiioottaa aanndd ooffff-ssiittee mmonointiotoririnngg,, aatt 33MM aanndd DDyynneeoonn ssiitteess iinn DDeeccaatutur,r, AAllaabbaammaa.. AA ssiimmiilaarr MMOOUU wwaass eexxeeccuutteedd iinn NNoovveemmbbeerr 22000055 bbeettwweeeenn tthhee UUSSEEPPAA aanndd EE...I. DDuuppoonntt DDee NNeemmoouurrss aanndd CCoommppaannyy ((DDuuppoonntt) ffoorrtthhee DDuuppoonntt WWaasshhiinnggltoonn WWoorrkkss ffaacciiliittyy iinn WWeesstt VViirggiinniiaa. IInn JJaannuuaarryy 22000066,, UUSSEEPPAA aanndd eeiigghhtt mmaajjoorr PPFFCC mmaannufuafaccttuurriinngg ccoommppaanniieess ((33MWD/Dyynneeoonn,, AArrkkeemmaa,, IInncc.., AAGGCC CChheemmicicaailss/aAssaahhii GGalasss,s, CCiibbaa SSppeecciaiallttyy CChheemmiciaclasls,, CCllaarriiaannt CCoorrppooraratitioonn,, DDaaikikinin,, EEL..l. dduuPPoonntt ddoe. NNeemmoouurrss aanndd CCoommppaannyy,, aanndd SSoohlvaayy SSoolleexx)) ccrreeaatteedd thhee 22001100//1155 PPFFOOAA SStteewwaarrddsshhiipp PPrrooggrraamm.. TThhee. ccoommppaanniieess ccoommmmiittteedd ttoo rreedduuccee ffaacciililtyy eemmiissssiioonnss aanndd pprroodduucctt ccoonntteenntt ooff PPFFOOAA,, PPFFOOAA. pprreeccuurrssoorr cchheemmicicaall,, oorr PPFFOOA-Ar-reellaatteedd hhoommoolloogguueessbbyy 8955 ppeerrcceennttbbyy 22001100,, aanndd t1o0wwoorrkk wtoawrardd eelliimmiinnaattiinngg eemmisisssiioonnss. aanndd pprroodduucctt ccoonntteenntt bbyy 22001155.. AAss ppaarrt ooff tthhee pprrooggrraamm tthhee ccoommppaanniieess ssuubbmmitit aannnuuaall rreeppoorrttss oonn tthheeiirr pprrooggrreessss ttoowwaarrdd rreeaacchhiinngg tthhee ggooaalsls.. IInnffoorrmmaattiioonn rreeggaarrddiinngg tthhee 22001100//1155 PPFFOOAA SStteewwaarrddsshhiipp PPrrooggrraamm iiss aavvaalilaabbllee aattyewwwqw.uregiulaatioonsn.ggosovv iinn ddoocckkee!t EEPPAA--HHQQ--OOPPPPT-T2-2000086.-00662211. PPaartrtiiaallllyy iinn rreessppoonnssee ttoo 33MM''ss pphhaassee oouutt ooff PPFFOOSS-bbaasseedd ffirreeffigihhttiinngg ffooaammssaanndd tthhee UUSSEEPPAA''ss 22000033 rreeqquueesstt ffoorr iinnffoorrmmaattiioonn rreeggaarrddiinngg PPFFOOAA,, sseevveerraall mmaannufuafaccttuurreerrss ooff friereffiigghhitiinngg ffooaammss ccaammee ttooggeetthheerr oto ffoorrmm tthhee. FFiirree FFiigghhttiinngg FFooaamm CCooaalliitioonn ((FFFFFFCC)) ttoo eedduuccaaltee aanndd hheellpp ppeerrssuuaaddee rreegguullaatoorryy aanndd lleegisisilaattiivvee ddeecciissiioonn:mmaakkeerrss tthhaalt ffooaammss aarree aa vvaalluuaabbllee ccoommppoonneenntt iinn ffiirreeffigighhttiinngg ((wwwww.fiffccw.0o1:r9g).). TThhee FFFFFFCC pprreesseennteedd ddaattaa tfoo tthhee UUSSEEPPAA uunnddeerr ddoocckkeelt EEPPAAH-HQ-QO-POPPTP-T2-0200033.-00001122 sshhoowwiinngg tthhaatt ((11)) CCB6 fflluuoorriinnaatteedd ssuurrffaaccttaannttss aarree tthhee Kkeeyy iinnggrreeddiieenntt iinn tteelloommeerr--bbaasseedd AAFFFFFF aaggeenntsts,, ((22)) tteelloommeerr--bbaasseedd AAFFFFFFss ddoo nnoott ccoonnttaaiinn nnoorr ddeeggrraaddee ttoo PPFFOOSS,, aanndd ((33)) tteelloommeerr--bbaasseedd AAFFFFFFss aarree nnoolt mmaaddee wwiilthh PPFFOOAA--bbaasseedd pprroodduuccttss ((2233)).. TThhee FFFFFFCC pprrooppoosseedd thhaatt tteelloommeerr--bbaasseedd ffiirreeffigighhttiinngg ffooaamm pprroodduuccttss nnoo lloonnggeerr bbee ccoonnssiiddeerreedd aass ppaarrtt ooff tthhee EECCAA pprroocceessss.. TThhee. 22222222..00001133 SSTTAATTEE__0022882200997700 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 1100 UUSSEEPPAA TTeelloommeerr TTeecchhincicaall WWoorrkkggrroouupp aaggrreeeedd,, bbuult tthhee UUSSEEPPAA nnootteedd tthhaatt it iis iinntfeerreesstteedd iinn tthhee nneewweerr CCe fuluoroirinnaatteedd ssuurrffaaccttaannttss aanndd tthhee ssttoocckkppiileess ooffoollddeerr ffluuaorroocchheemmiiccaall ffirreeffiigghhttiinngg ffooaammss ((2244)),. 6 32.00 FFIIRREEFFIIGGHHTTIINNGG FFOOAAMM DDeellttaa rreesseeaarrcchheedd iinnffoorrmmaattiioonn aavvaaiilaabbllee aalt tthhee wweebbssiitteess ffoorr vvaarriioouuss mmaannuufafaccttuurreerrss ooff ffiereffiigghhttiinngg ffooaammss;; wWeebbssiitteess ffoorr vvaarriioouuss ffiirreeffigighhttiinngg oorrggaanniizzaattiioonnss aanndd eennitiltieess,, iinnccluuddiinngg tthhee FFiirree FFiigghhttinngg FFooaamm CCooalailtitiioonn,, tthhee MMiinnnneessoottaa SSttaattee FFiirree MMaarrsshhaall,, tthhee NNaattiioonnaall FFiirree PPrrootteeccttiioonn AAssssooccaitaitoionn,, tthhee UUS.S.. FFiirree AAddmminiinsitsctraatitioonn,, aanndd tthhee tbrraanncchheess ooff tthhee UU..SS.. mmililtitaarryy.; aanndd,, mmuulltlipllee ppeerriiooddiiccaallss aat tthheeFiFriree/EEMMS/SS/Safaefettyy CCeenntteerr LLiibbrraarryyoofftthhee MMiinnnneessoottaa SSttaattee CCoolllleeggeess aanndd UUnniivveerrsistieess ((MWNNSSCCU)U.). WWiitth tthhee iinnttrroodduuccttiioonn aanndd pprroolliffeerraattioonn ooff tthhee aauuttoommaobbdilee aanndd oolthheerr ppeetlrcolleeuumm--ppoowweerreedd eennggiinnee ccaammee tthhee nneeeedd ffoorr ssoommeetthiinngg ootthheerr tthhaann ppllaaiinn wwaatteerr ttoo fiigghhtt ppeetrrooleeuumm ((aannd ootthherr hhyyddoroccaarrbboonnss)) ffiirreess.. TThhuuss bbeeggaann tthhee deevveellooppmmeenntt aanndd rreeffinineemmeenntt oofffrireeffigghhttinngg ffooaammss.. AAllll ttyyppeess ooff ffiirreeffigighhttiningg ffooaammss aarree mmaaddee oto ddoo ffoouurr tthhiinnggss:: ffoorrmm aa sseellfs-seeaailiinngg llaayyeerr ooff f0oaamm oovveerr tthhee. ssuurrffaaccee ooff aa bbuumrniinngg qliquuiidd;; iinnssuullaattee tthhee lliiqauuiidd ffroomm tthhee hheeaatt ggeenneerraatteedd bbyy tthhee ffiree;; sSuupppprreessss vvaappoorsrs. aassssoocciiaatteedd wwiithh tthhee ffiirree:; aanndd,, ddeepprriivvee tthhee ffirree aanndd lliiqquuiiddooff xoxyyggeenn ((2255).). 33..14 DDeevveellooppmmeenntt aanndd TTyyppeess ooff FFiirreeffiigghhttiinngg FFooaammss PPrriioorr 0to tthhee 11996600ss,, ffiirreeffigighhtteerrss uuttiilizzeedd ddeetteerrggeenntt.- oorr pprrootteeiinn--bbaasseedd ffooaammss ffoorr hhyyddrrooccaarrbboonn ffuueell ffiirreess.. EEaarrllyy ddeetteerrggeenntt ffooaammss wweerree ssiimmppllee ssoolluutiioonnssooffssooaapp aanndd awtaeterr tthhaat wweerree aaeerraatteedd t1o0 ffoorrmm aa ffooaammyy llaayyeerr tthhaatt wwoouuldd ffllooaatt oonn tthhee ssuurrffaacceeoofftthhee bbuumrniinngg hhyyddrrooccaarrbboonn,, tthhuuss ddeeppririvviinngg tthhee ffiirreeooffooxxyyggeenn ((2255)).. LLaatteerr,, pprrootteeiinn--bbaasseedd ffooaamm ccoonncceennttrraatteess wweerree ddeevveellooppeedd aass aa cchheeaappeerr aalltleermnaaltiivvee t(o0 ddeetteerrggeenntt ffooaammss.. PPrrootteeiinn--bbaasseedd ffooaammss. hhaavvee aa bbaassee ooff oorrggaanniicc pprrootteeiinn mmaatttteer ssuucchh aass aanniimmaal ccaarrccaasssseess,, hhooooff oorr hhoorrnn mmeeaall oorr ootthheerr aanniimmaall ppaarrttss,, ccoommbbiinneedd wwiithh ootthheerr cchheemmiiccaallss aaddddeedd ttoo ssttaabbiiliizzee tthhee ccoonncceennttrraattee,, innhhbiiblit thhee ppootteenntitiaall ffoorr ccoorrrroossiioonn,, aanndd lolowweerrtthheeiir ffrreeeezziinngg etermmppeerraattuurree ((2266)).. EEaalrlyy pprrootteeiinn--bbaasseedd ffooaamm ccoonncceennltiraatteess tteennddeedd ttoo ssmmeelll rraanncciidd,, wweerree. ssliimmyy,, ccoorrrrooddeedd mmeettaall ccoonnttaaiinneerrss,, aanndd hhaadd aa Sshhoorrtt sshheellf felife ((2266)).. PPrrootteeiinn ffooaammss pprroodduuccee aa ssttaabbllee,, hhoommooggeennoouuss ffooaamm llaayyeerr wwiilthh ggoooodd hheeaatt rreessiissttaannccee aanndd vvaappoorr ssuupppprreessssiioonn,, bbuult hhaavvee aa ssllooww ffiirree ""kKnnoocckkddoowwnn"" ttiimmee ((2277).). DDeelteerrggeennlt--bbaasseedd ffooaamm ccoonncceennttrraatteess aarree ssyynnithheeltiicc ""inndduussttiriaall ssttrreennggithh"" ssooaapp. ccoonncceennttrraatteess tthhaatt ggeenneerraattee llaarrggee qquuaannttiitlieess ooff ffooaamm ((2286)).. PPrroolteeinn-- aanndd ddeetteerrggeenntt-.bbaasseedd ffooaammss aarree Iinntteennddeedd ffoorr uussee oonn hhyyddrrooccaarrbboonn ufueellffiirreess,, oorr CCalassss BBfrfieress,, oonnllyy.. IInn 11696655,, fflluuoorroopprroalteeiinn ((FFPP)) ffooaamm ccoonncceennitraatteess wweerree ddeevveellooppeedd iinn aann eeffffoorrtt ttoo iimmpprroovvee eexxiissttiinngg pprrootteeiinn ffooaammss ((2288).). PPrrooteeiinn ffooaammss ddeevveellooppeedd iinn tthhee mmiidd--11993300ss ooffffeerreedd bbeelttteerr hheeaatt rreessiissttaannccee tthhaann ddeelteerrggeenn!t ffooaammss,, bbuutt tthheeyy wweerree stitfifff aanndd ssloowweerr iin fiirree kknnoocckkddoowwnn tthhaann ddeetteerrggeenntt ffooaammss aanndd ddidd nnoott ffllooww wweellll aaccrroossss. aa bbuurrmniinngg hhyyddrrooccaarrbboonn ffuueell ssuurrfaaccee ((2288)).. FFlluuoorroocchheemmcicaall ssuurrffaaccttaannttss wweerree llaatteerr aaddddeedd t1o0 pprrootteeiinn ffooaamm ccoonncceennttrraatteess ttoo ccrreeaattee aa ffooaamm tthhaalt fflolowweedd bbeettteerr aaccrroossss tthhee bbuurmniinngg ssuurrffaaccee aanndd sshhoorrtteenneedd ffiirree Kknnoocckkddoowwnn ttiimmee ((2288)2(62)6.). 22222222..00001144, SSTTAATTEE__0022882200997711 PDPeEFlCCa.-CCroonnoataeminiinnNggoEFArirCeeifOiggBhh1iti1nn0gg0FFooaammaanndd TThheairrUUsseeiinn FFrioreffgighhttiinngg TTrainringiiannMMiinnnnneessgcottaa Delta Project No. AOOB-11 0-0 Foe Page 11 nIntthhee eeaarrllyy 119966005s tthhee UU..SS.. NNaavvaall RReesseeaarrcchh LLaabboorraattoorryy ccoonndduucctteedd reesseeaarrcchh oonn refire ssuupppprreessssiioonn hthaatt eleaadd t{ootthhee ddeevveellooppmmeenntt ooff aaqquueeoouuss ffiilmm--ffoorrmmiinngg ffooaamm ((AAFFFFFF)) wwiilthh fflluuoorroocchheemriiccaail--bbaasseedd ssuurrffaaccttaanntt foorr susee oonn hhyyddrrooccaarrbboonn ffuueel ffiirreess ((2299).). 33MM., iinn ccoonnjjuunnccttiioonn wwtithh tthhee UU..SS.. NNaavvyy,, bbeeggaann pprroodduuccttiioonn ooff AAFFFFF iinn 11996622 ((3300)/(33)1.). TThhee hfluuoorroocchheemriiccaalk-bbaasseedd ssuurrffaaccttaanntt iinn AAFFFFFF rreedduucceess thhee ssuurrfaaccee tteennssiioonnooff wwaatteerr aanndd ffoorrmmss aann aaqquueeoouuss ffilimm oonn tthhee ssuurrffaaccee ooff tthhee hhyyddrrooccaarrbboonn ffuueell tthhatt ((11)) ssuupppprreesssseess vvaappoorrss,, ((22)) ddeepprriivveess tthhee ffuueell ssuurrffaaccee ooff ooxxyyggeenn,, aanndd ((33)) pprreevveennttss cevvaappoorraattioonn aanndd ssuubbssceaquueenntt gion re-ignition ooff tthhee fuueell (22881)2(S2)9.). FFuurrtthheerr,, oholleess mmaaddee iinn tthhee aaqquueeoouuss ffilimm bbyy ffaallliinngg ddeebbiriss aarree qquuiicckkllyy rreessecaalleedd bbyy tthhee ffluluoororcohcheemmiiccaal-kbbaasseedd ssuurrffaaccttaanntt ((2299).). TThhee ffluuaorroocchheemmiissttryy uusseedd iinn AAFFFFFF bbeesstt faites facilitates tthhe rreedduuccitiioonn ooff tthhee ssuurrffaaccee tteennssiioonn ooff wwaatteerr aannd tthhee ffoormmaaitioonn ooff a@ uunniiffoorrmm fmfilm oonn tthhee ssuurrffaaccee ooff tthhee hhyyddrrooccaarrbboonn ffuueel.l. Whi While 33MM wwaass tthhee oorriggiinnaall mmaannuuifaaccituurreer ooff ffluuoorroocchheemmiiccaalb-bbaasseedd AAFFFFFF uussiinngg tthhee EECCFF pprroocceessss,, ootthheerr mmaannuufafaccttuurreerrss llaatteerr uusseedd tteelolommeerr-b-absaesde ffluuoorroocchheemmiiccaall ssuurrffaaccttaannttss iinn ttheelier AAFFFFFF.. FFlluuoorroopprrootteiinn ppoollaarr ffooaamm wwaass iinnttrroodduucceedd iinn tthhee mmdid--11996600ss,, wwhhiicchh, iinn aaddddiitiioonn 0to hhyyddrrooccaarrbboonn ffuueell fs. fires, wwaass aallssoo eeffffeeccttiivvee oonn ppoollaarr ssoollvveennttss ssuucchh aass all, alcohol, aacceettoonnee,, mmeetthhyyll tehthyy!l kkeettoonnee,, tthiiannneerrss aanndd ootthheerr fflaammmmaabbllee lliqauuiddss 2(28)8.). TThhee ppoollaarr ffooaammss ddoo eevveerryytthiinngg nnoorn--ppoollaarr ffooaammss ddoo,, bbuutt aallssoo wwoorrkk oonn wwtaeterr-ssoolluubbllee ssoollvveennttss ((2288).). WWaatteerr ssoolluubbllee ppoollaarr ssoollvveennttss wwiilll ddiissssoollvvee tthhee wwaatteerr nin eregguullaarr nnoonn--ppoollaarr ffooaammss ((2268)).. nIntthhee mmiidd--11957700ss aann aaqquueeoouuss ffilimm--ffoorrmmiinngg ppoollaarr ffooaamm wwaass ddeevveellooppeedd ((2288).). TThheessee ppoollaarr ffooaammss aarree rreeffeerrrreedd ttoo aass sallccoohhooblr-reessiissttaanntt ((AARR)) ffooaammss.. IInn tthhee ecaarrllyy 11998800ss,, ffilmm--ffoorrmmiinngg ffluuoorroopprrotteeiinn ((FFFFFFP)) ffooaamm wwaass iinnttrorodduucceedd ((2288)).. FFFFFFPP iiss aa pprrootteeiinn- oorr sSooaapp--bbaasseedd ffooaamm tthhaalt ccoommbbiinneess tthhee ssuuppeerriioorr hlheat rreessiissttaannccee ooff aann FFPP aanndd thhee ffaasstteerr kknnoocckkddoowwnn quay quality ooff aann AAFFFFFF ((2288)),. FFFFFFP oa foam iiss aallsooaavvaaiialablbele aass FFFFFFPP--AARR. WWhhiillee CCllaassss 8B ffiirreeffigighhttiinngg ffooaammss aarree uusseedd oonn CCalassss BB ffiirreess iinnvvoollvviinngg fflalmammmaabbllee oorr ccoommbbuussitiibblee ffuueellss., CCllaassss AA ffooaammss aarree foorr uussee oonn wives wildfires aanndd oofthheerr CCllaassss AA ccoommbbuustsibtless ssuucchh aass wwoooodd aanndd ppaappeer.r. TThhee. ddeevveellooppmmeenntt ooff GCllaassss AA ffooaammss ccaammee aabboouutt nin tthhee 119988005s bbeeccaauussee ooff wwoorkk iin tthhee aarreeaa ooff wwiilddilaanndd ffirree ccoonnttrrooll ((3322)).. CCllaassss AA ffooaamm iiss mmaaddee wwiitthh aa hhyyddrrooccaarrbboonn--bbaasseedd ssuurrffaaccttaanntt tthhaatt rreedduucceess tthhee ssuurrffaaccee tteennssiioonn ooff wwaatteerr aanndd aalllloowwssmmoorreessuurrffaaccee aarreeaa oofftthheewwaatteretoo ccoonnttaacct thheecocmobmubsutsitbiblleessuurrffaaccee.. AAnndd,,bbeeccaauussee isit is hhyyddrrooccaarrbboonn--bbaasseedd,, tthhee CCllaassss AA ssuurrffaaccttaanntt aallssoo hhaass aann afin affinity ffoor ccaarrbboonn aanndd ccaauusseess tthhee ffooaamm/wwaatteerr ssoolluttioonn ttoo ppeenneettrraattee iinntto tthhee wwoooodd oorr ootthheerr bbuurrnniinngg ccoommbbusutsitibbllee wwiithh ggrreeaatteerr eafffiiceiennccyy ((33221)3(333).). TThhuuss CCllaassss AA ffooaammss aarree ssaaiidd ttoo aacctt aa5s a a "Wwelelttiinngg aaggeenntt." CCllaassss A A ffooaamm concenlrates concentrates are are synthetic, synthetic, delergen- detergent- bbaasseedd ffooaammss wwiitthh aa hhyyddFrooccaarrbboonn--bbaasseedd ssuurrffaaccttaanntt ((3322)).. TiThis iinnddiiccaatteess tthhaatt CCllaassss AA ffooaamm ccoonncceennttrraatteess aarreennoottmmaaddee wwiithh ppeerrffluuoorrooccaarrbboonn--bbaasseedd ssuurrfaacctainatns aanndd tthhuuss wou would nnoolt ccoonnttaaiinn PPFFCCss.. MMr.r. MMiittcchh HHuubbeerrtt wwiitthh TTyyccoo FFiirree && SSeecucruirtityy,, mmaakkeerr ooff AAnnssuull rfiereffiigghhttinngg ffooaammss,, sis nnoott aawwaarree ooff aannyy CCllaassss AA fooaamrss tthhaatt aarree: mmaaddee wwiithh PPFFCCss oorr oolthheerr fflluuoorriinnaatteedd ccoommppoouunnddss.. MMrr.. TToomm CCoorrttiinnaa ooff tthhee ooff tthhee FFiirree FFiigghhttiinngg FFooaamm CCooaallittioonn aanndd MMr.r. DDoommininiicc CCoolllleettt,i, ccoo--aauutthhoorr ooff TThhee RRuurraall FFiirreeffiigghhttiinngg HHaannddbbooookk aanndd aoithheerr ffirrecffighhitiinngg ppuubblliiccaattiioonnss aallssoo iinnddiiccaatteedd iinn ee--mmaailil ccoorrrreessppoonnddeennccee tthhaatt tthheeyy bbeelliieevvee CCllaassss AA ffooaammss ddoo nnoott ccoonnttaaiinn fuluoorriinnaateedd ccoommppoouunnddss.. 22222222..00001155 SSTTATAETE0_208282200097722 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 1122 TTrraaiinniinngg ffooaammss aarree ssiimmiilaarr ttoo CCllaassss AA aanndd CCllaassss BB ffooaammss bbuult aarree mmaaddee ssppeecciifficcaalllyy ffoorr ffirree ttrraaiinniinngg eexxeerrcciisseess aanndd ddoo nnoott ccoonnttaaiinn cchheemmicicaall ccoommppoonneennttss ffoorr ffirreeffigghhttiinngg ppeerrffoorrmmaannccee.. TTrraaiinniinngg ffooaammss aarree. `aavvaaiillaabbllee ffroomm mmoosstt mmaannuufafaccttuurreerrss aanndd aarree ggeenneerraallly lleessss eexxppeennssiivvee bbeeccaauussee tthheeyy ddoo nnoott ccoonnttaiinn ((ccoosstlhy)) fMluuoorriinnaatteedd ssuurrffaaccttaanntt ccoommppoonneennttss ((77)).. TThhuuss ttrraaiinniinngg ffooaammss aarree nnoolt mmaaddee wwiithh PPFFCCss.. AA ssuurrvveeyy ooff mmuunniciciippaall ffiiree ddeeppaarrttmmeennttss iinn MMiinnnneessoottaa ((sseeee SSeeccttiioonn 44..00)) ffoouunndd tthhaatt mmaannyy ddeeppaarritmmeenn'tss tlraaiinn wwiitthh ddiisshhwwaasshhiinnggssooaappaass tthhee ccoonncceennttrraattee aaddddeedd ttoo wwaateter.r. CCllaassss 8B ffooaamm ccoonncceennttrraattiioonnss aarree ttyyppiiccaallllyy sSooldk iinn 119%%,, 33%5% oofr 66%% ssoolluutlioonnss,, wwhhiillee CCllaassss AA ffooaamm ssoolluuttiioonnss. fraannggee ffrroomm 00..11%% 1to0 11%% ((3322)).. FFoorr eexxaammppllee,, uussee ooff aa 33%% ffooaamm ccoonncceennitrraaltee mmeeaannss tthhaatt 33 ggaallloonnss ooff ccoonncceennttrraattee wwiilll bbee mmiixxeedd wwiitthh 9977 ggaallolnsloofofwwanatteserr pprriioor1to oorr dduurriinngg ddiisscchhaarrggee ((2266)).. FFiirreeffigghhtiinngg ffooaammss aarree s50o0ldd aa5s aa ccoonncceennttrraattee aanndd aarree ttyyppiciacallyl aavvaaliilaabbllee nin 55--ggaalllloonn ppaaiilss,, 5555--ggaalllloonn durrusm,s, aanndd 227755-ggaallloonn ttootteess. T"Thhee ccoonncceennttrraattee iis mmiexeddwwitithhwwataetre,r, eeiitthheerr mmaanunalluyooafrttlhhrrolouugyghh aann aauuttoommaatteedd ssyysstteemm,, 1to0ffoorrmm aa ffooaamm tthhaattiss aapppplliieedd ttoo bbllaannkkeett aa ffirree oorr fflaammmmaatbllee ud liquid. 3A3..22 pApppliclatioinoofcfFFiriareeffiigtahhttiiinngg FoFooaanmmss AAllll ttyyppeess ooff ffooaamm ccoonncceennttrraatteess aarree ccoommbbiinneedd wwiitthh wwaatteerr aatt vvaarriioouuss rraatitoos uussiinngg aann iinn--liinnee eedduuccttoorr oorr oothheerr pprrooppoorrttiioonniningg/mimiixiinngg ddeevviiccee ((2255).). TThhee ffooaamm ccoonncceennttaralteeM/wwaatteerr ssolluuttioonn ccaann tthheenn bbee ffeedd tthhroouugghh oonnee ooff twwoo. tIyyppeessooffddiisscchhaarrggee ddeevviicceess,, eeitthheerra nnoozzzzllee-aassppiriraatteedd ffooaamm ssyysstteemm ((NNAAFSS))oorraaccoommpprreesssseedd aiirr ffooaamm ssyysstteemm ((CCAAFFSS)) (@255))3(43)4.). AA nnoozzzzllee--aassppiirraatteedd ssyysstteemm ddrraawwss aamtmoosspphheeiricc aaiir iinnttoo tthhee ssoolluuttiioonnaat hthee nnoozzzzllee eenndd oofftthhee ohsoese,, wwhhiillee aa ccoommpprreesssseedd aarir ssyysstteemm ffoorrcceess ccoommpprreesssseedd aaiir ((oorr nniittrrooggeenn oorr lohtheerr nineetrt ggaass)) iinntoo tthhee ffooaamm sSoolluuttiioonn ((2255))((3344)).. BBootthh ssyysstteemmss pprroodduuccee aa ffiniisshheedd ffooaamm thhaatt sis aa ccoommbbiinnaattiioonn ooff wwaalteerr,, aaiirr aanndd ffooaamm ccoonncceentnrtraattee.. VVaarryyiinngg tthhe rraattiiooss ooff tthheessee tthhrreeee iinnggrreeddiieenntst aaffffeeccttss tthhee pphhyyssiiccaall ssrtruuccttuurree fof tthhee ffiniisshheedd ffooaamm pprroodduucctt. MMoorreeaaiiriinn tthhee mmiixx wiwill pprroodduuccee aa sf stiffer ffooaamm,, wwhhiillee lleessss aaiir pprroodduucceess aa mmaorree bliquudid,, hheeaavviieerr ofoaarm.. GGeenneerraallly,, aaccoommpprreesssseedd aaiir ssyysstteemm pprorduocedsauafficinsisehheesddffooaammwwiithh aa mmuucchhhhiigghheerr eexxppaannssiioonn fraatliol ((2255))(3344).). FFiirer eennggiinneess ccaann bbee eeqquuiippppeedd wwiithh aann oonn--bbooaarrdd rreesseerrvvooiirr ttooccaarrryywwaalteerr aanndd ffooaamm.. PPuummppeerr aannd ttaannkkeerr ttrruucckkss tIyyppiiccaalllyy ccaarrryy 550000 t1o0 11,550000 ggaalllloonnss ooff wwaatteerr aanndd 2200 ttoo 2255 ggaalllloonnss ooff ffooaamm.. FFooaammss aarree aallssoo ccaarrrriieedd oonn ffirreo eennggiinneess iinn 55-ggaalllloonn ccoonnttaaiinneerrss.. FFiinniisshheedd ffooaamrss aarree ccllaassssiififeedd aass eeiitthheerr looww,-, med medium- oofr hhiigghhv-e-exxppaannssiioonn ffooaammss 2(288))3(23)2.). TThhee eexxppaannssiioonn aratteess rreofefrettroo tthhee aabbiilitty oofftthhee ffooaamm ssoolluuttiioonn 0to hhoolldd aaiirr.. LLooww eexxppaannssiioonn ffooaammss eexxppaannddaat aa rraatioo uupp t[o0 2200::11,, mmeeddiiuumm eexxppaannssiioonn ffooaammss eexxppaannddfrfroomm2200::11 ttoo 220000:1:1,, aanndd hhiigghh eexxppaannssiioonn ffooaamm araltiooss aarree mmaorree tthhaann 220000::11 ((2288)3(23)2.). FFoorr eexxaammpplele,, aa llooww eexxppaannssiioonn ffooaamm ooff 1100-:11 rraatioo mmeeaannss tthhaat 110000 ggaalllloonnss ooff ffooaamm slouluttoionn eexxppaannddss. 1100 mtimeess tto0 pprroodduuccee 11,,000000 ggaallloonnss ooff fiinsishheedd ffooaamm ((3322)). MMoosstt CCllaassss 8B ffooaammss aarree llowotwtoo mmeeddiiuumm eexxppaannssiioonn ffooaammss.. HHiigghh-eexxppaannssiioonn ffooaammss aarree uussuuaallllyy CClasasAAsffooaasmmss.. 22222222..00001166 SSTTAATTEE__0022882200997733 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 1183 3F3..33iUUsrseererssofoff FiiregfighhttingiFFoonaammgss T"Thhee mmiilaitarryy iiss tthhee flaarrggeesstt uusseerr ooff ffiirreeffiigghhttiinngg ffooaammss iinn tthhe UU..SS.., ccoommppririssiinngg 7755%% ooff tthhee mmaarrkkeett ((77).). FFrroomm thhee ecaarrlyy 119966005s uunntitill 11998822., 33MM wwaass tthhee ssaollee ssuupppplliieerr ooff AAFFFFF t1o0 tthhee UU..SS.. mmiillittaaryy ((55)).. FFrroomm 11998833 t1o0 11998888. bbootthh 33M aanndd AAnnssuull IInncc.. ssuupppplliieedd tthhee mmiilaitarryy wwiitthh AAFFFFF ((55)).. 33MM wwaass aaggaaiinn tthhee ssoollee ssuuppppleierrttoo hthee mmiillittaarryy frroomm 11998899 t1o0 22000011,, aanndd KKiiddddee NNaattiioonnaall FFooaamm hhaass bbeeeenn tthhee mmiillitalryy ssuupppplliieerr ooff AAFFFFFF ssiinnccee 22000022 ((55)).. TThhee. mmiillittaarryy ssppeecciiffiiccaattiioonnss ffoorr ffiirreeffigighhttiinngg ffooaammss hhaavvee llaarrggeellyy ddrriivveenn tthhee ppeerrffoorrmmaannccee rreeqquuiirreemmeennttss aanndd tthhuuss. tteecchhnnoollooggiiccaall aaddvvaanncceemmeennttss iinn ffooaammss ((77)).. AA 22000000 rreeppoorrtt iinnddiiccaatteedd mmuunniciciippaall frfire ddeeppaarrttmmeennttss mmaakkee uupp. aapppprrooxxiimmaatteellyy 1133%% ooff tthhee ffirreeffigghhtiinngg ffooaamm mmaarrkkeett,, aanndd hhyyddrrooccaarrbboonn--pprroocceessssoorrss ((iee.. rreeffiinneerriieess)) ccoommpprriissee 55%% ooff tthhee mmaarrkkeett ((77)).. OOtthheerr uusseerrss ooff ffirreeffiigghhtiinngg ffooaamm iinncclluuddee aavviiaattiioonn,, nnoonn--mmililtitaarryy sshhiippss aanndd ooffff-sshhoorree. ddirillliinngg ppllaattffoorrmmss,, aanndd ootthheerr ppeettrroo--cchheemmiiccaall mmaannuuffaaccttuurreerss.. A 22000044 ssttuuddyy ooff iinnvveennttoorriieess ooff AAFFFFFF ffierefifigghhttiinngg ffooaammss nin tthhee UUS.S.. eessttiimmaatteedd tthhee ffoollloowwiinngg qquuaannttiitlieess ooff AAFFFFF oonn-hhaanndd ffoorr tthhee ffoollloowwiinngg uussaerr ccaalteeggoorriiess,, ffrroomm mmoosstt 1to lleeaasstt ((3355)):: + 22,.773388,3:73575- 33,,003322,,557755 ggaalllloonnss ffoorrtthhee UU'.SS.. MMiillittaarryy aanndd hoteherr ffeeddeerraall aaggeenncciieess + 11,,333300,,006855- 11.,993877.,331190 ggaalllloonnss ffoorr cvcivil aavviiaattiioonn,, iinncclluuddiinngg aaiirrppoorrtt ffirree ddeeppaarrttmmeentnsts. + 22,,772255,,000000.- 55,,007755,,000000 ggaalllloonnss ffoorr iolil ereffnineerrss aanndd ootthheer ppeettrroo--cchheemmiiccaall iinndduussttrryy + 888844,,000000--11,,883366,,000000ggaallloonnssffoorr mmuunincicipipaall ffiirreeddeeppaarrttmmeennttss + 9977,,550000.-220022,,550000ggalallloonnssfoforrmmiisscecllaenelolusaaapnpplpeiliccoaattuiioonsnss + 6600,,000000-- 110000.,000000 ggaalllloonnss ffoorr sshhiippss aanndd ooffff-sshhoorree adirillliinngg 33.44 PPFFCCss iinn FFiirreeffiigghhttiinngg FFooaammss AAss pprreevviioouussllyy ddeessccrriibbeedd,, CCllaassss B8 ffiirreeffigighhttiinngg ffooaammss mmaaddee bbyy 33MM pprriioorr 0to 22000022 uussiinngg tthhee EECCFF pprroocceessss. ggeenneerraatteedd PPFFOOSS aanndd PPFFOOAA aasaa bbrreeaakkddoowwnn pprroodduucc,t. CCllaassss BB ffooaammssmmaaddeebbyy 33M1 uussiinngg tthhee EECCFF pprroocceessss. aarree tthhee oonnllyy ffiirreeffigighhttiinngg ffooaammss tthhaatt ddeeggrraaddee ttoo PPFFOOSS ((99)).. AAss ddiissccuusssseedd iInn SSeeccttiioonn 33..55,, CCllaassss AA ffooaamm wwaass. mmaaddee ffoorr 33MMbbyyaann oouuttssiiddee ccoommppaannyy ((CCoovveerrlfooaamr)) aanndd wwaass nnoott mmaaddee wwiitthh PPFFCCss.. AAnndd,, 33MM''ss ttraaiinniinngg ffooaamm wwaass nnoottmmaaddeewwitithh PPFFCCss.. AAss mmeennttiioonneedd iinn SSeeccttiioonn 22..22..22,, MMr.r. TToomm CCoorrttiinnaa ooff tthhee FFFFFFCC iinnddiiccaatteedd tthhaalt tteelloommeerr--bbaasseedd AAFFFFF fulouroorosusrutrfaaccttaanntt aaggeennttss aarree 7755%% 0to 8800%% CC86 iinn ccoonnlteenntt,, wwiilthh tthhee rreesstt CC88 oorr hhiigghheerr hhoommoolologguueess.. SSttuuddiieess. ppeerrffoorrmmeedd iinn ppaarrttbbyy tthhee UUnniivveerrssiittyy ooff OOrreeggoonn ninttoo PPFFCCss iinn ggrroouunnddwwaatteerr aatt mmiillitaarryy fefire trraaiinniinngg ssietess ffoouunndd thhaatt tthhee pprriimmaarryy bbrreeaakkddoowwnn pprroodduucctt ooff tteelloommeerr--bbaasseedd AAFFFFFFSs wwaass 66::22 ffluuoorrootteclloommeerr ssuullffoonnaattee ((66::22 FFItSS)),, tthhoouugghh 44::22 aanndd 88:22 FFItSS wweerree aallssoo ddeetteecctteedd iinn ggrroouunnddwwaatteerr ((1155)).. AAss ddiissccuusssseedd iinn SSeeccttiioonn 22..22.22,, tthhee rreesseeaarrcchh aallssoo iinnddiiccaatteedd tthhaatt AAFFFFFF ccoonncceennttrraattee ccoonnttaaiinnss oonnlly yaa ssmmaallll aammoouunntt ooff ffluuoorrootteelloommeerr ssuullfoonnaatteess,, wwiitthh ffluuoorrooaallkkyylltihhioioaammiiddoo ssuullffoonnaatteess bbeeiinngg tthhee mmaaiinn aanniioonniicc fflluuoorroossuurrtfaaccttaanntt iinn tthhee mmiixdtuurree ((1155).). ODrr.. FFeielldd aanndd hheerr ccoolllleeaagguueess hhyyppootthheessiizzee tthhaatt ffluuoorrooaallkkyyllthhiiooaammiiddoo ssuullffoonnaatteess mmaayy bbrreeaakk ddoowwnn ttoo 66::22 aanndd 88::22 tteelloommeerr ssuullffoonnaatteess iinn tthhee eennvviirroonnmmeentn,t, aanndd ffuurrtthheerr rreesseeaarrcchh iis aallssoo nneeeeddeedd ttoo ddeetteerrmmiinnee iiff 88:22 tteelloommeerr ssuullffoonnaatteess bbrreeaak ddoowwnn ttoo PPFFOOAA.. 22222222..00001177 SSTTAATTEE__0022882200997744 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 1104 TThhuuss,, wwhhilie CCllaassss BB ffooaammss mmaannuuffaaccttuurreedd bbyy 33MM uussiinngg tthhee EECCFF pprroocceessss aarree kknnoowwnn ttoo ccoonnttaaiinn oorr ggeenneerraattee PPFFOOSS aanndd PPFFOOAA,, ffuurtthheerr rreesseeaarrcchh sis nneeeeddeedd ttoo ddeetteerrmmiinneeiiff tohtheerr CCllaassssBBfifriereffiigghhttiinngg ffooaammss pprroodduucceedd bbyy aatteelloommeerrzizaattiioonn pprroocceessss ggeenneerraattee PPFFOOAA.. AAss ddiissccuusssseedd iinn SSeeccttiioonn 33..11,,CClalassss AA ffooaammss aanndd ttrraaiinniinngg fooaamrss aarree nnoottmmaaddee wwiithh ffluluoorrooccaarrbboonn ssuurrffaaccttaannttss aanndd tthhuuss ddoo nnoott ccoonnttaaiinn PPFFCCss. 33.85 MMaannuuffaaccttuurreerrss ooff FFiirreeffiigghhttiinngg FFooaamm IInntteermneett wweebbsstiteess ffoorr tthhee vvaarriioouuss UU..SS.. mmaannuufafaccttuurreerrss ooff feirfeifgighhttiinngg ffooaammss wweerree aacccceesssseedd iinn oorrdderettroo oobbttaaiinn Iinnffoorrmmaattiioonn rreeggaarrddiinngg wwhhoo tthhee mmaannuufafaccttuurreerrss aaere,, aanndd wwhhaat ttyyppeess aanndd bbrraannddss ooff ffooaamm aarree aavvaaiialabblele.. AA ilisstt ooff UUS.S.. mmaannuufafaccttuurreerrss ooff rfiereffgighhttiinngg ffooaammss aanndd tthheelirr bbrraannddss ooff ffooaamm aarree slistteedd iinn TTaabbllee 11,, UU..SS.. MMaannufuafactcuturerresrs. ooffFFiirreeffiigghhttiinngg FFooaammss.. UUS.S.. mmaannuufafaccttuurreerrss ooff feirfeifgighhttiinngg ffooaammss wweerree ssuurrvveeyyeedd rreeggaarrddiinngg tthhee ccoommppoossiiltioonn ooff tthheiier ffireeffiigghhtiinngg ffooaammss,, tthhee ddeeggrraaddaattiioonn ooff PPFFCCss iinntthhee ffooaammss,, aanndd tthhee bbrraanndd nnaammeess ooff ffooaammss mmaaddee nnooww aanndd iinn tthhee ppaasst.t. CCooppiieess ooff tthhee ssuurrvveeyy qquueessttiioonnnnaaiirree aanndd ccoovveerr elettteerrss wwiitthh tthhee mmaannufuafcatcutruerresrs'' aaddddrreesssseess aanndd ccoonnttaacctt iinnffoorrmmaattiioonn aarree iinncclluuddeedd iinn AAppppeennddiixx AA.. SSuurrvveeyy qquueessttiioonnnnaaiirteess wweerree sseenntt t1o0 tthhee UU..SS.. mmaannuufafaccttuurreerrss ooff ffiirreeffigighhttiningg ffooaammss lliisstteedd bbeellooww.. oo3mM + BBuucckkeeyyee FFiirree EEqquuiippmmeenntt + CChheemmgguuaarrdd + Dupont + KDiudpdoenFt ire Kidde Fire FFiigghhttiinngg ((NNaattiioonnaall FFooaamm,, AAnngguuss aanndd FFeeeeccoonn aarree ssuubbssiiddiaarrieess ooff KKiiddddee FFiirree FFiigghhttiinngg)) + IICCLL PPeerrffoorrmmaannccee PPrroodduucctsts,, mmakaeroofkfPPhhooess--CCrhheekk + SSuummmmitit EEnnvviirroonnmmenetnatla,l,mmaakkeerrooff FFiireePPowoewr e9911r11 wwiithh FFllaammeeOOuutt + TTyyccooFiFtiree aanndd SSeeccuurrtityy., mmaakkeerrooffAAnnssuull ffooaammss. + UUs.S.. FFooaamm TTeecchhnnoollooggiieess + WWWiilliiaammss FFriree &&HHaazzaarrdd CCoonntrtrooll + VVeerrddee EEnnvviirroonnmmeennttaall + FFiirree--TTrooll HHoollddiinnggss LLLLCC + DDyynnaaxx AA qquueessttiioonnnnaaiirree wwaass nnoott sseenntt ttoo HHaazzaarrdd CCoonnttrrooll TTeecchhnnoollooggiieess aass DDeelltaa''s iia initial rreesseeaarrcchh ddiid nnoott dideennttlifyy thhiiss ccoommppaannyy aass aa ffiirreeffigighhttiinngg ffooaamm mmaanunfuafcatcutruerer.r. HHaazzaarrdd CCoonntrtrooll TTeecchhnnoollooggiieess wwaass ffoouunndd wwhheenn uussee ooff thheerir FF--550000 ffooaamm wwaass iinnddiiccaatteedd oonn erettuurmneedd qquueessttiioonnnnaaiireres ffrroomm mmuunniciciippaall ifirree ddeeppaarrttmmeennttss ((sseeee SSeeccttiioonn 40,4.0). 22222222..00001188 SSTTAATTEE__0022882200997755 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 1155 QQuueessttiioonnnnaaiirreess wweerree ccoommpplleetteedd aanndd rreettuurrnmeedd ftoo DDeekltaa bbyy 3IMM,, DDyynnaaxx aanndd WWiillliiaammss FFiirer&e& HHaazzaarrdd CCoonnttrroolL CCooppiieess ooff tthhee ccoommpplleetteedd qquueessttiioonnnnaaiirreess aarree iinncclluuddeedd iinn AAppppeennddiixx AA.. TThhee mmaannuuffaaccttuurreerrss pprroovviiddeedd tthhee. ffoolllolowwiinngg iinnffoorrmmaatitioonn:: + MfMirr.r.efiMMghiitccihhnagaeeflloaSSmaasnnttuoosrrioon,,g DDPiFirreCeccsttoomrradoofef RRweieghguultalahtetoorEryyCFAAtfpflaraiorscseswwsiitohhnly33,MM,a,ndiinndddiidccaantteoetddustthehaatta t3SeMMomepprrrioozddauutccieeoddn fpfpirroreooafccmiegesshssstai,,nrgeaannfnoddoatttmhhkaasnttou33wsMMinngtddoiiPssFcccoooCnnnstttaiinminunuaeedodderttwhdheeietghmmratahandenueufEfa1aC0cctFtPuuFrprBeerAo.acaennsddTshddeoeenvvfleyeol,lloooappwnmmidenengdntitdfooonfafomfftisrrueesfmfieggahhdatieintnegglboyffmooa3aemmrMsizs.aw. tei3IorMMne made with foams are made with PFCs and containo degrade fo PFOS: not known to contain or degrade to PFBA. PFCs and contain or degrade to PFOS: The following foams made by 3M were o LLiigghhttwwaatteerrTMTM AAFFFFF mmiillittaarryy ssppeecc ffooaamm pprroodduucceedd ffroomm 11996800 tthhrroouugghh 22000022;; o LLiigghhttwwaatteerrTM" AAFFFFF ccoommmmerecriciaall ffooaamm pprroodduucceedd ffrroomm 11996855 tthhrroouugghh 22000022:; o LLiigghhttwwaatteerrTM" AATTCC,, aann AARR--AAFFFFFF mmaaddee ffrloomm aapppprrooxxiimmaateellyy 11998800 tthhroouugghh 22000000 f33MoMamaamllssaoodmmeafanonuruf3faac4cttbuurryeeCddoaavCCellaarsstss owAAaffosroaamnmotttmhhaaattdwweaawssitnnhoottPFmmCaasdd.ee wwiitthh PPFFCCss,, aanndd aa 33MMb-brraanndd ttrraaiinniinngg foam made for 3M by Coverfoam was not made with PFCs. + DpDrrr..odEEuddcuueararrddofKKllefeilinnueeorrr,,osPPurrreeassicidtdeaenntnt.ts, DDayynnndaaxxfCuCooorrpropocroharetaimtoiioncn,a,liinnfddoiiccaaamtteeddsittahhbaaitltzDDeyrysnn,aaxx,b,utffoouudnnoddeese.dd iinnnol11999p91r,1o,diiussceaa ffmpiarereonffudgigfhuhaicctieiinnruggroefrffsoofalaufmomorrothsaageugerenpfnatrstcos.td.auncttDsiDyoynnananaoxdfxfAlffFlluuuFoooFrrr,ooocssAhuuRerf-fmaaAcciFcltaFaanFlnt.isfs/oFffoaFoamFamPm.stsAsaitRbaa-iblbiFziilFeizzFreesPrr,,ss baunaatrdreedFoPuuesssfeeodadnmos.tbbyy.pDryoaandggaueexcnnsett fdfmleuuaroonirrvuooefssdauucrfrtftuaoarcmcettarnsanonrtfsido/serfiogtoahrameamdpsserttoaaldbobuiilPcizztFeieorOrnssS,oaafrPreeAFFOooFnnAFllyy,orAmmPRaaFd-dAAeeF.FuuFssi,innFggFaaFPtt,eelAloomRm-eeFrrFizzaFalPtlio,onnanppdrrooFccPeesssfso,,amaannsdd. are not Dynax's are not derived from nor degrade to PFOS, PFOA or PFBA. + WWIniiflloliiraammmatssioFFniirrfeero&&m tHHhaeazzaaWrirddllaCCmoonsnttrFrooille iin&nddiiHccaaaztteaeddrdtthhCaaottntttrhoheleyyweddboositnneoott(mmwaaanvnuufwfaiaclctltuuarrmeesfffeiir.reecffiogigmhh)ttiinniggndiffocoaaatmems. theIhnxeeftoyiyrnmgmmuaaiatkskioheenCPPlfKaKrosWWms"TM8,th, qeaauiWssdppieelflcciasiiama.lliszzeeFddirsesiilii&ccooHnniiazzzeeaddrdppooCttaaossnsstriiuoumlmwbbeiicbcasarirtbeboonn(awattwee-w-bb.awassieleliddamddrrsyyfirccehh.ecemomimicc)aallinuudssiceeaddtettoso extinguish Class B liquid fires. + TTPohhseet ssOuufrrfvvieeceyy assneednnttstttooamSSpuuemmdmmi"tiftonEEunnavvriidrrioonnngmmeoenrntdtaealrl eiinnxpDDiaralellldaa"ss,,iTTaeepxxpaaessarwwsaasstharrteettSuuurrnmneemdditftooEnDDveeilltrtaaonbbmyyenttthhaeel UUs.oSSd. thePost their FirePower Office and FirePower 911 low density foam stamped "forwarding 911 low density foam 10a Norwegian order expired." to a Norwegian company in 2001 It appears that Summit company in 2001. Environmental sold rBaranndd nnaammeess aanndd ootthheerr iinnffoorrmmaattiioonn,, iinnccluuddiinngg mmaateterriiaallssaafefettyydadtaata sshheeeettss ((MMSSDDSSss)) iinn ssoommoe ccaasseess,,ffoorraallll tthhee UUS.S.. ffirreeffiigghhtiinngg ffooaamm mmaannuufafaccituurreerrss aarree aavvaaliilaabbllee oonn tthhee iinntfeermneel.t. RReevviieoww ooff MMSSDDSSs ffoorr vvaarriioouuss bbrraannddss ooff fiirreeffiigghhttiinngg ffooaamm ddiidd nnott rreevveeaall wwhheetthehreoorr nnoott ffooaammss wweerree mmaaddee wwiitthh PPEFCCss,, aanndd iinnffoorrmmaattiioonn aavvaaiilaabbllee ffrroomm thhee wweebbssiitteess ooff thhee ffooaamm mmaannuufafaccttuurreerrss ididd nnootpprroovviiddeeadaddidtiitioonnaall iinnffoorrmmaattiioonn treeggaarrddiinngg tthhee pprerseensceoeofnfPPEcFCCse.s inin tthheeiir ffooaammss.. 44..00 USUSEEOOFFFFIIRREEFFIIGGHHTTIINNGG FFOOAAMMSS IINN MMIINNNNEESSOOTTAA IInn oorrddeerr oto ggaaiinn aann uunnddeerrssttaannddiinngg ooff tthhee oorrggaanniizzaattiioonnss iinn MMiinnnneessoottaa tthhaatt lize utilize ffirreoffiigghhttiinngg ffooaamm,, wwhhaalt ttyyppeess aanndd qquuaannltlityy ooff ffooaamm aarree bbeeiinngg uusseedd,, aanndd wwhheerree tthhee ffooaammss aarree bbeeiinngg uusseedd iinn trraaiinniinngg eexxeerrcciisseess,, DDeellttaa sseeaarrcchheedd tthhee wweebbssiitteess ooff ffirreeffiigghhttiinngg oorrggaanniizzaattiioonns,, iinntteerrvvieiewweedd iinnddiivviidduuaallss ccoommmmoonnllyy kknnoowwnn t1o0 bbee iinnvvoollvveedd iinn oorr aassssoocciiaatteedd wwiithh ffiirreeffigighhttiinngg iinn MMiinnnneessoottaa,, aanndd ssuurrvveeyyeedd tthhee uusseerrss ooff fiirreeffiigghhttiinngg ffooaammss iinn MMiinnnneessoottaa rreeggaarrddiinngg tthheerirffooaamm uussee.. 22222222..00001199 SSTTAATTEE__0022882200997766 PDPeEFlCCa.-CCroonnoataeminiinnNggoEFArirCeeifOiggBhh1iti1nn0gg0FFooaammaanndd TThheairrUUsseeiinn FFrioreffgighhttiinngg TTrainringiiannMMiinnnnneessgcottaa Delta Project No. AOOB-11 0-0 Foe 6 Page 16 TThhee wweebbssiitee ffoorr tthhee MMiinnnneessoottaa FFiirree MMaarrsshhaall ((wwwwww.fiiree.sstaattee..mmnn..uuss)) hhaass. aa lliisstt ooff MMiinnnneessoottaa FFiirree DDeeppaarrttmmeennttss aass ooff JJuullyy 22000068 aavvaalilaabbllee iinn aann EExxcceell sspprreeaaddsshheeeett ffoorrmmaal,t, aanndd aa SSttaattee mmaapp sshhoowwiinngg tthhee llooccaattiioonnss ooff aallll ffirree ffiigghhttiinngg sseerrvviiccee aarreeaass. TThhee MMiinnnneessoottaa FFiirree SSeerrvviiccee NNeewwss wweebbssiittee ((wwwwwm.miinnnneessootatfiareiseesrveicrev.ccioocmme)) iinncclluuddeess aa slisttiinngg ooff efihing firefighting ttrraaiinniinngg sscchhoooollss iinn MMiinnnneessooltaa,, aalloonngg wwiithh sscchhooooll ccoonnttaaccttss,, mmaaiiilinngg aaddddrreesssseess,, aanndd pphhoonnee. nnuummbberesrs.. TThhiis ssiitee aallssoo pporovviiddeedd lliinnkkss ttoo mmuunniciciippaall ffirree ddeeppaarritmmeennttss iinn MMiinnnneessoottaa tthhaatt hhaavvee tthheeiirr oowwnn wweebbsistiteess.. TThhee MMiinnnneessoottaa IInncciiddeenntt CCoommmmaanndd SSyysstteemm webs website ((wvwaws.mm1niiccss.oorrgg)) pprroovviiddeedd ggeenneerraal iinnffoorrmmaattiioonn aabboouutt ppaarrttnneerrsshhiippss bbeettwweeeenn SSttaattee aanndd FFeeddeerraall ffiirreeffigighhttiinngg oorrggaannizizaattiioonnss.. 44..11 IInntteerrvviieewwss wwiitthh MMiinnnneessoottaa FFiirreeffiigghhttiinngg OOrrggaanniizzaattiioonnss IInn oorrddeerr ttoo ggaaiinn aa bbeetttteerr uunnddeerrssttaannddiinngg ooff tthhee oorrggaanniizzaattiioonnss tthhaatt ize utilize ffiirreeffigighhttiinngg ffooaamm aaccrroossss hthee SSttaattee., ODeetltaa iinntteerrvvieiewweedd vviiaa tteelleepphhoonnee aanndd//oorr ee--mmaailil sseevveerraall iinnddiivviidduuaallss ccoommmmaonnllyy kknnoowwnn ttoo bbee iinnvvoollvveedd iinn oorr aassssoocciiaatteedd wwiithh ffiirreeffigighhttiinngg iinn MMiinnnneessoottaa.. MMr.r. JJeerrrry RRoosseendnadhalh,l. SSttaattee FFiirree MMaarrsshhaall. ((665511)1220011:-77220011 wwaass ccoonnttaacctteedd vviiaa tteelleepphhoonnee oonn AprApril 44,, 22000088.. MMr.r. RRoosseennddaahhll iinnddiiccaatteedd tthhaatt aa ddrirceicotorryy ooff aallll mmuunniciciippaall frfire ddeeppaarrttmmeennttss iiss iinncclluuddeedd oonn tthhee SSttaattee FFiirtee MMaarrsshhaal'l'ss wweebbssiitee aattwwawwn.fiere.ssttaattee..mmuns.u.s. MMr.r. RRoosseennddaahhll iinnddiiccaatteedd tthhaalt tthhee MMiinnnneessaoltaa DDeeppaarrttmmeenntt ooff NNaattuurraall RReessoouurcrceess: ((MMNN DDNNRR)) trraaiinnss ffirree ffiigghhtteerrss aait tthhee MMiinnnneessaoltaa IInntteerraaggeennccyy FFiirree CCeenntteerr iinn GGrraanndd RRaappiiddss.. HHee aallssoo rreellaatteedd tthhaatt tthhee FinFlint HHiitllss aanndd MMaarraatthhoonn rreeffiinneerriieess hhaadd tthheeiirr oowwnn iefire ddeeppaarrttmmeennttss,, aanndd ssuuggggeesstteedd tthhaatt DDeeflttaa ccoonnttaacctt DDoonn BBeecckkeerriinngg aat tthhee MMiinnnneessaoltaa SSttaattee CCoolllleeggeess aanndd UUnniivveerrssiittiieess ((MMNNSSCCUU)) ssyysstteemm. MMr.r. DDoonn BBeecckkereirningg,. SSttaattee DDiireeccltoorr ooff FFiirtee TTrraaiinniinngg,, MMNNSCSUC,U. ((65815)164196-45481-15w6wa1as1s iinntteerrvvieiewweedd oonn AprApril 44,, 22000088,, rreeggaarrddiinngg hhiiss kknnoowwlleeddggee ooff fiirreeffigghhitiinngg ffooaammss aanndd ddeeppaarritmmeennttss iinn tthhee SSataltee uussiinngg ffooaammss.. MMrr.. BBeecckkeerriinngg iinnddiiccaatteedd tthhaalt hthee MMNNSSCCUU ssyysstteemm sswwiittcchheedd ttoo ((bbiiooddeeggrraaddaabbllee)) ssooaapp ssuurrffaaccttaanntt iinnsstteeaadd ooff rreegguullaarr ffiereffiigghhttinngg ffooaamm aapppprrooxxiimmaatteellyy tthhreeee t(o0ffoouurryyeeaarss aaggoo.. PPrriioorr 0to hathat tthheeyy uusseedd AAFFFFFF oorrAARR-AAFFFFFF. mmaaddee bbyy 33MM.. MMrr.. SBeecckkeerriinngg wwaass aawwaarree thhaalt,, iinn aaddddiitiioonn ttoo mmuunniciciippaall ffirree ddeeppaarrttmmeennttss,, tthhee ffoollloowwiinngg ents entities uussee oorrmmaayyuussee ffirreeffiigghhtiinngg ffooaamm:: tthhee aaiirrppoorrttss aatt RRoocchheesstetre,SrS,Ut. CClloouudd,, SStt..PPaauull,, FFylyiinngg CClloouudd., AAnnookkaa,, DDuullutthh,, aanndd tthhee nneeww aanndd ookld! facies facilities aatt MMiimnnneeaappoloilissS/St.t. PPaauull IInntteermnaattiioonnaal;; tthhee NNaattiioonnaall GGuuaarrdd bbaassee aatt CCaammpp RRiippeleyy:; tthhee MMaarraatthhoonn ooiil rreeffiinneerryy iinn SSt.t. PPaauull PPaarrkk:; aanndd,, tthhee PPiinnee BBeenndd rreeffiinneerryy in in RRoosseemmouonutn.t. MMNNSSCCUU oofffeerss ffiirreeffiigghhttiinngg trraaiinniinngg aalt aapppprrooxximimaatetlye2l20y0 ooff heitheir sscchhoooolsls.. MrM.r.RRoobbeerrttBBeregrg,.HHoommeeSeSceucsuirtityy PPllaannnneerr,. MMiinnnneessoottaaDDepepaarrttmmeenntooff HHoommeellaannddSSeeccuurrtityyaanndd EEmmeerrggeennccyy MMaannaaggeemmeenntt <(MMNN HHSSEEM)M,) ((6655111)220011--7744444 wwaass ccoonnltaacciteedd vviiaa tteelleepphhoonnee oonn AAppririll 2288,, 22000088.. MMr.r. EBeerrgo iinnddiiccaatteedd atthat tthhee MMNN HHSSEEMM ddooeess nnoott ddoo aannyy ytyppee ooff ffiirreeffigighhttiningg. MMr.r. BBeerrgg hhaass bbeeeenn iinnvvoollvveedd iinn fefire 22222222..00002200 SSTTATAETE0_208282200997777 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaammaannddTThheiirUUsseeiinnFFiirreaftigghpttinngg TTrainringiiann Mirinnnneessgcottaa Delta Project No. AOOB-11 0-0 PaPage 1TT7 ttrraaiinniinngg ssiinnccee 11997700 aanndd pprroovviiddeedd ootthheerr iinnffoorrmmaattiioonn rreeggaarrddiinngg ffiirreeffigighhttiinngg trraaiinniinngg oorrggaannizizaatitioonnss. iinn MMiinnnneessootata,. MMr,r. BBoerrgg eessttiimmaatteedd tthhaatt aapppprrooxxiimmaatteellyy 3300%% ooff mmuunniciciippaall vefire ddeeppaarrttmmeennttss aaccrroossss thhee ssttaatee uussee. ffiirreeffigighhttiningg ffooaamm.. HHee rreellaatteedd tthhaalt MMNNSSCCUU aanndd tthhee nneettwwoorrkk ooff aassssoocciiaatteedd tteecchhnniiccaall ccoollleeggeess ttrraaiinn wwiitthh ffiirreeffigighhttiningg ffooaamm aanndd iinnddiiccaatteedd tthhaatt aa pprriivvaattee ccoonnttrraaccttoorr,, DDaallee MMaafflluuggaa wwiithh FF..LI.RRL.EE.. IInncc.. aallssoo ccoonndduuccttss fiirreeffiigghhtiinngg trraaiinniinngg iinn tthhee SSttaattee.. MMr.r. BBeerrgg wwaass nnoott aawwaarree ooff aannyy ttrraaiinniinngg wwiitthh ffirreeffiigghhtiinngg ffooaamm ccoonndduucctteedd aalt thhee ffoorrmmeerr TTwwiinn Cis Cities AArrsseennaall llooccaatteedd iinn SShhoorreevviioeww.. MeM.r. DDaalleeMMafalfluuggaa FFI.I.RRE.E.InIncc.. ((661122)7)9799-481-0401ww0aa0ss ccoonnttaacctteedd vviiaa tteelleepphhoonnee oonn AAppriil2289,, 22000088,, rreeggaarrddiinngg thheeeir ttrraaiinniinngg.. MMr.r. MMaafflluuggaa iinnddiiccaatteedd tthhaatt tthheeyy ddoo nnoottcocondnudcuct ttrraaiinniinngg wwiithh ffiriegfihgthitinngg ffooaamm.. MMr.r. MMaaffluuggaa iinnddiiccaatteedd tthhaatt tthhee FFliinnt HHiilllss RReeffiinneerryy pprroobbaabbllyy hhaass mmoorree ffooaamm tthhaann aannyy ootthheerrddeeppaarrttmmeenntt nin tthhee SSttaattee,, aanndd hhee bbeelliieevveess. tthheeyy rreeccliaaiimm tthheeiirr ssppeenntt ffooaamm.. MMr.r. MMaalflluigaa pprroovviiddeedd ccoonnttaacctt iinnffoorrmmaattiioonn ffoorr tthhee ffiirree ddeeppaarrttmmeennttss aatt tthhee AAsshhllaanndd RReeffiinneerryy aanndd tthhee FFliinnt HHiillss RReeffiinneerryy.. MMss_. BBaarrbb MMeeyeyre,r FFoorreessttrryy PPrrooggrraamm CCoooordridninataotro,r MMNN DDNNRR, ((655114)43377--00664433 wwaass ccoonnttaacctteedd vviiaa tteelleepphhoonnee. oonn AAppririll 2299,, 22000088.. MMss.. MMeeyyeerr iinnddiiccaatteedd tihnaalt tthhee MMNN DDNNRR iissppaartrtnneerreeddwwitithh sseevveerraall ootthheerr SSttaattee aaggeenncciieess iinn thhee MMiinnnneessoottaa IInncciiddeenntt CCoommmmaanndd SSyysstteemm ((MMNNIICCSS)) tthhrroouugghh wwhhiicchh ccoommmmoonn frfire ttrraaiinniinngg iiss pprroovviiddeedd.. TThhee NNoorrtthheeaasstt FFiirree CCaacchhee llooccaaiteedd iinn GGrraanndd RRaappiiddss iiss jjooiinnltllyy ooppeerraatteedd bbyy tthhee MMNN DDNNRR aanndd tthhee UUS.SS.. DDeeppaarrttmmeenntt ooff AAggrriiccuullttuurraall FFoorreesstt SSeerrvviiccee wwhheerree ffiirreeffigighhttiningg eeqquuiippmmeenntt iiss ssttoocckkeedd.. MMss.. MMeeyyeerr eexxppllaaiinneedd thhaatt fefire ttrraainiinnigngiss ggeenneerraallllyy ccoonndduucctteedd aatt ootthheerr ((MMNNSSCCUU)) ffaacciliitliees,, iinncclluuddiinngg tthhee oonneess iinn DDuulluutthh aanndd GGrraanndd RRaappididss.. MMr.r. MMeeyyeerr rreoccaallleidd oonnee ffooaamm ddeemmonosntsrtraattiioonn ccoonndduucctteedd sSoommee ttiimmeeaaggoo iinn aa ppaarrkkiinngg loott aalt GGaianntssRRididggeereresosortrt iinn BBiiwwaatibkik,, bbuutt iinnddiiccaatteedd tthhaatt ssuucchh ddeemmoonsntsrtraattiioonnss wweerree nnoolt ccoommmmonopnlpalaccee.. MMe.r. TToomm SSttaayyddoohhaar,r. MMNN DDNNRR.. MMNNIICCSS,. GGrraanndd RRaappididss.. t(ltoomms.stiayadoyhdar@odhnars.strtaat@tee..dmmonnu.uess)) rreessppoonnddeedd ttoo DDeelltaa''s rreeqquueesstt ffoorr iinnffoorrmmaattiioonn oonn AAppririll 2222,, 22000088., vviiaa tteelleepphhoonnee.. MMrr.. SSltaayyddoohhaarr wwoorrkkss iinn tthhee MMNNIICCSS. wwaarreehhoouussee iinn GGrraanndd RRaappididss.. MMr.r. SSttaayyddoohhaarr iinnddiiccaatteedd tthheeyy oonnllyy ssttoocckk CCllaassss AA ffooaamm,, aanndd tthhaat trraaiinniinngg wwiitthh thhee ffooaamm iiss nnoott ccoonndduucctteedd aatt tthhee MMNNIICCSS ffaacciilltityy.. HHee eexxppllaaiinneedd tthhaatt ttrraainniinngg sis ccoonndduucctteedd aatt ootthheerr sscchhoooollss aanndd llooccaall ffirree ssttaattiioonnss.. MMr.r. SSttaayyddoohhaarr iinnddiiccaatteedd tthhaatt tthheeyy ggoo tthhrroouugghh aapppprrooxxiimmaatteellyy 22,,550000 0to 33,,000000 ggaalllloonnss. ooff CCllaassss AA ffooaamm ppeerr yyeeaar.r. CCuurrreennttly tthheeyy ssttoocckk AAnnssuull SSiilv--eexx CCllaassss AA ffooaamm,, aanndd FFiirree TTrrooll CCllaassss AA ffooaamm Wwaass uusseedd iinn tthhee ppaasst.t. HHee aallssoo rreeccaallleedd tthhaatt htheeyy hhaavvee uusseedd MMoonnssaannttoo PPRhoossCChheecckk DDS8B81T ffoorr aaiifr rreelleeaassee oovveerr wwooooddllaanndd oorr ggrraassssilaanndd ffiirree.. MMr.r. SSatayyddoonhaarr ssaaidd tthhaatt tthheeyy hhaavvee niolt uusseedd 33MW ffiirreeffigighhttiinngg ffooaamm,, tthhaatttthhee 33MM ffooaamm ddiidd nnoott ppaassss tthheeiir llaabboorraattoorryy tteessttss ppeerrffoorrmmeedd tloo eennssuurree tthhee ffooaamm mmeeeettss tthhee FFoorreesstt SSeerrvviiccee ssppeecciifcicaattiioonnss. MMss. MMaaryv AAnmn WWiitttkkoopp AAiirppoordt EExxecccuutivvee SSeeccrreeltoarry, Duh Duluth IInntteermnaattiioonnaall AAriropno,rt C(mmuwititktkoopp@@dudluutluhtahiariprpoorrtt.ccoomm) rreessppoonnddeedd ttoo DDeelltaa''s rreeqquueesstt ffoorr iinnffoorrmmaattiioonn oonn AAppriil 88,, 22000088 viiaa eemmaailil. MMss.. WWiitttkkoopp iinnddiiccaatteedd tthhaalt tthhee MMiinnneessooltaa AAiirr NNaattiioonnaall GGuuaarrdd iiss rreessppoonnssiibbllee ffoorr ffirree aanndd eemmeerrggeennccyy sSeerrvviicceess aalt tthhee DDuulluutthh IInntteermnaattiioonnaall AAiirppoortrt,, aanndd tthhaatt tthhee FFiirree CChhieif iiss DDaavvee DDooddggee.. MMrr.. DDooddggee ccaann bbee. ccoonnttaacctteedd aat ddaavviidd.ddooddggee@@mmnndduulluu.aanngg.aaff.mmiil oorr (221188))778888.-77227733. 22222222..00002211 SSTTAATTEE__0022882200997788 PDPeEFlCCa.-CCroonnoataeminiinnNggoEFArirCeeifOiggBhh1iti1nn0gg0FFooaamm aanndd TThheairrUUssee iinn FFriroeffgighhttiinngg Trangin Training in MMiinnnneesscottaa Delta Project No. AOOB-11 0-0 = Page 18 SSUt. CClloouudd RReeggiioonnaall AAiiprporotr,t. (3(32200)1225555:-77220922., wwaass ccoonnttaacctteedd oonn JJuunnee 66,, 22000088,, rreeggaarrddiinngg ffiirreeffigighhttiinngg aatt tthhee aaiirppoorr.t. IItt wwaass iinnddiiccaatteedd tthhaatt tthhee CCiittyyooff SSLt.. CClloouudd ffirree ddeeppaarrttmmeenntt iiss rreessppoonnssiibvlee ffoorr ffirree rreessppoonnssee aalt tthhee aaiirpporotr.t. SSt.t. CClloouudd DDeeppuuttyy FFiirree CChhieieffDDeeaann WWiorobbbbeell,, ((312200/)685500--33552288,, ccoonnffiirrmmeedd tthhatt tthhee CGlityyooff SSt.. CClloouudd ffiirree ddeeppaarrttmmeenntt rreessppoonnddss t{o0 ffiirreessaatt ithhee aaiirtpporrt,, aanndd tthhaat aa cycity ffirree ssttaattioinoniss llooccaatteeddaatt tthh e aaiirppoorrt. 4T.h2e SMuPrCveAyaMndailDienlglatoprMeipnanreesdoataquFeisretifiognhntaiinrge Oanrgdaenxipzlaatinoanlsoy cover letter requesting information rom TusheersMoPfCfAefagndhiDnegltafoparmespaarcerdosasqtuheestSitoantneaiorfe Mainndneesxoptlaanraetgoarrydcinogvetrheleirtteursereqofuefsirtienfgighitnifnogrmfoaatmiosn. frTohme. uusseerrss ooff ffiirreeffiigghhttiinngg ffooaammsin aMcirnonsessothtea wSetrateesourf vMeiynendreesogtaardrienggacrduirnrgenthaenirdusheistoofrifciraelftigyhpteinsganfodaammso.uTnh'es oufserresfiogfhtfiirengfigfhotianmg ufoseadmininfMreifningehstontgaawnedrefrseurravienyinegd, rtehgearldoicnagticounsrreofnthaendfiheisitnoiricnagl tayrpeeass,aannddatmhoeufnattse ooff fhireefisgphetinntgtfaoianmingusfeodami,n fTirheefigshutrinvgeyanqudesfitreiotnrnaainiirneg,atihse rloecqauteiosntesdoifnthfoermfiaretitornaianbinogutatreotaasl, aannnduathlefofaatem uosfet,heansdpefnret tdraeipnainrgtmfeonatms.wTehree asuskrveedywqhueetshteiornonraniroet healsodreepqaureistmeadnuinsfoersmaatCioAnFaSbowuitt htoatabluatnninuaalnfkoaamn huesier, aenngdinfeir.e dQeupesatrtimonennatisrweserweeraeskemadilwehdetohuetroonr Anpoetlthe16,de2p0a0r8tm0enht eusfeoslalwCinAgFSpowliethntaa foam built inutsaenrksoinn tMhienier seontgai:ne. Questionnaires were mailed out on April 16, 2008 to the following potential foam users in +785 Minnesota: municipal fre departments + A7l8l5omf utnheicipaiarlpfoirretsdewpitahrtmdeednitcsa;ted fe departments: Minneapolis-St. Paul Intermatonal Arport QP); Rochester All of the airports (MSP); Rochester I ternational Aiport; with dedicated fire nternational Airport; and,dep and, he Duluth artments: the Duluth Intemational Aiport. Minneapolis-St. Paul International Airport. International Airport +ThTRahepeidffoso;lllooAwwliiennxggan11d66riccaaoTllleeocggheeisscwwailithhCoffilirlreeefgfiigeg:hhtteeStrr. trraCailinnoiiunndgg Tpperrcoohggnrraacmmasls::ColItllalasescgceaa: CCMooimmnmnmuenusinotittyay CWCoeolslllteeggCeeomiinnmuGGnrriaatnndyd CCRRiooavllpelleiredgigseae;nAdiinnlCeoMMxamaarmnrsdushrhnaiaaill;tlT;yeRRcCiihoddnlggieeecwgawaelatCteienrorlAlCueCsgooteillln;e:lgSeePt.iniCinneloWWTuiedikcllhmmTnaeaircrc;;halnSSicCooaouullthhlCeogCCeleleennitgntreraPa;lilMnCCeionolGnlllyeeesg;goeetHaeiinnnWnNNecoopsrrtitthnhCoTMMmeacanmhnknkuaiantctoiaot:ly; CCERoaoivlsleltleerglGgaeernssadniinCdn oPPFmlolyrymmkmsuo:onuuittChhyeCanatnnoaddllleEEgdLdeaeekinnnesAPPurCarsoitriliinel;;egPNNeoinorerittnhhTllBaearncnadhidnneCCircodoam:mlmCmuMoniulninlentitgeyyesoCCilnooallPlleSeingtgeeaetssCeiiintnCy;ToThHhmiimeeefnufnnRReiiipvvyeienrrCToFFaelallclilehssgneaaicnnaiddnl NiEMnoaooDsoumtrlehGiaenrda.a;dn;dSMMoeFuesotsahrakbwbsie;isRRtCaaenSnntggtareetaelCCLUooanmmkimmevseuurnnCsitioyylleCiCnogoleMlllaeeirgngseehBaiinrnlalViVniireMrggriidinnn;iniaae;M;sioaanntnndade.,sioLLntdaaaikkceeaSttSSeaudutpepeterhCriaiooormrthTTmeeeuyccnhhdnitnoiyiccnaCaloloCClloeooflglelleereggienae fffiniiirrreeeDfficgiughhluhtittiinhcng.gaStrnraoadiuinnctiihannwpggteappsirrtnoosSggtrraaatmem and that thi program University in Marshall, and that their program fs ony a business adminsizaen program for Minnesota indicated that they do not offer a is only a business administration program for + f2irpeecthrioeflseaunrdefcianeprtiaeisn:s.and, + 2CapmetproRleipulmeyreinfinLeirtieesF;aatnsd., Camp Ripley in Little Falls. CCooppiieess ooff ccoovveerr lleetttteerrss aanndd qquueessttiioonnnnaaiirreess sseenntt ttoo tthhee mmuunniciciippaall ffirree ddeeppaarrttmmeentnsts,, tthhee aaiirrppoorrtt ffirree ddeeppaarrttmmeentnsts,, tthhee oofil rreeffiinneerryy ffirreededpeapratrmtmenetnsts,, aanndd tthhee fiirree trraaiinniinngg sscchhoooollssaarreeiinncludcedliinn uAApppdpeenneddiixxd8B.. A& stlist ooff tthhee mmuunniciciippaall ffiriee ddeeppaarritmmeennttss,, sscchhoooolsls,, aanndd ootthherr ffirree ddeeppaarrttmmeennitss aanndd tthheeiir aaddddrreesssseess iiss aallssoo iinncclluuddeedd iinn AAppppeennddiixx BB.. TThhee leettteerrss rreeqquueessiteedd tthhaatt queusetsitioonnnnaaiitreess bbee rreettuurnmeedd ftoo DDeelltaa bbyy MMaayy 99,, 22000088. BByy MMaayy 99., 22000088,, aapppprrooxxiimmaatteellyy 229900 rreessppoonnsseess hhaadd bbeeeenn rreecceeiivveedd.. IInn oorrddeerr ttoo mmaaxxiimmiizzee tthhee rreettuurmn,, aa sseeccoonndd qquueessttiioonnnnaaiirree wwaass sseenn!t oonn MMaayy 2233,, 22000088,, ttoo aapppprrooxxiimmaatteellyy 552255 mmuunniciciippaall ffirree ddeeppaarrttmmeennttss tthhaalt hhaadd nnoott rreessppoonnddeedd ttoo tthhee iinntitiiaall rreeqquueesstt oforr iinnffoorrmmaattiioonn.. 22222222..00002222 SSTTATAETE0_208282200997799 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 1189 443.3 MMininnneessoottaaFFirireeffiigghhttiinnggOOrgrganainzizaattiioonnSSuurrvveeyyRReseuslutltss TThhrroouugghh JJuunnee 1133,, 22000088,, DDeellttaa hhaadd rreecceeiivveedd ccoommpplleetteedd ssuurrvveeyy qquueessttiioonnnnaaiireres rfroomm tthhee ffoollloowwiinngg nnuummbbeerr ooff ffirreeifigghhitiinngg oorrggaanniizzaattiioonnss:: + 4433330 otfhthee 778855 mmuuninciciippaall ffirree ddeeppaarrttmmeennttss iinn MMiinnnneessoottaa; + AAlirppoorrtt ffirree ddeeppaarrttmmeennttss aatt MMSSPP,, RRoocchhesetseter,r, aanndd DDuulluutthh;; +1111 oofftthhee1166cocolllleeggeesswwiithh friereffiigghhttiinngg pprrooggrraammss:; + TTPahhueel FFPailirntkt; HHaiinllldss. PPiinnee BBoenndd RReeffiinneerryy iinn RRoosseemmoouunntt aanndd tthhee MMaarraatthhoonn PPeettrroolleeuumm RReeffiinneerryy iinn SSt.t. + cPaaumlpPRairpkl;eya.nd, Camp Ripley. `SSuurrvveeyy rreessuulltssffoor eeaacchhoofftthheessee ggrroouuppss aarree ddiissccuusssseedd iinn SSeeccttiioonnss 44..33.11 tthhrroouugghh 44..335.5.. 44.:33.14 SSurveyurRveyeRessuults -lMMuuntincicispipaall FFiirree DDeeppaarrttmmeennttss DDeellttaa rreecceeiivveedd aa ttoottaall ooff 443333 ccoommpplleetteedd qquueessttiioonnnnaaiirreess tthhrroouugghh JJuunnee 1133,, 22000088,, ffrioomm tthhee 778855 mmuunniciciippaall iefire ddeeppaarrttmmeennttss tthhaatt wweerree ssuurrvveeyyeedd,, aa rreessppoonnssee rfaatlee ooff 5555%%.. CCooppiieess ooff thhee rreetluurmneedd,, ccoommpplleiteedd qquueessttiioonnnnaaiirreess aarree iinncclluuddeedd iinn AAppppeennddiixx CC.. QQuueessttiioonnnnaaiirreess rreecceeiivveedd aafftteerr JJuunnee 1133,, 22000088,, wweerree nnoolt iinncclluuddeedd iinn tthhiss rreeppoortr.t. MMuunniciciippaall ffirree ddeeppaarrttmmeenntt qquueessttiioonnnnaaiirec rreessppoonnsseess aarree ssuummmmaarriizzeedd iinn TTaabbllee 22,, MMuunniciciippaall FFiirree DDeeppaarrttmmeenntt QQuueessttiioonnnnaaiirree RReessppoonnsseess.. TThhee ffoolllolowwiinngg ggeenneerraall ffiinnddiinnggss aanndd ssttaattiissttiiccss wweerree aasscceerrttaaiinneedd ffrroomm tthhee qquueesstitioonnnnaiarireess:: + OOfifrfethfhieeght44i33ng33 rrfeeossappmoonnaddtiinnaglg. ddeFepipraaerrttdmmeeepnnatrtsst,,m44e6n6t((soorrth11a0t0.6i%.nd)o6iocfa%fttthhe)ede trrehesesyppoodnnoddiinnngogtffiriueeseddeefppraaerrfttmgmheeinnnttgss ddfoooannmoostt uuassreee. sted firefig listed inhti in nTTgaabbfloleeam33,, MunicipalFire at all. Fire dep Municipal Fire Department artments tha Department with t indi with No Firefighting Foam cated they do not use No Firefighting Foam Use.firefi Use. g h t i n g foams are + OfOiffndtthihneegs4433or33sqqtuaueteissstttiiioocnsnnnaaiirreess,, 88 wweerree uunnssiiggnneedd aanndd iinnccoommpplleettee aanndd wweerree nnoolt iinncclluuddeedd iinn aannyy ooff tthhee + fOinfdtinhgesroermasitantiisntgics3.79 responding fire departments thal use foam, 201 departments use only laAsorsa combination of ClAfaoasm asnd taining foam, with no use of Class 8 foams. Of the remaining 379 responding fire departments that use foam, 201 departments use Class A or a combination of Class A foam and training foam, with no use of Class B foams. only + OdOeffpatthrhetemerrneetmmsaaidinnoiinngngot11t77r88ainrrewesispphoonnCddliainnsggs 6ffirreefoaddmee.ppaaTrrhttammteenlntetsasvetthshaa9tt6uuoltfiilitzzheee CCrlelaassspssondB8inffgooafaimmress,,de88p22artoomffentththese tdrhheeaaspttpaaotrrnitamdnini,e,nngootfsrrrppedoodotteeenpnnoatttiraittalrlmayleintanriatwnisn,it,hhwwaCiitthhlatsaCCislnlaa,BssossfroBBapmofftoo.eaanTmmtsihs.aa.ltlSSyleeerlaleaevcncet,tsqqwu9uie6eshstCotiilfooatnnhsnneasaiirrreBeesfprreooeasnsmppdsooinanngrsseeefssirseffurrodmomemmpaattrhhrietezmsseeeedn99ti66sn Table 4, Municipal Fire Departments responding fire departments that train, Table 4, Municipal Fire Departments That Train With Class or potentially train, with That Train With Class B Foams. Class B foams B Foams. are summarized in OOff tthhee 337799 rreessppoonnddiinngg ddeeppaarrttmmeennttss tthhaatt uussee ffooaamm,, tthhee ttyyppeess ooff ffiirreeffigighhttiinngg ffooaammss lliisstteedd bbeellooww aarree rreeppoorrtteeddllyy uusseedd.. PPlleeaassee nnaottee tthhaalt ssoommee ddeeppaarrttmmeennttss uussee mmoorree tthhaann oonree ttyyppee ooff ffooaamm,, aanndd ssoommee. ddeeppaarrttmmeennttss uussee mmoorree tthhaann oonnee bbrraanndd ooff eeaacchh ttyyppee ooff ffooaamm i.(ie. oonnee ddeeppaarrttmmeenntt mmaayy uussee AAnnssuull CCllaassss AA ffooaamm aanndd 33MM CCllaassss AA ffooaamm).). + 335577 ddeeppaarrttmmeennttss uusseeoofr hhaavvee uusseedd CClalssAaAfsfooaasmm + 5922 ddeeppaarrttmmeennttss uussee oorr hhaavvee uusseedd CCllaassss BBAARR-AAFFFF. +7733 ddeeppaarrttmmeennttss uussee oorr hhaavvee uusseedd CCllaassss BBAAFFFFF.F + 2211 ddeeppaarrttmmeennttss uussee oorr hhaavvee uusseedd ttrraaiinniinngg ffooaamm 77 ddeeppaarrttmmeennttss uussee oorr hhaavvee uusseedd CCllaassss AA--BB HHii--EExxppaannssiioonn ffooaamm 22222222..00002233 SSTTAATTEE__0022882200998800 pV e E AAT TRAD PFC-Containing Firefighting Foam and Their Use in Firefighting Training in Minnesota Delta Project No. AOOB-11 0-0 i Page 20 A mmr 4 departments use or have used Class 8 protein foam 1 department uses or has used Class 8 FFFP 1 department uses or has used Class 8 AR-FFFP Ba anim 20 departments use "other" or unspecified types of foam Te bcs of xs hs ey sone wee bg ks in) cts The brands of foams listed on the survey questionnaires were lumped into the following categories, veto an gon based on the number of responses: I (1) 3M brand foam (2) AAnnssuull SSiillvv--eex ((CCllaasss AA)) a tie (3) Ansulite (Class 8 AFFF or AR-AFFF) ar (4) Other or unspecified Ansul foam product pyceivisrsy (5) Angus Forexpan S (Class A) ((66)) AAnngguuss HHii--CCoommbbaatt ((CCllaassss AA oorr CCllaassss B8 AARR--FFFFFFPP)) rr (7) OOtthheerr orr unnssppeeccififiieedd AAnngguuss ffooaamm pprroodduucctt (8) National Foam product (9) CChheemmgguuaarrd ffooaamm pprroodduuctc.t mea (1 0) Hazard Control Technology (HCT) F-500 A-8 ee ra HAS TREY (11) Pyrocom Aqua Stiks (Class A Turbo Stik and Class 8 AFFF Eco Stik) (1 ergs on ts (12) Other or unspecified foam product 0 rn TR A HR 0 MTR, ASR, The brands of foams used by the departments cited in the questionnaires, grouped by foam type, are tvFo mt 3 Respro heel Pept lon listed in the Foams Used by Responding Municipal Fire Departments table below. FOAMS USED BY RESPONDING MUNICIPAL FIRE DEPARTMENTS FOAM TYPE AND BRAND # OF RESPONSES Class A E-- r ---- 3M foam product 8 E-- E ---- Ansul Silv-ex 208 Other or unspecified Ansul foam product 10 I------ Angus ForexpanS 6 [oa marion ] Angus Hi-Combat 25 [verremes] Other or unspecified Angus foam product 44 [Fonrumpee Jp | National Foam product 2 Chemguard foam product 17 E-- E ---- Pyrocom Aqua Stiks 8 [omer worcsesgammam Jm | Other or unspecified Class A foam 29 Class B AR-AFF 22222..00024 STATE_02820981 EVgE AATTRAD PFC-Containing Firefighting Foam and Their Use in Firefighting Training in Minnesota Delta Project No. AOOB-11 0-0 a Page 21 FOAMS USED BY RESPONDING MUNICIPAL FIRE DEPARTMENTS FOAM TYPE AND BRAND [f Brongn a] 3M foam product E-- T --A-- Ansulite CE re -- -- Other or unspecified Ansul foam product # OF RESPONSES 24 27 5 Angus Hi-Combat 1 C-- e -- Other or unspecified Angus foam product 21 [Foto romp | National Foam product 4 [hamoumemmJopone| Chemguard foam product 6 [omermoreseacassaEagFEoam --Ja | Other or unspecified Class AF-AFFF foam 4 CLASSBAFFF 3M foam product 33 E-- T ---- Ansulite 6 [overomrgasmorcJoiesmm| Other or unspecified Ansul foam product 2 Other or unspecified Angus foam product 10 TT -- ES-- National Foam product 2 ET a ----C-- Chemguard foam product 4 E-- E Tr --C-- Pyrocom Aqua Stiks 4 fosrrom Other or unspecified Other Foam Class AF-AFFF foam | 12 | HTC F-500 A/B Foam 12 TR OR tT Ieee *Ansul Silv-ex is a Class A foam. Questionnaire responses that listed Silv-ex as a Class B foam were counted as a Jonata St Ste pbCS enor Class A foam, unless Silv-ex was already included as a Class A foam on the questionnaire, in which case the second SA Sh Silv-ex foam was counted as an unspecified product A TI SHH TSAR SAAR 0 0 Of the 96 responding municipal fire departments that train, or potentially train, with Class B foams (see AA AN Table 4), they train with foam with the following frequency: een 2 train monthly vemos 5 train quarterly rian mty 11 train semi-annually 44 train annually 21 train bi-annually avant 12 train occasionally comn ostscy 1 department that trains off-site did not specify 22222..00025 STATE_02820982 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 2222 OOff tthhee 9965 rreessppoonnddiinngg mmuunniciciippaall ifirree ddeeppaarrttmmeennttss tthhaatt rtraaiinn,, oorr ppootteenntitalllyy ttrraaiinn,, wwiitthh CCllaassss BB ffooaammss,, tthhee ffoolllolowwiinngg ffooaamm aammounotspupeernrttrraatiinniisnngg eevveenntt wweerree rreeppoorrtteedd:: + 6622 oofftthhee ddeeppaarrttmmeennttss uussee lleossss tthhaann 55 ggaalllloonnss +15 1d5epdeapratrmtmeennttss uussee 55ggaallolonnss. 17 1d7epdeapratrmtmeennttss uussee 5 t1o0 1100ggaalllloonnss +1C1hddeeemppgaaurrattmrmdeennfttoauumsseeassndmm4oo0rreegatlthlhaoannnso11f00Chggaeallmlloognnuss:a:rdSStt.t.aiCCnliloonuguddfouuassmeessper2200evgeganaltllloonnss ooff CCllaassss BBAARR-AAFFFF. 1 department tht Chemguard foam 1 department that train offs did not speci and 40 gallons of Chemguard trains off-site did not specify training foam per event. OOff thhee 696 rreessppoonnddiinngg ddeeppaarrttmmeennttss tthhaatt uussee,, oorr ppootteenntitiaallllyy uussee,, CCllaassss BB ffooaamm iinn trraaiinniinngg,, ssppeenntt ttrraaiinniinngg fofoaammggooeess iinn ppaarrt oor iinn ffuullll ttoo oonneeoorrmmororee oofftthhee ffoollloowwiinngg llooccaattiioonnss:: + 7788oofftthheeddeepaprtmaerntst'sspmpeenentt ffnooaatmm gsgooe'ess,, ffuullllyy oorr ninppaarr,t, oto tthheeggrroouunndd +2255 ddeeppaarrttmmeenntsts'' ssppeenntt ffooaamm ggooeess ffulllly oor iinn ppaarrtt t1o0aa ssttoorrmm sseewweerr + 22 ddeeppaarrttmmeennttss ((AApppplle VVaalllleeyy aanndd CCrroossssilaakkee)) sseenndd ssoommee ppoorrtioonn ooff tthhee ssppeenntt ffooaamm t1o0 aa ssaanniittaarryy +1sedweepraiments spent foam. he Noth Met Fi Taiang Genter in Fidey. goes o an onshe retention pon 1 department's retention pond. spent foam, the North Metro Fire Training Center in Fridley, goes to an on-site + 11ddeeppaarrtmtemnetndditid nnoottssppeecciifyy 44..33..22 SSuurrvveeyy RReessuullttss -AAiirrppoorrtt FFiirree DDeeppaarrttmmeentnsts: CCooppiieess ooff tthhee erettuumrneed,d, ccoommpplleetteedd qquueessttiioonnnnaaiirreess ffrfoomm aalll ooff tthhee aaiirrppoorrttss ssuurrvveeyyeedd aarree iinncclluuddeedd iinn A`Appppeennddiixx DD.. AAiirppoorrtt ffirree ddeeppaarrttmmeenntt qquueessttiioonnnnaaiirree rreessppoonnsseess aarree iinncclluuddeedd iinn TTaabbllee 55,, QQuueessttiioonnnnaaiirree RReessppoonnsseessffrroomm AAiirrppoorrtt aanndd RReeffiinneerryy FFiirree DDeepaprtmaerntstaanmnddeTTrnraaiitnniinsngg SScchhoooollss.. MMss.. TToonnii HHoowwelelll,, MMaannaaggeerr ooff EEnnvviirroonnmmeennttaall AAfffaarirss wwiitthh tthhee MMeetrtrooppoolliittaann AAiirrppoorrttss CCoommmimsissisioonn,, ((661122--772266.- 88110000)) iinnddiiccaatetde tthhaatttthhee MMSSPP aaiirrppoorrtt iis tthhee oonnlyy aaiirrppoorrtt ooppeerraatteedd bbyy MMAACC tthhaat hhaass iitss oowwnn frfire ddeeppaarrttmmeentn.t. OOtthheerr MMAACC aaiirrppoorrttss aarree sseerrvveedd bbyy tthhee ffoolllolowwiinngg mmuunniciciippaall ffiirree ddeeppaarrttmmeennttss:: tthhee ddoowwnnttoowwnn SSt.t. PPaauull AAiirrppoorrtt ((HHoollmmeenn FFiieelldd)) iiss sseerrvveedd bbyy tthhee CyCity ooff SSt.t. PPaaulu;l; AAfirlaakkee iis sseerrvveedd bbyy tthhee CCiittyy ooff LLaakkeveivlilllee;; AAnnookkaa `CCoouunnttyy iis sseerrvveeddbbyy tthhee BBllaainnee--SSpprriinngg LLaakkeePParakrk:-MMoounuds nVViieedwwffsriree ddeeppaarrttmmeenntt;; Flliyinngg CClloouudd iiss sseerrvveedd bbyy EEddeenn PPrraaiirriiee;; CCrryyssttaall AAiirppoorrtt iis sseerrvviicceedd bbyy tthhee WWeesstt MMeettrroo FFiirree DDiissttircict,t; aanndd,, tthhee LLaakkee EEilmmoo AAlirppoorrtt iiss sSeerrvviicceedd bbyy tthhee LLaakkee EEllmmoo ffirree ddeeppaarrttmmenetn.t. IInn aaddddiitiioonn ttoo ccoommpplelettiinngg tthhee ssuurrvveeyy qquueesstitioonnnnaiariree,, MMss.. HHoowweell pprroovviiddeedd thhee ffoollloowwiinngg ppeerrttiinneenntt iinnffoorrmmaatitioonn:: + TdTraraaaiiinniisnnggonwwaiiittrhhpoffriitrerpffriigoghphetiirnntggy.ffoionaacmlmudttiaankkgeetsshepplHlaauccmeephoonnreccyooTnneccmrreeitene-a-pplaavvreeemddotaaerrreeaaamsspwwiailtnhhd/ccooorvveederr-eeiddcinoogrr pppalludusgg.ggeedd + dSpraeinnts foonaamiripsorrtepmroovpeedrtyf,roinmchluedinpglutghgeedHucmonpchrreetyeaTreeramsbinyal raemliocteensreadmcporalnrdac/otorrdew-hicoinpgupmapdss.oul he spent foam and ranspoirofsf Ste for dischargetothe sanitary sewer sysem. Spent foam is removed from the plugged concrete areas by a licensed contractor who the spent foam and transports it off site for discharge to the sanitary sewer system. pumps out + T2T0hh0ee0,MMSwShPPefnfirreethddeeeyppaasrwrttimmtecenhntetduutttioilizzeAenddsuffiilrreef3figi%ghhttiAningFgFff.ooaamCmummtaeannnulufyfaaccttthuuerryeeddusbbeyy a33pMMprttohhxrroioumugaghehlaayppp2pr0roo0xxiifmmoaat2tee5ll0yy gallonsof Ansul3% AFFF annual for aiing and fe response. 2000, when they switched to Ansul 3% AFFF. Currently they gallons of Ansul 3% AFFF annually for training and fire response. use approximately 200 to 250 22222222..00002266 SSTTAATTEE__0022882200998833 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PawPage 23 TThhee RRoocchheesstteerr AAiirppoorrtt FFiirree DDeeppaarrttmmeenntt ssuurrvveeyy wwaass ccoommpplleetteedd bbyy AAssssiissttaanntt AAiirppoorrtt MMaannaaggeerr KKuurrtt CCllaauusssseenn.. MMr.r. CCllaauusssseenn iinnddiiccaatteedd tthhaatt tthhee FFeeddeerraall AAvviiaattiioonn AAddimniinsiisrtraattioonn ((FFAAAA)) rreeqquuiirreess aannnnuuaall trraaiinniinngg aanndd tteessttiinngg ooff ffirree ffiigghhtteerrss aanndd ffiirree eeqquuiippmmenetn.t. TThhee ffirree ffigiheterrss aarree ttrraaiinneedd ooffff-ssiittee aatt aa ffaacciliitly iinn DDuululutthh,. FFAAAA iinnssppeeccitoorrss rraannddoommllyy cchhoooossee ssiiteess oonn tthhee aaiirppoorrtt pprrooppeerrttyy ffoorr eeqquuiippmmeenntt tteessttiinngg,, bbuutt MMrr.. CCllaauusssseenn ssttaatteedd tthhaatt tthhee ssiitteess wwhheerree ffooaamm iiss ddiisscchhaarrggeedd aarree ttyyppiiccaallllyy tthhee rruunnwwaayyss.. TThhee ffooaamm eeqquuiippmmeenntt tteessttss rreeqquuiirree aa sshhoorrtt bbuurrsstt ooff 1fo0aamm ttoo sshhooww tthhaatt tthhee ooppeerraattoorr aanndd tthhee fiirree ttrruucckk aarree ffuunnccttiioonniinngg pprrooppeerlryly.. LLeessss. tthhaann 58ggalallloonnssooffCChheemmgguuaarrdd ffooaamm iiss uusseedd aannnnuuaallllyy oforr ttrraainniinngg.. TThhee DDuulluutthh IInntteermnaattiioonnaall AApiroprortt frfire ddeeppaarrttmmeenntt ssuurrvveeyy wwaass ccoommpplleetteedd bbyy SSeenniioorr AAiirffiieekldt FFiirreeffigightteerr JJoohhnn FFaarrnmhhaamm ooff tthhee MMiinnnneessoottaa AAlicr NNaattiioonnaall GGuuaarrdd 114488"1. MMe.r. FFaarnrhhama iinnddiiccaatteedd tthhaat nnoo ttrraaiinniinngg wwiitthh ffooaamm iiss ccuurrrreennttllyy ttaakkiinngg ppllaaccee aatt tthhee aaiirrppoortr,t, aanndd tthhaalt tthheehrr.ee iiss aann oonnggooiinngg kesite iinnvveessttiiggaattiioonn ffoorr PPFFCCss aalt tthhee pprreevviioouuss fefire ttrraaiinniinngg ssiitee.. MMr.r. FFaarrnmhhaamm rreellaatteedd tthhaatt JJaannee MMoosseell ooff tthhee MMPPCCAA iiss tthhee ppooiinntt ooff ccoonnttaacct ffoorr thhaatt iinnvveessttiiggaattiioonn.. UUpp ttoo 110000 ggaalllloonnss aannnnuuaallllyy ooff fririegfihgthitinngg ffooaammss mmaaddee bbyy 33M1 aanndd CChheemmgguuaarrdd aarree uusseedd aatt tthhee DDuulluutthh IInntteermnaattiioonnaall AAiirrppoorrtt ffoorr ffirreeffiigghhttiinngg.. 44.33..33 SSuurrvveeyy RReessuullttss -- FFiirreeffiigghhttiinngg TTrraaiinniinngg SScchhooolosls: `SSuurrvveeyy qquueessttiioonnnnaaiirreess wweerree rreetluurnmeedd bbyy 1111 ooff tthhee 1166 ffireeffiigghhtiinngg trraaiinniinngg sscchhoooolsls,, aallll ooff wwhhiicchh aarree iinn tthhee MMNNSSCCUU ssyysstteemm.. CCoopipesoiofeftthhsee rreettuurmneedd,, ccoommpplleetteedd qquueessttiioonnnnaaiirreess ffrroomm tthhee ttrraaiinniinngg sscchhoooollss aarree iinncclluuddeedd iinn AAppppeennddiixx EE.. AARirppoorrt ffirree ddeeppaarrttmmeenntt qquueessttiioonnnnaaiirree rreessppoonnsseess aarree iinncclluuddeedd iinn TTaabbllee 55.. T"Thhee ffoolllolowwiinngg sscchhoooollss rreeppaorrtteeddlyy ttrraaiinn wwiitthh CCllaassss. AA aannddl/oorr trraaiinniinngg ffooaammss oonnlyly:: + NNoorrtlhalannddCColollleeggeeiinnTThhieieffRRiviveerrFFaalll;s; + MMeessaabbii RRaannggeeCCalollleeggee iinn VViirrggiinniiaa,; + PPiinnee TTeecchhnniiccaall CCoolllleeggee iinn PPiinnee CCiityy;; + RRiiddggeewwaatteerr CCoolllleeggee iinn WWiiillmmaarr.; + RiRviveerrtlaanndd CCoommmumnuintiytyCColollleeggee iinn AAuustsitnin;; aanndd., + HHeemnnneeppiinn TTeecchhnniiccaall CCoolllleeggee iinn PPllyymmoouulthh;; ttrraaiinniinngg iiss ccoonndduucctteedd aatt tthhee HHeennnneeppiinn TTeecchhincicaall CCoolllleeggee iinn PPllyymmoouuthth.. TThhee HHeennnneeppiinn TTeecchhnniiccaall CCoolllleeggee iinn PPylymmoouutthh ddiidd nnott rreessppoonndd 1to0 tthhee ssuurrvveeyy.. OOnnee sscchhooooll,, tthhee lItaassccaa CCoommmmunuintityy CCoolllleeggee iinn GGrraanndd RRaappididss,, iinnddiiccaatteedd tthhaat tthheeyy ddoo nnaott ttrraaiinn wwiitthh ffooaamm.. TThhee LLaakkee SSuuppeeririoorr CCaollloeggee hhaasstthheeiir oowwnn fefire trraaiinniinngg cceenntteerr iinn DDuulluutthh,, aannd ootthheerr fiirree ddeeppaarrttmmeennttss uussee tthhiiss trraaiinniinngg cceennteter.r. AAccaaddeemmiicc ssuuppeerrvviissoorr DDaavviidd SSaarraazziin iinnddiiccaatteedd tthhaat tthheeyy uussee lleessss tthhaann 5 ggaalllloonnss ooff CCllaassss AA ffooaamm aannnnuuaallly ffoorr ttrraaiinniinngg,, aanndd tthhaatt TTrraaiinnooll trraaiinniinngg ffooaamm iiss uusseedd ffoorr CCllaassssBB frfire ttrraaiinniinngg.. OOuuttssiiddee ddeeppaarrttmmeennttss uussiinngg tthhee ttrraaiinniinngg cceenntteerr uussee TTrraaiinnooll ttrraaiinniinngg ffooaamm pprroovviiddeedd bbyy tthhee sscchhooool.l. SSppeenntt ffooaamm iiss ddiirveecctteedd ttoo aann oonn--ssiittee ttrreeaattmmeenntt ffaacciillityy.. MMr.r. SSaarraazziinn iinnddiiccaatteedd oonn tthhee qquueessttiioonnnnaaiiree tthhaatt tthheeyy hhiissttoorriiccaallllyy uusseedd AAFFFFFF., AARR--AAFFFFFF,, aanndd pprrootteeiinn ffooaamm mmaannuuffaaccttuurreeddbbyy 33MM.. 22222222..00002277 SSTTAATTEE__0022882200998844 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 24 TThhee SSoouutthh CCeennltrraall CCoolllleeggee iinn NNoorrtthh MMaannkkaattoo ttrraainisnaat tthhee ccoolllleeggee aanndd aalt vvaarriioouuss frfire ddeeppaarrttmmeentnsts.. TThheeyy iinnddiiccaatteedd tthhaatt tthheeyy ttrraaiinn mmoonntthlyy uussiinngg 55 ggaallloonnss ooff CCllaassss AA SSiilvl-eexx ffooaamm.. IInn aaddadfiitioonn,, ootthheerr ffiiree ddeeppaarrttmmeennttss mmaayy ttrraaiinn aatt tthhe ccoolllleeggee aanndd bbrriinngg iinn tthheeiirr oowwnn ffooaamm,, ddiisscchhaarrggiinngg 5 t1o0 2255 ggaalllloonnss aannnnuuaallllyy ooff thheeriroowwnn ffooaamm.. tItwwaass nnoott cclleeaarr iifaalll oofftthhee ccoolllleeggee''ss f0oaamm aanndd ootthheerr ddeeppaarrttmmeennttss' ffooaammiiss uusseedd iinn ttrraaiinniinngg aatt tthhee ccoolllleeggee oorraat tthhee ffiirree ddeeppaarrttmmeenntt llooccaattiioonnss,, oorr aa ccoommbbiinnaattiioonn ooff bbootthh,. FFoorr tthhee ppuurrppoossee ooff tthhee ssiittee Fraannkkiinngg,, iitwwaass aassssuummeedd tthhaatt aallll ooff tthhee ffooaamm iiss uusseedd aatt tthhee ccoolllleeggee,, aanndd tthhaatt 33MM ffooaamm mmaayy bbee bbrroouugghhtt iinn bbyy tthhee ootthheerr ffirree ddeeppaarrttmmeennttss. 44..33..44 SSuurrvveeyy RReessuullttss --PPaettrroolleouumm RReeffiinneerriieess CCooppiieess oofftthhee rreettuurmneedd,, ccoommpplleetteedd qquueessttiioonnnnaaiirreess ffrroomm tthhee MMiinnnneessoottaa ppeettrroolleeuummrerfeifinneerriieess aarree iinncclluuddeedd iinn A`Appppeennddiixx FF.. RReeffiinneerryyqqueusetsitoionnnnaairiree rreessppoonnsseess aarree iinncclluuddeedd nin TTaabbllee 55.. TThhee ssuurrvveeyy qquueessttiioonnnnaaiirree ffroomm tthhee MMaarraatthhoonn ppeeltrrooleluemu rreeffiinneerryy iinn SStt.. PPaauull PPaarrkk wwaass ccoommpplleetteedd bbyy FFiirree CChhiieeff SStteevvee CCrriisspp.. TTrraaiinniinngg wwiilthh ffooaamm ooccccuurrss sseemmii--aannnnuuaallllyy aalt tthhee rreeffiinneerryy ffirree ttrraaiinniinngg rgorouunnddss,, aanndd aapppprrooxxiimmaatteellyy 5500 tfoo 110000 ggaalllolonnsooff AAnnssuull TThhuunnddeerrSSitoorrmm ffooaamm iiss uusseeddpeperr trraaiinniinngg eevveennt,t. OOtthheerr mmuunniciciippaall ddeeppaarrttmmeennttss trraaiin aatt tthhee rreeffiinneerryy rtraaiinniinngg ggrroouunnddss,, bbuut tthheeyy ddoo nnoott bbriinngg iinn tthheeiirr oowwnn ffoaam;; tthheeyy uussee tthhee. ffooaamm pprroovviiddeedd bbyy tthhee MMaarraatthhoonn rreeffiinneerryy ffirree ddeeppaarrttmmeentn.t. MMrr.. CCrriisspp iinnddiiccaatteedd tthhaatt ffooaamm iiss oonnllyy uusseedd ooccccaassiioonnaallllyy iinn ttraaiinniinngg wwiithh ootthheerr ddeeppaarrttmmeennttss ttoo ddeemmoonnssztraattee ffooaamm ccaappaabbililiiteiess.. SSppeenntt ttrraaiinniinngg ffooaamm iiss ccoolllleecctteedd innttoo aann oonn--ssiittee sseeppltiicc ssyysstteemm.. FFiirree CChhiieeff CCrriisspp iinnddiiccaatteedd tthhaatt MMaarraatthhoonn pprreevviioouuss'lyy uusseedd 33MM ffiirreeffigighhttiningg ffooaamm bbuutt sswwiittcchheedd ttoo TThhuunnddeerrSSttoormm iinn aapppprrooxxiimmaatteellyy 22000000.. TTooltaall aannnnuuaall ffooaamm uussee ffoorr ffiirree rreessppoonnssee vvaarriieess:: aa JJaannuuaarryy 22000088 ffirree rreeqquuiirreedd 22,,000000 ggaalllloonnss ooff ffooaamm 0to eexxttiinngguuiisshh;; aanndd,, aa ttaannkk fefire iinn 22000044 nneeeeddeedd 66,,550000 ggaalllloonnss ooffffooaamm1t0o ppuutt it oouu.t. DDeeppuultyy FFiirree CChhiieeff PPeettee HHeerrppsstt wwiithh tthhee FFliinnt HHiilllss RReessoouurrcceess'' PPiinnee BBeenndd RReeffiinneerryy iinn RRoosseemmoouunntt ccoommpplleetteedd tthhee ssuurrvveeyy qquueessttiioonnnnaiariree..TTraraiinniinnggwwitithh ffooaamm ttaakkeess ppllaaccee aapppprrooxxiimmaalteellyy 2200 tfoo 2255 tmimoess dduurriinngg thhee ttrraaiinniinngg sseeaassoonn ffrroomm AApprril tthhrroouugghh NNoovveemmbebre.r. AApppprrooxxiimmaatteellyy 5 t1o0 1100 ggaalllloonnssooff AAnnssuull TThhuunnddeerrsSttoorrmm ffooaamm iiss uusseedd ppeerr ttrraaiinniinngg eevveenn,t, wwiitthh aann eessttiimmaatteedd 330000 ggaalllloonnss uusseedd aannnnuuaallllyyffoorr rtraaiinniinngg.. OOtthheerr mmuunniciciippaall ddeeppaarrttmmeennttss rtraaiinn aatt tthhee rreeffiinneerryy trraaiinniinngg ggrroouunnddss,, bbuut tthheeyy ddoo nnoott bbirinngg iinn thheeiirr oowwnn ffooaamm,. SSppeenntt ttrraaiinniinngg ffooaamm iiss ccaappttuurreedd oonn aa ccoonnccrreettee ppaadd,, ccoolllleecctteedd iinnttoo aa lnineedd hhookldliinngg aarreeaa,, aanndd rroouutteedd ttoo tthhee oonn--ssiittee wwaassttee wwaatteerr ttrreeaattmmeenntt ppalantn.t. FFiirtee CChhiieeff HHeerrppsstt iinnddiiccaatteedd tthhaat tthheeyy uusseedd ttoo uussee 33MM ffooaamm foorr trraaiinniinngg aanndd ccuurrrreennttllyy hhaavveeaa ssttoocckkppilleeooff aapppprrooxxiimmaatteellyy 5500,,000000 ggaalllloonns ooff 33MM ffooaamm.. SSiinnccee tthhee ffoorrmmeerr CCoonnooccoo--PPhhiillliipss oilil rreeffiinneerryy iinn WWrerennshsahlalll,, MMiinnnneessoottaa cceoaasseedd ooppeerraattiioonn iinn tthhee ceaarrlyy 118988005s,, aa qquueessttiioonnnnaaiirree ccoouulldd nnoott sseenntt bbee oto tthhee rreeffiinneerryy.. TThhee WWrreennsshhaallll VVoolluunntteeeerr FFriree DDeeppaarrttmmeenntt FFiirree C(Chhiieeff NNiicckk SShhaannddaa wwaass iinntteerrvvieiweweedd vviiaa tteelleepphhoonnee oonn JJuunnee 1177,, 22000088,, aanndd iinnddiiccaatteedd tthhaatt hhee ttrraaiinneedd aatt tthhee WWrreennsshhaalll rreeffiinneerryywwhheenn itt wwaass iinn ooppeeraratitioonn.. MMr.r. SShhaannddaa iinnddiiccaatetde tthhaatt tthhee rreeffiinneerryy hhaadd tthhelier oowwnn ffirree ttrruucckk aanndd ffirreeffigghhttiinngg ffooaamm,, aanndg hhaadd ppeerrssoonnnneell trraaiinneedd tfoo ffiigghhtt ffiirreess,, bbuult tthhee WWrreennsshhaallll VVoolluunntteeeerr FFiirree DDeeppaarrttmmeenntt rreessppoonnddeedd ttoo aannyy ffirree ccaallllss. 22222222..00002288 SSTTAATTEE__0022882200998855 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaagge e2s5 443.35.5SSuurrvveeyyRReessuullttss--CCaammppRRipiplleeyy TThhee CCaammpp RRiipplleeyy ssuurrvveeyy qquueessttiioomnnnaaiitree wwaass ccoommpplleetteedd bbyy TToomm RRootthhlleeuuttnneerr,, RRooaaddss && GGrroouunnddss `SSuuppeerrvviissoor,r, AArrmmyy NNaattiioonnaall GGuuaarrdd., aanndd rreettuurnmeedd ttoo DDeelltai bbyy PPaatt BBoooonnee,, FFiirree aanndd EEmmeerrggeennccyy SSeerrvviicceess CCoooorrddiinnaattoorr ffoorr CCaammpp RRiipplleeyy.. MMr.r. BBoooonnee iinnddiiccaatteedd tthhaatt hhiiss ppoossiitiioonn aalt CCaammpp RRiipplleeyy hhaadd bbeeeenn ccrreeaatteedd aapppprrooxxiimmaatteellyy oonnee yyeeaarr aaggoo aanndd hhee sis nnoott ffaammiilliaarr wwiithh hhiissttoorriiccaall rfierefifigghhttiinngg pprraaccttiicceess aatt CCaammpp RRiipplleeyy.. MMrr.. RRootthhileeuuttnneerr iinnddiiccaatteedd tthhaatt nnoo ffiirreeffigighhttiinngg ttrraaiinniinngg wwiithh ffooaamm sis ccuurrrreennttllyy bbeeiinngg ccoonndduucctteedd aatt CCaammpp RRiipplleeyy., aanndd eessttiimmaatteedd tthhaatt aapppprrooxxiimmaatteellyy 5500 ggaalllloonnss ooff CCllaassss. AA FFiirree--TTrroll FFiirreeffooaamm 110033B8 iis bbeeiinngg uusseedd aannnnuuaallllyy ffoorr ffirree rreessppoonnssee.. AA ccooppyyooff hthee qquueessttiioonnnnaaiirree reettuurmneedd bbyy CCaammpp RRiipplleeyy iiss iinncclluuddeedd aat tthhee eennddooff AAppppeennddiixx FF.. 55..00 RRAANNKKIINNGG CCRRIITTEERRIIAA FFOORR FFIIRREEFFIIGGHHTTIINNGG FFOOAAMM TTRRAAIINNIINNGG SSIITTEESS Thhee ttrraaiinniinngg ssietess wwhheerree CCllaassss BB ffirreeffiigghhtiinngg oa foam iiss uusseedd wweerree rraannkkeedd iinn oorrddeerr 0to Keli identify tthhoossee wwiithh tthhee hhiigghheesstt ppootteennttiiaall oto ccrreeaattee PPFFCC iimmppaacctts 1to0 tthhee ssoobi,l, ggrroouunnddwwaatteerr aanndd ssuurrffaaccee wwaatteerrss.. TThhee ssietess wweerree rraannkkeedd aaccccoorrddiinngg 0to tthhee cceritteerriaa lsistteedd bbeellooww nin SSeeccttiioonn 55..11.. DDeelltaa aassssiiggnneedd aa rreellaattiivvee nnuummereiriccaall ssccoorree ffoorr eeaacchh icrtiteerriaa thhaatt wwaass mmeeaanntt 0to rreefflleecctt tthhee rreellaattiivvee iimmppoorrttaannccee ooff eeaacchh ppaarraammeetteerr wwiitthh rreessppeecctt 0to iitss ppootteennttiiaall 0to rreelleeaassee. PFPFCCss 0to1thhee eennvviiroonnmmeenntt aanndd tthhee sseennssiktiivvityyooff tthhee eennvviirroonnmmeennttaall rreecceeppttoorrss.. 55..11 RRAANNKKIINNGG CCRRIITTEERRIIAA T"Thhee ffoollloowwiinngg ccrritteerriiaa wweerree ccoonnssiiddeerreedd iin rraannkkiinngg trraaiiniinngg ssiteess oonn tthheeiir ppootteennttiiaall ttoo hhaavvee PPFFCC iimmppaaccists:: 11. . TTypyeooffpFFooaeamm.. DDuuee ttoo tthhee ccoonntteenntt ooff PPFFOOSS aanndd PPFFOOAA iinn ffireeffiigghhttinngg ffooaammss mmaannuuffaaccttuurreedd bbyy 33MM,, ttrraainniinngg ssietess wwhheerree 33MM ffooaammss wweerree ccuurrrreennttllyy oorr ffoormrmeerlry uusseedd iinn ttrraainniinngg aarree mmoorree liikkeellyy ttoo exh exhibit PPFFCC iimmppaaccttss iinn tthhee eennvviiroonnmmeenntt tthhaann ssiitteesswwhheerree ootthheerr bbrraanndd CCllaassss 8Bfofoaammss aarree/hweerree uusseedd.. SSoommee fiirree ddeeppaarrttmmeennttss iinnddiiccaatteedd tthhaatt33M ffooaammss aarree ccuurrrreennttllyy oorr wweerree hhiissttoorriiccaallllyy uusseedd iinn ttrraaiinniinngg,, aanndd ssoommee s`simimppllyy iinnddiiccaatteedd tthhaatt 33MM ffooaammss aarree oorr wweerree uusseedd bbyy tthhee ddeeppaarrttmmeenntt wwiithhoouu!t ccoommmmeenntitinngg ssppeecciifiiccaalllyy oonn tthheeiirr uussee iinn ttrraaiinniinngg.. SSoommee fefire ddeeppaarrttmmeennttss ddiid nnoot iinnddiiccaattee wwhhaatt bbranadoofnf ffoodaamm iissoor wwaass uusseedd.. FFoorr thhee ssccoorriinngg ppuurrppoosseess,, ddeeppaartrmtemnetsntthhtaastt iinnddiiccaatteedd thhee uussee ooff 33MA ffooaammss wwiilthhoouutt ssppeecciififc rreeffeerreennccee t1o0 tthheeier susee iinn ttraaiinniinngg,, aanndd ddeeppaarrttmmeennttss tthhaatt 4didd nnoott ssppeecicfy aa ffooaamm bbrraanndd,, wweerree aassssuummeedd 1to hhaavvee uusseedd tthhee 33MM ffooaamm iinn trraaiininn.g. SSiitteess wwhheerre 33MM ffooaammss wweerree ccuurrrreennttllyy oorrffoorrmmeerrllyy uusseedd iinn ttrraaiinniinngg wweerreo aassssigingendeada ssccoorree ooff 88.. 22.. AAnnnnuuaall FFooaamm UUssaaggeefofosrTTrarianiniinngg,. TThhee aannnnuuaall aammoouunntt ooff lClaasssBsB ffooaamm uusseedd iinn trraaiinniinngg wwaass iinnffeerrrreedd ffrroomm tthhee ddeeppaarrttmmeennttss'' rreessppoonnssee ttoo tthheiirr ffrreeqquueennccyy ooff ttrraaiinniinngg aanndd tthhee aammoouunntt ooff ffooaamm uusseedd ppeerr ttrraaiinniinngg eevveennt.t. asSites hthaatt uussae 5 ggaalllloonnss or lleasss ooff CGllasss BB ffooaamm ana annually ffoorr vtraalinniinngg wwreree aassssiiggnneedd aa sscoorree ooff S2i.tes that use 10 10 gallons of Class B foam annufoalrailniyng were assigned a score of 4. SSiitteess tthhaattuussee5mtoor1e0tghaalnlon1s0 ogfalClloansss oBffColaamssa Bnnufaolalymfoanrnturaailnliyngfowr etrreaiansisngignweerdoaasscsoirgenoedf a4. score of. Sites that use score of G. more than 10 gallons of Class B foam annually for training were assigned a 22222222..00002299 SSTTAATTEE__0022882200998866 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PaPage 26 33.. NNeeaarrbbyy SSuurrtfaaccee WWataeter,r. TTrraaiinniinngg ssittee llooccaatiioonns wweerree mmaappppeedd uussiinngg MMaappqquueesstt((wwwwwm.maappaquueesstt.ccoomm)) aanndd tthhee MMiinnnneessoottaa DDeeppaarrttmmeenntt ooff HHeeaaltlhs's CCoouunnttyy WWeelll IInnddeexx ((CCWWI)) oonn--liinnee mmaappppiinngg pprrooggrraamm ((wvwew.hheeaatlthh.ssttaattee.mn.uuss/iddivssi/eehhi/cowwi.). TThhee ttooppooggrraapphhiicc mmaapp ooppttiioonn oonn tthhee CCWWII wwaass uusseedd ttoo iiddeenntifty nneeaarrbbyy ssuurrffaaccee wwaatteerrss.. SSiitteess wwiitthh ssuurrffaaccee wwaatteerrss llooccaatteedd wwiitthhiinn 11//44 mmiillee wweerree aassssiiggnneedd aa ssccoorreeooff33.. SSiitteess wwiitthh ssuurrffaaccee wwaatteerrss llooccaatteedd bbeettwweeeenn 11//44 aanndd 11 mmiillee aawwaayy wweerree aassssiiggnneedd aa ssccoorree ooff11. SSiitteess wwiitthh nnoo ssuurrffaaccee wwaatteerrss llooccaatteeddwwitithhiinn 11 mmiillee wweerree aassssiiggnneeddaa ssccoorree ooff 00.. 44.. NNeeaarrbbyy WWeteltlaannddss,. TTrraaiinniinngg sstitee llooccaattiioonnss wweerree mmaappppeedd uussiinngg tthhee NNaattiioonnaall WWeettlaannddss Iinnvveernstoorryy mmaappppiinngg pprrooggrraamm aavvaaiilaabbllee aatttthhee NNaattiioonnaall FFiisshh && Wid Wildlife SSeerrvviiccee'ss wweebbsiste ((wwwtw.niwAwi.sfw.s0.0gvo)v.). SSiitteess wwiitthh wweettllaannddssloloccaatteedd wwiitthhiinn 11//48 mmiillee wweerree aassssiiggnneedd aa ssccoorree ooff33.. SSiitteess wwiitthh wweettllaannddss llooccaatteedd bbeettwweeeenn 111/44 aanndd 11 mmiillee aawwaayywweerree aassssiiggnneedd aa ssccoorreeooff 11. . SSiitteess wwiitthh nnoo wweettllaannddss llooccaatteedd wwiitthhiinn 11 mmiillee wweerree aassssiiggnneedd aa ssccoorree ooff 00.. 55.. KKaarrsstt AArreeaass,. TTrraaiinniinngg ssiitee llooccaattiioonnss wweerree ccoommppaarreedd oto aa mmaapp ooff kkarrsstt aarreeaass iinn MMiinnnneessoottaa pprreeppaarreedd bbyy EE.. CGaallvviinn AAllexeaxndaenroodfftethhree UUninverisityvoofefMMirninnnosesastoeata..TThheemmaappccoolloor ccooddeess tthhee ffoollloowwiinngg kKaarrsstt aarreeaass iinn ssoouutthheeaasstteernm MMiinnnneessotoata:: ((11)) aaccttiivvee kkaarrsstt aarreeaass tthhaat aarree uunnddeerrtlaaiinnbbyyccaarrbboonnaattee bbeeddrroocckk wiwith lleessss thhaann 5500 ffeeeett ooff sseeddiimmeenntt ccoovveer,r, ((22)) atrannssiitoionn kKaarrsstt aarreeaas tthhaatt aarree uunnddeerrlaainn bbyy ccaarrbboonnaattee bbeeddrroocckk whwith 55001t0o 110000 ffeeeett ooff sseeddiimmeenntt ccoovveerr,, aanndd ((33)) ccoovveerreedd kkaarrsstt aarreeaass tthhaatt aarree uunnddeerrlaaiinn bbyy ccaarrbboonnaattee bbeeddrroocckk wwiithh mmoorree tthhaann 110000 ffeeeett ooff sseeddiimmeenntt ccoovwerr.. TThhee mmaapp fis aavvaaiilaabbllee aalt www.ppceaa.sstaattee.mmnn.uuss/wwaatteerrg/grroouunnddwwaatteerrk/kaarrssLt.hhtimml. SSiitteess llooccaatteedd iinn aaccttiivvee kkaarrssttaarreeaasswweerree aassssiiggnneeddaa ssccoorree ooff55.. SSiitteess llooccaatteedd iinn ttrraannssiittiioonn kkaarrsstt aarreeaasswweerree aassssiiggnneedd aa ssccoorree ooff 44.. SSiitteess llooccaatteedd iinn ccoovveerreedd kkaarrsstt aarreeaass wweerree aassssiiggnneedd aa ssccoorree ooff 22.. SSiitteess nnoott llooccaatteedd iinn kkaarrsstt aarreeaasswweerreeaassssiiggnneedd aa ssccoorree ooff 00.. 66.. NeNaerabrbyyWWataeterrWWelelllss. TTrraaiinniinngg ssittee llooccaatiioonnss wweerree mmaappppeedd uussiinngg tthhee MMODHH CCoouunnttyy WWeellll IInnddeesx: C(CUW)I) pprrooggrraamm aavvaaiillabbllee aatt ((wwwwww.hheeaatlthh.sstaattee.mmnn.uussd/diivvss//eenhi/ocww)i.). TThhee CCVWAI mmaappppiinngg pprrooggrraamm ddiissppllaayyss wweellll llooccaattiioonnssffoorrwwelelllss tthhaatt aarre rreeggiisstteerreedd wwiithh tthhee MMODHH.. DDeelltaa uunnddeerrssttaannddss tthhaatt nnoot aallllwwaatteerrwweelllss nin tthhee SSttaattee aaree rreeggiisstteerreedd wwiitthh tthhee MMODHH,, nnoorr aarree aallll wweellllssrreeggiisstteerreedd wwiithh tthhee MMODHH mmaappppeedd oonn tthhee CCWWII. HHoowweveevre,r, tthhee CCWWI iiss aa rreeaaddiillyy aavvaaiilaabbllee ttooooll ffoorr pprroovviiddiinngg aa ccuurrssoorryy sseeaarrcchhooffwwaatteerr ewlelsls iinn tthhee aarreeaass ooff tthhee ttraaiinniinngg ssitteess,, aanndd tthhee uussee ooff tthee CCWWII 1to0 mmaapp wweellls sis nnoott iinntteennddeedd 1to0 bbee aann eexxhhaauussttiivvee wweellll ssuurevye.y. SSiitteess wwiitthh wwaatteerr wweellllss llooccaatteedd wwiitthhiinn 11//44 mmlilee wweerree aassssiiggnneeddaa ssccoorreeooff33.. SSiitteess wwiitthh wwaatteerr wweellllss llooccaatteedd bbeettwweeeenn 11//44 aanndd 11 aawwaayy wweerree aassssiiggnneedd aa ssccoorree ooff 11.. SSiitteess wwiitthh wwaatteerr wweellllss llooccaatteedd wwiitthhiinn 11 mmiillee wweerree aassssiiggnneedd aa ssccoorree ooff00.. 22222222..00003300 SSTTAATTEE0_208228200998877 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 27 77.. WWeeillnheeaadd PPrrootteeccttiioonn AArreeaass. TThhee ooppttiioonn ttoo disisppilaayy SSttaattee WWeellllhheeaadd PPrrootteeccttiioonn AArreeaass oonn tthhee CCWWII wwaass. uusseedd 0to dideenntttifyy WWeellllhheeaadd PPrrootteeccttiioonn AArreeaass rreelaltivaettooitvhtheee rtraaiinniinngg ssiittee llooccaattiioonnss.. WWeellllhheeaadd PPrrootteeccttiioonn AArreeaass aarree aarreeaass tthhaatt ccoonnttriibbuultee wwaatteerr t1o0 aa ppuubblliicc wwaatteerr Ssuuppppllyy wweellll wwhheerree ppootteennttiaall ccoonnttaammiinnaanntt sSoouurrcceess aarree mmaannaaggeedd ttoo pprreevveenntt ccoonnttaammiinnaattiioonn ooff aa ppuubbiliccwwaatteerrssuuppppllyywweelll. SSiitteess llooccaatteedd wwiitthhiinn oorr aaddjjaacceenntt ttoo aa WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa wweerree aassssiiggnneeddaa ssccoorree ooff 55.. SSiitteess llooccaatteeddwwitithhiinn 111/44 mmiillee ooffaa WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa wweerree aassssigingendeada ssccoorree ooff &4. SSaisittesessigllonocceaaadtteesddcowwriiettohhfaa2WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa llooccaatteedd bbeettwweeeenn 11//48 aanndd 11 mmiillee ddiissttaanntt wweerree assigned a score of 2. SSiitteess nnoott llooccaatteedd wwiitthhiinn 11 mmiilleeooff aa WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa wweerree aassssigingendeada ssccoorree ooff 00.. SSiinnccee tthhee vvaasstt mmajaojorrlityyooff ssppeenntt ttraaiinniinngg ffooaammss aarree rreelleeaasseedd tLoo tthhee ggrroouunndd oorr gGoo t0oaa sstolrmo sseewweer,r, tthhee ffinaall ddeessttiinnaattiioonnoofftthhee sspepntffeooaamnmwwatass nnoot ccoonnssiiddeerreedd iinn rraannkkiinngg tthhee trraaiinniinngg sessites. 55..22 NNOONN--RRAANNKKEEDD TTRRAAIINNIINNGG SSIITTEESS MMuuninciciippaall ffirree ddeeppaarrttmmeennttss tthhaatt iinnddiiccaatteedd tthheeyy uussee CCllaassss AA ffooaamm,, ttrraaiinniinngg ffooaamm,, oorr ddiisshhwwaasshhiinngg sSooaapp ffoorr ttrraainniinngg wweerree nnoott arannkkeeed.. MMuunniciciippaall refire ddeeppaarrttmmeennttss tthaalt iinnddiiccaatteedd tthheeyy oonnllyy trraaiinneedd oonnee ttiimmee wwiitth ffooaamm aanndd uusseedd fleosss tthhaann vefive ggaalllloonnss ooff ffooaamm udurriinngg tthhaatt rtraaiinniinngg wweerree nnoott rraannkkeedd.. FFiiree ddeeppaarrttmmeennttss thhaatt uussee ffirreeffigghhttiinngg ffooaamm bbuut ddoo nnoott uussee ffooaamm iinn frireeffigghhitinngg ttrraainniinngg wweerree nnoott rraannkkeedd., aass tthhee uusseeoofff rfiereffiigghhttinngg ffooaammss iinn vefire rreessppoonnsseeccaallllsswwaass bbeeyyoonndd tthhee ssccoappee ooff 1sthis pprroojjeecct,t. TTrraaiinniinngg ssiiteess wwhheerree CCllaassss BB ffooaammss aarree uusseedd,, oorr ppootteenntitiaallllyy uusseedd., iinn trraaiinniinngg wweerree llooccaatteedd uussiinngg MMaappqquueesstt ((wwwew.mmaappaquueesstt.ccoomm).). FFoor ssietess tthhaatt ddiid nnoott nincciluuddee aa vvaallidd,, mmaappppaabbllee aaddddrreessss,, DDeellltaa aatttteemmpptteedd ttoo ppiinnppooiinntt thhee ssiittee bbyy sseeaarrcchhiinngg ootthheerr wweebbssiitteess ssuucchh aass clcity mmuunniciciippaall wweebbssiitteess,, llooccaall mmaappss. aavvaaillaabilee oonn--ilinnee,, aanndd ffirreo ddeeppaarrttmmeenntt wweebbsistiteess.. SSoommee ffirree ddeeppaarrttmmeennttss wweerree ccoonnltaacciteedd,, oorr aatttleemmppltss wweerree mmaaddee tfoo ccoonnltaacct,t, vviaa tteelleepphhoonnee oorr eem-maialil 0to oobbltaaiinn mmoorree ssppeeccififiicc trraaiinniinngg ssiitee llooccaattioonn iinnffoorrmmaatitioonn.. SSoommee tariariniinngg siiteess wweerree nnoolt mmaappppaabbllee bbaasesdeoodnn tthhee iinnffoorrmmaattiioonn pprroovviiddeeddbbyy tthhee frfire ddeeppaarrttmmeennttss. `SSoommee ffirree ddeeppaartrmtemnetsntdiisdd noott iindnicdateiaacttrraaaiitnniinenggsstiteeaanndd tthhuuss ccoouulkd nnoottbbee rraannkkeedd.. `SSoommee ffiiree ddeeppaarrttmmeennttss taraiinn wwtithh ffooaamm oonnllyy dduurriinngg Ilivvee ffiirreess oofr aalt vvaarriioouuss uunnssppeeccififiieedd llooccaattioornss;; tthheessee ssiitess ccoouulldd nnoot bbee rraannkkeedd.. 65..00 TTRRAAIINNIINNGG SSIITTEE RRAANNKKIINNGG RREESSUULLTTSS AAttoatallooff 7700 ttraaiinniinngg ssittess wwoerree rraannkkeedd,, iinncclluuddiinngg 6622 mmuunniciciippaall ffirree ddeeppaarrttmmeenntt trraaiinniinngg llooccaattiioonnss,, 33aiarirppoorrtt iefire ddeeppaarrttmmeennttss,, 22 ffiirreeffigighhttiinngg rtraaiinniinngg sscchhoooollss,, aanndd 33 ppeetlriooleluemu rreeffiinneerriieess.. RRaannkkiinnggss ffoorr tthhee ffiirree ddeeppaarrttmmeenntt aanndd sscchhooooll ttrraainniinngg ssittess aarree pprreesseenntteedd iinn tthhee ffoollloowwiinngg sseeccttiioonnss.. 22222222..00003311 SSTTAATTEE__0022882200998888 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaagge e2s8 56..11 RRAANNKKIINNGGRREESSUULLTTSS-- MMUUNNIICCIIPPAALLFFIIRREEDDEEPPAARRTTMMEENNTTSS RRaannkkiinngg ccrriitteerriiaa aanndd rreessuullltss ffoorr tthhee mmuuninciciippaall ffirree ddeeppaarrtimmeenntss tthhaat ttrraaiinn wwiith,, oorr ppootteennttiiaallly ttrraaiinn wwiitth,, lCalassss BB ffooaammss aarree iinncclluuddeedd iinn TTaabbllee 44,. OOff tthhee 9966ddeeppaarrttmmeennttss tthhaatt uussee., oorr ppootteenntitiaallllyy uussee,, CCllaassss BBfofoaammiinn trraaiinniinngg:: +1n16o6 oiinnnddeiiccdaaettdeeiddcatththeeeduurssaeeinooiffngmmiuueltli:pele oorr vvaarriioouuss ttrraaiinniinngg llooccaattiioonnss aanndd wweerree nnoot rraannkkeedd ssiinnccee tthheerree iiss + n11o doenpeadretmdeicnattsedddtraniontinsgpescitiet;y a raining locaton and coukd not be ranked: +411fdhepearttrmaiennintsg dsitdesnoitnsdpiceactiefyd abytratihneindgeploacrattmioenntasndwecroeulndotnomtapbeparbalnekeadn;d could not be ranked; and,4 of the and, training sites indicated by the departments were not mappable and could not be ranked; +3r3anookffedtth.hee ddeeppaarrttmmeennttss trraaiinn oofff-tssitee aatt aa ttrraainniinngg sscchhooooll oofr rreeffiinneerryy trraaiinniinngg ffaacciiliittyy aanndd wweerree nnoolt ranked. FFoorr eeaacchh oofftthhee 6622 mmaappppaabbllee mmuunniciciippaall fiirree ddeeppaarrttmmeenntt rtraaiinniinngg ssiiteess wwhheerree CCllaassss BB ffooaammss ppootteenntitiaallllyy aarree oorr wweerree uusseedd iinn ttrraaiinniinngg,, iinnddiivviidduuaall ssiitee pprrooffiileess hhaavvee bbeeeenn pprreeppaarreedd.. TThhee ssiitee pprrooffiileess iinncclluuddee tthhee ffoolllloowwiinngg:: stsiete ssuummmmaarryy sshheeeett + wCCeWlWlIlottocopaptoooggnrrsaa.pphhiicc mmaapp sshhoowwiinngg tthhee ssiitee llooccaattiioonn,, WWeelllhheeaadd PPrrootteeccttiioonn AArreeaass ((wwhheerree pprreesseennt)) aanndd + wweellll lroeccaotriodsnsfor nearby wells + wetland map. well records for nearby wells + wMePtClaAndWhmaatp's In My Neighborhmoaopd showing nearby release sites MPCA IM!at's In My Neighborhood map showing nearby release sites TThhee iinnddiivviidduuaall ssiittee pprrooffiileess aarree iinncclluuddeedd iinn AAppppeennddiixx GG., iinn aallpphhaabbeettiicc oorrddeerr. `SSccoorreess aassssiiggnneedd oto tthhee mmuunniciciippaall ffirree depeapratrtmmeenntt ttrraaiinniinngg ssiitteess rraannggeedd ffroomm 55 ttoo 2268.. SSiitess aassssiiggnneedd aa arannkkiinngg ooff 55 hhaavvee nnoot trraaiinneedd wwiithh 33MM ffooaamm,, uussee lleessss tthhaann 55 ggaalllloonns ooff ffooaamm aannnnuuaallly foorrratrianininingg,, wweerree nioolt llooccaatteedd iinn WWeellllhneeaadd PPrrootteeccttiioonn AArreeaass oorr kkaarrsstt aarreeaass,, aanndd nnoo ssuurrffaaccee wwaatresrs,, wweeltllaannddss oorr wwaatteerr wweellllss wweerree. llooccaatteedd wwiitthiinn 11//44 memile ooff tthhee ssiiteess.. TThhee hhiigghheesstt ssccoorreess ooff wweerree aassssiiggnneedd ttoo ssittess ggeenneerraallllyy llooccaatteedd iinn aa WWeellllhveeaadd PPrrootteeccttiioonn AArreeaa aanndd//oorr aa kkaarrsstt aarreeaa,, hhaadd wweellls,, wweettllaanndd aannddl/oorrssuurrfaaccee wwaatteerr llooccaatteedd wwiitthhiinn 11//44:mmiilleeooff tthhee ssiitee,, aanndd 33MM ffooaamm iiss uusseedd ffoorr tariariniinngg aatt tthhee ssiitee.. 66..22 RRAANNKKIINNGG RREESSUULLTTSS-- AAIIRRPPOORRTT FFIIRREE DDEEPPAARRTTMMEENNTTSS. RRaannkkiinngg ccreitreiriaa aanndd rreessuultss ffoor tthhee aaiirrppoorrtt ffirree ddeeppaarrttmmeennttss aarree iinncclluuddeedd iinn TTaabbllee 55.. SSiittee pprrooffiileessfoforrtthhee aaiirtppoorrttss aarree iinncclluuddeedd iinn AAppppeennddiixx GG.. TThhee MMSSPP aaiifrppoorrtt wwaass rraannkieedd 3333 dduuee tthheeirr hhiissttoorriicc uussee ooff 33MM ffooaamm,, tthheeiir uussee ooffuupp 1to0 4400 ggaalllloonnss ooff ffooaamm aannnnuuaallllyy ffoorr ttrraainniinngg,, thheeiir llooccaattiioonn iinn aa WWeellllhveeaadd PPrrootteeccttiioonn AArreeaa aanndd aann aaccitivvee Kkaarrsstt aarreeaa,, aanndd nneeaarrbbyy wweettllaannddss aanndd wwaatteerr wweelll.s. 22222222..00003322 SSTTAATTEE__0022882200998899 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 29 TThhee RRoocchheesstteerr aaiirrppoorrtt wwaass rraannkkeedd 1166 bbaasseedd oonn iitss llooccaattiioonn nin aann aaccttiivvee kkaarrsstt aarreeaa aanndd tthhee pprreesseennccee ooff nneeaarrbbyy ssuurrffaaccee wwaatteerrss,, wweettllaannddss aanndd wwaatteerr wweelll.s. AAlltthhoouugghh tthhee ttraaiinniinngg iwtithh ffiirreeffigighhttiinngg ffooaamm iiss nnoo lloonnggeerr ccoonndduucctteedd aatt tthhee DDuulluutthh aaiirrppoortr,t, tthhee uussee ooff ffooaamm ffoorr ffiirree rreessppoonnssee iis eesssseentnitiaallllyy ssiimmlilaarr 0to aa ttraaiinniinngg ssiittee aass tou it could bbee ccoonnssiiddeerreedd aa "`ppooiinntt ssoouurrccee"" ooff tthhee lreeleaassee ooff feirfeifihgthitinngg ffooaamm.. TThhuuss,, tthhee DDuulluutthh aaiirrppoorrtt wwaass rraannkkeedd bbaasseedd oonn fitss uussee ooff fvireeffigghhttinigg ffooaamm iinn ffiirree rreessppoonnssee.. TThhee DDuulluutthh aaiirrppoorrtt wwaass rraannkkeedd 2233 dduuee t1o0 tthheeirr ccuurrrreenntt uussee ooff 33MM ffooaamm,, htheeiirr uussee ooff uupp t1o0 110000ggalallloonnss ooff ffooaamm aannnnuuaalllyffoorr ffirree rreessppoonnssee., aanndd nneeaarrbbyy ssuurrffaaccee wwaatteerrss,, wweettllaannddss aanndd wwaatteerr wweelll.s. 56..33RRAANNKKIINNGGRREESSUULLTTSS-- FFIIRREEFFIIGGHHTTIINNGGTTRRAAIINNIINNGGSSCCHHOOOOLLSS RRaannkkiinngg ccreitreiriaa aanndd rreessuulltssffoor tthhee ffirreeffigghhttiinngg trraaiinniinngg sscchhoooollss tthhaat uussee,, oorr ppootteenntitiaallllyy uussee,, CCllaassss B8 ffooaammss. iinn trraaiinniinngg aarree iinncclluuddeedd iinn TTaabblleo 55.. SiSite pprrooffilleess ffoorr hthee rraannkkeedd ttrraainniinnggsscchhoooollss aaree iinncclluuddeedd iinn AAppppeennddiixx aG.. TThhee sscchhoooollss wwhheerree ttrraaiinniinngg wwiitthh CCllaassssBB ffooaamm mmaayy ooccccuurr wweerree rraannkkeedd aass faolllloowwss:: LasLuakrkefeacSSeuupwpeaertrieioorrsr CCaonoldllleewggeeetliiannndDDsuu.llutthh wwaass rraannkkeedd 1177 dduuee ttoo thheeiirr hhiissttoorriicc uussee ooff 33MM ffooaamm aanndd nneeaarrbbyy surface waters and wetlands. + StShooeuuetthhanCCneuenantltrraaullseCCooolfllleauggpee1in6n 0NNoograrttlhhloMMnsaannokfkaafttoooamwwaaossn. srrtaaenn,kkeeaddnd119t9heddiuureelottcooatttihhoeen ippnootateencntotiivaalelruuessdeeKaoorffst33Ma1refafo.oaammss,, their annual use of up to 60 gallons of foam on site, and their location in a covered karst area. 66..44 RRAANNKKIINNGG RREESSUULLTTSS --PPEETTRROOLLEEUUMM RREEFFIINNEERRIIEESS RRaannkkiinngg ccrrieterriiaa aanndd rreessuulltss ffoorr tthhee ppeettrroolleeuumm rreeffiinneerryy ffirree ddeeppaarrttmmeennttss aarree iinncclluuddeedd iinn TTaabbllee 5.. SSiitee pprrooffileess ffoorrtthhee rreeffiinneerriieess aaree iinnccluuddeedd iinn AAppppeennddiixx GG.. TThhee MMaarraatthhoonn ppeettrroolleeuumm rreeffiinneerryy ttrraaiinniinngg ssiittee iinn SSoouulthh SSLt.. PPaauull wwaass rraannkkeedd 3300,, aanndd tthhee FFlliinnt HHiilllss RReessoouurrcceess PPiinnee BBeenndd rreeffiinneerryy rtraaiinniinngg ssiittee iinn RRoosseemmoouunntt wwaass rraannkkeedd 2233.. FFooaamm mmaannuuffaaccttuurreedd bbyy 33MM wweerree hhiissttoorriiccaallllyy uusseedd aalt bbootthh ssliteess,, bboolthh ttrraaiinniinngg ssiitteess aarree uusseedd ffoorr ttraaiinniinngg ootthheerr mmuunniciciippaall ffirree ddeeppaarrttmmeentnsts,, aanndd llaarrggee qquuaanntitittiieess ooff ffooaamm ((225500 ggaalllloonnss aatt MMaarraatthhoonn aanndd 330000 ggaalllloonnss aalt PPiinnee BBeenndd)) aarree uusseedd aannnnuuaallly iinn ttrraaiinniinngg.. TThhee MMaarraatthhoonn rreeffiinneerryy aappppeeaarrss ttoo bbee llooccaatteedd iinn aann aaccttiivvee kkaarrsstt aarreeaa,, aanndd tthhee. FFlliinntt HHiillss RReessoouurrcceess PPiinnee BBeenndd rreeffiinneerryyisis llooccaatteedd nin aa tlrarnasnistiointoornr ccoovveerreedd Kkaarrsstt aarreeaa.. AAlltthhoouugghh tthhee ddeessttiinnaattiioonn ooff ssppeenntt ffooaamm wwaass nnoott ccoonnssiiddeerreedd iinn rraannkkiinngg tthhee ssiitteess,, it sshhoouulldd bbee ccoonnssiiddeerreedd thhaalt tthhee ssppeenntt ffooaamm aatt tthhee MMaarraatthhoonn aanndd PPiinnee BBeenndd ffaacciliitieess iiss ddiirreecctteedd oto aann oonns-siittee sseeppitiicc ssyysstteemm aanndd pprroocceesssseedd thhorouugghh oonn--ssiitteewwaassltoewwaatteerr trreeaattmmeenntt ppllaannttss. FFoorr tthhee ppuurrppoossee ooff rraannkkiinngg tthhee ffoorrmmeerr WWrreennsshhaallll rreeffiinneerryy,, iitt wwaass aassssuummeedd tthhaatt mmoorree tthhaann 1100 ggaalllloonnss ooff CCllaassss 8B f0oaamm mmaaddee bbyy 33MM wwaass uusseedd iinn hthee trraaiinniinngg eexxeerrcciisseess.. TThhee ffoorrmmeerr WWrreennsshhaalll rreeffiinneerryy wwaass rraannkkeedd 22222222..00003333 SSTTAATTEE__0022882200999900 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 30 2255,, bbaasseedd oonn tthheessee aassssuummppttiioonnss aanndd nneeaarrbbyy ssuurrffaaccee wwaatteerr,, wweettllaannddss,, wwaatteerr wweellllss,, aanndd WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa. 66..55 RRAANNKKIINNGG RREESSUULLTTSS --CCAAMMPP RRIIPPLLEEYY SSiinnccee nnoo ffiirreeffigighhttiningg tUraaiinniinngg wwiitthh ffooaamm iiss ccuurrrreennttllyy ttaakkiinngg pplacleaaattCCcaammepp RRipilepyiliLt wewaayss nnoott rraannkkeedd.. 17.00 cCoOnNcCLLuUsSiIOoNnSs 1F74.1IPPFFRCCssEIINNFFIIREGFIGHHTTINIGFFNOOAAGMM TThhee ssuurrffaaccttaannttss iinn CCllaassss BB ffiirreeffigighhttiinngg ffooaammss ffoorrmmeerrllyy mmaannuuffaaccttuurreedd bbyy 33MM wweerree mmaaddee uussiinngg tthhee EECCFF pprroocceessss aanndd aarree kknnoowwnn ttoo ccoonnttaaiinn oofr bbrreeaakk ddoowwnn ttoo PPFFOOSS aanndd PPFFOOAA.. TThhee 33MM CCllaassss AA ffooaamm ssuurrffaaccttaannttss wweerree nnoott mmaannuuffaaccttuurreedd uussiinngg PPFFCCss,, aanndd ttrraainniinngg ffooaammss ssoolldd uunnddeerr tthhee 33MM llaabbeell mmaannuuffaaccttuurreedd bbyy aa tthhiirrdd ppaarrttyy lIikeewwiissee ddiid nnoott ccoonnttaaiinn PPFFCCss. TThhee ssuurrffaaccttaannttss iinn CCllaassss 8B ffiirreeffigighhttiinngg ffooaammss mmaannuuffaaccttuurreedd bbyy ccoommppaanniieess ootthheerr tthhaann 33MM wweerree mmaaddee uussiinnggaatetleolommereirzizaattiioonn pprroocceessss.. TThhee teelloommeerr--bbaasseedd ffooaammss ccaannnnoott bbrreeaakk ddoowwnn ttoo PPFFOOSS..FFurutrhtheer,r, tteeloommeerr-bbaasseedd ffooaamm ssuurrffaaccttaannttss aarree pprreeddoommininaanntltlyy ccoommpprriisseedd ooff ssiixx--ccaarrbboonn cchhaaiinnss ((CC86)) wwhhiicchh aappppaarreennttllyy ccaannnnoolt ddeeggrraaddee tfoo PPFFOOAA,, wwhhiicchh iiss aann eeligghhtt--ccaarrbboonn ((CC88)) mmooleleccuulele.. HHoowweevevre,r, aa ppoorrttiioonn ((aapppprrooxxiimmaatteellyy2255%%oorr lleessss))ooff hthee tteelloommeerr-.bbaasseedd ffooaamm ssuurrffaaccttaannttss ccaann ccoonnttaaiinn CCB8 oorr hhiigghheerr PPFFCC mmooleleccuuleless.. FFuurrtthheerr rreesseeaarrcchh iiss nneeeeddeedd tfoo ddeetteerrmmiinnee ooff tteelloommeerr--bbaasseedd ((CCllaassss BB))ffooaammssccaann bbrreeaakk ddoowwnn ttoo PPFFOOAA,. lCalassss AA ffooaammss aanndd ttrraaiinniinngg ffooaammss aarree nnoott mmaaddee wwiitthh PPFFCC--bbaasseedd ssuurrffaaccttaanntss aanndd aarree tthheerreeffoorree nnoott aa sSoouurrcceeooff PPFFCCss iinntthhee eennvviirroonnmmeenn.t. `SSuurrvveeyy ooff mmuunniciciippaall fiirree ddeeppaarrttmmenetnstsaaccrroossss tthhee SSttaattee ffoouunndd tthhaat: + 1100..66%%ooff tthhee rreessppoonnddiinngg mmuuninciciippaall refire ddeeppaarrttmmeennttss ddoo nnoott uussee ffiirreeffigighhttiinngg ffooaamm aatt aall.l. + OOfoffathmhsee, rrweeisslpphoonnnodduiinsnggeommufunniCclicaiisppsaa,llBoffirraee rddeesppaarrttmmeennttss tthhaatt uultiilizzee fririegfihgthitinngg ofoaarmss,, 5511%% uussee oonnllyy CCllaassss AA + fOofamthse, rweitshponnodiunsgemoufnCiclaispsalBffroeamdesp.artments that ulize Class B firefighting foams, 465% do nol train wih Class B foam. Of the responding municipal train with Class B foam. fire departments that utilize Class B firefighting foams, 46% do not + BoBfoolt3hhMoofffotthaheemsaaccnttiivvreeaiooniiilnrrgee.ffiibnnueetrriiebesostiihnnstthwhieetcSShttaeatdteetohhiiasstntooorrtiichcaaelrlllyybruuassneeddd ollfaarroggeae rqquufoaannttriitaieeissni((n22g550a0f1teo0r33300M00 tggaoallploopnnessd)) mingeeighing foam. fhe uniopal of 3M foams in training, but both switched to making firefighting foam. Other municipal deparients another brand departments ue he of foam for utilize the anny training training facies a the after 3M stopped facilities at the + TrehfeineMrSiePs. airport (MAC) fre department usesup to 40 gallons of Class B AFEF foam annually for tTtarrnahadieinnifiMnnrggS,,Praaennasddpiropnuuosssreeet.ss(MTaaAhtteCoott)MaalflAireooGffd22fe00rpo00adrtteotomp22ae55rnt00tmgugeasanletlllsoosnnuwsspicootofhf eCC4dl0laafsgsrsaolBml8on3AAs1FFoFAFfFFCfflFoaoasams1mBaaannnAannFiuuhaFaleFllrlyyfboffraooamrrnbbdaooolntfhhnAutrraFaaliFliynnFiinfnoiggnr approximately 2000 or 2001 and fire response. The MAC approximately 2000 or 2001. fire department switched from 3M AFFF to another brand of AFFF in 17..22 HHIIGGHHEESSTTRRIISSKKTTRRAAIINNIINNGGSSIITTEESSFFOORRPPFFOOSSI/PPFFOOAARREELLEEAASSEE SSiinnccee PPFFOOSS aanndd PPFFOOAA aarree tthhee pprriimmaarryy PPFFCC ccoommppoouunnddss ooff ffooccuuss ffoorr thhiiss pprroojjeecctt,, aanndd ssiinnccee 33MM ffooaammss. aarree kknnoowwnn ttoo ccoonnttaaiinn oorr ddeeggrraaddee ttoo PPFFOOSS aanndd PPFFOOAA,, tthheenn tthhoossee ffiirreeffigighhttiningg ttrraaiinniinngg ssiitteess wwhheerree 33MM 22222222..00003344 SSTTAATTEE__0022882200999911 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 331 ffooaammss hhaavvee bbeeeenn uusseedd aarree mmoorree lliikkeelyy ttoo rreelleeaassee PPFFCCss ooff ccoonncceernn ttoo thhee eennvviirroonnmmenetn,t TThheerree wweerree 3344 ddeeppaarrttmmeennttss tthhaatt rreeppoorrtteedd uussiinngg 33MM 0foaamm nin rtraaiinniinngg oorr wwhheerree tthheettyyppeeooff oa foam wwaass uunnssppeeccififiieedd aanndd 3IMM ffooaamm uussee wwaass aassssuummeedd.. TThhee rraannkkeedd ttrraainniinngg ssiitteess wwhhoerree CCllaassss BB ffooaammss mmaannuuffaaccttuurreedd bbyy 33MM aarree bbeeiinngg oorr hhaavvee bbeeeenn uusseedd aarree lsistteedd iinn TTaabbllee 68,, TTrraaiinniinngg SSiitteess wwiitthh 33MMFFooaamm UUssee.. TThhee ssiitteess aarree liissteedd iinn oorrddeerr bbyy ((11)tthhee aammoouunntt ooff 33MM ffooaamm uusseedd aannnnuuaalllyliiynn trraaiinniinngg,, aanndd ((22)) oovveerraalll rraannkkiinngg.. 17..33 PPOOTTEENNTTIIAALLNNOONNP-POOIINNTTSSOOUURRCCEESS `SSeevveerraall mmuunniciciippaall ifirree ddeeppaarrttmmeennttss uussee oorr hhaavvee uusseedd ffooaammss mmaannuuffaaccttuurreedd bbyy33Mffoor ffirree rreessppoonnsseess,, bbuult ddoo nnoott uussee tthhee 33MM ffooaammss ffoorr ttrraaiinniinngg aatt oonnee ssppeecciiffiicc llooccaattiioonn.. TThhee aarreeaass ccoovveerreedd bbyy tthheessee ffiiree ddeeppaarrttmmeennttss mmaayy rreepprreesseenntt aa nnoonn--ppooiinntt ssoouurrccee ffoorr tthhee rreelleeaassee ooff 33MM ffooaammss ttoo tthhee eennvviirroonnmmeentn,t. TThhee. ffoolllolowwiinngg mmuuninciciippaall ffirree ddeeppaarritmmeennttss uussee oorr hhaavvee uusseedd 33MM ffooaammss ffoorr ffirree rreessppoonnssee bbuutt ddoo nnoott uussee 33MM ffooaammfoforrtatrianiniinngg,, oor uussee 33MM ffooaamm ffoorr ttrraaiinniinngg aatt uunnssppeeccififiieedd oorr uunnmmaappppaabblle ssiitteess:: AuAsutsitinn + BBlloooommiinnggltoonn + DDoovveerr LiLtittele FFaatllss + MMaarrinnee--Oonn-sStt. CCrrooix + NNeewwBrBirgighhitoonn + PPeeqquuoott LLaakkeess + RRoobbbbiinnssddaallee + TThhiieetfRRiviveerrFFaalsls + WWaatteerrttoowwnn + ZZuummbbroo FFaallllss + BBaalmatoonn BeBnesnsoonn + CCeenntteennnniiaall + CCoottttoonnwwoooodd + HHaassttiinnggss + LLaakkeeEEilmmoo LoLonnggvuilele - MMaaddeeiliaa + MMoooormheeaadd + NNeerrssttrraanndd NeNwepwoprotrt NorNtohrfthifeielldd + PPrrioorrLLaakkee + RRaannddoollpphh . SseleeeppyyEEgyee SStteewwaarrtviilllee VaVdandaniasis HHoegighhttss VViirggiinniiaa + WWaaypzzataa + WWiilllmmaarr + SStt.JJoohhnn''ss UUnniivveerrssiittyy iinn CCoolllelgeevgillee OOnnllyy tthhrreeee mmuunniciciippaall ffirree ddeeppaarrttmmeennttss rreeppoorrtteedd tthhee uussee ooff 2255 ggaalllloonns oorr mmoorree ooff nnoonn--33MM CCllaassss BB ffooaamm aannnnuuaallllyy foorr fefire rreessppoonnssee oorr aa ccoommbbiinnaattiioonn ooff ffirree rreessppoonnssee aanndd ttrraaiinniinngg:: BBuumrnsswviilllee FFiirree DDeeppaarrttmmeenntt ((6600 ggaalllloonnss ooff AAnnssuull AAFFFFFFI/AATTCC 331/66);); WWiinnoonnaa FFiirree DDeeppaarrttmmeenntt ((4455 ggaallloonnss ooff AAnnssuulliltee AARRCC AARRA-FAFFEF)F;); aanndd,, lCeleaarr LLaakkee FFiirree DDoeppaarrttmmeenntt ((2255 ggaalllloonnss ooff AAnngguuss AARR--AAFFFFF)F.). TThhee uussee ooff hhiigghh vvoolluummeess ooff ffooaamm ffoorr ffiirree rreessppoonnssee bbyy tthheessee ddeeppaarrttmmeennttss ddooeess nnoolt nneecceessssaarrilyy rreepprreesseenntt aa ppooiinntt ssoouurrccee ooff ffooaamm rreelleeaassee 1to0 tthhee eennvviirroonnmmeenntt,, bbuutt tthheessee fifire ddeeppaarrttmmeenntt aarreeaass mmaayy rreepprreesseenntt aa nnoonn--ppooiinntt sSoouurrccee ooff ffiirerfeiigghhtiinngg ffooaamm treelleeaassee ttoo tthhee eennvviirroonnmmeenntt. 22222222..00003355 SSTTAATTEE__0022882200999922 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaammaannddTThheiirUUsseeiinnFFiirreaftigghpttinngg TTrainringiiann Mirinnnneessgcottaa Delta Project No. AOOB-11 0-0 Page 3x2d 8R8..E00 CROECMOMMEMNEDNADTAITIOONNSS BBaasseedd oonn tthhee ffiinnddiinnggssooff hsthis rreesseeaarrcchh pprroojjeecct,, DDeetltaa rreeccoommmmeennddss tthhe ffoollloowwiinngg aaccttiivviteiess:: 11. . FmFuaurnrtuthhfeearrciiiunnrvveeedssbttiiyggaa3ttiioMonn inoofffrttehhieeghissiiintegssralliiisnsittenegdd. iinTnheTTsaaebbllteerai6ninddguueesitettoso mthaheeyiirrreuupssreeeseoonfft ffaiirerpfeoifgignhhttiinsnoggurffcooeaamfmossr herelease of manufactured the release of PPbFyFOO3SMS-- and PFOA-containing in firefighting training. and PFOA-containing fefighing foams manufacturedby These training sites may represent firefighting foams manufactured by 3.a point 3M. source for FfFouultrlthohweeirrngiinnavvceetssittviigegasat:tiioonn ooff tthhee ssiitess Ilisstteedd iinn TTaabbllee 6& mmaayy iinncclluuddee,, bbuult mmaayy nnoolt bbee lliimmiitteedd t(o0,, thhee following activities: + hPPeeerrrssoounnsaaell occfoon3nttMaaccfttowwaiimlthhs eeinaacrcahhinooiffntthgheeanffidrreetddheeeprpaatrrattimmneeinnntgtsspotroacootbbitctaaeiisnn ffuurtthheerr iinnffoorrmmaattiioonn rreeggaarrddiinngg their use of 3M foams in training and their training practices. AAtopssoiigtelraprrehecycooannnnndaaiisdssrsaaainnnccaeege.ttoo kaoorbbstseerfrvevaeeturtthehsee, tLnriaenianirinnbggy sssuiirttefeacaaenndwdalsseuurrrsroouaunnndddiinnwggetlaaarrneedaas,ffonorreassriibtteye bwtweoaapttooeebgrrsrwwaeaprelkvhllssey,,daaafnnnodrddpdooottrtahehneientrraiappglooetts,eeonnklttiaiaarglslrteroefucecneaedptpwultaroaetrsses,roonaffnePPdaFFlrobCCryssssiiunnurrttafhhaceeceeeewnnawvvtiaierrtoorennrsmmseaenmatnpn.tld.eTTwlhheoeectalasstiinittoedenssmm., aanyyeaaarllsbsoyo + Tbeheobcoslelrevcetdiofnoorfpsootef,ntgiarlosuonidl,wgartoeurnadnwdaloterr saunrdf/aocreswuarftaecreswamaptelressafmorplaebolorcaaltoiornysa.nalysis OPFOS, PFOA, The collection of of PFOS, PFOA, and anyolher PFCs ofconcern fo the MPCA soil, groundwater and/or surface water samples and any other PFCs of concern to the MPCA. for laboratory analysis 22.. FaFoollllonowowt--uuppprowwviiitdhhetththreeaiffniifittenegeennstmmeuuninincifcioippraamlaltffiirroeen ddseeuppcaahrrtttmmheeanntttshs tthhtaratatntrriaaniingnosofrpeopstoetcenontutiikaalllbyotrraaliionncawwtieittdhh oAAnFFFF@FFmtathhpaa.lt dWSWiitditethhsnoraaatddnddpkiiretoodio.vnniadalel information fom he department, training site information such that information from the departments, thethe the raining training training Stes sites sites souk! be mapped could be located on should be mapped aaannddmttahhpee. sites ranked. 33.. bdIdeeenentntiiffriceclaaettaioosnend.ooff aanndd IInnvveessttiiggaattiioonn iinntoo ffiirer ssiitess wwhheerree ssiiggnniiffiiccaanntt qquuaannitiitieessooff Clalassss BBfofoaammss hhaavvee. been released. 44.. FrFeooglllalorowdwi--unugpp twwhieithhusttehheeofmmPaaFnnuCufsafacictntuutrrheeerriss fooofafmsffi.rreeffCiigoghnhttiininggnueffodoaammmossnittthohraatitngdiiddof nnIoorltatrrueersspepoornneddgatrtoodintthgheePFssuuCrrsvveeiyyn fffrieiroregaefamfigisrgdh.hittIniingnggfthuffoeuoarameumsssreeffosoorerfammProcForhrCeesiiInnindnfifocotrahrmtmeeaaistrtiiofotonhnaemrreepsggr.aaerrCsddeoiinnnncggtienPPuoFFefOOdPAAF,m,OoPPAnF,FitBoAPAriFnaagBnnAddofoootlrtihtheoeerlrrahtPPeurFFreCCPssFreCiignnsattreodeflilonomcgmoeePnrr-cF.bbeCaarssseeiidndn tftpeoerlaleomosmmeseen.rtr--eIbfbdaafussietneuddrTeaCCbrllelaaessssessa4rc8Bhanffidinirredeficifgia(hgt0hetiinsingdgtehneffofoaypammrdesses,,peanDDrceteemllteaaonftrPrseeFctcOohoamAml,mmtPereanFnidBndssAwiorrheer--eo"esxtxhiaagemmnriiifnnPiaacFtatiCinootsnn*oqooffufcaontthniheiceieerddnsaattoinaaf lass B telomer-based foams. presented in Tables 4 and 5 Class B telomer-based foams. to identify departments that train with "significant " quantities of 55.. EfEixxrpepfaainnghddtinttghheefoassmccsoo,ppeeesopofefciaaaddlddliiyitioofnlnaoalrloalaceciltiiovvmiiteiieresssuttolofoiinnnacctllueusddee ootthheerr PPEFCCss ooff ccoonncceernm thhaatt mmaayy bbee iinn firefighting foams, especially fluorotelomer sulfonates. 66.. afUUpepdrdaatJteeunttehhee13tt,aabb2ll0ee0ss8,iinnaccnllududdaeenddyiinandtdthhiiitssonrraeelppooirrnttfowwrtimthhatiiinonnffooorrmbmtaaattiiiononendffrarofomemr ssJuuurrnvveeeyy30qq,uu2ee0ss0t8tii.oonnnnaiarireess. rreettuurnmeedd after June 13, 2008, and any additional information obtained after June 30, 2008. 22222222..00003366 SSTTAATTEE__0022882200999933 rr PFC-Containing Firefighting Foam and Their Use in Firefighting Training in Minnesota Delta Project No. AOOB-11 0-0 Page 33 9R9..00EMREAMRARKKSS The recommendations contained in this report represent Delta's professional opinions based upon the currently available information and are arrived at in accordance with currently accepted professional standards. This report is based upon a specific scope of work requested by the client The contract between Delta and its client outlines the scope of work, and only those tasks specifically authorized by that contract or outlined in this report were performed. This report is intended only for the use of Delta's client and anyone else specifically identified in writing by Delta as a user of this report. Delta will not and cannot be liable for unauthorized reliance by any other third party. Other than as contained in this paragraph, Delta makes no express or implied warranty as to the contents of this report. 2 SI Date: 6/30/2008 Z--e en Reviewed by: Date: 6/30/2008 John Estes Project Manager 22222..00037 STATE_02820994 PDPeEFlCCa.-CCroonnoataeminiinnNggoEFArirCeeifOiggBhh1iti1nn0gg0FFooaamm aanndd TThheairrUUssee iinn FFriroeffgighhttiinngg Trangin Training in MMiinnnneesscottaa Delta Project No. AOOB-11 0-0 PPaagge e3t4 10R1.0E.00FREERFEERNECNCEESS ((11)33MM.. TThhee SScciieenncceeooffOOrgrgaanniicc FFlluoorroocchheemmisisttyry.. EEPPAA--HHQQ-O-OPPPTP-T2-020020.20-004034.30-0000086.. FFeebbruuaarryy 55,, 11998999.. a@(2n))dMMHiienmaneless.oottMaaaDDrecehppaa2rr0tm0m0e.enntuht ioospffhHHieeeaiallyttvhh sh((MeMeDaDHlHh).)s.haHHlaaaezzzaamrarnddooruusds SSouuubsstbainscoetsipianniMMineninncsneeseoostofsata,c, PPseerhrffluueoorarooccthheehmmicicaallss and Health. March 2008. http://www.health.state.mn.us/divs/eh/hazardous/topics/pfcshealth.html a)(3ct)iMoMnisinm.neeFsseoobttraauaPProoylll2uu0iti0oo7nn. CCoonnttrrooll AAggeennccyy ((MPCPAC)A.). FFaacctt SShheeeett PPeerrffluuoorroocchheemmiiccaails,, PPaasstt,, pprreesseenntt aanndd ffuuttuurree actions. February 2007. h(4i) pUUnniitteedd SSttaatteess EEnJnvovipicrpoloninnmmteienpntltaoalallPPorurobotsteiecpctftioiooannniAAoggeenhncciyys((UUtSSEEPPAA).).BBaassiic IInnffoorrmmaattiioonn oonn PPFFOOAA. http :1/www. epa.qov/o ppti ntr/pfoa/pu bs/pfoainfo. htm#steps Fi(u5)o) rSSocchthuelutllztoz,m, eMMreSeluliilssfssoaanaMMt..e.,BsBarainoroiGsfsrkkyoy.u,nDDdowouaugtglelaarssbFFy..,LaaCnnMddSFFMieeSlld.,, JJEeennniinrfiofeenrrmAeA.n. tQQauulanaStnicttiitaeatntiicvveee &DDeeTtteeecrrhmmnioinnlaaotgtiiyoo.nn oVooffl. 38. 0.6. pp. 1626-1835. 2004 Fluorotelomer Sulfonates in no. 6, pp. 1828-1835.2004. Groundwater by LC MSIMS. Environmental Science & Technology. Vol. 38, 6(T6)e)lUoUsmS.eS.r.sE:EnnvRvieirrqoounnemmseetnntftaoarllCPPorrmootmteeeccntttiioo,nn SAAoggleecnntcacyfyi((oUUnoSSEfEPIPAt)Ae.)r. sPPteeerfdrluPfaorrlotiouecastfaronrooEicanAfAcocitriddca(e(PnPaFbFcOlOAieA)cC),,onFFslluueoonrrtiinnAaagttereeddement DNDToeee.vlvoee7ml3loo,epprmWmsee;endRtnn.ete,qasaudnneaddysNt.NofotoAirtpicrcCeieloomo1f6fmP,Pue2ubn0bti0,l3icc.SMMoeleeicfeititainntgigo..nEEoPPfAAIHn-GHte-QrOe-PsOPtePTd-P2TP0-a20r03ti0.e30s-0f0o10r21:E20n-00fo00r10c.1e.abFFeleeddeCerroaalnl sRReeenggtiiAssttgeerrre, eVVomol.le. n668t8,, No. 73, Wednesday, April16, 2003. o7(7f)T) hMMeooioorddyUy,s,eCChihneeFrryiyrl AeAl-_.FiaagnnhdtiFFnigieeFkld,o,aJJmesen.nniEiffneveriArAr..onPPmoeerrnffltuuaoolrriinSncaaitteeedndcSSeuur&rffaaTccettcaahnnnttossloaagntyd.htheVeol.EEnn3vv4i,irrooNnon.mmee1nn8t,taalplpII.mm3gp6ili6cc4aa-ttioonnss 3670. September 2000 of Their Use in Fire-Fighting 3870. September 2000. Foams. Environmental Science & Technology. Vol. 34, No. 18, pp. 3864- (o(8n)) ESSnccvnhieerffofeenyym,,enJJtooassleepChponhLLc..,erPP.n.EEs..RaaennlddatHHeadann0aauusAskqkaua,e,oCCuhhsiriFssittomopphFheoerrmrPi.,Pn., PPgE.FE.o.,aHHmuug(ghAheFesFs)AA.ssssMoocaciyaiat2tee0ss0.2,.Inncc.. SSatattuuss RReeppoorrtt on Environmental Concerns Related to Aqueous Film Forming Foam (AFFF). May 2002. 2((990))0333MM.. EEmnvviiroonnmmeentnatall aannddHHeeaalltthh AAsssesssmeentosoffPPseerrlmfluuooerroooonccttaatnneeSSuullofonniicc AAcciidd aanndd IItss SSaalltts.. AAuugguusstt 2200,, 2003. ((1100)) 33MM.. IInnffoorrmmaattiioonn aabboouutt PPFFOOSS aanndd PPFFOOAA..hhitttp:/s/oslouluttiioonnss.33mm.ccoommi/wwppss//ppoorrtiaai/i3tMl/eenn UUSSI/PPFFOOSSI/PPFEOOAK/ (R(11i11s))kBBErrvooaoolkkueea,,iDDo.n., RFFeoopooorttitt,t., AAP..e,rNNuwdwaraooogdgucu.i,aTTncAAs.uElEnpnvhvioirrnooannlmmeeen(ntPtFAAOggSee)nncc2yy00((4oo.ff EEnnggllaanndd aanndd WWalaeles)s.). EEnnvviirconnmmeennttaall Risk Evaluation Report: Perfluorooctanesulphonate (PFOS). 2004. `((11C22h))emHHiaaccacklkesenmniinmlrlileelegrro--nPPaiararanadsdi.iss,,NRRoeevnneeemeeb,,eOOrrr2ee0gg0oo7nn EEnnvviirroonnmmeennttaall CCoounucnicli.l. PPoollluuttiioonn iinn PPeeooppllee,, AASSttuuddyyooff TTooxxiicc Chemicals in Oregonians. November 2007. (`(11C33o))ntfOaimliiaene,ai,tiFFoaarnrcdiinnin,M,iKKnernineesns,os,a,DDoonPn.h,aaasnnedd OKKneees:sssllReerer,p, oKKraatltrioinnaaS.taIIntnveveeEsstntiivggaaottniiomonneoonfftPPeeCrrofflmuuoicrrtooecch.heemiFecicbaarllu((aPPrFFyCC2))006 Contamination in Minnesota, Phase One; Report to State Environment Committee. February 2006. ((1144)) 33MM.. PPFFBBAA FFaaccttss.. JJuunnee 22000077.. s((1155w)) EEennvvwiirrooornnmsmeientntetaasll uWWomorarknkitinngggxoGGmrreooluucppheHHmuuimmcaaanlnsTT/ooxxoommee PPrroojjeecctt. www.ewq.org/sites/humantoxome/chemicals/ (S(1o1l86i))ciUUtSaStEEioPPnAAofNNIoonitticceeere. sPPteeedrrflPuuaoortrroieooscotfcaontroaEincnfAcAocriccicddea((bPPlFFeCOOAoA)n),,sFFellnuutoaArriginrnaetteeeddmeTTneetllooDmmeeevrress:l;oRRpemeqequnuete,ssttafonordrCCNooommimoemenoetnf,tP, ubli Meeing. Solicitati Meeting. Federal Register, Vol. 68, on of Interested Parties for Federal Register, Vol. 68, No.Enf No. 3. Wednesday, orceable Consen 73. Wednesday, Apri 15, t Agreem April16, 2003, EPA-HQ-OPPT-2003-00120001 ent Development, and Notice of Public 2003. EPA-HQ-OPPT-2003-0012-0001 . ((T11r77a))dOOeffBffaiicrceieooorfsf .tthhee UUnniitteedd SSttaatteess TTrraaddee RReeppreressenetnattaitviveess.. 22000033NNataitioonnaall TTrraaddee EEssttimmaalteo RReeppoorrttoonn FFoorreeiiggnn Trade Barriers. ((1188)) FFiirtee FFiigghhttiinngg FFooaamm CCooaailiotionn.. AAFFFFFUpUdpadtaete.. IIsssuseu7e7.. MMaayy22000077.. 22222222..00003388 SSTTATAETE0_208282200999955 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaamm aannddTThheiirUUssee iinn FFiirreaftigghpttinngg TTrraianninggiinn iMrinnneesscottaa Delta Project No. AOOB-11 0-0 PPaaggee 35 (E(11n99v))irCCoeennnmtteeenrrtffaoolrr CDDhiiessmeeiaacssaeelsCC;oonSntptrroootlliaagnnhddt oPPnrreePvvoeelnnyttliiouoonnr((oCCcOhDCoC)m.i).caNNlaastt.iiooAnnuaalgluRRseetppo2or0rt0t7oo.nn HHuummaann EExxppoossuurree ttoo Environmental Chemicals; Spotlight on Polyfluorochemicals. August 2007. L((22e00g)i)sMMliaintnunnreeess2oo0tt0aa8,DDeeFppianararttlmmReeenpntotrootff.HHJeeaalantluhtha.r. yHHoe1a5al,ltth2h0RR0ii8sskk LLimiistsffoorrPPeerrffluuoorroocchheemmiiccaalls,, RReeppoorrtt ttoo tthhee MMiinnnnaessoottaa Legislature 2008, Final Report. January 15, 2008. (`(22C11o))mpUUoSSsEiEPtPAeAs.o.fFFiilnnaualol rEEonnfefoolrroccmeeeaarbb.llbeeaCCsoeondnssPeeonnlttyAAmggerrreeeeCmhmeeenmnittcaaannldd; TTFeeossuttriinnFggorCGmoounnlssaeetnnettdOOCrroddmeerprsos;s; iTTtwweoosoFFfooFrrlmmuuuollraaottepeoddlymor CECChPhooemAmmiHpcQioca.saliOsltseP;;sPEEToxx-pfp2Foo0rlurt0to4NNr.ooo0ttte0iafli0otc1mai.toei0onr0n-sb0s:a;1FsFieinndaalPl RRoululylomess.e.rFFCeedhdeeermraalicl aRRelseg;igsFistoeteru,rr, FVVooolrlm. 77u00l,a, tNNeodo..C11o330m0..pFForrsiiiddteaaysy,,ouJfuFllyluy88o,,ro22p000o05l5.y.mer EPA-HQ-OPPT-2004-0001-0001. f((2o2r22))PUeUrSSfEElPPuAAo..rMMoeoemcmotoraraanAnnocdiducdumm(PoofFUfOnUAdn)edreSsrttseta-anRndedilianntgge((dMMEOOnUvUi))rbboneemttwewneeteeannl UUASsSEsEPePAsA,s,m33enMMtCCoPormmopgaprnaaynm.y,,aaOnncddtoDDbyyennree2ao0nn0,4,,LLLLCC EPAHQ.OPPT-2004.0112.0002 for Perfluorooctanoic Acid (PFOA) EPA-HQ-OPPT-2004-0112-0002. Site-Related Environmental Assessment Program. October 2004. Te((c223h3))niCCocoratritlinnWaa,o,rTTkoogmmr,,ouaapnnMddeeFFitirrieengFF,iigghhSttiiennpggtFFeoomaambm1eCC6rooa,lai2lti0tii0oo3nn... AAEFPFAFFHFFQGG-rOoroPuuPnnTdd-ww2aat0te0er3rM.Mo0no0in1tio2tor-ir0inn2gg0DD1aattaa.. TTeelloommeerr Technical Workgroup Meeting, September 16, 2003. EPA-HQ-OPPT-2003-0012-0201. (O(22P44P))TU-U2SS0EE0PP3A.A.0.0OO1c2ct.too0bb2ee3rr7.2277,, 22000033 PPFFOOAA EECCAATTeelloommeerr TTeecchhnniiccaall WWoorrkkggrroouupp MMeeeettiinngg SSuummmmarayry.. EEPPAA--HHQQ-- OPPT -2003-0012-0237. 3((22055:))31TToowMwnansyse-enJndud,n,eDD2xr.0J0Joo5hhnn SS.. TThhee MMaannyyFFoorrmmss TThhaatt FFooaamm TTaakkeess.. IInndduussttrriaall FFiirree WWorolrdld.. VVool.l. 2200,, NNoo..33,, pppp.. 30-31. May-June 2005. 2(266)) CCoolllleett,t, DDoommininiicc aanndd DDaavviis., LLaarryry..TThhee EEsssseenntitiaallss oofCf CllaasssAsA FFooaamm,, AAwwaarreenneessss LLeevveel.l. ((2277)) NNaattiioonnaall FFooaamm.. AA FFiirreeffiigghhtteerr''ss GGuuiiddee oto FFooaamm.. wwwww.kkiiddddee--ffirree..ccoomm.. M((22a88g))azSSittneeevv.eennsVs,l,.LLaa1rr5rr,yy10HH... FF5,ooapapmm. BB5a3a-ss5ii7cc+ss,((PPNaaorrtvte11omobffe&4r--PP1a9ar9rt7t.SSeeViroioelss))1:5RR.eneaoad.dii1nn0gg,BBpepet.tvwoe2ee.nn48tth,heeDLLeiincneees:m.bFFeiirrtee1RR99ee7ss.ccuuVeoel. 16.10. 1. pp. 61-64+, January 1998, Vol. 16. no. Magazine. Vol. 15, no. 9, pp. 53-57+, November 16, no. 1, pp. 61-64+, January 1998. Vol. 16, no. 2. pp. 1997. 2, pp. 60-64, February 1998, Vol. 15, no. 10, pp. 42-46+, 60-64, February 1998. December 1997. Vol. O((22c99t))oNbNaeavrvaa1l9l 9RR8e.esseeaarrcchh LLaabbooraratotorryy,, TTeecchhnniiccaall IInnffoorrmmaattiioonn DDiivviissiioonn.. HHiighglighhtisoogffNhNRRtLLs's FFiirrsstt 7755 YYoeaarrss.. October 1998. (J(33u00l)y) 3319MM98PP.rreessss RReelleeaassee.. 3aMU SSppeecciiaalltyy MMaatteerriiallss EEnntteerrss ""CCllaassssAA""FFiriree FFiigghhttiinngg MMaarrkkeett wwiitthh NNeeww FFooaamm.. July 1999. (M(33e11c))hTTauunvvieec,,sRRDi.LLvi.,siPPoenet.teeUrrssooSn.n,,NHHaBv.B.a.l,JRJaeabsbleolonansrskckihi,LEa.bJ.J.o.r,aaatonnrddy.NNeeAiilll,N, oRR.wRR.,.V,aEEpnongrgi-innSeeeeceruriirnniggngRReAesgseeeanartrccfhhorBBFrrlaaannmcchmh.a,ble: LiquidFire Mechanics Liquid Fire Extnguishment. March 13, 1964. Division, U.S. Naval Research Laboratory. Extinguishment. March 13, 1964. A New Vapor-Securing Agent for Flammable- P((33A22)) 2DD0aa0vvi2iss,, LLaarrrryy aanndd CCoolllleettti,, DDoomminiincic..TThheeRRuurraall FFiirreeffiigghhttiinngg HHaannddbbooookk.. LLyyoonnss PPuubbilsishhiinngg,, RRooyyeerrssffoorrdd,, PA. 2002. ((3333)) CCoolllleettt,i, DDoomminiincic..CCllaassss AA FFooaamm:: Q@ && AA.. wwwwww.cciirrcclelkeskeservrivciec.ceo.cmo/mfi/rier/Fe/oFaomam/Q/Q&8AA.hhtmm.. ((3344)) DDaavivsis,, LLaarrrryy aanndd CCoolllleettti,, DDoomminiincic.. TThhee RRuurraall FFiirreeffiigghhttiinngg HHaannddbbooookk.. F((33o55)a) mDDaa(rrAwwiFinnF,,)RRioonbbteehrrettLU..n,iPPt.eE.E.d,.S,tHHautueggsh.heeEssPAAAssHssQoo-ccOiiaPatPteeTss-I2Inn0cc.0.3EE.ss0tti0imm1aa2tt.ee0dd7Q1Qu4ua.antniAttiutiigeeussosotff2AA0qq0uu4eeoouuss FFiillmm FFoorrmmiinngg Foam (AFFF) in the United States. EPA-HQ-OPPT-2003-0012-0714. August 2004. 22222222..00003399 SSTTAATTEE__0022882200999966 DPPeEFlCCa-CCPoornngtetaaciitnniinNnggoFFAiar0etfDnigBth1tni1ng5g0FFooaammaannddTThheiirUUsseeiinnFFiirreaftigghpttinngg TTrainringiiann Mirinnnneessgcottaa Delta Project No. AOOB-11 0-0 11110.0SSOOUURRCCEESS. FaePage 36 BBeecckkeerriinngg,, DDoonn.. SSttaattee DDiirercteorcooftfFoFiirrree TTrraaiinniinngg,, MMNNSSCCUU.. ((665511)6)4694-584-1514,d1do1on,n.bbeecckkeerriinngg@@ccssuu.mmnssccu.eedduu BBeerrgg,, RRoobberetr.t. HHoommee SSeeccuuririttyy PPllaannnneer,r, MMiinnnneessoottaa DDeeppaarrttmmeennt ooff HHoommeellaanndd SSeeccuurrtityy aanndd EEmmeerrggeennccyy MMaannaaggeemmeenntt ((MMNN HHSSEE)M.). ((665511))220011--77444444.. CCoortritinnaa,, TToomm.. FFiirree FFiigghhttiinngg FFooaamm CCooalailtitiioonn.. ccoorrtitnna@a@aalclacldael-dfaey-.ccfoaomym FFiieeld,, JJeennninfifeer.r. PPrrooffeessssoorr,, OOrreeggoonn SSttaattee UUnniviveersristityy.. ((554411))77377--22226655,, JJeennninfifeer.r.ffieelldd@@oorreeggoonnssttaattee.eedduu HHuubbeertrt,, MMiictchh.. MMaannaaggere,r, AAggeennttss CChheemmisisttrryy RReesseeaarrcchh && DDeevveellooppmmeenntt,, TTyyccoo FFiirree && SSeeccuurrtiyty.. mmhhuubbeerr@t@tytcyocionintt.ccoomm MMaaffuluggaa,, DDaallee.. FRE. F.I.R.E. IInncc.. ((661122.-779999.-44110000)) MMeeyyeerr,, BBaarrbb.. FFoorreessttrryy PPrrooggrraamm CCooorodridninataotor,r, MMiinnnneessoottaa DDeeppaarrttmmeenntt ooff NNaattuurraall RReessoouurrcceess.. (6511437- (651)437- 00864433 RRoosseennddaahhi,l, JJeerrrryy.. MMiinnnnoessoottaa SSttaattee FFiirree MMaarsrshahla.l. ((665511))220011--77220011,,wwwww.ffirree.ssttaattee..mmin.uuss.. `SSttaayyddoonhaarr,, TToomm.. MMiinnnneessoottaa DDeeppaarrttmmeenntt ooff NNaattuurraall RReessoouurrcceess,, MMiinnnneessoottaa IInncciiddeenntt CCoommmmaanndd SSyysstteemm ((MMNNIICCSS)),, GGrraanndd RRaappididss.. t(toomm.ssttayadyohdaor@hdadrnrr.sstaattee..mmnn..uuss)) 22222222..00004400 SSTTAATTEE__0022882200999977 TTaabbllee 11 TTaabbllee 22 TTaabbllee 33 TTaabbllee 44 TTaabbllee 55 TTaabbllee 66 TTAABBLLEESS UU..SS.. MMaannuufafaccttuurreerrss ooff FFiirreeffiigghhttiinngg FFooaammss MMuunniciciippaall FFiirree DDeeppaarrttmmeenntt QQuueessttiioonnnnaaiirree RReessppoonnsseess MMuunniciciippaall FFiirree DDeeppaarrttmmeenntt wwiitthh NNoo FFiirreeffiigghhttiinngg FFooaamm UUssee MMuunniciciippaall FFiirree DDeeppaarrttmmeennttss TThhaatt TTrraaiinn WWiitthh CCllaassss BB FFooaammss QQDueuepesastrittioomnnennnaatiisrreeanRRdeesTsrppaooinnnssienegss SffcrrohomomolAAsiirrppoorrtt aanndd RReeffiinneerryy FFiirree Departments and Training Schools TTrraaiinniinngg SSiitteess wwiitthh 33MM FFooaamm UUssee 222222..004411 STSATATTEE0_208282200999988 iiL| E mii l] m il i ei ] FL 22222..00042 TABLE 1 U.S. MANUFACTURERS OF FIREFIGHTING FOAMS i WdfFisi liil MANUFACTURER 3M Tyco Fire & Security (Ansul) Dupont Chemguard Kidde Fire Fightrng --Angus CONTACT INFO Michael Santoro Director of Regulatory Affairs 3M Corporate Headquarters 3M Center St. Paul, MN 55144 (6511733-6374 VNNV.3m.com Class B AFFF Lightvvatd 1 Class B AR-AFFF Lightwater ATC(1 i Class B Protein IColl~en Reppl1er Pres1dent 451 N. Cannon Ave. Lansdale, PA 19446 (215)393-0241 colleen .repellier@tycofp.com wwv..ansul.com IAnsul~te 1% Ansuhte 3% Ansulte Premium 6% ThunderStonn 3% Ansul1te 3x3 LowV1scosrty Ansullte3%/6% Ansul1te ARC 3 or 6 ThunderStorm ATC 1%x3% ThunderStorm ATC 3%x3% ThunderStorm ATC 3%x6% 1Ansul3% ~1ark P. Vergnano Group VIce President DuPont ~afety & Protection Bar-ley Mrll Plaza 4417 Lancaster Pike Wilmington, DE 19805 wwv;.dupont.com IForafac 1157 Forafac 1157N Forafac 1183 Forafac 1203 Forafac 1157 Forafac 1157N Forafac 1183 Forafac 1203 Forafac 1268 John Vleweger V.P., Sales & Marketing Fire Suppressron Division 204 South Sixth Avenue ~1ansfield, TX 76063 817-473-9964 X206 wwv;.chemguard.com 11%AFFF 3%AFFF 6%AFFF Ultraguard3% Ultraguard 1%-3% 3%-6% AR-AFFF 3%-3% AR-AFFF 180 Sheree Blvd., Surte 3900 Exton, PA 19341 610-363-1400 wwv;.kidde-fire.com Foams manufactured by subsidiaries Angus, Feecon and National Foam ff Tridex3% Tridex6% TridoiS 1% TridoiS 3% Tridol LT3% TridoiM3% TridoiS 6% Tridol LT6% TridoiM6% Tridex3% Tndex 3-6 Nicerol HC 3% Nicerol6% Class B FP TYPES OF FOAM Class B FFFP !Class B AR-FFPICiass A-B Hi Ex ClassAfll y, Tra1n1ng Foam121 y, Ansul3% 3% FP 1-- 1-- 1Jet-X23/4% IS1Iv-Ex IAnsul Tra1mng Foam An sui-A ThunderStonn SFFF I I Forafac 1157 Forafac 1157 Forafac 1157N Forafac 1157N Focofao 1210 I j2% High Expansion I~~i1r~~~~a:~u~SDA Forest Approved SS1umpeurftoraamin FP70 Plus 3% Petroseal 3% IAicoseal 3-3% Alcoseal3-6% IHi-EX Hr-Combat 3-6% Nragara 1-3 Nragara 3-3 Hi-Combat A FirePower0.1-1% ForexpanS3% Trainol --National U.S. Foam Technologies Alden ozme1t President BOO East Cotton Street Longview, TX 75602 903-753-3901 x100 wwv;.usfoam.com Cobra3% CobraS% Aer-0-Lite1% Aer-0-Lite3% Aer-O-LiteS% Aer-0-1/Vater 1% Aer-0-1/Vater 3EM 3% Aer-0-1/Vater 6EM 6% Centunon 3% Centurion 6% US Foam AFFF 1% US Foam AFFF 3% US Foam AFFF 6% Cobra3%/3% Cobra3%/6% b fi i Universal Gold 1%/3% IAer-0-Foam 3% Regular Universal Low Viscosity 1%13% Aer-O-Foam 3% Cold Foam Umversal Plus 3%/6% ~Universal CG-6% Centurion 3% Centurion 3%/6% iH] IAer-0-Foam XL-3 Aer-O-Foam XL-3E Aer-O-Foam XL-6 Aer-O-Foam XLX-3 Aer-O-Foam XLX-6 fi US Foam 1/0-3% US Foam 3/0-3% us Foam 3A>-6% Cobra Class A H! Expansro~ 1 5% Hrgh Expansron 2% I Knockdown Responder U.S. Super H1gh Ex IF1rst Stnke Training Foam Knockdown Training Foam U.S. Trammg Foam other F1rst Stnke AlB ~Vl rn I 0 N 00 N 0 \.0 \.0 \.0 HEA k ilfil ape feiiitti `i Ebi Buckeye Fire Equrpment ICL Performance Products (Phos-Chek) Fire-Trol Holdings, L.L.C Verde Environmental, Inc Thomas J. Bower President 110 Kings Roz.d Kings Mountain, NC 704-739-7415 wwv;.buckeyef.com 28086 Platinum 1% Platinum 3% IPlatinum 6% IEddre Goldberg Fire Safety Business Director Edward.goldberg@iclpplp.com wwV<.phoschek.com j2620 fl. 37th Drive Phoenix, AZ 85009 Platinum 3%-6% Platinum 3% Bugeye Platinum 3% ifilnlpel William L. Scogin President and CEO 9223 Eastex Freeway Houston, TX 77093 800-626-6598 713-691-6468 VMW.micro-blaze.com Micro-Blaze Out Plus 3% IMicro-Biaza Out Plus 3%x3% -- i 3% FP 6% FP Buckeye Hi-EX Platinum Class A Solid Foam Fire Fighting Stik Phos-Chek VVD 881 Fire-Trol Class A Firefoam 103 F1re-Trol Class A F1refoam 1038 Fire-Trol Class A Firefoam 104 ~icro-Biaze Out It Fire Retardants Fire-Trol Fire Retardants (powder, gel and lrqurd) Hazard Control Technologies (HCT) 1150 Wal_ter Way Fayetev111e, GA 30214 (770)719-5112 www.hct-world.com Pinnacle Class A Inferno Flame Retardant F-500 A-B foam i fiit fii f fi: Dynax Corporation Dr. Eduard Kleiner President 79 Westchester Av PO Box 285 Pound R1dge, NY 10576 914-764-0202 wvvvv.dynaxcorp com Dynax Corporation manufactures fluorosurfactants and fluorochem1cal foam stabilizers for use m the production of AFFF, AR-AFFF, FFFP, AR-FFFP, and FP foams. Dynaxs fluorosurfactants/foam stabilizers are only made usmg a telomenzabon process, and are not derived from nor degrade to PFOS, PFOA or PFBA, per Dynax E i NOTES (1) Foam known to contain or degrade to PFOS and PFOA (2) Foam not made with PFCs {i DELTA 22222..00043 i STATE 02821000 ~Vl rn I 0 N 00 N I-' 0 0 0 ge mm ma [isitadity 4 ||| [HE {i Ie i= ; {fd I Hileh hal a ier CH LH od 2222.0044 wmiE J KiEbhdi ||||| Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 National Foam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae .2 :>o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ ~ ~ Jl ~ ~ ~ , 5. ~ ~ ~0 " "' 0 Trainina Location 8th StreetW. in street and ditch ~ ";' ~~ i 0 ~ 5 2 y Fire station on Main Street, eastside of town 1121 I I I I I 2 11 I ~~~x Site Note nnua Class B Foam Usage in Training: Foam Typer gat or 3M current less=2; or former 6 to10 use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class A foam use only, site not ranked Class A foam use o~ site not ranked Class A foam use o~ site not ranked Class A foam use o~ site not ranked XIX X X X X XIX FrankAve.,near doa E!ound Frank Hall Dr, Old sewage treatment plant I I I I I I I I 2 I I I YI x Fire hall, 11350 57th SINE Main Street, Alpha 7 vlx 2 y X Unknown haven't 7 ~~~x trained 1n 3-4 ~ears.l F1re Sta. #1, 15000 1 I 2 7 I I I I 11I Hayes Rd; Apple Valley central mamtenance fac111ty, 6442 140th St. w I I I I I I I I 6 I I IYIX Appleton Public Works bldg 427 S Munstennan St , Appleton 2 y Not applicable 9 N Fire hall, 9798 Hvvy 2, Brookston Not specified Not~icable 2 YIX 2 y 2 N Frank Avenue located in or near a Well ProJection y y EEdE | HRLiE | Class A foam use only, s1te not ranked Class A foam use only, site not ranked 13 Class A foam use only, site not ranked Class A foam use only site not ranked Class A foam use only, site not ranked Class A foam use onlY, s1te not ranked 16 11 Class A foam use onlY, site not ranked Class A foam use o~ site not ranked Class A foam use onlv, site not ranked Class A foam use onlv, site not ranked 1 i| EE | [1 ~Vl Page 1 of25 rn I 0 N 00 N I-' 0 0 I-' ge fmmm E|4d Il ii = ef H ; Beis LE Nn 2222.0045 Theian1 0 T 1a]1E 1 Mgdh|| EL LHE iL | Ee I Lids]Ll Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin .2 :>o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ Spent Foam Destination TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES {fd == Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam I I I I I I I H I Annual Foam Usaae I~ IJ I I I nnua SITE RANKING CRITERIA Class B Sulface Water Foam Water Wells Usage in Nearby: Wetlands Nearby: Type:l5 Foam Training: gal or 3M current less=2; within 114 mile=3; Nearby: within1/4 Karst Area: mile=3; Active=5: within 114 mile=3; orformer 6to10 Within 1 with1n1 Transitlon=4; within1 use in gal=4; mile=1; mile=1; Covered=2; mile=1; Site Note ltraininn=8 >10 nal=6 No=O No=O No=O Na=O I~ Iy ~~~~:~:~~" w'th A- I Cloo> Bfoam oot "'ed lo ''"'"~>lie oot cooked Wellhead Protection Area: site in WPA=5; within 1/4 mile=4; within 1 mile=2; No=O y Class A foam use only, site not ranked 12 Class A foam use only, site not ranked XIX YIY :ti.:!:. y y y Class B foam not used in traininq, site not ranked Class A foam use only, s1te not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Eh YIY Class A foam use onlv, site not ranked Class A foam type and quantity not specified; last foam !training ~5years Y I Y ITrain with Dawn Class A foam use onlv, site not ranked X 'YT"Yld1sh soa Class B foam not used 1n tralnlnQ, s1te not ranked I I I I I I I 1-1 I IH-1 I I I~ I l~:~~~:.~~rEectloo 26 Class B foam not used in train~ site not ranked I I I I I I I I I I I INIY X ~ 0 ~ v A ~ ~ ~~:~~~~ coodlo Class B foam not used in train~ site not ranked EA ~Vl rn I 0 N 00 N I-' 0 0 N ge mm |- Thi[sft |iiiy |0 |hy flHi esi eT i= + fl == I LW ihLS = dU --iiEEE LL ea EEEERINEINIE 2222.0046 TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Tad Fa mThiret(5 | B| id LliHd E Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam ~I ~,-I,~l~l"~ '~if~ ~.~. . , ~ =~ , ""' ~ ~ .2 "' ~ ~ ~ .02 ~ "- ~ Jl ~ B " 5 " ~~~~~riiO~ ~~ ~ ~ "~' 0~ ~0 " Traininn Location 1~3 1~3 3 Various Bigelow elevator ~ Not applicable XIX y 3148 Cty. Rd 5, Barnum 1" f 605 Industrial Dr Six training sites; foam not used in ~ CRP Field Not applicable Various locations in Itasca County 1/2 Mile south on 26~ Bowlus mile Annual Foam Usaae .. ~ Site Note Phas1ng out use of Silv-ex nnua Class B Foam Usage in Training: Foam Type:l5 gal or 3M current less=2; orformer 6to10 use in lgal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 lmile=1; No=O Wetlands Nearby: within1/4 mile=3; with1n1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 1/4 mile=4; within 1 mile=2; No=O Mult1ole trainina locations, site not ranked y No foam use before Fall2001; new p umpertruck.Use FY I N 1500 Wet!~Aaent I NI IX I I I I y I I:O~~t~~~str~~~ing specified. AFFF not Y I Y lusedintra1ning Class A foam use onlv, site not ranked Class A foam use onlv, site not ranked Class B foam not used in training, site not ranked YIY Just received foam, YIN lhavenotusedyet YIY Class B foam not used in training, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class B foam not used in training, site not ranked i l l Various 1312 M1nnesotAv X Breckenridge Various Not applicable 3127 H\~. 44 Fire hall, Brook Park Unspecified rasslands 12 X Cit.l_ of Browerville Not s~ecified 12 7 y x 12 2 y X ITra1n1ng Mth foam only to ensure that eqU1pme1t1s Y I N !functioning properly Foam types not ~cified a:aJ y y Class A foam type Y IF1re-Trol y Foam type not Y I Y !specified a'a) ITrain1ng site mapped as the general do\Mltown Y I Y larea Foam type and quantity not !specified a:aJ HR Class A foam use only, site not ranked 15 Class A foam use only, site not ranked Class A foam use only, site not ranked Class B foam not used in training, site not ranked Class A foam use only, site not ranked Training site not mappable, s1te not ranked Class A foam use only, site not ranked Training s1te not specified, site not ranked E| r~nVl Page 3 of25 I 0 N 00 N I-' 0 0 w ge mm fm [afe:tiny ii = I EA] IHHr 1 1H a Cd Lid le 22222..0000447 ad LT 1 h(lMEE T| EIEE RiEE1] i A AL I El I = L-- e = HEE Dellartment BroVVIlsdale BroVVIlton Buffalo Buffalo Lake Buhl Location Brownsdale Brownton Buffalo Buffalo Lake Buhl TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES + fl Missa Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin .2 :>o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam ~ ~ Jl ~ ~ ~ , 5. ~ ~ ~0 " "' 0 Trainina Location Vacant lot next to fire hall, 202 S Mill St Not specified XI I XI Stat1on 2, 309 Atlas ICir 315 N. Main St, at ~I I I X I IMain &Church Sts, Buffalo Lake 702 Seville Av "I~~ ::: :5 ~ ~ I ..~ ; ;i ~ 5 :;_ Annual Foam Usaae y X ~~ y X tyt""j( r-ry X ~ Site Note YIY YIY y y YIY nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 to10 use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class A and training foam foam use only, site not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked 13 Class A foam use only, site not ranked Burnsville Buyck Bvron Calumet lcambridae Canbv Canosia lcarlton lcass Lake I centennial Burnsville Buyck B ron Calumet lcambndae Canbv Duluth Icarlton lcass Lake llino Lakes Cliff Rd & R1ver X Ridge Blvd N Y X X X Burnsville X N y X X X 8035 Orr-Buyck Rd., Buyck X X I lxl N N y N X X X lviNI I I I I I I lxl I I I I I lxl Various Not applicable One time training when first got urnoertruck X N y X N y X X X X X Various X Not specified Fire hall parking lot, 100 4th St (4th St I XI I I N lv I I I I I X I I I I I XI I I I I XI IN& so,thAe 7 Railroad ROW by 8 12 I XI I IN lv I I I I IX I I I I IXI I I I IXI ~~::~o~:k!' NW 3 I I IxIN IY I I I I I I IxIxI I I I I I IxI lvori'"s 1 2 y 10 Y X 2 N X 2 12 12 9 2 12 2 12 i y X N X y X y y X y X y X y X N X y N X N Foam type and quantity not specified a:aJ y y NIN Foam types not )specified YIY YT7 Class A foam type Y I Y !Safeguard y y 'YT!AFFF type US Y Foam First Strike Y Class A foam type Y Pioneer, 3M AFFF 23 14 Multiple traininq locations, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Multiple traininq locations, site not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked Multiple training locations, site not ranked -- ; sensed ~Vl Page 4 of25 rn I 0 N 00 N I-' 0 0 .j:>. = Tm indi] 1 | { [Ti |i: EEillaIg ili Leg i= | mllli== LLfbi = Li l1HLL ieEg in ETRE 2222.0048 De11artment Chanhassen Chaska Cherry Chisago City Chisholm Chokio Claremont Clarkfield Clarks Grove Clearlake Clearwater Clements Clifton TwP I cloquet I cohasset Location Chanhassen Chaska Cherry Chisago C1ty Chisholm Chokio Claremont Clarkfield Clarks Grove Clear Lake Clearvvater Clements Duluth Cloquet Cohasset TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination .. . ,. .2 ~ ~ = ~ ~ .02 ~ i~fiilli " B ~~~~~riiO~ ~ ~ ~ ~ 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Location 3 Annual Foam Usaae .. j~ ~~ ~ ~ ~ o;( ~ ~ N N y N X I ;! I ~ I U I :I: ISite Note X N y [ih nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class B foam not used in train~ site not ranked XINIY NIY YIY X XINIY X X X X X X X N y N y N y N y y N y N y y Fire hall, 285 Engler Blvd Fire hall, 9831 Hvvy 37 Liberty Lane, vanous ~ Athletic Field, 3rd St IN. & 4th Av. S and, empty farmstead Sect. 25 XI I X I I Leonardsville Twe Front of fire hall, Front Street, XI !Claremont C1ty storage area, 520425 St F1re stat1on, Clarks Grove (101 N Independence Av.) Not applicable Not applicable Various y X y X y y X y X y X y X X y X 121 I Ylx Training site located in or adjacent to Wellhead Protection Yl Area Foam amount not specified y y Built 1n foam tank, butnotc:>mpressed y Class A foam type not specified y No foam currently on hand Class B foam not used in training, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Class A foam use o~ site not ranked 18 Class A foam use o~ site not ranked Class A foam use only, site not ranked Foam not used in train~ site not ranked Foam not used in train~ site not ranked Class A foam use only, site not ranked 1 E: X N y I X I I I Nh I I I X IN I y Fire Hall #1, 2146 Old North Shore Rd City gravel pit, Annory Road ~ Not specified Chemguard Plus; future use of Class A foam use only, site not ranked Class B foam not used in traininq, site not ranked Training s1te not specified, site not ranked iHI | | ~Vl Page 5 of25 rn I 0 N 00 N I-' 0 0 Ul = [i1tgi {4 11 Ih | Tin Hi [lh HA LEE i= es-- Cl JE RRL = od eg IER LGL H Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae .2 :>o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ ~ ~ ~ ~ Jl ~ , 5.~ ~ ~ 0 " "' 0 Trainina Location lllillll Site Note pif nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; ltraininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O 2222.0049 Cold Spring Cold Spring Xy y Colvill Comfrey Colvill Comfrey X N y X y Coon Ra ids Coon Rapids X N y Cosmos Cosmos X y y X X Cottage Grove Cottage Grove X N vllJ I I I I XIX Various 27 Red RiverAv. S; Ricori Middle School north parking lot, Main St; 2nd Av & 2nd St N., City maintenance shop, 2ndAv. NE, 10th St NE&11thSt NE 1450 Cty. Rd 14 Colvill Various :~e~~111""""1 I I II I I 1,2,1 Vanous I2 I ~~~~;'~" 2 8641 I I' I I I I I I71 y YIYI YIX YIX YIX ll~llvllllll I IYIX y I I~ IX I IvI I I I I Class B foam not used in training, site not ranked 27 H Cottonwood Cottonwood X N N Cromwell Cromwell X N y I I IX X Crosby Crosby X N) I I Crosslake Crosslake X N y Cuyuna Aitkin X N y X Dalton Dalton X NN Darfur Butterfield X N y Dassel Deer Creek Dassel Deer Creek X N y X N y I I I I I I IX IX I I II I III Not applicable Fire hall, 5592 Hvvy 210 By city publ1c works bldg, Crosby Joint City/County maintenance facility, County Road 3 South 12 Fire hall, south side of bldg. (24124 Cty Rd. 3D, Aitkin) Not applicable Various 833 Curran St Fire hall, 102 Baker St By city maintenance y YIX YIX YIX N YTi< 12 YIX T YTi< 11 YIX YIX NTi( Yl Foam type not Yl !specified Foam not used in training, site not ranked Class A foam use o~ site not ranked Class A foam use only, site not ranked s,a) I 2 I Training site not mappable, s1te not ranked EE ~- ~* y Foam amount not specified Class A foam type 1st Defense Class A foam use only, site not ranked 1 Class A foam use only, site not ranked 0 I2 I Multi le traininq locations, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Vl Page 6 of25 -I )> -rnI I 0 N 00 N I-' 0 0 0"1 Tm efi: 1 8 Tali i Tlaindg 11Ld CL ele Ho i= {HE B= 1 I Ri a i m= EE kl[Tl e | Er A meee UH LowEa h Deoartment Deervtood Dilworth ILocation Deerwood Dilworth TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Foam Use Frequency I for Fire Refpo~se u~ : '0 I"~ X Foam !. I1~ Use Frequency in Trainina :>o I I Amount Foam Use in Trainina .2-; (I) C!l i~fiilli~ti :::> E ~ ~ ~ ~~ ~ ~ 0~: ~ ~ y X X y Spent Foam Destination "5' ITrainina Location bldg. on Industrial Fire hall. 70g 1st Ave NW (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam ~ ~I.e ~ 5 Annual Foam Usaae limE til (!) "~11 :;_ ;:! :: y lJ N YTX Site Note Foam quantities not ~cified nnua SITE RANKING CRITERIA Class B Sulface Water Foam Water Wells Usage in Nearby: Wetlands Nearby: Training: within Nearby: within Foam Typer gal or 3M current less=2; 114 within 114 Karst Area: mile=3; mile=3; Active=5: 114 mile=3; or former 6 totO Within 1 within 1 Transitlon=4; within 1 use in gal=4; mile=1; mile=1; Covered=2; mile=1; training=8 >10 nal=6 No=O No=O No=O No=O Class B foam not used in training, site not ranked Class B foam not used in train~ site not ranked Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O 2222.0050 aH | Hi HER o:s] E HRC Dover Dunnell-Lake Fremont Eagan Dover Dunnell Eagan X N y X N y X NY Eagle Lake Eagle Lake East Grand Forks East Grand Forks X Xy y N y Easton Easton Echo Eden Pra1rie Eden Valle Edina Echo Eden Prairie Eden Valley Edina ElboW-Tulaby Lakes Waubun Elizabeth Elizabeth Elk River Elk River X N y X N y X N N X y N X N y X N y X N N X N y Ells burg Elmer Cotton Elmer X N y X N y ~Vl rn I 0 N 00 N I-' 0 0 '-I XIX X XIX XIX X X N2 2 ~:~~~~~:;amocd 1' 1 I I I I I I I I IY ~ xl T Various :!. City park by cemetary on Cty Rd 27, north of Eagle Lake American Legion lot on Parkway Av Northland Comm College, 2022 Central Av NE Not specified 3 miles south and 2 miles west of Echo Not applicable Not applicable Various Fire station, 39828 St Hwy 113 Not applicable Fire Station #1, 415 Jackson Av Fire Hall, 1763 Melrude Rd., Melrude, MN 12 ElmerTovvn Hall 7882 Hvvy. 5 Meadowlands ; .. ...3. I I I 151 I Iy IX Page 7 of25 Rarely use foam in X I Y I Y ltrain~due to cost y Foam rarely used in training; 81assA !foam type Drexel Control A YIY Class A foam type not specified IT~ained one w1th foam time YIY IAFFF type U.S Foam; quantity anduse in training not specified Multiple training locations, site not ranked Class A foam use ol!!h site not ranked Class A foam use only, site not ranked Trammg at commumty college, s1te not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Multiple training locations, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class B foam not used in training, site not ranked Thing 11 1181 1 --mElH] J a | i= | mee IE En = Ein De11ar1ment Ely 'Einmons Location Ely Eiiimons Evansville Excelsior Fairmont Evansville Shorewood Fairmont Falcon Hei hts Falcon Hei hts Finland Fisher Floodwood Foreston Finland Fisher Floodwood Foreston Fosston Fountain Fosston Fountain Freeport Freeport French Side Lake Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination .2 .. . , ~ = .02 ~ ~ ~ ~ i~fiilli B " ~~~~~riiO~ ~ ~ ~ ~ X X X Ny X X yy X Ny X X N y X X NY X X Ny X NN X Ny X yN yy X X X N y X Ny = | ESHH I Hulhdi TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES + fle = Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae Location ~ ~I.e ~ 5 ::> ~ y NTi< East end of town (new) Council Circle Various ly 2 I I I II I I1 1 I City shop park lot, 417 E Margaret St 111111111111y 2F?ir7e7hLaallrppaernktleout rAv. 4 X 1 Y X F1re hall and gravel pits, etc., Finland area Fisher City Shop, 3 4th St N Not applicable y 1 yNXX 2 2 N Various 12 YIX North side of 10th ~~. ~o'::t:~Cty Rd.l I I I I I I I 9 I I I Y Not specified 10 Y X Not specified Side Lake 1 1 1 l l l 1 171 1 1N1x Community Center N. H\1\r)'. 5 I I I I I I I I 2 I I IYIX ea nnua Class B Foam SITE RANKING CRITERIA Sulface Water Water Wells Wellhead Protection Usage in Training: Nearby: Wetlands within Nearby: Nearby: Area: site within in WPA=5; Foam Typer gal or 3M current less=2; 114 within 114 Karst Area: mile=3; mile=3; Active=5: 114 within 114 mile=3; mile=4; or former 6 totO Within 1 within 1 Transitlon=4; within 1 within 1 Site Note use in gal=4; mile=1; mile=1; training=8 >10 nal=6 No=O No=O Covered=2; No=O mile=1; mile=2; No=O No=O y I y IAFFF-AR type Class A foam use only, site not ranked Class A foam use onlv, site not ranked National Foam Universal Gold 1%3%;foam quantity vi c = not specified Foam type and 11 Class B foam not used in train~ site not ranked quantity not specified a:aJ 21 Ansulfoam type Thunderstorm Class A foam use o~ site not ranked y yy Class A foam type not specified Class A foam use o~ s1te not ranked Class B foam not used 1n traln!!l9.,_ s1te not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Training maybe r ronce at all p e r y e a r or not Class A foam use only, site not ranked Training s1te not specified, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked 2222.0051 } ~Vl Page 8 of25 rn I 0 N 00 N I-' 0 0 00 ge Ti TT mm Ti [iid] 22222..00052 |iE = e T En R bo = Mi LEE PEE PE a aEEL | ==HEHEHE EEE I M Cpd= J 11 R h [HH |]a Ld Hetoldeal] Dellartment Fridley Garfield Gaylord Geneva Gibbon Glenville Glenwood Golden Valley !Goodland lGraceville Grand Rapids Green Isle Greenbush Grey Eagle Grove City Gunflint Trail Hackensack Ham Lake Hamburg IHamel Location Fridley Garfield Gaylord Geneva Gibbon Glenville Glenwood Golden Valley Goodland Graceville Grand Rapids Green Isle Greenbush Grey Eagle Grove City Grand Marais Hackensack Ham Lake Hambura Hamel TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES {: I= (t SiisSEhim Sisiinis i= Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS TETRE H HH Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination (7) Other/unspecified Angus foam product 81 National Foam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae i~fiilli~ti . ~ ~ ~ .2 "- :>o -; (I) C!l Jl ~ 0 : ~ ~ , 5 ""' ~ ~ ~0 " ~~~~ ~~ ~ ~~ ~ Trainin Location 13 "' 0 300 71stAv, 1 ~ "; ~~ i 0 ~ 5 Fndley (North Metro XINIY YIY X X FireTraintng X !Center) Gravel pit I I 3 1 I I I I I 21 2 I l~tx y X 9 N y Not specified _j_ _j_ _j_ --1- --1- --1- _j_ _j_7_j_ _j_ _j_ Y_J_X 1stAv.N\N&1st St N\N; 1stAv.SE&3rdSt SE; and iL X N YI I Ix 500 Block of Main St \N 2 Ylx X N yI I I Various 12 yl High school football X N y X y X N y field 4 Not specified 7800 Golden Valley 7 X Road Ylx 5 y X y 7 y Goodland Community Center- Firehall, 13502 X N y Community Center De 2 y X N y City dump X Graceville 2 y Site Note nnua Class B Foam Usage in Training: Foam Typer gal oc 3M current less=2; or former 6 to10 use in gal=4; traininn=8 >10 nal=6 {hulai iain SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Discharge to Y I !retention pond YIY 28 Class B foam not used in training, site not ranked Class B foam not used in training, site not ranked Pi) A ) 1141 Class A foam type Y I Y lnotsoecified Have built-in tank truck bu does not Y I Y lused atr compressed Class A foam use onlv, stte not ranked Class A foam use onlv, site not ranked 13 Class A foam use onlv, site not ranked 22 Class A foam use only, site not ranked Class A foam use o~ site not ranked i HEiE]D ) i fi ad i3 X NY X N N X X X y y N y N y X X N y y y X NY X N y I IX I Iy Iy Fire hall, 18 NE 5th X St, andvanous 2 y Not applicable 6 N X EE 9 N X Not specified Old baseball field Not specified 9 N X 2 y X 7 y X Foam type not Various 12 y X specified Not specified 2 y X Various 2 y X I One CAFS unit on Y Y lrescueu1it 181 Broadway, Hamburg 7 y X Fire Station, 92 Hamel Road and X I 2 I IY X IY I 300 gall ens foam lused anrually Class A foam use o~ site not ranked Class A foam use onlv, site not ranked Class B foam not used in train~ site not ranked Class A foam use onlv, stte not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Class A foam use o~ site not ranked 13 Class A foam use only, site not ranked tleHAE | IHIq HEL A Vl Page 9 of25 -I )> -rnI I 0 N 00 N I-' 0 0 \.0 rm mThiiEi | i ear i= ; + fle B= I Lill we li B=it|i A i= E mee IRIE IE. 2222.0053 De11artment Hardwick Location Hardwick Harmony Hartland Hastings Hawley Herman Hewitt H1bbmg Hills Area Hill City Hinckley Hitterdal Harmony Hartland Hastin s Hawley Herman Hewitt H1bbm HillS Hill City Hinckley Hitterdal Hold[D_gford Holland Holdl!!_gford Holland = Te 0H0i Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae .2 >o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ ~ ~ ~ ~ Jl ~ , 5. ~ ~ ~0 " "' 0 Trainina Location Ball field park lot, Hardwick y Fire hall, Main Av y S. and Brush dump, east of intersection of139 & Gordon y X Rd (not mappable) y Not applicable Site Note Foam type and quantity not specified pTahiiegte nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O a'a) 12 14 Class A foam use only, site not ranked Tf +1 7 EINE y XINIY X NIY NIY YIY NIY X X Various Not~icable Various X 2320 Brooklyn Dr., H1bb!!!.Q_ 700 block of Central Ave Not applicable End of cul-de-sac on Industrial Road ljusteastofMorris Ave Salvage yard build sites YIY y .,., Foam quantity not specified Class A foam type Y I Y lnotspecified WH 1 Multiple training locations, site not ranked Class A foam use onlv, site not ranked Class A foam use onlv, site not ranked Class A foam use oll!Y.,_ s1te not ranked 11 Class A foam use oll!Y.,_ s1te not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked NIY NIY X Not specified Foam type and quantity not specified a'a) Class A foam use oll!Y.,_ site not ranked Training s1te not specified, site not ranked E| | {fd E E r~nVl Page 10 of 25 I 0 N 00 N I-' 0 I-' 0 [ew Ad aaii 11314) ||] || E mreml =eeigl FIlRE METENEREEIEE IEEE |LlL M TTEET EEE H| e| ii = Fd HH i B= J ELT EE = = EH Lb de 2222.0054 De11artment Location TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulite (4) Other/unspecifiedAnsulfoam (5)AngusForexpanS Foam Use Frequency I I I for Fire Refpo~se !. 1 .. u~: '0 111 il~lfli i 11 i ~ " :!: Foam Use Frequency in Trainina Amount Foam Use in Trainina I~ , .2 "' ~ = .02 ~ ~ ~ B ~~~~~riiO~ ~ ~ ~ ~ Spent Foam Destination ~ ~ ~ ~ Jl ~ , 5. ~ ~ ~0 " "' 0 Training Location (7) Other/unspecified Angus foam product 81 NattonatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Stiks 12lOtherorunsoectfiedfoam Annual Foam Usaae Site Note nnua Class B Foam Usage in Training: Foam Typer gal oc 3M current less=2; or formec 6 totO use in gal=4; ltraininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Hopkins Hookins NIY Hoyt Lakes IHuoo IHutohin;on I Ideal Hot Lakes Huao Hutchinson P~otlakes X NY X N y X N yI I IX X v vI I I Industrial L,e Jackson Las per Jeffers Kasson Sa inaw Isle Jackson Jasper Jeffers Kasson Kerkhoven Kettle River Kerkhoven Kettle River Kiester Kiester Ktnney-Great Scott Ktnney I X I IYIY X y N X yy X N y X N y X N Y X X X X N y N N N y N N X 10117th Av S Tnple ballfields or E near Hoyt Lakes fire hall, 123-1/2 Kennedy Memorial De 5223 140th St. N and 4630 Fable Rd Ct N 205 3rd Av. SE and X 1300 Adams St. SE Township transfer ~ Fire hall park lot, 7519 Albert Rd, S~naw 112 Not applicable X 305 Sheridan Vacantlot,WaiiSt _w_ _ _ Duree St. & Deaver St 2408 670th St Pacific Av. & 9th St S., and KMS High School X park lot, 1st St. N Not applicable South Central College, North Mankato Not appltcable 12 2 x X I~ 12 x X YIY YIY y y y YIY Uses DNR-supplied lfoam. DNR uses oi!!Y_Class A foam Pump truck; Class A Iteam type PhosChekWD 881 y y y YIY Tratntng off-stte at IVoTech 18 11 20 26 Class A foam use oi!!:L site not ranked Class A foam use oi!!:L site not ranked Foam not used in train~ site not ranked Class A foam use only, site not ranked Class A foam use oi!!:L site not ranked Class B foam not used in train~ site not ranked Class A foam use onlv, stte not ranked Class A foam use oi!!:L site not ranked Class A foam use only, site not ranked Training at community college, site not ranked Class A foam use onlv, site not ranked Vl Page11of25 -I )> -rnI I 0 N 00 N I-' 0 I-' I-' Thuii 40h| {wiald | 8 |0 fTlei 14] wa i i= ; mee Hea | didUi a 2222.0055 LaCrescent LaCrescent Lake Elmo Lakefield Lakewood Twp Lake Elmo Lakefield Duluth Lanesboro Le Center LeSueur LeafValleyTvvp Lanesboro Le Center LeSueur Miltona Lewiston Lexington Lewiston Lexington LinWOOd Two Lismore Stacv Lismore Little Canada Little Falls Littlefork Long Prairie Longville Lonsdale Loretto Little Canada Little Falls Littlefork Long Praine Longville Lonsdale Loretto TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES + fle = E {LL L Ll iME=ET HHAr EEE Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Jihii (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae ,.,ll"'if~.. ~I ~-I~ ~ ~ ~ -~ ~ " B = ,. .2 "' ~ .02 ~ ~ ~ ~~~~~riiO~ ~ ~ ~ ~ ~ ~ Jl ~ ~ ~ , 5. ~ ~ ~0 " "' 0 Traininn Location LaCrescent HS park ;.. ~ ~ u. ~ o;( ~ ::l ~ j ~ ~ lot and soccer field, 14th St Xy y X N y X N N X N N n XI I S& I'""'"' Bl'd ~ Not applicable Not applicable y tytx It"yNrt-x ,_'"X x Lanesboro ball park 111 X X X N y y N y N parking lot, County Road 8 Not applicable Not applicable X y y In a field on a hay ~ X N y X N y X N y X N y X N Y X N y X N y X N y X N y X X N y N y X X XIXI I I I xjxjjj IX Not specified S. Hwy Dr. & Griggs A' Behind fire stat1on, 22870 Type Creek Dr., Stacy Barn fire, Birkett & !70th St Park lot behind fire station, 325 Little Canada Rd F1re hall, 3141st StreetNE F1re hall, McPherson &3rd A' Fire hall park lot, X 615 Lake St. S X 1350 V\1 Ctv Rd 5 X Not specified 259 Medina St. N nn x X y X ea I Site Note nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; ltraininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O y :?: t! N y I EClass A foam type and quantity not s ecified Foam type and quantity not specified 8:aJ =ry m- - - - Foam type and quantity not Fcified a:aJ I y y y Foam rarely used in training Class A foam use o~ site not ranked Multiple training locations, site not ranked Foam not used in training, site not ranked Class A foam use onlv, site not ranked Class B foam not used in training, site not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked 21 16 Class B foam not used m tram!!J..9..,_ s1te not ranked Class 8 foams not used in train1ng, s1te not ranked Class A foam use o~ site not ranked Class B foam not used in train~ site not ranked Training s1te not specified, site not ranked o 5 19 I 18 OE [HI EER i{Oln qEiE] RRyEaNhE ALA r~nVl Page 12 of 25 I 0 N 00 N I-' 0 I-' N ge mm lduatiJn] 4301 al faer] n d [0 hl HH fm Cw | E CALE A NE as i eee| CTH HE Ll Lal die 222222..0000556 TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Dhmrn elEm + fle Bli=== I = IL LLTi = iE r Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Deoartment Lutsen Lvle Madelia Mahtomedi Mahtowa Makinen Mankato Location ,,,Lutsen Madelia Mahtomedi Mahtowa Makinen Mankato Maple Grove Maple Hill Marble Maple Grove Grand Marais Marble (7) Other/unspecified Angus foam product es 81 Nat1onatFoam product 9) Chemquardfoam product Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam ,.,ll"'if~.. ~I ~-I~ ~ ~ ~ -~ ~ " ,. .2 "=' =~ .2 ~ ~ ~ ~~~~~riiO~ ~ ~ B ~ ~ ~ ~ Jl ~ ~ ~ 5" ~ ~ ~= "' 0 Traininn Location Field in back of fire I I_ hall xl I I I IGroe St & 2nd A' I, 1' NIY Various Live fire training XIYIY YIN bums Not applicable ;.. ~ ~ u. ~ o;( ~ ::l ~ j ~ ~ Annual Foam Usaae y X Site Note YIY nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class A foam use onlv, site not ranked y Class A foam use onlv, site not ranked ~--~ ~ ~Y!CiassAfoam~me 121 1 v 1 v 1 1 y 1 !Stevens y Multiple training locations, site not ranked Multiple training locations, site not ranked Class A foam use only, site not ranked NIY NIY Fire hall lawn, 6661 Wilson Rd Fire Sta. #1, 300 X MadiSOn Av ~ y AFFF-AR type AngusAicoSeal AFFF-AR type Class A foam use onlv, s1te not ranked 19 Angus Tndex; Tram Stat1on 5, 6900 Foam type Angus Lavvndale Ln; Tram ol Use more NIY Stat1on 2, 13450 Maple Knoll Way One time training at than 100 gallons per trammg event Class B foam not used 1n tra1mng, s1te not ranked NIY XIX Y"TN Gunflint Trail fire hall Not applicable Used foam in Y ltrainingc,netime Class A foam use only, site not ranked Class A foam use only, site not ranked Manne On St Croix IMarine On St Croix I X NIY Marshall Mayer Maynard Mazeppa Marshall Mayer Mamard Mazeppa X y y X X N y X N y X N y Meadowlands Meadowlands Xy y X Medicine Lake Medicine Lake X y N Melrose Melrose X y N Menagha Menagha X NY X 201 Judd Street 12 YIY 7 YIY iii Class B foam not used in training, site not ranked Training Foam type Marshall Merit Trainol Use of 3M Center, Cty Rd 33 (1001 W. Erie Rd.) House burns Mabie St. & Sherman 11 Junk yard (various Fire Hall at 9955 Hwy 133, and Hwy 133 & Hwy 7 Not applicable Not applicable m12 y NTX ie !foamint-a1n1ng not specified a'a) Y I IFoa~ quantities not NTVlspec1fied y YIY YIY Foam type and 21 Class A foam use onlv, site not ranked Multiple training locations, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Not specified quantity not L_L_j__L._..L_...L__L_L_.L_j__j__l_l_l_j_j_j_jLJSPeCified Foam type and quantitiv not specified, training site not specified; site not ranked BE} | | ||| 0 0 CA 11a La| E a iE LCI semen r~nVl Page 13 of 25 I 0 N 00 N I-' 0 I-' w ii, i QE Twahnid]||CE {EH E| a wriiEiE eiREERIRE Ea 2 mes In Ee Wi E: BEE I L |WiEeE TEEEE r EE dla LL=a Hl TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES { Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS al EE Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin ,,ll"'if~.. ~I ~-I~ ~ ~ ~ ~ ~ " , .2 "' =~ .02 ~ ~ ~ ~~~~~riiO~ ~ ~ B ~ ~ I I I (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B Spent Foam 11) Pyrocom Aqua Sliks Destination 1210therorunsoeclfiedfoam ~ ~ ~ ~ Jl ~ , 5. ~ ~ ~0 " "' 0 Traininn Location ;.. ~ ~ u. ~ o;( ~ ::l ~ j ~ ~ Annual Foam Usaae 2nd St & Hill Av 12 y X Not specified 12 {14 hd 25 37th Ave. NE Not.!I?.E!_icable F1re stat1on, 103 X Canton Av XI I I I Front of fire hall (201 Ash Av VV) XI I I I 260 2nd St. S Moorhead Youth Hockey Arena, ditch west of arena, 707 SE Main Av 12 North side of fire hall, park lot 600 Hwy. 73 Trap range/city dump, driveway at the end of 6th St Baseball field, 3rd St SI/J Vacant lot, Motley maintenance garage, 196 Eldrege St W Vane us- 11ve burn training afainegd| nnua SITE RANKING CRITERIA Class B Sulface Water Wellhead Foam Water Wells Protection Usage in Nearby: Wetlands Nearby: Area: site Training: within Nearby: within in WPA=5; Foam Typer gal or 3M current less=2; 114 within 114 Karst Area: mile=3; mile=3; Active=5: 114 within 114 mile=3; mile=4; or former 6 totO Within 1 within 1 Transitlon=4; within 1 within 1 use in gal=4; mile=1; mile=1; Covered=2; mile=1; mile=2; Site Note traininn=8 >10 nal=6 No=O No=O No=O No=O No=O Foam type US Y I Y IFoam Class A foam use only, site not ranked Class A foam type not specified Class A foam use only, site not ranked NIY y y NIY YIY YIY 19 Foam not used in train~ site not ranked YIY YTN YIY 17 y Class A foam use only, s1te not ranked NIY y y Class B foam not used 1n tra1mng, s1te not ranked Class B foams not used in train1nq, s1te not ranked y YIY Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked y y Class B foam not used in training, site not ranked 22222..00057 LH gl ee si da)it BE! Empty lot across from 8866 Slate St Myrtle ballfield Not applicable y Class B foam not used in train~ site not ranked Foam type and quantity not specified a:aJ 17 y Class A foam use onlv, site not ranked Street in front of fire hall, 207 4th St YIX NIX YIN Class A foam use o~ site not ranked I I r~nVl Page 14 of 25 I 0 N 00 N I-' 0 I-' .j:>. Bl [dbafiifl) | S IE 18 Ld wa | EE di Mai | IR1 l a dl I= iEE)iS)EE i= ; {fd |EEE I Be = = a EE IERIE NewBI!g!lton New Prague New Richland NewUim New York Mills Newfolden Newport Nisswa North Mankato North St Paul New Prague New Richland NewUim New York M1lls Newfolden New art Nisswa North Mankato North St Paul TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES ge Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae nnua SITE RANKING CRITERIA Class B Sulface Water Wellhead Foam Water Wells Protection ~I ~,-I,~l~,l"~ '~if~ ~.~. B~ "=~ ~ ~ , 5. ~ 1] I I I I I ~ I I I I I .2 "' ~ Usage in Training: Nearby: Wetlands within Nearby: Nearby: Area: site within in WPA=5; ~ ~ -0" ~ Jl ~ Foam Type:l5 gal or 114 within1/4 Karst Area: 114 within 1/4 o;( g 3M current less=2; orformer 6to10 mile=3; mile=3; wtthin 1 withtn1 Active=5: mile=3; mile=4; Transitton=4; within1 within 1 0 " mile=1; mile=1; Covered=2; mile=1; mile=2; ~ ~ ~ ~ ~~~~~~~~~~~~~r~iiwO~~~~~~~~~"~' 0~~~T~rain~inn~Loc~atio~n ~~~~~~~~1~ 1 4~~~~~~~~~~=~-~~use~;n ~ lg~al= 4; ,~No-=O -~No=~O -!No~=O ~~~N~a=O-~No~=O X X X Various houses Multtple trammg locattons, stle not ranked X YY X X X 104 MillerSt ? Y Class A foam use onlv, site not ranked Not~icable 11thAv NW&2nd x X YIY Foam not used in train~ site not ranked St NW X NY andColumbusAv X N. & 12th St. NE Grassy lot on east y YIX YIY YIY Class A foam use onlv, site not ranked side of 'lire hall, 203 X N y X N N X NY XIX X Broadway Av N closest cross street 1st St NE Not applicable 12 Not specified IJa~~ ~:~::e~~~~d Foam quant1tynot specified Y I iclass B AFFF Y I !specified as Silv-ex Foam not used in training, site not ranked Training s1te not specified, site not ranked Other foam type X N y X Fire hall Oxford 227 Wetting IAg_e~.t; use in trammg rot spec1fied AT mm I u 13 X X X N N N N N y Not applicable Not applicable Park lot behind F1re Sta.#2, 1825 X Howard Dr l xX YIY --r- Foam not used 1n tra1mng, s1te not ranked Foam not used in training, site not ranked Class A foam use only, site not ranked X N y 28 2222.0058 4 r~nVl Page 15 of 25 I 0 N 00 N I-' 0 I-' Ul --mECH Ca EH Loiilgmd 1H] HI iEE EE0 REE AL eae FHC i= ; + fle = JIE = |E i= T HH m= IERIERE EERE Dellartment Location North1ield Northland Northro Northfield Canyon North roo TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS lini] 1] I I I Foam Use ~r~quency in AmoUu~net_Finoam Tramma Tramma Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae I I II .2 f .. . ~ -~ ~ ~~ = ,., ~ ~ ~ , 0 ~ ~ .02 ~ z. ~ " ., "' B ~ ~ ~ ~ ~ ~ 1 ~ ~ ~ ~ a"' 0 ~~ ~ l61 Ia Jl ~ ~~ - ~ '1 5 .e ~ (!; ITrainina Location ~ ";' -~~ i 0 ~ 5 Site Note I I I I I I I lgl I INI In IX I I I I l::h;~~~~~~:m nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 to10 use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; Na=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O X X X N y y y N y XIX X City street shop, 1710 River Dr Fire hall, 7271 Hvvy 53, Canvon Beh1nd fire hall 211 N. Bndoeman equipme1t approx1rrately every 5years. -lave not ltrainedwith foam in 10 to 1i.tars Class B foam not used in train~ site not ranked Foam type and quantity not lsoec1fied a:aJ 12 I One stick used 11 YIX Y Y lannual 11 2222.0059 Oak Grove Oak Grove X N y Oakdale Odessa Odin Okabena Oliv1a Oakdale Odessa Od1n Oklee Olivia X NY X N y X N y X N y X y y Ortonville Ortonville Ottertail Palisade Palo Re ional Parkers Praine Ottertail Palisade Aurora Parkers Prairie Pavnesville Pelican Rapids Pavnesv1lle Pelican Rap1ds X N y X N y X N y X NY X y y X N y X N y Vl -I )> -rnI I 0 N 00 N I-' 0 I-' 0"1 X 111 No 1stSt Not specified Various Ortonville Airport east on Hwy. 12, and Pro Auto 547 H~w. 12 South Maple St Fire hall, 48052 NatureAv 4547 Hvvy. 100 Aurora Not specified ~ y 12 ~;d M 4 NW & th 1' 1 I I I I I I? I I I-~--x-x Page 16 of 25 YIY Foam quantity not Y I Y !specified YIY YTY y Foam type Fire 1st Defense aerosol Y lfoam Class A foam use oi!!:L site not ranked Class B foam not used in training, site not ranked Class A foam use onlv, site not ranked Class A foam use onlv, site not ranked Class A foam use onlv, site not ranked Mult1ole trainina locations, site not ranked Class A foam use onlv, site not ranked Class A foam use onlv, s1te not ranked Class A foam use onlv, s1te not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked 16 16 I ii ge mm fm init) U =i E --iieEg He Cl a Lidl dd HT = q \{10 3 | AE 2222.0060 | iii | ai {shiatii| [1( 0 i IH] E Cw] LH CHIE I eaHE = -- + fle Bi=== 0 I Jth lil TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam ,,ll"'if~.. ~I ~-I~ ~ ~ ~ ~ ~ " , .2 "' ~ = .02 ~ ~ ~ B ~~~~~riiO~ ~ ~ ~ ~ ~ ~ Jl ~ ~ ~ , 5. ~ ~ ~0 " "' 0 Traininn Location Old elevator lot, NW AtlanticAv m X Not applicable 2779 Big Lake Rd Green Terrace Trailer Park Intersection of25 and 27, P1erz Various Annual Foam Usaae Site Note nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; Na=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O NIY No training with Y I lfoam, quant~ty Class A foam not ltsted y Quantity 3M foam notsoecrfied Class A foam use anlv, site nat ranked Foam not used in training, site not ranked Class B foam not used in training, site not ranked Class A foam use oll!Y.,_ stte not ranked 17 Class A foam use only, site not ranked X X X X X X XIX Not specified Fairgrounds and school grounds 1st Street, Pine River 118 2nd Av NE and 1400 Block Apache Dr Various Vanous I6I I IY ~~999h;~~e!~1 Lone I I9 I I I I I I2 I I I~ Fillmore County Fairgrounds Fillmore St. & Cty ~,Preston Various NINcorner Eagle Creek Av & Arcadia Av (spring 2007) Not specified i y NIY I Class A foam type N Y !Clarey's First Strike Siphon system AFFF. type Ans_ul Jet X. Foam used 1n Itratntng rot specified Class A foam and train ina foam use onlv, site not ranked 14 Class A foam use only, stte not ranked Class A foam use onlv, site not ranked Class A foam use only, stte not ranked 28 Class A foam use only, site not ranked Class B foam not used in training, site not ranked Training s1te not specified, site not ranked r~nVl Page 17 of 25 I 0 N 00 N I-' 0 I-' '-I [CC inwat]] |1 1| H TEayR|E1aI= Hd i ilWL| = SEE iSSE i= + fle = I LO1gi] = --=eEe mE eI Cl 1] fl Lidl di Ramsey Ramsey Randall Randall Randolph-Hampton Randol h RedVVmg Redwood Falls Remer Red VVmg Redwood Falls Remer Robbinsdale Robbinsdale TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 NattonatFoam product 9) Chemquardfoam product Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoectfiedfoam Annual Foam Usaae nnua SITE RANKING CRITERIA Class B Sulface Water Wellhead ,,ll"'if~.. ~I ~-I~ ~ ~ ~ ~ ~ " , .2 "' ~ = .02 ~ ~ ~ B ~~~~~riiO~ ~ ~ ~ ~ Foam Water Wells Protection Usage in Nearby: Wetlands Nearby: Area: site ~ ~ Jl ~ ~ ~ , 5. lllillll ~ ~ ~0 " I I I I I I I I I I I 1 I I I I I I ~~~;~;~;~~:,. "' 0 Traininn Location Site Note Training: Foam Type:l5 gal or 3M current less=2; orformer 6to10 use in lgal=4; ltraininn=8 >10 nal=6 within 114 mile=3; wtthin 1 lmile=1; No=O Nearby: within1/4 mile=3; with1n1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O within 114 mile=3; within1 mile=1; No=O in WPA=5; within 1/4 mile=4; within 1 mile=2; No=O "mm1mal'. Foam X N y X X Not specified used in tra1ning not Y I lspec1fied y Trammg s1te not specified, s1te not ranked X N y X X X N y X NN X N y X X N y X N y X X X Lot across street from fire station (105 Maplewood Dr)l11 Various live bums Not applicable ~nt 316 Ma1n St. E Not specified 11 1 1 1 1 1 1 1 1Foa~ quantities not specified, foam used in tra1ning not 2 !specified a:aJ y y y y y y Class B foam not used in training, site not ranked Multiple training locations, site not ranked Foam not used m tra1mng, s1te not ranked Class A foam use only, site not ranked Class A foam use only, s1te not ranked Training s1te not specified, site not ranked 22222..00006611 [EE Rochester Rochester X N y Rochester Roll1nastone Rochester Rollinastone Rose Creek Rose Creek Roses au Rosemount Roseau Rosemount ~Vl rn I 0 N 00 N I-' 0 I-' 00 y y NIY NIY YIY XIX 2021 41st St. NVV Fire Sta 1 S Broadway & 6th St, Fire Sta. 2: Silver Lake Dr. & 7th St N E; Fire Sta. 3 2755 2nd St. SVV; Fire Sta. 4: 1875 41stSt.NVV 111 Broadwa X I X Fire station Roseau County Fairgrounds field Main Ave N 14700 Shannon Pkwv 101 N I ---rYTX Page 18 of 25 y y 101 N ~~~:~sf:r f~=i~i~~;ly 500 Gallons HCT F500 used annually IA111ire stations located in or adjacentto !Wellhead Protection xiYIYAreas Recently purchased Pumper w1th Class A foam; 'very small a~o~nt" used for ltrammg YIY y 25 Class B foams not used in training, s1te not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Class B foam not used in traininQ, site not ranked seme [CC Cad E [diy (1084 oiFlfia1 4 IH 0 190 10 I. = EERIEESI i= ld =e ILIGe Mhl = ml nHi | Leddl Lisl dds Deoartment Location Roseville Royalton Rush C1ty Roseville Royalton Rush City Rushford Rushmore Russell Sacred Heart Sandstone Rushford Rushmore Russell Sacred Heart Sandstone es gSh Foam Use Frequency in I A m ount Use Foam in Trainina Trainin il~lfli 11 i.. . , .2 ~ = .02 ~ ~ ~ i " B ~~~~~riiO~ ~ ~ ~ ~ NIN NIY NIN y NIN YIN NIY TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunspeclfiedfoam Annual Foam Usaae TillJl ~ 8 5 C' ': "C ~~ ~ ~ ~ T r a i n i n g L o c a t i o n lllillll Not applicable I I I I I I I I I I I I I I I I Not 'peo;fied ~:~ s~tat;on 325 V'J 7 I7 I I I I I 7 ~ X I I X Open lot in y tndustnalparkcul- de-sac on Enterpnse Dnve City dump 12 YIX YIX Not applicable Not applicable Fire hall, 114 Main Street NIX y lJ I I IN I YIY Site Note Foam for fires only; lfoam.~ype and quant1tynot specified Foam quantity not l'pedfied ~~::~~;;",~; | nnua Class B Foam Usage in Training: Foam Type:l5 gal or 3M current less=2; orformer 6to10 use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; wtthin 1 mile=1; No=O Wetlands Nearby: within1/4 mile=3; withtn1 mile=1; No=O Karst Area: Active=5: Transitton=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within1 mile=1; No=O Foam not used in traininq, site not ranked Class A foam use only, site not ranked Foam not used in training, site not ranked Wellhead Protection Area: site in WPA=5; within 1/4 mile=4; within 1 mile=2; No=O Foam type and quantity not s ecified AFFF-AR type Angus Alec Seal 3% 6%, amount used Class A foam use onlv, stte not ranked Class A foam use only, site not ranked Foam not used in train ina, site not ranked Class A foam use only, site not ranked Class A foam use oi!!:L site not ranked 2222.0062 [1 Sarteii-LeSauk Sauk Centre Sartell Sauk Centre x X NIY YTN Sauk Rapids Scandia Valley Scanlon Sauk Ra ids Cushing Cloquet NIN NIY NIN Schroeder Seaforth Sherburn Silica Area Schroeder Seaforth Sherburn Hibbing ~Vl rn I 0 N 00 N I-' 0 I-' \.0 NIY y y NIN Open area in cit Not applicable Dawn dish soap used in training at Sauk Rapids H1gh School, 1835 Osauka Rd Fire hall, 3518 320thi 12 St One time training withnewtruck Tofte Park, Old Highway61 (appears to be same training site as Tofte Fire Dept.) Main & OakS!, Seaforth X Main & 2nd St. E Not applicable NIX 12 y NIX YIX YIX YTX Page 19 of 25 Foam types not specified Foam use "very little" Training site not mappable, s1te not ranked Class A foam use onlv, site not ranked Foam not used in traininq, site not ranked Class B foam not used in training, site not ranked Class A foam use only, site not ranked Class A foam use only, site not ranked Training foam only used for training, site not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked [Te hmaaintid] | [4 ]JL [1] EE Tahaandfi 0 H4 E{ig 8 f[iilt[4 | H1T l= SESE i w= + fl l= foe Bifil | |= EEE = i=] TEE CHE BE] LHull 4 2222.0063 De11artment SilverBav Location Silver Bav Silver Lake Sle~ Solw~ SolwayTvvp Silver Lake Sle~ Sol~ Cloquet South Bend Twp IMankato South Haven !South Haven Spicer Sorina Grove SBM (Spring Lake Park, Blaine, Mounds View) Fire Dept Spicer Sorina Grove !Spring Lake Park St. Anthony St. Bonifacius St. Charles St. Clair St. Charles St. Clair St. Cloud St. Francis St. Cloud St. Francis Foam Use Frequency in I A m ount Use Foam in Trainina Trainin .2 :>o -; (I) C!l i~fiilli~ti ~ ~ ~ ~ ~ ~ 0 ~ : ~ ~ X X NIY YIN NIY XIYIY X TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Other/unspecifiedAnsulfoam (5)AngusForexpanS (7) Other/unspecified Angus foam product 81 National Foam product 9) Chemauardfoam product 101 HCT F-500 A-B Spent Foam 11) Pyrocom Aaua Sliks Destination 1210therorunsoeclfiedfoam ~ ~ Jl ~ ~ ~ 5" ~ ~ ~= "' 0 Trainina Location Front of fire hall (87 ..~ !I~ j 0 5 :;_ (I) - ,_ E -~~ ~ ; til Banks Blvd"1 Public Works storage area, 305 E Main St Annual Foam Usaae I ;! I ~ I U I :I: ISite Note Not applicable Ditch by fire hall, 137 2nd St. NW Fire Station, 4027 Munger Shaw Rd., ~ nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class A foam use onlv. site not ranked 11 Foam not used in train~ site not ranked Class A foam use o~ site not ranked Class A foam use onlv, s1te not ranked NIN XIYIY YIN "YTY XINIY xl~l~ YIY NIY NIY NIY XIX Not applicable Train with other ~ Not applicable ~ North Metro Fire Training Center, Fndley (300 71st Ave) 2800 Block of xl I X I !Anthony Ln S Not specified VV1nona County Fairgrounds in St Charles, and the St X Open field nearSta 2, 70041stAv N., and Sta 4, 1550 45th Av SE City parking lot YIX y Nix YIX YTX YIX y YIX y YIY Foam quantity not specified Have not yet trained lwith foam IT~ain occasio_nally w1th new eqUipment YIY YIY "YTY y Foam type and quantity not specified a:a) YIY YIY Use -20 gal foam and -40 gal training foamint-alnlng 41st Av training site in or adjacent to lWellhe'd Protoctioo IArea Foam not used 1n tra1mng, s1te not ranked Class A foam use only, s1te not ranked Class A foam use onlv, site not ranked Class A foam use onlv, site not ranked Class A foam use only, site not ranked Class B foam not used in training, site not ranked Class A foam use onlv, site not ranked Class A foam use onlv. site not ranked 23 18 Training site not mappable, s1te not ranked 41 r~nVl Page 20 of 25 I 0 N 00 N I-' 0 N 0 [CC LB a ] | i CE ea Ii = = Hl = dhl dsLl | eeoesn EeHE] a EE LH = LW dl 22222..00064 De11artment St. James Location St. James St. John's Umvers1tviCollegev111e St. Joseph jSt. Joseph St. Louis Park St. Louis Park St. Martin St. Martin St. Paul St. Paul St Paul Park St Paul Park St. Peter St Ste hen Stacy-Lent Staples Stewart Stewartville St. Peter St Ste hen Stacy Staples Stewart Stewartville Stillwater Swanville Stillwater Swanville TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae .2 >o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ ~I"'Jl ~ i ~I~ C' ': "' 0 "' "5' ITrainina Location Varoushouse bums, last one at 11th St. S Parking lot, east side of campus, y X Sc1ence Lot #2 y Various XININ NIY XIX Not applicable F1re hall park lot (West Street) NIY NIY 1683 Energy Park Dr.. St. Paul Marathon Refinery train grounds 1003rdAv., St Paul Park ~ ";' ~~ i 0 ~ 5 rfrfi yy 12 X 7 N 2 N 12 y X X NY y X X N y N X N yl I I lxl I I I lxl llx X N NI I I I I I I I I I I I XIYIY X X --,;::rry X I XI Not specified, front of questionnaire not filled out l2 6th Ave SE 30785 Forest Blvd., eastside of fire station, Stacy Various lots, fields Pnor & Martha St.; Hall & Winona Sts Not applicable Stillwater fire station, 216 N. 4th St; Old public works, 216N 5th St; and New public works 3325 Boutwell Rd Vanous y y YIX NTi( NIX y x X NIX YIX ; 4 al d adWBnDid Site Note Got truck 3 years Y I lago nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class A foam use or:!.!L_ site not ranked NIY Class B foam not used 1n tra1mng, s1te not ranked Class A foam use only, site not ranked Foam not used in training, site not ranked Class A foam use only, site not ranked Trainlngat Y I Y IMarathon Refinery Petroleum Front of suiVey not completed. Foam !training fequency and foam amounts assumec high for Y I Y !ranking purpose YTY y IAFFF type National Foam Uriversal Gold y 22 Training at off-site facil1ty, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Class A foam use only, s1te not ranked Class A foam use only, site not ranked Class B foams not used in training, s1te not ranked Foam not used in training, site not ranked ERE i dBE 8 A y y Class B foam not used in training, site not ranked Class A foam use onlv. s1te not ranked | r~nVl Page 21 of 25 I 0 N 00 N I-' 0 N I-' ge [fiiii] mm TH Ji] 1 01 i= ; mee A CCH | piJde 2222.0065 Taconite Ta Iars Falls Thief River Falls Taconite Taylors Falls Thief River Falls Thompson Twp Tofte Twm Lakes Esko Tofte Nay-Tah-Waush Twin Valley Tvvm Valley Vermillion Lake Tower TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES ad HE TD Ji] + fle B= eaHE I LGC teaibily I | EE ESH isSiH nES =] Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS X X X Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin il~lfli 11 ii .. B= ,. .2 "' ~ .02 ~ ~ ~ " ~~~~~riiO~ ~ ~ ~ ~ N y N y N N XIX (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B Spent Foam 11) Pyrocom Aqua Sliks Destination 1210therorunsoeclfiedfoam ~ ~ ~ ~ Jl ~ , 5. ~ ~ ~0 " "' 0 Training Location ..~ J l"' ; -~ ~._ E til 0 ~ 5 :;_ Annual Foam Usaae I uDs~wdoindt;rhain;io.nagpat I I I I I I I I I I I I I I I I vanouslocat1ons 12 N ~i:::~~::t hll 637 1 I7 I I I I I I7 I I I~I X IX I I I Not~icable II I I I I I I, I I I~ I Iv I I I Site Note Class A foam type ~~::~;;:.~~~~~ I I Dawn dish soap in trammg I I ~I I Iy y ~~~~ioiog '"'h [nd hl nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class A foam use o~ site not ranked Class B foam not used in train~ site not ranked Foam not used in train~ site not ranked X X X N y y y N y I X IN I Y XIX Not specified F1re hall, 7240 Tofte Park Road Vanous Haven'ttramed m a long time w1th foam, don't recall location IX I I I X I I I IX IX I I X I IX X I IX NIY XIX Corner of Bradley & ~ebee Fire hall park lot (100 East St. S.) 110W.EimAv 3595 Arcade St south park lot, fire station Various locations State Hwy 1, -1/2 mile west of Junction ~llith State Hwy 169, near Pike River; Junction Hwy 1 & Hwy 169; and St Louis Cty Rd 26, IJUstwestofN Ahlstrand Rd 12 y 2 YIX T2 YTi( y 12 YIX NIX YIX YIX y !Various types of Class A foam used Foam type F1retrol Spent foam to storm sewer (2J%) and ground discharge (80%). F:>am quant1tynot specified. Foam usedfortrammg not ~cified Foam type not specified a'a) YIY YIY YIY YIY A |0 Class A foam use only, s1te not ranked Class A foam use only, site not ranked Class A foam use only, s1te not ranked Class A foam use onlv. site not ranked Class A foam use oi!!:L site not ranked 21 Class B foam not used in train~ site not ranked Multiple training locations, site not ranked YIX Class A foam use only, site not ranked r~nVl Page 22 of 25 I 0 N 00 N I-' 0 N N [= aMinEt]|||}5 [||| TH 4 | 3 HO hdtinl 44 14 144 1 E wCaiatedd||l || 53 0HL I= chiisiiiig i= | + fle d= iL Hdl = I= ii5=50 iisE Les EEE Hl E 5 I Lill De11artment Verndale Villard Vl!:g!_na Location Verndale Villard VJ!:g!na Waconia Waconia Waite Park Waite Park Waldort Wanda Waldort Wanda Warba-Feeley-Sago Warba I warren Warren lvvaoeoo Waseca TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae .2 >o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ ~ ~ Jl ~ ~ ~ , 5. ~ ~ ~0 " "' 0 Trainina Location ~ ";' ~~ i 0 ~ 5 ;! ~ U I ::I: ISite Note nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Bmwn St & 1stAv 2 y X y Class A foam use onlv, site not ranked X Xy y X N y X N y X N y X NN X N y X N y Not applicable xl Fire hall, 1154th I I I IAv. N 1 1 12 2 N X N X N X y X y X y X 7550 Airport Rd; 8075 Paradise Ln; and 26 Ma leSt. S g 1913th Ave. N; 7 y N X X I I IX I xlJlxl and 4th St. N & 4th Ave N Main Street 12 Front of fire hall Not applicable 2 y X y X xl 2 y X 2 N N X l221 W. Johnson I t t t t I t t t12t t~ ~ 1~:~r~~~~;;:areaof I I I12 I I I I I ,I I IY X grandstand. 12 Y X loam .type Royal Chem1cal N y N y y Maple St. and Paradise Ln Jainingsites ocated.in Wellhead X Protection Area y y y y JAFFF foam type Y Y Royal C~em1cal I I I hh N y y AFFF-AR type y Angus Tridol Foam not used in traininq, site not ranked Class B foams not used in train!!l[,_ s1te not ranked 18 Class B foam not used in trainina. site not ranked 11 Class A foam use onlv, site not ranked Class A foam use oi!!:L site not ranked Class B foam not used in train~ site not ranked 2222.0066 r~nVl Page 23 of 25 I 0 N 00 N I-' 0 N w ge fmmm aint] {[iolm hUaldediy Ci IE4 4 iE I 4] {JH JiEJa I4H1] = aId ET iIJe = = I aa 7[ RHl 0 ; = -- SEE IIE TE La 22222..0000667 TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES iI + fle i= Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Deoartment Location Watertown Watkins Wayzata Watertown Watkins Wayzata Welcome West Metro Fire District Wheaton White Bear Lake Williams Willmar Wilson Welcome New Hope Wheaton White Bear Lake W1111ams Willmar Wmona Winona Winsted Wolflake Wrenshall Womin Wmona Wmsted Wolflake Wrenshall W omin Foam Use Frequency in I A m ount Use Fo in a m Trainina Trainin Spent Foam Destination (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam Annual Foam Usaae .2 >o -; (I) C!l "j"1~~1~~1]1 ijtl~ f~ ~~ ~ ~~ ~~ y ii XINIY ~ ~ Jl ~ ~ ~ , 5. ~ ~ ~0 " "' 0 Trainina Location Various(last training in farm yard, 11225 Cty Ill ~ Not applicable Various houses lllillll Site Note II I I I I IINIXIIIII:I 1~;:~~~~~~ io YIX 1 I N nnua Class B Foam Usage in Training: Foam Typer gal or 3M current less=2; or former 6 totO use in gal=4; traininn=8 >10 nal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within 114 mile=3; within 1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within 1 mile=1; No=O Wellhead Protection Area: site in WPA=5; within 114 mile=4; within 1 mile=2; No=O Class B foams not used in train1ng, s1te not ranked Class A foam use onlv, site not ranked Class B foam not used in training, site not ranked NIY NIY YIY XIYIY ---rNTY x X NIY i'ITY X X N y N y X N y X N y X NN N E comer of Dugan St S. and Mill St X 4251 Xylon Av. N City dump, 100 7th Av. N 9th St & VVh1te x X ~ 212 Mam St Fire hall, 515SW X 2nd St Not soec1fied Various--Central Fire Sta., 451 E 3rd; and Technical College, 1250 X Homer Rd., Wmona Baker Av & 2nd St s 233 N. Manninen Av.;235W Johnson St Not specified Not applicable i YIX ii 12 yN N ill y * X X y 2 6 11 y y y y Foam quantity not specified y y y 3rd Street trammg site in Wellhead Protection Area YIY y Class B foam not used in training, site not ranked Class A foam use only, site not ranked Class B foam not used in training, site not ranked Class A foam use only, s1te not ranked Class B foams not used in train1ng, s1te not ranked Class A foam use onlv. s1te not ranked 21 Class A foam use only, site not ranked Class A foam use only, site not ranked Class A foam use onlv, site not ranked Zimmerman-Livonia Zimmerman X N N Zumbro Falls Zumbrota Zumbro Falls Zumbrota Ill Ux X N Y X Xy y XI I I I I Not applicable Front of fire hall, onetime training Behind fire stat1on, 1500 Jefferson Dr I AR-AFF Foam type An usAicoseal3% N Y Only trained one vt--i~~:m~~p:0;~1d Y I !Class A St1k y Foam not used in training, site not ranked One t1me training with foam site not ranked Class A foam use only, site not ranked Notes (a) Foam type or training use not speci~ed, 3M foam use for training assumed seme r~nVl Page 24 of 25 I 0 N 00 N I-' 0 N .j:>. [ee [if il [fbf] I! |iii Baiiln,a fee l= = e | = Dellartment Location := 5 | [8 TABLE 2 ALL MUNICIPAL FIRE DEPARTMENT QUESTIONNAIRE RESPONSES {i i= = | i i] = =re=i = Types of Foam Used 1)3Mbrandfoam (2)Ansul Silv-ex (3)Ansulile (4) Olher/unspecifiedAnsulfoam (5)AngusForexpanS Foam Use Frequency I for Fire Refpo~se I I Foam Use Frequency in Trainina Amount Foam Use in Trainina . I~ !111 il~lfli i 11 i.. .B" .2 , ~ = .02 ~ ~ ~ ~~~~~riiO~ ~ ~ ~ ~ Spent Foam Destination l61 Ia Jl ~ ~~ - ~ '1 5 .e ~ (!; ITrainina Location (7) Other/unspecified Angus foam product 81 Nat1onatFoam product 9) Chemquardfoam product 101 HCT F-500 A-B 11) Pyrocom Aqua Sliks 1210therorunsoeclfiedfoam ve Annual Foam Usaae Site Note i Foam Type: 3M current or former use in training=8 nnua Class B Foam Usage in Training: 5 gal or less=2; 6to 10 gal=4; >10 aal=6 SITE RANKING CRITERIA Sulface Water Nearby: within 114 mile=3; Within 1 mile=1; No=O Wetlands Nearby: within1!4 mile=3; with1n1 mile=1; No=O Karst Area: Active=5: Transitlon=4; Covered=2; No=O Water Wells Nearby: within 114 mile=3; within1 mile=1; No=O " Wellhead z Protection z "' Area: site 0: "'I!! in WPA=5; within 1!4 iii mile=4; ::l within 1 ;;'! mile=2; ~ No=O 0 DELTA 22222..00068 i r~nVl Page 25 of 25 I 0 N 00 N I-' 0 N Ul < igg s8 |le3 Fszz ERERL 7 3 2E|s |Hisa3s2saiseiain5g2.s2i8s5 3 3 2S2300BarFrr L210: = aE lil 2 Ze HE es E e Epsz EPR|Sa BR3iaggi esiisyas TABLE 3 MUNICIPAL FIRE DEPARTMENTS WITH NO FIREFIGHTING FOAM USE g ||:: g=|:|2 S13.2s .8. 2CRE LEI i 33ii3i3s3s5i3s3s8s8i8siizd The following municipal fire departments in Minnesota indicated that they do not use firefighting foams: . Abercrombie Askov Bear Creek Beaver Creek Blomkest Brownsville Canton Culver Delavan Dexter Elrosa Emily Eveleth Felton Goodridge Area, i Goodridge i Haangard, Gonvick, MN Hayward Hollandale Hovland Itasca Kabetogama, Ray, MN Kelsey LaSalle Loman Louisburg Lowry Mahnomen McKinley Millerville, Brandon, MN Minnesota City i: Minnetonka Mission Twp, Merrifield New Munich Perley-Lee Twp, Perley Sedan, Glenwood, MN Skyline, Mankato, MN St. Leo Sunburg Taunton Tintah Tower Tracy Ulen Viking Walters Wanamingo DELTA 22222..00069 :3 stare_o2s21026 ~Vl rn I Page 1 of 1 0 N 00 N I-' 0 N 0"1 [== TOT i |] i wii {4H IE I | 1 "1---f-----+-~ i |W L E SES C R nge pSHu nH ESl L T i iEEE ] d Esltu G,6UIU(liJ.LU!p3snWBO;:l> n ~ lo ~o m n '~ n H H h~ [;I ,II mH i ~ I d ! i|J = = =EE=IEISIEISE ;~1-----------'-"'-""~'~"~''~----t---~~t-~-----t~~t-----t-+--r--+--r-------r--~~ =a ~~r-------~.~"'~,.~,7'"~~~~~7.:=:,t----+-----+-+---+----1--t-t-----t~r-t-~~+-------+-~~ Ee Auenuuv-19 llllllnUU --Ti 1 14 144 22222..00070 STATE_02821027 222222..007711 ~Vl rn I 0 N 00 N I-' 0 N 00 TABLE4 MUNICIPAL FIRE DEPARTMENTS THAT TRAIN1bl WITH CLASS B FOAMS CT idTT OT m= es -- i E == a --= Imam E C I i = ET E E CLE I I Amount Foam Foam Use ~r~quency m Use _1n Trammg Tra1mng Spen_t Fo_am Destmat1on lcacs_ake lcacs_ake qH ,I"' ~ 1,1;;:1 i!l; z] 1 :; .B 51Tram!!l9_Locatlon Ra111oad ROWIJy8Ra111oadSl r~W. Cass Lake HBEIER i CulldmJ Gru1e lcro3slake CulldyeGru1e lcro3slake LllsJurg Colden Valley ~ Colden Valley ~ ~ SldliUII 2 8641 80l11 Sl 3 2 DUilllell r-.Jorthland lomm ~cllege, JU1L I X xl x n -:'800 Coljen ValleyRocd ~ Ip Page 2 of7 Fail EIT HEHE [atin]| {1 Annual Foam Usage SH !Annual Class B Foam Water Usage 1n Foam Type: r5"g/oallooor Nearby within 1/4 JM current less=2; m11e=J; 6to10 within1 gal=4, mile=1; ltram~I=6No=O Wetlands Nearby within1/4 mlle=J; within1 mile=1; No=O Karst Area Actl~e=5; Transition=4 Covered=2; No=O Wells Nearby within 114 mlle=J; within1 mile=1; No=O Area: s1te inWPA=5 within114 mlle=4; within1 mlle=2; No=O IAFFF typ~ US Foam y IP10l881 2M AFFF Multlpletra1n1ng ocatlols, srte notrmked MullrDietrarnrng srte notrmked Mullr['letrarnrnq ocatrols, srte notrmked MullrDietrarnrno ocatrols, srte notrmked 1 I o I1 I T'alnrna at communrllcolleqe srlE not ranked Multrpletrarnrng ocatrols, srte notrml;ed [HH ii Tranngsrtenotspecrfr?d erie rotrmkect I 4 I3 I I 22 13 Tha mae HC0] Ee HT----9EHA 22222..00072 sare ozs21029 ~Vl rn I 0 N 00 N I-' 0 N \.0 he i | Ee HEE HEE HE EEE VIEal = EE e E i WillL E=z a l L b HEi HEHHH LRH TABLE4 MUNICIPAL FIRE DEPARTMENTS THAT TRAIN1bl WITH CLASS B FOAMS i V fi EH == i =HLH I I Amount Foam Foam Use ~r~quency m Use _1n Trammg Tra1mng Spen_t Fo_am Destmatton "'WI ltllllil! Ha~!J..I:l..SI Hlbb_l_llg_ HopkllS IHopkllS Ho~yt Lake3 Hugo Ho~yt Lake3 Hugo LlnwoodTwp lstacv !L1ttloforl IL1ttiDfori = 51Tram!!l9_Locatlon fll-31lal, Ma111Av S 21lU BI-L51l dump, eastotmtesecton ot1~\J & Gordor Rd (not mappatle J2U broJklyn ur h-.Jul o"'eu~ell 1521311othSt SE South Central College 1\Jollh rilmkato Behlndflre3tatlon,22870 Dam f1re, Dwf,ett & 17Cth S i ET) La Caet1i 444 Coa HH E EEET IEREEIE ERRELE [md THEE THT Annual Foam Usage ls1te Note !Annual Class B Foam Water Usage 1n Foam Type: r5"g/oallooor Nearby within 1/4 JM current less=2; m11e=J; 6to10 within1 gal=4, mile=1; ltram~I=6No=O | Wetlands Nearby within1/4 mlle=J; within1 mile=1; No=O Karst Area Actl~e=5; Transition=4 Covered=2; No=O Wells Nearby within 114 mlle=J; within1 mile=1; No=O Area: s1te inWPA=5 within114 mlle=4; within1 mlle=2; No=O Mullloletra1n1ng o~allols, s1te notrmkerl ltra1n With Dawl dish ITmn1n~ off-site at vo-e:h | I T-alnlnq at commun1tycolleqe, sitE not ranked Mult1Pietra1n1no ocatlols, s1te notrmked o(a) L ltraln_l_llQ_ Y Klass A team type Stevenc _1_ Tranngs1tenotspec1f13d, c1te rotrmkect 1 I o I 1I Mult11:detra1n1ng s1te notrmked EERE EEN: PERE HH HE IEEE ERE EEE 39 == TI == EINI>lN'V~ 3l.IS ll'V'i:l3AO Cd 0] FH UH;iu~ Cait TT14 (1 ~~ !~~ ~-~~- ~ ~~z:s:;:E:s:Ez 11 ~ ~ ShhHw ; Ent ~:;.~8~ ~ ~~~~-~~-0 ~~~~~~~ gut HH ~~ !~~ -~~-~ w:S:z~;:E~Ez Cad u~HHh: CHidT ET if 77 [1 f ~ c g ~n n n ~ LL!! ltu ..""'' 12 e . g 3 u med ... ~~~ w g ...J Ill <( 1- 1- ili I= EEE "~'iii ~ w "u:' ~ u J ~ = = !. : i "' I ~i I ' SUOIIBEIOQ(;UB4lEIJOVII ~ SS91 JO SUOijeE) 0 ~ G,6UIU(l1Jl_U!p3sn WBO;:l WRO;:l6U!U!J;!..I I IHl i H"EE] ~ ~ ~ i J!:jd~s ~l!s-uo HM~S li.JR~!URS ~UOII<!B 0~ U1:!4l OJOlo\,1 T ~ ~ = ~~ suo neB 0~ o~ SUOIIRB suouRBguet.nssel X AllllUO!SB~:lQ Auenuuv-19 Auenuu AllllnUU'If'"!W~S AIJe:j.jeno .'ii4~UOlo\,l X == 1] A111~a WL j ! ~ ijn t ' 22222..00073 STATE_02821030 TIE Cd {| [LTT TH [ati 4 CT TH CHT Eg HHT Cate TC Fad | H [TLHHHT] I Ea e M alE e EEE iE i i = EEE e aie]i ill LL S=--lissSSssiiSiis Ss TABLE4 MUNICIPAL FIRE DEPARTMENTS THAT TRAIN1bl WITH CLASS B FOAMS i EE I I = E HE n T E E =H 22222..00074 I I Amount Foam Foam Use ~r~quency m Use _1n Trammg Tra1mng Spen_t Fo_am Destmat1on qH ,I"' ~ 1,1;;:1 i!l; z] 1 :; .B 51Tram!!l9_Locatlon r~ot cpec1fied ' t NE i Annual Foam Usage !Annual Class B Usage 1n current Foam Type:l~r=~~i~rg JM lless=2; ltram!!!SE8 ~~~1=6 Water Nearby ~~hin l:i~:~~:; ~~~;;1; ~~~~~~~y1/4 IKarst Area l:i~:~~nJ; ~~~~;1; l*~~~s~~:~=4 Covered=2; No=O Wells Nearby within 114 mlle=J; within1 mile=1; No=O Area: s1te inWPA=5 within114 mlle=4; mlle=2; No=O Mullii:detralnlng ocallols, s1te notrml;ed Trannqsllenotspeclfl?d, c1te rotrmkect re Norhrop Canyon Norhrop Pel1can '<ap1de Pel1can '<ap1de ~Vl rn I 0 N 00 N I-' 0 w I-' F1r2hal, 7271 Hwy Behind f1re lEI I, 2~ 1 N YIY :nest1ckuced Y I Y lannuallv _3_ 1-'IErz 1\81 IF1r2 hal 301 Lcne TrEeSl'eet ~-.Jot op ec1fi ed .tll..2::. > Page 5 of7 Cuanl1tv 2M fcam notspec1t1ed Y I Y IAI-ea FoamqJGnllllosnot Mult1pletra1n1ng ocatlols, s1te notrmked I Trannosllenotspeclfl?d, c1te rotrmkecJ sare oason [== ]4 r-- CoHIRERRI uti !r----j:r-D Hd31-3 IEE | 0] - { Hd- 141jr----2 r-- - 1 - CiEC toedm {1Hm [1H10H 1d | y ~ dH iT 1 I{idk iid] Tid] JH fii dg' 2 ~'~ ~i"~I | ~~~ iif Sho~jidelitiniiLag~~ C~i]Ed HE E =Ee E Li) I EE ee rei Ee E= i 7 ~~----------~~~--~++~~++4-------~+---~------~~~~~--~ = G,6UIU(liJ.LU!p3sn WBO;:l ji = HII=21 SEE |S-- H == i l= iinHEE i fi 4 = ;~l-----------'-"'-""~'~"~''~--~---+--~-------+--r--+--------t-4-----4----1 ~~r-------~.~"'~,.~,7'"~~~~~7.:=:,t-~r---~--+-------~~--~-------+~r-----r-~ Auenuuv-19 llllllnUU H (nEE e eE n e i 22222..00075 STATE_02821032 -- ATE Cad TH] CitiHT{TH Co1[HE ee i| = E n i oo--b ------ FR0 EE0 R EH =H TABLE4 MUNICIPAL FIRE DEPARTMENTS THAT TRAIN1bl WITH CLASS B FOAMS Hal iii==s 0 [li ; I o = H gi IEE {INE I | =A LHL i i i LHI| Li I I Amount Foam Foam Use ~r~quency m Use _1n Trammg Tra1mng Spen_t Fo_am Destmat1on !lflfl 1~ 1~1'i1 ~~I:~. !Tyler ~ ~ Tyler ~ ~ lvvase~a 51Tram!!l9_Locatlon Comer of Brajley & App ebee Waseca Cty Fawg,ound. area of 1~1-allU stallC Is r-.Jt: comerotULgan0t::, ril111st LhU Honerkd "1V1nona ih [at [1e {d 1 [if I] ah | al Ii Annual Foam Usage !Annual Class B Usage 1n Foam Type:l~r=~~i~rg 'M '""'"' ""~'; or fonner usein 6 to 10 gal=4; ltramm =8 >10 al=6 Water Nearby ~~hin lm'"~'; w1thm 1 mile=1; No=O ~~~~~~~y1/4 IKarst Area lm."~'; I"""~'; w1thm 1 mile=1; Trans1t1or Covered=2; No=O No=O Wells Nearby within 114 mlle=J; within1 mile=1; No=O Area: s1te inWPA=5 within114 mlle=4; within1 mlle=2; No=O _!f'!_ Maple Stand ~~~:~~sc3at~~ ~~alllngl IWPIIhPFrlPrnt~rtlnn y Iy Multiple tra1n1ng ocallols. s1te not ren~ed DELTA 22222..00076 ;i [Ep-- r~nVl Page 7 of7 I 0 N 00 N I-' 0 w w ==, TI -- r~ T [fCfutiie] || [|1]] HIT 1 RE EEEE r--- r---- Cad CEE ~r--- r---- hind||{1~r--- g ERr---- |EEEEE {fatiultedti{|| ||]] HT1 C111 'r--- r--- r--- NEE t wr 1: ~ lt g; E \j 1 ~ g ~jiJ Il= E E E EEm Sem i E hE o iEe E E m re r m ne eE m n m e T o e s~uew:j..redea JEILHQI\qel5.reLps!Orenuuv ~~ E = T = IE T Ll Ll: m~ii5UIJ8 SlU9Wl,Jed9Q JEILUQ OQ ~~~r-------~,,~~!1!0~.+,----t-~~tt~-rt-f-----t----t--~----~---+---r-----------+-----------r~ ~ ~Z!I!ln SlUEIW)Jl!d9Q JEILjlQ i{ ! 1 J r I e nIC 1e ii ]I 55 O!tdeg Ell!SUQ E H EL JEIMEISA.I"el!Ul!S " 2 e ; E 0 " ~ i E ~~ ' ' '~ c ~ ~3' 5 [1'0:5 c i1 Ir~ :~ --=== SUOijil6QSUilLjlEIJ0Lr'l 0 suoueflosotsc: suoueflgc;oto> suou-..BoL~S SU0jll!6g suoueBsueLnssel == 1 r\iil!UOISl!OOQ Alrenuu'rf-!8 = ~ r Auenuuv AuenUU'if!W<IS H AIJelJeno E AIL!lUOLII EEE EH A1~eeM l,6U!U!llJ.1U! pesn Wl!O.:I Wr E r ~' r~r-----~~~~----t-~r-t-----t-i-----i----+--~----~---+---r-----------+-----------r~ | C 1i1 A ~j 4 Ei E c ~ > g"E~~ 0 ~ E 2 ~ ~ ' ~ e ~ ~ 1' J:L'::: ! !~ "u ij 4 ill 3: f 'I ~ ~~ ~ E E u ihliI ;; iia8 4 "~' - - ~~ J-- STATE_02821034 22222..00077 IHi II IES :| Lagi 11 [abil 1 | {fy | 1 Lod |[1] hed [11 f or] | = IW=e E a Ea E d = iEl s~uew:j..redea JEILHQI\qei5Jl!lj:)S!Qil!nUU'If == m~ ii5UIJ8 SlU9Wl,.red9Q JEILHQ 00 ~~~r-------~,,~~!1!0~.+,---r----------+---------~------~ ~ ~Z!I!ln S~UEIW)Jl!d~Q J~LI~Q i= iRT fmie t E 55 D!~des ~~!s-uo JEIMEISA.il!l!Ul!S H 0 IIr ==IEEE ~ :~ SU0111!15 OS Ul!LI~ EIJOLr'l suouefl OS o~ S?; suouefl gc; o~ 0 > SU0111<15QL~9 SUOIIl!flS suoueflsueL.nssel = ~ 1\iil!UOISl!OOQ Alll!nUU'rf-!8 Auenuuv Auenuuv-!w<~s H AIJelJeno E AllllUOLr'l ==Aj~EIEIM l,I5U!U!llJ.1U! pesn Wl!O.:I E1 =EI 0 E ~' r~r-----~~~~---r----------+---------r-------~ F~ w " | ! | Hi Tht if~ co n~ "~' 0 5, l1ili hal 22222..00078 ' sSTtaArTeE__o022882211003%5 --_-- TABLE 6 TRAINING SITES WITH 3M FOAM USE e [Ei e m e n] e Fe| Department Porm biI TomTo To To Marathon Refinery EsEE ee TTTTTT Flint Hills Pine Bend Training Location Refinery fire training !grounds, St. Paul Park Refinery fire training Foam Type: 3M current or former use in training=B Annual Class B Foam Usage in Training: 5 gal or less=2; 6 to 10 gal=4; >10 gal=6 8 6 (250 gals) SITE RANKING CRITERIA (!) z ;;:: Wellhead z Protection ~ Surface Water Wetlands Water Wells Area: site in w 1- Nearby: Nearby: Karst Area: Nearby: WPA=S; iii within 1/4 within 1/4 Active=S; within 1/4 within 1/4 ..J ..J mile=3; within mile=3; within Transition=4; mile=3; within mile=4; within <( ~ 1 mile=!; 1 mile=1; Covered=2; 1 mile=1; 1 mile=2; w > No=O No=O No=O No=O No=O 0 3 3 5 3 2 30 Refinery MN Air National Guard feamee fE oese | Sfeemeel 148th grounds, Rosemount Duluth International Airport1b1 1920 Lee Blvd., North 8 6 (300 gals) 6 (No foam used in training; up to 100 8 qals for response) 1 1 1 3 3 TT[Lf 4 3 0 23 0 3 0 23(b) South Central Colleqe Mankato sll 6 (up to 60 qals) 1 1 2 1 0 19 Metropolitan Airports Comm1ss1on at Er meTe oe To ee M1nneapol1s/St Paul International Airport MSP 8 6 (up to 40 gals) 3 3 5 3 Former Wrenshall Refinery Highway 1, Wrenshall gl) 6 3 3 0 3 5 33 2 251' 1 205 3rd Avenue SE, Hutchinson Hutchinson 8 6 (up to 20 gals) 3 1 0 3 5 26 North St. Paul Public Works building, 2303 1st EET TTT North St. Paul Street N 8 6 (up to 20 gals) 3 1 2 3 5 28 bee Bree wo lon[TT T L Fairmont hb ee om | |e[n |e|] Marshall p ee ee e St. Clair City shop park lot 417 E Margaret St., Fairmont gl) 6 (up to 20 gals) 3 3 0 1 0 21 Marshall Merit Center, 1001 W Erie Rd City of St. Clair agl) 6 (up to 20 gals) 3 3 0 1 0 21 I I 6 (up to 20 qals) 3 1 2 3 0 23 ee Ls TECTE Bemidji Bemidji Municipal Airport 8 4 (5 to 10 gals) 3 3 0 3 5 26 Behind fire station, 22870 Linwood Twp Typo Creek Dr , Stacy 8 4 (5 to 10 gals) 3 3 0 3 0 21 ee Pomme lonI LT.TTL) Upsala 110 W Elm Av., Upsala 8'') 4 (up to 10 gals) 3 3 0 3 0 21 1683 Energy Park Dr., St bebo ee TL St. Paul Paul 8 4 (5 to 10 qalsl 1 1 5 3 0 22 fe Fe Ten oo| I] Lismore Barn fire, Birkett & 17oth St, Lismore 81) 4 (up to 10 gals) 3 1 0 0 0 16 bo Pe TeTomem TL] 1312 Minnesota Ave., Breckenridge Breckenridge gl) 4 (5 to 10 gals) 1 1 1 0 15 Fire Sta. #1, 300 Madison SEE Mankato Fridley Ave., Mankato 8 4 (5 to 10 gals) 1 0 5 1 0 19 North Metro Fire Training Center, 300 71 st Ave Fridley 8 2 (5 gals or less) 1 3 4 3 5 28 Fillmore County Fairgrounds Fillmore St Preston & Cty. Hwy. 12, Preston 8 2 (5 gals or less) 3 3 5 3 4 28 Fire Station 2 8641 8oth Cottage Grove St. S., Cottage Grove 8 2 (5 gals or less) 3 2021 41st St. NW, Rochester Rochester 8 2 (5 gals or less) 1 259 Medina St. N, be oTTeme Loretto Loretto 8 2 (5 qals or less) 1 tr Lake Superior College 11501 Hwy. 23, Duluth 8 2 (5 gals or less) 3 ee bre a Littlefork Fire hall, McPherson & 3rd Av gl) 2 (5 gals or less) 3 Fire stat1on, 103 Canton, bm lemme mT Montevideo Montevideo 8 2 (5 gals or less) 3 Intersection of 25 and 27, Ee a Pierz Pierz 8 2 (5 qals or less) 3 25 37th Ave NE, be lomm T Tomeonlo Minneapolis Minneapolis 8 2 (5 gals or less) 3 ES el Buyck 8035 Orr-Buyck Rd., Buyck gl) 2 (5 gals or less) 1 3 5 1 5 27 1 5 3 5 25 I] 1 0 1 5 18 eeeeee 3 0 1 0 17 | 1 0 3 0 17 [|[] 3 0 1 0 17 3 0 1 0 17 [ o[] 1 4 1 0 19 TeTTT 3 0 0 0 14 Page 1 of 2 22222..00079 [Ep-- STATE_02821036 - TmABeLEe6 TRAINING SITES WITH 3M FOAM USE | [ Lw E e [roaw e rE s f) ro o Ro rr]c Coee3snw s g m[= w roca| Department =f Claremont Training Location Front of fire hall, Front St., Claremont Foam Type: 3M current or former use in training=B Annual Class B Foam Usage in Training: 5 gal or less=2; 6 to 10 gal=4; >10 gal=6 SITE RANKING CRITERIA (!) z ;;:: Wellhead z Protection ~ Surface Water Wetlands Water Wells Area: site in w 1- Nearby: Nearby: Karst Area: Nearby: WPA=S; iii within 1/4 within 1/4 Active=S; within 1/4 within 1/4 ..J ..J mile=3; within mile=3; within Transition=4; mile=3; within mile=4; within <( ~ 1 mile=!; 1 mile=1; Covered=2; 1 mile=1; 1 mile=2; w > No=O No=O No=O No=O No=O 0 8 2 (5 gals or less) 1 0 3 0 14 315 N. Main St., at Main & Church Sts., Buffalo Buffalo Lake lowe Hardwick EeMyrtle beewe Northland Lake 8 2 (5 gals or less) 1 1 0 1 0 13 Ball field parking lot, Poll 1 0 Tocpen | [ T0T0ToTol Hardwick gll 2 (5 qals or less) 1 1 0 0 0 12 meSee ERTTee Myrtle ball field, Myrtle gll 2 (5 gals or less) 1 0 5 1 0 17 F1re hall, 7271 Hwy 53, BoB]0 Jocomewn] +[0To 0TcTol Canyon gll 2 (5 gals or less) 1 1 0 0 0 12 Notes (a) (b) akc Foam type or training 3M foam not currently en a, coe i Are Sed use not specified, 3M foam use for training assumed used in training, but currently used in fire response Site ranked 1d based on 1use of afoam in fire response (c) Ranking assumes maximal use of 3M foam in training exerc1ses oDEeLLTAA Page 2 of 2 22222222..00008800 SSTTAATTEE__0022882211003377 AAppppeennddiixx AA AAppppeennddiixx BB AAppppeennddiixx CC AAppppeennddiixxDD AAppppeennddiixx EE AAppppeennddiixx FF AAppppeennddiixx GG LLiisstt ooff AAppppeennddiicceess QQuueessttiioonnnnaaiirreess ttoo/fffroromm UU..SS.. MMaannuufafaccttuurreerrss ooff FFiirreeffiigghhttiinngg FFooaammss QQuueessttiioonnnnaaiirreess ttoo MMiinnnneessoottaa UUsseerrss ooff FFiirreeffiigghhttiinngg FFooaammss QQuueessttiioonnnnaaiirreess ffrroomm MMuunniciciippaall FFiirree DDeeppaarrttmmeennttss QQuueessttiioonnnnaaiirreess ffrroomm AAiirrppoorrtt FFiirree DDeeppaarrttmmeennttss QQuueessttiioonnnnaaiirreess ffrroomm FFiirreeffiigghhttiinngg TTrraaiinniinngg SScchhooolosls. QQRiuupeelsestytiioonnnnaaiirreess ffrroomm OOiill RReeffiinneerriieess aanndd CCaammpp Ripley IInnddiivviidduuaall TTrraaiinniinngg SSiittee PPrrooffiilleess 222222..008811 STSATATTEE0_208282211003388 AAPPPPEENNDDIIXX AA QQuueessttiioonnnnaaiirreess ttoo//ffroromm UU..SS.. MMaannuufafaccttuurreerrss ooff FFiirreeffiigghhttiinngg FFooaammss * QQuueessttiioonnnnaaiirree + CCoovveerr LLeetttteerr ttoo MMaannuufafaccttuurreerrss LLiisstt ooff MMaannuufafaccttuurreerrss 33MM RReessppoonnssee DDyynnaaxx CCoorrppoorraattiioonn RReessppoonnssee + WWilillliiaammss FFiirree && HHaazzaarrdd CCoonnttrrooll RReessppoonnssee 22222222..00008822 SSTTAATTEE__0022882211003399 DEO LTAN PPQFFUCCssEiiSnn TFFiiIrrOeeffiNigghhNttiiAnnggIRFFooEaamm 1. JArihsetPeECxseuisrdei iyioutrttehiiincglkfssimacntacing proces made singa lomerzaion process 1. Are the PFCs used in your firefighting foam manufacturing process made using a telomerization process or an electrochemical fluorination (EFC) process? 2 On he PEGsus in he marae a your efghin oars contain of dra operon 2. Do the PFCs used in the manufacture of your firefighting foams contain or degrade to perfluorooctane Cite Pros perhrooimacea (CHR perm sl BA. o ah Ste sulfate (PFOS), perfluorooctanic acid (PFOA), perfluorobutanoic acid (PFBA), or other derivative SN rt cononss substances? If so, under what conditions? 5 vSeayouncursently devioing or manufac refhing foams ha do ok cane PECs? Under what 3. Are you currently developing or manufacturing firefighting foams that do not contain PFCs? Under what brand name? Please compit h tached Tal garding yous cen andor pst manufacturof rfghing farms Please complete the attached Table regarding your current and/or past manufacture of firefighting foams. Dolla Constant hanks you for your ime and coapraion Please ret is uesionnate in he enckosed Delta Consultants thanks you for your time and cooperation. Please return this questionnaire in the enclosed Came sc atesses map 15 Oaks Concent 3 eys. Please cota anes Ronin. Seta stamped, self-addressed envelope to Delta Consultants within 30 days. Please contact Nancy Rodning, Delta ha 7523 ro ie ary avons gaint Consultants, at 651-697-5152 if you have any questions regarding this questionnaire. [------ Questionnaire completed by: we Name -------------- Title ComCompany/Division ------ Date Kinogen .. Prone: 551890 54014005i0e0C4u7e1 p74k1eyFoc S8ut5so1n 6w5paru5oHe5nts54s5r5m276 cU3osa 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449/800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00083 sate_02621040 STATE_02821040 E g3fl | 3 $8 =ge8 sp i `gs iss Se usd Hlfd HR iH Sf: DE < QUESTIONNAIRE PFCs in Firefighting Foam iin ii Type of Foam Is/Was foam type manufactured by Company? (yes or no) &2 i Brand name(s) foam is/was sold under? i ii: Years of brand production? Is/was foam made with PFCs? Is/was product made with or degrade to PFOS, PFOA, PFBA, or other? Please specify & 28 a4 22222..00084 1) 2) gg Aqueous Film-Forming 3) Foam (AFFF) 4) 5) 6) 1) 2) Ef AFFF-Polar Foam 3) (AFFF-P) 4) 5) 6) 1) 2) :: 5 AFFF Alcohol-Resistant 3) Foam (AFFF-AR) 4) 5) ~ 6) Vl rn I 0 N 00 N I-' 0 .j:>. I-' $y LH 5<3 ifsiid 5% es 8 E gd) i iB= i3 si 1 fE 3 g2 fi oa fd ri 0 E L T A.'- Type of Foam Is/Was foam type manufactured by Company? (yes or no) - - -- ---- -- -w--w- ----- Brand name(s) foam is/was sold under? Years of brand production? Is/was foam made with PFCs? Is/was product made with or degrade to PFOS, PFOA, PFBA, or other? Please specify 22222..00085 ie i Ruornprn~inFoam~~ Fluoroprotein Polar Foam (FP-P) Film-Forming Fluoroprotein Foam (FFFP) ~Vl rn I 0 N 00 N I-' 0 .j:>. N = 1 1) 2) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4) 5) 6) 1) 2) P3)'--~~~~~~~~~~~~~~---1r---~~~~~~r---~~~~-+~~~~~~~~~~ 4) 5) 6) 1) 2) 3) f---.'-''--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5) 6) E $y i[iie: g38 l}5 58) =H3I58 3 g2 iy fi > ot u0 d3 is 0 E L T A.'- Type of Foam Is/Was foam type manufactured by Company? (yes or no) 3 - - -- ---- -- -w--w- ----- 5% es 8 Brand name(s) foam is/was sold under? Years of brand production? Is/was foam made with PFCs? Is/was product made with or degrade to PFOS, PFOA, PFBA, or other? Please specify 22222..00086 i3t FFFP-PolarFoam (FFFP-P) FFFP Alcohol-Resistant Foam (FFFP-AR) iz E 1) 2) ~3)~----------------------------+-------------r-----------+------------------ 4) 5) 6) 1) 2) f--'-'3)'------------------------------+-------------t-----------+------------------ 4) 5) 6) 1) 2) Training Foam ~Vl rn I 0 N 00 N I-' 0 .j:>. w 55 f---'-'3)'------------------------------+-------------r-----------+------------------ 4) 5) 6) DELTA Kinogen:____ SSUUSSTTAAIINNAABBLLEE SSTTRRAATTEEGGIIEESS FFOORR GGLLOOBBAALL LLEEAADDEERRSS sorta, 2000 April 4, 2008 MANUFACTURER ACORESS MANUFACTURER ADDRESS Subject Research on PEGs in Fein Foams Subject: Research on PFCs in Firefighting Foams oorDear Dota Constants, an bell of the Minesaa Polson Conirl Agency, 5 Delta Consultants, on behalf of the Minnesota Pollution Control Agency, is Conaucio asec io th Teton an caer vs af poatecps conducting research into the historical and current use of perflurorochemicals ((PPFFCCss)) iinn ffiirreeffigighhttiinngg ffooaammss.. IItt iiss tthhee uunnddeerrssttaannddiinngg ooff DDeellttaa CCoonnssuultltaannttss tthhaatt eatin ams ae managred win PECL ha may ceeds io firefighting foams are manufactured with PFCs that may degrade into peuooocane Sue (FFOS). | peruprocanc 463 (FOR) perfluorooctane sulfate (PFOS), perfluorooctanic acid (PFOA), Peangans oon (FEA. and ine Tuated compounds Wi ec perfluorobutanoic acid (PFBA), and other fluorinated compounds. With recent Fine concam about PFOS. FROA ani FEB i ne onkonman ne public concern about PFOS, PFOA and PFBA in the environment, the Timesoa Fouian Conrol Agency seoag fuer iormaion tom Minnesota Pollution Control Agency is seeking further information from ling am manures abo ho comgoshon of he toning Gare firefighting foam manufacturers about the composition of their firefighting foams, inc Gayof PaCS 1 he or. an han ames of amsFscueed the degradation of PFCs in the foams, and the brand names of foams produced ow asm epost now and in the past. 48 0 maniacs offing as, Dota Consutants and th Manesota As a manufacturer of firefighting foams, Delta Consultants and the Minnesota Poluion Con Agency ae soi fo your nap and peice Oota Pollution Control Agency are asking for your help and expertise. Delta Constants 5 requssing you o on of you pets compiets 1 stached Consultants is requesting you or one of your experts complete the attached Guesiomare: Tha mason om Jou ans ane echoing foo questionnaire. This information from you and other firefighting foam tacts wi bo ced 3 CoTOSRTENG opr for i MATES] manufacturers will be included in a comprehensive report for the Minnesota Peon ont Agency ht nce corey spans md Pollution Control Agency that will also include a survey of fire departments and ir elaine ovo he Ste pari ht vor of Wetaing other firefighting entities throughout the State regarding their use of firefighting ah foams. Dota Consus and ne ianesta Potion Conol Agency ape you Delta Consultants and the Minnesota Pollution Control Agency appreciate your SeSarce. Haass ou he compan Qvesonnars 15 Oke Corsuka assistance. Please return the completed questionnaire to Delta Consultants in re enioso aatesst emiope wih 30 dove vo he a1 avesion o the enclosed addressed envelope within 30 days. If you have any questions or Conca regnd ese h atahed uessonnte, pease co concerns regarding this research or the attached questionnaire, please call: Nancy Roding, ota Consus, 6516575152 Nancy Rodning, Delta Consultants, 651-697-5152 Nie Zalous. Remediation ison, WPCA, 69 2007258 Nile Fellows, Remediation Division, MPCA, 651-296-7299 Sncuay, DSEinLceTrAelyC,ONSULTANTS DELTA CONSULTANTS NancyRoding Nancy Rodning poh) Project Scientist enclosures: Quesiannas and Stamped SalAdssed Envelope enclosures: Questionnaire and Stamped Self-Addressed Envelope ERS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 li!LlilUI!td:!J::JJ~;;t!mJcd;"Q~~!ll 22222..00087 SATE 02821084 STATE_02821044 DELN TAL PPQFFUCCssEiiSnn TFFiiIrrOeeffiNigghhNttiiAnnggIRFFooEaamm 11.. oAArarre hthecelPPeEFcCCrsoscuuhssaeemdaiilnn yoyooruuarrtfririeefofgignhht(tiinBnEggCof)osapmmrovmmeaasnnsuu?ffaaccuturriinngg pprroocceessss mmaaddee uussiinngg aa teelloommeerrizzsaitioonn pprroocceessss or an electrochemical fluorination (EFC) process? 2. Do the PFC use in the manufacture of your refghing farms contain or degrade 0 perloraoiane 2. Do the PFCs used in the manufacture of your firefighting foams contain or degrade to perfluorooctane Sal (PFO. paucronaance (FOR), perronanc cd (PFBA) or ont erate sulfate (PFOS), perfluorooctanic acid (PFOA), perfluorobutanoic acid (PFBA), or other derivative Substances? 35 andor wh condions? substances? If so, under what conditions? 33. AAarrneetyyoouunaccumurerre?ennttlyy ddeevveellooppiinnggoorrmmanaunfuafactcuturriinngg rsfghting firefighting ffooaammss tatthat ddoonnoott ccoonnttaaiinn PPFECCs?? UUnnddeerr wwhhaatt brand name? PPlleeaassee ccoommppelettee ththe aaittaacchheedd TTaabbllee rreeggaarrddiinngg yyoouurr caren current aanndd/oorr pstpast mmaannuuffaaccttuurreeoofrefighin f firefighting ffooaammss.. soSDDtomaeatslmmtaauppRCCoeoad.onr,nsssssul,eutlllaft8-aanant5ddtsrds1rethe-hsasa5ssnneek0kdss7oeyy-nnoovvuu3eeof1llooro5yrppoeyy3ouo1tuouhrraDDttviimeeemltaeeaaanaCCnynooddnqnsuccsueooustoolttapapineneotrtrnssassttwwiFooininteh.iignPllae53e00aansddsetaayytrees.ut.uQlPrumneleesitashisoissennuqccauoeornensetst.taaticcoottnnNNnnaaaaninrececyyiinRRthtoohddennneeinngngc,c,loaDDssoeeteldtaa Consultants, at 651-697-5152 if you have any questions regarding this questionnaire. Questomare Questionnaire ccoommppeletteedd byby: EE Name wmTitle CompanoRon Company/Division weDate NKinogea n Phone: 65F 164468 33005 4777411 Foy x 651 638wo.5del4t-- os7nct3on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449/800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..00088 STSATATTEE0_208228211004455 E g3fl | 3 $8 =ge8 | i sy | if ` figss Se usd Hlfd HR iH Sf: DE < QUESTIONNAIRE PFCs in Firefighting Foam iin ii Type of Foam Is/Was foam type manufactured by Company? (yes or no) &2 i Brand name(s) foam is/was sold under? ii: Years of brand production? Is/was foam made with PFCs? Is/was product made with or degrade to PFOS, PFOA, PFBA, or other? Please specify & 28 a4 22222..00089 1) 2) gg Aqueous Film-Forming 3) Foam (AFFF) 4) 5) 6) 1) 2) Ef AFFF-Polar Foam 3) (AFFF-P) 4) 5) 6) 1) 2) :: 5 AFFF Alcohol-Resistant 3) Foam (AFFF-AR) 4) 5) ~ 6) Vl rn I 0 N 00 N I-' 0 .j:>. 0"1 $y LH 5<3 ifsiid 5% es 8 E gd) i iB= i3 si 1 fE 3 g2 fi oa fd ri 0 E L T A.'- Type of Foam Is/Was foam type manufactured by Company? (yes or no) - - -- ---- -- -w--w- ----- Brand name(s) foam is/was sold under? Years of brand production? Is/was foam made with PFCs? Is/was product made with or degrade to PFOS, PFOA, PFBA, or other? Please specify 22222..00090 ie i Ruornprn~inFoam~~ Fluoroprotein Polar Foam (FP-P) Film-Forming Fluoroprotein Foam (FFFP) ~Vl rn I 0 N 00 N I-' 0 .j:>. '-I = 1 1) 2) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4) 5) 6) 1) 2) P3)'--~~~~~~~~~~~~~~---1r---~~~~~~r---~~~~-+~~~~~~~~~~ 4) 5) 6) 1) 2) 3) f---.'-''--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5) 6) E $y i[iie: g38 l}5 58) =H3I58 3 g2 iy fi > ot ud o% 0 E L T A.'- Type of Foam Is/Was foam type manufactured by Company? (yes or no) 3 - - -- ---- -- -w--w- ----- 5% es 8 Brand name(s) foam is/was sold under? Years of brand production? Is/was foam made with PFCs? Is/was product made with or degrade to PFOS, PFOA, PFBA, or other? Please specify 222222..009911 3 Ha it FFFP-PolarFoam (FFFP-P) FFFP Alcohol-Resistant Foam (FFFP-AR) iz E 1) 2) ~3)~----------------------------+-------------r-----------+------------------ 4) 5) 6) 1) 2) f--'-'3)'------------------------------+-------------t-----------+------------------ 4) 5) 6) 1) 2) Training Foam ~Vl rn I 0 N 00 N I-' 0 .j:>. 00 ` 5 f---'-'3)'------------------------------+-------------r-----------+------------------ 4) 5) 6) LLIISSTTOOFF FFIIRREEFFOOAAMMMMAANNUUFFAACCTTUURREERRSS TTCyyocclooleFFeiinrree&R&eSpSepcelucirueirrittyy(CAAnsnsuull)) 4CPPr5roee1lsslieiNddeoeernnnttth,R, eTCTypoyccnpoonlioeFFnirirreeAv&&enSSueeec.cuuririttyy T4LLea5alnen1:ssdNda2aol1lreet5hPP3ACA9a311n-99n044o244n4661Avenue TFFEameaxalx:ie:l:: 222111co555ll333ee966n322..--r088e277p422p177lier@tycofp.com whw.ansul.com/n/hame.asp Email: colleen. repplier@tycofp.com www.ansul.comjenjhome.asp DDMuauPrPokontnP.t Vergnano MGGrraooruukppPVV. iVicceeerPgPrnreeassniioddeenntt-- DDuuPPoonntt SSaaffeettyy && PPrrootteeccttiioonn 4BB4aar1rl7leeyyLaMMniclialllstPPellraazzPaaike WW4i4li1lmm7iiLnngagtntoocnan,s,tDeDrEEPi11k99e880055. wwwwww..dduuppoonntt.ccoomm JCCohhheenmmgVguiuaearwrdedger JVVoiihccnee PVPrrieeesswiiddeeegnnett,r, SSaallese&&s MMaarrkkeettiinngg,, FFiirree SSuupppprreessssiioonn DDiivviissiioonn 2M2a00n44sfSSiooeuulttdhh,SSTiixxXtthh7AA6v0ve6en3nuuee 8M811a77n--s44f77i3e3l--d99,99T6644Xxx22706060663 [R---- www.chemguard.com UUS.S. FFooaamm TTeecchhnnoollooggiieess AAPrlleddseeinndenOOtzz,mmeU.enSnt.t Foam Technologies 8P800re00siEEdaaessnttt,CCoUott.tStoo.nnFSSottarrmeeeettTechnologies 9LL0oo3nn-gg7vv5ii3ee-ww3,,90TT1XX x7175506600022 w9w0ww3ww-7.5uu3ss-ff3oo9aa0mm1.ccxoo1mm00 KKKiiiddddddeee FFFiiirrreee FFFiiiggghhhtttiiinnnggg., aa UUTTCCFFiirree && SSeeccuurriittyy CCoommpapnanyy. KAAuitntdn:d:eBBFrriyyraaennFRRigaahmmtibbnoog S11u88i00teSSh3he9err0ee0ee BBllvvdd.., ESExxuttiootenn,,39PP0AA0 1199334411 66w11w00-w-3366k3i3d--1d1e44-00f00ire.com (National Foam, Feecon, Angus) www.kidde-fire.com (National Foam, Feecon, Angus) `WWiilllliiaammss FFireire&& HHaazzaarrdd CCoonnttrrooll EEP.nrOic.c LLBaaovvxeerr1gg3nn5ee9,, PPrreessiiddeenntt PMMa.Oauru.irBciceoevxvili1lll3ee,5, 9TTXX 7777662266 88w00w00-w-2233w11il--l44i66a11m33sfire com www.williamsfire.com V11i66d77o55r,TTeeTxxXllaa 7RR7oo6aa6dd2 Vidor, TX 77662 22222222..00009922 SSTTAATTEE__0022882211004499 BBTuhcoukmeaycesJF.FikirBreoewEEeeqqruuiyippmmeeenntt PTP1rr1hee0ossimiKddieaennsntgtJ,s,. BBBRuuooccawkkdeeeyryee FFiirree EEqquuiippmmeenntt KK11iinn0ggKssiMMnogousunRtnatoaiainnd,, NNCC 2285008866 w770044w.-7733b99u.-c77k44e11y55ef.com www.buckeyef.com VVeerrddee EEnnvviirroonnmmenetnatla,L IInncc. WWPrieillslliiidaaemmntLL.a. nSSdccoCoggEiinnO 9P9H22oreu22ss33itdoEEenaan,sstttTeeaxxnXdFFrCr7ee7Eee0Oww9aa3yy H8800o00u--s66t2o266n--,66T55X9988 77093 77w11w33w--6699m11ic--6r6o44-66b88laze com www.micro-blaze.com IIECdCdLLiPePeeGrroffloodrrbmmeraagnn.ccee PPrroodduuccttss (P(Phhooss--CChheekk)) EFFiidrrdeeieSSaaGffeeottlyydbBBeuurssgiinneessss DDiirreeccttoorr wEEddwwwwaarrpddh.oggsoocllddhbbeeekrrgcg@@oimiccll--ppppllpp..ccoomm www. phoschek.com F2Fi6irr2ee0--TNTr.rooll3H7Ho"olldDdirinnigvgses. LL.LLC.C.. P2Ph6ho2oe0enniNixx.,,3AAiZhZ D88r55iv00e0099 553300--886655--44993322 `SDSuoumnmmmJioitrt dEEannnvviirroonnmmenetnst!al DPPrroeenssiiJddoeernndttaaannndd CCFFOO 1111661100 DDaallllaass PPaarrkkwwaayy,, SSuuiittee 22110000 8DD0aal0ll-laa5ss2,,2TT-7XX8477155224488 989707202---588211626---711866411144 wwwwww.ssuummmmititeennvviirroonnmmeenntatall.ccoomm DDyynneaxx DDyynnaaxx CCoorrppoorraattiioonn 77P99OWWBeosextstcc2hh8ees5stteerr AAvv.. PPPoOouuBnnddoxRRii2dd8gg5ee,, NNYY 1100557766 991144--776644--00220022 wwwwww.ddyynnaaxxccoorrpp.ccoomm 22222222..00009933 SSTTAATTEE__0022882211005500 sSotme.sSewsent Jean B. Sweeney Staff Vice President StSeMtEnoapemreonls, Heth nd 3M Environmental, Health and Safety Operations 2006 fe, Ski 22620 900 Bush Avenue, Building 42-2E-26 Hosa PO Box 33331 mss St. Paul, MN 55133-3331 577 sss 651 778 5488 3IVI 3M MMaayy 66,, 22000088 DD5e9el1li0taaREEinncvveiirrCoornnemmeekenntPtaaalrlkway. 5SSSut9ui.1itPt0eeauR11l00i,c00eMCNre5e5k1P26arkway St. Paul, MN 55126 AAdtetennttiioonn:: MMss.. NNaannccyy RRooddnniinngg SSuubbjjeecctt:: RReessppoonnssee ttoo LLetteerootffRReteqquueeesstt ddaatteess AAppirlil22,, 22000088 DDeeaarr MMs.s. RRooddinningg:: "pTTrhhoiidssuiicsstiiinnonrroeesfsppfooinnrsseefittogohyytooiunugrrflleoettateemrrsddaaatttee3ddMAApWprrieill 2a2,r,e22p00l00e88a,,srreeedqqtuuoeesspttriionnvggiiidnneffotohrremmaiatntiifooonnrmooanntion on the pfifonorfrormodmrumeecannttciciollonoonss,oeepfddlfwwieriaeitsthhefi gcyyohoonututirnragcrretefqqoMuuaerems.stt.sM. iaIIcftfhyy3aooMeuul .hhWAaa.vveeeSaaaarnenntyyoprlqqoeuu,aeessDsetitdiirooetnocntsspooorroor vfnnieeRdeeeeddgtuaahlddeaddtiiinottifroooynnramaAllfaftaiiorns on at t h e 65173-6374. information, please 651-733-6374. contact Mr. Michael A. Santoro, Director of Regulatory Affairs at SSiinncceerreellyy,, ::~~~ Le Bets JVeiacne SPrweeseindeenyt V33MMiceEEnPnvrvieirsrooidnnemmnenet tnatall,, HHeeaalltthh,, aanndd SSaaffeettyy OOppeerraattiioonnss EEnncclloossuurree 22222222..00009944 SSTTAATTEE__0022882211005511 SSUUSSTTAAIINNAABBLLEE SSTTRRAATTEEGGIIEESS FFOORR GGLLOOBBAALL LLEEAADDEERRSS DE~ DELTA Kinogen___. .. ...,.,.Jv,,f. pz, April 2, 22000088 VV3iMii0.sco.eCJJorPeorraaepennossriSSdoaewtnuneete,eHne3yeaMydaEEunnavvtiireconrnmsmaernttsa,l,Hoot Health aannddSSaafefettyyOOpeprearattiioonnss SSMaCuolrri sstaa-1000 3M Corporate Headquarters 3M Center St. Paul, MN 55144-1000 Sublet Subject: RReesseeaarrcchh oonn Pain PFCs in Feighing Firefighting FFooaammss Dear. Dear Ms. SSwweeeenneeyy: CDDoeenlltdaaucCCioonnngssuurllettasanentas,r, cconnibobeehthahalelfohofefattrhhceelMMaiinnndnneecssouctaarePPoolullusutetiiooonnf CCpooonntrtrruoollanAAgageernncicyyc,,aisiss conducting research into the historical and current use of perflurorochemicals PCa) n retain foams. 1s me undestanang of boa Constants at (PFCs) in firefighting foams. It is the understanding of Delta Consultants that ahatvoenbaodregfreaase,d minotrpaehyurmoaonciacnuerseudebty (P1FOcS)onaanndedr PpeFtCuScrtohoatcimaanyt firefighting foams historically manufactured by 3M contained PFCs that may En2apShc2eaerivr0drfoeltuluob((criPPoAotFFdbgaOOeueApgtA)naur,)anca.donyeiocWWda2ai5itnhhc6tio4dserrpe(e(eePkccFriFeefElnnnBuAtgtoA)r)ofppouiunncbobtlaletihnchr.eee "cscerouionvnlnfoviaccimretooeerannnmm(mtPeoeFaannnObb,to,oSufu)tttthohaeemnPPd.MMRF/oOOinrfeSSnr,pe,fsesgrofroPPltuiaFFonOOryAPPoA.oooclllfutaoataeinoannnindmdc Control Agency is seeking further information from firefighting foam manuiacirrsaboutthe camsosion of hk elgg foams, nedcradaton manufacturers about the composition of their firefighting foams, the degradation oFPpFeCna in te foam, and he band ns of foams roc now andlor of PFCs in the foams, and the brand names of foams produced now and/or in the past. AAMNDsosiintnnaaaeesafCsoomrtooamanePFrrsoomluumlugastioonannuifasCCconatfunonrqterooorcelosoAfAifgfngetgfeeirnnieccJgfiyyoghruhiaatnirrongesrgefasoofsonnakaerimnmggsGsf,,ffDooyDrraoeutyylrtooaauuCerrCxohhoeponnlsppeuslaatacnnunodtmstpaeelxarxeapntdpedererttiratshsheeie. aaDmmFtatoetanaallnutcucaufhhsafeeoacCqndctotuuGnqqrrasueueunererslssstiatiowwnoAmitnislnlglnaeabrbisnieeerec,r.yiiennTqTctculhhuseihadstseetwidIdinnimgfloninaramytiao8aisutoccionoononmmrpopffrrorooeenmemhneaeenS3nosMssWfiuhvyeeaeaonnyurrddereoppcfooeortxhrhttpe9eeofrorrdtrffsirerbteehcpfefeioggamhnMMrtipienniltnegmgntseeeffsosoaatoeahnmtameda Pollution Control haemrsefghing other firefighting entes Agency entities rough the Ste that will also include throughout the State regain a survey regarding thtof fire their saof efghing departments and use of firefighting foams. aaDDassoesstiletissaanttcaaCCnlnocoocnenes:sse.uudtPPltaladaernrasttsessaesaasnnreeeddtuudttrmhnhaertthMMhieenicnsccnpooeosmmstpopwltslaeeittePnPeddool3llqQu0tutuiooeecnnassyttiCsCoi.noornnnytatnroioareliu1AArthgoegaeeDDvrneececlyytaaaasnCCpyopoocrrneusrsceuuialtisttaaeinnoytyssooonuuiIsnrrnr Cthoenceencnlsosreedgaarddidnrgestsehdeesnevaerclohpoe wnithsinac30heddaysa.ueIfsysoounnhaaev,epassecat any questions or concerns regarding this research or the attached questionnaire, please call: NNNiaaennccPyyaRRioosddi,nningRg,a,mDDaeeitltaaaiCCooonnnsstusaltannntt,s,, 66N55F11C.-A6699.776--5551115252266.7299 Nile Fellows, Remediation Division, MPCA, 651-296-7299 SSiinncceerreely,, DDEELLTTAA CCOONNSSUULLTTAANNTTSS rff og 1 (?c,clwv-V NNaannccyy RodnRoidnnigng 6 Pro Somat Project Scientist ancosures: Questonnsie and StampedSokAddressed Envios enclosures: Questionnaire and Stamped Self-Addressed Envelope DEIars Raa 133 Js Fa GL oh 30s 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taeny c;om 22222..00095 sStTaAeT_Eo_0z2s82211005522 DE~ DELTA QUUEESSTTIIOONNNNAAIIRREE PPFFCCss iinn FFiirreeffiigghhttiinngg FFooaamm 1. 1. VmWiaeenrurefa3McMtsu'sr ffirereifoigglnhgitihnngginffoofaaommassmmsmasaddeeguuss8itinn9ggaoomnnlalyyrakanantleoleenccpttrroooccchheesemsn"iccaal finan fluorination (EFC) (EFC) process? process? 0dDid 33M manufacture firefighting foams using a telomerisation process? 33MM_ppevo~odJ.uvc.cec.dd ftti~otft8i1~hti~a, ffoooa.mmss 1Jssiinn9g ppwofrl]u~wre~rYi)nbg,l*etdcl ucMomppolutVnd\dss _onINa\dgJec. u1t1/hl+p t+hhe ctlJeuc:~hhivvofclihvuYmI\icc..aol) Sfllupe'ars\~aatJwi-of.n.((6f*0C).J ppr'lrotUcLeSs$s. otnMlylt: 33M AAi[dd vuwd+ w>us<e tHheu t+edloo!"mtlomns~athimn pproc~esss 22.. VDDioosttthcaeonPPdFFiCCosnuusss?eedd nre-ifgoahmsiconntagin in fire-fighting foams contain oorr ddeeggrraaddee ttoo pefucrobutanacidPFBAY perfluorobutanoic acid (PFBA)? fIf 0,so, nunddeerr what conditions? No0 33.. r1Is5a33nMMd ccnuuarrmreeann?tlyy ddevoelovpinegoorormmanpaunfuiafcatcnuturriginngg frfighing firefighting ffooaammsstthhaatt ddoo nnoott ccoonnttaaiinn PPEFCCss?? UUnnddeerr whtwhat brand name? 34 es Astortuined thi wanaaclut avd donbprad of fie bighria_ foams, PlPeleaasseeccoommppeltetee tthh eaatttaacchheeddTTaabbllee rreeggaarrddiinnggyourcunt your current aanndd/oorrppaassttmmanaunfuafactctuurreeooff r-fghing fire-fightingffooaammss.. CaDsDtameaotlmptamaepbCCedodo,a,nns.ssaseeuudlltfta-araannde6tsds5sr1ttesh-sa5esn5ehsk7ds-yey5oanvo1uvue5elfolnooorrpypyyoeoouktuouornDrtaDtviosiemmtleteaaaCanaCynnooddannuccsooueeoolstppauirenoakrtsantwatowieoniinng.th.naeinPPral33eas00anssddeeoaoyrrysesaet.uuulPremnelesattaohshsinsseenqqccauuoorneentssetaatticcoottnnNNnnaaaaninrececiyyinnRRtotohhadeernieeinnnnggcc,,ilooDDssoeeetlddtaa Consultants, at 651-697-5152 if you have any questions regarding this questionnaire. Questonaiecompaedby Questionnaire completed by: NMNai\r\acCh,bao.dvl bbh... SSaan.ntoorvou TNO0ia1uemve-e-eecr~h-e\v,r , QRu..Vgjgvl\ IeCb\.e-tvy'f_\\ W~{h{co~i\vss A 3M 0 r BeMteay 6 I 2008 Date \ Nunoger.. Prone: 65163540) 800.477F.ax7514.6319 94173 sa. anlisrcon. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449/800.477.7411 Fax: 651.639.9473 www de!taeny com 2222222..00009966 STSATATTEE0_208282211005533 ais zI 83 1. 82 & if ge | DE~ QUESTIONNAIRE PFCs in Firefighting Foam i HH Type of Foam Aqueous Film-Forming Foam (AFFF) | Is/Was foam type manufactured by 3M? (yes or no) ~tS Is : axa Brand name(s) foam is/was sold under? 1) Ua\Jwatw IN\ ):1 ~ Co'frlmo.rc.lD- t ~ tAtltto.rtA c;.pt~C. \ I 4) Bi Years of brand production? Is/was foam made with PFCs? '1t<> \~bS - 2DDZ.. t9bO -1ooz, ; Hla[a2 il g8% Does/did product contain or degrade to PFOS, PFOA or PFBA? Please specify \..{e..s - C<rntct.,-1\s o.. o~os <;a\+ o.\1\J a Pfi~S add~c.-+ LL RL:N 5) 6) a4 2222.0097 1) 2) iIs Eg No AFFF-Polar Foam 3) (AFFF-P) 4) 5) Te o = ad 4 i3 i AFFF Alcohol-Resistant Foam (AFFF-AR) ~~s 6) 21) 1) Ll.Q ht wc..+e< Tt-1\ ~TC. : i ~Bo(z)- lOCH> 'ies 2) /~lc..o~ol "Tu,O.G Ccnce.~oJe.) 3) 4) `E Ye.S ~ c.rn+a \~ o. P~o s <;.o. H o.vJ. I~ PH-\~ o.c\dv~c.f 3] 5) 6) ~Vl rn I 0 N 00 N I-' 0 Ul .j:>. %i | 2 / wo if nl fa LLL kL HET hd DE~ TypeofFoam Is/Was foam type manufactured by 3M? (yes or no) Fluoroprotein Foam (FP) No i ) 7 Fluoroprotein Polar Foam (FP-P) No i Film-Forming Fluoroprotein Foam (FFFP) i N() 4 QUESTIONNAIRE PFCs in Firefighting Foam Brand name(s) foam is/was sold under? 1) 2) 3) 4) 5) 6) 1) 2) 3) 4) 5) 6) 1) 2) 3) 4) 5) 6) Years of brand production? Is/was foam made with PFCs? Does/did product contain or degrade to PFOS, PFOA or PFBA? Please specify 2222.0098 ~Vl rn I 0 N 00 N I-' 0 Ul Ul & jiBh al |is 1. iis = W444 ylgf OE~ TypeofFoam Is/Was foam type manufactured by 3M? (yes or no) $27 i i Ls i WHfi QUESTIONNAIRE PFCs in Firefighting Foam Brand name(s) foam is/was sold under? Years of brand production? ii Is/was foam made with PFCs? Does/did product contain or degrade to PFOS, PFOA or PFBA? Please specify 2222.0099 1) 2) ; NO FFFP-Polar Foam 3) (FFFP-P) 4) 5) 6) 1) ii 2) Js No FFFP Alcohol-Resistant 3) Foam (FFFP-AR) 4) 5) 2 Training Foam 6) 14. ND v~s 5 Dd a 3 1) ~t-.1\ \ ifdWHnC-1 FVa.r(\ 2) w..o.c,U.. ~ . ~ co~~~0-~ 3) l ~ !CfCJA 4) , EPoRs 5) 6) C,_i oss ft- i.eS- Vl ~ rn I 0 N 00 N I-' 0 Ul 0"1 ? f(o Teo LL o : 1[5]]] No {Y'-o D" ELT\ A PPQFFUCCssEiiSnn TFFiiIrrOeeffiNigghhNttiiAnnggIRFFooEaamm 1. eth PF and nr Acosta afc ress madeusing a merization roses 1. Are the PFCs used in your fluorosurfactants manufacturing process made using a telomerization process ee re EEE nes or an electrochemical fluorination (EFC) process? Tolonorization Process Only. Telomerization Process Only. 2 DoePFs usta the mantocreof ur ofghin fomprccolor degate 0 2. Do the PFCs used in the manufacture of your firefighting foam products contain or degrade to liste pet dieidri i sporti perfluorooctane sulfate (PFOS), perfluorooctanic acid (PFOA), perfluorobutanoic acid (PFBA), or other Be ea rneins derivative substances? If so, under what conditions? Dynex Fluorosurfactants/Foun Stabilizers used by agent Dynax Fluorosurfactants/Foam Stabilizers used by agent profucers are not derived fron or degrant into PFOS, PROM, EFEA. producers are not derived from or degrant into PFOS, PFOA, PFBA. 3 Arveyoeu currenty deevheloomanulactfouamsiprgodufc teatidogochontiain nPFgC? 3. Are you currently developing or manufacturing firefighting foams products that do not contain PFCs? Under what brand name? _DDyynnaaxxiiss nnoottaa ffooaammaaggeenntt porroodduucceerr.. loa complee he ache Talregain your arent andor pastmarfachre ofr hing as, Please complete the attached Table regarding your current and/or past manufacture of fire-fighting foams. FO -------- Delta Consultants thanks you for your time and cooperation. Please return this questionnaire in the enclosed Semi Peat Sai vores oon So stamped, self-addressed envelope to Delta Consultants within 30 days. Please contact Nancy Rodning, Delta os oevoes oy oesons vd os srrare Consultants, at 651-697-5152 if you have any questions regarding this questionnaire. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: br. Bdvard K. Kleiner Dr. Eduard K. Kleiner Eee Name --_-- President 5Title _ Dynax Corporation Corvmbuaon Company/Division = _fpArPirill 99,22000088 Date DKUOBeEn pp o51630 00a50074777 Fx687690 55 wenn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..001100 [p-- STATE_02821057 PmEaEneEfan Dynax Corporation 79 Westchester Avenue Pound Ridge, NY 10576 T 914 764 0202 F 914 764 0553 info@dynaxcorp.com ddyynnaaxx AAppririll 89,, 22000088 I MMss.. NNaannccyy RRooddnniinngg,, PPrroojjeecctt SSppeecicaialilisstt DDeellttaa CCoonnssuultltaannttss 55991100 RRiiccee CCrreeeekk PPaarrkkwwaayy Suite 100 SSt.t. PPaauull,, MMNN 5555112266 Subject: PFCs in Fire Fighting Foam Agents DDeeaarr MMss.. RRooddnniningg:: Thank you for your letter and questionnaire of April 4, 2008 regarding "Research on PFCs in Firefighting Foams." As I had discussed with you, Dynax is not a producer of fire fighting foam agents a such as AFFF and FFFP agents, but is a major producer and supplier of fflluuoorroossuurrffaaccttaannttss aanndd fflluuoorroocchheemmiiccaall ffooaamm ssttaabbiilliizzeerrss ((== ppoollyymmeerriicc fflluuoorroossuurrffaaccttaannttss)) ttoo aaggeennttss pprroodduucceerrss wwoorrllddwwididee.. IInnffoorrmmaattiioonn rreeggaarrddiinngg DDyynnaaxx fluorochemicals can be found on our webside, www.dynaxcorp.com. Dynax, founded in 1991, has always been promoting telomer-based fflluuoorroossuurffaaccttaanntts ffoorr tthhee pprroodduuccttiioonn ooff wwhhaatt wwee rreeffeerr ttoo aass AAFFFFFF--EEMMBB. ((EEnnvviirroonnmmeentnatallllyy MMoorree BBeenniiggnn)) aaggeennttss aanndd hhaass ccaarrrriieedd oouutt eexxtteennssiivvee RR++DD ffoorr tthhee UUSS AAiirr FFoorrccee,, aass ddeessccrriibbeedd iinn tthhee aattttaacchheedd ttiittllee ppaaggee ooff tthhee PPhhaassee IIIl FFiinnaall RReeppoorrtt of SBIR Air Force Contract AF 93-009. DDyynnaaxx fflluuoorroossuurrffaaccttaannttss//fofaoamm ssttaabbiilliizzeerrss aarree uusseedd bbyy aaggeenntt mmaannuufafaccttuurreerrss ffoorr tthhee pprroodduuccttiioonn ooff tthhee ffoolllolowwiinngg ffiirree ffiigghhttiinngg ffooaamm aaggeenntsts:: AFFF and AR-AFFF Agents FFFP and AR-FFFP Agents + FFPP AAggeenntts For information regarding agent brand names and other agent related questions, yyoouu sshhoouulldd ccoonnttaacctt tthhee aaggeenntt pprroodduucceerrss ddiirreecctltlyy.. Enclosed please find page one of your questionnaire. In light of EPA's Stewardship Program regarding the 201 0/2015 Phase-Out of C8 and higher homolog fluorochemicals, I am surprised that your questionnaire does not include 2222.00110011 STATE_02821058 MDMses.l.taNNaCanonnccsyyulRRtooaddnintnsingg,, PPrroojjeecctt SSppeecicaialilisstt Delta Consultants AAppririll 1100P,,a22g00e00828, Page 2 qbquauesesestdtiioofnnlssuorrreeoggsaaurrrddfiianncggtattnhhtees/uufssoeeaomofsfataiallblilCCi66zerttese.lloommeerr bbaasseedd vvss.. CC88 aanndd hhiigghheerr tteelloommeerr-- based fluorosurfactants/foam stabilizers. TfTlhhueeoreeonncchcellomoissceeaddlsDD.uuPPoonntt pprreessss rreelleeaassee iiss aaddddrreessssiinngg tthhiiss iissssuueeooffCC66 tteelloommeerr bbaasseedd fluorochemicals. IIi'vsvseeuaaelslssooofeetnnhccellooIsnsdeeuddstDDriyyannlaaFxxiraaeddJvveoerurttniisaselemmaeennndttssa ppruuebcbleliinssthhepeuddbliinnicttahhteeioJJnaananubuoaaurrtyy aaDnnyddnaAAxpprfirilrl o22m000088 ttihshseeuAAeuusggouusfsttht//eSSeeInppdtteeummsbtbreiearrl 22F00ir00e77Jioissussruuneealoofaf nTTdhheea EErecccooennnootmmpyyubTTlrirciibbauutninoeen.. about Dynax from PPlleeaassee lleett mmee kknnooww iiff yyoouu nneeeedd aaddddiittiioonnaall iinnffoorrmmaattiioonn.. WWiitthh bbeesstt rreeggaarrddss,, ~~ EEdduuaarrdd KKlleeiinneerr *** eennccss.. EEKRKK!r 22222222..00110022 SSTTAATTEE0_208282211005599 IItt''ss .ThiThsis SSiimmppllee::* CC66 Flluuoorroossuurrffaccttanntts | -- ++ C66F-- Foam-- SSttaabbilili-- izers || -=_-- BBEESSTT AARR--AAFFFFFFss andd AARR-FFFPs || - ""BBeesstt AA R-AR FFFa- annddA AARR--FFF FFFFPPF AAggeenF nttss"" DDyynnaaxxCC66FFluluoor rosurfcahcatannttss aanndd FFooaammSStatabbiillizers | meet the most stringent fire performance Dynax Product M!.@jj.!M Agent Application Guide `ssppeecciiffiiccaattiioonnss wwiitthh tthhee lloowweesstt fflluuoorroo-cchheemmiiccaall ccoonntteennt.t. FFlluuoorroocchheemmiiccaallss iinn FFlluoorroossuurrffaaccttaanntsts. AAFFFFFE AARR-AAFFFEF FFFFFP AARR-FFFFFFPP "`BBeessttAAggenetnst"s" sshhoouullddnneeitithheerrbbee ddeerriivveedd ffrroomm nnoorr ddeeggrraaddee iinnttoo PPFFOOAA oorr iittss hhiigghheerr `hhoommoollooggss.. IInnaadddidtiitioonn,,""BBeesstt AAggeentnst"s" mmeeeett `eennvviirroonnmmeennttaall rreeqquuiirreemmeennttss pprrooppoosseedd bbyy DDXXt1003300 DDX1X1004400 OXDXv1o08m0 [DtXe1t0a90s AnAinoionniicc .. - = AnAinoionniicc: .. = - NaNnoinoinoinci:c .. .. NNoonniioonniicc | .. | UUSS aannddffoorreeiiggnn rreegguullaattoorryy aaggeennccieiess.. LDoX1025* AAnniioonnicic: .. = - | Foam Stabilizers - ONLY Dynax offers a family of C6 DX5011 Anionic Fluorosurfactants and C6 Foam Stabilizers DX5022 Anionic for the production of low-viscosity 3x3, DX5065** Anionic 1x3 and 1x1 AR-AFFF and AR-FFFP agents DX5066** Anionic performance requirements, The same - TT] | mt eeting "Besa t" environmed ntal and fire performance requirements. The same applies to AFFF and FFFP agents derived **BBlleennddofof FFuluoororossaurtrfaaccttaannttss ****BBlelndenooffdFluAourossruorsfuarcftaancttsaananntddsFFooaamm SSttaabbdiilizzeerrss. from Dynax C6 Fluorosurfactants. JT rhsav. All Dynax C6 Fluorochemicals are I LR non-flammable and free of corrosive L hall ide salts. 0 ro twat rom US EPA PFDA Stewardship Program c | By 2010: 95% Reduction of facility emissions and product content level of PFOA, precursor t men sissies chemicals that can break down to PFOA and related higher homolog chemicals. BBy020815: EEliimninsationncotfoPrFOoAn, PPFROOA pprreceurcsoursrsorsaanndd rreellaatteedd hhiigghheerr hhoommaolloogguues cchheemmicicaalsls. from emission and products. 22222..001103 STATE_02821060 on a ord hls { DELTA QQUUEESSTTIIOONNNNAAIIRREE PPEFCCss iinn FFiirreeffiigghhttiinngg FFooaamm 5 eth PECs dr elggfoam martacing proces ad in a Wormetzaton process 1. Are the PFCs used in your firefighting foam manufacturing process made using a telomerization process eneo3eeet or an electrochemical fluorination (EFC) process? tJr f/yo-ce.. Dcfoo p/1 ol fmt!Aann..t-fbecc.-tfvwl/'e-' [fie FPLy fom 2 Dole PECausetinth marta of ye etghing foams cnr dgrdeo phar 2. Do the PFCs used in the manufacture of your firefighting foams contain or degrade to perfluorooctane cDeantons? oCoasonsso08 FFA. ona ones sulfate (PFOS), perfluorooctanic acid (PFOA), perfluorobutanoic acid (PFBA), or other derivative substances? If so, under what conditions? 5. Syaoucsuanty dovcpng ormafsc btdo ekn cot PECSn ?Underwhat 3. Are you currently developing or manufacturing firefighting foams that do not contain PFCs? Under what brand name? Plscompts atc Ta regard your cen adit anc of erinoars, Please complete the attached Table regarding your current and/or past manufacture of firefighting foams. oll ort hark or ior rabcopraatesn PhlaosresuFrohssseoashrosnPeosanycsbead Delta Consultants thanks you for your time and cooperation. Please return this questionnaire in the enclosed Ee stamped, self-addressed envelope to Delta Consultants within 30 days. Please contact Nancy Rodning, Delta ania i esos Consultants, at651-697-5152 if you have any questions regarding this questionnaire. [---- Questionnair E/'.r""ce...- e completed by: LL p_lHVecp;?e~ Fa Name T;TiVtlMe//1b/~e/'n-.g[ F/;o~e( S/ Hfo.,.).. A Company/Division wefHtro/og$ Date DRUG pps 63005057 417Fr 687650 548 satan 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449/800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.0011004 STATE_02821061 AAPPPPEENNDDIIXX B8 QQuueessttiioonnnnaaiirreess ttoo MMiinnnneessoottaa UUsseerrss ooff FFiirreeffiigghhttiinngg FFooaammss LLiisstt ooff MMiinnneessootta SSuurrveyed DDeeppaarrttmmeenntts and SScchhoooolls 22222222.00110055 SSTTAATTEE__0022882211006622 MMaayy 2233,,22000088 DDeeaarr FFiirree CChhiieeff: iOOnnnfoAArpmpraritillio22n55,,o22n000t0h88e,, ttthyhpeeeMsMiainnnnndeesasomototaaunPPtoolslolluufttfiioiornneCCfoiongnthttrrioonllgAAfggoeeannmccyyus((eMMdPPbCCyAAy)o)ussreenndtetpaaarrrteemqqeuuneetss.tt ffWoorre are icccnooofllmollepercmcottuiainnntgigdostnhhi(iossPniiFntnhCffeo)orirtmympaatettiihsooeannenaandsvpiaaprmraorntotmueoonfnfttsoo.nnoggfPofoFiiirCnnesggfrirgehesahscvteiaeanrrgbccehhfeoonoannmftothuhueesnedppdriebnsryoeunyrceoeuloaroskffedpspee,eperarfffirllsntuumhoorearcinninntd.aaetgtWeerddoeuanrdewater aWacccoirrdmooesspssaourtthhnieedesSSytto(aaPtftFeecCaaonsnm)ddmieaanrrretechaiaeappeloontptveerninortodtiiunaaclmlthshe,uunmtmi.naaPcnnlFuhhCdeeisaanlhlgttsahhvorremiissebkk.e.fePiPnrFFefCCfosisugnahadrtreeiinnuugssofeeuoddarmiilnsna.ktthehsee, mmfaiasnhnuufafanacdcttugurrreoeuoonffdaawater wide variety of commercial products, including some firefighting foams. t"ThThahtee MPMFPPCCCaAArerreeaccnoogginnmiipzzoeersstatthhnaatttaffniirdreefefifiggfhhettciitnniggveffoioanagmmrssedaairreeenteessissneentnthtiieaalflotoaomtsth.hee BpperrcootateeuccstteiiooPnnFooCff-tcthhoeenappuiubnbliliinccgaanndd tfffhiiorraeaetfmfiPiggiFhshCttuiisnnsggadrffeoboaayamnmfirwmweiilplelloprccatooarnnnitttiminaneunundeetstfeoofafbbneeedctuuirvssaeeeiddn,i,niwgwngreeesdaacirreheeonaaotslkiksniinnathcggreofffosoorsrayymtoohseuu.rrSBahheetelcleppauttsooebbPeetFtttCeerr-cuuonnnddetearrissnttiaannngdd hhooww foam is used by fire departments and training schools across the State. TSSeooarffaarfrrwwoeem hhaasavvmeearrneeycceeaiisvveepddosrrieebsslppeoo.nnssYeeossufirrooimmnpu22t7755iddieempppaaorrrtttmmaenentntttssoaaurrs.oouuWnnddetthhhaeevstetaaetenecbbluuotstewwdeeawnwooauduldldditlloiiknkeaelftoo heccnooecppalyyrofsooreoffdmtthhqeeuaesqqsumuteeisasotntniiynooannainnsraaepiiorrreesesgffiaoobrrrldeyyi.oonYuugrroyuccoorounrnivnvedpeneuniptieaenirnsctceimem.e. pnPPotllsreetapaanasssetettttoaaaknkuedes.aapWrffeeeeswwehnmamtviiunensuueettneeocssflottfoosierccedoofimmagnphpltaleiedtntdgeeiftttihohoaeenmas.l enclosed questionnaire regarding your department's past and present use offirefighting foams. PDPleleelaiasaseeCrorenetstuuurlnntattnhhtees,ccoowmmhpploleewttieelddl qqbuueeecssottimoipnoinnlaniianrgieirtinenhetthrheeseeulnntccslloofssoereddthsseeellMff-P-aaCddAddrr,eessbsseeyddJ,,ussnttaeamm6pp,ee2dd00ee8nn.vveeIllfooyppoeeuttoo DhaRaovevdleetnaiaaCnnngyyo naqqtsuuueDelsetstaltinitooatsnnC,ssownrresehuggolaatrrwaddniiiltnnlsgg,b etth6hici5sso1m-rre6eps9sei7alai-rnr5ccg1hh5thoo2re,r ttrohehrees umaalettttsaaaccfohh6ree5ddt1h-qqe2uuM9ees7stP-tii8Coo6nAn6nn6,a.aibirryee,,J pulleneaeass6ee, cal200 call ithe 8. If y either oNNuaannccyy. Rodning at Delta Consultants, 651-697-5152, or me at 651-297-8666. "TThhaannkk yyoouu vveerryy mmuucchh ffoorr yyoouurr aassssiistsatnacneicinen tthhiiss iimmppoorrttaanntt eresseeaarrcchh pprroojjeecctt. SSiinncceerreellyy, FiJJiirmme SSLttiooaccikksioinnnggeerr EFEMimimrneeenrrLeggsieeaonnitsccaoyynPRRoleelssupptooinonnsseeCoUUnnntirittol Agency Minnesota Pollution Control Agency EEnncclloossuuFrreeossa((m22))use questionnaire FSStotaaammmppeuedds,e, aaqddudderrseetssiosseneddnarrieertteuurrnn eennvveellooppee FFFiiirrreee CCTraaappittnaaiiinnng11O22fficer FLLiiirnnewwToorooaddinFFiniirrgeeODDefefppicaaerrtrtmmeennt,, AAnnookkaa CCoouunnttyy 22222222.00110066 SSTTAATETE0_208282211006633 AAppririll2255,,22000088 DDeeaarr FFiirree CChhieetf: "pTTehhreeflMMuioinrnninneeasstooetdtaacPPoolmllpluuoituioonnndsCCo(onPnttrFrooCll)AAnggeetnnhcceyyen((vMMiPrPoCCnAmA)e)nitiss. ccooPnnEddCuusccthtiiannvggerrbeeesseeenaarrccfhhouoonnnd ttihhneeoppurrreeslseaeknneccsee, oofiffsh pmaananenddrfulggfurraooocruutinnnuaddrtweweadoattecfearormaawcciprrdoooeussssnvdatthrshieee(PtSSytFtoaaCtftees)caaoinnnmddmathearrreeeceiaanavpploiorttpoeernnnotmtdiiuaaecllntthhs.,uuPmmiFanaCcnnlsuhhhdeeiaaanlvlgttehhsbrioeissmekke.n. ffPPoiFruFeCnCfdsigaaihnrrteeionuuugssrfeeloddaakmiiensns.t,thhfeeish manufacture of a wide variety of commercial products, including some firefighting foams. tTThhhaete MPMPFPCCCAAarrreeeaccnooggirnmiipzzoeersstatthhnaatttaffniirdreefefifgifghehtciitnniggveffoioanamgmrssedaairreeenteessisseetnnhitieaalflot0aomtsth.hee BpperrcootateeuccstteiiooPnnFooCff-tcthhoeenappuiubnbliliinccgaanndd tfifhiroraeeatffmiPiggiFhshCtiuisnnsggeadrffeoboaayamnmfirwmweiilpldlloerccptooaannnrttttiimnaneunundeettsteoofafbbneeedctuuitvssreeeaddi,in,niwgwnrgeeesdracireeheonaaotslkiksniinnathcggreofffosoosrrayymtoohseuu.rrSBthhaeeteelcl.ppauttsooebbPeetFtttCeerr-cuuonnnddetearrissnitiaannngdd hhooww foam is used by fire departments and training schools across the State. `YdYeoopuuarrriitnnmppeuuntttisisspiimmapspooratrntadannpttrt0eoseuunss.t. uPPslleeeaaossfeeficcoormmepfplglehetiteengtthhfeoeeannmccslloossPeelddeaqqsuueeerssetttiiuoornnnnnaatihirreeecrroeemggpaalrreddtiinengdg yyoouurr 2qdq0ueu0epe8sas.ttriitoomynnenonnaauiti'rrseehptataoovseDDt eaaenlnltdyaapqCCruoeonesnsseustnulittlotauannsntertsse,o,gfwwafrihhrdoeoifnwiwggiilhtlllhtisbbneegreccfsooocmmaapmrpicsilh.liionPnrggletttahhhseeeearrrteeesatsuuculrhtnsesdtffhooqerruetcthshoteemiMMopnPlPneCaCtiAeArd,e,,bbpyyleMMasaaeyyca99l,,l ther 2008. either NINfaaynnoccuyyhRRaoovddeniainnnygg qaatut eDDseetliliotaansCCoronensgusalurtldatainntngsts,t,h66is3511r-e-66s9e9a77r--c55h1155o22r,,thooerr ammteteacaatht e66d5511q--u22e99s77t-i-8o86n66n66a6.i.re, please call "TThhaannkk yyoouu vveerryy mmuucchh ffoorr yyoouur aassssiistsatnacneicien tthhiiss iimmppoorrttaanntt rreesseeaarrcchh pprroojjeecctt. SSiinncceerreellyy., JJFiiimrme SSLttiooaccikksioinnnggeerr EFEMimimrneeenrrLeggsieeaonnitsccaoyynPRRoleelssupptooinonnsseeCoUUnnntirittol Agency Minnesota Pollution Control Agency EEnncclloossuuFrreeossa((m22))use questionnaire FSStotaaammmppeuedds,e, aaqddudderrseetssiosseneddnarrieertetuurnm eennvveellooppee FFFiiirrreee CCTraaappittnaaiiinnng11O22fficer FLLiiirnnewwToorooaddinFFiniirrgeeODDefefppicaaerrtrtmmeennt,, AAnnookkaa CCoouunnttyy 22222222.00110077 SSTTAATETE0_208282211006644 AApprriill 2288,,22000088 SSCCHHOOOOLL AADDDDRREESSSS DDeeaarr `TThhee MMiinnnneessoottaa PPoolllluuttiioonn perfluorinated compound CCoonnttrrooll AAggeennccyy ((MMPPCCAAY)) iiss s (PFCs) in the environment. ccooPnnFddCuuschctatiivnngegbrreeeesseneaarrcfchhouoonnnd ttihhneeoppurrreeslseaeknneccsee, oofiffsh p`aanendrdflggurroooruuinnnaddtwweadatteceror maaccprroooussssndtthshee(PSStFtaaCttees)aainnnddatharreeeeaanvppoiorttoeennntmtiiaaellnthh.uuPmmFaaCnnshhheeaaalvlttehhbrreiissekkn.. fPPoFuCCnsds aainrreeouuussreelddakiiennstt,hhfeeish m`maannuuffaaccttuurree o ofaawwf ididee vvaarriieettyyooff ccoommmmerecricaiall pprroodduuccttss,, iinncclluuddiinngg ssoommee ffiirreeffiigghhttiinngg ffooaammss.. "TThhee MMPPCCAA rreeccooggnniizzeess tthhaatt ffiirreeffiigghhttiinngg ffooaammss aarree eesssseennttiiaall ttoo tthhee pprrootteeccttiioonn ooftf thhee ppuubblliicc aanndd ttfhhiaratetfPPigFFhCCtsisnagarrfeeoaaannmiimwmiplpolorrcttoaannntttiaannnudde eteoffffbeeeccttuiivsveeed,iinngwgrreeeddaiireeenntatsiiknnittnhhgeefffoooraamymsos.u.rBBheeeclcapauutssoeebPePtFFtCCe-r-ccuoonnndtetaariisnntiiannnggd how fffoioraeamfmigiihsstuuinssgeeddfobbayymffiiwrreeilddleecppoaanrrtttimmneuennetttssoaabnnedduttrsraeaidinn,iinwnggessaccrhheooaoosllkssinaaccgrroofossrss ytthoheeurSSthtaaettle.p. to better understand how `YsYcoohuourorili'nnsppucututrriisseniitmmpaponordrttahanintsttt1oo0riuucss.u. sPPeolleefaafssieereccfooimmgphpltleeitnteegttfhhoeeaeemnnsccllionossyeeodduqqruureeassittniiooinnnngnaapiirrroeegrrreeaggmaa.rrddPiilnneggasyyeoouurrretur the `csccoohmmoppolllee'stteecddurqqruueeensstttiiaoonnndnnahaiiirsreetottrooicDDueesllettaaoCCfofoinrnseusfulitlgtahannttitsns,,gwwfohhaoomwwsiilillnl bbyeeouccoor mmtrpapiiilnliiinnnggg ttphhreeogrreersasuumlltt.ssPfflooerrasttheheereMMtPuPrCCnAAt,h,e bpblyyeaMMsaeayycal99l,, e22i00t00h88e.r. NTIfafyynoocuuy hhRaaovvdeeniaannnyyg qqatuueeDssettliitooannssCorrneesgguaalrrtddaiinnntggs,tthh6ii5ss1rr-ee6ss9ee7aa-rrcc5hh15oo2rr,tthohere maattetaaaccthhe6ed3d1qq-uu2e9es7stt-ii8oo6nn6nn6aai.irree,, please call either Nancy Rodning at Delta Consultants, 651-697-5152, or me at 651-297-8666. "TThhaannkk yyoouu vveerryy mmuucchh ffoorr yyoouurr aassssiistsatnacneicien tthhiiss iimmppoorrttaanntt rreesseeaarrcchh pprroojjeecct.t. SSiinncceerreellyy,, JJFiiimrme SSLttiooaccikksioinnnggeerr EFEmimreeerrLggieeannisccoyynRReessppoonnssee UUnniitt MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy AAttttaacchhmmFeeonnattm((11u))se questionnaire Foam use questionnaire FFFiiirrreee CCTraaappittnaaiiinnng11O22fficer FLLiiirnnewwToorooaddinFFiniirrgeeODDefefppiacarerttrmmeenntt,, AAnnookkaa CCoouunnttyy 22222222..00110088 SSTTAATTEE__0022882211006655 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 11.. DDooeess yyoouurr DDeeppaarrttmmeenntt uussee CCllaassss AA aannddl/oorr CCllaassss 8B efighing firefighting ffooaammss ffoorr ffirreeffigghhttinngg ooppeerraattiioonnss?? ___ClCalassss AAoonnllyy ClCalassss BB oonnllyy BBoothh CClaslsAAaaannddCsCllaasssss8B 22.. HHooww oofftteenn iiss CCllaassssBBoor CClalssaAAfsfooaasmm uusseedd iinn rreesspponosneslteoo ffirree ccaallllss?? ___ 00-2255%% ooff ffirreess ___ 2255-.5500%% ooff ffirreess ___ 7755-110000%% ooffffirrees 3. What ypeoffoamdoes your Department use for raining exercises operations? 3. __ What type of ___ cassaony foam does your Class A only Department Clason use for training exercises Class B only J operations? Both Class A and Class B ___ TTrraaiinniinngg ffooaamm ___ NNoo ffooaamm iis uusseedd iinn ttraaiinniinngg ((I1f nnoomnee,, plleeaassee sskkiipp ttoo QQuueessttiioonn 88)) 4. How ote is foam used in raining exercises? 4. How often is foam used in training exercises? Weekly Monty Quarry ___ Weekly Monthly semiAwwaly Amal -- siamualy ___ Semi-Annually ___ Annually ___ Quarterly Bi-Annually EE -- _ _ _ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppeerr trraaiinniinngg eevveenntt?? ___ LLeessss tthhaann s5 ggaalllloonnss 55 ggaalllloonnss ___ MMoorree tthhaenn 1100 ggaalllloonnss ((pelaesaessepsepceictifyy:): ___ 551to0 1100 ggaalllonnss 66.. IInnttraaiinniinngg,, wwhheerree ddoocess th th e spent spent foam foam go? go? ___ SSttoorrmm SSeewweerr __ SSaannittarryy SSeewweerr __ oOnn--Sstitee SSeeppttiicc GGrroouunndd Otherpease describe) ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 77.. WiWnhhfeoerrrmeeatddioooensef/drsidcuthrhereentrrtaaiainnniindnggpattasatkkeerappillnaaiccneeg?? rPPellaeesaa.ssee iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr ootthheerr ssppeecciiffiicc llooccaattiioonn information for current and past training areas. Xinogen Phone: 651.639.9445 / 895 477 5411 FoL: 451 639.3475 wa. eliasnv.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 l!l!JI!Ll!l!,,~!l~~!::lt;:u:ullt,~~<~Q~ID~ 22222222.00110099 SSTTATAETE0_202882211006666 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 88.. WWrhehsaapttonttyysppeee(a(ssn))daainnnddrabbirrnaainnnddg(((ss)f)ooaffpffpooiaacmmabaairreee?oorPrwlweeearrseee uucssheeeddcnknooawwl haannadd aiinpnptthh e ppaassttbbyytthhee DDeeppaarrttmmeenn,t, bbootthh ffoorr ffirree response and in training (if applicable)? Please check all thaTtrUUaaspsiepenlddiy.niingn? Amount CCHuiursrrtreeonrntit cUUUsssoe eoorr Training? Used Historic Use femora CFClolaarssmTssinv8BgpeAAFqqoouufaeeFmaoouua(ssmGFFFiFilm)m-CRCFelolsaarimssssstina&BgntAAFolochoaoh(mlAoR-l(-}AAFFFFEF) Resistant (AR)-AFFF Class B Protein Brand of Foam Yes or No Annuallv (please specifvl? |] CCellaa)ssss 8B FFlluuoorroopprrootteeiinn CFC(FllliPaaoss)rssop&BrFoFitielmmin-FFo(orrFmmFii?nngg Fluoroprotein (FFFP) fomomem ||] Class BAR-FFFP mite| | Expansion Foam Class A-B Hi Expansion Foam fom] Class A Training Foam Other o"TrThharannokkcyyhooiuungffo@rrydyoeouluartteiimnmceeoaamnn)ddoccroooJopipemerarSattitioooncn.k.inPPgleleeraaasseetcchoeonnMttaiacnctnt eNNsaaonntcacyyPRRooolddunroiinnggCaaottnDDteoelllttaaACgCoeonnnscsuyullt(taa6nn5ttss1-((626559117---66399767o--655r3115522 im Stockinger@siate. mn 1s) if or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you have any questions regarding hs questionnaire. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please return this questionnaire to Delta Consultants by June 6. 2008. QQuueestsitioonnnnaaiirree ccoommpplleetteedd bbyy: Name SamnedamTiittlee Fete Fire Department Phone FNeumrmbeer oDwatee E-Mail EA Address Xinogen PPhhoonne:e: 663511..66 39.94455910 39.9449 I / 855 Rice 800 4777411 Creek Par .477.7411 k Fak: way Fax: 53.630.947 Suite 100 St. 651.639.9473 wom daliasmestom Paul, MN 55126 USA l!l!JI!Ll!l!.,.!l.!::lt;:u:ullt.!<.Q.ID. 22222222.00111100 SSTTATAETE0_202882211006677 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. DDfrooacesssgnyyioonuugrr DDoepeeppraaarrttmmoerensnt?t ccuurrreennttllyy oorr hhaass yyoouurr DDeeppaarrtmmeenntt history historically usdused CClalsasAAsosorr lass Class BB ffooaammss ffoorr Ves- Proceed firefighting operations? _ _ _ Yes- Proceed ttoo QQuueessttiioonn 22 ___ NNoo. -SSiiggnn tthhee bbaacckk oofftthhiiss ffoorrmm aanndd stun return to DDeellttaa CCoonnssuullttaannttss 2. How on Class B o ClAafosam used in response fo re cals? 2. How often is Class B or Class A foam used in response to fire calls? osm ortres 25.50% of res 75-100% of res ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves ___ Yes No ___ No 4. How oten's foam used in traning exercises? 4. How often is foam used in training exercises? New weey mommy _ cuneny ___ Never ___ Weekly ___ Monthly comma Aunty seaman ___ Semi-Annually ___ Annually ___ Quarterly Bi-Annually over essespeatyy ___ Other (please specify):----------------------- 5. 5. HHooww mmuucchh ffooaamm iiss useused porrning per training veveenntt?? ___ LLeessss tthan as5ggaalnllloonnss. 55ggaatlolonnss ___ 5010 5 to 10 g0aallloonnss ___ MMoorree tthhaann 1100 ggaalllioonnss ((pplleeaassee ssppeecicfiyfy):): ____ 5. ntraing, wher doss to spent foam go? 6. In training, where does the spent foam go? Stom Sever __ sankary Sewer onste sept round ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground J -- _ ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - 7. WIhfeomraetdiooeniodridchutenat ianid atcktevlaancee? alreesa.s nclad addres, nrseclon or othr spec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Xinogen OVEERR---+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 l!l!JI!Ll!l!,,~!l~~!::lt;:u:ullt,~~<~Q~ID~ 2222.00111111 sSTTaArTeE__0022682211006688 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. WWTheahSapttonytysppeoe(a(sn))daainnnddrbbarraangndd(s)()1ooaffffpooaapmm aaarr'eeoorlrwweeesrrses uucssheeeddcnknooawwa(annnedtd ainn ptthhyee ppaasstt by by ththe Doparimon, Department, bhboth for for fire response and in training (if applicable)? Please check all that apply. Typeof Foam Bondofoun TTUUYraasesievenndodignirigndne?o AAAmmUmUuossoueaeudndlntyt CCUuusrreenansttly |HHiissUttsooreriidccarallllyy GTClaTsliysp8BeaAmAqoqufsuFeoeooosauumnss -- Brand of Foam Yes or No Annually Used? Used? Film-Forming Foam rn (AFFF) SCels8aaAmosen,s Class B Alcohol- re Resistant AFFF (AR)- Cssspoon o_o cFCCllluaaasssssssoBBe pProotteien7pn) ---------- ---- ---- ---- ---- Fluoroprotein Cla8Fsumse Class B FilmFForomidngen Forming (FP) | ---------------- ---- ---- ---- ---- Casssarerr (FFFP) Fluoroprotein (FFFP) cEloasms Atnahfom Class B AR-FFFP Class A-B Hi -------------- ---- ---- ---- ---- ClassA Expansion Foam - - __ __ _ TClaasmseAgFom o_o ___ omer Training Foam - -- ---- Other o"TofTrhhanoaSnrndokktdhyynnoooinuuggc@ff@ooarrkdyeyeooellutuasrrreitenimmmvs.eecctooaaemnnm)dd)ooccforoo0oJipipemnerarhSSatoivttioocoenckn.ki.8inngP0PgleleeerGraatassteSetthcceeooOnnMMttaiaicnnEctnntGeeNNAssaIaoonOnttcaaNcyyGFPRRIoooolldsludiitniQonoinungngeCCsaatoootnMDDrtIreeolSltltKaAASCgCgeeoonnnnccssyyuul(t(la66tn55t1ss1-2-G(693557311--78-6-6665967766--o6o555r11r 5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- Questomatecompleted by: addressed envelope. Questionnaire completed by: We Name and Title Fire ET Department Phone Powe Number owDate a E-Mail Address Xinogen rene: 651.030 3008 055 TATE Tuk: GOL 935 meets com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 l!l!JI!Ll!l!,,~!l~~!::lt;:u:ullt.~~<~Q~ID~ 222222.001112 STSATATTEE0_206282211006699 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 11.. DDooeess yyoouurr DDeeppaarrttmmeenntt uussee CCllaassss AA aannddl/oorr CCllaassss 8B efighing firefighting ffooaammss ffoorr ffirreeffigghhttinngg ooppeerraattiioonnss?? ___ClCalassss AAoonnllyy ClCalassss BB oonnllyy BBoothh CClaslsAAaaannddCsCllaasssss8B 22.. HHooww oofftteenn iiss CCllaassssBBoor CClalssaAAfsfooaasmm uusseedd iinn rreesspponosnestteoo ffirree ccaallllss?? ___ 00-2255%% ooffffirreess ___ 2255-.5500%% ooff resfires ___ 7755-110000%% ooffffirrees 3. What ypeoffoamdoes your Department use for raining exercises operations? 3. __ What type of ___ cassaony foam does your Class A only _ Cusssony Department use for training exercises Class B only J operations? Both Class A and Class B ___ TTrraaiinniinngg ffooaamm ___ NNoo ffooaamm iis uusseedd iinn ttraaiinniinngg ((I1f nnoomnee,, plleeaassee sskkiipp ttoo QQuueessttiioonn 88)) 4. How ote is foam used in traning exercises? 4. How often is foam used in training exercises? Weekly Monthy Quarry ___ Weekly Monthly semiAwwaly Amal _ siamualy ___ Semi-Annually ___ Annually ___ Quarterly Bi-Annually EE -- _ _ _ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppeerr ttrraaiinniinngg eevveenntt?? ___ LLeessss tthhaann s5 ggaalllloonnss 55 ggaalllloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((pelaesaessepsepceictifyy:): ___ 551to0 1100 ggaalllonnss 66.. rWWahihenerirenegddaooreeeasss/.diidd hethe trraaiinniinngg ttaakkee ppllaaccee?? PPlleeaassee iinncclluuddee ssppeecciificcolcoactaitioonn iinnffoorrmmaattiioonn ffoorr ccuurrrreenntt aanndd ppaasstt training areas. 77.. IIntinanig, training,wwhheerree ddoocess tthhessppeennttffooaammggoo?? __ ___ SStoomrmSeSweweerr _ ___ _ SSaannittaaryySSeewweerr _____OOnnS-StieteSSeeppiticc GGrroouunndd ___ Other ease Other (please describe describe): --- - - - - - - - - - - - - - - - - - - - - - - - 88.. Info In fire rreessppoannsseessaat hethe rreeffiinneerryy,, wwhheerreeddooeessththee ssppeennttffooaamm ggoo?? ___ SSttoorrmm SSeewweerr __ SSaanniittaarryy SSeewweerr __ OOnn--sSiittee SSeeppttiicc GGrroouunndd ___ Other (please Other (please ddeessccriribbee):): co------ - - - - - - - - - - - - - - - - - - - - - - - 59.. DDoootohtheerr ffirree ddeeppaarrttmmeenntss uuitiilizzee yyoouurr trraaiinniinngg acy? facility? If ssoo,, wwhhaatt d depearptmaenrtt?ment?--------- 0D0o tthhee ootthheerr ddeeppaarrttmmeennttss pprroovviiddee heitheir oowwnn ffooaamm?? ______ YYeess _NoNo Xinogen Phone: 651.639.9445 / 895 477 5411 FoL: 451 639.3475 wa. eliasnv.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 l!l!JI!Ll!l!,,~!l~~!::lt;:u:ullt,~~<~Q~ID~ 22222222.00111133 SSTTAATTEE__0022882211007700 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 1100.. WWrhehsaapttonttyysppeee(a(ssn))daainnnddrabbirrnaainnnddg(s(s)f) ooaffpffpooiaacmmabaairreee?oorPrwlweeerarseee uucssheeeddcnknooawwl haananddaiinpptthhee ppaassttbbtyhthee DDeeppaarrttmmeentn,t, bboathh foorr refire response and in training (if applicable)? Please check all thaUTtsUraapseipednldyii.ninng? Amount Training? Used Current Use or femora CFClolaarssmTssinv8BgpeAAFqqoouufaeeFmaoouua(ssmGFFFiFilm)m-CRCFelolsaarimssssstina&BgntAAFolochoaoh(mlAoR-l(-}AAFFFFEF) Resistant (AR)-AFFF Class B Protein Brand of Foam Yes or No Annuallv Historic Use? |] CCellaa)ssss 8B FFlluuoorroopprrootteeiinn CFC(FllliPaaoss)rssop&BrFoFitielmmin-FFo(orrFmmFii?nngg Fluoroprotein (FFFP) [omer |] Class B AR-FFFP mite| Expansion Foam Class A-B Hi Expansion Foam fom] Class A Training Foam Other o"TrThharannokkcyyhooiuungffo@rrydyoeouluartteiimnmceeoaamnn)ddoccroooJopipemerarSattitioooncn.k.inPPgleleeraaasseetcchoeonnMttaiacnctnt eNNsaaonntcacyyPRRooolddunroiinngg CaaottnDDteoelllttaaACgCoeonnnscsuyullt(taa6nn5ttss1-((626559117---66939767o--655r3115522 im Stockinger@siate. mn 1s) if or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you have any questions regarding hs questionnaire. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please return this questionnaire to Delta Consultants by June 6. 2008. QQuueestsitioonnnnaaiirree ccoommpplleetteedd bbyy: Name SamnedamTiittlee Fete Fire Department Phone FNeumrmbeer oDwatee EE-MWail AAddredss aess Xinogen PPhhoonne:e: 663511..663399..994549441590 I / 855 Rice 800 4777411 Creek Par .477.7411 k Fak: way Fax: 53.630.947 Suite 100 St. 651.639.9473 wom daliasmestom Paul, MN 55126 USA l!l!JI!Ll!l!.,.!l.!::lt;:u:ullt.!<.Q.ID. 22222222.00111144 SSTTATAETE0_208282211007711 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 11.. DDetooheeessr oonfrohhwaassortthihneetsshcchhpooaoosllt'ss?ffirieeffigihhtiinngg rtraaiinniinngg pprrooggrraamm inncclluuddee((dd)) pprraaccitiiccee wwiithh CCllaassss AA oorr CCalassss 8B ffooaammss,, either now or Yineths-e Pplaesats?e proceed o Question 2 ___ YNoe- sP-lPelaesaseespigroncteheedbtoaQoufcetshktiiosnf2orm and return to Delta Consultants _ _ _ No - Please sign the back of this form and return to Delta Consultants 22.. HHooww oofftteenn ddooeessththe sscchhooooll aintrain wwiitthh CGllaassss AAoorr GCllaassss BB ffooaamm?? Weeky ___ Weekly MoMnotnhtlhyly ___ QQuuaartrteerrllyy somiwwaly ___ Semi-Annually __ ___ AAmnnuuaalllyy sama Bi-Annually ___ Other (lease Other (please speciy): --~-- s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 33.. HHooww mmuucchh ffooaammiss uusseedd prper trraaiinniinngg oevveenntt?? ___ LLeessss tthhaann s5 ggaalllloonnss 55 ggaalllloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((plleeaassee ssppeecciiyf)y:): ___ 551to0 1100 ggaallloonnss EE 44.. WWhheerreeddooeesstthhee ssppeenntt ffooaamm ggoo?? ___ SSttoorrmm SSeewweerr __ SSaanntitaarryy SSeewweerr __ OOnn--sSiittee SSeeppiticc GGrroouunndd ___ CCoonnttaaiinnmmeenntt ssyystteemm ffoorr ft off-site ddiissppoossaall ___ Other (please Other (please describe): describe): ---- - - - - - - - - - - - - - - - - - - - - - - 55.. WWihnhfeeormreeatddioooeenssfi/oddiddcutthrheerertnraaiainnininnggpataasktkee ppianlaiccneeg?? aPPrlldeesaa.ssee nincchluddee aaddddrreessss,, iinnteerrsseeccttiioonn oorraohtheerr ssppeecciififc llooccaattiioonn information for current and past training areas. 66.. DDoo ootthheerr ffirree ddeeppaarrttmmeennttss uuitiilizzee yyoouurr faci facility fofor their their raining training with with foam? foam? ___ YYeess ___ NNoo =-- yes, do the If yes, do the ofher other fre fire departments departments bring bring tthheeiirr oowwnn ffooaamm?? Yes ___ Yes ___ NNoo ~-- If yyeess,, aapppprrooxxiimmaatteellyy hhooww mmuucchh ffooaamm iisdidsiscchhaarrggeedd aannnnuuaallly bbyy ole other ddeeppaarrttmmeennttss aatt yyoouurr faci? facility? ___ LLeessss tthhaann'5 ggaalllloonnss 55-2255 ggaallloonnss 22551to05500 ggaalllloonnss _ _ _ LE More than 50 gallons (please specify): -- Xinogen Phone: 651.639.9445 / 895 477 5411 FoL: 451 639.3475 wa. eliasnv.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 l!l!JI!Ll!l!,,~!l~~!::lt;:u:ullt,~~<~Q~ID~ 22222222.00111155 SSTTATAETE0_208282211007722 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 77.. WcWhhheaacttkttayyiplpeeh(sas)t) aaannpddp bbrraanndd(ss))ooffffooaamm aarree ccuurrrreennttllyy oorrwweerree hhiissttoorriciacallly uusseeddffoorrrtarianiniinnggbbyy tthhee sscchhoooll?? PPlleeaassee. check aII th at applIy. Amount Used Current Use or lFCaalarssmsTsiyn8BpgeAAFqqoouufaeeFmaoouu(assAmFFFFiilFmm)- Forming Foam (AFFF) Brand of Foam Annually Historic Use? CRCellsaaisssssta&BntAAlo(conAhRooA.l-FFF Resistant (AR)-AFFF femme[|] Class B Protein CCellaa)ssss &B FFlluoorroopprroteteiinn (FP) mm Fuoroproten (FFF? Class B Film-Forming Fluoroprotein (FFFP) [omen |[| Class B AR-FFFP ClECaxlapssassnAsAi.-oBBn HHFiioam Expansion Foam fon Class A fon TT| Training Foam Other o"TrThhaoanndkknyyioonuug@ffoodrryoyolouiurartteiimnmeecoaamnn.ddoccroooJoppemerarSattitioooncn.k. iPPnllgeeeaaarstsehcceoonnMttiaancctnteNNsaaonntcacyyPRRooolddinioinnnggCiaontiDDreeollltaaAgCCeoonnncssyuul(tla6na6t1rs-2((666575-118--666699677)--55o11r5522)) im Stockinger@stte. mn us if you havo any questions regarding ths questionnaire. or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. (651-297 -8666) or PPlleeaassee rreettuurnmtthhiissffoorrmm bbyv MMaayy99.. 22000088,. ttoo NNaannccyy RRooddnniinnqg. DDaetlttaa CCoonnssuultltaannttss:: nnrroodcnhiinnqg@@ddeelttaaeennvy.ccoomm QQuueestsitioonnnnaaiirree ccoommpplleetteedd bbyy: Name FanEd Title -- School SNeamame EEPhone Number Date E-Mail Ewa Address Xinogen PPhhoonne:e: 663511..663399..994549441590 I / 855 Rice 800 4777411 Creek Par .477.7411 k Fak: way Fax: 53.630.947 Suite 100 St. 651.639.9473 wom daliasmestom Paul, MN 55126 USA l!l!JI!Ll!l!.,.!l.!::lt;:u:ullt:.!<.Q.ID. 22222222.00111166 SSTTATAETE0_202882211007733 -_ ---- DEPARTMENT E BERL n * ABERCROMBIE FIRE PROTECTION DISTRICT i... ee. * ADA FIRE DEPARTMENT o ar ya * ADAMS VOL FIRE DEPT arr 3 * ADRIAN FIRE DEPARTMENT Coo o = y 7 * AITKIN FIRE DEPARTMENT * ALASKA FIRE DEPARTMENT * ALBANY FIRE DEPARTMENT Wo RR PR.| * ALBERT LEA FIRE DEPT CE WeE 2m. J * ALBERT LEA TWP FIRE DEPT ee ear e * ALBERTVILLE FIRE DEPT ALBORN FIRE DEPARTMENT EE iE a ALDEN FIRE DEPARTMENT ALEXANDRIA FIRE DEPT grns - ALMELUND FIRE DEPT ALPHA FIRE DEPARTMENT T ge e a9 ALTURA FIRE DEPARTMENT ALVARADO VOL FIRE DEPT ER R n a -- s 2 AMBOY FIRE DEPARTMENT ANDOVER FIRE DEPT g--- o ANNANDALE FIRE DEPT ER he * ANOKA-CHAMPLIN FIRE DEPT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS 606 BROADWAY, PO BOX 67 404 W MAIN STREET MAIN ST BOX 357 BOX 187 P 0 BOX 161 28987 ALASKA LANE 221 4TH ST, PO BX 1 221 E CLARK ST 712 E MAIN 11350 57TH ST NE, PO BOX 56 6955 STONEY BROOK ROAD BOX241, 174 N BROADWAY 302 FILLMORE ST 15740 MAPLE LN 230 MAIN ST N PO BOX 102 PO BOX 953 PO BOX 115 13875 CROSSTOWN BLVD NW PO BX K, 30 CEDAR ST E 2015- 1ST AVE N CITY ABERCROMBIE ADA ADAMS ADRIAN AITKIN PUPOSKY ALBANY ALBERT LEA ALBERT LEA ALBERTVILLE ALBORN ALDEN ALEXANDRIA CENTER CITY ALPHA ALTURA ALVARADO AMBOY ANDOVER ANNANDALE ANOKA ZIP 58001 56510 55909 56110 56431 56667 56307 56007 56007 55301 55702 56009 56308 55012 56111 55910 56710 56010 55304 55302 55303 * APPLE VALLEY FIRE DEPT 7100 147TH STREET WEST APPLE VALLEY 55124 * APPLETON FIRE DEPT 230 W SNELLING AVE APPLETON 56208 ARCO FIRE DEPARTMENT RR 1 BOX81 ARCO 56113 ARGYLE FIRE DEPARTMENT BOX 241 ARGYLE 56713 * ARLINGTON FIRE DEPT 312 W ALBAN ST ARLINGTON 55307 * ARROWHEAD FIRE DEP 9797 HIGHWAY 2 BROOKSTON 55711 * ASHBY FIRE DEPARTMENT * ASKOV VOL FIRE DEPT ATWATER FIRE DEPARTMENT o on m oy 7 AUDUBON FIRE DEPARTMENT AURORA FIRE DEPARTMENT EyMEiese go * AUSTIN FIRE DEPARTMENT ee ~,. AVOCA FIRE DEPARTMENT * AVON FIRE DEPARTMENT Ces ee. m8) * BABBITT VOL FIRE DEPT BACKUS VOL FIRE DEPT F y iey mme,0 BADGER FIRE DEPARTMENT 203 W MAIN STREET PO BOX 245 PO BOX 457 PO BOX 263 PO BOX 160, 16 W 2ND AVE N 122 1ST AVE NE 201 NE 2ND ST P 0 BOX 244 71 SOUTH DRIVE PO BOX 44 P 0 BOX 193 ASHBY ASKOV ATWATER AUDUBON AURORA AUSTIN AVOCA AVON BABBITT BACKUS BADGER 56309 55704 56209 56511 55705 55912 56114 56310 55706 56435 56714 * BAGLEY FIRE DEPARTMENT * BALATON FIRE DEPARTMENT * BALSAM VOL FIRE DEPT PEs oewe BARNESVILLE FIRE DEPT Ee * BARNUM VOL FIRE DEPT P 0 BOX 178 P 0 BOX 333 1286 SCENIC HIGHWAY BOX 481 BOX 161 go, BAGLEY BALATON BOVEY BARNESVILLE BARNUM 12356621 56115 55709 56514 55707 BARRETT FIRE DEPARTMENT * BATTLE LAKE FIRE DEPT * BAUDETTE FIRE DEPT Br rs - BAYPORT FIRE DEPARTMENT 2, * BEAR CREEK FIRE DEPT meee * BEARDSLEY FIRE DEPT BOX33 PO BOX 662 PO BX 686, 110 1ST AV SW 294 3RD ST N 25814 UPPER RICE LAKE RD BARRETT BATTLE LAKE BAUDETTE BAYPORT SHEVLIN BEARDSLEY 56311 56515 56623 55003 56676 56211 BEARVILLE TWP FIRE DEPT BEAVER BAY VOL FIRE DEPT * BEAVER CREEK FIRE DEPT r-- r --- BECKER VOL FIRE DEPT ee BL oe 7 * BELGRADE FIRE DEPT 62949 COUNTY ROAD 557 BOX 416 PO BX 61 PO BOX 275 PO BOX 296 COOK BEAVER BAY BEAVER CREEK BECKER BELGRADE 55723 55601 56116 55308 56312 BELLE PLAINE FIRE DEPT * BELLINGHAM FIRE DEPT * BELTRAM I FIRE DEPARTMENT Cr 2 * BELVIEW FIRE DEPARTMENT * BEMIDJI FIRE DEPARTMENT Foy ae 7 * BENSON FIRE DEPARTMENT m an e * BERTHA FIRE DEPARTMENT BETHEL FIRE DEPARTMENT ay esse 315 BIG FALLS FIRE DEPARTMENT 700 E MAIN ST 2018 300TH ST 24100 430TH STREET SW PO BX 159, 202 S MAIN 5TH ST & AMERICA AVE 1410 KANSAS AV P 0 BOX 245 139 BROADWAY ST NW, PO BX 67 P 0 BOX 158 BELLE PLAINE BELLINGHAM BELTRAMI BELVIEW BEMIDJI BENSON BERTHA BETHEL BIG FALLS 56011 56212 56517 56214 56601 56215 56437 55005 56627 * BIG LAKE FIRE DEPARTMENT BIGELOW FIRE DEPARTMENT BIGFORK VOL FIRE DEPT ho, BIRCHDALE RURAL FIRE DEPT * BIRD ISLAND FIRE DEPT a. em BIWABIK TWP VOL FIRE DEPT BIWABIK VOL FIRE DEPT Cpa mn2 BLACKDUCK FIRE DEPT 20243 CR 43 PO BX 129 BOX38 PO BOX 128 PO BX GENERAL DELIVERY P 0 BOX 152 6555 OAK DRIVE PO BOX 917 PO BOX 380 BIG LAKE BIGELOW BIGFORK BIRCHDALE BIRD ISLAND GILBERT BIWABIK BLACKDUCK 55309 56117 56628 56629 55310 55741 55708 56630 * BLACKHOOF FIRE DEPART 1757 VALLEYVIEW RD BARNUM 55707 * BLOMKEST FIRE DEPART 19450 HWY 71 SOUTH BLOMKEST 56216 * BLOOMING PRAIRIE FIRE DEPT 138 HWY AV S, PO BX 796 BLOOMING PRAIRIE 55917 * BLOOMINGTON FIRE DEPT 10W95TH ST BLOOMINGTON 55420 BLUE EARTH FIRE DEPT PO BOX 38 BLUE EARTH 56013 Page 1 of 11 22222..00117 stare oas21074 STATE_02821074 S5 C Lr ----) ---- DEPARTMENT * BLUFFTON FIRE DEPT - i-------- er BOIS FORTE VOL FIRE DEPT * BORUP FIRE DEPARTMENT ge 3% * BOVEY FIRE DEPARTMENT p P enB o * BOWLUS FIRE DEPARTMENT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS P 0 BOX 32 5344 LAKESHORE DRV,PO BOX 16 PO BOX 81 BOX 435 PO BOX 56 CITY BLUFFTON NETT LAKE BORUP BOVEY BOWLUS ZIP 56518 55772 56519 55709 56314 BOYD FIRE DEPARTMENT PO BOX 7 BOYD 56218 oe BRAHAM FIRE DEPARTMENT BRAINERD CITY FIRE DEPT * BRANDON FIRE DEPT * BRECKENRIDGE FIRE DEPT orem 13 BROADWAY AV S, PO BX 200 23 LAUREL ST P 0 BOX 506 CITY HLL, 420 NEBRASKA AV BRAHAM BRAINERD BRANDON BRECKENRIDGE 55006 56401 56315 56520 SRE eATcReleedoYe * BREITUNG FIRE DEPARTMENT BREVATOR FIRE DEPT * BREWSTER FIRE DEPT BRICELYN FIRE DEPARTMENT PO PO owen BOX 337 BOX 623 PO BOX 326 P 0 BOX 338, MAIN ST asawr|r| SOUDAN CLOQUET 55782 55720 BREWSTER 56119 BRICELYN 56014 BRIMSON AREA VOL FIRE DEPT * BROOK PARK FIRE DEPT e PRR BROOKLYN CENTER FIRE DEPT r Up. sBile 0) BROOKLYN PARK FIRE DEPT * BROOTEN FIRE DEPARTMENT LE dae Sm, * BROWERVILLE FIRE DEPT * BROWNS VALLEY FIRE DEPT Ear gr 5 * BROWNSDALE FIRE DEPT 3127 HWY 44 BOX 8 6301 SHINGLE CREEK PKWY 5200 85TH AVE N PO BOX 355 P 0 BOX 247 PO BOX 218 P 0 BOX 64 BRIMSON BROOK PARK BROOKLYN CENTER BROOKLYN PARK BROOTEN BROWERVILLE BROWNS VALLEY BROWNSDALE 55602 55007 55430 55443 56316 56438 56219 55918 * BROWNSVILLE FIRE DEPT 302 ADAMS, PO BOX 138 BROWNSVILLE 55919 * BROWNTON VOL FIRE DEPT BRUNO FIRE DEPARTMENT * BUFFALO FIRE DEPARTMENT F Meey * BUFFALO LAKE FIRE DEPT 1 Si -- | * BUHL VOLUNTEER FIRE DEPT * BURNSVILLE FIRE DEPT a BUTTERFIELD FIRE DEPT BUYCK COMM VOL FIRE DEPT HrSo 2 BYRON FIRE DEPARTMENT CALEDONIA FIRE DEPT Eaa = == CALLAWAY FIRE DEPT * CALUMET FIRE DEPT CR ee Eg * CAMBRIDGE FIRE DEPT CAMPBELL FIRE DEPT EEL * CANBY FIRE DEPARTMENT PC EE-- T LL TeEe-- CANNON FALLS FIRE DEPT 431 6TH AVES BOX 52 212 CENTRAL AVE NE BOX 767 100 CIVIC CENTER PKWY 103 SECOND ST N, PO BOX F 8035 ORR/BUYCK RD 707 FRONTAGE RD NW, BX 445 231 E MAIN, PO BOX 232 P 0 BOX 207 300 3RDAVENUE NE BOX26 103 9TH ST W 320 W HOFFMAN BROWNTON BRUNO BUFFALO BUFFALO LAKE BUHL BURNSVILLE BUTTERFIELD BUYCK BYRON CALEDONIA CALLAWAY CALUMET CAMBRIDGE CAMPBELL CANBY CANNON FALLS 55312 55712 55313 55314 55713 55337 56120 55771 55920 55921 56521 55716 55008 56522 56220 55009 * CANOSIA VOL FIRE DEPT 5694 MARTIN RD DULUTH 55811 * CANTON FIRE DEPT PO BOX 179, MAIN ST CANTON 55922 CARLOS FIRE DEPT P 0 BOX 317 CARLOS 56319 * CARL TON VOLUNTEER CARLTON CIVIC CTR, PO BX 336 CARSONVILLE VOLUNTEER 48465 STATE HWY 225 CCaREE S 1 eRe E o * CSCARVER FIRE DEPT CASS LAKE FIRE DEPT -- PO BX 361, BOX 824 _117 - BROADWAY N * CENTENNIAL FIRE DEPT 7741 LAKE DR Emad Se uh of CENTER CITY FIRE DEPT PO BOX 413 CENTRAL LAKES VOL FIRE DEPT 7562 MURPHY LAKE RD BEoa rate Me= CEYLON FIRE DEPARTMENT 119WMAIN CHANDLER FIRE DEPT 241 4TH ST, PO BX 57 a wm. in * CHANHASSEN FIRE DEPT PO BX 147-690 COULTER DR * CHASKA FIRE DEPARTMENT 285 ENGLER BLVD EleShe 3 CHATFIELD FIRE DEPT 322 MAIN ST SOUTH * CHERRY TWP FIRE DEPT 10192 HWY 92 Cian gor oy 2% * CHISAGO CITY FIRE DEPT BOXF Wore J * CHISHOLM FIRE DEPARTMENT 316 W LAKE STREET --_--_. * CHOKIO FIRE DEPARTMENT CLARA CITY FIRE DEPT 215 FIRST ST NW PO BX 190 Er gees * CLAREMONT FIRE DEPT BOXD CLARISSA FIRE DEPARTMENT P 0 BOX 396 Ee tei, * CLARKFIELD FIRE DEPT MUNICIPL BLDG, 90410TH AV * CLARKS GROVE VOL FIRE DEPT BOX 163 ee os * CLEAR LAKE FIRE DEPT 309 MILL STREET, PO BX 298 ERE ee CLEARBROOK FIRE DEPT P 0 BOX 306 Ee ae === CLEARWATER FIRE DEPT BOX 127 CARLTON PONSFORD icCARVER CASS LAKE LINO LAKES CENTER CITY EVELETH CEYLON CHANDLER CHANHASSEN CHASKA CHATFIELD MOUNTAIN IRON CHISAGO CITY CHISHOLM CHOKIO CLARA CITY CLAREMONT CLARISSA CLARKFIELD CLARKS GROVE CLEAR LAKE CLEARBROOK CLEARWATER 55718 56575 sy 55315 56633 55014 55012 55734 56121 56122 55317 55318 55923 55768 55013 55719 56221 56222 55924 56440 56223 56016 55319 56634 55320 * CLEMENTS FIRE DEPT CLEVELAND FIRE DEPT * CLIFTON TWP FIRE DEPT eae Shwe, CLIMAX FIRE DEPARTMENT sa g, l CLINTON FIRE DEPARTMENT C/0 CITY CLERK OFFICE, PO BOX 17 PO BOX 57 6092 HOMESTEAD RD 107 W BROADWAY, PO BX 216 P 0 BOX 280 CLEMENTS CLEVELAND DULUTH CLIMAX CLINTON 56224 56017 55804 56523 56225 CLINTON VOL. FIRE DEPT 3858 HWY 7 IRON 55751 CLONTARF FIRE DEPARTMENT BOX 267 CLONTARF 56226 * CLOQUET FIRE DEPARTMENT 508 CLOQUET AVE CLOQUET 55720 * COHASSET FIRE DEPT PO BOX 242 COHASSET 55721 COKATO FIRE DEPARTMENT P 0 BOX 1030 COKATO 55321 Page 2 of 11 22222..00118 stare oas21075 STATE_02821075 EL -- DEPARTMENT ma eme sm. E * COLD SPRING FIRE DEPT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS 27 RED RIVER AVES CITY COLDSPRING ZIP 56320 COLERAINE FIRE DEPT COLOGNE FIRE DEPARTMENT COLUMBIA HEIGHTS FIRE DEPT 100 ROOSEVELT, PO BX 670 110 LOUIS ST PO BOX 88 555 MILL ST NE COLERAINE COLOGNE COLUMBIA HEIGHTS |55722 55322 55421 * COLVILL AREA VOL FIRE DEPT 101 COUNTY ROAD 14 GRAND MARAIS 55604 COLVIN TWP FIRE DEPT 2577 VERMILION TRAIL MAKINEN 55763 * COMFREY FIRE DEPARTMENT PO BX 55, 120 E BROWN ST COMFREY 56019 CONGER FIRE DEPARTMENT COOK FIRE DEPARTMENT a * COON RAPIDS FIRE DEPT CORRELL FIRE DEPARTMENT Emme pmuRmy am a * COSMOS FIRE DEPT * COTTAGE GROVE FIRE DEPT ER COTTON VOL FIRE DEPT EE COTTONWOOD FIRE DEPT | COURTLAND FIRE DEPT = [C, Me fe2 a oosme esa! CRANE LAKE FIRE DEPT ) * CROMWELL VOL FIRE DEPT BOX 421 127 S RIVER ST, PO BX 155 11155 ROBINSON DRIVE 119 HWY 7 E, PO BOX 127 BX 188, 206 GEMINI AVE 8641 BOTH ST S 6844 BUG CREEK RD PO BOX 427 PO BOX 41 P 0 BOX 407 BOX44 CONGER COOK COON RAPIDS CORRELL COSMOS COTTAGE GROVE COTTON COTTONWOOD COURTLAND CRANE LAKE CROMWELL 56020 55723 55433 56227 56228 55016 55724 56229 56021 55725 55726 r Foti ere 2 CROOKED LAKE VOL FIRE DEPT CROOKSTON FIRE DEPT * CROSBY VOL FIRE DEPT * CROSSLAKE FIRE DEPT * CULVER FIRE DEPARTMENT CURRIE VOL FIRE DEPT P 0 BOX 44 620 S MAIN PO BOX 6 37028 COUNTY RD 66 5571 HWY 31 BOX 75 OUTING CROOKSTON CROSBY CROSSLAKE CULVER CURRIE 56662 56716 56441 56442 55727 56123 fa mmm apees i gm , a| * CUYUNA FIRE DEPARTMENT CYRUS FIRE DEPARTMENT DAKOTA FIRE DEPARTMENT DALBO FIRE DEPARTMENT 24124 CO RD 30, PO BX 550 PO BX 36, 113 E MAIN ST POBOX417 37882 HWY 41 NW, PO BOX 60 AITKIN CYRUS DAKOTA DALBO 56431 56323 55925 55017 * DALTON FIRE DEPARTMENT DALTON 56324 DANUBE FIRE DEPARTMENT BOX 162 DANUBE 56230 DANVERS FIRE DEPARTMENT DARFUR FIRE DEPARTMENT BEa * DASSEL FIRE DEPARTMENT [bttoa we DAWSON FIRE DEPARTMENT DAYTON FIRE DEPARTMENT [CERELRERST EE dec * DEER CREEK FIRE DEPT ONE BANK PLAZA RR 1 BOX 105 P 0 BOX 56 P 0 BOX9 P 0 BOX 155 PO BOX 161 DANVERS BUTTERFIELD DASSEL DAWSON DAYTON DEER CREEK |56231 56120 55325 a 56232 55327 56527 DEER RIVER FIRE DEPT * DEERWOOD FIRE DEPT P Be i a air r i e i fr e e s DEGRAFF FIRE DEPARTMENT 2 DELANO VOL FIRE DEPT * DELAVAN VOL FIRE DEPT DENT FIRE DEPARTMENT [ommmdara5] DETROIT LAKES FIRE DEPT Ear gpsfee 5) * DEXTER VOL FIRE DEPT BOX 312 104 CROSS RD, PO BX 310 101 4TH STREETS 245 N 2ND ST PO BX 108 100 S MAIN STREET PO BX 647, 1025 ROOSEVELT AV BOX 148 DEER RIVER DEERWOOD DEGRAFF DELANO DELAVAN DENT DETROIT LAKES DEXTER 56636 56444 56271 55328 56023 56528 56502 55926 * DILWORTH FIRE DEPT PO BX 187, 7091ST AV NW DILWORTH 56529 DODGE CENTER FIRE DEPT BOX 369 DODGE CENTER 55927 DONNELLY FIRE DEPT BOX81 DONNELLY 56235 * DOVER FIRE DEPARTMENT PO BOX 65 DOVER 55929 DOVRAY FIRE DEPARTMENT PO BX 72, 310 WOODMAN AVE DOVRAY 56125 DULUTH FIRE DEPARTMENT 602W2NDST DULUTH 55802 DUMONT FIRE DEPARTMENT BOX96 DUMONT 56236 DUNDEE FIRE DEPARTMENT 100 N CARPENTER ST DUNDEE 56131 * DUNNELL-LAKE FREMONT FIRE DEPT P 0 BOX 216 DUXBURY FIRE DEPARTMENT 61195 McCULLEN DRIVE Eo * EAGAN FIRE DEPARTMENT 3795 PILOT KNOB RD EAGLE BEND FIRE DEPT P 0 BOX 336 ERSSer eer Gai an * EAGLE LAKE VOL FIRE DEPT 101 PLAINVIEW Ee EAGLES NEST FIRE DEPT 1552 BEAR HEAD ST PK RD EAST BETHEL FIRE DEPT 2241 221ST AVE NE | BSE ort Stn otworos| * EAST GRAND FORKS FIRE DEPT 415 4TH STREET NW [ae ranmafg eee ad EAST HUBBARD CTY FIRE PROTECTION DISTRICT PO BOX 214 DUNNELL SANDSTONE EAGAN EAGLE BEND EAGLE LAKE ELY CEDAR EAST GRAND FORKS AKELEY 56127 55072 55122 56446 56024 55731 55011 56721 56433 * * TTT 12 -- EASTON VOL FIRE DEPT ECHO FIRE DEPARTMENT P 0 RR CT S-- BOX 94 1, BOX 204 CC-- EASTON ECHO 56025 56237 | * EDEN PRAIRIE FIRE DEPT EDEN VALLEY FIRE DEPT EDGERTON FIRE DEPT EE er 28 50 * EDINA FIRE DEPARTMENT EITZEN FIRE DEPARTMENT EE -- 7-- 1 -- ELBOW LAKE FIRE DEPT * ELBOW-TULABY LAKES FIRE DEPT I 1 -- -- -- | ELGIN FIRE DEPARTMENT 14800 SCENIC HEIGHTS RD 171 COUSART AVE, PO BOX 67 6250 TRACY AVES PO BOX 393 P 0 BOX 464 39828 STATE HWY 113 135 E MAIN ST EDEN PRAIRIE EDEN VALLEY EDGERTON EDINA EITZEN ELBOW LAKE WAUBUN ELGIN 55344 55329 56128 55436 55931 56531 56589 55932 * ELIZABETH FIRE DEPT BOX 805 ELIZABETH 56533 * ELK RIVER FIRE DEPT 415 JACKSON AVE ELK RIVER 55330 ELLENDALE VOL FIRE DEPT PO BOX 97 ELLENDALE 56026 * ELLS BURG VOL FIRE DEPT 1102 MINK RD COTTON 55724 ELLSWORTH FIRE DEPT 306 N MAPLE, PO BX 177 ELLSWORTH 56129 Page 3 of 11 22222..00119 STSTAATTEE0_208228211007766 LmDEPARTMENT ee FIREFIGHTING FOAM SURVEY MAILING LIST RW R ee) ADDRESS CITY ZIP * ELMER FIRE DEPARTMENT ELMORE FIRE DEPARTMENT * ELROSA FIRE DEPARTMENT Fe oe =o * ELY FIRE DEPARTMENT ELYSIAN FIRE DEPARTMENT Fyn 5 EMBARRASS VOL FIRE DEPT * EMILY VOLUNTEER FIRE DEPT BT * EMMONS FIRE DEPARTMENT ERSKINE FIRE DEPARTMENT f E e S eee ---- 8 * EVANSVILLE FIRE DEPT * EVELETH FIRE DEPARTMENT F 2 e Sn EVERGREEN FIRE DEPT * EXCELSIOR FIRE DEPT E aae s aa wsTt EYOTA VOL FIRE DEPT 9 FAIRFAX FIRE DEPARTMENT so 4 * FAIRMONT FIRE DEPARTMENT * FALCON HEIGHTS FIRE DEPT Di i na rm a e 9 7) FARIBAULT FIRE DEPARTMENT FARMINGTON FIRE DEPT EE FAYAL FIRE DEPARTMENT FEDERAL DAM FIRE DEPT a , * FELTON COMMUNITY FIRE DEPT FERGUS FALLS FIRE DEPT FERTILE FIRE DEPARTMENT BA E PR FIFTY LAKES FIRE DEPT JF radi Seer ooxe aap {aan * FINLAND FIRE DEPARTMENT FINLAYSON FIRE DEPT rr op = ------ 1) * FISHER FIRE DEPARTMENT FLENSBURG FIRE DEPT HR foe 3 * FLOODWOOD FIRE DEPT FOLEY FIRE DEPARTMENT Se == FORADA FIRE DEPARTMENT FOREST LAKE FIRE DEPT H one * FORESTON FIRE DEPART * FOSSTON FIRE DEPARTMENT El pe 2 e 9 * FOUNTAIN FIRE DEPARTMENT FOXHOME FIRE DEPARTMENT e as y on Ea FRANKLIN FIRE DEPARTMENT FRAZEE FIRE DEPARTMENT er 3 FREDENBERG FIRE DEPT FREEBORN FIRE DEPT PEsemsr -- oper ay 15) * FREEPORT FIRE DEPT * FRENCH TWP VOL FIRE DEPT er eee * FRIDLEY FIRE DEPARTMENT FROST FIRE DEPARTMENT er a =-------- 1) FULDA FIRE DEPARTMENT * GARFIELD FIRE DEPARTMENT g- a ---- GARRISON FIRE DEPARTMENT GARVIN FIRE DEPARTMENT rll GARY VOL FIRE DEPARTMENT * GAYLORD FIRE DEPARTMENT srry * GENEVA FIRE DEPARTMENT res23 GHENT FIRE DEPARTMENT * GIBBON FIRE DEPARTMENT Hy a GILBERT FIRE DEPARTMENT GLENCOE FIRE DEPARTMENT * GLENVILLE FIRE DEPARTMENT EE me a) * GLENWOOD FIRE DEPT GLYNDON VOL FIRE DEPT F ey t Ree L a e ------) -- 2 GNESEN VOL FIRE DEPT 7882 ELMER ROAD PO BX 56, 202 S HWY 69 PO BX 160, 103 STATE ST 209 E CHAPMAN ST BOX9 4868 HWY 21 42145 BIRCHWOOD DRIVE POBOX21 PO BX 213, 102 GRANT AV PO BOX 367 413 PIERCE ST 10233 HWY 65 24100 SMITHTOWN ROAD PO BOX 915 BOX 156 PO BOX 386 2077 W LARPENTEUR 122 NW SECOND ST 325 OAKST 4375 SHADY LN 218 PINE STREET BOX 561 325 E WASHINGTON PO BX 142, 10 E MAIN PO BOX 127 BOX 556 2208 Fl NLAND AVE P 0 BOX 167 53 MAIN ST, PO BOX 5 BOX 348 BOX 709 1490 CR 4 SE 220 N LAKE ST 176 DE CAMP ST 114NKAISERAVE BOX 118 BOX 54 BOX 279 PO BOX 413 6846 BERGSTRAND RD 402 PARK ST,PO BX 98 BOX 151 POBOX41 6431 UNIVERSITY AVE NE BOX457 PO BOX 9 PO BX 24 P 0 BOX 367 PO BOX 4 206 3RD ST BOX 685 PO BOX 26 109 N CHAPMAN ST, PO BOX 253 P 0 BOX 73 PO BOX 878 509 10TH ST E 137 E MINNESOTA AVE 508 STATE ST NE, PO BX 68 4504 DA TKA ROAD MEADOWLANDS ELMORE ELROSA ELY ELYSIAN EMBARRASS EMILY EMMONS ERSKINE EVANSVILLE EVELETH BRITT SHOREWOOD EYOTA FAIRFAX FAIRMONT FALCON HEIGHTS FARIBAULT FARMINGTON EVELETH FEDERAL DAM FELTON FERGUS FALLS FERTILE FIFTY LAKES FINLAND FINLAYSON FISHER FLENSBURG FLOODWOOD FOLEY ALEXANDRIA FOREST LAKE FORESTON FOSSTON FOUNTAIN FOXHOME FRANKLIN FRAZEE DULUTH FREEBORN FREEPORT SIDE LAKE FRIDLEY FROST FULDA GARFIELD GARRISON GARVIN GARY GAYLORD GENEVA GHENT GIBBON GILBERT GLENCOE GLENVILLE GLENWOOD GLYNDON DULUTH 55765 56027 56325 55731 56028 55732 56447 56029 56535 56326 55734 55710 55331 55934 55332 56031 55113 55021 55024 55734 56641 56536 56537 56540 56448 55603 55735 56723 56328 55736 56329 56308 55025 56330 56542 55935 56543 55333 56544 55803 56032 56331 55781 55432 56033 56131 56332 56450 56132 56545 55334 56035 56239 55335 55741 55336 56036 56334 56547 55803 * GOLDEN VALLEY FIRE DEPT [0000naeR FRECesT GONVICK FIRE DEPARTMENT GOOD THUNDER FIRE DEPT GOODHUE FIRE DEPT 7800 GOLDEN VALLEY RD GOLDEN VALLEY -- ET -- 1-- -- P 0 BOX 202 BOX 345 706 3RDAVE GONVICK GOOD THUNDER GOODHUE 55427 56644 56037 55027 GOODLAND FIRE DEPT P 0 BOX 1 GOODLAND 55742 GOODRIDGE AREA FIRE DEPT GOODVIEW FIRE DEPT * GRACEVILLE FIRE DEPT Ee GRANADA FIRE DEPARTMENT GRAND LAKE VOL FIRE DEPT GRAND MARAIS VOL FIRE DEPT E EEe ee GRAND MEADOW FIRE DEPT P 0 BOX 162, 205 VAUGHN ST 4135 W5TH ST BOX 644 PO BOX 133 PO BOX 1083 P 0 BOX 600 PO BOX 511 GOODRIDGE WINONA GRACEVILLE GRANADA TWIG GRAND MARAIS GRAND MEADOW 56725 55987 56240 56039 55791 55604 55936 GRAND PORTAGE FIRE DEPT GRAND PORTAGE 55605 * GRAND RAPIDS FIRE DEPT 18 NE 5TH ST GRAND RAPIDS 55744 GRANITE FALLS FIRE DEPT PO BOX 201 GRANITE FALLS 56241 GREANEY-RAUCH-SILVERDALE FIRE DEPT 2436 HALVORSON RD GHEEN 55771 J Page 4 of 11 22222..00120 stare azszion STATE_02821077 EL -- DEPARTMENT am * GREEN ISLE FIRE DEPARTMENT [mmge--gineeens Gio * GREENBUSH FIRE DEPT GREENWOOD TWP VOL FIRE DEPT =* GREY EAGLE FIRE DEPT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS 390 PARNELL ST, PO BX 235 P 0 BOX 98 4560 BRADLEY RD 202 S WOODMEN ST CITY GREEN ISLE GREENBUSH TOWER GREY EAGLE ZIP 55338 56726 55790 56336 * GROVE CITY FIRE DEPT BOX 207 GROVE CITY 56243 GRYGLA FIRE DEPARTMENT * GUNFLINT TRAIL VOL. FIRE DEPT [ESescidneer meat Weess Ea * HACKENSACK AREA FIRE DEPT HALLOCK FIRE DEPARTMENT [Esgmmener mm e, ead HALSTAD FIRE DEPARTMENT * HAM LAKE FIRE DEPARTMENT | * HAMBURG FIRE DEPARTMENT * HAMEL FIRE DEPARTMENT [mememG-- amae me. an HANCOCK FIRE DEPARTMENT Ee HANGAARD TWP FIRE DEPT [Cmmieasr mm ae ma HANLEY FALLS FIRE DEPT HANOVER FIRE DEPARTMENT [Ra S agr op epe age s LaEl HANSKA FIRE DEPARTMENT BOX 136 468 CLEARWATER RD 231 1ST ST N BOX 847 P 0 BOX 176 15544 CENTRAL AVE NE 181 BROADWAY AVE 92 HAMEL RD 662 6TH ST 12156 590TH ST PO BOX 57 HANOVER CITY HLL, PO BX 278 BOX 227 GRYGLA GRAND MARAIS HACKENSACK HALLOCK HALSTAD HAM LAKE HAMBURG HAMEL HANCOCK GONVICK HANLEY FALLS HANOVER HANSKA 56727 55604 56452 56728 56548 55304 55339 55340 56244 56644 56245 55341 56041 * HARDWICK FIRE DEPARTMENT RR 1 HARDWICK 56134 * HARMONY FIRE DEPARTMENT PO BOX 344 HARMONY 55939 HARRIS FIRE DEPARTMENT PO BOX 111 HARRIS 55032 * HARTLAND FIRE DEPARTMENT 407 S BROADWAY ST, PO BOX 487 HARTLAND 56042 * HASTINGS FIRE DEPARTMENT 115W5TH ST HASTINGS 55033 * HAWLEY FIRE DEPARTMENT PO BOX 981 HAWLEY 56549 HAYFIELD FIRE DEPARTMENT BOX 493 HAYFIELD 55940 Frasnsme * HAYWARD FIRE DEPARTMENT HECTOR FIRE DEPARTMENT HENDERSON FIRE DEPT ages P 0 BOX 493 621 S MAIN ST, PO BX 284 P 0 BOX 85 gg, HAYWARD HECTOR HENDERSON od)56043 55342 56044 HENDRICKS FIRE DEPT BOX82 HENDRICKS 56136 HENDRUM FIRE DEPARTMENT HENNING VOL FIRE DEPT HERMAN VOL FIRE DEPT a1 HERMANTOWN VOL FIRE DEPT E eey HERON LAKE VOL FIRE DEPT * HEWITT FIRE DEPARTMENT = * HIBBING FIRE DEPARTMENT PO BX 100, 308 MAIN ST E 607 2ND ST PO BOX 203 5255 MAPLE GROVE RD PO BOX 282 P 0 BOX 164 2320 BROOKLYN DR HENDRUM HENNING HERMAN HERMANTOWN HERON LAKE HEWITT HIBBING 56550 56551 56248 55811 56137 56453 55746 HIDDEN VALLEY FIRE DEPT 23 HIDDEN VALLEY RD MINNESOTA CITY 55959 * HILL CITY FIRE DEPARTMENT PO BX 168,111 HENRIETTAAV SW HILL CITY 55748 * HILLS FIRE DEPARTMENT PO BOX 141 HILLS 56138 [ema * HINCKLEY VOL FIRE DEPT * HITTERDAL FIRE DEPARTMENT HOFFMAN FIRE DEPARTMENT ems PO BOX 309 219WEST FRONT 110 1ST N, BOX 31 weal HINCKLEY HITTERDAL HOFFMAN a 55037 56552 56339 HOKAH VOL FIRE DEPT BOX312 HOKAH 55941 * HOLDINGFORD FIRE DEPT P 0 BOX 60 HOLDINGFORD 56340 * HOLLAND FIRE DEPARTMENT * HOLLANDALE FIRE DEPT * HOPKINS FIRE DEPARTMENT m m s ae 1318 161ST STREET P 0 BOX 122 1010 1ST ST S HOLLAND HOLLANDALE HOPKINS 56139 56045 55343 [restates 2 HOUSTON FIRE DEPARTMENT * HOVLAND FIRE DEPARTMENT HOWARD LAKE FIRE DEPT 105 W MAPLE ST P 0 BOX 484 BOX 309 HOUSTON HOVLAND HOWARD LAKE 55943 55606 55349 * HOYT LAKES FIRE DEPT CITY HALL HOYT LAKES 55750 * HUGO FIRE DEPARTMENT * HUTCHINSON FIRE DEPT Ensgees Whee 3B * IDEAL TWP FIRE DEPT Ee -- -- * INDUSTRIAL VOL FIRE DEPT INTERNATIONAL FALLS FIRE DEPT EEEe | INVER GROVE HEIGHTS FIRE DEPT 5323 140TH ST N 2053RDAVESE 8890 RUTTGER RD 7519 ALBERT RD 600 FOURTH STREET 7015 CLAYTON AVENUE E HUGO HUTCHINSON PEQUOT LAKES SAGINAW INTERNATIONAL FALLS INVER GROVE HTS 55038 55350 56472 55779 56649 55076 IONA FIRE DEPARTMENT IRONTON FIRE DEPARTMENT -- 11 1| ISANTI FIRE DISTRICT 5---- * ISLE FIRE DEPARTMENT * ITASCA TWP VOL FIRE DEPT [haeretomter e dene o IVANHOE FIRE DEPARTMENT EEr E weal * JACKSON FIRE DEPARTMENT POBOX114 607 8TH AVE SW 401- 1ST AVE N PO BOX 427 RT 2, BOX 344 PO BOX 10 305 SHERIDAN ST,PO BX 242 IONA IRONTON ISANTI ISLE SHEVLIN IVANHOE JACKSON 56141 56455 55040 56342 56676 56142 56143 JACOBSON FIRE DEPT PO BOX 603 JACOBSON 55752 JANESVILLE FIRE DEPT PO BX 0, 101 N MOTT ST JANESVILLE 56048 i* JASPER FIRE DEPARTMENT * JEFFERS FIRE DEPARTMENT JORDAN FIRE DEPARTMENT * KABETOGAMA FIRE DEPT -- 1 -- RR2, BOX213 P 0 BOX 198 210 E 1ST ST 9843 GAMMA RD -- JASPER JEFFERS JORDAN RAY || 56144 56145 55352 56669 KANDIYOHI FIRE DEPARTMENT PO BOX 142 KANDIYOHI 56251 [w ERE ea 1 KARLSTAD VOL FIRE DEPT KASOTA FIRE DEPARTMENT * KASSON FIRE DEPARTMENT KEEWATIN VOL FIRE DEPT KELLIHER VOL FIRE DEPT P 0 BOX 299 200 N WEBSTER 19 E MAIN ST, PO BX 85 PO BOX 134 KARLSTAD KASOTA KASSON KEEWATIN KELLIHER 56732 56050 55944 55753 56650 rams Page 5 of 11 2222.00112211 STSTAATTEE0_208228211007788 .-- __- ------ DEPARTMENT Lem... WRC ow ml KELLOGG FIRE DEPARTMENT * KELSEY VOL FIRE DEPT KENNEDY FIRE DEPARTMENT Ey ae] KENNETH VOL FIRE DEPT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS PO BOX 98 9159 OAK RD BX 228, 101 N ATLANTIC AV RR 1 CITY KELLOGG KELSEY KENNEDY KENNETH ZIP 55945 55724 56733 56147 KENSINGTON FIRE DEPT BOX 196 KENSINGTON 56343 KENYON FIRE DEPARTMENT PO BOX 6 KENYON 55946 * KERKHOVEN FIRE DEPT KERRICK FIRE DEPARTMENT * KETTLE RIVER FIRE DEPT CE Pues me J * KIESTER FIRE DEPARTMENT KILKENNY FIRE DEPARTMENT Fae 3818 KIMBALL FIRE DEPARTMENT * KINNEY-GREAT SCOTT FIRE DEPT Ee * LACRESCENT FIRE DEPT EEE es he LAFAYETTE FIRE DEPT Ne LAKE BENTON FIRE DT LAKE BRONSON FIRE DEPT [[CE RERSS fees ase =| LAKE CITY FIRE DEPARTMENT LAKE CRYSTAL FIRE DEPT a * LAKE ELMO FIRE DEPT 202 N 9TH ST, BOX 116 BOX31 CITY HALL, 3977 MAIN STREET POBOX116 BOX 121 BOX 337 MAIN ST 315 MAIN ST, PO BX 142 P 0 BOX 62 BOX 82, 110 E BENTON PO BOX 97 208 S HIGH ST P 0 BOX 528 3800 LAVERNE KERKHOVEN KERRICK KETTLE RIVER KIESTER KILKENNY KIMBALL KINNEY LACRESCENT LAFAYETTE LAKE BENTON LAKE BRONSON LAKE CITY LAKE CRYSTAL LAKE ELMO 56252 55756 55757 56051 56052 55353 55758 55947 56054 56149 56734 55041 56055 55042 LAKE GEORGE FIRE DEPT BOX 1635 LAKE GEORGE 56458 LAKE HENRY FIRE DEPT LAKE JOHANNA VOL FIRE DEPT LAKE LILLIAN FIRE DEPT [ [Es E a e Li e2 LAKE PARK FIRE DEPT LAKE WILSON FIRE DEPT Ry --.e SII * LAKEFIELD FIRE DEPARTMENT Clid SGi ...siGom t er a LAKELAND VOL FIRE DEPT 32953 CARTWAY DRIVE 5545 LEXINGTON AVE N 111 SECOND ST PO BOX 239 BOX 163 P 0 BOX 127 4667 VERMILION TRAIL PA YN ESVI LLE SHOREVIEW LAKE LILLIAN LAKE PARK LAKE WILSON LAKEFIELD GILBERT 56362 55126 56253 56554 56151 56150 55741 LAKEPORT FIRE DEPARTMENT 30056 354 TH ST LAPORTE 56461 LAKEVILLE FIRE DEPARTMENT LAKEWOOD TWP FIRE DEPT LAMBERTON FIRE DEPT Er a waea= LANCASTER FIRE DEPT [mee meet An LE * LANESBORO FIRE DEPT Flimese aa . a * LASALLE FIRE DEPARTMENT 20190 HOLYOKE AVE W 2627 CENTERLINE ROAD PO BOX 457 302 3RD ST E,RR 1,BX 42A BOX 210 P 0 BOX 151 LAKEVILLE DULUTH LAMBERTON LANCASTER LANESBORO LA SALLE 55044 55804 56152 56735 55949 56056 [ABE ER RCoua mevon isa * LE CENTER FIRE DEPT LEROY FIRE DEPARTMENT * LEAF VALLEY TWP FIRE DEPT LESTER PRAIRIE FIRE DEPT PO BOX 45 P 0 BOX 296 c/o KALPIN, 3661 LUCKY LN NW P 0 BOX 146 LE CENTER LEROY MILTONA LESTER PRAIRIE | 56057 55951 56354 55354 [Cleveimssorer * LESUEUR FIRE DEPARTMENT * LEWISTON FIRE DEPARTMENT LEWISVILLE FIRE DEPT RORSaR 203 S 2ND ST, PO BX 176 PO BOX 636 P 0 BOX 334 ewe LESUEUR LEWISTON LEWISVILLE | gl 56058 55952 56060 * LEXINGTON FIRE DEPARTMENT 9180 LEXINGTON AVE LEXINGTON 55014 LINDSTROM FIRE DEPT * LINWOOD VOL FIRE DEPT 1-- -- | * LISMORE FIRE DEPARTMENT LITCHFIELD FIRE DEPARTMENT [SMS ike ighec 4] * LITTLE CANADA FIRE DEPT ee * LITTLE FALLS FIRE DEPT a Eee lae a * LITTLEFORK FIRE DEPT * LOMAN RURAL FIRE DEPT er 1 -- LONDON FIRE DEPARTMENT LONG LAKE FIRE DEPT * LONG PRAIRIE FIRE DEPT 1 ae * LONGVILLE VOL FIRE DEPT * LONSDALE FIRE DEPARTMENT * LORETTO VOL FIRE DEPT Pies poe on 2 * LOUISBURG FIRE DEPT LOWER ST CROIX VALLEY FIRE DEPT [SESSA eee aE * LOWRY FIRE DEPARTMENT Ee -- -- -- | LUCAN FIRE DEPARTMENT * LUTSEN TWP VOL FIRE DEPT eee =) LUVERNE FIRE DEPARTMENT PO BOX 501 22817 TYPO CK DR NE P 0 BOX 188 227 N RAMSEY 325 E LITTLE CANADA RD 314 1ST ST NE PO BOX 387 P 0 BOX 256 11768 JAMES STREET 1964 PARKAV, PO BX 606 615 LAKE ST S BOX 216 PO BX 329, 426 CORD 4 259 N MEDINA ST, BX 22 RR 1, BOX 468 PO BOX 234 PO BOX 131 BOX 156 P 0 BOX 151 PO BOX 659 LINDSTROM STACY LISMORE LITCHFIELD LITTLE CANADA LITTLE FALLS LITTLEFORK LOMAN LONDON LONG LAKE LONG PRAIRIE LONGVILLE LONSDALE LORETTO LOUISBURG LAKELAND LOWRY LUCAN LUTSEN LUVERNE 55045 55079 56155 55355 55117 56345 56653 56654 56036 55356 56347 56655 55046 55357 56256 55043 56349 56255 55612 56156 * LYLE FIRE DEPARTMENT LYND FIRE DEPARTMENT Le e am MABEL VOL FIRE DEPT * MADELIA FIRE DEPARTMENT iim MADISON FIRE DEPARTMENT [meses ome fess || MADISON LAKE FIRE DEPT MAGNOLIA FIRE DEPARTMENT 1 * MAHNOMEN FIRE DEPT PO BOX 64 PO BOX 177 120WMAIN ST 404 6TH AVE 525 MAIN ST, PO BOX 295 P 0 BOX 98 PO BOX 250 LYLE LYND MABEL MADELIA MADISON MADISON LAKE MAGNOLIA MAHNOMEN 55953 56157 55954 56062 56256 56063 56158 56557 * MAHTOMEDI FIRE DEPT 600 STILLWATER RD MAHTOMEDI 55115 * MAHTOWA FIRE DEPARTMENT PO BOX 963 MAHTOWA 55707 * MAKINEN FIRE DEPARTMENT PO BOX 395 MAKINEN 55763 MANCHESTER FIRE DEPT PO BOX 2 MANCHESTER 56064 * MANKATO FIRE DEPARTMENT 710 FRONT ST MANKATO 56001 Page 6 of 11 222222.001122 sStTaAtTeE__o022682211007799 = DEPARTMENT MANTORVILLE FIRE DEPT (Eee SeSe m nF * MAPLE GROVE FIRE DEPT ee ee ae * MAPLE HILL FIRE DEPT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS BOX 355 12800 ARBOR LKS PKWY PO BX 1180 1469 GUNFLINT TRAIL CITY MANTORVILLE MAPLE GROVE GRAND MARAIS ZIP 55955 55311 55604 MAPLE LAKE FIRE DEPT POBOX331 MAPLE LAKE 55358 W CCETs -- rr-- -- E BE 152 MAPLE PLAIN FIRE DEPT MAPLETON FIRE DEPARTMENT MAPLEVIEW FIRE DEPT MAPLEWOOD FIRE DEPT P 0 BOX 97 101 MAPLE 1955 CLARENCE STREET MAPLE PLAIN MAPLETON MAPLEVIEW MAPLEWOOD 55359 56065 55912 55109 |*larMMAAeRRrIBELrTETaAFInRFIERcEDoEDPcEApPRaATrRMTrEMuNEoTNnTr -- [IanrgDOPaRTMENT * MARINE ON ST CROIX FIRE DEPT * MARSHALL FIRE DEPARTMENT Eo Pipes s gpl 53 * MAYER FIRE DEPARTMENT * MAYNARD FIRE DEPARTMENT ee ER MAZEPPA VOL FIRE DEPT eo MCDAVITT FIRE DEPARTMENT MCGREGOR VOL FIRE DEPT Tat * MCKINLEY VOL FIRE DEPT E E ee oee,nr . oa af MCGRATH FIRE DEPARTMENT lPBpOOoXBpO2o5X5n1i13s lPBpOOoXRBXK25110225322,20011CEASRAARATTOOGGAA PO BOX 102 PO BOX 154 PO BOX 73 ROUTE 1 BOX24 PO BOX D 209 MAIN STREET 5 MARBLE MARIETTA a MARINE ON ST CRX MARSHALL MAYER MAYNARD MAZEPPA ZIM MCGREGOR MCKINLEY MCGRATH 55764 56257 i55047 56258 55360 56260 55956 55738 55760 55761 56350 MCINTOSH FIRE DEPARTMENT PO BX 356, 100 2ND ST SW MCINTOSH 56556 * MEADOWLANDS AREA VOL FIRE DEPT 9945 HWY 133, PO BX 146 MEADOWLANDS 55765 E EE EE el-- MEDFORD VOL FIRE DEPT * MEDICINE LAKE FIRE DEPT * MELROSE FIRE DEPARTMENT * MENAHGA FIRE DEPARTMENT MENDOTA HEIGHTS FIRE DEPT PO BX 206, 408 2ND AV SE 2 KAISER AVE 225 E 1ST STREET N P 0 BOXC 1101 VICTORIA CURVE S-- ie,on MEDFORD MEDICINE LAKE MELROSE MENAHGA MENDOTA HEIGHTS 55049 55441 56352 56464 55118 MENTOR FIRE DEPARTMENT wootevckrigoe moxa weowsver | | * MIDDLE RIVER FIRE DEPT MIESVILLE VOL FIRE DEPT Neoem MILACA FIRE DEPARTMENT MILAN FIRE DEPARTMENT eo33 MILLERVILLE FIRE DEPT MILROY FIRE DEPARTMENT CFEER TaRR ] MILTONA FIRE DEPARTMENT PO BX 155, 202 Ll NCOLN AV N BOX2 14115 240TH ST E 255 FIRST STREET E P 0 BOX 163 16560 COUNTY RD 156 NW P 0 BOX9 PO BOX 195 MENTOR MIDDLE RIVER CANNON FALLS MILACA MILAN BRANDON MILROY MILTONA 56736 56737 55009 56353 56262 56315 56263 56354 * MINNEAPOLIS FIRE DEPT * MINNEOTA FIRE DEPARTMENT * MINNESOTA CITY FIRE DEPT Eo o or pm 5He MINNESOTA LAKE FIRE DEPT EEa E h a y * MINNETONKA FIRE DEPT RM 230 CITY HALL P 0 BOX 356 PO BOX 71 RR 1, BOX 30 14550 MINNETONKA BLVD MINNEAPOLIS MINNEOTA MINNESOTA CITY MINNESOTA LAKE MINNETONKA 55415 56264 55959 56068 55345 * MISSION TWP FIRE DEPT STAR RT, PO BX 321 MERRIFIELD 56465 * MONTEVIDEO FIRE DEPT P 0 BOX 517 MONTEVIDEO 56265 * MONTGOMERY FIRE DEPT 201 ASH AVEW MONTGOMERY 56069 MONTICELLO FIRE DEPT * MONTROSE FIRE DEPT * MOORHEAD FIRE DEPT en 8 * MOOSE LAKE FIRE DEPT MORA FIRE DEPARTMENT Ee * MORGAN FIRE DEPARTMENT MORRIS FIRE DEPARTMENT CEE ew he 0) * MORRISTOWN FIRE DEPT P 0 BOX 422 311 BUFFALO AV, PO BX 25 11112TH ST N 600 HWY 73 101 LAKE ST S BOX27 PO BOX 362 MONTICELLO MONTROSE MOORHEAD MOOSE LAKE MORA MORGAN MORRIS MORRISTOWN 55362 55363 56560 55767 55051 56266 56267 55052 MORSE FALL LAKE FIRE DEPT MORTON FIRE DEPARTMENT * MOTLEY FIRE DEPARTMENT FREE * MOUND FIRE DEPARTMENT * MOUNTAIN IRON FIRE DEPT rE MOUNTAIN LAKE FIRE DEPT MURDOCK FIRE DEPARTMENT Fans * MYRTLE FIRE DEPARTMENT PO BOX 660 P 0 BOX 338 PO BOX 66, 316 HWY 10 S ef8) 2415 WILSHIRE BLVD BOX 533 a Em PO BOX C Wh. gre 300 FREDRICK ST ELY MORTON MOTLEY MOUND MOUNTAIN IRON MOUNTAIN LAKE MURDOCK MYRTLE 55731 56270 56466 55364 55768 56159 56271 56070 * NASHWAUK FIRE DEPT * NASSAU FIRE DEPARTMENT * NERSTRAND VOL FIRE DEPT - a n, * NEVIS FIRE DEPARTMENT Ea et NEW AUBURN FIRE DEPT 131 4TH ST MAIN STREET, BOX 191 402 OSMUNDSON COURT P 0 BOX 184 BOX 86, 350-1 OTH ST NASHWAUK NASSAU NERSTRAND NEVIS NEW AUBURN 55769 56272 55053 56467 55366 * NEW BRIGHTON FIRE DEPT NEW GERMANY FIRE DEPT NEW LONDON FIRE DEPT ea NEW MARKET FIRE DEPT * NEW MUNICH FIRE DEPT * NEW PRAGUE FIRE DEPT ERfas * NEW RICHLAND FIRE DEPT 785 OLD HWY 8 NW 300 BROADWAY ST PO BOX 335, MAIN ST EE601 E MAIN ST, PO BX 99 BOX27 P 0 BOX 202 fhe PO BOX 87 NEW BRIGHTON NEW GERMANY NEW LONDON eo NEW MARKET NEW MUNICH NEW PRAGUE SEL 3 NEW RICHLAND 55112 55367 56273 55054 56356 56071 56072 NEW SCANDIA FIRE DEPT 14800 OAKHILL RD N SCANDIA 55073 * NEW ULM FIRE DEPT 526 8TH ST N NEWULM 56073 FERRE. * NEW YORK MILLS FIRE DEPT * NEWFOLDEN FIRE DEPT * NEWPORT FIRE DEPARTMENT NICOLLET FIRE DEPARTMENT BE PO BOX 172 PO BOX 188 155- 20TH ST P 0 BOX 427 BF NEW YORK MILLS NEWFOLDEN NEWPORT NICOLLET 56567 56738 55055 56074 Page 7 of 11 222222.001123 soso STATE_02821080 mswmm DEPARTMENT En -- aa , (= NIELSVILLE FIRE DEPARTMENT [R ewes E dT au * NISSWA FIRE DEPARTMENT NODINE VOL FIRE DEPT = Sie SSR fn Fa) NORMANNA VOL FIRE DEPT NORTH BRANCH FIRE DEPT 1 * NORTH MANKATO FIRE DEPT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS PO BOX 147 42774 CORD 12 3480 LADY NICOLE LANE P 0 BOX 245 PO BX 2055, 1001 BELGRADE AV CITY NIELSVILLE NISSWA DAKOTA DULUTH NORTH BRANCH N MANKATO ZIP 56568 56468 55925 55803 55056 56001 * NORTH ST PAUL FIRE DEPT NORTH STAR TWP FIRE DEPT cre fe ma {= NORTHEAST SHERBURNE FIRE & RESCUE Iiensgm uimesee ee sea s * NORTHFIELD FIRE DEPT * NORTHLAND FIRE DEPT Commas gus Gm. a NORTHOME FIRE DEPT * NORTHROP FIRE DEPT [esr fd os ar] NORTHWEST ANGLE FIRE DEPT EL -- |j--] NORWOOD-YOUNG AMERICA FIRE DEPT i a e mn * OAK GROVE FIRE DEPT * OAKDALE FIRE DEPARTMENT Ce-- yy 11]-- -- al| * ODESSA FIRE DEPARTMENT Er ---- * ODIN FIRE DEPARTMENT I --r| OGEMA FIRE DEPARTMENT 2400 MARGARET STREET 7700 PEQUAYWAN LK RD 12935 299TH AVE 300 W5TH ST 7271 HWY 53 S PO BOX 65 PO BOX 208 P 0 BOX 200 PO BX 85, 327 W ELM ST 19900 NIGHTINGALE ST NW 6633 15TH ST N PO BOX 121 P 0 BOX 33 24225 350TH ST NORTH ST PAUL DULUTH PRINCETON NORTHFIELD CANYON NORTHOME NORTHROP ANGLE INLET NORWOOD OAK GROVE OAKDALE ODESSA ODIN OGEMA 55109 55803 55371 55057 55717 56661 56075 56711 55368 55011 55128 56276 56160 56569 OGILVIE FIRE DEPARTMENT BOX38 OGILVIE 56358 * OKABENA FIRE DEPARTMENT BOX8 OKABENA 56161 OKLEE FIRE DEPARTMENT PO BX 190 OKLEE 56742 * OLIVIA FIRE DEPARTMENT 1007 W LINCOLN OLIVIA 56277 ONAMIA FIRE DEPARTMENT P 0 BOX 186 ONAMIA 56359 ORMSBY FIRE DEPARTMENT ORONOCO FIRE DEPARTMENT ERmams Sa hrew o8) ORR VOLUNTEER FIRE DEPT * ORTONVILLE FIRE DEPT EL ---- OSAKIS FIRE DEPARTMENT PO BOX 533 PO BOX 146 PO BX 247, 4540 LAKE ST BOX 324 P 0 BOX P ORMSBY ORONOCO ORR ORTONVILLE OSAKIS 56162 55960 55771 56278 56360 OSLO FIRE DEPARTMENT OSSEO FIRE DEPARTMENT Emmi a3 ob oi OSTRANDER FIRE DEPT ee * OTTERTAIL FIRE DEPARTMENT OWATONNA FIRE DEPT Ee --| -- -- | * PALISADE VOL FIRE DEPT * PALO REGIONAL FIRE DEPT E E e Smwome s oe 0) PARK RAPIDS FIRE DEPT PO BOX 55 415 CENTRAL AVE PO BOX 51 107 W MAIN PO BOX 71 4547 HWY 100 BOX 73 OSLO OSSEO OSTRANDER OTTERTAIL OWATONNA PALISADE AURORA PARK RAPIDS 56744 55369 55961 56571 55060 56469 55705 56470 * PARKERS PRAIRIE FIRE DEPT PO BOX 70, 102 NOTTER AVE PARKERS PRAIRIE 56361 * PAYNESVILLE FIRE DEPT * PELICAN RAPIDS VOLUNTEER FIRE DEPT Rh. ne gr PEMBERTON FIRE DEPT * PENNOCK FIRE DEPARTMENT [RRLL le eee EER) PEQUAYWAN LAKE AREA FIRE DEPT * PEQUOT LAKES FIRE DEPT [REESEmeee Hees La * PERCH LAKE VOL FIRE DEPT PERHAM FIRE DEPARTMENT RESea * PERLEY-LEE TWP FIRE DEPT * PICKWICK FIRE DEPARTMENT Er * PIERZ FIRE DEPARTMENT BOX34 709 5TH STREET SE PO BOX 7 OR 420 MAIN ST P 0 BOX 265 8835 PEQUAYWAN LAKE RD 4638 COUNTY ROAD 11 2779 BIG LAKE RD 525 WEST MAIN PO BOX 432 24616 CORD 7 P 0 BOX 340 PA YN ESVI LLE PELICAN RAPIDS PEMBERTON PENNOCK DULUTH PEQUOT LAKES CLOQUET PERHAM PERLEY WINONA PIERZ 56362 56572 56078 56279 55803 56472 55720 56573 56574 55987 56364 PIKE-SANDY-BRITT FIRE DEPT P 0 BOX 36 VIRGINIA 55792 * PILLAGER AREA FIRE DEPT P 0 BOX 208 PILLAGER 56473 * PINE CITY FIRE DEPARTMENT pes PINE ISLAND FIRE DEPT * PINE RIVER FIRE DEPT * PIPESTONE FIRE DEPT 400 5TH STREET SE CEL, PO BOX 489 P 0 BOX 444 BX 474, 118 2ND AV NE PINE CITY 55063 gamma PINE ISLAND PINE RIVER PIPESTONE 55963 56474 56164 * PLAINVIEW FIRE DEPT 241 WEST BROADWAY PLAINVIEW 55964 * PLATO FIRE DEPARTMENT PLUMMER FIRE DEPARTMENT [RE Sena wa PLYMOUTH FIRE DEPARTMENT mastne ange mec * PORTER FIRE DEPARTMENT * PRESTON FIRE DEPARTMENT PRINCETON FIRE DEPT a * PRINSBURG FIRE DEPT PRIOR LAKE FIRE DEPT E Sind eEee my PROCTOR FIRE DEPARTMENT PO BOX 147 BOX25 3400 PLYMOUTH BLVD 505 MAPLE, BOX 34 BOX 216 206 LAGRANDE AVE PO BOX 207 16200 EAGLE CRK AV, PO BX 234 100 PIONK DRIVE PLATO PLUMMER PLYMOUTH PORTER PRESTON PRINCETON PRINSBURG PRIOR LAKE PROCTOR al| 55370 56748 55447 56280 55965 55371 a 56281 55372 55810 i-- * RAMSEY FIRE DEPARTMENT * RANDALL FIRE DEPARTMENT * RANDOLPH-HAMPTON FIRE DEPT ET -- 7550 SUNWOOD DRIVE 105 MAPLEWOOD DR 4365 292ND ST E, PO BX 36 -- RAMSEY RANDALL RANDOLPH 1 55303 56475 55065 RSrecorSma RAYMOND FIRE DEPARTMENT RED LAKE FALLS FIRE DEPT RED LAKE-BUREAU OF INDIAN AFFAIRS FIRE DEPT PO BOX 196 PO BX 478 PO BOX 970 RAYMOND RED LAKE FALLS RED LAKE 56282 56750 56671 * RED WING FIRE DEPARTMENT 420 PLUM ST RED WING 55066 * REDWOOD FALLS FIRE DEPT 900 S GOULD REDWOOD FALLS 56283 * REMER FIRE DEPARTMENT PO BOX 162, MAIN ST REMER 56672 RENVILLE FIRE DEPARTMENT PO BOX 621 RENVILLE 56284 Page 8 of 11 222222.001124 sSTaArTeE_0022882211008811 -- ---------------- DEPARTMENT Fm rm a RICE FIRE DEPARTMENT er = oo. 15 RICE LAKE VOL FIRE DEPT RICHFIELD FIRE DEPARTMENT Ea Shun,t ui,of RICHMOND FIRE DEPARTMENT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS P 0 BOX 22 4051 MARTIN RD 6700 PORTLAND AVE 45 HALL AVE, BOX 628 CITY RICE DULUTH RICHFIELD RICHMOND ZIP 56367 55803 55423 56368 RIDGEWAY COMMUNITY FIRE DEPT * ROBBINSDALE FIRE DEPT nd i= o eae -- * ROCHESTER FIRE DEPT Omns -- Sood way a * ROCHESTER-RURAL FIRE DEPT 3 TOE EE EE ROCKFORD FIRE DEPT air aay ROCKVILLE FIRE DEPARTMENT ROGERS FIRE DEPARTMENT CEshy fide So , 1of * ROLLINGSTONE FIRE DEPT * ROSE CREEK AREA FIRE DEPT E 8 e Se * ROSEAU FIRE DEPARTMENT FE Sel.E BT Ed ROSEMOUNT FIRE DEPT Fines Barr gy 158 * ROSEVILLE FIRE DEPT ROTHSAY FIRE DEPARTMENT E Fl ieeL:age Ea 1t5o) ROUND LAKE FIRE DEPT E CEse ae Bl.o * ROYALTON FIRE DEPARTMENT * RUSH CITY FIRE DEPARTMENT * RUSHFORD FIRE DEPT Eimer fms mn of * RUSHMORE FIRE DEPT * RUSSELL FIRE DEPARTMENT RUTHTON FIRE DEPARTMENT Br -- -- Te CL-- SABIN-ELMWOOD FIRE DEPT I ACEOEAT REpier raesameeren * SACRED HEART FIRE DEPT SANBORN FIRE DEPARTMENT Fh a y e n o * SANDSTONE VOL FIRE DEPT * SARTELL/LE SAUK FIRE DEPT CE ee 5) * SAUK CENTRE FIRE DEPT SAUK RAPIDS FIRE DEPT Foden,Sain gar SAVAGE FIRE DEPARTMENT * SCANDIA VALLEY FIRE DEPT EE =of * SCANLON VOL FIRE DEPT * SCHROEDER FIRE DEPT Ff o e e he a * SEAFORTH FIRE DEPARTMENT SEBEKA FIRE DEPARTMENT Cl Se.rfo * SEDAN FIRE DEPARTMENT SHAFER FRANCONIA FIRE DEPT EeSenne SE 81 SHAKOPEE FIRE DEPT RT 2, BOX 243E 4101 HUBBARD AVE N 201 4TH ST SE, RM 10 201 4TH ST SE, RM 10 6031 MAIN ST PO BOX 165 21201 MEMORIAL DRV POBOX74 BOX 195 108-3RD AV SW, BX 55 2875 145TH ST W 2660 CIVIC CTR DR 108 2ND ST NW PO BX 22 5 NORTH CEDAR ST PO BOX 556 P 0 BOX 576 614 2ND ST BOX8 BOX13 PO BOX 35 113WMAPLE BOX5 BOX 277 P 0 BOX5 320 OAK ST, SUITE-100 1152NDAVEN 6000 MCCOLL DR 3518 320TH STREET 2801 DEWEY AVE PO BOX 407 BOX22 P 0 BOX 23 RR 4, BX 1194 PO BOX 219, 30325 REDWING AVE 129 S HOLMES ST WINONA ROBBINSDALE ROCHESTER ROCHESTER ROCKFORD ROCKVILLE ROGERS ROLLINGSTONE ROSE CREEK ROSEAU ROSEMOUNT ROSEVILLE ROTHSAY ROUND LAKE ROYALTON RUSH CITY RUSHFORD RUSHMORE RUSSELL RUTHTON SABIN SACRED HEART SANBORN SANDSTONE SARTELL SAUKCENTRE SAUKRAPIDS SAVAGE CUSHING CLOQUET SCHROEDER SEAFORTH SEBEKA GLENWOOD SHAFER SHAKOPEE 55987 55422 55904 55904 55373 56369 55374 55969 55970 56751 55068 55113 56579 56167 56373 55069 55971 56168 56169 56170 56580 56285 56083 55072 56377 56378 56379 55378 56443 55720 55613 56287 56477 56334 55074 55379 SHAKOPEE MDEWAKANTON SIOUX COMM FIRE DEF 2330 SIOUX TRAIL NW PRIOR LAKE 55372 SHELLY FIRE DEPARTMENT PO BOX 158 SHELLY 56581 * SHERBURN FIRE DEPARTMENT SHEVLIN FIRE DEPARTMENT * SILICA AREA FIRE DEPT PEASE ch * SILVER BAY FIRE DEPT Eine, Ble * SILVER LAKE FIRE DEPT 19 E 1ST ST, PO BX 730 BOX5 PO BOX 338 CITY HALL 308 W MAIN, PO BX 141 SHERBURN SHEVLIN HIBBING m4 SILVER BAY gE SILVER LAKE 56171 56676 55746 55614 55381 * SKYLINE FIRE DEPARTMENT SLAYTON FIRE DEPARTMENT * SLEEPY EYE FIRE DEPT pEETT Baw ea * SOLWAY FIRE DEPARTMENT an -- * SOLWAY TWP FIRE DEPT ry Law * SOUTH BEND FIRE DEPT * SOUTH HAVEN FIRE DEPT Se i. Gay SOUTH ST PAUL FIRE DEPT * SPICER FIRE DEPARTMENT * SPRING GROVE FIRE DEPT EERSTE, me SMe 0 * SPRING LAKE PARK FIRE DEPT SPRING VALLEY FIRE DEPT Ea ee ae SPRINGFIELD VOL FIRE DEPT ss nr SQUAW LAKE FIRE DEPT Ee RE * ST ANTHONY FIRE DEPT * ST BONIFACIUS FIRE DEPT Fer oor Be * STCHARLES FIRE DEPT sR parte. STCLAIR FIRE DEPARTMENT 23 SKYLINE DR BOX 3 123 2ND AVE BOX8 4027 MUNGER SHAW RD 116 N STURGIS PO BX 97, 640 OAK AV 310 MARIE AVE 160 HWY 23 N, BOX 931 P 0 BOX 614 1710 HWY 10 201 S BROADWAY STREET PO BX 17,24 N SPRING AV 51296 STATE HIGHWAY 46 3505 SILVER LAKE RD NE 8535 KENNEDY MEMORIAL DRIVE 830 WHITEWATER AVE BOX 185 MANKATO SLAYTON SLEEPY EYE SOLWAY CLOQUET MANKATO SOUTH HAVEN SOUTH ST PAUL SPICER SPRING GROVE SPRING LAKE PARK SPRING VALLEY SPRINGFIELD SQUAW LAKE ST ANTHONY ST BONIFACIUS STCHARLES STCLAIR 56001 56172 56085 56678 55720 56001 55382 55075 56288 55974 55432 55975 56087 56681 55418 55375 55972 56080 ST CLOUD FIRE DEPARTMENT * ST FRANCIS FIRE DEPT ST HILAIRE FIRE DEPARTMENT Fiamf z i do . a * STJAMES FIRE DEPARTMENT ye le le 2 * STJOHN'S UNIVERSITY FIRE DEPT 101 10TH AVE N PO BOX 730 PO BOX 253 31511THSTS ST JOHN'S ABBEY ST CLOUD ST FRANCIS STHILAIRE STJAMES COLLEGEVILLE 56303 55070 56754 56081 56321 * ST JOSEPH VOL FIRE DEPT P 0 BOX4 ST JOSEPH 56374 * ST LEO FIRE DEPARTMENT 205 N MAIN ST ST LEO 56286 * STLOUIS PARK FIRE DEPT 5005 MINNETONKA BLVD STLOUIS PARK 55416 * ST MARTIN FIRE DEPT BOX 294 STMARTIN 56376 ST MICHAEL FIRE DEPT 216 MAIN ST ST MICHAEL 55376 * ST PAUL FIRE DEPARTMENT 100 E 11TH ST ST PAUL 55101 Page 9 of 11 22222..00125 son STATE_02821082 SC -------- DEPARTMENT [Er * ST PAUL PARK VOL FIRE DEPT I---- RRy,;yy.| * STPETER FIRE DEPARTMENT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS 600 PORTLAND AV 227 W MULBERRY ST CITY ST PAUL PARK STPETER ZIP 55071 56082 * ST STEPHEN FIRE DEPT 26TH AVE SE ST STEPHEN 56375 * STACY-LENT FIRE DEPT 5660 STACY TRAIL PO BX 123 STACY 55079 * STAPLES FIRE DEPARTMENT STARBUCK FIRE DEPARTMENT STEPHEN FIRE DEPARTMENT LRRmelmEr emer WR Ey * STEWART FIRE DEPARTMENT ee Sa. * STEWARTVILLE FIRE DEPT PR aeA Sh T e) * STILLWATER FIRE DEPT STORDEN FIRE DEPARTMENT Do BY m BRLe STURGEON LAKE FIRE DEPT * SUNBURG FIRE DEPARTMENT Logie Bp EY S8 * SWANVILLE FIRE DEPT yy TACONITE FIRE DEPARTMENT Lin BRS le RY ygn * TAUNTON FIRE DEPARTMENT * TAYLOR FALLS FIRE DEPT SS e EL i E2 * THIEF RIVER FALLS FIRE DEPT ys a1 * THOMPSON TWP FIRE DEPT Lm Bee I * TINTAH FIRE DEPARTMENT * TOFTE FIRE DEPARTMENT C a y TOIVOLA TWP FIRE DEPT * TOWER FIRE DEPARTMENT * TRACY FIRE DEPARTMENT FE 2 fs iE TRIMONT FIRE DEPARTMENT TRUMAN FIRE DEPARTMENT E Tae mm res] TWIN LAKES FIRE DEPT Se Jy * TWIN LAKES VO FIRE DEPT * TWIN VALLEY FIRE DEPT Ey =r TWO HARBORS FIRE DEPT TYLER FIRE DEPARTMENT ULEN FIRE DEPARTMENT pMREmAeW w m * UNDERWOOD FIRE DEPT -.e., * UPSALA FIRE DEPARTMENT * VADNAIS HEIGHTS FIRE DEPT yy * VERGAS FIRE DEPARTMENT * VERMILLION LAKE FIRE DEPT * VERNDALE FIRE DEPT rr wr ie VERNON CENTER FIRE DEPT VESTA FIRE DEPARTMENT |Vitari esuien Semereer Nt iow VICTORIA FIRE DEPARTMENT Dimes Simm, we oy * VIKING FIRE DEPARTMENT * VILLARD VOL FIRE DEPT C e e ee VINING FIRE DEPARTMENT * VIRGINIA FIRE DEPARTMENT Ey, ee... sl WABASHA FIRE DEPARTMENT WABASSO VOL FIRE DEPT HE oa o. o * WAOONIA FIRE DEPARTMENT WADENA FIRE DEPARTMENT Fm ee oe 3 * WAITE PARK FIRE DEPT GOVERNMNT CTR, 611 IOWA AV 208 MAIN ST, PO BX 747 PO BOX 525 P 0 BOX 127 417 SOUTH MAIN 216 N 4TH ST BOX84 RR 1, P 0 BOX 98 210 CENTRALAV, PO BX 41 P 0 BOX 252 PO BOX 116 301 N LINCOLN ST ATTN: TIM RIVARD 637 FIRST ST 320 E 2ND ST BOX 122 207 ASH ST, BOX 122 BOX2111 9094 HWY 5 PO BOX 576 231 SECOND PO BOX N BOX 398 101 WMAIN ST PO BOX 27 PO BX 425, HWY 32 SO 522 1ST AVE BOX 121 PO BOX 24 PO BX 164 3595 ARCADE ST P 0 BOX 98, 120 W LINDEN ST 9388 HOLTER RD 101 S BROWN ST, PO BOX 156 PO BX 365, 200 MAIN ST W BOX 149 1500 BOTH STREET 406 MAIN ST N, PO BOX 97 P 0 BOX 123 115 N 4TH AVE 900 HIAWATHA DR E BOX 172 26 S MAPLE ST PO BOX 30 19-13TH AV N PO BX 339 STAPLES STARBUCK STEPHEN STEWART STEWARTVILLE STILLWATER STORDEN STURGEON LAKE SUNBURG SWANVILLE TACONITE TAUNTON TAYLORS FALLS THIEF RIVER FALLS ESKO TINTAH TOFTE TOIVOLA TOWER TRACY TRIMONT TRUMAN TWIN LAKES NAY-TAH-WAUSH TWIN VALLEY TWO HARBORS TYLER ULEN UNDERWOOD UPSALA VADNAIS HEIGHTS VERGAS TOWER VERNDALE VERNON CENTER VESTA VICTORIA VIKING VILLARD VINING VIRGINIA WABASHA WABASSO WAOONIA WADENA WAITE PARK 56479 56381 56757 55385 55976 55082 56174 55783 56289 56382 55786 56291 55084 56701 55733 56583 55615 55765 55790 56175 56176 56088 56089 56566 56584 55616 56178 56585 56586 56384 55127 56587 55790 56481 56090 56292 55386 56760 56385 56588 55792 55981 56293 55387 56482 56387 * WALDORF FIRE DEPARTMENT WALKER FIRE DEPARTMENT WALNUT GROVE FIRE DEPT Foy or 2 * WALTERS VOL FIRE DEPT Lun hy om 2 * WANAMINGO FIRE DEPT * WANDA FIRE DEPARTMENT * WARBA-FEELEY-SAGO FIRE DEPT oer= * WARREN FIRE DEPARTMENT WARROAD FIRE DEPARTMENT CO ame J * WASECA FIRE DEPARTMENT Rr -- -- * WATERTOWN FIRE DEPT WATERVILLE FIRE DEPT Re... * WATKINS FIRE DEPARTMENT Hip 9y oo 3 WATSON FIRE DEPARTMENT WAUBUN FIRE DEPARTMENT WAVERLY FIRE DEPARTMENT ns. 9 * WAYZATA FIRE DEPARTMENT * WELCOME FIRE DEPARTMENT LR 0 gay Sm a WELLS FIRE DEPARTMENT WENDELL FIRE DEPARTMENT Hfe ot , 2 WEST CONCORD FIRE DEPT EEE ge gh * WEST METRO FIRE-RESCUE DISTRICT PO BOX 8 PO BOX 207 330 ITH ST PO BOX 56 P 0 BOX 304 PO BOX 251 BOX 2761 731 N 1ST ST PO BOX 50 117 2ND AVE SE 401 CARTER ST NE, PO BX 755 110 N 1ST STREET BOX 406 BOX 160 BOX 151 PO BOX 8 600 E RICE ST PO BOX 373 180 3RD ST SE 27895 250TH AVE P 0 BOX 586 4251 XYLON AVE N WALDORF WALKER WALNUT GROVE WALTERS WANAMINGO WANDA WARBA WARREN WARROAD WASECA WATERTOWN WATERVILLE WATKINS WATSON WAUBUN WAVERLY WAYZATA WELCOME WELLS WENDELL WEST CONCORD NEWHOPE 56091 56484 56180 56092 55983 56294 55793 56762 56763 56093 55388 56096 55389 56295 56589 55390 55391 56181 56097 56590 55985 55428 WEST ST PAUL FIRE DEPT 1616 HUMBOLDT AVE WEST ST PAUL 55118 WESTBROOK FIRE DEPT BOX 261 WESTBROOK 56183 * WHEATON FIRE DEPARTMENT 905 BROADWAY, PO BOX 83 WHEATON 56296 * WHITE BEAR LAKE FIRE DEPT 4700 MILLER AVE WHITE BEAR LAKE 55110 No Page 10 of 11 222222.001126 stare oas21083 STATE_02821083 C EeE o eem E DEPARTMENT E WHITE EARTH VOL FIRE DEPT * WILLIAMS FIRE DEPARTMENT * WILLMAR FIRE DEPARTMENT PHt -- reEeEes fe ee--1e . --B8| WILLOWRIVER FIREDEPT WILMONT FIRE DEPARTMENT * WILSON VOL FIRE DEPT WINDOM FIRE DEPARTMENT P E E FE E= E e e a= e = e WINGER FIRE DEPARTMENT WINNEBAGO VOL FIRE DEPT iea E e * WINONA FIRE DEPARTMENT * WINSTED FIRE DEPARTMENT WINTHROP VOL FIRE DEPT ape =a eef n * WOLF LAKE FIRE DEPT WOLVERTON FIRE DEPT FIREFIGHTING FOAM SURVEY MAILING LIST ADDRESS PO BOX 418 P 0 BOX 624 515SW2NDST 8099 CO HWY 61, PO BOX 125 304 4TH AVE, PO BOX 182 RR 2, BOX 243B 444- 9TH ST PO BOX 168 CITY HALL, PO BX 386 451 E 3RD ST PO BX 298,241 1ST ST N BX 407, 3 N MAIN ST P 0 BOX 1 BOX7 CITY WHITE EARTH WILLIAMS WILLMAR WILLOW RIVER WILMONT WINONA WINDOM WINGER WINNEBAGO WINONA WINSTED WINTHROP WOLFLAKE WOLVERTON ZIP 56591 56686 56201 55795 56185 55987 56101 56592 56098 55987 55395 55396 56593 56594 E Erp er WOODBURY FIRE DEPT WOODLAKE FIRE DEPT WOODSTOCK FIRE DEPT WORTHINGTON FIRE DEPT Poms -- 2100 RADIO DR 79 3RD AVE P 0 BOX 67 P 0 BOX 151 1 ooxron -- WOODBURY WOODLAKE WOODSTOCK WORTHINGTON 55125 56297 56186 56187 * WRENSHALL FIRE DEPT WRENSHALL 55797 WRIGHT VOL FIRE DEPT WYKOFF FIRE DEPARTMENT J 11-- | * WYOMING FIRE DEPARTMENT * ZIMMERMAN FIRE DEPT PEE Se m= 8 * ZUMBRO FALLS FIRE DEPT * ZUMBROTA VOL FIRE DEPT aer * Questinnaire completed and returned 1447 COSTELLO RD 114 FILLMORE ST, BX 186 26885 FOREST BLVD, BX 188 13028 FREEMONT AV PO BOX 119 PO BOX 206 WRIGHT WYKOFF WYOMING ZIMMERMAN ZUMBRO FALLS ZUMBROTA 55798 55990 55092 55398 55991 55992 Page 11 of 11 222222.001127 STATE_02821084 Er FIREFIGHTING FOAM SURVEY MAILING LIST i = a NAME Don Beckering Marty Christensen Sandy Larson (Scott Schaefer) Larry Rieber TITLE State Director of Fire Training Fire Training Program Fire Programs Manager Fire Programs Manager a a a DEPARTMENT MNSCU Fire Center Itasca Community College Alexandria Technical College St. Cloud Technical College ADDRESS 30 7th Street East, #350 1851 E. Highway 169 1601 Jefferson Street 1540 Northway Drive CITY St. Paul Grand Rapids Alexandria St. Cloud ZIP 55101 55744 56308 56303 Daryl Bartholomaus Mike Roe ET a Tim Zehnder Brian Staska a FEE ii `ud C WER Mike Anderson E Todd Seitz e SR e = RR Dave Klocek Fire Programs Manager Fire Programs Manager Fire Training Program Fire Programs Manager Fire Training Program Fire Training Coordinator Fire Training Program Minnesota West Comm Coli Ridgewater College South Central College Riverland Community College Pine Technical College Hennepin Technical College Hennepin Technical College 607 W Main Street, #1 00 2101 NW 15th Ave 1920 Lee Blvd 1900 8th Ave. NW 900 4th Street SE 1820 Xenium Lane N 13100 College View Dr Marshall Willmar North Mankato Aust1n P1ne City Plymouth Eden Prairie 56258 56201 56003 55912 55063 55441 55347 Dr. Lon Wyn 1a Jeff Voight HHiE teenaa aE un aee mwuk ere uHn Rick Besser l Rebecca Best Rick Loveland = =e= Steve Flaherty a---- Dave Sarazin Business & Public Affairs Fire Technology Instructor Fire Training Program Assoc. V.P., Academic Aff Fire Training Program Fire Programs Manager Southwest State University Northland Comm College Northland Comm College Central Lakes College Minn State Comm College Mesabi Range Comm College Lake Supenor Tech College 1501 State Street 2022 Central Ave NE 1101 Highway 1 East 501 W College Drive 2900 28th Ave. S 1001 Chestnut Street 11501 Highway 23 Marshall East Grand Forks Thief R1ver Falls Brainerd Moorhead V1rgin1a Duluth 56258 56721 56701 56401 56560 55792 55808 Fire Chief Dane Lund Fire Chief Ton1 Howell EEE oe ee Steve Crisp Pete Herpst Fire Department St. Cloud Airport Mgr. of Environmental Aff Fire Chief Fire Chief e_ e _--+F---- ~-- Questionnaire completed and returned Rochester Inti AiqTirt c/o Fire Station No. 3 MAC Marathon Petroleum Corp Flint Hills Refinery 1500 Helgerson Dr SW 1201 Michigan Ave SE thowell@msQmac.org slcrisQ@marathonoil.com Qete.herQst@fhr.com Rochester St. Cloud Minneapolis St. Paul Park Rosemount 55901 56304 aPage 1 of 1 222222..0128 sare asanons STATE_02821085 AAPPPPEENNDDIIXX CC QQuueessttiioonnnnaaiirreess ffrroomm MMuunniciciippaall FFiirree DDeeppaarrttmmeennttss ((pprroovviiddeedd oonn ccoommppaacctt ddiisscc)) 222222.001129 STSATATTEE0_206228211008866 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Does your Departmen curently rhs you Deparment tact sed Cass Aor Class oams or 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for retghing operators" firefighting operations? Ves - Proceso Question 2 2 ~---=-S- tS iYqe-gsS-iPnarnocttehheeedbbataocckQkouofeftsthhtiiiossnffo2orrmm aanndd rreettuurrnn ttoo DDoetltaa CCoonnssuullttaannttss 2. How ofenis Class B or ClAafsoasm used in response orcas? 2. How often is Class 8 or Class A foam used in response to fire calls? 02st oles 250mafess 15100% fees ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Doss the Deprtment have compressed a foam system (CAFS) ith a Buin ark n 3 engine). 3. poe_s the Department haye a compressed air foam syslem (CAFS}with a built-in tank_on its engine(s)_?. ve ___ Yes "he ___ No 4. How olen foam used in raining exercises? 4. How often is foam used in training exercises? New Wey Mow our ___ Never ___ Weekly Monthly ___ Quarterly P--" Aovualy Srarnualy Semi-Annually ___ Annually ___ Bi-Annually oveesespety ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. Howimuchfoamis How much Los foam is used tuhsaend ppoerr baring training gatons ve ent?vent? Salons LMeorsse tthhaann 510gaglloanls lons loas5ospgaacyllons More than 10 gallons (please specify): ___ 551to01100 gaons gallons 6. In ainng, where docs the spent foam go? 6. In training, where does the spent foam go? _ SomSewr __SontaySower OnSiteSeptic Gone ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Orr (ease dscrol: _ Other (please describe):----------------------- 7 Vier doeic he ing ic lace? Pls nc kes, rection oe othr pec locaion r Wilen:! does1dld tr1e tre:Hniny take place? P!ea:,e indude addre~;s, intersection or other.spectfic-!ocation ovation of ute: and pas Vang ress. information for current and past training areas. NKinogen OOVVEERR--~ _ I or 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ror 51.573 2 TTT CLAS) watson Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv com 22222..00113300 STSATTAETE0_208282211008877 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 5. 8. WtWeahsaptot nttysppeee(n(ss))naannddrbbarraannndgdi(ssf)) ooafffpfosoaiamcmaaatrrieeeoorFrwewrseseree uucssheecdcknnooalwwl aaanntdd piinnpthh.ee past past by the the Departmen, Department, bthboth for for refire response and in training (if applicable)? Please check all that apply. Twoof foam Bandof Foam YTTUUoraasssmieenoiddinrnigiNgnn?e? AAAmmUUmmossoeaueudndlntyt CCuurUrrsreeenntstllyy HHiissUttsooreriidcc?aallllyy GFCilaTmslyspp8BoeoAmAqomqufsuaeFeofoosauoumssom Brand of Foam Yes or No Annually Used? Used? Film-Forming Foam ren (AFFF) Golv0aAosrns Class B Alcohol- Resistant (AR)- ECuwssBPoen AFFF CcFCllouaassossspsBBotPraonteifnp) -------------- ---- ---- ---- ---- Cfaosns tFim Fluoroprotein Class B Film- ( F P ) Forming wBwtn Fluoroprotein | --m-- mm -- -- C(FlFoFPs)sBARFEP CBoosmstAonBHfoam Class B AR-FFFP Class A-B Hi ---------------- ---- ---- ---- ---- Cassa Expansion Foam - TClaossnAgRo ------ oer Training Foam El Other rooTTrrmhhaanmSnnroookkcdcyyknhooiinunuaggofe@orrrddyyeaootltutuaarreeettnimmmv.oeccrooaammonns)dd))ooccroro0ooJJpipemerarhSStalitatioooovnccn.kk.aiinnyPPggoeelerQaras2easeteStthclchoeoeonnMMtntiaaicnrnctnetngeeNNassaraoondntticaacnyygPPRRonOolilSudRtnniQoiNnunggoCCiaSotionDDotornenollltlnaaAAaCgCgeeoonnnnccssyyuul((tla66na55t1rs1-52((06967575116-8.-6666690676765-oo51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this rrne.5tion.'1aire to Delta C!Jn.su!tants bv Jun~ 6. 2DOB in the t=nc!czed sta,71pec} self- aGdoureossstosd saselopomep:iteaty addressed envelope. Taeand Name an Title Fdebbeftpbaa=rcCm(ecnCrJo'onrhhbi~ee Fire feotection O/.i),.s5 T/r-r,.1ec.-rr Fire1Jepartment Pron7e2N00um1/ber .55533 931/o02/ EPvhoanneGaANdudhmerebesersr r ~f;irree @rrr ne T E-Mail Address Baste h 2/08 Date HwXoIngogefnn' !!I Prone: Phone: 631.639.9540 180 3730 411 Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.741.1 Fax: 495 630Ms.i g9 alta4nned7am Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 2222.00113311 sSTTaArTeE__0022682211008888 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. DfDrooosetsshiyynooguurr sDDepepopararartttmmoenensnt?t ccuurrreennttlylooyrr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl usused CCalassss AA oorr CCllaassss8B ffooaammss ffoorr Ker remanent firefighti7(perations? ~' Yes- Proceed to Question 2 NNoo-- SSiiggnn tthhee bbaacckkooftf hthiissffoorrmm aanndd rreettuurnm ttoo DDeellttaa CCoonnssuullttaannttss 22.. oHwowofoeftennisis CCalassss BBoorr CCllaassss AAffooaamm uusseedd iinnrreessppoonnsseettoorfiere ccaallllss?? 3. Does the Department havo a compressed aoa systam (CAES)wih 2 bitin tak ons engine(s}? ~ IX o0-z2m5%otoififireess ___2255.-5500%%ooffffrireess _____ 7755-110000%%ofoffifrireess 3. Doeg the Department h:we a compresserl air foam sy!';tem (C.A,!=S) with a built-in tank on its engine(s)? - ~~XN-Yoerveoss 4. How often's foam used in raining exercises? 4. How often is foam used in training exercises? Never Weekly Monty uarery ~~-Never ___ Weekly ___ Monthly IC Semiualy _ Annvaly Leaman K Semi-Annually ___ Annually ___ Quarterly Bi-Annually OOtthheerr ((pplleeaassee ssppeecctiyfyy.): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. Howmush How much ofoamaiiss uunsseedd ppeerr t iniraini nngg eevveenntt?? ~ X_ Lessmansgotons ____ Soatens Less than 5 gallons 5 gallons ___ s5ttoo 1t00ggaatlloonnss MoMroeretthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy)):: -----------~------ 6. Intraning, where docs the spent foam go? 6. In training, where does the spent foam go? ~SX_tosrtomm Sseewweerr __`SSaanniittaarryySSeewweerr -~ OOnns-StitoesSoeppttiec ~GGrroouunndd tet A ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - _A o.v ~ 77.. WWp hheerre t ddoocessI/ddiddftihieentrraaiiannniindnggataakkee ppllaaaccee?? ePPlleesaassee iinnccluudcee aaddddrteessss,, innteersrecstioenoocrrooitthhneerr speci specific focal :ocation <6 p- [vV). 1 information for c~nt and past~tirning .A--r area}s. 4_ 5S7TRRfEeEv=T dc~-iu1As/ ADrinT:.HH NKinogen: OVVEERR-----+ mone: 51.639.5005 1 800 473S411 Fok: SL610947) Mar dAILASAY. cam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00113322 STSTAATTEE0_202882211008899 QQUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm Usse iinn FFiirree TTrraiinniinngg Wa Aa) te dnt Bano 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire SL oes response and in training (if applicable)? Please check all that apply. SveoSain AmTouTnt cums Wmenty TTyyp~eeooffFFooaamm Goss roms Class B Aqueous i oe Film-Forming Foam Jd (AFFF) Gon ane Class B AlcoholfembAme f1esistant {AR}- AFFF Cowen Class B Protein ges Class B Bipot 9 - Fluoroprotein (FP) Class B Film- fe Forming Fe vn --_ -- Fluoroprotein Bi (FFFP) B BrarndoaoffFnFooadmm Used in Training? Yessorr No Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? ---------- ---- ----- Class B AR-FFFP am ros Class A-B Hi Caen = Expansion Foam ama surex 1YY ~ Zu) 1YYy Class A FS Training Foam ave - -- -- -- = Other 5)!.(2-~'{_ ---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 eo Co beim co yooh or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Be ser Cis jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. a Al Please return this questionnaire iu DeiiCI Consufianis bv june 6, 2008 in the enciosed stamped, self- aaddddrreesssseeddenevnevellooppee.. [>TH 7f-- t/t:J R'TI!Y Fe Quest.io~~aire completed~~ Name and Title f}AA Fire Department Zig 10Y-5528 S2f0r Zlf-:(~t.;- ~,-zg Ea = Phone Number Date 5S1r-eejv,leefrf?rt-ft'yr@yf(Po@6kfr,.-~ ~ Tis E-Mail Address Sino: rea TT A X1nogp1' '"" 5910 Rice Creek Parkway Suite 100 St. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 IPaul, MN 55126 USA www.deltaenv.com 222222.001133 sStTaArTeE__0022882211000900 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. eDDofosegsshiyyoonuugrr DoDpeeeppraaartrttimmoenensnt?t ccuurrreenntltlyyoor hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AA oorr CCllaasss BB ffooaammss ffoorr XX_ firefighting opves-erationPsr?oceod to Question NYoesS-iPgrnocteheodbatockQoufetshtiiosnf2orm and rattouDerltna Consultants No - Sign the back of this form and return to Delta Consultants 22.. HHoowwooftfteenniiss CCalassss BBoorr CClalssAAaffoosaamm uusseed idinn rreespsonpsoe tntoo sffriree cals? calls? X>_< oases 0-25% of fires +, ___ 2255-.5500%% ooffffirrees ___ 7755-:110000%%ooff resfires 33.. DDoosess tthnee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa but built-in taarnkkoonn sits eennggiinnee(ss))?? ___ YYeess X)K( vNoo 4. Howotens foam used in ining exercises? 4. How often is foam used in training exercises? Newer Weed ___ Wenly Quan X ___ Never ___ Weekly _ _ _SeSmeim-iA-nAnnunaulalllyy _X aAnnnnuuaallllyy ____ BrAmualy Monthly ___ Quarterly ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecciiffyy}): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh _ ffooaLammesiisstuuosseenddsgppaerrttroraaniisnniinngg e_evvee,XnXntt_?? sgatons ___ Less than 5 gallons 5 gallons __ ___ swtogos 5 to 10 gallons MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciiyf)y:): __________________ 6. Intraiing, where dos the spent foam 6a? 6. In training, where does the spent foam go? ___ SSttoorrmm SSeewweerr __ __ _ SSaanniittaarryy SSeewweerr __ Oonns-Sititee SSeeppttiicc ___X){___ GGrroouunndd. Other (please describe) oT ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 77.. WWinfhophaeteonrree ddooeessfic/ocduiiddrrhtheeentttraaiainniinnnggpataaskkteeVppallaraciceg?? aPPrleleeasaa,ssee iinncclluuddee aaddrderessss,, inneterrsseeccttioonn oofr ooithleerr ssppeecciififc llooccaatiioonn FiRRe infor ation ~- -e. for Chatior current and past training , 'or/ aAredasaa. ~mss /M}1it'n,vnljj .5!:5:)7t70PJ5<) Dav 53 East side oF Town Xinogen' OOVVEERR---+ Fone: 651.639.9005) 800.037 7111 Faks 69139.0473wdaetslagns.com Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 - Paul, MN 55126 USA www.deltaenv com 22222..00113344 SSTTAATTEE__0022882211000911 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5 What type(s) and brand)offoam a or vere sed row and n th past by the Department, bootr fhre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response an in rang (Fap1catie" leas check al at 355. response and in training (if applicable)? Please check all that apply. Iweotroam Bundoffoun TYUressieoanrigNnl?e AAmnUosaueldnyt CuUrsoenstrly HisUtsoreidca?lly Tl~e of Foam Clas B Aqueous Class B Aqueous Fimrambgrom o_o Film-Forming Foam Frm (AFFF) Cl8aAscso Class B AlcoholjFaes 08 FE . R8sistant (i~~R)- Brand of Foam ------ ~--- --- Used in Training? Yes or No Amount Used Annualll Currently Used? Historically Used? ---------- ------ ---- ---- < ACFoFsFsBproon cRsosepponfp) Class B Protein Class B -------------- ---- ---- ---- Fluoroprotein Cla8Fsism Class B FilmFFourmmionggown Forming (FP) = ------------ ---- ---- ---- ---- Fey Fluoroprotein C(FoFFsPs)mARFER CDlasrs AaHb | Class B AR-FFFP Class A-B Hi ------------ mo ---- Tamgroom Cass A Expansion Foam Class A So i/2ltv/---eetsx_ ~ Yes o 2?-~%r./ 0 0 3'30-% f'-~1 otnarTraining Foam - Other ToTofrhhsaanrnrnoiokkcdcyynhookinnuuegaff@@ororrddyyeeoolluttuaraaretotmenimmvo.eccoaaammvnn3)d))ooccoroo0oJipipemmerarhSSatiotatioocovnckn.ki.ainnrgPPgyelleereqraaaassteeMuthicceooonnnMtntaaiecngctstnaeNNosraatonnntacacgyyPFRRohaolilsludtnnuiQoinungngeCCsaaotott nnoDDtonrrelonllltlaaaAAeCgCgeaeonnnncscsyyuult((ta6a3n5n5t1ss1-2-((692657951-718--66659607667o-655o8r11r 5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please re~.Jrn this guestio~nairc to Delta. Consultants bv June 6. 2008 in tlie enclosed stamped. seif- `addddrreesssseeddeennvveellooppee.. Questggnarecompet by: Ques~naire completed by: , Pe/-er See-h-Amite Fie Sheik ~ r .5 Fae grail Name and Title Aloms 6Fae At:~t; ~-$ Few Deparment Fire Department 114 , 1-L S02-438 13 C608 t5"tJ7- Lf3 ?;~/13 ~ Phono Number EQ Phone Number Date a -- E-Mail Address XXiInogernn .,, Phone: 651 5910 Rice Creek Parkway 639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 -- Paul, MN 55126 USA www.deltaenv.com 2222222.00135 SsTTaArTeE__0022882211009922 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DDreootesosnyyioonuugrr DDoepepepamarirtmomenensnt?t cunt currently or or has has your your Department Department historical historically sedused Class Class Aor A or Class Class B foams foam s for for f i r e f Yves ighting o ~ perat-ionrs? octoeQuesstiodn 2 YNeos-S- iPgrnocteheedbtoaQoufcesthtkiiosnf2orm and stun o Dota Consultants No -Sign the back of this form and return to Delta Consultants 2. How often' CasBosr ClAafsoasm used in responsetore cal? 2. How often is Class B or Class A foam used in response to fire calls? __ooneites ______ oscowerfes 25-50% of fires ___7o1o0molfees ___ 75-100% offires "/- 0-25% of fires 2. Doos the Dopartment have a compress a foam syste (CAFS) with a bul tai ns engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes X_ no X No 4. How ten is foam usedin airing oxercises? 4. How often is foam used in training exercises? Wolly Main Cuartry ___ Weekly Monthly ___ Quarterly SamiAanualy Aocuaty BiAmualy ___ Semi-Annually ___ Annually ___ Bi-Annually NC Oter (pleasespeci LLY '- Other (please specify): -f-!.Lt.,1.:..!V~r-=-.-~j-"__________________ 5. How much foams used por raining event? 5. How much Lessthan foam is used gars per training event? 5gatons ___ Less than 5 gallons 5 gallons ___ 5510t1o0 gatons 10 gallons _ _ _ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfifyy)):: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. In rining,wdohcestrhsspent foam 907 6. In training, where does the spent foam go? _ SomSewr __SwaySows ___OnStSepc ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Overlpessedssoboy Other (please describe):----------~----- ___GGrroounndd 7. Where dossid te ring ake pace? Please nc acres, nersecotothnerspeciclocalon 7. Where does/did the training take place? Please include address, intersection or other specific location fcrmaor taireo:ann as Vang ress information for current and past training areas. Xinogen' . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA evanes 51.430.910B0o5o SL Foes EN e139)wba da Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..001136 sTae_02621093 STATE_02821093 QQUUEESSTTIIONNNNAAIIREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 iTencpaonycpeo(s9n)danndvbaraicotsf) ospfoiacmaarteaorlweeasucsheodckraohantd8n5e. pastby heDeparmnt,So for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. J TUosneidnign? AmUosuednt HCisutroernitcuUsseeo?r TyTyppeeooffFFoaamm GCllaassss BB AAqquueeoouussFFiimlm-- Cmmengty over ne #5galles - Forming Foam (AFFF) Gl8acsonsor Class B AlcoholResin Roary Resistant (AR)-AFFF CosbPoen Class B Protein Glass Fuoropoten Class B Fluoroprotein I= re | rr se (FP) Gla8Fsis-Foming Class B Film-Forming Famoproan (FFP), ---------------------- ------ - -- Fluoroprotein (FFFP) FE -- Class B AR-FFFP cassnBi Class A-B Hi Spansion oan Expansion Foam Class _silvex ne Sqdles Class A Trang Foam TT Training Foam over - Other BBrarannddooffFFooaamm sS~il1vVeL'yf- Used in ne Training? YYeessoorr NNoo Amount Used Current Use or AnAnnunaulalllyy HHistiosrictoriUc sUsee?? gg5s9gaallll~a.gs _ _ __ Y)D Thar youfor your tme and coopera Pleas cotat ancy Roding of Det Consutans (851-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aoroomnaacaomt)sor on Socingr 3 ho Minhesta PORE Carol Agency (351-297-560o0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or oie Gotaa ms) You hav ang auesion raring 1 cusshommane jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please tur this qusstonnaitoe Dele sls Ms 8.2008 in th enclosed stamped, st. P!ease rf?.turn this g!6ec:tionnafre to Delta Cc~s:.:!ta:-:t= br1'l!~y 9. 2008 ir: ths snc!ose::l statnped1 self- aaddddrreesssseeddeennvveellopee.. ERamN e Ae vsteq Fire Cheek (s Fea bPadpvarimaennt breDeparkivat Fire Department n5eet:NT[)br4Lt~6 33---d2~~97755' Phone Number -- Tae Hojo Date E-Mail BA Address Inogen" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00137 SStTaAreTE0_202882211009944 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training -X-- 11. . TDDroooserssghyyoiounurgr DDpeeeppraasrriotmmneesnn?tt cuntor currently or has has your your Deparment Department istorcal historically sedused Clas Class Aor A or Glafsoasms Class B foams for for X_ firefighting opVeroats-ionPsr?oceed to Questio2n No Sign the baocftiks form and atu to Data Consultants Yes- Proceed to Question 2 _ _ _ No -Sign the back of this form and return to Delta Consultants 2. How often s Class lass 8 B or or Cass Class Afoam A foam used used in in respotno sree response to fire cals? calls? asso res 2. How often is C _ _ _ 0-25% of fires --'XX_-+a-s-sosectivreess ___ Ts 00% 75-100% ooff resfires 25-50% of fi 3. Dou th Department have a comoressed aair foam foam system system (CAFS) (CAFS) with with atin a built-in tank tank on on isits engines? engine(s)? 3. Does the Department have a compressed Yveess Xo )( No 4. Howotien foam used in rang exercises? 4. How often is foam used in training exercises? Never Weakly Monty _ umeny ___ Never Weekly Monthly ___ Quarterly "XC sembaarusy porualy BiAmualy ---){__ Semi-Annually Annually Bi-Annually "7 ner pease speci SE Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam fs used orang vent? _X_Loss hanSgatons 5galons 5. How much foam is used per training event? X Less than 5 gallons I 5 gallons Sls ___ 5 to 10 gallons 7 voretantogatons Glomsespecty More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - -- Otrer (pease dscrbe): _KX__ storm Sever `Sanitary Sewer 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm go? Storm Sewer _ _ Sanitary Sewer __ oOnns-StiteesSeeppiticc X_ GGrroouunndd ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Whe doasid he ain ako lace? Piease include adres, interasethcertsipeocin ocaon 7. Where does/did the training take place? Piease include address, intersection or other specific location format[io0nGfoFcIeRnStTandSpTaRs EvaEiTn aWreaWs Cree srapon) JCJ9 information for current and past training areas. F//2-'S.T ST!e!Yli'T f-' IN (.Pitt~ STVJ--nDt-J) Kinogen: OVVEERR----+ Phone: 5910 Rice Creek Parkway Suite 100 St. Paul, 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www , MN 55126 USA de!taeny com 22222..001138 STSTAATTEE0_208282211009955 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yes) andbrands) foam ar vere used ow and i th st by he Deparment, bth or fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponss and in vain appicaey Posse chock all ht avy. response and in training (if applicable)? Please check all that apply. TUrsaednign? AmUosuednt Curent Historically TyTpypeeooffFFooaamm `BBrraannddooffFFooaamm iss Aqueoss FimfFomngfoom Class B Aqueous Film-Forming Foam -- ~~ wer (AFFF) Class Alcott Class B Alcohol- ------ Mo Resistant (AR)- =a AFFF Used in YYTeerassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy ___ CUUusrsreeeddn??tly MA/o0 HisUUtssoeeriddc??ally ClCalassss BBPProrotteeiinn --_-- Cass th Class B Femal(Fep) Fluoroprotein (FP) Class pram. Class B FilmFoming No Forming Proton Fluoroprotein Fre (FFFP) CmsomReE Class B AR-FFFP Class AB1 2 Class A-B Hi Comsonfoan | ---- ---- Expansion Foam Clss A "Slax Jes gle Mo Yeo Class A anmgfon TT Training Foam oer = -- = Other _ -- Ao Thank you for your to and coopera Pleas contact Nan Rodi af Dota Consular (651-687-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or radio@dataci amo)im Sockinger ot he Mimescta Polio Corl Ageny(831.597.8008 a or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fron Bomar)tou ous ag avo Top i rst jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. P!ea:;rz return this questionnaire tv Delta Consultants btl June 6. 2008 in tlie Cfi{.;/osed stdinped. self- ee ane addressed envelope. P 1D3aor-- o -- Prsmesk - Choad p;s~k Questionnaire completed by: . riV Rare and ils Name and Title A Flew _ ff 1 fkr~ FireDeparment Fire Department Pho2no.N6um-be8r 11-7DR Phone Number B5it/e29 [oy EE E-Mail Address XXiInnooggpe:nl:.' "" rane ear ETS Tele SERS oS Smt 1m 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.001139 Stare 02821096 STATE_02821096 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. Doss yur Deparment cure o has your Department socal used GlAaorCslass8 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for rating cpwatons? f.irefighK operations? Xo pros ussonz . , Yes- Proceed to Question 2 No- Sign th baofcthkis form and returton Dota Consuls ___ No - Sign the back of this form and return to Delta Consultants 2. How olen Cass B or ClAafosam used in response fre cals? 2. How often is Class B or Class A foam used in response to fire calls? XXK- oases 25.50% oes 75.1of0re%s 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires -x=_- 35.. DDooeess tthhee DDeeppaarrtmmeenntt hhaveaaa ccoomvmpprreesessseedd aair ffooaamm ssyysstteemm (CAwthFabSu)ntakons (CAFS) with a built-in tank on its eennggiinnee(ss))?? ves AweYes No 4. Howalten's foam usedinaning exercises? 4. How often is foam used in training exercises? weeny eamy oun ___ Weekly ___ Monthly ___ Quarterly Semen sa SAvualy ~ Semi-Annually ___ Annually Bi-Annually over leaso sper LAKE, __A_ Other (please specify): _ _,_{?A---'-'_-f.._;L--I'-(l------------------ 5. How much oan i sed por aning event? 5. How much foam is used per training event? EE. A ~ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gallos (ease spac: - ___ More than 10 gallons (please specify): ----'---------------- 6. In tining, who dos th spent am 07 6. In training, where does the spent foam go? orm Sewer ___ Santory Sewer ___ Storm Sewer __ Sanitary Sewer Or lease descrbe) ___ Other (please describe): ____ -- onstosepte __ On-Site Septic ~%XK Ground Ground 7. 7. WWohheerreemddooessa/iodrdicduttnhrheertraarionininnaggptaaaktkeeapprlaaiccneeg??aPlrleeeaaassse nlc include aadddrreessss,, narsecton intersection oorr othrother specif specific llooccaattioonn TEER 13157 Assi 6f information for current and past training areas. Fie HALL 4ft z_. '&''1'8'1 ALA-.S ~A LLtJo/JwW--fLituppsk)cyJ mmdJ Ninogen ye rE Re TO RU_WSUS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone 651.630.3005 1050S SLE Fike S01 610) Mmeetaaa Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00114400 STSATTAETE0_202882211009977 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. rWehspaotnspeetn)dandvbaragtst) opf fioacmaa'orlweearseuhsedcknoalwaatdanp1. astbythe Departmen, both rf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUesmendign? AmUoseudnt CumemUsoor TTyyppeeooffFFooaamm ClasAqueous Fi Class B Aqueous FilmComes Fam ary -------- Forming Foam (AFFF) Cl8aAcsonosk- Class B Alcoholea, ------------------ -------- -------------- Resistant (AR)-AFFF cosoPwn | -- Class B Protein Clas 8 Fuoroprten Class B Fluoroprotein I --_--_-- (FP) Clas Fin-Foming Class B Film-Forming earn py, ------------------ ------ ------ -------- Fluoroprotein (FFFP) FO -- Class B AR-FFFP Css AB1 Class A-B Hi iam Tm |mm ota.see Class Expansion Foam Class A Taking Foam = Training Foam oer TT, Other BrBarannddooffFFooaamm Div Ex Used in YesorNo Training? Yes or No Amount Analy Used Annually HCiHsuitsrroteornriitccUUUssseeeo??r ye iol. theron Thank oufor your tme and cooperation Pleas contact Nancy Roding Def Consutars (651-0875152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rode com oro Slinger31h Minhasla Poor Gorrol Agency (31-397 3606 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or soca iste mma you hav any Goer rearing a esi jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnn tthhiissqquueestsitioonnnnaaiirreettooDDeellttaeCConosnuslutltaannttssbbyyMMaayy99,. 22000088 inntthheeeenncclloosseeddssttaammppeedd,.sseellff.- 1M `addddrressseddeennvveellooppee.. - QQuueestsitioonnnnaaiirree ccoommppeletteedd bbyy:: RamsaMr Tai1e-r\YZ.s-IC. G~h~o-sybt CCHtli-- leetfs- Name and Title Fea DopaNmanat si yount~Ern fire Derr Fire Department Pronz eNaZmblgegrl T[_e'fr1, u7_,?e<s/) s/7 6/0y Phone Number Ddte i Ba E-Mail Address Inogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 2222.00114411 sSaTrAeTE0_208282211009988 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDooresseyyoiouurr DDeeppaarrtmimeenntt ccuusrrtennttlyy orhhaassyyoouusrDDepeapratrtmmeenntt istrict used historically used CCllaassss A oor rGCllaassss B ffooaammssffoorr firefightin Vos- perationPsr?oceed to Question 2 ~;.c:>o.~ YNoes-S-iPgrnocteheedbtaockQuofesthtiiosnfo2rm and rettoDuotma Consultants No- Sign the back of this form and return to Delta Consultants 2. Howlis ColasssmoorfCreasss Afoam used in5re5s0po%nsoforrees cal? JC rs tomate ~ 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires 25-50% of fires 75-100% offires -t- 3. Doss Does the the apartment Department Have have ca ocmopmrperesssseedd siair foam foam ssyysstteemm ((CCAAFFSS)) wwiithhaa but built-in arktank onson its eennggiinne((ss))?? 3. X_ ves NoYes No &. 4. How How olfetenniissWffoeoaamom yuusseedd inaning in training eexxeerrcciisseess?? -- vouny Semi Aualy sonal _ ovepemeseari Quarry X BrAmualy pL 55.. HHoowwmmucjh. ffooaammi;s, uus'eeddppree tacailnlgngeevveenntt?? More han 10 gallons (ease spect) Less than 5 gallons 5 gallons 5 to 10 gallons More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. 6. In In vanng. tcal " l where whece does doe' th spent the 'pen t foam foam 007 go? X SSttoorrmm SSeewweerr ___ SSaannittarryy SSeewweerr __oOnsn-iStitee SSeeppiticc Looms k-Ground _m_e __ OOththeerr((pplleeaassee d desce ribes): c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. normaton or caren an pat ning arose WWheherreeddooese/sd/diidd tthheetrtraaiinniinnggttaakkeeplplaaccee??PPlleeaassee information for current and past training areas. iinncclluuddee aaddddrreessss,, iintenrsetctioenororroostthheeerrsspcpeceictfifiiccilloococaattniioonn Pckgs Lot ak Zo Fares bod f l Jo QJ-00 o 77 W wee wVLrf e~QQ a~b.bo0~u+t .3.:5s5 8gaal., (lloo.-cw..~s.r of +r f _jbAaor,-. +oot-+aal.l for -L/iIvreur- aq~ +H,r..a._l\,u..i.v,?g~J' Kinoger: _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rnoner 651.630.9505 45 A AE Fak WPA e3019453 wn dblaan dom Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00142 STSATTAETE0_208282211009999 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 5. What pte an anetofaenryr avor tenntoaion . at bh pment rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TJ a . oot' cumontsear TTuyppeeooffFFooaamm un aneaEin: Class B Aqueous Film---- Forming Foam (AFFF) Gor to Class B AlcoholCR er em ---- Resistant (AR)-AFFF oo -- Class B Protein ios8 ror Class B Fluoroprotein Fo - ee ee (FP) Gon arog Class B Film-Forming Cn ---------- Fluoroprotein (FFFP) ------ Class B AR-FFFP opi Class A-B Hi eam TN al Add Expansion Foam a PicespnsYer Cpe GREG Class A Trang Foam TTTe A g Training Foam how - Other BrBarannddooffFFooaamm Used in Yesorflo Training? Yes or No Amount AAnnUnnusuaealdlllyy HistoricUse? Current Use or Historic Use? Tork yoo ort ant option, Psa coro Na Rin3 Cgas Coma (5100152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a a me coma ar or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Po AC EA eM pA jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. "Pleasereturnthis questionnairetoDeltaConsultantsby May9. 2008intheenclosed stamoed. sel Please return this questionnaire to Delta Consf!ltants Qy_.fY!.CJ.YJt,~.200JJ.jnJ..he encfQsed stama_gd. self- aaddddrreesssseeddeennvveellooppee.. a -- Questionnaire completed by: R-- ~WeAaJ) M M \Te r y ec..-L- Name and Title Fill Cricr Fire ref~~tsb~a;to5/ fr:e!Le~DleJct wie 232-350 2 OF Phone Number ET (ba re oda ot 4-24 Of Date banstel conn Ninogen CR i GETTEE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.001143 stare_o2821100 STATE_02821100 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . TeDDoeosetsshiyyoonuugrr DoDpeeappraaarrttmmoenensnt?t cent currently oorr hhaass yyoouurr DDgeaiment partment sora historically uusseedd CCllaassss AA oorr CGalassss BB ffooaammssffoorr firefi_g_h_Xti_nX_g__o_NYpoYeere.sastSi--oiPnPgsr?norcteheoodbttocoQaQueoeucfsetstehktiiioosdnnf22orm and tur to Dol Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How fens las BoClass Af use in espns oe cals? 2. How often is Class B or Class A foam used in response to fire calls? 0260 fees 25.50%offre X_ 751o0f0r0es ___ 0-25% of fires _ _ _ 25-50% of fires X 75-100% of fires 3. Does the Depart have compressed afoam sytem (CAFS) wilha bullta ons eninefs? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves XowYes -/(----:--,- No 4. How fens foam used in ining exercises? Co. 4. How often is foam used in training exercises? Wiest Many Quarry ___ Weekly To somonaty KXX amuaty arAmuaty _ ,~ Semi-Annually ---.-- Monthly Annually _ _ _ Quarterly ___ Bi-Annually Other passe speci: Other (please specify): _______________________ 5. Howmuch foams used ar vaing ent? 5. How much foam is used per training event? Loss hans gatons_X_ 5 gators $1010gas Less than 5 gallons ')( 5 gallons _ _ _ 5 to 10 gallons Moretha 10 galons (ease sect IE More than 10 gallons (please specify): _________________ PT ------ _ somSowr ___SantaySewsr 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer _____OOnnS-StieteSSeeppiticc ___XX__GGrroouwndd CC Over(peasedeserver . ______.. Other (please describe):------------------------------ Td::"'-'p;b: 7. 7. cWWhrheearretcdooonensso/diriddcttuhhentatraiisnninn.gpttaaatkkeerppailancceeg?? alPrleeeaasssse nincclluodcee adres, address, innatersrseeccttiioonn oorr ootthherr spec specific llooccaatsioonn information ounAfJ. for Thawnimg area current af\d past training areas. dog pdlimlieMA &ofj;fJ ~of' ~ drank ave <We mean_ j)'LMA, Kinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.001144 sSTTaAeT_Eo_z02s82211110011 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. 8. TeWWshhpaatotnttysyppeeea((nss))daainndd abbriarngda(s(n)foo3lffffsopoaa)mmlaacrree aoorrlvwbeeaersrieeecuuehsseeeyddcknn?aooiww aahannadd piin h.thee ppaasst tbyy tthhee DDeeppaarrtmmeenntt,, bbootthh orfor refire response and in training (if applicable)? Please check all that apply. Gusster: _AMSULOTE YES ousRs `Topeof Foam Branodf Foam TYTUUaerassmsieenioddinrniigNgnn?o? AAAmUmUmossoueueunddnltt CCHuiusrrtreeonrnittcUUUssseeeoo?rr CCFolarsmaTsiyn8BpgAeAsFqqoouufaeesFmooouu(assAmFFFFiilFmn)- Brand of Foam mrss-- Au;,w i11@ Yes or No me Annually Historic Use? eee eee Forming Foam (AFFF) CClalassss BB AAllccoohhooll-- A-~5st-utbLlTE Ye->s 15-20 C.!dRKboft ~l CassBPown Resistant (AR)-AFFF ~ J) Class C#lass Class 8B B Fooprtain Protein Fluoroprotein ee ee eee (CCFFlilaPassso)srso8BprFFoiitlmmo-n-FF(ooFrrFmmFiiPnn)gg =ST Fluoroprotein (FFFP) SS Class B AR-FFFP CBloasmssAoBnHFom Class A-B Hi ar TO ao ho Gass BUNZEX No 40gnepl LurRENT Expansion Foam No CTlraassnAg Foam _-- TT rve over Training Foam ee = ---- Other TTofhhnaanoikcyyhoouu fo@orrayyaoosuurrnttiyimmeecaannoddomccrooooJ)pipemerarStatitioooncn.k.i nPPgleleeraaassteetchcoeonnMttaiacnctnt eNNsaaonntccayyPRRloolddirnoiinnnggaCaDotnatDrteollataACgCeoonnncssyuulit(aa6nnt5's-((26657511---680996776o--585r115522 fim Stocinger@stat mus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if YouJim you ave any uestns egercing (his Guestonnae. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or dPPrlleeeaassssee erredotteuumrnmeltthoiipsssqq.uueessttiioonnnnaaiirree to tc Date De!t~ Consents Cons:...:ltants by bv Mey fi./Jav 9. 0.2008 20()8 Iin ths the eanncc!olsoes'dedstestmomppeedd,. sol.s~!f- addressed envelope. QQueuessttoionnnnaaiireeccoommplpeletteeddbbyy:: _Name and TiLtsAaPeTvr:+aamJ J~JaI\mrne.Ess BBteer. bl, Name and Title Fire BaparimeAAntLLBBEERRTT LLEEAA FFIlRREE Fire. Department Pane Mmbe(r507) 311-4340 Phone Number DDEePPTT - AOPsReIL 2G , 2008 Date Ev Address alfire @ crvhy.albect lea org E-Mail Address , Xinogen mone 651.6393 .9103000 C37rATPT yFLL: SCHUL 03000.24S7C3 MRmUmTaARISAERTRIaUE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00114455 STSTAATTEE0_202882211110022 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . fDrDoaofesshyiyoonuugrr DDpeeeppraaarrtotmmneesnn?tt ccusrrreenntlytooyrr hshas yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly uusseedd CCllaasss orA or lCalassss B ffooaammss orfor X_ firefighting ' i- oYpeersatio- Pns?rotcoQueesteiond2 YNoes.S- iPgrnotceheedbatockQoufetshtiiosnf2orm and return to Dol Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. Howalen'sCass How often is Class B B orClase or Class Afoam A foam used used in rreessppoonnsseettoo refire ccaalllss?? K_omswotties 0-25% of fires ___ ___z52s50-5%0o%totfufieress ___ 7755-1:010%00o%f froireefss 33.. DosDoes tthhee DDeeppaarrttmmeenntt hhaveaa ccoomvmpprreesessseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa buntank built-in tank onson itsaennggiinee((ss)?? ___ vYeess ")xL eNo 4. Howlin s foam usedin arog exercses? 4. How often is foam used in training exercises? Wesky Many Quarry ___ Weekly Semimously _X__ Anualy ar Amnuaty ___ Semi-Annually ___ Monthly _X....,~ Annually _ _ _ Quarterly ___ Bi-Annually TT overuesespeoty Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam s usedpor iningovert? 5. How much foam is used per training event? X_ Lass than gations 5 gators $1010 gators 'i Less than 5 gallons J 5 gallons _ _ _ 5 to 10 gallons 7 Morotun togatons Glossespecty More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Intraining, hero coss the spent foam gc? 6. In training, where does the spent foam go? _ SomSower ___SataySewer _OnSieSepto _X_ Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _k_Ground Other (pease descr) ---- ___ Other (please describe):---------------------- 7. Wiha dossid the airing take lace? iesss incu adress, terseocrtoothnr soci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location fotofor cure and past rang reas information for current and past training areas. Oud Senge Fr"rro.a.Vn\ K 1Ha--illc-.ll DQeAc.r. e ch i1mI1eeLahtberrr-tDt lCLae..en, t XKinogen Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 i Paul, MN 55126 USA www.deltaenv.com 22222..00146 sSTTaAeT_E0_206282211110033 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Tosponse and in ang (1 3plcabiey? lease check al hat 3ol. 88.. WWhahattttyyppee((ss)) aanndd bbrranad(ns)odof(fffoosaa)mmarareeoorrwweerree uusseeddnnoowwaanndd iinn tthhee ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, bbootthh ffoorr ffiirree response and in training (if applicable)? Please check all that apply. TUUrsisemedidniignn? AAmUmosoueudnntt GurentUseor Training? Used Current Use or CCFolamsliTT snyBapgAy eAFqoqouosfuep faFeoFmoousouse a(asFmmiFFiFlmm)- BBrraannddooffFFooaamm ------------------------ YYeessoorr NNoo ~~ AnAnnunaulalllyy HiHsitsotorriiccUUses?e? GCFReolasrlsmsstin8aaBgnAtAFscl(ocooaRhsmhaVolAl(-AFFFFFF) ---------------- Gass 8Protein Resistant (AR)-AFFF EE -- Class Gl)ass Class 8B B Flaoroproten Protein Fluoroprotein ~ C(CFFualaPoss)rssopBroFFtiilemmn--FF(ooFrrmmFiinFngg ~~ casseareFR Fluoroprotein (FFFP) cCCExllaaapssasssnasABi-soABnRFH-oiFFaFmP ee Expansion Foam Class A Seen yes F290 Cemrenb TCrlaasnsinAg Foam - omer Training Foam - Other ToJoTirrhhmaanwsnnrotokkoddycynkooniinuunnggff@aoeorrr@d@yyselooilutuosartreeett.nimimvm.eeccooaaummnne)dd)) ooccrorooYoJJpoipemuerarhSaStitvtiioooencno.k.aiknnPPgiylleereoraaaeagsssteeieithccvroeoonnnMMtstiaaincfnctnantegeNNsasaaoronntitcaacnyygRPPRootohloldiluudsitiniqnooiungnnegasCCatototonntnDDtrnereooalllrtlaasAA.CgCgoeeonnnnsccsuyyullt(t(aa64nn53tt1ss1-2-((692657591-178-.-66696607667o--05o56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnntthhiissqquueesstitioonnnnaaiirreettooDDeellttaaCCoonnsuslutltaannttssbbyv MMaayv99,, 22000088iinntthheeeenncclloosseeddssttaammpoeedd,,sseellff-: `aaddddrreesssseeddeennvveellooppee.. Questionnare completed by: Questionnaire completed by: 2 Nam'eBdoeebTieSShheRllen Freeh Name and Title tl.m Fi DJepD)aLirmbbeenntett- LL.ee<e- Tewnsh p FPO Fire Department PhoneSNeumqb J377- $134 Phone NumbJr Ga/d21)0g Evia Abndrooeb'bs.s. SShheelllet'VnJ O8)J SS:h.~yreeca~t.:etr~r.. con E-Mail Address XiXnInooggepnl' "" To Er Cre pry ST TO. Fa SS US 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 651.630.9505 1 005.033 TA1E Fa: GPR e945 Msi La Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00114477 STSTAATTEE0_202882211110044 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Doss your Department ceno tas your Deptt istrcaly sed Clas or lass foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for frafohing persons? 2X Yes- Proceed firefighting operations? X Yes - Proceed ttoo QQuueessttioino2n2 No Sign tho back ofthis form and rtum t Dota Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Howoteni Clas Bor GaAsoasn used in respons ofr cal? 2. How often is Class B or Class A foam used in response to fire calls? A ommores _ 2ssvalines 75-1o0fr0e%s -'~--~--"--- 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 5. Doss the DDeeppaarrttmmeenntt hhaveaaccoommvpprreesessseedd iair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh abun a built-in ttaannkkoonnists eennggiinee((ss)?? 3. Does the No _X)_<T_ vYeess _ _ _ No 4 Howoften foamused in ining exercises? 4. How often is foam used in training exercises? Wody Wnty ___ Weekly Monthly ___ Gurr Quarterly Other(pease spect) e ee ee Xx:_' SSeemmi-i-AAnnnnuualalllyy ___ AAnnnnuualalllyy _ _ _BiB-i-AAnnnunaulallyly . ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam s used por raining oven? 5. Lessthansgalons How much foam is used per training _ _ _ Less than 5 gallons event? XK s g5 aglallloonnss _ ____ 5sttoot100ggaallloonnss Morothan 10gatos (easespac _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. training, where does the spent foam 607 6. In training, where does the spent foam go? 5 Storm Sever __ Sankary Sower onstesepic Ground ><": Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Or lease deserve) preme------ Other {please describe):~--~,.,.------~------------- 7. Where does te tining ako place? Pleass include adres, nersecortoothnr specficlocalon 7. Where does/did the training take place? Please include address, intersection or other specific location Inforfmorcateitoann past rang areas information for current and past training areas. Marr une Frc Wor ago SSE NE Meeadoc mu ss3e A\~.\- \t~\"-- f"t'-- \-\A-"- \\"~9.:> ~~ S...~o- J'-lt; 1*\roU-\J..l'-<-, Ml't 6~3l>l Xinogen- SR Cr pF son St S_ R SST UA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene: 651.635.310B4o5 S33 ATE FRR: BHR 6309473 MAAR Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00114488 STSATTAETE0_208228211110055 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. W1Wohh5aaptot nttysyppsee(a(ssn))daannrdabbmrriannadg(ns()fdoo3f(fpffposoiaac)mmabariro)e?oorPrwlweeerarseeeuucssheodcnknooawlwahanandtd piinnptth.heepapsatstbbyytthhee DDeeppaarrtmmenetn,t, bbaotthh foorr ffirree response and in training (if applicable)? Please check all that apply. TTuyppeeooff FFooaamm CCFlolaarssmssiBnBgAAFqqouuaeemoouu(ssNFFFFiilRmn).- CCRFeolarsslmtsianBBargAtAcFols(ocnAaoamhRsloV-l(A-AFFFFFF) CRleassissta8nPt r(oAtRei)n-AFFF CCClllaa)assssss BB B Fucroprtein Protein Fluoroprotein Cl(CFFailPassrs)sosp8BeFoFitiemlmi.n-FFo(oFrrFmmFiiPnn)gg CossBARFFR Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAABi-BoABnRHHF-iiFoFaFmP Expansion Foam ClCalassss AA TTraraininiinngg FFooaamm oer Other BrBarannddooff FFooaamm TUrUassieenddiininng? Yesorflo Training? Yes or No ~~ AAmUmosoueudnntt AAnnUnnusuaealdlllyy CHuCirusrrteroenrntt UUUssseeeoo?rr Historic Use? -------------- ------------ en: _-- Queues Nes S-galbeows --- r-- -------- oTTfhhararnoikdcnyynoougu@ffodorrayytootuuarrettniim.meceoaamnn)dd occooroappmeerrSaatttiooocn.k.inPPgloleeraaassteetcchooennMttaiacnctnteNNsaaonntccayyPRRloolcdlrnioinnnggaCaottntDDroeotlltaaACCgooonnsnsuyultlt(aa8nn5tt1ss-((266955711---666969767--o55r115522 Jstockinger@star. mn ue) 1 or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if yoJim you haveany Questions regarding his Ques oma. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or adfPfdelraaenssesserreudttuuerrnnnvetthhliiosspuea.uaesstitninno~inrenttanoDiDinetlata Constants Gons'.!!f:mtc; .bbyv MMaa!ly9.22000088iinn tthhee eenncc!loossl?e'dd stamped. sfamt:.~ed alt~elf addressed envelope. QuQeusetstoionnnnaarireeccoommppeletteeddbyb:y: am andTiTleare Mas Fire cel Name and Title fireDeparmentOleic Fie (pmswear Fire Department Phon)e Nuumbner LoS. L383 (9) 763 - HAT YEG Bato Phone Number Date EaAddresZsaldcnet| Ci. alone.pe.us E-Mail Address Kinogen: Prone: 651.639.9S54T0 8e3r0.4E3r7eR54F11 yak: S$91U615.147010 SC a apaulR, IWHA5s51n36eCUS,aKn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222222.00114499 SSTTAATTEE__0022882211110066 QUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg TL esto cusions 1. Does your Der:> ment currently or has your Department historically used Class A or Class B foams for firefighting o rations? ----'- Yes- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2 wot os or Cs A sorit nc 2. How often is Class B or Class A foam used in response to fire calls? d 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires 3. Does the Department have a compressed air fo2m system (CAFS) with-a built-in tank on it~ engine(s)? ~po ~Yes -+-No 4. How often is foam used in training exercises? or ey ny avy ___ Never Weekly ___ Monthly ___ Quarterly rma say 2 anny ___ Semi-Annually Annually /Bi-Annually 7 er --_ oe ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - - 5. How mu~m is used per training event? --. Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - en sons 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer onssosee __ On-Site Septic crams Other (please describe):------------------~~--- 77.. `WWhheerree ddooeess//ddiidd ttnhee ttrraaiinniinngg ttaakkee ppilaaccee?? PPlleeaassee iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr ootthheerr ssppeeccififiicc llooccaattiioonn irs Gr on cc sfpt?/e{p- ,/?Jt?tt/ ~ information for current and past training areas. XInJoIngo~genn' , OVER~ -- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00150 STATE_02821107 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What pets) and bans) offoam ar orwere usd ow anithstbhe Desarimen, bootr fhre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire esponse nd ani appcaey Passo crock ol ot 9p response and in training (if applicable)? Please check all that apply. soto Bandon TVUaesmsoiodrnifgnl?e AAmUmsoeuudnlt CuUrseednrty HisUtosreicdally T~[!e of Foam Gl8oAquseosus Class B Aqueous Fimpommfom -- -- Film-Forming Foam arr (AFFF) Cl8aAosnso Class B AlcoholResa Resistant (AR)Ie AFFF Cossspoen Class B Protein Cass Class B Fidropaon (FP) = Fluoroprotein (FP) Cla8isms Class B FilmFy Forming Flrogen --_---- -- -- Fluoroprotein Brand of Foam ---------- Used in Training? Yes or No Amount Used Annualll Currently Used? Historically Used? ---- --- --- --- f&- Cosoae ((FFFFFFPP)) CCasossnsine Class B AR-FFFP Class A-B Hi | mmm ---- ---- -- ---- Glass A Expansion Foam Class A Su;lvec(yY' Tamngfoan -- su L_/ _ _ 2:2gfryti 0 _ S _I~g ! I oer Training Foam OO Other `ToioTrrhhwaanSnnroioakdycynnkooinuuggff@oorradGyyetaoolautuarctreetinimnve.reccaooainmmnd))d) ooccrrooYooJJoippmnureharSSataittoiooonecn,ck.aiinnnPPygglleqreeruaaeaasststeeiothccoeoeonnnsMMttaiaicrnnctnotneaeNNsrsaaooinnttncaacgyyPPRRWooolOsluddtniqiRoinunngegasCCatootonnDDntvrenloolatlaarAAegCCgeeoonnnnccssyuyul((tla66an55t1rs1--2((0696577518-18--666609666767--o5o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. F PPlleeaasseer rret;t,;my tthiiss qauuesstisoninaoirnetrtooaDDlieiaeta Consultants Consultants byby June June 5, 6. 2098 20iJ8 in in the the enclosed enciosed stamps, stamped. elt.selt'- addressed envelope. QQpuueessyttioornnnaarireeccoommplpeletteedd bbyy:: = r Neat~lyn~Titr?4reh 4~/ Jhi~ cca :e 'l~ tlGalrmin Fire Department Fe RIL Phone Number ET2 gdgsr Br E-Mail Address KXiInnooggepnl' "" PPhhoonnee:: 651.629.94455910 651.639.9449 I 1 800.477 7411 Fak: Rice Creek Parkway 800.477.7411 Fax: 631.639.9473 Suite 100 St. 651.639.9473 WaLuASARY.Ciam Paul, MN 55126 USA www de!taenv.com 2222.00115511 sSTTaArTeE__0022682211110088 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11.. eDDfooisgehssiynygoouurr DDoepepoparararttommneesnnt?t ccuurrreanntlytooyr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CCllaasss AA oorr Clalassss BBfofoaammss ffoorr Ren rocsattoauesion2 firefighting operations? ;L Yes- Proceed to Question 2 No- Sign thebackofthisform and rettouDerltna Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHooww oofftteenn is CCllasas BsBosorr CClalssaAAfsfooaasmm uusseedd iinn rreessppoonnssee t[o0 ffirree ccaalllss?? 00-2255%% ofa of fires X-,L 2o5s-s50o%wootf ffireess ___ __77551-01000%%ofofffrireess 35.. DDoosess tthneo DDeeppaarrttmmeenntt hhaavveeaa ccoommpprreesssseedd aaiir ffooaamm ssyysstteemm ((CCAAFFSS)) wih with a bubuilt-in ttaannkk oonn i1tss eennggiinnee((ss})?? ves ___ Yes A ,~ No 4. How often is foam used in raining exercises? 4. How often is foam used in training exercises? Westy Monty Quarter ___ Weekly Monthly ___ Quarterly -- semiamualy Annually ena ___ Semi-Annually ___ Annually > OOtteherr (pplleeaassee ssppeeactiyf)y:): NeVmgge's-{] S$'ext-dOoo,..r-r.... ,. Bi-Annually e~0w'e- 'I3" 0O8{L 4'/ v~e..f-enjs 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppeer rtraaiinniinngg eevveenntt?? Less than' galons 5gallons _A __:j;__ st010gatons _M_o_ rstLeassnttha0ng5aglalloonnss (pessespe5ctghayllons 5to 10gallons ------- _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - 66.. IInnttrraaiiniinngg,, wwhheerreeddooses tthh e ssppoenntt ffooaamm 0go7? _ SomSewer __ SantarySewer __OnSteSeple 7": SOttohremr Speewsseor do_ se_ rbeSyanitary Sewer __ On-Site Septic ___ Other (please describe):---------------- ___ GGroouundd 77.. VWiihhneerfreedodorosesmsfl/aoddictdduittrhhroeeenntiranaiininnnggpataaktkeerppallaanccege?? aPPrlleeeaasa.ssee incu include aaddddrreessss,, iinntetrseerctsioenocoftrcoihtohrenr spec specific llooccaatiioonn INNO information for current V. t.ht..f'JMJ . Tess ant and past training areas. '-: ?JA-S Alo+ desc ;l...erc_e:' T~ ie LhaHgve- z7i/mm~ we Teawed Waa See XKi1nnooggpe1n' ,,, TTT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA onan 651.639.3|080058.47TH3A Fok: 651 639.947) Mm daliasny.can Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00115522 SSTTAATTEE__0022882211110099 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 6 Vina type(s) and band)of foam aorewre user an inh past by tr Departmen, bo for es 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Terman an im appa lee check of at apy response and in training (if applicable)? Please check all that apply. TUasmeidnign? AmUosuednt CurontUsoor TyTyp~eeooffFFooaamm Gl8Aacussous in: Class B Aqueous FilmFama Forming Foam (AFFF) Glas 8 coho Class B AlcoholRosson paper Resistant (AR)-AFFF Glass 8 Protein ee Class B Protein Gko)lB Fauarosprosten _----_---- Class B Fluoroprotein (FP) C8aFism Fomsing Class B Film-Forming Fanon, Fluoroprotein (FFFP) A Class B AR-FFFP Cass ABH Class A-B Hi Con foam -------- c Case Expansion Foam Class A Temngbom 7 Training Foam oer - Other `BraBndroofafFFnooaadmm SS:>I!LL\1-- E~~Y. Used in Training? YYeess oorr NNoo. Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? An.oJo. ~ Ep GCotAll Cursonk 0- Jl/U,..J- Thyaoufnor ykour im acn oopran Plas coiact Narcy Rocring a Dot Corsa (65.637 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of odna aaa coomf J)im Socing at re innesta Foon orl Agency (651-537-80a08 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or sinGta oo Touov ay avers rod os sions jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas return his qusstfio Doelno nConasulrtansts by Ma 300 in th snclosed stames sl Pl~~$~_reJIJ.!:..t1Jhi. questionnaire to Delta Consultants bv M~v 9 2n08 i.n the enclosed stamped. se!fem addressed envelope. Questorvasecompetedby Questionnaire completed by: Cuanles Zimpion C'H.a~e) RamenTe foots ~ Name and Title Fle Gapaiment I F1re Department Conmplind Ph3 one Naber CT 2806 [Stme as zcob Phone Number Ctromou C/o dues Eta Adaess E-Mail Address Fite . mw, us Dppedrgin ZooB 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00153 stare 02821110 STATE_02821110 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . frDDaoofeeossnyiyonougurr DDpeeeprpaaarrittommneesnnt?t ccuurrerennttllyy oor hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallyl uusseedd CClaslsAAaoorrGCsllaassss 8B ffooaammss ffoorr R_ firefighting j.. Yes -Protco Queesteiond2 operations? Yes- Proceed to Question 2 ___NNo-o- SSiiggnn tthhee bbaacckkoof hithis ffoorrmm aanndd rreetutrunrtono DDoetltaa CCoonnssuulltaannttss 2. How How often' often is ClassBorCiass Class B or Class Afoam A foam used used in in response response ttoo ffirree ccaalllss?? 2. oaswoffre ___ 0-25% of fires RK --'~'--2- zssonotes 25-50% of fires _ _ _ _ 7755-110000%%alofffrireess 3. DoDsoesstthheeDDeeppaarrmtmeenntt hhaavvee aaccoommprpreesssseedd afair ofoaamsysysstteemm ((CCAAFFSS)) wwiitthhaa ulin bui!t-in tankons tank on its engine(s)? engine(s)? 3. ___ YYeess K"f... noNo 4. Howolten sfoam used n aing exercises? 4. How often is foam used in training exercises? Never Weedy ___ Mony _ Cuanery ___ Never Weekly SemiAmualy Annually A aeannualy ___ Semi-Annually Annually Monthly X Bi-Annually Quarterly Ober plssespeci: ___ Other (please specify):----------------------- 5. 5. Howmuch How much foam foam sis uusseedd prper trraaiinniinnggeevveenntt?? tessMoLteresosnttShhaaonna51l0gaogallnloonsnsslossespo5Soctgaayllleornss _X_st '/.. 5 to 11000gamlelonnss More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In aiing, where does the spent foam go? 6. In training, where does the spent foam go? A--J.... sSttoormm Sseewweerr ~_SKa_nsiantiatarryy SSeevweerr __ OOnnS-Sititee SSeeppttiicc ___AX_ GGrroouunndd ter (please dscrbe): ---- ___ Other (please describe):---------------------- 7. WInifoermratdiooensfiodtceutrhevaainnidnpgaasktevaliance?arPclsesas.e inch acres, intersen o othr specific locaon e " _fe oo tog ok,Dep blo, a) gif Bye \bliy Comtal nae Tose XXiInnoogg~enn '" OVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..001154 sSTTaATTeE__0022882211111111 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg & Wht yets and anc) foam recwore vecmowand inhpastbyth Dapamen,btfor ve 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire sponte and vaio aptesvey Poco chock al at apy. response and in training (if applicable)? Please check all that apply. TuneofFoam Bundoifom TYUoessenodgrinn?e AAmOmoseuanyt CuUrseesntty Hisutosriecsally Type of Foam Ca8Asqusos ey Class B Aqueous Film-Forming Foam wer (AFFF) Brand of Foam Aus Class B Alcohol- gomotr Aneiss meen _yze sspwsyes Res1st3nt {}\R}- jeAFFF CosBwon Class B Protein Goss Class B fopoenpy -------------- ---- ---- ---- ---- Fluoroprotein (FP) Go8sFism Class B FilmFog Forming moon | -------------- -- -- -- ---- Fluoroprotein Feet (FFFP) Cesare o_o Class B AR-FFFP csA s1 Class A-8 Hi Sano foam ------------ --_---- -- Class A Expansion Foam AvsfhoCockim 4 Class A TongFoam -- _ _~ T Training Foam over = = = = Other Used in Training? Yes or No yevGsS Amount Used Currently Annually Used? B b bAle> Historically Used? y,eVts/S yes giles yrs ps Thankyou or your mo and cospoaton. leas contac Nay Roding stDolla Corsuants (51607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ramsey como Stang oe Ninna Poh Cont Agere (651 5973006 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjimim..ssttoocckkininggeerr@@ssttaattee..mmnn..uuss)) iiff yyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueessttiioonnnnaiariree.. Please rau this ausstiontno Daoitea onsulants by June,200 nthe enclosed stamped, sa: Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- aadddrreesssseeddeennvveellooppee.. Questionnaire compiledby Questionnaire completed by: A;:l./ea4liaoAn1) TlHf.o.lnattlsl~oo.dJ, 1 aa rTie Name and Title Depivy Chat FraADo4tpaPlrAiemLirwt\a14lUe~'s1)- .ft:iMe- Fire Department _ ProneG5tu2m-or 983.20 Phone Number dowSe&, 208 Date @ ell uetgeats XKinogen' ~"'""'EH""I. XInogfn .., ~ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.9545| 300 433 7411 Fak: E51 630 0473 ae daltasnu.tAm. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00155 sStTaArTeE__o0z2s82211111122 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1. DfDeooesetssoynyoiounurgr DDoepepipaaartrtmomenensnt?t curentlyo currently or has has your your Department Department historical historically uusseedd CCllaassss AA oorr CGalassss B 8 ffooaammss ffoorr X_ firefighting )< Yes -Procoud operations? Yes - Proceed ttoo QQuueessttiioonn 2 2 No- Sign No- Sign the the baocfthkis back of this form form and and rreetuurrnn ttoo DDeelltaa CCoonnssuullttaannttss 22.. HHoowwotoefnteins lass is Class BBoorr GClalssaAAfsfooaasmm uusseedd iinn rreessppoonnssee ofr to fire ccaalllss?? ___ 0-o2a5s%wootfffrireess _X?_(2ss25o-%50o%ffofifieress _7_5_1705-010%0%ofof ffiereoss 3. Does the DDeeppaarrtmmeenntt hhaavvee aaccoommprpreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a a bbuuiiltt-iinn tank tank an on fsits enine(s)? engine(s)? 3. Does the ___ YYeess XFa No 4. Howotlens foam used in tiring exercises? 4. How often is foam used in training exercises? Weekly Monty Quarety ___ Weekly Monthly ___ Quarterly X_ semamaly ___ Amoaly Te ---+-X,.__ Semi-Annually ___ Annually ___ Bi-Annually Ober (lossespecityy ___ Other (please specify):----------------------- 55.. HHoowwmmuucchh afoaamn iiss uusseedd prper tvraaniniinngg eevveenntt?? X__ Less than's gations Sgatons 510 10gatons _X~- More th10aGalnons Less than 5 gallons 0 gallons (peasespec): ere 5 gallons _ _ _ 5 to 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ More than 1 6. In vaining, where does the spent foam 007 _ SomSower ___SantarySewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer _ ___ _OnOsn-iSeitSe eSpepttcic ___X;{___ GGrroouunndd ter lease describe) - ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - 77.. WWInhhfeoerrrmeeatcdioooeenssoi/drdiddcuhthrereenrtrtaaiainnniindnggptaaakskeeapllanaccgee??aPPrleleeasaa.ssee iinncclluuddee aaddrderessss,, inersecion intersection or oratthheerr speci specific llooccaattiioonn information for current and past training areas. N So S ott ClMyadoFmAeplnetSoskRble So.-fi o+ C:.:iy 6~ 1.Pk~ /i{;k works Blk, Aplteaew I Kinoger: A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.630.9143005.473 7411 Fok: 631 619.947)wm.asitaeny.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00115566 STSATTAETE0_208282211111133 QQUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58. TVeWisnhpaaotnttyycppsee(o(ssn))d aannnddvbbariarnnda(sn)oaodffpffioopaasmlmcaaarreeowPrewoseorrseuucssheeecdcknooawlwl aaanntcd3innt0thh.eeppaassttbbyy hethe DDeeppaarrtmmeenntt,, bhbothffoorr refire response and in training (if applicable)? Please check all that apply. TUasondign Ameoudnt Commas TyTyppeeooff FFooaamm Cl8aAquseouss Fin - Class B Aqueous FilmFormingFoam (Fy ---------------- -------- ar Glass 8Alcohol Forming Foam (AFFF) CRReleassisisssttaaBnntAt l((cAAoRRh))o--lA-AFFFFFF A -- Class B Protein Glas 8Fuoroproten Class B Fluoroprotein # rr eet et ee (FP) Class 8 Fim Forming Class B Film-Forming Fasroprolon (FFP) ---- Fluoroprotein (FFFP) A Class B AR-FFFP Class reti Class A-B Hi SomianFoan = Class A Expansion Foam Class A Training Foam EE Training Foam other - Other BBrraanndd oof f FFooaamm fosulbe 3x3 Used in Training? YeYessoorrNNoo. --ka-- Slee Amount Used AnAnnunaulalllyy ~r H`Hiissttoorniec UUssee?? less MoalSyul Sond]<nersh o. Gadel Sern. Thayonu fkor your tin and cooperation. Please contact Nancy Rodrig Dla Consutants (51.697:5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of mangoes) or Stoeger ah Manosota Poulan Cant Agency (651-297-6656 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or tacking tate.) 94 hve anyGueslon rgaring i qestomaie jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnntthhiissqquueestsitioonnnnaairireettooDDeellttaaCCoonnssulutltaannttssbbyvMMaayy99,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sse~llff- Questonnate completed: addressed envelope. Questionnaire completed by: l.(o,om,p.,w~ P,4D Nameand ie Name and Title _[Fowe, Bar HEE Few Deparment prprime frome Rescoe _ Fire Department 20-209 s3s psfos, J2.o - 2<0'1- 13'-..3 Proms Number we Phone Number rroodm'-oQn"_- S...s(S '@@ h.kotC tmva:it~ll ccoo,m., Date stJ EwE-Mail Address Xinogen' ones 651.639.9005 1 800 437 1411Fok: S51 639 9473wandsliacne.con 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00157 SsTTaAtTeE__o0z2s82211111144 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DfDooeeess iyyoouugrroDDnpeeeppiasarirntmomenegnsnt?t urd currently or or has has youyour Department Department Hstrcaly historically used used Class Class A A or or Cl8afoasms Class B foams for for f i r e f i g h t ing X o pNYYeooreaostS.i-oinPPgrsro?noccetsehdeetdobtQaocukQeusoefttsihtioiosnnf2om and return to Dlta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howofen i las 8o Glas foam usd n respofnsfre call? 2. How often is Class B or Class A foam used in response to fire calls? XL ozssotties asco otros T5100 aes X 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 5. oe he Deparment hav a compres i foam syst (CAFS) wih ulin fk on 5 nines? 3. Does the Department have a compressed nir fo::~m system (CAFS) with Cl built-in tank on its en:;Jine(s)? ve ___ Yes An ,{ No 4. Howofenis foam used in ring xercses? 4. How often is foam used in training exercises? CA News Veeky ony J ;{ Never Weekly TT combat Aovuaty _eramualy ___ Semi-Annually Annually Monthly ___ Quarterly ___ Bi-Annually Ove lease spec: ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch eam suse or cng over? (U4 5. How much foam is used per training event? fVj/} ~ Lesshansgalons ___ squehs ___ Less than 5 gallons 5 gallons More th10 agalonns esse speck ___ More than 10 gallons (please specify): __sotogs ___ 5 to 10 gallons 6. Intaing, whe does he spent cam 0? (UfJi 6. In training, where does the spent foam go? fiJJ SomSows Santry Sov Onsteseptc coud ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground thr lace desc) ___ Other (please describe):----------------------- 17. Vinre does he arin ak lace? Pras cde adress, reset ahr spec loca 7. Where does/did the training take place? Please include address, intersection or other specific location omen tf euent a pos earn rows. information for current and past training areas. 00 nad ase dom durisy bint budet sssue D.d (1!2 + CA.$e. ~1M J,A(jr-; 'tf'g;N~ I 6uJrf '55H . HoXIgnoge~n ,, OVERR--~ re 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.6391.8900048953.7411 Fak: 491.6w4he0nsd.al9iae4nv.7o3m Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00158 sStTaAreTE_022882211111155 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WWhahattttyyppee(s()s) aannddbbrarandn(ds()s)ooff ffooaammarareeoorrwweerreeuusseedd nnoowwaannddiinn tthheeppasatstbbyy tthheeDDepeapratrtmmeenntt,,bbootthhffoorrfifirree reressppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaatt aapppplyly.. TUrasiemdiinng? AmUosuendt Currently Historically TTylp~eeooff FFooaamm GlBaAquseosus Class B Aqueous Fimpompgfoam -- Film-Forming Foam FFF) (AFFF) Cl8acsohsol Class B AlcoholReset GRy ResistAnt (AR.)AFF AFFF CassBPOOn Class B Protein Cass Class B Fuoco (fp) -------------- ---- ---- ---- ---- Fluoroprotein (FP) Class Fim Class B FilmFomng Forming Fhoroprotain -- Fluoroprotein (FFP (FFFP) CasseARFFR Class B AR-FFFP CassABH -- Class A-B Hi Expansion Foam ClassA Expansion Foam Class A Tongan -- Training Foam over - Other BBrraanndd ooff FFooaamm Ch(_ebmemg9a0u.1e.!rdJ Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllly Currently UUsseedd?? Historically UUsseedd?? P/Voo _Sso_~lss. _.SSOVg!eI'l'' llle~.nu "Thank you for yourtimeand coaperaton. Please contact Nancy RockingotDla Consuants (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or wodnng@detzany com) or im Slockinger ai th Mianesota Poulan Convol Agen (55-297-866o0r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or fim stockingor@state mn 0f)You hve any Questions rogardng this Questionaire. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Quesionnare completed by: Please return this questionnaire to Delta Consultants by June 6 2008 in the enclosed stamoed self- `aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: NameJaenfd eTheof Name and Title Fire Chief ml fetter PhonsS0N7u:me0r4-20% Phone Number 5a-t3e0-08 Date ees E-Mail Address Kinogen X1nogp1 '"' Prone: 651.625.9440 #60 437 411 Fak: 691 639.3473mandaliasnn. am 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00115599 SSTTAATTEE__0022882211111166 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. DforctstymobuoDieotpiaorntd curentloyr has your Department iste used Css AorCia Ba a 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? No ign the baocf thkis form and return to Dota Consultants XX_ YYeess-- PPrroocceeeedd ttoo QQuueessttiioonn 22 _ _ _ No- Sign the back of this form and return to Delta Consultants 2 How ofan Gas 3 ClaAs foam usd in espns 0 cals? 2. How often is Class B or Class A foam used in response to fire calls? 026% fees X_ossomariies Tot0msaries ___ 0-25% of fires X 25-50% of fires ___ 75-100% of fires 3. Does the Department have a compres a foam system (CAFS) vith abul takons angina)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vw ___ Yes X )<;. NNo 4. owlants eam used nang reroes? 4. How often is foam used in training exercises? New weedy bow ___ Never ___ Weekly ___ Monthly TX semimuaty Aovualy >(' Semi-Annually ___ Annually Gury ___ Quarterly aaa Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecicfifyy):): - - - - - - - - - - - - - - - - - - - - - - - 5 Howe amis usd per ining overt? 5. How much foam is used per training event? _X. Los tran ators 5 gators 51010 gatons /( Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More han 10 gals ons spc: More than 10 gallons (please specify): _________________ 6 In vain, wher dos the spent go? 6. In training, where does the spent foam go? Som Sewer ___ Sankar Sever nstesepte_X_orou ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _k_Ground oter loase desc ___ Other (please describe):----------------------- 7. 7. VWfiohrnemaraeetddiooenosl/dsfidutnhoeetvtroarianininndggptaaasktkeYlpalaancceg??rPPelaeesaa.sse inde include across address, secon intersection avr or other speci specific cain location Beinfor 1ft the_bichall mation for current k hrehoJl of and pas ~f t t r 979% Huy aining areas. 979&" flw'1 J2- fB]rrocak/i(tshl.e,nn -1p0r0,. 55?5572111 HKwogene OVVEERR----+ eo PTL ES TLR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00160 sStTaAreTE_0022882211111177 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 85.. WrWehhsapaot nttyysppeee(a(ssn))daainnddrabbirnarinndga(s()1nooaffpdfpfoolaia)cmmabaalrreee)?oorPrlwweeearrseeeuucssheeedccnknooawlwatanhnadtd aiinpnptlthyh.ee ppaasstt bbyytthhee DDeeppaarrttmmeenntt,, bbootth ffoorr ffirree: response and in training (if applicable)? Please check all that apply. TTy~p(!eeooff FFooaamm CCFliamslsFBBoaAmAqnqusuegeoFosuoussam (EFF) Film-Forming (AFFF) Foam RoCCllsaasssssi8BnAAll(ccFooRh)ho,oll.- FFE Res1slant AFFF (i~.R) CassBRoen FlCCCslllaaoassrssso8psBBroPtroontei(nFP) CCFFollualrosmsriaoBnBpgsrFoFitismelm.in- (FP) FiFFFsloFuoromrProoi)nppgorottoeiinn C(FaFFsPs) BARFEP ExCCCplllaaaasssnssssABAi.-oABBnRHHF-iiFoFaFmP CElxapsasnAsion Foam TColanssnAgFoam Over Training Foam Other BBrraannddooff FFooaamm ------ oe --------------- TrUUassieenddiininng? YesorMo Training? Yes or No ---- AAmUmosoueudnntt Amually Used Annuall~ ---- CCuUursrrreeendnt?tllyy Used? ---- HHiissUttsooreriidcc?aallllyy Used? -- ee - - - - -------- --- --- --_-- SSit'!vp- ~eiC: Yye>E lJeefslsistt~h~(utv\u~ee.ll --o I o -- - EyrSPf oT"rThhanarnnokkdyyioonuugff@odrreyylooiuuarreitnimmyeecaannoddocmcroo4oop)pmeerarSattitioooncn.k.inPPgeeleraaasseetcchooennMttaiacnctnt eNNsaaannlccayyPRRaoloiddtnioinnnggCaaottnlDDreeolllttaaAgCCooonnnscsuyultlt(aa6nn5tt1ss-(2(6965751-1-8-666969767--o55r115522 im slockinger@stale mn us) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you have any questions regarding hs questomars Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. {651-297-8666 or PPlleeaassee rreettuurrnn tthhiiss qquueestsiotninaoinrenttooaDiDelerltteaa CCoonnssuullttaannttssbbyy JJuunnee 66,. 22000088 iinntthhee eenncclloosseeddssttaammppeedd,. sseellf:- addressed envelope. QQuueesstitioonnnnaaiirree ccoommpplleetteedd bbyy:: RNaammeaanndd ToTitle --- A!irelosrDoerpstahr>tem~oehndt~_Fifrr;-e~ Department Fire Department B2Lo1gn~a N8fufm7?b9qer--06'191/66 Phone Number 4LGaoo2F Date EE-MMail Aaddreiss Adiess Kinogen: Prone: 651.63S9T.S915T846e50 C43e3r34p11sFyak: S51a63199024S7E3mdFreailWiH aSsSIneoUS.nA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00116611 SSTTAATTEE_0022882211111188 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1 . DeDcooheieshsinyygoouurr oDDpeeeppaaartrtmomenensnt?t curentoy currently or hshas your your Doartment Department itrcaly historically suseedd CCllaassss AoA or CCalassss B 8 ffooaammss fofor Ven firefig)Z mocsato operations? Yes - Proceed to cQuusessitioonn 2 No- No- Sign Sign the the baocf tkhs back of this form form andreturn and return ttoo DDeellttaa CCoonnssuullttaannttss 2. 2. Howofen's Gass How often is Class BBoorr GCllaasssAAffooaammuusseedd iinrreessppoonnssoe tooffirreccaallllss?? ___ o0-22s5%tooffrfieress 25.50%ofes ___ 25-50% of fires XX 7r5-s1010%0oof0f frir%eess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aaifr ofoaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa bbuuiiltt-iinn ttaannkk ons on itseennggiinnee((ss})?? ves ovo ----.-- Yes LNo 4. Howoflen's foam used in raining exercises? 4. How often is foam used in training exercises? Weekly Monty Quart ___ Weekly Seminrually ay BAmualy ___ Semi-Annually Monthly ~ Annually _ _ _ Quarterly ___ Bi-Annually Other please speci): ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much oan is usedpr vainingovent? 5. How_z:m is used per training event? vst str Ry. Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Wor than 10 gallons (pease speci) More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Inaining, here docs the spent foam 607 6. In training, where does the spent foam go? _S_o_rmStoSrmewSeewrer __ ___SSaanniitaerryySSeewweerr _____OOnnS-SiioteSSeepptticc <~=GroGuronundd tor (leasedose) - == ___ Other (please describe):------------------------ 77.. WWihnheferroeemcdaoootessfol/oddnriiddurthhteeenttrtraaaiinnniindnggpotaaskkteeraplilaanccieeng?? rPPelleeaaasssee iinncclluuddee aadddersesss,, inneterrssoeccitioonn oorr coithheerr ssppeecciififc llooccaattiioonn information for current and past training areas. XNKIinnooggrenn:: .., none: 631.639.915R300e5.C433r41a1riFoak: SG0U3T01190.70457) WFoRMeWlSatSTaAUSL 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00116622 STSATTAETE0_202882211111199 QUUEESSTTIIOONNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. WBhat ipeeba obrksAof sAm RroAwesvAd now Ean iAnh oth Dprnen Soi for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable}? Please check all that apply. ---- Type of Foam amar Class 8 Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) -- Garaer Class 8 Alcoholoie Resistant (AR)-AFFF Caren Class 8 Protein Gore rarer Class 8 Fluoroprotein &(FP) ETE Class 8 Film-Forming Cam Fluoroprotein (FFFP) -- Brand of Foam Vontin Used in roan Training? EE Yes or No ~~ Amount Amount OoUsed uhm, Annually Cmaronetne Current Use or Historic Use? Class 8 AR-FFFP Class A-8 Hi tou Expansion Foam TvClass A Sled Yes A -- D Hiswew,c Training Foam over - Other Ee -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a ee Mn abo Coton B+S07oor or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or eo a seroe s jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. eas ean tie questtoonDantaie Constr bey, 1008 nhs ercosed seme sl P!ease return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped, self- Some addressed envelope. upto compost. , Questionnaire completed by: Mrnake z2 correc ~ Cheer- 1-Rk. L b, "-l ( (_.. it.___ /\ D LA/\ ( r~ Name and Title Fl;ADfoesfpvi~e~~y f6inn (Lee~ DDe~ e DTT Di cashbyfve gohes com Phone Number aC\s.__5h, bh ~ f{, iv-ev... e@2. --j j~ahho'-'s"b.. com C.. 0 ll--.. E-Mail Address . oe A Fo Date SKinogerr Phone: Phone: 66515.163.96.031495 . 1 5910 9449 I 300.477.74F1o1x: Rice Creek Parkway 800.477.7411 Fax: 651.639.9475 Suite 100 St. 651.639.9473 mers. daltaany.cam Paul, MN 55126 USA www.deltaenv.com 222222.001163 STATE_02821120 QQUUEESSTTIIOONNNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg TA RN ESR SSS 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? er macedto Gustin ~ Yes- Proceed to Question 2 TI No rg tv okt frmsnd eta et Constants ____A__ No - Sign the back of this form and return to Delta Consultants 2. How often is Class B or Class A foam used in response to fire calls? 5. Co TE STE ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ Yes Is ___ No SU, 4. How often is foam used in training exercises? J en en ___ Weekly ___ Monthly Ty my Tans ___ Semi-Annually ___ Annually ___ Quarterly ___ Bi-Annually co ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - - TR 5. How much foam is used per training event? sie - ___ Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In training, where does the spent foam go? ar areBE ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground rere -- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - EO -- 7. Where does/did the training take place? Please include address, intersection or other specific location me a information for current and past training areas. Kinoger PPhhoonne:e: 631.635.3345 1500.74411.7Fa7ki 5910 Rice Creek Parkway 651 639.9449 I 800.477.7411 Fax: 631.639.3473 Suite 100 St. 651.639.9473 wv AeliasnY.Com Paul, MN 55126 USA www.deltaenv.com 222222.001164 STATE_02821121 QQUUEESSTTIIOONNNNAAIIRREE FFiireffiigghhttiinngg Fooaamm Use iinn FFiirree Traiinniinngg 88.. fWWohhsaaptot nttyytppaee(a(ssn))daannddtrbbarrnainandg(ns()fcoopf(fpfflosocaaa)mmtiaaexr)eeo?orPrwlweereaerseeuucssheeecdcknnooawlwhaaanntdd pinnptlthh.ee ppaasstt bbyy tthhee DDeespaarrttmmeenn,t, bbootthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. TUUrassieenddiininng? AAmUmosoeuudnntt GumentUseor TTyyppeeooff FFooaamm `BBrraannddooffFFooaamm YosorNo Training? Yes or No AAnnUnnusuaealdlllyy Historic Use? Current Use or Historic Use? GCFlolaarsmssisnBBg AAFqqouuaeemoouu(ssAFFFFiiFlmm)-- | GRCFeolasrlssmstianBBangAtlAFcsl(ocooaRnhmaysolA-l(-AFFFFEF) -------------------- -------- ---------- ---------- ClRaesssista8Pnrto(tAeRi)n-AFFF - CCC*lllaaa)ssssss BB B Fuoroprotein Protein Fluoroprotein ------------ -------------- C(CFFillaPiaoss)rssoBbpFrFoitilmemn-FF(ooFrrmFmiPinn)gg ~~ ---------- ---------- CossBARFFFP Fluoroprotein (FFFP) ClCCEalglaaswssssssiAAB-oBBAnRHfH-iiFoFaFnP ------------------ ------ lass A Expansion Foam - TCrlaaisnsinAg Foam - Otrer Training Foam A Other ToTfhhaoannikknyygoo@uudffaoorrlyysooeuunrrtvtii.mmceeaoanmnd)d occroooopipemerarSattitiooocnn.k.inPPglelereaaastsetcchooennMttaiacncttoNNsaaanlncacyyPRRooolddlniainnnggaCaottrDDroaellktaAgCCeoonnncssyuul(tla6nt5t1ss-((266955711---3665996776--5o5r115522 im sockinger@state.mn us) you or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any questions regarding hs questionnaire Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Pleas retun tis ausstioanairtoDai Consulienis by Mey 9. 2008inte encloses statupsssu,f: addressedenvelope. Pleas& Tetum tliis questionnaire addressed envelope. to Delta - Consultani:; by May 9. 2008 in iile enclosed starnped, self- QQuousetsotimomnaniariroeccoommpplleetteedd bbyy:: . ;:[:?me_ea/tn-dceo.- V(Ro-f-a!2t.;sA./ Name and Title Fie De#ApassrtKkmeeontrv -kL0J 350-835-361 Fire Department PhPohonnoe NNuummbbeerr Lire Cher 3/0 teDate 7 EvaiAdss E-Mail Address Xinogen hone 651.6205904.379H4I5F1ak 61.635.07) wmudaltasnr.cam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00116655 sSTTaATTEE__0022882211112222 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DrDaeosegsshuyyoonuugrr DDoepepepaaarirtmomenensnt?tccuurrtreennttlyy o hasr has youyour Department Department tcl historica used lly used Class Class Aor A or ClaBs Class B foams foams for for f i r e f i g h t X_ing X opVeorasti-oPns?rotco Qauesetiodn2 YNoesS-iPgrnocteheedbtaocQkouteshtiiosnf2orm and return to ka Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How oflenis Class Bor laAsfosam used in respons tore cals? 2. How often is Class B or Class A foam used in response to fire calls? X_ ozswolties 250% oes To00% aes ---X,___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% offires 3. Does he Department have compressa a foam syste (CAES) itha bitin ark n 5 nines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes Xo X No 4. Howat foam used intraning exerses? 4. How often is foam used in training exercises? wea Monty Quarteny ___ Weekly Monthly Semvarnualy Arvuaty ahroualy __OtheX r(ple_ asesp_ ect) ___ Never ___ Semi-Annually ___ Annually --~-X~ Other (please specify): Neve~ hbGa\vuee ___ Quarterly uusse.ecJd.. FiB:o:'io-Aaa.n\Nnmu\.aLllyoo~rft"ec{d,iVi\'n,gJ. 5. How much foam is usedpr aig event? 5. How much foam is used per training event? Less than gatons sgatons ___ Less than 5 gallons 5 gallons More than 10 gallons (lease speci: ___ More than 10 gallons (please specify): 51010gato-- ns ___ 5 to 10 gallons nang, wher dos the spt foam go? 6. In training, where does the spent foam go? Stom Semsr__ Santary Sover ontoSept Grama ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Or(oase descroe: Other (pleas~ describe): ______________________ 7. WFhoromraotdioonefotsceurntiannsgptaaskeapileg?rPeaass.so cue dies, arson aber speiclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Xinogen ovenes 51.439.910B0050 S418 Fike EA eR 945) Madan 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00166 sStTaArTeE__o022882211112233 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 85.. fWWohhsaaptot nttytypepeoa(ssn))daainnddrbbarmarnidag(s1n)ood2ffpffipooiaa)mcmabaaerr)eo?oofPrlwweeearrseeesucsheaodcknno3owwhaaanntddaiinnpytthh.ee ppaassttbbyy hethe DDoeppaarrtmmeenntt, bbootthh ffoorr ffirrea response and in training (if applicable)? Please check all that apply. TUUasisoneiddniignn? AAmmUosoueundntt GurrentUseor TTyyppeeooffFFooaamm BBrarndoaoffFnFooaadmm YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy HiCHsuitsrroteornriitccUUUssseeeo??r CCFollaramssissn8Bg AAFqqouuaeemoouu(ssFFFFiiFlmm)-- ------------------------ ---------- ---------------- Forming Foam (AFFF) RCesli8anAos(nRosy.o Class B Alcohol- ------------------ Class Protein Resistant (AR)-AFFF - GCCIaellaas)sssss 8B B Fluoraproein Protein Fluoroprotein rt et ret ree G(CFFlilPaaossr)sosp8BrFoFtiielmminF-Fo(orFrmFmiPinn)gg ~~ CasseARFER Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAABi-BoABnRHHF-iiFoFaFmP ClEaxspasnAsion Foam _Sivex C_:::::-,,~ ve.)( NNoo Jog ay Beth TCrlaaisnsinAg Foam EE Oter Training Foam - Other TTofhharannokkdyonouuiffnoogr @yyooduuror ttiimmseeeanann.ddocccrooooomippe)merarSattitioooncn.k.inPPgleleeraaassteetcchooennMttaaicctmt NNoaasnnaccyyPRoRloolddunilionnnggaCaDoteDiterlataAgCCoeonnnscsuyullt(taa6nn5tt1ss.2((6965751.18--666959767--5o5r115622 fim tockingor statu) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if YouJim you have any QueSns regarding this Quesiomaie. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Questionnaire completed by: Please return this questionnaire to Delta Consultants by Mav 9. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: Tames LLa(l\,lse | Assistant Chie ame ana To "3":"\.W\.--5 Name and Title \Z s. o AA.ocora VFi\ve Depactiment Fire Departumefn'tO \ ~ ..re... Fire Department FhoQ2n.1ls8~N-u-mb2.Je.2;rlq9--33'1l '11 b{p Phone Number oar Jos Oat~ 1 Eat E-Mail AAddddrreessss lak so @Ceenticenet. net Kinogen' Trane: 651.639.3T 045 1I300.E 477 TAIL Fak: G01 03S 9047T Maw edva 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00167 SSTTAATTEE__0022882211112244 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Does your Deparment crenty has your Deparment storey used Cass Ar Gas ans or 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for Rataningopmatons? firefighting operations? X Ves -protocQuoestoiond2 )( Yes- Proceed to Question 2 NoxSign he backof hsform and return fo Delta Consuliarts ___ No- Sign the back of this form and return to Delta Consultants f{ i[11n-hs"S 2. How often Cass Br ClaA fsasm usin response fe cal? 2. How often is Class 8 or Class A foam used in response to fire calls? hA Xora 2ss0mattres Tstosaries _2(__ 0-25% of fires 25-50% offires _ _ _ 75-100% of fires 5. Does he Deparment havea compreai osms ssl (CARS)wih atin ark on i arginee)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves -----;,---.,;-- Yes 4. How olen is foam vo 1 ro eats Xone X-YN FryDo= 7~/77 ~- _){_No 4. How often is foam used in training exercises? p,?r'-or)p;JeNr-/trdor!n~/eL_.. . with = A- B wey eri Cure ___ Weekly Monthly _ _ _ Quarterly Semidovualy -AX_ Armusty seAvvuaty ___ Semi-Annually Over (easesoociv) B22) 7 Zaring oars LtPil'4y ___ Other (please specify): Annually -----=-,....-- Bi-Annually .:S }r; __/_r-_"4_..,..;n!Hf '-i-&MJh7 Anke 5. ow much foam is sed per rain event? 5. How much foam is used per training event? -fXr_ - Los tans gatos sgoons 51010 gators Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Wore han 10galons ease speci ___ More than 10 gallons (please specify): _________________ [RT -------- 6. In training, where does the spent foam go? tom Sewer Santary Sewer onstesepte -X-ora ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Cotto LeTon ni g Oily _____ Other (please describe): /r~~ ~411 n--z Ground (?~ 7. Where consid th inn tke loce? ised ade, nrsction of thr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location Seton or ene nig won 4r--?.! Zsacusen inform~tion for current and 7_:;;1/:;,acu>eYJ pasL~t ,traeai,nefin'gl--a-reas.S'e~t&h_ PFzodr-<a1n1 :S;;e;c~/t-~ Hite. I JltAI ~S.5Jj1l/22_._ Kinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.001168 sStTaArTeE__o0z2s82211112255 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg &. What ype(s)and ras) offoam aorwer used nowand ntahst b tho oparmen, both or fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns ann arin 1 pplcaney Poses check al ht soy. response and in training (if applicable)? Please check all that apply. TUisendgin? Amsooudnt CumomUsoor TTyyppeeooffFFooaamm BrBarannddooffFFooaamm lass 8 Aqueous Fin Class B Aqueous Film- FoForrmmiing Foaamm ((AAFFFFF)) -- Class 8Alconok Class B AlcoholRestart (AR)AFFF Resistant (AR)-AFFF 2--7--7) pms -- Class B Protein Po -- Class B Fluoroprotein ww _ (FP) ci8eFis Forming Class B Film-Forming Foeporon prey ------ ------ ------ -------- Fluoroprotein (FFFP) CossbARFER Class B AR-FFFP Cassar Class A-B Hi Canton || mm ---------- py 1. Expansion Foam Clos _Sulvex ML 0p.) FALTER TCrlaaisnsinAg Foam Training Foam L320 Used in YYTeerassinooirrnNNg?oo Amount AAnnUnnusuaealdlllyy HCiHsuitsrroteornriitccUUUssseee?o?r -- H Ho El;.LofergJnnlve4eennnmezoif/ttnnnaussl/.Oeot;rrd:rJ/rsog5.. YES [gel lemanttid OtOhtheerr Zec welh ety Than youfor your ie and cosperaton. lease contac ancy Roding a Dla Conan (51.207 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oO rOdRI Gach amofJ)in Siokinge at he Meso POR Corl Agency (681-597-856o6f or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or cement 7ou have Sry esLons regarding Cuesta jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasse~rreettuurrnnt.Jhhiiss qgu_ueessttiioonnnn9a._i(ref}f__to.Q.D.Qe.~ljttaaCConosnuslutltaannttssbbyvMMaayv99..22000088iinntthheeeenncclloos~eeddssttaammpoeedd..sastl:Jti:f- `addddrresseddeennvveellope.. Questionaire conglted by: Questionnaire com!::: RamsTR. len Shell, Name and Title v~ cou /fvs t6i~e Mhneste Fire Department Pho NarbSer07- 423 SUS Phone Number DGateori 28-08 Date ETATtSfoww/Jsfta~rnz @ Bccs;., GCULSUT5IlJNII., 7>?011.1, 1US/S. E-Mail Address XNIKinnoogg~enn .., rrr i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00169 sStTaArTeE__o0z2s82211112266 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DDooosnesoshyyioonuugrr DDpeeeppraasrrotmmneesnn?tt cuntor currently or has has your your Department Department htt historically used used Cass Class Aor A or Coss Class BB ffooaammss orfor K__ firefighting Yes Protco Queesetiodn2 operations? Proceed to Question 2 '(... ___ No ignthe Yes- No -Sign the bbacakoocfftthhkiiss ffoorrmm aanndd rreettuurrnn tto DDoetltaa CCoonnssuutltaannttss -t-- 2. Howoften Class Bor lass Afoam used i respons to recole? 2. How often is Class B or Class A foam used in response to fire calls? _X_oasotsues Sonate rsi00moltees 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Dos ihe Deparment have compressed ai oa system (CAFS) with abuntank os argino(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xn X No 4. Howaten s foam used in aning exercises? 4. How often is foam used in training exercises? Co Wea -- wouny J ___ Weekly -- ___ SSoemmii-AAnnunaulalllyy Annually ___ Monthly ___ Annually ___ Quarterly __1X._ gBii-AAnnnnuualalllyy Ora easespy _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmueh foam is used por rang overt? 5. How much foam is used per training event? Y_ Loss th5gaalonns Sgalons __ swi0galons _ _,)(,_____ Less than 5 gallons ___ 5 gallons 5 to 10 gallons TT More nan togatons leasespecty ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. Intrinng, In training, wher where ddoosess ththe spat spent ffooaamm ggco?? 6. Or lasecose) ___ SSttoorrmm SSeewweerr __ S`Saanniittaarryy SSeewweerr __ OOnn--SSiittee SSeeppttiicc ~--_ Other (p~ease describe):----'------- -- __)X{_____GGrroouunndd, 7. Wihomro daoteofscituhrottianmnicngpaasktoainceg? Prleeaasse includ address, nrsecotfaiine specif locaton Hy Rd. 158 + Ava x n Coad nv Hae Oily of Avo Xinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00170 sStTaAtTeE__o0z2s82211112277 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WeWishnaapttnttypspee(n(ss)i) aannncdamrbriaannndgc((s)soo)affpff9ooahamcmaaanrere}oorPrwewaesreeeuunsrseedcnooaww oaanntdd pinn tyrhe past past bby hethe Department, Department, both both orfor refire response and in training (if applicable)? Please check all that apply. TUUrssieenddiginn? Training? AAmUmosoeuudnntt Used CCuurrreenntt UUsseeoorr lTyaTypBpAeesqouofof soFuoasammFimFoCrlamsisnBgAFqouaemou(sAFFiFlm)- --$St; BBrarannddooffFFooamm lIv-ne._ex'i Forming Foam (AFFF) ('F-}~c/) YYeessoorrNNoo AnAnnunaulalllyv HiHsitsotorriicUUssee?? TYYTeess Gr rSna~ a) l |(52325~5g0Q,)/ (f1<1trN#'i~) GRCelsailsssta&BanAtAosl(coRrhsyo:al-FFF ---------------------- ---------- -------- - --------------- FE Resistant (AR)-AFFF -- Class CTMlass Class Fhaoroprotein B Protein B Fluoroprotein ~~ =~ (CCFFlulaPaass)oso8BprFFoiilemmn-FF(ooFrrFmmFiRinn)gg -------------------- -------- -------- -------- CussoamFFR Fluoroprotein (FFFP) CCCExllaaapssasssnssABi-aoABnRHHF-iiFoFaFmP Class A Expansion Foam -- TCrlaaisnsinAg Foam eT oer Training Foam - Other ToTorhrhaanwSnnraokkddyynnoooinuuGggf@fe@oocerrrsdtyyetooalokutueartremstmnismvom.ecca8ooanmmn)d)d)c1ooocro1ropodJ0eipm4mrearteSSaiovttoioconeckn.kai.iPnngPlgeeleerearasaassteettcohchoeoonsnMMttiaaiGnncnnt NeaeNsasaornonttcaacgyyPRPRoooIhloldluudcittnionoinennggaCCasoot nnDDtttreoklltlaaAACgCgoeeonnnnsccsyyutla(t(a66nn55tt11s--2(26699557111--8.-6666609607766--5oo5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please ret,~r_tJ thic questionnaire to ne!ta Consultants bv Jl.l!av 9. 2008 in t.'Je snclase:l ~tarnpsd. s0!f- aaddddrreesssseeddeennvveellope.. - Questacompeted by: Questionnaire completed by: Fam Eanrd Tee Cina Cleet Name and Title Fi AADevpta/oermNennt Eres DPT Fire Department s3220o-- 2-z5.0m--GG.It9Ss- PhPohonnee NNuummbbeerr - - Et.e_aetr_fA'id,'cdcr_ess@reJ)~ 1e-tl. liInnn,,n, cc__l\ e aCArr wcuitr'"e~, 1n\-'e!.. tt- E-Mail Address " 4-30-08 DDaattee Xinogen' none: 651.639.91030050.473 411 Fak: S91 639.9473masdaliaRRL.cOm Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: ge ------ Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 222222..017711 STSTAATTEE0_202882211112288 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. rDDaoofeegssnyyioonuugrr DoDpeeeppraaartrttimmoenensnt?t ccuurrrreennttllyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AAoor CCllaassssBB ffooaammss ffoorr f i r e f _X__ Yes Proceed ighting operations? '(, Yes - Proceed ttoo QQuueessttiioonn 22 ___ No- No- Sign Sign the the back back of of tthhiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. 2. How How afton often fs is CGllaassss BB oorr CCllaassss AA ffooaamm uusseodd iin rreessppoonnssee 0to ffirreo ccaalllss?? _)(~X-_--"-_ 00-2255%%ooff rfireess ___ 2255-.5500%% ooff fosfires ___ 7755-:110000%% ooff ffirreess 33.. DDoosess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiir ffooaamm ssyysstteomm (CAFS) (CAFS) wih with a a bultin built-in ark tank on on ts its engines)? engine(s)? ___ Yvoess JX_ No 44.. HHoowwofotfteenn iiss ffooaamm uusseedd iinn ain training eexxeerrcciisseess?? --_---- ___ Weekly ___ MMoonntthlyy _ ____ QOuuaarrtteerrlyy ___ SSoemmiiA-Annnunaulalllyy X_ ----.X....._,_ AAnnnnuuaallllyy ___ BBLi-AAnnnnuuaalllyy _ _ _ _ Overlessespecty Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iis uusseedd ppeer rtraaiinniinngg oevvoenntt?? _XX__LLeessss tthhaann's5ggaalllloonnss 55ggalallloonnss _ __ __ _ 5sttowi1o0gaglaollnosn.s < More More tthhaann 1100gaglallloonnss ((plleeaassee ssppeeccifty)): ------------------ 6. 6. in In vairng, training, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ___ SSttoorrmm SSeevweerr _____ SSaanniittaarryy SSeewweerr _ ___ _OnOSn-iSeitSe oSpepitcic J --LGrGoruounndd -'---~ Other Other please (please descrie) BS describe):-----------------~----- 77.. WWinhhfeoerrrmeeatddiooooenssif/dodriiddCuthhreeentrrtaaiiannniindnggptatasaktkeeappllnaaccgee??aPPrlleeeaaasssae iinncclluuddee aaddddrreessss,, itnrtesrseeccttioonn oorr ootthheer ssppeecciifiicc llooccaattioonn tJc information for current and 3BY~~ #MIoIYt#h lr ptBas~atftfr6at;in/itn4gt-area#ss. V i S5S"s'?tHe_; Xinogen: Prone: 651.639.3005 1 800 0 741Fo1k: 651.639.9475 moshdeliacar.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00117722 SSTTAATETE0_208282211112209 DELTA QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. WTheaktapnetas)nannd bnannc) faoapmpaaorlweorae ucsreonohoanw anph. stb tho Departmen, bot for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. ompnen, [insu WO OS borer,r /!nsuLvlt TUUossneedndiginnr AAmmUosoeuudnntt CumentUsoor CCFlaolaTsmsyTsypB~eAfeAoqqooufufemeFFoooouuGaassmFmFFFilmi,- BrBarannddooffFFooaamm YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy HiCHsutisrorteroniritccUUUssseeeo??r ee casas: Forming Foam (AFFF) Class B Alcohol- cessPoOn Resistant (AR)-AFFF [sult /f)o0 5 o~'J1~~tL 6urffe(ndt-;; eie/1d1']~~ CI)l8Fauorsoptsein Class B Protein Class B Fluoroprotein mr nc CC(PFlaPs)lsrB8 FFaaiilmm--sFF(ooFrmmRsi)inngg | -------- ---------- CsspameEe Fluoroprotein (FFFP) Class B AR-FFFP Cossapi Class A-B Hi S; P--f CSaonmsionnteForanm Expansion Foam G7" N-ve E YYtS" T '5iJ-o)pO~aol.Jlke,.s; T rLolfrpYot~r/t~ TCrlaaisnsinAg Foam B/+rn5vsl1:ik- lite TV':Re) SO0-F)"g1a.l. 1ltons; C~of'sye;nV\t+ oer Training Foam EE Other TooTrhrhsaanrnnrcookkdydcynooinnuumgaff@ooarrGdzyyeiooleututarrmeettni.mvom.eccmoaasmnno)dd)oomccforoi9ooJ)piphemerarPSSataiittioovocncenk.k.iainnyPPggleleederauaaastetselhthccoseoonnnMMtstaaiicnrcntntneeNNesgasaontnatcaacnyyPPRRoholoollsuudditniiqooinnnnuggCCaaeoot nsDDitreltloltlaaoAAgCCgeoeonnnncscsyytula((ta6n6n5t5t1s1s-42((96967575.1-138-666699667786-5oo5f1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants blf llllay !}, 2008 in the enclosed stamped. self- `adddrressedeennvveellope,. - I Slate Que aire completed by: Fork gp i = Afik fore Fire Department Gre cet Lpithnent. F2rage goer$27 Jey EbiolAldsdreHss d Erunbeamed met E-Mail Address B5ae-5-0 oo Date NKinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.001173 sStTaAreTE0_208282211113300 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg passe cussions 1. 1. DrDooacetssoyynoouuurrnDDcgepepppaaarritmmoenensnt?t cutoehasyous currently or has your Departmen Department itoricaly historically used used CiaClass A A Clas or Class 8 8 foams foams for for firefighti_ng 08fations? No- Sig the back of his form and rettouorlna Consultants --~-- vY'es- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How flnoften is is Gass Class 8 oor CaAsfosam Class A foam used used nrospotno sre in response to fire col? calls? 2. How G~a2s5h% otros of fires ___ 2255.-5500%%ooff frireess. ___ 7755-110000%% ooff resfires 3. Doss the Departmenthavo a compressed ir foam stam (CAFS) AFS) witha with bu a built-in tank tank on on 5its engines)? engine(s)? (C 3. Does the Department have a compressed air foam system ~~ ves -f..-_ Yes I ___ No 4. Howes foam used in ring exercises? 4. How often is foam used in training exercises? wey tony cue ___ Weekly ___ Monthly SemiAmualy Somaty TT wramuay ___ Semi-Annually Over lease speci) Onley et Piven _ ___ Other (please specify): Annually DtA L~ 0\...-\- ___ Quarterly ___ Bi-Annually 7-c '< <='" :;:. 6. iowmufoacmisshpurmangers? ue 5. How much foam is used per training event?. lesstansgaons ____ Sgolons ___ stotogons ___ Less than 5 gallons flVA)tv"\IIL~ I 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons leas spc _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ntainig, wher dos th spent foam go? 6. In training, where does the spent foam go? Som Sever _ Santary Somer ___ Storm Sewer __ Sanitary Sewer oer pease descr ___ Other (please describe):----~---- __ Onto Spt_ __ On-Site Septic roma Ground _ 7. aWhromraetdionsioifdcnuerienainndgpaasktoVlaoncg? aPrleeasas nuda ads, nersection o ter speciiclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current ahd past training areas. Humogen enone e51.579 3a 0 Te TEL Tok a CTH 00%) walaam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00117744 sStTaAtTeE__o0z2s82211113311 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. WBhatstptR ) and radsofoamE ar rwre ud ow Eans nAh aby he Darment, bh rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TT~y(p;!eeooff FFooaamm Caso Agus Fin Class B Aqueous FilmFoamy, -------------- Forming Foam (AFFF) Gass cota Class B AlcoholRe -------- Resistant (AR)-AFFF Casein Class B Protein Gn nora Class B Fluoroprotein @ ES I S : (FP) G8l Fim Fooming Class B Film-Forming R----y, ---- Fluoroprotein (FFFP) BBrraannddooffFFooaam Uendin Amount Used in mgr Dot' cunom user Training? ---------- YYeessoorrNNoo. Amount Used AnAnnnuuaalll!y~ Current Use or HHiissttoorriicc UUssee?? -- SS---- ------ Clon Class B AR-FFFP Class A-B Hi Expansion Foam Gash Slimex Ros) Mo S50 Class A owgpom CT TFT Training Foam ober 0 Other ~\\~ --(?;1-.. (~5~1~ /JD 5~-vl Tran for your rsandcompra. less contac Nancy FiofrDtiConnsugls 0514875152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oso som oo Samira 5s naan oar CoreaAgno GB A570 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or a oe eg ecard jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please etn hs auestontonDatConsultbay Mntys2008 nth anos stamp sl. Please return this questionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamped. self- Le addressed envelope. - stonnats compby estionnaire completed by: Lo ch OL ores chie I ~~ ~A \j ., ~-\-0'"\:C---._ [rors Name and Title t1f ~i'<'R 2'1,~ t-- 060-;';1: Fire Depa men BeE k d gdp - Phone Number 490 wed 24-08 Date EE--MMaailil AAddddrreessss. Xinogen TT i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ------ I TITS Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.001175 STATE_02821132 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefightif)g Foam Use in Fire Training 1. 1 . rDDeoofesshiyyoonuugrroDDpeeeppraaarrt-ttommreensnt?t caorrhaes yonur currently or has your Deparment Department hi! sisttoorriiccaalllyy used used Class Class Aor A or Class Class B B foams foams orfor firefighting operations? ~ . No- Sign the back of this form and return to Delta Consultasts ~...~-- YYeses--PPrroocceeedettdoo QQuueessttioino2n2 : _ _ _ No- Sign the back of this form .and return tb Delta Consultaljt~ 2. HowottenisClaTssasoorsCl.ass Afoam usedin r2o5s.p5o0n%sffroereecals? 75:00% offres ~25% fire~' 2. How often is ClassB or Class A foam used in response to firecalls? P. ~ . \ ! of 25-50% of fires ; --,-----'. 75-1 ooo;; offires 5. Doe th Deparment a coma air oa yt CAFSvi) bi tank anne)? 3. Does the Department haVe a compc . p air foam system (CAFS) with a built-in tank on its engine(s)? . '"io. ~. y~t, :4, > YYeess * -= -- LLY ve "No i > ~No . , 4. Howfooamufsedtin reainin ngexg'rcisses? ~:X~' 4. How often is foam u.sed in training ex,~riises? _ wesuy Ca pent cue i \: ___ Weekly They + a Coy ___ Semi-Annually . ~ Monthly . ~nnually ___ Quarterly ___ Bi-Annually ~- \\ -~.:~. \,;. _ omer(peasespecty) L-~i-~~m-~""'"'~--------------------,-:-:~l'!r{;~,.__i - ___ Other (please specify): _,_, '~. \.\ 55 How much oa is usedper asingeven? \ N : \ 57 How much foam is used per trai111ing"event? , ~~ Loss than gators. = gllons __ Sttwgns {| :~gallons Less than 5 gallons _ _ _ 5 to 10 gallons . ~ . -~ Mor than 10 gallos(plesespec) 1 More than 10 gallons' ~please sp_e,rify): --------~--------- Storm Sewer __ SantrySever onbtosopte + Grund 6. Intraining,wher does thespentfoam go? y 6. In training, where does the-spent foam ~o? \ '' ... _ _ _ Storm Sewer ___ Sanitary Sewer _ _ On-S,iie Septic Ground vor losspsoveraer atti Login" --".h'- ___ :Other (plea~r describe):_,&:::::::;:.:::::.o.ll..::.::S::...:S."" ..:::rn:.,.,~'-L_J_?_,___._'__ _______--'--,____ 7. hor don no aig ak pace? ine cle ass ascoor or spoctclocaion 7. Where does/did the training take place? Please include adloress,]ptersection or other specific location \ inforfmo acutreino:annd pas Feinng rags. 2 information for current ana'past training areas. . ,''' Ti ery Boar Sa --%,; -"-'r''-'"'""'i=--=c:.:..-.'~.llr---":B""'"""'..a:.=:..!.v'--"s'""'.t._,'T_...f_ '" ___________,_~--~-~-----------,\~;. ---"-~s-ft:~......,--=-~-~----,~.....,....--o--.-fN-~d----of....:,w2r----"--la.-.-'-L-S,--J.-,;.....-_- ~---;..----'~--J%t - ~' " = un >, be Kinogen: _ ones Phone: 651.639.9045) 800.437 3411 Tak: 5910 Rice Creek Parkway 651.639.9449 1 800.477 .. 7411 Fax: 9139.9473 Suite 100 St. 651.639.9473 mv dsliaanv.com Paul, MN 55126 USA www.deltaenv.com 2222..00117766 STSTAATTEE0_202882211113333 QQUUEESSTTIIOONNNNAAIIRREE .FFiirreeffiigghhttiinngg Fooaamm UUsse iinn FFiirree Traiinniinngg 88.. fVWoihsnapatoytnyeptesa(s)n)daannddrbbarrannagd(ns()1doopf(ffpflosaakm)maiaaerv)e]ooPrlwweoearrseeeuucssreeaddcknnoawlohawantd piinnptlthh.e ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, bbootthh ffoorr ffirreo response and in training (if applicable)? Please check all that apply. fm, --2 a ClasTTsyypBpeeAoqofufFeFooouaasmmFim- BBrraannddooffFFooaamm Forming Foam (FFF) Class B Aqueous Film- Forming Foam (AFFF) ------------------ CCllaassss BAAolcnoahlo-l- rn secin Used in Trang? Training? YYeess oorr NNoo. Amount Amount Used Used AnAnnunaulalllyy -------- -------- w 2, Resistant (AR)-AFFF Class 8 rowan - Class B Protein Class Floroprotein Class B Fluoroprotein * --_-- --- (FP) Class 8Fim Forming Class B Film-Forming J Fluoroprotein (FFFP) casspaRFER Class B AR-FFFP Cass ABH Class A-B Hi Bowdonfoam Expansion Foam ClCalassss AA ,, Training Foam -- Sm ge Gee Training Foam omer ZZ Other Bm wl f --J./.c.::p .~-7-1'=*s -""if'--- 2~ Cumentuseor Current Use or HiHsitsotorriiccUUssee?? -------- -- ------ TTofhhaaonidkiyynoouu ff@oodrayytoouaurer ntmimweecaannaddomccfooooi)ppemerarStatitioooncn.k.inPPgleleeraaissteehcceoonnMttaiacnctnt eNasnaontccayyPRRooolddlrniainnnggCaaotnDDveelolttaaAgCCeoonnncsytula(ta6nn5tt-s2((966755181--666699677--5o5f115522 im Stockinger@stat. mn us) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you have any uestons regarding hi questionnaire Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or sdorsssed envciope: PPleleaasseererettuurrnntthhiissqquuesetsitioonnnnaairireettooDDeeitltaaCConosnuslutltaannttssbbyvMMaayy99,. 22000088iinntthheeenencclloosseeqds_tstaammpoeedd,.sseellff:- addressed envelope. OQuueessttioonnnnaariree oy completed obyr: ~~ndrTzniaat~gtle"ies1,_ Lomas (1(;//bYuJ/lm..Ja,vv,Ee fin2e Hes. n ~p~TuoiDretpae!rtrm#ent f~ ree T7Ahrt.lre Department P1lo-ne5N0o9rber5-32108 Phone Number 55/06/28 Da'te ' S(fjE(!tf2l...~1 kD0 ~ f/bo~nwrirteea~?nrvetrer..JvV~etr"' Kinogen Phan 651.6T39T1.e985e00.0C4r70e7st74p11 iFok: S4911T03994T73 EVMArdetSinEnnEeUtaA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00177 STSTAATTEE0_208282211113344 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDorosaeshs hyyioonuugrr DDeeppaarrtstpmmareaetnonntst? ccuurrreennttlylooyr hhaass yyoouurr DDeeppaarrttmmeenntt storia historically used used CCllasasAsA osorr las Class Bfoams B foams for for firefigh1ttin/f1,0vPYNeeore-sasti-poSnPisgrr?onctehoeebdtactoocQkQueouefessettthiiioosdfnn2o2rm and returnto Data Consultants No - Sign the back of this form and return to Delta Consultants V ors attues 25.50%ores Tso ot tves 22.. HHoowwofotfteenn'is Class Class B.or B or CClalssaAAfsfooaasmm used used in in respofnosree response to fire cals? calls? 0-25% of fires 25-50% of fires ___ 75-100% of fires 3. Does the Department have compressed aiair foam foam syste system (CAFS) (CAFS) with with builan a built-in taktank on on tsits engines? engine(s)? ed 3. Does the Department have a compress ___ YYeess VVNNo 4. Howoften foam used in traning exercises? 4. How often is foam used in training exercises? Never Weekly Wentry Quarry ___ Never ___ Weekly Monthly ___ Quarterly 4Semi Aonualy Analy arAmualy V""'" Semi-Annually ___ Annually ___ Bi-Annually er (ease speci: _ . -- ___ Other (please specify):----------------------- 5. Howmuch foam is used pe rainingevent? 5. How much foam is used per training event? 4 Less ta5gatnos Sgalons 51010galons V Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons a -- More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. In training, where oes the spent foam go? 6. In training, where does the spent foam go? _ Somsewsr ___SataySewsr __OnSteSeptc _Z Grows ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Jp-- -- ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. Winhfeorrmeatdioonefofsctarheaninidngpatsatkerpaiancge?aPrleesa.se incuaddres, ntersecon o other speci location 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. /Al:TT fhr~e /[&p/l! <G('/1 .:?~2/).._ SSecc.o.m-~r~ l/fuwg7 2B?Doo'-t'~y7 IH#NN., S_rTs-I70tJ Fp Xinogen OVVEERR-----+ Irene 31.630.9545 1R8E05.C43r7e54P11rFyok: S$93e01T5OE0e7) MAFaawsnr Wlh 5a553n6 cU.SoKm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222222.00117788 STSTAATTEE0_202882211113355 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88. WWrhehsaaptot nytysepeesa(s)n)daannnddrabbirrnaainnndtg(ss())f ooaffppffoloaiocmmabaarlree)?aoir ewwaeersreee uucssheeeddcknnooolww haaanntdd ainppltthyh.e past past bythe by the Department, Department, boboth frfor fre fire response and in training (if applicable)? Please check all that apply. TTy~pQeeooff FFooaamm FiCCllmaassfsso8BmAAnqquugeeofouuossam aE) Film-Forming (AFFF) Foam CCRlleaasssss sBAaAoGlcnRoohlYo-l- AEE Resistant AFFF (AR)- CossePoen Class B Protein cFClsaosss eBon(fp) CCFFolluarlosmsriao8nBpgsFroFitismelm.in- (FP) Foon Forming Fluoroprotein ((CFFaFFFsPP)e) ARFRR CCCBllloaaasssmssssAABo-DABnHRfH:-oiFaFFnP Class Expansion Foam TCalamsseAgloam over Training Foam Other BBrraannddooff FFooaamm ---- -------------- _ssi;{lvv.Serrc -- TUUrassieenddiininng? YTerasinoirnNgo? Yes or No AAmmUosoeuudnntt Amualy Used Annual!~ CGuUursrereenantrltlyy Used? HHiissUttsooreriidcc?aallllyy Used? ---- ---- ---- ---- ---- ---- ---- ---- ~ Yer -- B I= > t?p ({".s ='Yico? ---- --YY--6e>s ---- Thhaarnkkyyoouu ffoorryyoouurrttiimmeeaannddccooaoppeerarattoionn..PPleleaassee ccoonnttaaccttNNaannccyyRRoocdhniinngg aattDDlelata CCoonnsstualtnatnsts ((665511--669977--55115522 Jn stockinger@stae ns) oorr nnrrooddnniinngg@@ddeellttaaeennyv..ccoomm)) you oorr JJiimm have any cueslions regarcing Is Questionaire SSttoocckkiinnggeerr aatt tthhee MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy ((665511--229977--88666666 oorr jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaassee rreottuurnm tthhiiss qquuesetiosntnaiireottnooDDneetalataiCCornosneuslutltaannttss bbyv JJuunnee 66,. 22000088 intnhe theeenncclloosseeddssttaammppeedd,. sseellff:- adaddrderesssseeddeennvveellooppee., QGuueessttioornnnaariree ccoommpplleetteedd bbyy:: NamemnaTitTe ey Resins fas Chak Name and Title FireDeparmenBtplsnom VVool(.. Knee BepT. Fire Department PhoneNu2m0be7r ays-acya Oats Sree Phone Number Date Eas E-Mail Address Kinogen a 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rons o5.620.300550 54H FOL SERA 0 tame a Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00179 SSTTAATTEE__0022882211113366 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 1. 1. fDrDoaostesasyhoyaounurgr DDopeeeppraaartrttimmoenensnt?t cuteor currently or has has your your Deparment Department hisorcaly historically us us e d ClaAsosf Class A or Cl8afasssfor Class B foams for p55 firefighting o pVeeraat.ioPns?rotcoQueesteiond2 NYoe.s-SiPgronctehedbatockQoufestthiiosfno2rm an atu oDeltaConsultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. HowottenisClass Bor Clas Afoam usedin respons ofr cals? 025% offres 28s0%otties _O7510of0fr%es 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires _ _ _ 25-50% of fires P75-100% of fires I 3. 3. DoostheDepartment navea Does the Department have a compressedairfoam compressed air foam sytem system (CAFS) (CAFS) wih with abul tai built-in tank onson its eennggiinnee(s))?? ___ Yveess 5D wo _):{2No 4. 4. HHoowwooffteennsis ffooaammusuesedd iinntatrianiniinngg eexxeerrcciiseses?? ___SWeeWemeliedAkylny ualy Monty ___ Monthly ---;XSO2-- panty ___ Semi-Annually Annually Quarry ___ Quarterly aAnna ___ Bi-Annually ___ OOtthheerr ((pplleeaasseess pecp ity:e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - 5. 5. How How mueh Jomuch foaim usedpreaining Lessthan sgallons foam is used per training oevveennt?? 5 gators ~ Less than 5 gallons 5 gallons ___ 551to0 1T00ggaallloonnss ___MMoorree tthhaann1100ggaalllloonnss ((pplleeaassee ssppeecciitfyy:): - - - - - - - - - - - - - - - - - 5. In ring, where doos the spent foam oc? --Jr:2 6. Storm Sever Sanitary Sewer In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer __ Oonns-StiteesSeeppiticc _JQcGrorouunnad TT orem TT ___ Other {please describe): - - - - - - - - - - - - - - - - - - - - - - 77.. WWfhoehrermraeetGdioooenesfs/odidrttehhentttrraaaiinnniindnggpttaaaskkteevapalcnacneeg?? aPPreleaassee ince include aaddrderessss,, inntfereserctsioe?nocorrtoootthhnerr pecclocaton specific location rte lao fab Lot + Lof ... e~ information for current and past training areas. Bad lug. slots 'bL<-tkLLP S sduo~o~ voous~ XNrKniong~o:gpe.n ,Ill renes s51.630S.91E5$4o8 CSTrTAFTE yFhks S6U91T6301)00mSsFAWAEIIASUSaS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00118800 SsTtAaeT_Eo_z0s282211113377 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 88.. WfWrheeashsppatootnnttyysppeee(a(ssn))daainnnddtabbiarnanidnn(dg)(os(f)1oafpfopfoiaacmmabalareree)?ooPrwlweeearrseeeuuscsheeeddcnknooawwl taahnnaddt se and aiinppttlhyh.ee ppaasstt bbyytthhee DDeeppaarrttmmeennt,,bbootthh ffoor rfiree in training (if applicable)? Please check all that apply. c;; A:t.,_,o TypeofFoam Brandof Foam TrUUassieenddiininng? YTroasinoirngN?o AAmmUsooeuudnntt AnUnusaeldly CCHuuismrtreeornnittcUUssUeesoeo?rr CFClolaarssmTssi~nB(Bg!AAeFqqoouufaeeFmooouu(assAmFFFFiilFmm)-- Brand of Foam Yes or No Annual!~ Historic Use? -- CCRFelolasarissmsssitnBBagnAAtFcl(ocooaAhhmRooAkl(-AFFFFFF) ~~ ---------- -------- ------------ lass B Protein Resistant (AR)-AFFF Class B Protein -- CCll3aa)ssss BB FFiluvoorroopprootteeiinn -------- ---- C(CFFllluaPaoss)rssopBBroFFtiielmmi-n-FF(ooFrrFmmFiiPnn)gg -- -- cwsseaREREP Fluoroprotein (FFFP) ClCECaxllaasassnssssAABi-oBABnHRHiF-iFoFaFmP (/- ,t-f-h, --cCo~u~pcoJt- lO.f--llf-nnr:s;uu4ss. ~N.o~~s s Sea~l es . Class A Expansion Class A Foam SR u . TTrraaiinniinngg FFooasmm ------ stents t---- OOtthheerr ------------ st-- ---- oJToTfmrhh.aarnsnnrtookokdcyydnkooiinunuiggff@enoorrr@ydgysoeotul@tuaarrtdetenmimevce.ectaooanmmsn)n.ddu)se)ooccIroronJoyoJipoivpmemueraraSSatittvtiooooencnc.ak.kinniPPygnlleegeqraauaassetteestithccieeooonnnMMttsiaaicnnrctnetngeeNNassaraaondntticacanyygPPRRioooollsldudurtniGiooinunnngegCsCaaotottnontDDmtrerenololalttlaaiAArgCCgeoeonnnnsccsayyullt((aa6n6n5t5t1ss1-2-((692657951-178---66669697667-o6-5o55f1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. aPdPldleeraaessseesrereedttuuernrnnvtethhliiosspqeq,uueestsiotninaoirnenttooaDDieelrtlteaa CCoonnssuulltatnatsnbtbysy MMaayy99,,22000088iinntthheeeenncclloosseeddssttaammppeedd,, sseoflf:- addressed envelope. Uwc Lt QQuueessttioonnnnaaiirre ccoommppelettaedd bbyy:: RamCaoa&nglCd Ti ect Name and"ii; i L/ Fie DepFarotmeent Clef Baer ED Fire Department Pore22N-u1Im'b6e-r- 228~--3~33554 5Da4te13 0X Phone Number Ewes E-Mail Address Xinogen: FTG Aree Cree Perey Se TE0 SE Paul 6 $5176GSR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone 651.639.5445 1 050.477 411 Fan: 631.639.9473 bbltaeatuem Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00118811 SSTTAATTEE__0022882211113388 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 41.. DeDofosiesgsyhyioonuugrroDDpeeeprpaaartrtitmmoenensnt?t ucurrrrenntltyoyorr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriciacallly uusseedd CCllaassss AAoorr CCllaassssBB ffooaammss ffoorr YO Ves - ProtocQueesteiodn2 firefighting operations? )9 Yes - Proceed to Question 2 No- No- Signthe back Sign the back ofthis of this form form aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. 2. How oftonis How often is Class Class 8Boorr CCllaassss AAffooaamm uusseedd iinn rreessppoonnsseettoo ffirrea cal? calls? ___ ozs 0-25% of fires XKOJ a25s-s5o0n%oiotf fiireess ______T75s-11000%0o%f foirreetss 3. Doss tthhee DDeeppaarrttmmeenntt haavvee aaccoommprpreesssseedd arair ofoaamr ssyysstteemm ((CCAAFFSS)) wwiithhaa bbuuiiltt-iinn tank tank on on isits engine(s)? engine(s)? 3. Does 27 ves No + Y e s ___ No 4. 4. HHooww toeftnesn foam is foam uusseedd nin trraaiinniinngg eexxeerrcciisseess?? ___ WWeeaekkllyy ___ ont Monthly J ___ SSeemmbiA-Annnunaulalllyy ___ AAnnnnuuaallly EE ;XCC OOttnheerr ((pplleeaassee ssppeeccifty)): Lhe!we w h .e. rJ (JJ '-- leekdepmemSeoln I 55.. HHoowwmmuuch ffcooaammhiisuusseeddpprer ainingevent? training event? _ __.J_>O9_ LLeessss tthhaann'5 ggaalelonnss 55 ggaalllloonnss ___ 551to01100 ggaallloonnss ___ More More than than 10 galons 10 gallons please (please ssppeeccitfy)) : ----------------- 6. Intriing, whero docs the spon foam 607 6. In training, where does the spent foam go? SomSews ___SanaySewer __OnSteSeptc LTGound ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground ET p-- , ___ Other (pleage d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - HE Tle uk ge 77.. WWinhhgeuermrepetddiooonoepssrl/ddciddutthrheertrreaaianinnniitnnggpattaskktsetappillanaciceneg??arPleeleaaasssee nincchluiddea aaddddoressss,, iinntetrseerctsioenocortr oittohhenrr speci specific llooccaattioonn inf~tionjfy>Acurrent and past training areas. . J ;5kffl t: //1/&- d'/tf',f?~,/- Xinogen Prone: 651.639.9T000E8E00 C43R3S74J1I1 Fa SS5U1T1631960547S)L wrendwelwiaseav.1com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00118822 SSTTAATTEE__0022882211113399 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. Wit pels) and banofdfo)am are a were used a an in th pas te Drm,bo for vs 8. What type(s) and brand{s) of foam are or were used now and in the past by the Department, both for fire Tesponss an rang f aspicabie" lease check al ha aol. response and in training (if applicable)? Please check all that apply. TUasnondignr AmUosuednt CurentUsoor TTyyppee ooff FFooaamm Glass Aqueous i ~ Class B Aqueous FilmFarm Foam OFF) Forming Foam (AFFF) Class Acobol Class B AlcoholReston (yar Resistant (AR)-AFFF CombPEn | Class B Protein Cl8Fauorsoprosten Class B Fluoroprotein I) _-- (FP) Gl8FaimFsormsing Class B Film-Forming Fometroon ony, ---------------- ------ ------ ---------- Fluoroprotein (FFFP) cosommgee Class B AR-FFFP Coss A814 Class A-B Hi Bowmfan | ~~ ------ Expansion Foam Glos Silv-ex wer ker apie Class A Trang Foam - Training Foam over -- Other BBrraanndd ooff FFooaamm Used in Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? v~s Thank you for your me nd cooperaton Pleas cotat Nancy Roding i Det Consalans (651-657-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rodnna@colaecom) or J Sockinagteore Mishsots Poon Gonvol Agency (351-597-360o6 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mocking @ tate) 1 hav any Guesons Garang 1S Questonnans jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas etur hs quesionnats to Dato Consultantsby Ms 5, 2008 nth enclosed stamped, slr. 0 i !s;::ss return this questionr:airs to Delta Consultants by r..~a;; 9, 2008 in tha enclosed stamped, s~lf froaddressed envelope. DQuestonnare competed by "Duane bBeRowd Questionnaire completed by: \_~o._A-.Q__ o <-0 0 araen Tio Name and Title "RaAMe Ake 6o--\+\[ t~~L Few Dupin Fire Department 15 -- Ses SIL Frome Naber Date Phone Number ceed _ pris Date E-EM-Maialil AAddddrreessss To Phone: Phone: 631.639.9441 800.473.7411 Fox: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 351.6m3un9i d.el9iaa4nv7.o3m Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 222222.001183 sStTaAreTE0_208228211114400 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEEiirree TTrraaiinniinngg 1. os your Doarmenscuraniy ohas your Deparment strc used iss Ao Cis 8 foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for atemung ososions? firefighting operations? ZZ Yos- rocestdo Questio2n ~ Yes- Proceed to Question 2 No- ign he backof hs form and stun f Data Consultants No- Sign the back of this form and return to Delta Consultants 2. Howollenis Glass B or ClasAfoam used used nin ospons response ore to fire cals? calls? 2. How often is Class B or Class A foam _ _ _ 00--2255%% ooff ffiirreess. _ _ _ 2255--5500%% ooff ffiirreess. dT--5r-15-01000%% ooff frireess. 3. Does the Depaimont hava compressed a oam stom (CAFS)wih a ulin arkon engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? we czL-..- vYeess _ _ _ No 4 Howalen's foam used in rang oercses? 4. How often is foam used in training exercises? weak Moniy Quarta ___ Weekly ___ Monthly ___ Quarterly Somidmialy (SL Analy Annu ___ Semi-Annually rX= Annually ___ Bi-Annually = oveemespecry ~ Other (please specify):-------------------~--- . How much foam is sedpo raining vent? 5. How much foam is used per training event? 2X Less thansgatons ___ Sgalons sto 10 gators 1~ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Hore th 10 gaons (Jase pec --- More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? HA stom Sewer santary Sewer ___OnSte Septic 2X Ground -:;Z- Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Other (ease describe _....:...._::....:..:..; Other (please describe}: _________.:....___________'-------'---- 7. Wohmeartadpoorichaoaiannpaoktealancge? alrseesa.s include adress, arsecton or ahr specication 7. Where does/did the training take place? Please include address, intersection or other specific location 1TH ep TTaieTT Ser information for current and past training areas. I .s--r1}-V'C:f ..> '-' rf' I .rr ~J " ; - .J"' t-./ owl 1.'-#c.--e >547 teS-5 RG-l?s~ 1P,UFELe:ET(Rt?Ev"TT LL!.o.tc?c-o9-m-ri-,o~;Vn'.t.r ;P?t1uJI{t..ti;'"ln/cf' ltt..ivv-cer FFtil'ncee TTep #rAv /(.i ;Vd Kinogen: XInogfn' '"' Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 er Paul, MN 55126 USA www.deltaenv.com 2222222.00184 sStTaArTeE__o0z2s82211110411 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. sVWiphnoaant ttsyyeppeea(ssn))daainnddrabbirnarinndag(sfn)ood2ffpffasooiaac)mmaniaarer)eo'woProlwereareseeuunsseeecddknnooalww aanannddainptthphee ppaassttbbyy tthhee DDeeppaarrttmmeenn,t, boboth foorrffriroe response and in training (if applicable)? Please check all that apply. ClaTsyTsyp8peAeoqouffeFFooouaasmmFim- Forming Foam (AFF) Class B Aqueous Film- Forming Foam (AFFF) CCRlelaasssssstaB8ntoAln(coaRhlLoA.l-FFF ClRaessisst8anPtr(oAtRei)n-AFFF CCClllaaa)ssssss &B B Fuoroprotein Protein Fluoroprotein CC(FFlllaaPssso)ssroB8prFFoiitlmman--FF(ooFrrFmmiPinn)gg CossBARFEP Fluoroprotein (FFFP) CECClpllaaaassssssnsAABo-BABnRHfH-ioFFaFmP Expansion Foam ClCalassss AA TTrraaiinniinngg FFooaamm oer Other BrBarannddooffFFooaamm TrUUassieenddiiningn? YYTeerassinooirrnNgNo?o AAmUmosoeuudnntt AAnnUnnusuaealdlllyy CCuurrrreenntt UUsseeoorr HiHsitsotorriiccUUssee?? ~~ -------- ---------- ~~ ---------- ---------- -- ------------ ---- -- ----~-------- weve x 7 Soc - "oJToirTrhmhanwasnrontokkdodhcyynkiooiinnuunggfgfo@@oedrr@deyyselootlatuuaaerteniteniymmv.e.eccooaaummnns)dd))ooccorooyodJpoipemmuerarhSSattitvtiooooenccn.kk.aiinnnPPggyleleeeorraaeiasssteetithccoooeonnnMMtstaiaicnnectngnt eaeNNsnsaaoconntitcaacnyygPPRRoiooolusluhdltniiaaoinunnneggsCCaatoototnnnDDvtnroeaoallrtlaeAA.gCCgeoeonnnncscsyyuull((ta6a5n5n5t11ss--22((690557751--18-8-666696007667--oo56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. sairessed envelop 0 /ez:se rat:.:rn this questionnaire addressed envelope. to Delta Consufta;;ts by A-1iiv D, 2008 fn the enclosed stamped. self- QQuueessttioonnnnaariree ccoommpplleetteedd bbyy:: Name and Te Php Name and Title Ln BEETS Cte FireBD7eprJa4rott-m-se-n.rte"CT77ee Fags [ig excas Fire Department Fone Nuumbrer 637 1513 Phone Number FFP @ smikeTac. com Ena E-Mail ARdeddreesss Gatve aror Date Xinogen: Re Cre Pye TOUS Fa S--E US 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none 651.639/.B30500153 TAL Fak: SEA000 04%) a detasmean Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00185 sSTTAATTEE__0022882211114422 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DrDoeostesgs hyyioonuugrr DcDpeeoppaaatrrtommneosnn?t cureonhteys currently or has youyour Deparmnt Department Nstorcaly historically used used ClAaorsClasss Class A or Class B ams foams frfor firefighting opYeerasti-onrso?cesd o Question S~ K No- sig the baocf hki orm Yes- Proceed to Question 2 No- Sign the back of this form and and return return to to Data Delta Consultants Consultants 2. Howoftenis Clas8s or CaAsfosam used in respotno sre cas? 2. How often is Class B or Class A foam used in response to fire calls? oan artes 550% ottres To00% of fres ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. Does the Depaimant hav compre essed ai foa syst (CAFS) wilh a lin ak ans engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in t<mk on its engine(s)? Yes ___ Yes NoNo 4. Howtn s foam used nang sxerses? 4. How often is foam used in training exercises? Novr Woody ___ Monty Quarry ___ Never ___ Weekly Monthly ___ Quarterly TT comionanly_ aomualy __ mamaly ___ Semi-Annually Annually ___ Bi-Annually Over essespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis used poring avr? 5. How much foam is used per training event? Loss han gatons 5 gatons ___ Less than 5 gallons 5 gallons Moro than10 galans (lease spits ___ More than 10 gallons (please specify): ___ 5sttoa 1100 ggaatlloonrss 5. In waning, wher dos tha spent foam gc? 6. In training, where does the spent foam go? Som Sour __Santary Sever ___OnStoSeplc Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Otho lease dere) _ ___ Other (please describe):----------------------- 7. Wher dosiod th ain take lace? Peas Include adres, inarsecton of ovr speci locason 7. Where does/did the training take place? Please include address, intersection or other specific location cratforcoarenn: an. pat rang reas information for current and past training areas. Kinogen O OV VE ER R~ -- Fone: Phone: 651.639.90451 850.037.7111 Fak: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: 43639.0473wdaesliaenso.m Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..001186 sSTTaAtTeE__0022882211114433 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 5. What types) and rans)of am ar were used nw and i th pst by the Degarimen, both rf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Toone and natn { ppicaste Pease chack a tap. response and in training (if applicable)? Please check all that apply. Usdin Amount Used in Tra "eed Curent Historically Training? Amount Used Currently Historically TTyyppeeooffFFooaamm Cite Aqueois Class B Aqueous Fimromtom o_o Film-Forming Foam rn (AFFF) CaB scosl Class B AlcoholRem Resistant (AR)rr AFFF CasssPown o_o Class B Protein Cass Class B Fowopoon(fy -------------- ---- ---- ---- ---- Fluoroprotein (FP) Ga8sFism- Class B Filmjtd Forming Towmen || ---- -- -- -- Fluoroprotein Fe (FFFP) Cosswaver o_o Class B AR-FFFP Cassar Class A-B Hi fom Expansion Foam Class LL Class A amnion __ Training Foam oer -_ _-- -- -- Other BBrraannddooffFFooaamm YYeessoorr NNoo AAnnnnuuaalllly UUsseedd?? UUsseedd?? Thankyou for ou ime andcosperaion. lease cortoc Nan Ring a Dela Corsa (651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 datacom) in Sto: oe masta Palio Corl Agere (551497388 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or TaranGema ) You avs tr oeshare veri os auestoate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. - Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, self- `addddrresssseeddeennvveellope.. omni Questionnaire completed by: Neng ?aTieu! &s:srn~ Name and Title FreDept Crd B2p1o8r-15C7r-e2e9k00Five :B~or r:-/ve Fire Dep~ment Fron Number Phone Number (Control rr SeYao o8" Date EE E-Mail Address Kinogen' PPrhoonne:e: 651.639.9/484005.477 7411 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 851.6m3et5s d.al9tan4nv7.ca3m Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00187 sStTaAreTE_0022882211114444 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDooesenss tyyooouunrr DDoepepepararsrtitmmoenensnt?t cuorhasytour currently or has your Deparment Department isioricaly historically sedused Clas Class Aor A o r GCllaassss BBfofoaammss ffoorr XC ves- Procasdto firefighting operations? )( Yes- Proceed to QQuueessttiioonn 2 No. No Sign - Sign tho the back back of of this this form form and and rreettuurrnn tto DDoetltaa CCoonnssuullttaannttss 2. Howoftn is Gass or Class Afoam used in responsetore call? 2. How often is Class B or Class A foam used in response to fire calls? XXK oaswortes 0-25% of fires 25.50% of res ___ 25-50% of fires 75 100% of res. ___ 75-100% of fires 33.. DDoosess tthheo DDeeppaarrttmmeenntt ahavveeaa ccoommpprreesssseeddaair ffooaamm system system (CAFS) (CAFS) wiha with a bun built-in taktank on on fsits engin(s? engine(s)? ___ YYeess "X6_- ro No 4. How often s foam used in raning xerciss? 4. How often is foam used in training exercises? Woaky Mainly J. ___ Weekly SomiAmualy _X_ Amualy aArualy ___ Semi-Annually ___ Monthly X Annually ___ Quarterly ___ Bi-Annually overseer ___ Other (please specify): _______________________ 5. How much foam is used or raining svn? 5. _X_ Loss How much foam is ___._X_,__ Less hans gators used per training than 5 gallons event? 55ggaallalonnss ___ MMoorrse thhaann1100 galas gallons (plsepescie (please specify): ___ 551to01100 ggaatlloornss i . Intraining, where coos th spt foam gu? 6. In training, where does the spent foam go? Oter oasocesever ___ SSttoorrmm SSeewweerr __ SSaanniittaarryy SSeewweerr ___ Other (please describe): _ _ OOnn--SSiittee SSeeppttiicc __)X{__GGrroouunndd . 7. 7. WWfhhooerreemdoaooessto//diriiddcuthohreeenttrraaaiinnniindnggpataaskkteetppailaanccege?? rPPellaeesaassee includ include adres, address, nersecortcotenr intersection or other speci specific acaton location Tts information :Cs f o r c inurre i'rl n t and different past training areas. d' +-er-~1- pylloa.cc.eess eevve_e"r'1y+t-;iYmVe\e... Xinogen: PPhhoonne:e: 631.639.9/084005.477.7411Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 851.635 9473 Suite 100 St. 651.639.9473 whisi.daltaane.com Paul, MN 55126 USA www.deltaenv.com 222222.001188 sSTTaAeT_E0_206282211114455 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WWthehsaapttonytysepeesa(s)n)daannnddrbbaraannndgd((ss1))ooaffpffpoolaaimcmaabarlreee?ooPrwlweeeraersee uucssheeeddcknnooalww haaanntdd 3innptlthyhe. past past by by tethe Department, Department, bth both forfre for fire response and in training (if applicable)? Please check all that apply. Cors<s SlocexL1.P\ es Sg Corde H TUUassmeeiddniginn? AAmUmosoeuudnntt CurrentUseor Training? Used Current Use or CFCollarasmTTssiyyn8sBppgeeAAFoqqoofuufaeeFFmoooouu(aassFmmFFFiiFlmm)- BBrraanndd ooff FFooaamm ---------------------- YYeess oorr NNoo AnAnnunaulalllyy -------- HiHsitsotorriiccUUssee?? CGRFeolasrslmssti8naBagnAtAcFls(oocnoaRomhYslo-lA(-AFFFFFF) ~~ -------- CasssPOOn Resistant (AR)-AFFF Class G#lass Class 8B B Fluoroprotein Protein Fluoroprotein -- ------------ C(CFFlulaPaoss)rsso8BprFFtiilammn--FF(ooFrmFmiPinn)gg CassBARFEP Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAABi-oaABnRHF-FioFaFmP -- oT _ -- Expansion Foam CTrlaassngA Foam - S:J v -ex zr over Training Foam - Other ToTfhhawannokkdnyyoonuuafo@fodroyyloousurrettnimynecaaamnn)dd occfooooippemeraratSittioooncn.k.inPPglelereaaassieetccaoonnMttiaancctnteNNsaaonntccayyPRRooodldrnoiinn,ggCaaottntDDrelolltaaACgCeoonnncssyuull(taa6nnt5ss28(9655711---666996775--o550r115522 fim stockinger@sate mus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if YouJim you hve any QuesLons regarding is questonnaro. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or sPPdlleersaessseesrereedtteuunrvnmetlhtohisspeqquueessttioinonnaniarierttoeo alts De!t: Consults Consultants by bv MMeevy,9. 2200080i8nn tthhee eennccl!oosseerdl sct:tsammppeedd,. sseetlf:- addressed envelope. QQuueessttioonnnnaatiree ccoommpplleetteedd bbyy:: NaKmeeeannna"n1e0e0-1t-bh. H~,Ve ) ,\! v- ia c. }( > d Chv ice.. &ki - cks FNiaemBDBeeeaapnonad_rxTvmdie-tlnsectl\-esyl~ FFi\cre.e.- '"bpe-e~4p- Fire Department Phone Nam3sbe:2kr0,)--.2;2e-t5,.-s6--3f,s//71 Phone Number 5sT7-or//e77/ o0f8/ Date E-Mail Eee Address Xinogen' Phone: 651.639.91984005.473.7411Fok: 851.630.9473 wn daliannv. am Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 gi Paul, MN 55126 USA www.deltaenv.com 22222..00189 STSTAATTEE0_208228211114466 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. rDDooosfesshiyyoonuugrr DoDpeeeppraaartrttimmoenensnt?t csrorohatsyyur currently or has your Department Department historically historically used used ClaAsor Class A or Glass Class B 3 ffooaammss orfor firefighting opVeroats-ionPs?rotocQueesteiodn2 SX___ No Sian thoback of this form Yes - Proceed to Question 2 -Sign the back of this form aanndd rretutrnuttooDrDelentltaa CCoonnssuullttaannttss )( No 2. How ofenis is Class Class 8or B or ClAafsoasm Class A foam used used in in response response to ftiorree ccaalllss?? 2. How often 02556ot fres 250% of free 75-1005 of res ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Doss the epastment hacomvpresesed air foam system (GAFS) witha buntak on 5 engne(s? its engine(s)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on ___ Yveess ___ NNoo 4. How often foam used in raining xercses? 4. How often is foam used in training exercises? weany --_ vowny _ ouneny ___ Weekly ___ Monthly ___ Quarterly SemiAnmualy Aaruty eam ___ Semi-Annually ___ Annually Bi-Annually Ov lassspeciy) _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foamis use or aig ever? 5. How much foam is used per training event? Loss han 5gators 5gatons 51010 alors ___ Less than 5 gallons 5 gallons ___ 5 to 10 gallons Mor than10gallos (ase speci: ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm go? _SomSewsr __SanioySewer __OnSteSepic Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground J ---- - ___ Other (please d e s c r i b e } : - - - - - - - - - - - - - - - ' - - - - - - - - 7. Vibro does ho raining ake lace? Pleas include ade, interseacttihorn peciclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location formation for cuent ard past van reas information for current and past training areas. Kinogen . J.X~._In_o_.gc:z.e..,."n...""""'-'"'""'""--------P-r~on-e-:--6-51-.6,39-.9-44-5 ,-59-1-0-1-R8:0ic-0e-.-4C-7re3-e.-k7:4-P1:a1:rk-wF-aa=ky-:-S$-3u=1i-te6-5-19=0.-09-4-S7-5t.--MPh:as-uLl~,AcSM-lN-M=a5S5a_1Y-2.6-cCU~oSm~A. Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..001190 sSTTaAeT_Eo_0z2s82211114477 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yes) and brane) offoam ar orvere us ow andin th pst he Dgarimen,bt or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss arin ain spa loss eck a top response and in training (if applicable)? Please check all that apply. TUsoednign Am"Uoseudn.t GumontUsoor TyTyppeeooffFFooaamm Clss 8AqueoFuisn Class B Aqueous FilmForm Foam RRR) | ---------- -------------------- Forming Foam (AFFF) RCelassss Akoraorry ---------------- _ Class B Alcohol- Resistant (AR)-AFFF Casbroon Class B Protein Clas 8 Fiscroprotsn Class B Fluoroprotein =) -- (FP) Gl8Faim sFormsing Class B Film-Forming Farolan (FFP) -- Fluoroprotein (FFFP) Cesspane Class B AR-FFFP Cass AH Class A-B Hi Erpanion Foam Expansion Foam Chass A - Class A FO -- Training Foam oer -_ Other BrBarannddooffFFooaamm Used in YYTeerassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy HCHiusirstrtoeornriitccUUUssseeeo??r Thank youforyour to and cooperation. lease contac Nancy Roding a Dota Consults 851.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Crohn ataes com sn Sion a inna Poko Convl Agar (515975000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sr Socknger Sete) ou bev ag aus rong i cues jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerreettuurrnnththiissqquueestsitioonnnnaaiirreettooDDeeltltaaCConosnuslutltaannttssbbyvMMaayv99,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff:- Derm tiea ad(kes;;;ed e;i'v"<:iopG. - [ RamoDaa-- rnyil---- Fuerstenberg Assistant Chief Name and itle Beaver Creek 00000 Be~ver Fre foram? 507 Fir~epartment 6 ( 507) Frome Nar Sa Phone Number I ETA E-Mail Address 7733--222626b& scihy lek C05J5--0()77--003z Date Xinogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www deltaenv.com 2222.00119911 sStTaAreTE_022882211114488 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DrDoaootesss hyyuoonuugrr DDoereppaaairrotmmneesnn?tt cunt currently o o r hhaass yyoouurr DDeeppaarrttmmeenntt hHiissttoorriciaclalyl usseeddCCllaassss AAoorr CCllaassss Bffooaammss ffoorr firefiXghtXinCg opNYYeareoasst-io-SPnPirsgro?onscteehseeddbttaoocQkQuouafessttthiiiosonnf22orm and return to Dla Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants 2. HowoflenisGlass lass Bor B or Glass Class A A foam foam used used iin rreessppoonnssee ttoo ve cals? fire calls? oases 2. How often is C X ossonaies ______7s75i-010n0o%toifvfieress _ _ _ 0-25% of fires 125-50% of fires 3. Does the Deparment hove compressed i cam system (CAFS) with a btn tankons ergine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes XXnNo 4. Howofienis foam used in aing xercises? 4. How often is foam used in training exercises? Weekly Vanity Ouarory ___ Weekly ___ Monthly ___ Quarterly Sembamualy __ Aualy avAnualy ___ Semi-Annually ___ Annually ___ Bi-Annually FA over easespeety_Nowe ~ Other (please specify): _/VJ-X.!'IJ!.l{'J'--'e._=------------------- 5. Howmoch foam is used por vaning vet? 5. How much foam is used per training event? _ Lesstansoatons Salons ___ swotoguens Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons Maro than10 gallos (lease spect ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaing, whee dos th spent foam 00? 6. In training, where does the spent foam go? com Sever __ Santary Sawer onsieSept: Gone ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over glaase doer) _ ___ ~ther (~~ea_;;_:_~~scr.~beJ:._-.---------------------- 7. Wher dosidd h raring ake place? Pleas Include adress, narsecton of othr spediclocaon 7. Where does/did the training take place? Please include address, intersection or other specific location oman ff cunt anspas vag ress. information for current and past training areas. . ' \ :.. BD 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mone: 651.639.5595 1 500 135411Fav: 691 539.947] Mmndaltaeny.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00192 SsTTAaeT_E0_202682211114499 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What pts andbrant fam nvyrawre ape nwoatnoh st yh Dra, Sl fo 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. f-- srpotrom Tvyatm,y eAoomo, cummtuseooer Type of Foam oes 5 an Class B Aqueous FilmFi Fou mAR} ---- ------ ------ Forming Foam (AFFF) Gore Act ey ------ -s _ Class B Alcohol- Resistant (AR)-AFFF ARR eee eeeeeeeee Class B Protein Class B Fluoroprotein oo _-- (FP) Class B Film-Forming Ba -- Fluoroprotein (FFFP) coon Class B AR-FFFP Goss Class A-B Hi Pi, T ---- Class A Expansion Foam Class A T--r-- 4 Ree Training Foam omer -- Other Brand of Foam Seer Used in Training? Yes or No Mo Amount Used Annually Current Use or Historic Use? 0gulletuegepy! Thafnorokrymoeaud omprton, Peas cont NayRosinf ols onl 05.097.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a mmsSr51 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or B ao emmeo Sor 3 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiissqquueesstit_oinoqJnJ.n.ai(if!r!e._ttoo_QeDlteely_t(a;.QC!oln.ls!.utlftJ,a!nJ.t1!sS.bJ'yY_fMi!a1y.a.y9_9."'-2-_0?0Jl89B.iln'ltJ!hJ~e..e9.n'c1.ll;o.!sQe.de.JLssJtaa.mmoepd_e.d_...s.ef!l!ft-.: `addddrresssseeddeennvveellope.. -- Questionnaire completed by: B ----dq' e ae t BBiobb Die khf chil t Name and Title f~ Belgra - eJ~J'aJe f1r~/ Reu.:.L- EE Fire De artment aeEe 320- 8Y- Phone Number 5--_55--0o8g Date eigen becl/-ff,r-ctc$Jepf@ yahthteoo . <0J. -- E-Mail Address XXiInnooggepn::f ,,, _ PPhhoonne:e: 651.639.9148040.4579 7411 Fo: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.639.9473 Suite 100 St. 651.639.9473 mavidaltasnv.com Paul, MN 55126 USA www.deltaenv.com 222222.001193 STATE_02821150 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. rDDeootcegsshyyioonuugrrcDDpeeoeprraatrttmmoenensnt?t ccuurrrreenntlty oorr hhaass yyoouurr DDeeppaarrtmmeenntt ihisstorticaollyruusiseeddcCCaalaslssslAAoyorr CCllaassss BBffooamasmofsorr firefi_ghtXXing_opYYereeasts-io- nPPsr?orceeodtctooQQeuueesesttiidoonn 22 No-Sign the back of thi form and retu to Delta Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants -X- 22.. HHoowwtofotenn is CCllaassss8oB ror CClalssaAAfsfooaasmm uussaedd iin rreessppoonnssee ofr to fire ccaalllss?? X o0-a2s5%soorfifireess 5255-500%%ooffffrireess ___ 7755--11000%%ooff resfires 3. Doss tthhee DDeeppaarrttmmeenntt hhaavve ea ccoommpprresessesd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wvivitthh a 2 bbuuli!tt-alnn ttaannkk on on itsenegnigien(ee(s))?? 3. Does ves ---:--:.c-- Yes XXowNo 4. Howotenis foam used in taining xercses? 4. How often is foam used in training exercises? Never Weekly Wontny Quarry ___ Never ___ Weekly ___ Monthly _ _ _ Quarterly SemiAnnually XX Annu Cea ___ Semi-Annually X Annually ___ Bi-Annually Other please speci) SE ___ Other (please specify):----------------------- 5. 5. HHooww mmuucchh ffooaamm iiss uusseeddppeer rtraaiinniinngg eevveenntt?? __){X.___.LLeessss hthaanns5ggaallolonnss 55ggaatlloonnss _____ 5swtoot100ggsailloonnss ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - X 6. 6. In In rtraaiinniinngg,, CT wwhheerree ddooeess tthhee Gomsover ssp_pee_nntst ffouoaammmt9ga0o7?ySeover__onsiosepre XK crauns ___ Sotowremr Speewaesrede_se_ rweSyanitary Sewer __ On-Site Septic Ground ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WWInhfhooerrrmoeatddiooonsessfl/odifiddCatthrheeonttraaiainnniihdnggaatsaktkeeapplnaaccgee?? aPPclleesaa.ssee incu include aaddcdoressss,, iinntteerrsseeccttiioonn oofr aie other speci specific llooccaattiioonn Fire information h/Z Lor for current 4=PI an?Pd~pr~as,it .tranAinJienGg arelLaso.. crr =- (&o~ne ffOo,mq,mweano Cot DENT To spiuncE ano. T77H65E,JS- nrriee:- -- tJalt- (..(..)-vl TO sA-LI./B6C ~ Bet senrirr brains EcSmron-- loaned HALE OF cocoon ORUErs THar-- were rzen) Nardi) Kinogen: OVVEERR----+ _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rome: 651.639.9005 1800T0L3F7ak $91 eo 247] masdAlARRE.Som Phone: 651.639.9449 1 800.477.7411 Fax: 65-1,639.9473 www.deltaenv.com 22222..00119944 STSTAATTEE0_208282211115511 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 6. Who types) and rants eam are wor sad ran i tht by th Darn, bot for fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tekponss ann Von (appease less heck a tap response and in training (if applicable)? Please check all that apply. TUreoadning AmGoowu'nt curenty Hitorcaly Typ~eeooff FFooaamm BrBarannddooffFFooaamm Ci8Ause FiCFilmlamsF-sFoBomrAmnqinuggefoFuoosaamm -- NNAA en (AFFF) Gs hol Class B Alcoholenn MA Resistant (AR.)aAFFF CGllaassssBBPPrrootteeinn Gases Class B Fopoanr --MA-- -- Fluoroprotein (FP) ~lL MNlB NA Gl8 Fsin Class B FilmFoi Alk Forming Fureapoion -- Fluoroprotein fe coors (FFFP) Class B AR-FFFP N/Jr N~A& - Gass ABH te Class A-B Hi er --_ em -- Expansion Foam Cason Sifumex Nes gal eS yes Class A t:f_A- 5//_r!-- ~X -4!J A Training Foam Ober TT =m Other Used in Training? YYeessoorrNNoo Amount Used AAnnnnuuaallllyy a Currently UUsseedd?? Historically UUsseedd?? ---- -- --- -- --- -- '{e5 ~(_$_ ~~~~ hark you for our tne ad cooperation. less cotact Nan Ring Dei onal 051-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 maaan ooo Saino ot Monette Palais Cot Ary 69 5070008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or veo ou ave ts opi os esa jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas return is quesfnnaiteo Dt Consultantsby dun 6,200 in the enclosed stamped, set Please return this questionnaire to Delta Consultants by June 6 2008 in the enclosed stamped. self- aadddrderesssseeddeennvveellooppee.. -- Questionnaire completed by: DE Matte #3 V4vE /lt_all!C are oh os Name and Title B/e]tLeLtW~e6sftla1r1?n ~L/op2e Fearon Fire Department -s-z 3322e0J S.88 2-vt02~:2J' Prone Karr = Phone Number M~oo~r 5726/08 Date EE E-Mail Address Kinogern: XInogfn .,. eR .. 5910 Rice Creek Parkway Phone: 651.639.9449 1 800.477.7411 Fax: RE Suite 100 St. Paul, MN 55126 USA TR 651.639.9473 www deltaenv.com 222222.001195 stateo2s21152 STATE_02821152 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 11. . DfDrooaserssghyyuoounurgr DoDepeppeaarrrotminmesen?nt ctucrurernetnlytooyr has has your your Department Department historical historically sedused Clas Class A A or or Glass Class B foams foams orfor H__ firefighting opYeorasti-oPnrso?cood to Questio2n No-Sign the baocfthkis form { Yes- Proceed to Question 2 ' Sign the back of this form aanndd rreetutrunrttnoo DlaDelta CCoonnssuullttaannttss No- 2. Howoftn's is Cass Class B B or or ClaAfsoasm Class A foam used used in in response response to to refire cals? calls? 2. KX How often K oz5totives 25.50%offres ___ 25-50% of fires ___ 7755-10:0%1o0off0friree%ss 0-25% of fires 5. Doss tho Deparment hacomvpresasa ai foam syste (CAFS) wih aula tak ons engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes Xx te )( No 4. Howostfeoanm used in traning exercises" 4. How often is foam used in training exercises? Never Wesky Monty umeny ___ Never ___ Weekly Monthly Quarterly a -- Xorgon BAmualy ___ Or (pease speci) Semi-Annually Other (please specify): )(' Annually oYt Bi-Annually L!a..tuit-nba~ cvoeose-teeli~ l c~ ome ~ fend .F.fi~.r--rs-7 A~ ffe 5. How much foamis use por ring oven? 5. How much foam is used per training event? _X_ Lossthn gators 5 gators __ sworguens >( Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons or than 10 gallons (lease speci: i - More than 10 gallons (please specify): _________________ 6. niin, wher doss to soot foam go? 6. In training, where does the spent foam go? Stom over _ Sanitary Sever onstesopic _X_ Guns ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic --,LS._ Ground Other easedosrv): -- ___ Other (please describe):----------------------- 77.. WWfohhreermeaddtoooesf/uodridscutrhereentartaiainrinngptasaktkoeappllnaaccgee?? rlPeleaesaa.sse iinncclluuddee dees, address, iinntteerrsseeccttiioonn oor ootthherr pec specific ocaion location information for curr EOE Tech (GJ=T~ Loyhted ' ent and Eile p ast training Deg: areas. good s OOVVEERR---+ HKimogen________ Prone: 651.630.5|03400.5473 5411 Fok: 454.639.3473 Mi aeitasay. cam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00119966 STSATTAETE0_208228211115533 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Whattype(s) and braofso)m a or were used nw and i he pst by he Dearimen,both or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesporae and n Varin apsicaor leas crack a tan response and in training (if applicable)? Please check all that apply. N/E Tok Ramym h a et r IV/11- do"SV\ A . ""' '4- ~ ) Us"e - ~ d~in " " " "' A ~1/..Me mount Taming? Used Curent Historically Training? Used Currently Historically Timeoto Bundotfomn vesorte Ammualy Usesr | eess Type of Foam Brand of Foam Yes or No Annually Used? Used? GaAqsueosus Class B Aqueous Crommtom -- o_o o_o Film-Forming Foam fies (AFFF) Class Akar Class B AlcoholFeary -- Resistant (AR)EEAFFF CoswbPown Class B Protein cs Class B FlFuluorooropprorotteeiinn ((FFPP)) ~~ Class Bim Class B FilmFog Forming gon | ------------ ---- -- ---- ---- Fluoroprotein Fre (FFFP) chspams Class B AR-FFFP Class ABI Class A-B Hi Srparuin Foam -- Class A Expansion Foam Class A Tefen Training Foam np I NNe over -_ _ = _-- Other Thru fo your me and cospsaton. leas contac Nancy Roring a DollaCorsa (51607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aroun aac co) of J Slacking at hg Minese Polo Corel Agency (651 357.3668 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing Gate mas) 100 hav any GuesLons regan Quectomabe jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas otur this questionntaDierlea Gonsulanis by June6,2008 i theenclosedstamped, sel Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellooppee.. Be tions Fite Dopl Zf<otrtrr- ~th~wec_e `QQuueessttiioonnnnaaiiree ccoommpplleetteedd bbyy:: Name and Title dcvh; eULt.fr FraDepatm~eentltr~MA.[ = ffr-c_ De;J Fire Department sPhoeneNiu~ EXiaTAriabehsine @ ahoo.com Date 5-3(-0% JInogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www _ MN 55126 USA deltaenv.com 222222.001197 sStTaAreTE_202882211115544 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DeDooteesos yyoouur DDmeepapaatrritommnaen?ntt curentoyr currently or has has your your Deparment Department h i toca storica l l y used used Gass Class A A or or Clas Class s B foams foams orfor firefigh2 Kting opNYVeoerea.sst.iS-oPinPgsr?onrcteheoedbtatocockQQeuoufeetssehttiiiosodnnf?2orm and return to Dol Consultants No- Sign the back of this form and return to Delta Consultants 2. Hoowwooffteenniiss CCllaassss BB oorr lasClass Afoam A foam useused in in reson response to to frfire cals? calls? 2. H ___ 00.-2255%% ooff ffirreess X.\C( 2255-.5500%% ooff ffiirreess ___ 755.-110000%% ooff ffiirreess 5. Doos he Department have acompressaa foam systor (CAFS) wia bhutin arkon1s angno(s)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ------:::o Yes AKeNo 4. Howoffeoanmuisesd in tring exercises? 4. How often is foam used in training exercises? wey Wont oun ___ Weekly Monthly ___ Quarterly Somvamoly XBC somal Taam ___ Semi-Annually Annually ___ Bi-Annually omer oasespeciy Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How m2yXch foLaemsiss uhsaendsgpaolrlaonis g ave? Sgaons 51010gatons X/ 5. How much foam is used per training event? Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Maro than 10 gallons (ease speci A More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - XC storm Sever __ StarySower onsiosipie -d-gk- Gros 6. 6. Intinin, In training, wheredocsth where does the ssppeenntt ffooaamm 07go? ___k_ Storm Sewer _ _ Sanitary Sewer _ _ On-Site Septic Ground Pr ---- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - - 7. Whero does tn ring ake ice? Please includ adress, nersoefabcertspocinic locaton 7. Where does/did the training take place? Please include address, intersection or other specific location matoficeontnan ast taming areas. " i n f o r m a tVVioanUrf-oVir e'cIuserr,se n t i Dur and past tJut t r a i nuUi~ncugu.aaGr\le1alsly.y ~wJJiiti"hh iI(n) CC~!Yj Lbivmhiit+s5 ooff /B~uJlVviiaww Kinoger: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00198 sSTTaAeT_E0_022882211115555 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wht pee) and ba of foan maees rwere usdnow an i he pestby he Departs or 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Teipanse ard om apm" rea heofpcatakpy response and in training (if applicable)? Please check all that apply. Tupeot Foam Type of Foam ci8Asuse Fim: Class B Aqueous Filma, Forming Foam (AFFF) Brandot Foam Brand of Foam Ueedin Used in Tange Training? To Yes or No -- Amount Amount oodUsed amy Annually He cSuriemntUesemor Current Use or Historic Use? Ten CClalassss BBAAllccoohhooll- N o Resistant (AR)-AFFF cmsoPoOn | -- Class B Protein Gl8Faorosrasen Class B Fluoroprotein = i s (FP) ClFaimsFomsing Class B Film-Forming SII Fluoroprotein (FFFP) caoraree Class B AR-FFFP Cassa Class A-B Hi Tim gE Expansion Foam Pe Wo gal. Bok Class A Tanngroan J(OiWNhuaGiSeail nPegs Zrgalen Barb Training Foam Ober - rr Other 0 Cs-J-AAl-L Doo ~ hark you or our tm and cooperation. Plas coc Haney Roring of Dla Constants (051-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orcm om)oSo Seeiha innngo, Pob los CortlNoon(e 851436087o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ipa Bema mo) Fo hav ay Sesto oan he quest jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiisqquueessttiionnnnaaiirrettooDDeellttaaCCoonsnuslutltaannttssbbyvMMaayv99,, 22000088iinntthee_eenncclioQsseeddsstla!!!mJp.!Reedd,,sseellff-: Esti addressed envelope. QueTsfiomkatee Prpeiutss: Fire chief f f) p,~~s Que~~onnaire completed by: r \G._ Rama and Tae Name and Title ~R\evviieeww Fre armen Fire Department Sv) ~439- 4335 4-25-08 SO/ --cJ38-- L-} 3]_5 Frame Nomar 5 Phone Number Belview 0c MmyTV windlass, com [3 e._) v,"-tGJ @___ ER E-Mail Address V)V Lj-d_C)-o8 Date t)J\r-Q~:;~, C~f1/7 Xinogen' ven oe TT TT i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.001199 stare ozs21156 STATE_02821156 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Doreesnyionur Doepprarotrmesn?t curtenty has your Deparment soa used Class Aor Class 8 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefigh~in~ operations? '/"'-- Yes - Proceed to Question 2 -= ~ NNoo--SSiiggnn tthheebbaacckkoofftthhiiss ffoorrmm aanndd rretuerntttooDuDelemtltaa CCoonnsuslutltaanntsts. 2. Howofenis Glass B or Glas foam used in espetore cals? 2. How often is Class B or Class A foam used in response to fire calls? K_ ozs ores 25.50% fees Ts00of%res ~ 0-25% of fires 25-50% of fires ___ 75-100% of fires 5. oss he Deparment hasa compress i oa syst (CAFS) ith blitank ns engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Km ~No 4 How ofan foam usd n ing execs? 4. How often is foam used in training exercises? wos Moniiy Quarry ___ Weekly Somihomialy > daly Aonuaty ___ Semi-Annually ___ Monthly ~ Annually ___ Quarterly Bi-Annually TT onsen ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foams used por ving vane? 5. How much foam is used per training event? esstansostons salons X_ srogiors Less than 5 gallons 5 gallons 5 to 10 gallons [RE ---- _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - . In vining,wher Goo thspent foam 07 xX 6. In training, where does the spent foam go? TT Somsonsr soto Sewer__onstosopse GXrown ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT over (ease dosaber a ___ Other (please describe):_ ... _ . -------------- ---------- 7 Where coos he ain ak isco? leas nck css, nr sacton oanr speci ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location omaoftCavoe ann pot Vain re. information for current and past training areas. Au ilhoed $7 1 Class Cla i. Xinogen ee TA_T mn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00200 sStTaAreTEo_z0s228211115577 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 58.. WWeiahhpaaotnttytyppeee(o(ssn))daannddTbbarmarinndag(s(n)1oodaffoffsopoaai)mmcaaairroero wolrrewaeesreeuuhseescdknoaowwoaanntdd ainnpptlhhye.ppaassttbbyy tthhee Dapeapratrtmmeenntt,, bthboth ffoorr refire response and in training (if applicable)? Please check all that apply. Sms bL cupacsuoosus rime TyTyppeeooffFFooaamm ight" Weer" eS wSgal Covent Class B Aqueous Film- . L;iB9rB'haranndId-ooffwFFoo~aJa"mum7-tekr Usedin Amount Used in Toning? Used YYTeerassinooirrnNNgo?o Amount AAnUnnmsueaa dlly x r:; _y;(---'r.e=-.....5"----_;1):::: 9 ?Z, { Curent Useor CHHuiisrtrteaoniritccUiUshseaeo?lr [2 (v//1''1 f Forming Foam (AFFF) Ca8Ascotsol- Class B AlcoholReston (Ryapre Resistant (AR)-AFFF CassgPwon Class B Protein Clas 8 Fuoroprotein Class B Fluoroprotein = -_-- (FP) Ga8Fims-Fors ming Class B Film-Forming Fraoroton (Fp) Fluoroprotein (FFFP) CesssARFERR Class B AR-FFFP Glass r8 Hi Class A-B Hi Bsonfoan | Expansion Foam cass Silvex Yes 15jel Qupent Class A Trang Foam oo Training Foam Otrr EE Other ); I ve>c. Thankyoufo your me and cooperation. Ploasa contact Nancy Rodring at Dota Consulants (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or eadhncomg)o@J SdockeingllathsMiemesmota Poon ContlAgen (451-3976666.0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Songer sate m4) 704 ave ay GLeSIonS agar Is QeKomarS jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurmntthhiissqauuesetsitioonnnnaaiirreettooDneelltt:=:>CCoonnsuslutltaannttssbbyvMMeayy99,. 22000088iirrtthheeeenrc.lcobsseeddssttaammppesdd,.sseellff:- adadddrreesssseeddeennvveellope.. - Dk Suthers Chfti,-eeft- Questonnat complet5ebdya:fAers C ~-~h Questionnaire completed by: 1 Namen Tie -- Name and Title J TDBleefmritd)'; Fw Deparment tel/;: Fire Department J -7_s-;- I PhoneNum;o2e;r(-if'-751-f5?O0C0J] Phone Number 55To-e-~5-0o8g Date a E-Mail Address Xinogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..020011 sSTTaAeT_Eo_0z2s82211115588 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training DELTA 1. Doss your Deparment cured or has your Deparment strat use Cass A or Class B oan or 1. Does your Department currently or has your Department historically used Class A or Class B foams for esianingopesions? firefighting operations? er racendto custo Y Yes- Proceed to Question 2 I No-Sign he baocf iks form and tu f Dt Consular No- Sign the back of this form and return to Delta Consultants 2. Howotens Cass 8 or laA fsoam use in espnsfo fr cal? 2. How often is Class B or Class A foam used in response to fire calls? +K_-oasotties 25.50%otteas Tstomeaties 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 5. Does he Darin have a compress afoam system CARS) witha bli takon anges)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes 72 ~No 4. Howofenis foam used in roiing exercises? 4. How often is foam used in training exercises? _ ----_--_ WWeeeexkyly Semhomualy 4 Amal Taman ___ Semi-Annually ___ MMoonntthhlly ' Annually Q_u_a_ rtQeurartleryly ___ Bi-Annually Overessespecty ___ Other (please specify):------------------------ 5. Howmuch foamisespor raining vers? A LesstanSgalons 5 galons 5. How much foam is used per training event? Less than 5 gallons _ _ _ 5gallons ___ Storms 5 to 10 gallons Mere tha 10 gaan (Pease pect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - Tomei 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm go? ___ SSttoorrmm SSeewweerr _ __ SSaanniittaarryy SSeewweerr __ OOnns-StietesSeeppitcic LAk":_ GGrroouunndd _ _ _ Other (p!e<'l~P. describP.): --------------------------------------------------- __________ _ 7. iohrte coofio mtehnrtnionpaskealancie? rloonse nd ads, nerston of thr speciclocston 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Phone: Phone: 651.639.34455910 651.639.9449 1I 800.497.74F1o1k: Rice Creek Parkway 800.477.7411 Fax: 451.635.9473 Suite 100 St. 651.639.9473 murdaliagn.com Paul, MN 55126 USA www.deltaenv.com 22222..00202 sStTaAreTE0_208228121115509 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg D TVeinntoryspeS) acndaramc)sofpoaeaaYrsoPrwaasescusrdcreon aond 9n.hpst yhDepartmen,bo for fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. GFaosmsi8nAFcowmooFniRsmy TTyyppeeooffFFooaamm Class B Aqueol,ls FilmForming Foam (AFFF) BrBarannddooffFFooaamm aUsmaign Used in Training? YYeessoorr NNoo Am"soeudnt Amount Used AnAnnunaulallly umomUsoor Current Use or HiHsitsot orriic UUssee? CCllaassss BB AAllccoohhooll-- RReessiissttaanntt ((AARR})--AAFFFFFF CAO | sess eoseer ees Class B Protein Gl8Fauopsrtson Class B Fluoroprotein ((FFPP)) GlFaimsFomsnn Class B Film-Forming Rison Frey ---------------- ------ Fluoroprotein (FFFP) A Class B AR-FFFP cass Class A-B Hi Earn Foan - Expansion Foam Glass _Sileer ges /S,p Class A agro TTT Training Foam oer -- Other :35--h#t -- o Pno Sg'p:1a:-dl) Thank you or your ne nd cooperation. leas ora ancy Rodinag Dl Consuats (51687-5152 Thank you for your time and cooperation Please contact Nancy Rodning at Delta Consultants (651-697-5152 Sm com too Soin oa Mineo ooCove Agency (351437 605 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or emer Foon ay Setar ego Ts unary jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. leesrertiee custotomotee Gansta byMoy, 900 nthe snclosed stamped, si: P!ease re~urn thfs auestionnaire to Delta Consultants bv r.1ay 9. 2008 in the enclosed stamped. sei{- aaddddrreesssseeddeennvveellope.. - QFueesJmtaeamarrecomSploethedoby:cet" Chief. ~!C~fd'ree(" Questionnaire completed by: Name and T1tle eh,~( evsod Fire[lt ,8ettscP;<) r;r-.e .1151-1 FesBomnt Fire Department Z?z, v~ 2~1~3--.33,2./,4t; =. Fra omon oe Phone Number bes4sso.o~b~o~k~yLsehUo,MeIf?tdm-a;r/t. ccoDms, ai dos E-Mail Address ' Ninogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00203 sate_o2621160 STATE_02821160 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1 Does your Deparment curofhaes ydour Deparment tora usedGass Aor Class foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for fetaning cpeatons? firefighting operations? 2 X X YYeess-- PPrroocceeeedd ttoo QQuueessttiioonn 22 7 No Sign th backof hs form and return to Data Consultants ___ No- Sign the back of this form and return to Delta Consultants 2 Hootie' las or Glas foam usd in responfso fre cals? 0:25%of fires >:><< 2s s0%otfres 75-100% of fres 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5. Does the Department haa comvpresesed ai foam system (CAFS) wih alin ak ans engine)? 3. Does the Department have a compressed air foam system (CAFS) W1(h a built-in tank on its engine{s)? ves ___ Yes D)<X NNoo 4. Howoteni foom usd in rang xerses? 4. How often is foam used in training exercises? Never Wey ory Quarry ___ Never ___ Weekly ___ Monthly ___ Quarterly ZX semvhorusty | ___ Aunty Tamar K Semi-Annually ___ Annually ___ Bi-Annually es lease spec: A ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam used er Vang event? 5. How much foam is used per training event? 7 Moro than 10gallons(lease spc: 2 -xX LLeesssstthhaannS5gaglallloonnss _____ g5aglallolonns.s _ -- __ 551to01100 ggaalllloonnss. ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 68.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? 2X stomSower_ SanitarySew onstesepic OX aroma X Storm Sewer _ _ Sanitary Sewer _ _ On-Site Septic _X_ Ground Over pamedescro0r ___ Other (please describe):-------------------------, 7. Where coed he vaining tak place? Pease include address, rst of ah specicocaion 7. Where doesidid the training take place? Please include address, intersection or other specific location mater cron ond pas ang res. informatio or c rrent and past training areas. Fe _ _ a-\- OVVEERR-----+ rere var ame RTEB ETT TTTee TTTELS eatas 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002204 SstTaAreTE_208282211116611 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What tot) andbrancts)o foam aorrweer usedno and nthe pasby th Departmen, bah for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tekponss sn ing 1ssa" loss check al ha ap. response and in training (if applicable)? Please check all that apply. TUosnoidnign? AmUoseudnt Curent Historically `Ty~p~eeooff Fooaamm Class Aqueous . : Class B Aqueous Goth Msull:dee.. No 5s"= Film-Forming Foam ern, (AFFF) Cl8asohso Class B Alcoholcmetey _& --- RcsistBnt {fo.R)ae AFFF Cosspproen LN _ Class B Protein Gass or Class B FFlluuoorroopprrootteeiinn ((FFPP)). Cass Fim Class B FilmForming or Forming Floren --_ Fluoroprotein re (FFFP) cossomnsrre _ Class B AR-FFFP Cass 8H er Class A-B Hi Spansion Foam -- Expansion Foam ClCalassss AA s- TrTarianiniinngg FFooaamm OOtthheerr BBrraannddooffFFooaamm flnsu -~ J2r ~ ~- J!ZJ ~ ----isv,lev:ex ct~Jrn8a~~ oCo>f Used in Training? YYeessoorr NNoo ~ Amount Used AAnnnnuuaallll~y 0 Currently UUsseedd?? 0 Historically UUsseedd?? -- - N''j _ N~Y --- 22-00 diOo 5Jl.) 2'L0O 5 i1O0 Thanyoufor yours an cooperation, Pleas contat Nancy Roding at Def Consulta (651-687-6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or odin dasa com) ror StockiinhgaWinnesla Pollo Cortiol Ageney (661497 3688 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i ockinge Gite nu) 4 hve ay QLaSIon AGEING hs stoma. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Fiaaso run this quesoto Doll Gunsuants ve June 6 2000 Un the rlosed sampsd, set `addressedenvelope. Piease return this questionnaire addressed envelope. io DeUa Consuitants tv J&H:e 6. 2008 in the enclosad stamped, self- Questomarecompetesby Yary Kleen. hie oo SE Noms sna Til Name and Title :&JC+1 Fre apaBertha0. Cie Fire Department Prone amber22J1(8) CG(z_z_y Y4:22J\ 6/3 L3 X Phone EW Number Aga bbbh-tf-eraantls5 @@; e-e_ce:stl::._, com E-Mail Address Inogen" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00205 sStTaArTeE_022882211116622 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in FFiirree TTrraaiinniinngg Firefighting Foam Use in 11.. DDaootceossnyyioonuugrrcDDpeeoppraasrrittmomneesnn?tt ccuurrrerntelynootr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriciacallyl uusseedd CClaasssAosorr CGalassss BB ffooaammss ffoorr 'XX_. firefighting o Vosperat Yes i Proceetdo ons? - Proceed to QQuueessttioino2n2 No- Sign the baocfthkis form and return to Delta Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants K 2. HowCoCalasstssBBoeorrCClnalasss'AAffoosaammuusseeddiinnrreesposnspeotooffrinreecscaallelss?? Kozo 2. How often is ___ 2s5s-5s0o%iiofvfieress ______757050-1%0k0%oloffrfieress 0-25% of fires 3. Does tho DeppaRrrttmmeenntt hhaavvee a ccoommpprraessssaedd aiair ffooamo stam system (CAFS) (CAFS) wwiitthha 8 Buin bui!t-ln tankt<Jnk oonn 5its ngne(s? e11gine(s)? 3. Does the De ___ Yveess {KC Nnoo 4. How often foam used in traning exercises? 4. How often is foam used in training exercises? New wey __ venty O!S' cue ___ Never ___ Weekly ___ Monthly Quarterly Sem-Annually Aarualy BiAmualy ___ Semi-Annually Annually ___ Bi-Annually TT overemespeory ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. 5. How How mmuucchh ffooaammsisususeed ppoerrvtarariniinnggoevveen?t? KKC LLeessss tthanhS5ggaaatlolonnnss 55 ggaatlloonrss ___ 551to01100ggaallloonnss ___MoMroeretthhaann1100ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - 6. 6. Intraiing, In training, where where ddooesss tthhee ssppeenntt ffooamr gooo?? _X_SomSows __SantaySower ___OnSioSeprc __O_CS:__ Ground T(<: SotovremrSeeswseerdw_ se_ merSanitary Sewer __ On-Site Septic Ground Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. WWInhhfeoerrrmeeatddiooeonso/deridcttuhhertterraoaiinnnindignptataskkteealplanaccnee?? aPPrlleseaa.sse inch include aaddddrreesss,, inntteerrsseecctiioonn oor thsother spec specific llooccaattioonn nu:.Kr information for current and past training areas. wi uee MJ.e.k.vv-ce.. UU5sredd. Fitrer F"o'Fsa~ioi*n' tangy Pfi/4c-eeeJd. (ihh cc~o>oec biea t4'-Z".;_ XKiInnooggefrn:' ,,.., OVVEERR-----+ er eran TT TEL OLR aisieosn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002206 STSTAATTEE0_208282211116633 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and brats) of foam reowe used now and ne pas byte Deparment, bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponia ann ain aplesle lesss chock a nt apy. response and in training (if applicable)? Please check all that apply. TUrasiendiinng? AmUoseudnt Current Historically TTyyppeeooff FFooaamm Clas 8 Aavecus Class B Aqueous Fimpomgfom -- Film-Forming Foam en (AFFF) Class conor , Class B Alcohol- Sy dpwlite36 J vesnd J Resistant (.LI..R)~ BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUssed? AFFF CossBPown Class B Protein Case Class B FFlluuoorroopprrootteeiinn ((FFPP)) Gloss Fim Class B FilmFog Forming Furman ---------- ---- ---- ---- ---- Fluoroprotein fe (FFFP) cesearse Class B AR-FFFP Goss Class A-B Hi Cpmonfoam --_-- = -- Class A Expansion Foam Class A Tomnglam Training Foam oer -_ -- = _-- Other Silverec YyY LePH ; Thankyou or your me nd cooperation Pioas contact Nany Roding at Det Consallans (051.667.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or odin daaenecom) oo Siocinge at he Mimeset Poluion Corel Agency (651457-3600o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sock Gite ras) You hve a asesion raring i auestommae jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas retu this questonnaie to Dols Consultants by Jun 6 2008 n the enclosed stamped, se Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellooppee.. Questions competedby Questionnaire completed by: A c- r.7 ~.L? Name a a Title _A,/; <c~ Le. em 1c otee Lire Phone a2mb4er3-263-3454 Phone Number Baie && -2?-- o0"?7? Date Err yy phe rl Pol CorrST Xinogen hanes 31.430.90051000 TSA Take ChL30oS moreon _n. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00207 sStTaAreTE_208282211116644 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. TDDeoostessanyyoouuusrr DDceepppmaatrrotmmneesnn?tt crenty currently hasor has youyour Deparment Department Htrcaly historically used used Class Class Aor A or lassClass B foams B foams for for firefi~ghtJYingeovpNeesorsa-ti-S-oPinPrgsron?octcaheseedBtatoockQQouufeetsshttiioisnofn2orm and return toDl Consultants No- Sign the back of this form and return to Delta Consultants 2. Howofen'sClas or Glass foam usd in response tf cals? 2. How often is Class B or Class A foam used in response to fire calls? Cosette samcties ___7sio0%otfies ~5% of fires 25-50% of fires _ _ _ 75-100% of fires 5. Dou he Deparment have a compressed fou system (CAFS) itha bli ak5 Gorinns? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? No ~ re _ _ _ No 4 Howoflen is foam used i rng xercses? 4. How often is foam used in training exercises? J Woniy Quaray ___ Weekly Som aly pe Smuts ___ Semi-Annually Monthly --0~nually ___ Quarterly ___ Bi-Annually Ger (asespect): - ___ Other (please specify): _______________________ [TT -- 5. How much~is used per training event? 1 tess vans gatos 5gaors Sto 10 gatons ~ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10gallons ease spec ___ More than 10 gallons (please specify): _________________ 6. ntaringwhee oss the spent foamgo? 6. In training, where does the spent foam go? Storm ower ___ Santry Sower Onstesepte uGrrond ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~nd -- _ _ _ Other (please describe):---------------~-------- 7. Where doesiid he ining Lake place? Peas includ across, erst ote specks acation 7. Where does/did the training take place? Please include address, intersection or other specific location ove tBotiemrslavg vnandoro Erele avatei Fal;' Lok -r--J t / information f~_current an~ past training areas. ,. 1-::j .- ~ i .-,. 1 L ,/ t, V ;/v t:=:- ~ i_.,./?oUr:<~i-,?..: ~ ;/ - Xinogen: [ETP otAHRPE ir 5910 Rice Cree~ Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477;74J.1 ..fax: 651.639.9473 www.deltaenv.com 22222..002208 SstTaAreTE0_208282211116655 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg a ---- 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesora ens in Fa cane' Peasck lot 9 response and in training (if applicable)? Please check all that apply. TUreeasning AmUorusant Gurentuseor TTympeecoiffFoooamm Gs peas rn Class B Aqueous FilmFemi Foam (FR) Forming Foam (AFFF) Gs col Class B AlcoholRessant ARAEE Resistant (AR)-AFFF Cossopen Class B Protein Gigs 8 Froroton Class B Fluoroprotein # _-- (FP) Gis im Forming Class B Film-Forming Plooproon (7, | Fluoroprotein (FFFP) LE -- Class B AR-FFFP Guano Class A-8 Hi Expansion Foam -- Expansion Foam Gass Silu-ex yw llega Class A amgroon PTF Training Foam ome - Other BBrraannddooffFFooaamm S1 ItJ- ex Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HHiissttoorriicc UUssee?? han outa your me and coset. les contact Nancy RonofDgts Conf (65.007 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 odio coomJ) Ski he Mineola Foo Cans Agony (1457500o6f jjoiimrm.n.ssrttooodccnkkiiinnnggg@eerrd@@essltttaaaetteen..vmm.cnno..umuss)))oiiffr yyJooimuu hhSaatovveeckaainnngyyeqqruuaeetsstthtiioeonnMssirrneenggeaasrroddtiiannggPtothhlilisustqqiouuneessCtitoioonnnntrnaoialrireAe.g. ency (651-297-8666 or Plsse retun is cuestionn0Daaitv Constants by May. 008 nth enclose stamp. sl Please return this questionnaire to Delta Consultants bv Mav 9, 2008 in the enclosed stamped. self- `aaddddrr eesssseedd eennvveell ooppee., -- . , Questionnaire completed Rat et Least FL ried .~ Scelod gle pie el - Fire De~artment FonsgNorr 396 uPE Phone Number Dige DAM] !if~2"~,':t.:;~--"~ oe7-08 Date Ew E-Mail Address Xp Inogr ~n. ,, ene co. con Ses 85s TSHR Toke OLS io Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www oo MN 55126 USA deltaenv.com 22222222..00220099 sare ozs2ies STATE_02821166 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Dogs our Department curhtas your Depimen strat sadClass Aor Cia B foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for een omanss 2X Yes Proceedto firefighting operations? ; { Yes- Proceed to QQuueessttiioonn 2 2 No Siantho baocf hkis form an return to Dla Consultants ___ No -Sign the back of this form and return to Delta Consultants 2 How ohen's Glass BoClass Alam usd in sponse or cals? 2. How often is Class B or Class A foam used in response to fire calls? X_ ozsnotties 2550 ties T5100 otros 0-25% offires _ _ _ 25-50% of fires ___ 75-100% of fires 5. Does the Deprimes have a compress a oa syst (CAFS) ith inark on angi? ~Yevses 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? TeNo 4. Howoten's foam ued n ring cers? 4. How often is foam used in training exercises? TT ea ony cure ___ Weekly Monthly ___ Quarterly T somamuaty poruaty Thay Semi-Annually Annually Bi-Annually X_ Overipomsespocty 0 )( Other (please specify): ----=~._-.._::::___________________ 5. Hymu toam is sep ming ven? 5. Oll Losstran' gatons How ~ ;oam is used per training 0 Less than 5 gallons event? 5Sggaallloonnss 551to01100ggaallloonnss MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee sppeecicfiyfy):): _____-- ____________ 6 nai, wher dss the spent foam 57 6. In training, where does the spent foam go? Sm Sever Santry Sever ___ Storm Sewer __ Sanitary Sewer Onto set __ On-Site Septic Gnd Ground 7. iohre r dontoheava--in--k_s--pac--e?olenase code adcrss,inrscton ahr spi ocaten 'X)__( GOiifv1eerr ((ppileeaassee dees~ccrdiubec.}: _,.M_.>NLl,oo,L:.-_t _ft$!"""a""-'.Jf~.r[Ae,~.I-'_____________-- ____ 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Xinogen ------ TR ER nT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002210 SsTTaAtTeE__o0z2s82211116677 QQUUEESSTTIIOONNNNAAIIRREE FFiirreffiigghhttiinngg Fooaamm Use iinn FFiirree Trraiinniinngg 8&.. VrWienhsaapltonttyysppeoeta(ssn))daainnnddtrbbarnarinndga(s()1onoaffpiffpoolaa)immcabaalrreec?oorPrwlweeearrseeuuscshoeeddcknnooalwwl haaanntdd aiinpnpttyhh.e ppaassttbbyytthhee DDoeppaarrttmmeenntt,, bbootthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. Class ATTuyppoeooff FFooaamm GCFlolaamssissn8BgAAFqqouuaeemaouu(ssAFFFFiilFmm)-- GRCFolaorlsmssin8BaagAAlfclso(coaohmhosyol.l(-AyFFF) ClRaesssista8Pnrt o(tAeRi)n-AFFF C*CClllaa)assssss 8B B Fuaroprotein Protein Fluoroprotein GF(CFillaPsaoss)rssoB8peFFoitilmemn--FF(ooFrmFmiPinn)gg CassBARFRFP Fluoroprotein (FFFP) CCECpllaalassssnaAsABso-BAnHRsHFi-ioFFaFmP Expansion Foam TCrlaaisnsinAg Foam OTtrahienring Foam Other BrBarannddooffFFooaamm | ------------ -_-- mr TrUUassieenddiininng? YesorNo Training? Yes or No AAmmUosoueudnntt Awwaly Used Annually HiCCsuurtrroreernnittcUUUssseoeoo?rr Historic Use? mem -------- ---------- ------------ re ee eee ---- ---------- ---------- T Sloot T MtJONO jog --- --- "oTrThhaoanndkkniyyoonug@ffodorroyytooauuerrntmvim.eecoaamnn)dd occrooao4ppomerarSatlitoioocnn.k.inPPgloleoraaassieetcchooonnMttaaicctmt NNoaasnnaccyyPRoRolocldhunntiionnnggoaattnDDoetltaAgCCooonnncssyuult(la6nt5ts1s-((265955711---3666906776--o55115522 imstocking @state mnus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you haveany Queiions regarding his Questomnaro. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or adPPdlleruaessssesrereedtteuunrrnnvettlioliosspqeq,uueestsiotninaoirnenttooaDiDaerlitea GCoonnssuutltaannttss bbyy NMlaayy99,. 22000088: iinntthhee eenncclloosseedd ssttaammppeedd,. sseellff- addressed envelope. ogre ama anGdXTH.s akerfsh) ~ chige Na~Bm~ei/arn&d Tits-iO::'rls Jeq~d~ MI{YJJ.. FiFrireeDDeeppaarrmtmeenntt HFa!Jno,e&NuJm2bia/rel '9155'8971 Phone Number Dfoo aes E-Mail Address XXIinnogo~g:ne.n ,,, PPrhoonne:e: 631.639.9489 1 800.477.7411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 551.639.9473wen dalinsns.cam Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222222..00221111 SSTTAATTEE__0022882211116688 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1 . rDDeoofseissghyyioonuugrr oDDpeeeppraaartrtmimoenensnt?t curentl currentl yo y o r has has your your Department Department hitorcaly historically uusseedd CCllaassss AA oorr GCllaassss BB ffooaammss ffoorr firefighting operations? / YNYoe.sS--e iPPrgronoccs teeheeeddbttooaQQouufeceststhktiiioosnnf22orm and return fo Delta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How often s Gass Bor ClaAfsoasm used iresponse ofr cals? 2. How often is Class B or Class A foam used in response to fire calls? os ofes 25.50% oftes ___ 0-25% of fires ___ 25-50% of fires V 15100 offre 75-100% of fires 3. Docs te Deparritmmeenntt hhaavvee a ccoommpprreesssseedd aair famfoam system system (CAFS) (CAFS) wihwith a a ulin built-in tank tank on on 1sits engine(s? engine(s)? 3. Does the Depa ___ YYeess L/ L NNoo 4. How ofts feoanm used in raining exercises? 4. How often is foam used in training exercises? weeny -- vonmy ovary ___ Weekly Monthly ___ Quarterly --/_ SSeemmiic-AAmnunaulalllyy AnAnnunaulallyly ___ BBir-Aanmnaualllly _// _ OOttvheerr ((pplleeaassee ssppeecciifyy)): Trhftiiss [Fa.lt IlI wpet. g/'u1-1tLa&<. new pespi tosckints revrca sw dd nib wis Pim antl Shem '.J ._y r ,~..~ , we. tlul n~-b /IH ~ .4l.q,.... u 11 f,jl +4 n" , 5. Howmuch foam is used per raining event? 5. How much foam is used per training event? + esstanSgalons gallons _ swi0gens ,/ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mor than 10 gallons (lease speci More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Inainng, where docs he spent foam 07 Storm Sewer Sanitary Sewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer Omer (please describe ___ Other (please describe): _____ - __ oOnns-SiietesSeeppitcic +/GrGoruonwda 7. iWnifnoerrmeatdioonesotrdctrhonvaaincnptaaskerpilnanceg?aPrleesa.se ncudo address, interscin of other speci locaton , ) Hmogene rane: Phone: 651.639.90055910 651.639.9449 1I 300.474711 Rice Creek Par 800.477.7411 Fok: kway Fax : 691.639.2473 Suite 100 St. 651.639.9473 wownidaltasns. om Paul, MN 55126 USA www.deltaenv.com 22222222..00221122 STSATATTEE0_208282211116699 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. Wht tot da rtff)orm mriwere Set ani ho st bo opm, lr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Tasatron Type of Foam iss on i Class 8 Aqueous Filmnm. Forming Foam (AFFF) le col Class 8 AlcoholRenee Resistant (AR)-AFFF cmsbPaon Class 8 Protein -- Class 8 Fluoroprotein =(FP) Gass fim sang FiCFulluoaorsorsop8prrooFttieelmiinn-F((FoFrFFmFPiPn))g mor Class 8 AR-FFFP curate Class A-8 Hi fre Expansion Foam GuClass A Ee Training Foam sogaren -------- Brand of Foam -- rote Used in ome Training? -- --Vae--te Yes or No Amour Amount OEUsed aw Annually i oT ---- cWeuiel Current Use or Historic Use? - -- OtOhtheerr ~5-W1501et/t.J0OhhW-a/.1vt1e6h>ifln;png,Jl"fyydA~yfIgetfr"s'a-pchf.e,.~e~d<IVwwyii ;t+.sh4s/i-Ff 0~o H for.#IA I Qrz11a0l l v-t 1Jh yc.c f?,> v. Tamotsne u rtp, a neyo corte 0518151 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Pe h d esr oise a o an eoa nwsra r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Spm PPleleaasseerreettuurrnntthhiissqquueestsitioonnnnaaiirreettoo DDeellttaCConosnuslutltaannttssbbyvMMaayv99,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellff:- addressed envelope. - PI -- Questionnaire completed by: aks Ti Chic Royce Name and Title Latta rash lech bod Five Fire Department 1P2~.p() tf. i Kr 2/ -394 -49(3 Phone Number ET :25-09 Date EEM-Maialil AAddddrreessss - Kinogen: ree oon A TE CE A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00213 stare oso STATE_02821170 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. Docs your Deparment curentlyo as your Deparment ioral sed Class or Cass foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for pg -- os- Proceed o Question 2 X firefightin~ operations? Yes- Proceed to Question 2 No. Sign he backofthis form androtumto Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. How often is Glass B or Class A foam am used used iin respons response to to refire cal? calls? fo XX oamwomes 2. How often is Class B or Class A ___osso%wootf feiress ___7551-01000%%aotfrfieress ___ 7 0-25% of fires ___ 25-50 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS))wwitithh aa bbuuiilltl-iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves ---,---Yes Xm ~No 2. Howaten's foam usedin baking exercises? 4. How often is foam used in training exercises? Never Way Marty Quartet ___ Never ___ Weekly Somamaty 20 Aavualy avanuaty ___ Semi-Annually .XJ Annually Monthly ___ Quarterly ___ Bi-Annually Or (less spec: ___ Other (please specify):------------------------ 5. How much foam is used por aining oven? 5. How much foam is used per training event? X0_ toss than galons Sgalons Sto 10 gators )() Less than 5 gallons 5 gallons 5 to 10 gallons More than 10galas (seas spec: _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. niin, wha doas th spent foam go? Storm Sewer SantarySewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer _ ___ OnOsnt-SoiSteeSpeiptcic A C GGrroouunnd Oth passe descrbal -- ___ Other (please describe):----------------------- 7. Vihar docsiot th airing ake lace? leas nl addres, resection or othr spcic cation 7. Where does/did the training take place? Please include address, intersection or other specific location homaton tof cument an pas amng ros. information for current and past training areas. tA/Das TUWL OVER--~ BD EE LS ES 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00214 sStTaAtTeE__o0z2s82211117711 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training Whe type(s) an banc) of fom are or war use rns a nh pasbythe Departmen, for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire respons ni ang 1 apical' lease check al ha al response and in training (if applicable)? Please check all that apply. TUasmednigne Am`Uosuendt Cursnty istorcaly TTy~tp;e!eooffFFooaamm Class 8 qs ee en one Class B Aqueous otrenmnton ATC wA -- -- = Film-Forming Foam (AFFF) Class coho Class B AlcoholResa () ---- ---- ---- -- -- Resistant (AR)ne AFFF CossBPoen Class B Protein case Class B Famopoon (Fp) ---- ---- ---- ---- Fluoroprotein (FP) Class im Class B FilmForming Forming Fuggpoen | ---- Fluoroprotein fet (FFFP) CessbamsR Class B AR-FFFP Gass re Class A-B Hi Tran mm ---- - Expansion Foam Glass A SILy-EX ws Sx Class A Tanngfom --S QES sg ISAC Training Foam over -_- _-- = __ Other `BBrraannddooffFFooaamm A:*l~ <;LL11- fVC "? Used in YosorNo Training? Yes or No Amount Annually Used Annuall~ Used? Currently Used? Used? Historically Used? ---- --- A.)D '(-5. l~/l. ~ ;~;;K ... Thank yofo your te and cooperation. Pass cada Nac Roding a Dota Consults 851.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or adhdahaan.coormryn Sling the Minnasta Foon Corl Agency (651-497-86o68 or nrodning@deltaenv.com) or Jim jjimim..ssttoocckkiinnggeerr@@ssttaattee..mmnn.u.us)s)iiffyyoouu hhSaatovvceekaainnngyyeqqruuaeetsstthtiieoonnMssirnreenggeaasrroddtiiannggPtothhliliusstqiqouuneessCttioioonnntnrnaoialrireAe.g. ency (651-297-8666 or Fiense etn is ques10fDeoismGonnsuaanitsaey une, 2008nthe ectosed stamped, set: `addressedenvelope. Piease return this questionnaire addressed envelope. ro Deita Consuitants bv june 6. 2008 in the enclosed stamped. self- QuesLiuoncnadrercompUlentiabpy:gecsntd> Hug L!JJD~,0 Questionnaire completed by: {;{oft abe $e Nah1~and Title Fibumarinon ,f7saoortm~ /aInJtt/.l. Fire Department Flthizs & _Pshopne_amsie3: 3- 2068 000000000 {-TFe og Phone Number bkfp-rdd~BSIsJn-1.~~5-aer ENitnoagetrss TT TTR one 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00221155 stare_ozsz1172 STATE_02821172 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. oes your Deparment curenty has your Deparment istrcly used Cis Aor Gis8 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for esi cpastons? firefighting operations? Ves-Proceed 0 Question PC ___ ~ tm ss Yes- Proceed to Question 2 No- Sign the back of this form and return to Delta Sonia Consultants 2. How often Ciss Bor CassAfoam used respons orcas? 2. How often is Class B or Class A foam used in response to fire calls? ovaries _assonoties [ra ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 5 Doss he Dopariment havea compress ai foam sie (CAFS) wilh bitin ak on 1 engine)? 3. Does the Department have a compressed air foam system (CAFS) vvith a built-in tank on its engine(s)? ves ___ Yes we ___ No 4. How fens foam usd in ving verses? 4. How often is foam used in training exercises? New Weeky omy cue ___ Never ___ Weekly ___ Monthly _ _ _ Quarterly Sam aly Aol BsAreualy ___ Semi-Annually ___ Annually ___ Bi-Annually ver (pease speci ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - How much amis ued or rang vent? 5. How much foam is used per training event? Los thn ators gatos ___ Less than 5 gallons 5 gallons S1t0 gaors ___ 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee sppeecicfiyfy):): __________________ 6. Intoining. wher dos to pen foam 0? 6. In training, where does the spent foam go? om Sow __ Saitry Sever onsie Sept Gow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground [A -- _ ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Vinee docs he vain ake lace? Poo nce ais resectaicoen pectic ocaten 7. Where does/did the training take place? Please include address,inter'section or other specific location Piomotactoooanns pet amin wom information for current and past training areas. NXiInnooggirnn ~.,. OOVVEERR-----+ Phone: } 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www MN 55126 USA de!taeny com 22222..00216 sStTaArTeE__o0z2s82211117733 QUUEESSTTIIOONNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. Whore) nd aretyf gm revsnieeso aony ny Deprnr br 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Desctren Type of Foam Case Ans Class B Aqueous pmsran Brand of Foam lt eahT me oCveanyty r"aity Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Crs cao Film-Forming Foam ((AAFFFFFF)) Class B Alcohol- Rc3istant (1\R}AFFF emobaen C!ass B Protein Class B henry Fluoroprotein (FP) Class B Film- poe Forming 2 | Fluoroprotein -------- ---------- -- -- ---- -- ------ (FFFP) Cy Class B AR-FFFP Class A-B Hi Expansion Foam -------- -- -- ---- Class A Training Foam oer _ = = = = Other FO ---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a neyo Se or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or eaeorien jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by June 6 2008 in the enclosed siamped self- tories addressed envelope. Cn D FroAeu soe d fFan I Phone Number Date 20 765 1c $2708 32-CJ ErE-Mail Address Inogen" Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 7 Suite 100 St. 651.639.9473 TT Paul, MN 55126 USA www.deltaenv.com 22222..002217 STATE_02821174 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeNeAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. DTDeooleeosshyyioonuugrroDDpeeeppraaarrtttommreensnt?t curenty currently oor has has your your Department Department hhiissttoorriciacallly uusseedd CCllasasAsAosorr GCllaassss B8 ffooaammss ffoorr #7 Yes - ProtocQueesteiodn 2 firefighting operations? Y ' Yes - Proceed to Question 2 No Sign th back ofthis form and rettDuolnta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoften' Ciss Bor Class Afoamused inresponse ofr cals? 2. How often is Class 8 or Class A foam used in response to fire calls? 7~ oasuotives 0-25% of fires 550%ofres ___ 25-50% of fires ___ 775-510-0%1oof0fffirr%eess 33.. DDooeess tthhee DDeeppaarrtmmeenntt haavvee aa ccoommgpereesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bun built-in atarnkk oonn 5its eennggiinnee(ss))?? ves ___ Yes ow ~ No 4. Howoften' foam used in ining exercises? 4. How often is foam used in training exercises? Weekly Monty Quarry ___ Weekly ---,.. Monthly _ seminiaty 90 novualy Bama _ _.II'-- Semi-Annually rj( _ ___,/'-- Annually ___ Quarterly ___ Bi-Annually ter please seciy): ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchh ffooaamm iis suseedd ppeerr trraaiinniinngg eevveenntt?? __/-:::- LLeessss tthanhs5ggaaatlilononnss 55gaglallolonnss. 51010 gallons Z,o!rMooretthhaann1100 alos gallons ((pplleeaassee ssppeecciif)y:): _ Webo Swieelocuhsolsoetdiunldl fsieeepryV:w trimig 6. Invaining,where doesthe spent foam go? / Storm Sewer _ SantrySever onsteseptc __/Ground Ober leasedescribes. -- 77.. WWfoehrremreaetddioooeenssfl/oddiddcuhtrhereenrtr:aaiainnniindnggptaaakskeeralpialanccieen?g? aPPrleleeasaa.ssee iinncclluuddee aaddrderessss,, innteersresctieoncoortrootothhenerr speci specific llooccaattiioonn pict information tVH f- ROPE for current and ~1-Sf-' past training areas. (0510 Bush lobe Boma tO o2o05t0 KCe. naLs"hrStkSer Bl oolabeRvEer Seo Wab84Sk Franc: 651.639.5108050 33T7ATFok: 51.63.9473 mann datinene. am 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00221188 SSTTAATTEE0_208282211117755 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 85.. WfWehhsaaptot nttysyppeee(a(ssn))daainnnddabbirnarnndga(s(n)1ooalfpffpfsoolaia)cmmaabarleree)?oorPrwlweoerarseeeuucssheeeddcknnooawwiaaanntdd aiinn ythhee ppaasstt bbyytthhee DDeeppaarrttmmeenn,t, boboth foorrffriree response and in training (if applicable)? Please check all that apply. TTyyppoeooff FFooaamm C vCFiarslsBBaAa Aqmquueeeos ouusrsFs Fi,ilnm-- "CFloarsmsin8gAFlooahma.:(AFFF) vCiass B Alcohol- Class B Protein RReessiissttaanntt ((AARR))--AAFFFFFF C#isss Class Class 8B B Fioroprtein Protein Fluoroprotein GC(FFlhlaPaasso)ssro8BprFFoiitlmemn--FF(ooFrmFmiFinn)gg CasspaReE Fluoroprotein (FFFP) CECCxallaapsssasssnsAABi-oBABnRHHF-iFoFaFmP ciEsxspasnAsion Foam /Class A ,r;aforiavneinirinngg FFooaamm Other Brand of Foam YTTUserraessaiendomdinrinigNngn??o AAAmUmUmossoemueuddnnatt CCHuuimrsreetnnottrUUUsssoeooo?rr Brand of Foam Yes or No Annually Historic Use? --Cptu..g,,tf iJ, +4b4 ebJvCtiA-keJ-t=en.-AfAOFiTrF- FC=- dto.o LWeer...t-JF-rg'"e1~ t llLJb-lwd.o-.t;--e<r:/ 4rAcT_C so G~.uf-a,t-~erac.e a 40 4 -- ------ ------ Nfowelfame lop Lumb Zz 00 vgprused Huber J oJToTirhrhmaanonsinrdtokondcyynikooiinununggfgf@ooe@rrrdd@yyesoeoltututaarrleattonicimvmm.eeccnoaa.mnno)dd)oomccrorooJooJp)ipemmurearShStaaitttoiovooneccn.kk.aiinnPyPgglleeeeQraauaassettesettthcchioeeoonnnMtMstaiaicnnrctnentgeeNNassaraoondntticacanyygPPRRtoohoollilucdsstniQiooinunnneggsaCCatoloitnDnotDternreoaolllitlaaArAgeCCgeoeonnnncscsyyutla((ta6n3n55tt11ss--2(2(690857751--18-3606696967670-55oo11r5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `PPlelaasatPe- rreettuurrnn tthhiiss qquueesstitoninoanirnetatoicrDeeltDaats CCoonngsututlteatnsts bbyy How May 9. 2200C0S8 inir. tthheo anced e;;closGd ssttaa;mnppeedd,. Satself- `aaddddrreesssseeddeennvveellooppee.. MeSeer! L&ipeoemer QQuueesstitioonnnnaaiirree ccoommpplleetteedd bbyy:: Na}stkcan:.a-TSi"e"a- I Name and Title Fi2RDle.lgp>oarto1mtfeentdtti,rro1o4n1 Fire Department C/f16F rfi/n~e~ .Sie)5f)Aatt.2m..e~n6Atfrr- Fone NG2umb-erSe3-Y8// Phone Number c Ei Al ddreusse s~/o fEel. b6lkot:>,M;op/., ,}i, x.rV. HJ E-Mail Address Toe$1-zo08 Date NKinogen rane: 651.639.3085|e9T0.4C3r3eeTApTA yFok S51U.E03T0.O9U45S3MFarun dniiSasmTetUom 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.coin 22222..00219 SSTTAATTEE0_208282211117766 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DDeootcegss hyyioonuugrr oDDpeeeppraaarrtttmomreesnn?t curonty currently or or hhaassyyuourrDDeeppaarrtmmeenntt strc usd historically used CGllaassss AA oorr CCllaassss B ffooaammss ffoorr firefighti7"n'5g6.oYpYeNeore-sast-Si-oinPgPsrn?ocrteheodtbtaooccQQkuoeeufsetshaitiosondn2o2rm and returnto Dalia Consulants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. HowoftensClass B or Class Afoam used i respanso to fre cals? KL 02s otires 2550%offres ___75100%of fires 2. How often is Class B or Class A foam used in response to fire calls? ;>(.._ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Doss the Deparment aav compreess ai foum system (CAFS)with a lin ak ans angina)? 3. Does the Department have a coropressed air foan: system {CAFS) with a built-in tank on its engins(s)? 2 ves p{._ Yes No ___ No 4. Howoten's foam used nvaning exeroses? 4. How often is foam used in training exercises? New wey Moww oun ___ Never ___ Weekly 2 Semanualy Aovualy oat K Semi-Annually ___ Annually Monthly ___ Quarterly ___ Bi-Annually "7 ober ploasospect: ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howe foam i sed or arin vent? 5. How much foam is used per training event? KCLess hansgators sgalans ;(__ Less than 5 gallons 5 gallons ___ 551to01100ggaatlloornss ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfifyy):): TT vos deren) aHeld anMeseal 6. Invaling, hrs docs th spent foam 07 6. In training, where does the spent foam go? Stom Sewer _ Sankary Sawer onsieSepte Grae ___ Storm Sewer __ Sanitary Sewer ___ Other (please describe}: i4 q _ _ On-Site Septic f2e/cf 04 Pfe Ground 7//1(.(/1 42 7 Wmhereadstfolr cotuhritniannpaakseaplnacge? lreesas.s includ adres, inrseocrtoafrn spac locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. fEi.e; ld Kinogen . OVVEERR-----+ _-- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA [ES RAE EAH Ae Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002220 SstTaAreTE_0022882211117777 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Whattoes) and bane are wore usd wan i the pastby h Deparment, both or 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponee sr ton tape Pas cn oo So response and in training (if applicable)? Please check all that apply. TpeotFonm ndotfom TYUresarnaonirgnt?e AAmnUosaueldnyt Cvuereern't Hipsaereicsaly Ty~e of Foam ClBaAqusensis Class B Aqueous vom Film-Forming Foam fh (AFFF) GlBaAosnso Class B AlcoholReson, el Resistant (/\R)f=AFFF CesBPoon Class B Protein cases Class B FlFuluorooropprorotteeiinn ((FFPP)) Ga8sFisn Class B FilmFaring Forming Fiamoten _-- -- -- Fluoroprotein fe (FFFP) Cowon Class B AR-FFFP GlaAss Class A-B Hi Caton -- -- --s _---- -- Class A Expansion Foam Class A ramngpoom o_o TT Training Foam ober ON Other Brand of Foam ----------- _5SJti'lll/-ve-X ex Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? ------- ------- ---- -- ---- So YYeess Sa~g(a/ g~alIl 1155g'41-le;tIJ Thatnorkyouyrtooaundcooperation. eas ona Nancy odin a Dol Consular(151.697.6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ednaGtae com) os Soin 11g Men Fok, Colony (on 70008 o or nrodning@deltaenv.com) or Jim Stockinger-at the Minnesota Pollution Control Agency (651-297-8666 or Jolie ar LA jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas etum tis questionntoaDiatrtea Gonsutants by un6. 2008 nthe enclosed stamped, sot: Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped, selfQSuesth popars comptes re Cie I aaddddrreesssseeddeennvveellooppee,. FreDbelpaa7rtYor Fore Bloor Feat Fire Department FZ~h//eff--m3b3?aF5r5-~-S2'5?7fyt Phone Number C~fpeo-0f Date E NKinoa gen E-Mail Address 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..022211 state_o2s21178 STATE_02821178 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1 . TDDreootesoshyyioonuugrr oDDpeeeppaarrrotmmneesnn?tt sto nhas currently or has your your Department Department istoricalyused Glass historically used Class Aor A or Glass Class B foams foams for for firefigYh_i opYeerastio- nrso? coto Question No- Sign the back of this fom Yes- Proceed to Question 2 No -Sign the back of this form aanndd rreteurntttouoDDraetnlata CCoonnssuulltaannttss ___ 2. Howes CasBsor Class foam usd respotnosfe cals? 2. How often is Class B or Class A foam used in response to fire calls? __yX___ ozsotties seokottes ___1st00%fteos 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5. Does the Deparment have a compress a foam syste (CAFS) wih ui ak ants engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ---=--Yes x vo --rL-No 4. Howoftn's foam used in training excriss? 4. How often is foam used in training exercises? Wook Monty Guar ___ Weekly ___ Monthly ___ Quarterly SomiAnmualy Aunty Annual ___ Semi-Annually ___ Annually ___ Bi-Annually Over peasaspestyy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used or ining evr? 5. How much foam is used per training event? Loss tranSgatons 5gatons stg ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Morothan10 gallons (ase speci ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - . In ining, where docs th spent foam go? 6. In training, where does the spent foam go? Som Sewer ___Santary Sows ___ Storm Sewer __ Sanitary Sewer Or lease dosebor Other (please describe): ___ _OnSitaSeptc __ On-Site Septic GroGuronundd -- 7. Wher does he waning ke pace? Pleas inclu address, arsecton of othr pose locaton 7. Where does/did the training take place? Please include address, intersection or other specific location formationforcute a pat argareas information for current and past training areas. Xinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.539.9473 www.deltaenv.com 22222..002222 sStTaAtTeE__0022882211117799 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 5 Wht T 0) adeatr ) famr re rorn sd nw a inh pstby hs Open,starr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. a Uuntin 0 Amount cuetseor TyTyppeeooff FFooaamm rym" Class 8 Aqueous FilmEr ------ -- Forming Foam (AFFF) Clorore Class 8 Alcoholer Resistant (AR)-AFFF GuPoOn | Class 8 Protein Goa Fcroprotin Class 8 Fluoroprotein or _---- (FP) J -- Class 8 Film-Forming Rom, ------ -- Fluoroprotein (FFFP) Geor Class 8 AR-FFFP Geno Class A-8 Hi mite --/------ ---- Expansion Foam Goren _ Class A TrangFoam Shee Tp m SedesJldnil tend Training Foam a EE -- Other BrBarannddooffFFooaamm Used in YYTereassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy CHHuiisrsrtteoonrritciUUcsUseseeo??r Thoth prsSefonpar Senn os Nr Be CI EASE Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a ea Co mean 5 eT or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Be jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiissqauuesetsitioonnnnaaiirreettoo DDeellttaaCConosnuslutltaannttssbbyvMMaayy99.. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseelflf.- E Questoy r opined addressed envelope. - okakandy D6aG Jil mm feAnleedr.) Name and Title borep _2a-<82 0 -3 Sj3 pl3 s 9 wp Fire Department Pre i oe Phone Number DDe-cpptf. Date I ~ a E-Mail Address Sinogen: mn een TEE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00223 [ap-- STATE_02821180 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training I cetosauessions 1. 1. rDDaaosresgshyyuoonuurgr oDDpeeappaaatrrtommenensnt?t curenty currently or or has has your your Department Department historical historically usedClass used Class Aor A o r Class Class B B foams foams orfor firefigh)ttoperations? No- Sign thebackof thi form and returton Dolta Consultants Yes- Proceed to Question 2 _ _ _ No -Sign the back of this form and return to Delta Consultants 2. HowoenisClass BrClass Aloam use in espanseftoo cals? 2. How often is Class B or Class A foam used in response to fire calls? 026% fre 32550 ottves 75.o1f0re%s ___ 0-25% of fires ~ 25-50% of fires ___ 75-100% of fires -X- 33.. DosDoes tthhee DDeeppaarrttmmeenntt havea have a compressa compressed aair foam foam stam system (CAFS) (CAFS) wiih with a a ulin built-in arktank on on isits anine()? engine(s)? X ves ___ NoYes No 4. How ofenis foam used in raining exercises? 4. How often is foam used in training exercises? Weoky Mentry Quarter ___ Weekly Monthly ___ Quarterly XX_ semsonualy __ romualy eisamany Semi-Annually ___ Annually ___ Bi-Annually Overipessospecy ___ Other (please specify):----------------------- 5. How much foamis ued por vaiing event? 5. How much foam is used per training event? _XX tesstnsgalons salons 51010gatons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons MMoorree tthhaann1100 ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,,wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Stor Sewer Santary Sower onstosepic _Xorouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _X Ground te lensdose ______ oo _ Other (rle<=Jsfl describe): _______ __ _______ _______ ____ _ . ___ __ _____________ 7. Wohromraetdaonoso/dcdthe traanmingpaaksoaplracie? rPolea.s includ adress, nrsectn ocier spec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for ]Jie, current and past training a areas. Lotions us ov 77 ou, a Ninogen _ reese 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.3445 /800.477 7411 Fox: 631.639.9475 ww.AnILannY.COm Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00224 sStTaAeT_Eo_z02s82211118811 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What types) and rant) foam aor wa sed wand inn past by tho Daparmen,bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire esponaa sai tf pears Pease chock) apy response and in training (if applicable)? Please check all that apply. TUosiendnigns AmUoseudnt CumentUseor TTyyppoeooffFFooaamm Glas Aqueous Fin Class B Aqueous FilmForming Foam (AHFF) ---- ---------- -- Forming Foam (AFFF) ClBaAlscostt Class B AlcoholReson (agp | ---------- -------- ------ Resistant (AR)-AFFF CasBwen | Class B Protein Glas 8 Fiororaein Class B Fluoroprotein wo msm-- sen ee (FP) Clase Fil Foming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) FS Class B AR-FFFP CassAsi Class A-B Hi Botan == re Expansion Foam con Ansel 7 55m 7 Class A A Training Foam oer - Other BrBarannddooff FFooaamm Used in YosorNo Training? Yes or No Amount AAnnUnnusuaealdlllyy HistoricUse? Current Use or Historic Use? - To -- Thank you fo our tin ad coapeaton. Pease cortact Nancy Ring a Dela Conslanis (51.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 edna am) om Soir tr Mt SoCo Agony (60 S070 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or sock Gee A) Tou avs ay avesions oping i stoma jim.stockinger@stat~.mn.us) if you have any questions regarding this questionnaire. PPleleaasseererettuurrnntthhiissquqeusetsitoionnnnaairireettooDneel!ttaaCCoonnssuultltaannttssbbyvM!'a/Jyay99,. 22000088iirn.tthhee eenncclloosseeddssttaammppeedd,.sseelflf:aaddddrreesssseeddeennvveellooppee.. P-- Questionnaire completed by: B NeA 5 L Hz = FircFowise | 55crstan Name and Title Fre epBBaooimvveeniyz FFi&gte: Dptl??? . FFriroemDea2eNp/uua~smrtbm--eernt33f 0ctm}.. -270o ?7q / Phone Number emm---- 35-20-09 Date omdt(e2+~z+8Booft-3O@ hAhe.ototam+mm~iiJleeL ~CCC.OOOtNMvt E-Mail Address Knog XInIongog~enn' ,,, rere sor So TT e TS e it 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00225 sStTaArTeE__o0z2s82211116822 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doss your Deparment rent has your Deparment ioral sad iss Ac lass B forms ar 1. Does your Department currently or has your Department historically used Class A or Class B foams for Petting omtonss firefighting operations? 3 Ves -ProtosQauesntidon )(:'" Yes- Proceed to Question 2 No- ign thboc of his fom and return 10 Dt Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. ow otenis Glas 3 Glss Alfa us in sponsorcols? 2. How often is Class B or Class A foam used in response to fire calls? i A oases soko tsioonottes 0-25% of fires 25-50% of fires ___ 75-100% offires 5 Docs heDoparment hae a compres foam system (CAFS) wih a tinfark ons engine? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes TX)( No 4. Howeaom ustdineainn 'erass? 4. How often is foam used in training exercises? Week Monty Query ___ Weekly SemiArrusly Aomusly YX eam ___ Semi-Annually Monthly ___ Annually ___ Quarterly ~'lAc-- Bi-Annually Over plese speci) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much oom i sad pr iin var? X 5. How much foam is used per training event? _X__LeLessss tthhaann 55 ggaalllloonnss 55ggaalllloonnss 7 roth toons Gomme ___ More than 10 gallons (please specify): _______ 55tto101g0alglaollonnss. 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee sppeenntt ffooaamm go? Som Sewer SantaySower ___onStoseptc _Y_ Growa ___ Storm Sewer __ Sanitary Sewer Tomer pasa deste IE ____ Other (please describe):-~--- _ _ On-Site Septic LGround 7. Wher dogs h aakn e plceg ?Piss nde aes, ersecion fosececsation 7. Where does/did the training take place? Please include address, intersection or other specific location jlohsf-iLerr ooiom t.e- A?/ .sa information for current and past training areas. WplF hile _sofAu.--rr1h1 toJ jrV 2;;. 6(p XKinogen rr err TR TT, TBs enn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002226 sSTTaAtTeE__o0z2s8z211116833 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 Wrhesaptonpseets)ndanndabrnangdi (1 af9opaamairee' Fwleearseucsheedckrasl haat anpph. pas yt Departmen, bh for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUasmednignr AmUoseudnt Cumentusoor TTyyppeeooffFFooaamm CCllaassss BBAAqquueeoouuss FFiilmm-- FFoorrmmiinngg FFooaamm ((AAFFFFF)) Class 8Acotol- Class B AlcoholResistant (AR)AFFF semsvat. emt. eee Resistant (AR)-AFFF CowopwOn Class B Protein Class Furoproten Class B Fluoroprotein I -_-- (FP) Class 8 Fimfoming Class B Film-Forming Furotan (HF, ------------------ -------- -------- -------- Fluoroprotein (FFFP) Cosseareer Class B AR-FFFP Class 8H Class A-B Hi Somsnfoam | Class A Expansion Foam Class A Training Foam - Training Foam other EE Other BrBarannddooffFFooaamm Jptuu b6,e-e sS _puges Used in Amount 727% Training? YeessoorrNNoo Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? f./If) )""C,IJ.-~ --ae globe yes Gr solr Thank you for your timo an cooperstion. Please contac Nancy Rodrig t Dota Consens 651.607.6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rodnnGdakaen.com) or Sickingr at hs Minhesla Pohlon Corl Agency (661497 9600 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or sacking tae us) You hav any Guesians regarding I Quesionnake jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleaza return ti quesionnak to Dot Consultants b May, 2008 nth enclosed stamped, sett: Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped, selfadatessedanveioos addressed envelope. Guestonnare completed Questionnaire completed by: Ltrace Ss. Psyer IR fl.JAt-cN~ ,5- ars i Name and Title ,?5Y~K= a Fire Department Phone\33NaM2r0er 5s'RkYL(-/ 5.s-1t330tv yDat8e 05" Phone Number Date Es E-Mail Address Kinogen I 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9045 1 800.433.7411. Fok: 41.639.9473mdmerlincnn.som Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00227 sSTTaAeT_Eo_z02s82211118844 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 11. . frDDeooetsstiyyoonuugrr oDDpeeeppraaarritmmoenensnt?t cent currently oorr hhaass yyoouurr Deparment Department isoricaty historically uusseedd CsAsor Class A or CaBsfoasms Class B foams ffoorr X_ _ firefighting opYeerastioPnrso?cosdto Question X YNoe-s-SPigroncteheedbtaocQkoufestthiionfo2rm and return to Datta Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants 2. Howoften' Cass Bor Class A foamused i sponseto recals? 2. How often is Class B or Class A foam used in response to fire calls? oasworfres soot X___75400% offres ___ 0-25% of fires ___ 25-50% of fires X_ _ 75-100% of fires 3. Dos the Depahravetacmomeprenss:ed i faa systom (CAFS) witha uti tank on s angino(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes me x__ No 4. How olen foam used in aringexerses? 4. How often is foam used in training exercises? Never Weakly Meaty uarry ___ Never ___ Weekly ___ Monthly ___ Quarterly PEEpT-- Ponty r-- '-'X,____ Semi-Annually ___ Annually ___ Bi-Annually J -- _ _ _ _ Other (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. How much foam s used por varing sent? 5. How much foam is used per training event? Xess than goons 5 gators 51010 galons ..:.X_,____ Less than 5 gallons 5 gallons ___ 5 to 10 gallons Morsthan 10 gallos (leasespeci; ___ More than 10 gallons (please specify): __________________ 6. Intrining, where doos th spentfoamgo? 6. In training, where does the spent foam go? StormSawer __ Santary Sower onstesepic X_ Grow ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic _X_ _ Ground J -- -_ _ _ _ Other (please describe): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 7. Where doasdid he raining ako lace? Please incuda addres, inrsectino thr specication 7. Where does/did the training take place? Please include address, intersection or other specific location formfaorctutie oannd past 1g reas. information for current and past training areas. Wa goneray use for ony over ht the foam unt i uctoring prope, We wil rnth am ust ong We generally use foam only to verify that the foam unit is functioning properly. We will run the foam just long enough to verify function then we turn it off. There is a very small amount of foam dispensed. The location ofthe discharge wl vary depending onwherewe re ining athe me, We General rain ough ou of the discharge will vary depending on where we are training at the time. We generally train throughout our protectiontortor. which is 65 squar mies, Woes thfoamuntwhen we are conducting pupcperation protection territory. which is 45 square miles. We test the foam unit when we are conducting pump operation ols, Wo have oar capa on 3.0f ur Engines. drills. We have foam capabilities on 3 of our Engines. O OV VE ER R~ -- 5. Whatype(s) an bracts) offoam aro ar wer use now and nthe pastby thoDeparimont. bh for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire _eaponso on n raring oplcane? Please chocakl ht 35. "-'"~.response and in training (if applicable)? Please check all that apply. Kinogen: PTRETITIeT XInogfn "" PPrhoonnee:: 651.630.9445 / 800.477.7111 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639.9471wr delinsnr.iam Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..002228 sTae_02621185 STATE_02821185 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg TyTyppeeooff FFooaamm ClaAquseoeus Class 8 Aqueous Fimfommgfoam Film-Forming Foam ((AAFFFFFF)) Cl8aAcsansol Class 8 AlcoholRewamaRy Resistant (AR)re AFFF CossBpoon Class B Protein cass Class 8 Fuopton (fp) Fluoroprotein (FP) Cla8 Fsims: Class 8 FilmForming Forming Fuowoen Fluoroprotein FH (FFFP) Cosson Class 8 AR-FFFP Cassrsth Class A-8 Hi Goroonfoam | Expansion Foam BBrraannddooff FFooaamm ---------- ---------- TUrsisnaign? Used in YYTeerassinooirrnNNg?oo AmUosuednt Amount AAnnUnnusuaealdlllyy Currently Used? Currently Used? Historically Used? Historically Used? o_o ---- ---- ---- -- ---- ---- ---- ---- ---- ---- ---- -- ClCalassss AA TomgFm Training Foam oar oo == Other SiSlivlveexx XyY 21>d1g/4aglalolonn -y'----- NN Thank you for your tm and coopera, lee contact Nancy Rodrig Dota Consutants (651-097-3152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or wodhng@ datas com) cr ih SioCnGer 2 thy Minrascla Polos Convo Agency (851-973665 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im sockintagtemrus) Yu hav any sess regarding th Questo jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiissqqueusetsitioonnnnaaiirreettooDDelelttaaCConosnuslutltaannttssbbyyJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff:- adaressad snveiope, addressed envelope. Questonnaecompleted Questionnaire completed by: ScottSchafer Fire hi Scott Schaefer None anaTil Name and Title Fire Chief Sandon Fo Department Brandon Fire Department Fee Deparment Fire Department Hamper d032s0e-52242-222200 Phone Number 000000000 Sue e6/1n 3/20s 08 Date Elia ndares babnrdanodnofnrfiere@@qcqtcteell.ccoomm E-Mail Address 0000000000000 Kinoger ene ar an PO ST TT enh 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00229 sSTTaAeT_E0_206282211118866 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. oes your Departmen; curany ohas your Department ioral use Cass Ar Cas fos a 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for retomng operators? firefighting operations? TR er acoso auesionz >( Yes- Proceed to Question 2 No-Sign the backof tis fom and tutoDnla Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Howlen's Class Bor ClAafsoasm used inrespotno fsree cals? 2. How often is Class B or Class A foam used in response to fire calls? X_oaswottees rp. Tstomeries 'X 0-25% of fires ___ 25-50% of fires _ _ _ 75-100% of fires 5. Doss te Department have compressed a foam sytem (CAFS) wih bli ak on s engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve "XXn ___ Yes No 4. Howalen s foam used n talningexerses? 4. How often is foam used in training exercises? wey ory oun ___ Weekly Semcamty XK Aomaaty arArnualy ___ Semi-Annually Monthly X Annually ___ Quarterly ___ Bi-Annually Gtr (lease speci: SE ___ Other (please specify):----------------------- 5. How much oanis used orang event? 5. How much foam is used per training event? Loss than' ators Sotors XA sorogaions ___ Less than 5 gallons 5 gallons A 5 to 10 gallons Moe tha 10 galons (esse pect _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. Invaii?g< hedoesrthe sept am 57 XK storm Sewer Sanitary Sewer 6. In training, where does the spent foam go? Storm Sewer _ _ Sanitary Sewer _ ___ _OnOSn-tSeitSe eSpepitcic ___GGrroouunndd ------ TT Other (please d0scrlbe): - - - - - - - - - - - - - - - - - - - - - - - 7 Wire does th inkoince? las incd ade, mrsecton or othr spciclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location Fimsionfo cupen an ack sana ss information for current and past training areas. /[3311;)2.. /Pl!atnle-s.cnt~e ~ Ave -- HKwogen' rome 451.099. 0 05ATL Fak 9139 047) Masodaliatcnotm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002230 sStTaAreTE0_208228211118877 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 6. WThoantktyape(as)danndrbanirnga(1noaf dfpoai)mcaar lo wPlioarsoucsheacknoawnanad i9nphe ast b he Deparment, boi for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department. both for fire response and in training (if applicable)? Please check all that apply. TUUassnoenddiginn? Training? AAmUmosoueudnntt Used CurentUseor Current Use or ClFCaolarssmsTsiyn8BpgeAFqoouqfaveFmeocouu(assAmFFFiiFlmn)e- (Jbinguom Brand of UYlkJ11)~'1_ F o a m Ves Yes or No tt Annually t5,tl bt.s./!~4 Historic Use? rr ReCGFsloliaarsssmtssianB8ngtAAFll(occAoaoRmhh)ooAll(-AFFFFF) --_-- CussBPOON Resistant (AR)-AFFF CIl)ass Class Class BB B Fuorapoten Protein Fluoroprotein en. S------ CC(FFlolaPacss)rsso8BnFoiFtlilommm-FF(ooFrrRmmFiiRnn)gg| ---------------------- -------- -------- -------- casseareER Fluoroprotein (FFFP) CEoasms oAnH:Foam Class B AR-FFFP Class A-B Hi -- CElxapsasnAsion Foam Jnbsnown Yes 5polls CTrlaasnsinAg Foam --_-- omer Training Foam - Other faTiTohrharantnrnaokokcdkyynihooinnuuggaff@oordayyeaootleutuararreyttntim.veec.ecoosaammnn))dd) ooccrroo3oJJa0ippmn4eeraShSaatottiovno0ec.nkk.aningyPPgeleaercrasuaasetstesthLhccoooeonnnMtMstaaiicrnctotnseaNNstraaoinnatcnacyygPPRRooiokolslc-udrttnCiiooiunnnnsggsCCaaiootonnDonttrenkoalatalanAAsgCCgaoeonnnnesscyuytla(t(a6n6n5t5t11ss--2(5(690557711-068-60669786756--5o5o11r5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Deita Co'nsultants bv Mav 9. 2008 in the enciosed stamped. seif- adirassod svelope: addressed envelope. - Questonnare completed by: Questionnaire completed by: & J [Brad LJu-lv!ll -= Asfs/iifsl-twuwntt- _J;i::v)e~ Hame and Ti Name and Title Lrechesidse Jie [opertmont 6~c:Jvr,yoil)q,?' h've-- 12ep~1He-d-Fie Deparment Fire Department ' d hetd. uPhonse Numtbears L910 sB5ae-08 Phone Number Date Ea E-Mail Address Phone: Phone: 651.639.9545 1 800.477 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.639.9471 Suite 100 St. 651.639.9473 warkodaliastsasm. Paul, MN 55126 USA www deltaenv.com 22222222..00223311 sStTaAeT_Eo_0z2s82211118888 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 4. Docs your Deparment curany rho your opartmntisricaly used Cass Aor Cas ars or 1. Does your Department currently or has your Department historically used Class A or Class B foams for Faron opens? Ves procsed ~ firefighting operations? Yes - Proceed ttoo QQuueessttioino2n2 No- Sign the bahisoform an rettuo Dran Consultants No - Sign the back of this form and return to Delta Consultants 2. Howofen is Gass Bor ClAafosam used respofnosre cal? 2. How often is Class B or Class A foam used in response to fire calls? ozs otires Xoassonaries ___tstamorties ___ 0-25% of fires ____)(_25-50% of fires ___ 75-100% of fires 5. oss he Deparmenthave acompress a am syste (CAFS) wih alin takon engine? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves -.---,..---- Yes - AXvNo 4. wot foam usd i nig enerses? 4. How often is foam used in training exercises? Wook ory awe -_:-)(-X-=-- Wsseeemmeiikc-Alhynonnuuaalllyy ___ Monthly _______ AAannnvuaallllyy --_ BrAmaly ___ Quarterly ___ Bi-Annually TT oveensespeay Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam is sedpe ring ever? 5. How much foam is used per training event? Less tansgotons _X_ Sqatons _ swtogas Less than 5 gallons ____2(__ 5 gallons _ _ _ 5 to 10 gallons ore t0agantos essespect More than 10 gallons (please specify): __________________ Somos SuaySowr 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ___ Storm Sewer _ _ Sanitary Sewer __onstoseste_XX und __ On-Site Septic Ground ______ _ OOtthheerr ((pplleeaasseedd escre ibes ): c r i be e ) : - - -e - - - - - -e - - - - - - -. - - - - - - 7. WfhoerremdaonteahvaenrtaainnpaotkVlaancen?Palro.so che adress, intersection othr spi ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location /NIeJ" information pecDihAe< for current and <;,rc paaqsntntecra.s-iining~..a.. rea{sj.cv,eJi?~ites5 cecuy 1P:re c V<!.-t-1'-"7 he... we ce Rest bing: --- Ki rene vorg Te Ee T TE r Inogen' Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 Im Paul, MN 55126 USA www.deltaenv.com 22222..00232 sStTaAreTEo_z0s2z8121116809 QUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wat pets) and brand)of foam arcwore us res an nhpastbythe Dprimen,bo for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tetons oo Tn 1 ani' lasscheck of bot sp response and in training (if applicable)? Please check all that apply. TUsmednign Am"Goousnst Gumomusoor TTyyppeeooffFFooaamm Glass 8 AqueoFuism Class B Aqueous FilmForming Foam (oF) -------- ------ ---------- Forming Fo8m (AFFF) Gl8oAosnos: Class B AlcoholResa AEE | ------ ---------- Resistant (AR)-AFFF CasOPOGn Class B Protein Ga8 orsoprtsein Class B Fluoroprotein _ (FP) GlFaim sFormsing Class B Film-Forming Fromm rrp ---------------- ---- -------- Fluoroprotein (FFFP) Cesoavee Class B AR-FFFP Gloss AB Hi Class A-B Hi Santon a --p-- Expansion Foam a Silex [2 Seg Fish Class A Tonngrom Training Foam oer EE Other BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HiHsitsotroiriccUUssee?? Thankoyr oyuur time andcompetion. Pleasecorac Nancy Ring atDelaConsults (151.097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodhnodetaen com) o 4m Staking a heMinnesotaPaolo ConlAgere (57-597.3600 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or sr1Yoe u av aydoshe asending h) s oe jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pls stun thi ayet10iDaota onnsunlteintsby Moy 5, 2008 th ancedstomped zt. PleAse return th;s auestionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamoed, self- aaddddrreesssseeddeennvveellooppee.. ogc Steve f3 Burgess - Questionnaire completed by: c2.'ic v t:/C-- Rt:"~ c5i a Name and Title (Chie Preto, Fine Dt BRc; 'fuM7 Fie Dope Fire Department 2)s- 75% (Xx Y-25-08 .? J~- 75 7 ()c)- Fra mer Se Phone Number Date sb b S buvr~y ee. TfRrce-,,i11d<e>s;n:nc,.t_'.f. nnctT Ev Ad E-Mail Address Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00233 sStTaAreTE0_20228121191900 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11. . rDDtoooessniyyoonuugrr DDpeeeppraasrrotmmneesnn?tt ceno htas currently or has your your Department Department historical historically sedused Class Class Aor A or Glass Class 8 B foams foams orfor firefi_7 gh_t'in"Ygy_opNYYeoreea-st-siS-oinPPsgrr?onoccteeheeeddbttaoockQQouufeetsshttiioisnof2n2o.rm and retum to Dela Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoten is Clase Bor Coss Afoam usd in response ofr calls? LY ozswottres ___ 2sShoifes ___Ts100%offies 2. How often is Class B or Class A foam used in response to fire calls? -~'~~ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 5. Does ino Deporimont have compressed i foars system (GAS) wih busintank an 1s engines? 3. Does the Department have a compressed air foam ::>ystern (CAFS) with a built-in tank on its engine(s)? ve ___ Yes pre '( No 4 Howsofofamutsendin raining exercises? 4. How often is foam used in training exercises? J _ cumery k Never Weekly -- Semvhaminty Aorualy sina ___ Semi-Annually Annually Monthly ___ Quarterly Bi-Annually A -- Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam s used por aig oven? 5. How much foam is used per training event? __ lessmmSouons Sons _ swiogakns Less than 5 gallons 5 gallons 5 to 10 gallons TT Morotun togatons Gleasespeciy More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - - 5. In triing where coos th sptfoam 07 6. In training, where does the spent foam go? Sto Sewer _ Sanitary Sover onsite Sept oun ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over lease doscrboy ___ Other (please describe):----------------------- 7. Where Goold he rain ako plac? Fleas include addres, nersction or othr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location nmaortcuroe nand pa rang ares information for current and past training areas. Xinogen OOVVEERR-----+ Frome: 651.639.5085 1 800457 7411 Fak: 651.639.0473min daliasav.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00223344 STSATTAETE0_208282211110911 QQUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg Fooaamm Use iinn FFiirree Traiinniinngg 5. Wht ois rant fam eren Pvoor 8. What type(s) and brand(s) of foam are or were response and in training (if applicable)? Please TyTpypeeooff FFooaamm CleAqsa - Class B Aqueous Gosprwens Shethes Shox Film-Forming Foam ((AAFFFFFF)) Gee cat Class B Alcohol- Resistant (AR)- 2AFFF Gms Class B Protein gman Class B ny ------------ Fluoroprotein (FP) Class B Film- fo) Forming Domes | Fluoroprotein oy (FFFP) BrBarannddooffFFooaamm tad moanh ptyho used now and in the past by the ot oo check all that apply. -- Used in Trans S YYTeerassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy nnoo pf JE ---- ---- pra, Department, Comanty CUUusrsreeeddn??tly yVee5s I -- ---- bot oe both for fire Watorcsty Used? Historically Used? -- -- Class B AR-FFFP Class A-B Hi Expansion Foam Class A T---- ------ TT TT Training Foam oer = Other a, Ce eS TE TS2 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 en Cras ro or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or aes A Corr jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ERT eRe GottenOR AS HEAT Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, self- adadddrreesssseeddeennvveellooppee.. uestornaescomitsoy Questionnaire completed by: oho bstmen Fire hei _)O~"" NNaammeeaanndd TTiittllee ~ A~Wlejt:.. Brre wws'ttet?r~ FFr:ree fut Fire Department sli lel S50o?7_8[59922-- '5"'l 3(:, Phone Number fect an BE6-9Date Kinogen E-Mail Address men ound[Kke , t 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00235 STATE_02821192 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg -X- 1. 1. DrDoaooneosshoyiounurgr DpDeeeppraasrrotmmneesnn?tt ccuurrrteenttlyyoor hhaass yyoouurr DDeeppaarrttmmeenntt tray historically uusseedd CCllaassss AAoorr ClalassssBB ffooaammss ffoorr SC firefighting opeYreatsionPs?roocQueesteiodn 77No ign the baocf thkis form Yes- Proceed to Question 2 _ _ _ No -Sign the back of this form anand rrettuurrnn ttoo DDoetltaa CCoonnssuullttaannttss 2. 2. How oftenis How often is Class Class Bor B or ClaAfsoasm Class A foam used used in in espns response ttoo refire ccaalllss?? ___ 00-225s% ooff ffiireess _ _ _25255-050%%ooffffiireess. _X)_(_757-51-10000%%ooffffrireess 3. 3. DosDoes ihe the Deparment Department have have a compressed compressed iair oafoam ssyysstteomm ((CCAAFFSS)) wwiitthh abitin a built-in ttaannkk oson its earnggiinnee((ss)?? ___ YYeess XXoNo 4. How often is foamused in ang axcrses? 4. How often is foam used in training exercises? Never Weak Monty Quarry ___ Never ___ Weekly --____ SSeemmii--AAnnnnuuaalllyy _XX_ AAnnnnuuaallllyy Banal Monthly ___ Quarterly ___ Bi-Annually Over (ease spo: = ___ Other (please specify): ________________________ 5. How much foam i used pa raining event? 5. How much foam is used per training event? T-XR- tn -- Sip Less than 5 gallons 5 gallons Morothan 10 galas (leas spi: ___ More than 10 gallons (please specify): =JR 5 to 10 gallons 5. Inraing, where Goss th spent foam go? 6. In training, where does the spent foam go? Somsover __santarySover __Onstoseste XOX Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground thor peaso dose: _ ~ ___ Other (please describe): _______________________ 7. aWhreartodiooensiodridchrenk:oiannicngpaaktevlaacge?rPelaesa.se inl acres, inersectono other spec ocsion - 7. \'Vhere dOes/did the training take p!ace? P!ecse include address) intersection or 8ther specific lof?ation information for current and past training areas. J7/j,7 HuJ /ffi: XKinogen OOVVEERR----+ PPhhoonnee:: 651.639.9445 1800.477.74F1a1x: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 631.639.9473man.deltasnv.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00236 sSTTaAeT_E0_022682211119933 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wittyre bans ereend gabys eSports 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((Iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaatt aappppllyy.. TUrsaendign? Am"Doouondt Gurenty Miorcally TylpQeeooff FFooaamm Cl8avsouss Class B Aqueous Gost, Chemgavrdd No Nig _o Film-Forming Foam ess ~ (AFFF) Ga8Asosl Class B AlcoholRemenow Resistant (AR)jeAFFF CasPwen Class B Protein cass Class B Romoanpy ---------- ---- ---- -- ---- Fluoroprotein (FP) Glo Fim. Class B Filmfo Forming Fraga -- Fluoroprotein re (FFFP) casoame Class B AR-FFFP Glass 8H Class A-B Hi Croton mm co ---- ---- -- Expansion Foam Class A _Feeclvol Y'Yi Sxl 0 Zed Class A Tongro ~~ TZ ~ Training Foam Ober -- -- -- Other BBrraannddooffFFooaamm (t,eM.Ja, a~Tr-or Used in Training? YYeessoorr NNoo NIJ Amount Used AAnnnnuuaallllly Currently UUsseedd?? 6) Historically UUsseedd?? c3 --- 5~cd. CJ FE ----_---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 r B ei m peYgouae t ave esaor sofo aNo H en n y nVode i cd or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `PaiPlddelddeararesseseSsrerSeedtiteduunremvntteithlvhioeispiqeaqu.uaeesest.ti-ioo-nnn-na-ai-ir-ree-t-t-oo-DDe-el--tlt-aa-CC-oon-nssu-lutl-taan-ntt-ssb-byv-JJu-unn-ee-66.-.22-0000-88i-inn-tt-hhee-een-ncc-lloosseeddssttaammpoeedd..sseellff~: Questornarecompli Questionnaire completed by: EPara! T7Zivnee/",} Chief PCiAA ( c;;,~-r rp rea r Lo - rD-- FEF~ 281 Fire Department ~;s=- g'" d...t6t I Prana amber Phone Number o r 6oi--//--95 Date EHKainogen E-Mail Address wr rar mm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00237 sate_o2s21194 STATE_02821194 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in FFiirree TTrraaiinniinngg Firefighting Foam Use in 1. 1. DTDoaotseoshsiynyogouurr DDoepepepararsrtttmmoenensnt?t ccuurrerntrlyeoorrnhhaatss your your DDeeppaarrttmmeenntt hhiissttoorriiccaallly uusseedd CCllasasAsA osorr CCllaassss8B ffooaammss ffoorr firefigh?<. operations? No Signthobackofthis form and return Dota Consultants Yes- Proceed to Question 2 _ _ _ No -Sign the back of this form and return to Delta Consultants X 2. 2. Howofeni Cass Bor Class Afoamused How often is Class B or Class A foam used iinnrreessppoonnssee ofrto fire ccaalllss?? XK omhortes ___252.5-5500%%ooff fesfires ___ 775-510-0%0oof0fffeire%ess 0-25% of fires 3. Docs theDepartment have accoommpprreesssseedd aiair ffooaamm ssyystteemm ((CCAAFFSS)) wwiiththa ulti built-in taktank ons on its eennggiinnee((ss})?? ve 3. Does the Department ha ----.~.-- ves Yes X)o('neNo 4. Howoften foam used in taining exercises? 4. How often is foam used in training exercises? -- wesky --__ vouy _ cumeny ___ Weekly ___ Monthly ___ Quarterly Sem-Annually rape Bama ___ Semi-Annually ) {-. Annually ___ Bi-Annually ---- -- _ _ _ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. HowmXuch foam suse por aning oven? 2X tessthansgalons ____ 5gallons 5. How much foam is used per training event? Less than 5 gallons 5 gallons --_____ S5ttoot100ggeallloonnss Mor than 10gallons (lease speci ER ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaining, where oes the spent foam 60? 6. In training, where does the spent foam go? Som over SarvarySower ___onsuasoprc XK Grom X_ ___ Storm Sewer __ Sanitary Sewer Over (posse desame) Ue ace in the (antsy and. Have nlo lity Sewer syste LJ r(\ t Other (please describe): e.. o..Je.. _ _ On-Site Septic Ground -4 ~ t!~+' p.fld 1-f~J-e_ /\to t!-~~+7 :5 e,w e.t' ..$ Y5f<!P" 7. Wheredoesid th taining takeplace? Please inch adres, intersection o ther soci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location + damon Tfoorcarrea an paVstealn,g ar + ) information for current and past training aHr&ei~7.g]hhtf- out 0 (.-L .ss \i<:e(_~ dlke Xinogen' rane: 631.639.91064050 437 7411 Fok: 641.635.9471 mawrdaliaane. on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone; 651.639.9449 I 800.477.7411 Fax; 651.639.9473 www.deltaenv.com 22222..002238 STSTAATTEE0_202882211119955 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What type) an ranofdfo)ama orwero used now and i th pas by tho Daten, both fo fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponte ns hang 1 a930a10Y Posse check al ot 9p response and in training (if applicable)? Please check all that apply. TypoofFoam Sramof Foam YTUoasnenodrgidn?e AAmUmosueadnlt CsutroenrteUUsseeo?r T~Qe of Foam Clos 8 Aquoous in JA Class 8 Aqueous FilmForming Foam (FFF) _-- Gas eon Forming Foam (AFFF) Class B Alcohol- at REE cossgpown Resistant (AR)-AFFF Class B Protein CCllaassss BB FFlluuoorroopprrootteeiinn I) -_-- (FP) Class 8Fim-Foming WA Class B Film-Forming Fusoroprton (7) Gessparere Fluoroprotein (FFFP) Class B AR-FFFP Cass a8 Hi CWA Class A-B Hi Expansion Foam Mr Expansion Foam s1 \v- e_'/ C Caslsa i s--s--A------- TTrraaiinniinngg FFooaamm OtOhtheerr Brand of Foam r}lf W;1)A4 M;A J/r njt)A/} jt}/1- M /lJA A rJfr SIAN/- X c lrlJs A m--" w 11);1- r Used in Training? Yes or No Amount Used Annuall~ Current Use or Historic Use? ov !NYoo 30 Gallons. durrent ---------- ------ 000 Thank youfor your tmo an cooperation. Please contact Nancy RoaitDgla Cansutants (651.697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651 "697-5152 or roc Gdlaami com) or Slckingo: a 1 Mesa Poluton Corll Agere (851597 8006 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im Stocker sta) 00 have any Quon fogaing i cuestannare. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rau tis questionntoaDielrte ConsultantsbyMay 8, 2008 n theenclosedstomped, sot Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellopee.. Questonnate competed by: Questionnaire completed by: 1N\E/EA/LlL JJ-1a/JrL l Chol Nameand Te L Name and Title +, fZ- BS7er3oarriomloentJl z_ RK 370-430 Fire Department 3K=o- '-{;;;_o - 9584 Phone Number D-:pD;lJfh..at~l ( ee dc__ee__ n epet. cor EEM-Maialil AAddddrreessss - 4o4w--ez.2<J9--0088 Date Kinogen "' PPrhoonne:e: 651.639.91484005.477.7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 391.630.9473 Suite 100 St. 651.639.9473 meuridslinnnnsam Paul, MN 55126 USA www.deltaenv.com 22222..00239 sStTaAreTE0_206282211119966 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. RDDeootseasshyyioonuugrroDDpeeeprpaaatrrtimmoenensnt?t cuteny currently or or has has your your Deparment Department trical historicall y used used ClAaorsClasss Class A or Class B foams foams frfor firefightinXg.YopPeratirons?octoeQusetiodn2 _ ____;:>(""NYoe-sS-iPgrnotcheeedBatockQoufestthiiosnf2om and return to lta Consultants No- Sign the back of this form and return to Delta Consultants 2. How fens Class B.r ClAafsoaem used in respofnosre cals? 2. How often is Class B or Class A foam used in response to fire calls? X_ ozsmatiies 2ssomies Tsao ____,._X->r-- 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% of fires 3. Docs the Departmen ave a compress ai foa system (CAFS) with abul ak ons engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? X ves t>;( Yes ro ___ No 4. Howoteni foam used in aning exercises? 4. How often is foam used in training exercises? News Weekly Wont uartey ___ Never ___ Weekly ___ Monthly ___ Quarterly SombAmualy X_ Annual array Semi-Annually )< Annually ___ Bi-Annually Ger (lose speci: ___ Other (please specify):----------------------- 5. How much foam is sed por taring vent? 5. How much foam is used per training event? X_ tess rans gatos 5 gators 51010gators X' Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gals leas speci) ___ More than 10 gallons (please specify): __________________ tn vaining, wher dos tho spent fan 007 6. In training, where does the spent foam go? _ comSewsr__SomtaySowr ___onSieSeptc Grog ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground er leas desc: - ___ Other (please describe):---------------------- 7. Whoens e he ing ako ace? Peas ck ross, rerseion oa spec ocaion 7. Where does/dtd the training take place? Please include address, intersection or other specific location ornate tor cumere oe pas mig res information for current and past training areas. ftl\ c* t ,J.e. \1A>..O ;.i--. tr ~ ~OV) J_ @A~, ;:-i:.< ~J"y;> ,()} ~ - w.- LUe_. ,eJ l..u;) _D A j /i0LL Kwogen OVER~ -- A CE T E TT; TT TaTmT TES 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00240 sStTaAreTE0_20828221111977 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Vie ype amrt)oan ranvdmtend inhsopetn, rv 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire ee etme response and in training (if applicable)? Please check all that apply. Tnootiyn A5mos oan Mos TyTyppeeooffFFooaamm Class B Aqueous Cea de O0-I5MCY joBIS Film-Forming Foam bi (AFFF) Gre As Class B Alcohoimew R.Asistant (AR)- AFFF Germ _ SE Class B Protein Class B Bonomi) ------------ Fluoroprotein (FP) Class B Film- gen Forming en ------------ -- ---- -- -- Fluoroprotein we (FFFP) CowomE Class B AR-FFFP Pa Class A-B Hi I -- Expansion Foam `BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? Class A Toten TT Training Foam aver - -- Other Inkyou forsur tn and spon, Pls conat ore Baar DetCosts (61.07.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 BtAo A or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ea novepatny amd jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPll.e.f!aJis!eer_er_t~turJr[nlJtthhiis9q_1u!e..s~t~itioonnnfJa.i~rireet(og_Dfe)el~ttaa CCoonns.uslutlatannttssbbyyJJuunnee66,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellff- mA ame addressed envelope. rogueans ne Chad Nam nd T e rll Bas Deg rS~d'j t=~"JJ Fire Department Aaa vee- ro 9 y 3J20o-- 2~Y4-7 4&33 Phone Number Se5.290% Date nog: EE--MMaaiill AAddddrreessss XInogfn ,, TT 5910 Rice Creek Parkway Phone: 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 } Paul, MN 55126 USA www.deltaenv.com 222222..024411 STATE_02821198 QQUUEESSTTIIOONNNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg CRITE Co ApS Aros Bhat 1. Does your Department currently or has your Department historically used Class A or Class B foams for btede mi firefigh~:r.erations? eon Frocsea Gnion Yes - Proceed to Question 2 a A i Gomis ___ No - Sign the back of this form and return to Delta Consultants 2 Howton Clos or Ct Afs si sparse cle? 2. How often is Class B or Class A foam used in response to fire calls? VV7 vammattes sonore 100001 0-25% of fires 25-50% of fires ___ 75-100% offires 2 Doha Dopwtmnt av coment fo syste CAFS} ith lian on sgl? 3. Does the Department have a comp;essed air foam system {CAFS) with a built-in tenk on its engine(s)? zw- ~Yes _JL_ No 4. How often is foam used in training exercises? J no -- cur ___ Never ___ Weekly Ty VArn sry ___ Semi-Annually Annually Monthly ___ Quarterly ___ Bi-Annually a-- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 HoweJs/m ' s srvais vn? 2 Less th5gaallonns. 5gallons 5. How much foam is used per training event? Less than 5 gallons 5 gallons ___ 551to01100 ggaalllloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciyfy)):: - - - - - - - - - - - - - - - - - - 56. sgrer dos In trainin~here does hthee a spent foam 7go? orm ot oySo onswsone 2~ruanrd ---"_//'_ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic cove snes Other (please describe):---------------------- 7. Wits comin ning ce? Pgs toe, scior eorpncan 7. Where does/did the training take piace? Please include address, intersection or other specific iocation intimin information for current and past training areas. CZZrTyj oo;FC- Ltfe;oeowwgaevuJLitk.. Inogen" OOVVEERR---+ Phone: Ly 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00242 STATE_02821199 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg TAaa land0S epeebre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire enreve tp response and in training (if applicable)? Please check all that apply. StEr AEoEut ry tte TTy~p~eeooff FFooaamm ran Class B Aqueous Gms Film-Forming Foam wn(AFFF) Gone cn Class B AlcoholSempre Re~istani (AR)k=AFFF oN Class B Protein Cs Class B FlFuluorooropprorotteeiinn ((FFPP)) can Class B Filmfo Forming eI Tt Fluoroprotein er (FFFP) VRID? er soe ee eee eee Class B AR-FFFP a, Class A-B Hi i -- -- Expansion Foam on snc Wno; wen Vv4~ " Class A ---- TT T= Training Foam or a Other BrBarannddooffFFooaamm SJLVE~x Used in Training? YYeessoorr NNoo Amount Used Annual!l~y Currently UUsseed? Historically UUsseedd? --- I --- /_OGAI..s a ------ Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rents on timSos seHore For Conv ns are or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. A ate Gaeta P!Pas~ r~>tum this nuestionn~ire to Delta Consultants bv June 6. 2008 in the enclosed stamoed. self- Ee addressed envelope. S----------" Questionnaire completed by: ll Molea LU Chg WeelL)LIpAm-'mh B/JUuR/JLL hFIRR.E cC.h/Juie'JC Name and Title Spr 723S34 @201 &f'awGAWl r.~ Fire Department SppoedGs hho y l PhoneNumber / Date EE--MMaaiill AAdddrderesss.s (inogen a Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 ~N Paul, MN 55126 USA www.deltaenv.com 22222..00243 ST. STATE_02821200 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Doss your Deparment utdor hasyour Deparment istocally sod Cass Aor lass oars fox 1. Does your Department currently or has your Department historically used Class A or Class B foams for eatamang oposions? firefighting operations? +--ver presto Gsnton Yes- Proceed to Question 2 No- ign he Backof his form and etn fo Dt Consulate No- Sign the back of this form and return to Delta Consultants 2. Howalenis iss Bor CaAsfosam used espns 0 cals? 2. How often is Class B or Class A foam used in response to fire calls? X_ oaswatties 25.50 ores T50o0f r5es ___){__ 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5 Doss he Doparmt hava compres i foam stom (GAS) itha blitank n 5 angi? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)?. Kvoreo ~No ----o- Yes 4. Howofenis foam use n ring series? 4. How often is foam used in training exercises? weak voniy vray ___ Weekly Sororualy WC ovat Tema ___ Semi-Annually ~ Monthly Annually ___ Quarterly Bi-Annually Over (esssoci ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How mich foamis sodpo rong ven? 5. How much foam is used per training event? ----YeXss - than tors Sans Sto 0gakons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mere ran 0 galas seas sci) - ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Inaining. where doe he spon foam go? 6. In training, where does the spent foam go? `StormSever __ Sontory Sever onsiosopio X_couna ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic -4-Ground TT over msndmebor ___ Other (please describe):-----------------" ___________________ --~ ____ --------- ____ 17. Who docs he varing ko lace? leas nde addrss, rset ahr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location iomaton to amon; an pak Yami ro information for current and past training areas. Knog: XInogp:f "" Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 } Paul, MN 55126 USA www.deltaenv.com 22222..002244 stare_ozs21200 STATE_02821201 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88. WWThehsaaptot nttyysppeee(a(ssn)) aarnnddabbirarnnda(s(n)foodsfffpfsooaao)mmsaaerre"ooPrlwwerearseee uuesscecdknraoowwananntdd ainnptpthh:ee ppaasstt bby hethe DDeeppaarrttmmeenntt,, bhboth ffoorr refire response and in training (if applicable)? Please check all that apply. TypeofFoam Brand of Foam YTTUUroaassoieenndrdignidignn?e? AAAmUUmmossouueeuddnnltt CGHuuismrtreeonrnittcUUUssseeeoorrr CCFllaassosTsyBBrpAFeAqoumqoaeufmoeiFuo(osuaFsnFmFFiFgilmm)-- Brand of Foam Yes or No Annually Historic Use? CRowltBoaAnos(WlRs) AFF Forming Foam (AFFF) Class B Alcohol- a CassoPwon Resistant (AR)-AFFF G=losClass Class 8B B Fuoroprotein Protein Fluoroprotein re ce C(GFFuliaPos)rssosp8BroFFtiilommn-FF(ooFrrFmmiFinn)gg --. - CassoARFER Fluoroprotein (FFFP) CECCxallaapsssasssnsAaBi-oABnHRHF-iFoFaFmP --_-- Cassa Expansion Foam --- Trang Class A Training FFooaamm -_ oer --- Other ioToTrrmhawnsnroohokdcydynkooiiiunuannggfo@goerrr@ydny@oeJosultueirartelmktenimavemc.eecoonaammnn5y)dd) ooccroro)ooJd9pip0emmerarhSStaiiattioooovnccn.ki.ainnnyPgPgQoeleeuraraesaassteetttihcchooeeonnnMtMstaiaicnrnctentngeNNeasasraondontictacnyygPPRRhloolusliuditnQiooinunnnegagsCCaiootonnDDntnreltoalltataAAeCCg.goeeonnnnsccsuyyultl((taa66nn55tt1ss1--20(9695757115-86-066009670765-oo51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Quesiomnaie competed by: PPloleaasseerreettuurrnntthhiissqquueessttiioonnnnaaiirreettooDDeellttaaCConosnuslutltaannttssbbyvMMaayy99,,22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellff-: aaddddrreessssedeennvveellooppee., -~ Questionnaire completed by: Na-Tm;ao$am0nd TieHJo.tleom~a~n Fine chief Name and Title FFrReiDoeropaw:rmm~esnt=UnrtreJe~y -- Pon2N9um0b-er695 24k) Yre/os Toe Phone Number Date Ba E-Mail Address XKinogen rene SS _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ET Sh Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00245 STSATATTEE0_208282211220022 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree TTrraiinniinngg 1. Doesyou Deparmentcrt or es your Department istry odCass Aor Clas foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for enor) firefighting operations? KC YooProtcoQueesteiond X Yes - Proceed to Question 2 eo intr rc fi or a rts Dts Goneultrts ___ No- Sign the back of this form and return to Delta Consultants 2 Hooton Goss ori Mam esporss otro cal? 2. How often is Class B or Class A foam used in response to fire calls? oNMmnormes _zssoworwes ___rotoondiimes ~ 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5. Dove heDepart hve compress eta sos GAS its ult ak ts cle? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on 1ts engine(s)? Move '/-. Yes a ___ No 4. Har 4. How often is foam used in training exercises? er Weer wen --" ___ Never ___ Weekly TT Sonam Aomaly X_ oimnty ___ Semi-Annually ___ Annually Monthly X ___ Quarterly Bi-Annually Or pase spac: --- ___ Other (please specify):----------------------- 5 Howquehfoam is se por ang vent? 5. How )ch foam is used per training event? tronors sono srogaions Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons TT Mota tgs oot More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,,wwhheerreeddooeesstthheessppeenntt ffooaammggoo?? rn a eo S onsiosents _X_X__cowa ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground pp -- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Ware coon ing osinc? lose ute aon, rset or hrspc on 7. Where does/did the training take place? Please include address, intersection or other specific location mr ora am ving roo. information for current and past training areas. 22o2.2USe5. mils t.r::>..;o on n1i !I S-t 1j.... llno.. ...b ... -.1. lo N\.)1+ door= -h,. our f'; rt..- b '' XXiInnooggepnr "" OOVVEERR------+ ----t ETT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00246 sSTatAeT_Eo_206282211220033 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 58.. eWWhshapatotnttysypepee(a(ssn))daainnndtabbrirananindnd(g)(so(f)1 fo2fopfolaakmmabaarrleeeoorPrlwweeearrseeecuuhsseeeddcnknooawwhaannaddiainphyth.ee past past bythe by the Deparment, Department, bothfo both for refire response and in training (if applicable)? Please check all that apply. TTyyppeeooffFFooaamm Clos 8 Aqueaus Class B Aqueous Finromgrom Film-Forming Foam psd (AFFF) Class 8 Aonol Class B AlcohoiRevsien (AR) Res1stant (P.R}EE AFFF Cl8aPrsotesin Class B Protein cusses Class B Furoproten (7) Fluoroprotein (FP) Gla8sFism Class B FilmForming Forming Flaoaproten Fluoroprotein ee (FFFP) Class 8 ARFFFP Class B AR-FFFP Cass ADH Class A-B Hi Sanson Foam TraningFoam Gass Expansion Foam Class A Training Foam BBrraannddooffFFooaamm --MA Suv -ex Llsiex TUosneidnign? Used in Training? YYeessoorr NNoo we --r-- AmUoseudnt Amount Used AAnnnnuuaallllyy CCuurrrrentnltlyy UUsseedd?? Historically Historically UUsseedd?? B {1 &B + i \ i =' Ves 2560s 2. S <.-'"''-"-.S Bea:).,)s + rT 22...55 G &<,-,~.u 5 =- 2:),n .S.5lbo\v\s oerr-s-S. 2a. ss 2J. ss T.ah,;u; KPae OOtthheerr --ays _ i -- ---- iTooTrhrmhaanwsnnrotokkdodyrcynoikoinuniuggnff@@gooadrrdrsyye@tooslautuaacrrtenitenivmmv.m.eeccnooaamm2nn)dd)) ooccororoYoJpoipmemuerarhSSatalittioovooneccn.kk.ainnnPgPgyelleerqerauaaasestesttthcchieooeonnnMMtstaiaicrnnctentogeNNsasaarotnritaacnygPPRRonololisluuditnnicooinugnngeaCCsaoiotnonDDvmteorenollaltlaatAAegCCgaoeornnncscsyyuula((ta68nn35t1t1ss--22((9698757511-88--066609696776--oo55fr115522 Pise geisn this uesionyuive to Dll Consuitants by dun6e,2098intheenclosed stamped, seit: jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. lea~-= ;eiurn this quesiiormaire to Delta Consuitants bv June 6, 2008 in the encioseci sram P peci, self- `aaddddrreesssseeddeennvveellooppee.. QQuueessttioonmnaaiirre ccoommpplleetteedd bbyy:: Nama'ane 16 d j{~ P.'JJ... L- Name and Title g.c Cko-n '""'"' "':\ Be Fo RDorpoaorwm1.ee>nostsddacr...\.st- fVloolI uvra)t'he..er FAi\r~e Doria Fire Department S07 S62. 26 Prone Number Phone Number Lrownidane Fire @ frontice nes. ned ~.ro \..0 n.sdo-..l_.e (; ('t!..... @_., Frollt ;c,r ne...t. (\~..J Err E-Mail Address TSo.e20-08 Date Inogen' AE oon TT EES a 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222..00247 sSTTaArTeE__0022682211220044 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. DDcooieegsshyyioonuugrroDDpeeeprpaaatrritmmoenensnt?t ccuurrreenntlytooyr ashas yyoouurr DDeeppaarrttmmeenntt historical historically used used ClaAsosr Class A or Gass8 Class B foams foams for for Yes Proceodito firefighting operations? ___ Yes- Proceed to QQuueessttioino2n2 , C_~NNoo-- SSiiggnn tthhee bbacakoocfftthhkiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. 2. Howotenis How often is Gass Class Bor B or ClAafosam Class A foam uusseedd iinn rreessppoonnssee toofr fire ccaalllss?? ___ 00-2255%%ooffffrirees ___ a25s-s5o0n%oioff fiireess ______75751-10000%%oolf resfires 3. Does he Departmant Fave a compressa air um sytem system (CAFS) (CAFS) wh witn a bultin buiit-in tank tank ons on its engino(s}? engine(s)? a oi:lm .3. Does the Department have 3 compressed f ___ vYeess ___ mNeo 4. How ato foam used n ining exercises? 4. How often is foam used in training exercises? Never Weekly Wont Quarterly ___ Never ___ Weekly ___ Monthly ___ Quarterly SembAnnually Aenaly Jr Semi-Annually ___ Annually ___ Bi-Annually Toverpessespeoty ___ Other (please specify):----------------------- 55.. HHooww mmuucchh oafoam is is uusseeddpprer aining training event? event? tesstansoalons ____ Sgalons _ swioglens MLoersse tthhaann 510gaglalolnosns (pease spe5ctg)a:llons _ _ _ 5 to 10 gallons More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. nrining, whee doesthespenfoatm 0? 6. In training, where does the spent foam go? Som Sewer __ SantarySewer _OnSteSepbc Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground ter (leasedeserbe) A -- ___ Other (please describe):---------------------- 77.. InWWfhoherermraeetdidoooenesslo/ddriiddcattrhheeenttraaiainnniindngpgaatsaktkeerppailaancceeg?? aPPrlleeesaa.ssee ncudo include aaddddrreessss,, iintnerlserctsioenocorrtaootlhnerr spec specific llooccaattiioonn information for current and past training areas. fJ(feoTTe))-- FON WtPJREATR:3JLE4,.SS TT1THAPTuli r~e1~//l.1-J1f1I.455a11sSAcc/-oY30AA94UCsenFeaTmRTUAKNKFsR.ITOVER-- {J;fhr/lt . etJc'Jv' "e""o'~'."'' lHi-atug fN\ . lOo TI f/,I')T A~,ISSCc-OD fITr 1J 30!) 1L YLt EcTf.. t) XeXInInooggernn' '"' encesSTE TTL, TEATS Bi 5 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00224488 STSTAATTEE0_202882211220055 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg G, Tir - Cree 88.. WsWhphaoatnt ytsyeepesa(s)n) aarnnddibbnrrangad(nsf)doosf(fpffossoaai)mmeaaartreeeooPrwowesersreeeuuscsheeeddcnknoowwananntddaiinnptpthh:e ppaasstt bby tthhee DDeeppaarrttmmeenn,t, bbootthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. TUrUassieenddiinignn? AAmUmosoeuudnntt Currently Historically Training? Used Currently Historically CFCTliayTmslyspfBpeBoaeAomAqofnqusfuegFFeoofoosuaaousmmsam -- B BrarndoaoffFn Fooaadmm YYeessoorr NNoo AAnnnnuuaallllyy UUssed? UUssed? pis Film-Forming (AFFF) Foam CRClealssssBBaaAtcsl(cooRhhsoyoll- oa Jr Resistant AFFF (AR)- CassBPoRn Class B Protein -- __ __ _ _ cFCllaaiossrsosBproten (77) --_-- -- -- Fluoroprotein CForlmi8angFsins- Class B Film- (FP) Forming FFFuFg)ooen Fluoroprotein | ---- ---- ---- ---- (CFaFFsPs)earEER o_o ExCCCallaaansssssssABoA-ABnBRHHF-iFoFaFmP -- Class A Expansion Foam | ee eee TCalamsseAgFoam over Training Foam -- ee -- Other ioTTormrhhaawnsnnratokkdodiyconokniunuiggnff@@gooedrrdroyye@oollsutuaterraenmteni.mvem.eccuoaasmnno)dd)oomccrrooJyooJ)iopipmumeerrhSSaaatttaiovooecncnk..akinnPPgiyleleneGraaaucatsseteetesthhccnroeoonnnMMsttiaiasrnccnentgeeNNassaraoondntticacanyygPPRRholoolusldudirtniQiooinnennggsCtCaaooottnTntDDntreraeoolllltlaaeAA.gCCgeoeonnnncscsyyuull((ta6a6n5n5t1s1s--2(62695957171--8--066599667766--o5o5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleaserau Please return tisthis questotonDenltaCionnsultbyaJnuntes6 questionnaire to Delta Consultants by June 6. 200i8n tho 2008 in the enclosed enclosed stamped, stamped, sof: self- aaddddrreesssseeddenevnevleoloppee.. QQueusetsitioonnnnaairreeccoommplpeletteeddbbyy:: FamGe aAndRTo]- ((, tnE.:fNHZS Name and Title FlBfeDleRRpaOromWewnt!7mJs.SitJzLLeLeE Fire Department &Frteee. DepT I Pho5Sn0oe7N?u-m-b4e'r9t922.- 06770033 Phone Number B5ote 2-OF Date EE-M-MaialilAAddddrreessss' Xinogen: -- none: 631.630.9A 4051 800.C057RSTTL RFok: SSPLI639 9455maomoAbmstuatnomt Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: ~ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00249 STSTAATTEE0_208282211220066 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. Docs your Departmen cureodrhas your Deparment torcal used Cass Aor Class ams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for eran opasionst firefighting operations? X_ os Procosd to question _){_ Yes - Proceed to Question 2 No- ign the back of his form and returton Dota Consultants No- Sign the back of this form and return to Delta Consultants 2 How ofenis Gass 3 las foam usdi esonse fr cals? 2. How often is Class 8 or Class A foam used in response to fire calls? X_ orsmeatives 25.50% oes [a X 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 3. oss he Department hve compressed air foam system (CAFS witha ulintankon fs angines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes a X: No 4. Howofienis foam ued in ring exercises? 4. How often is foam used in training exercises? weeny ony ___ Weekly Monthly Semorualy XC nonuaty Semi-Annually --.1'-X'-'--. Annually aren ___ Quarterly i Avmuaty Bi-Annually OOtthheerr ((pplleeaassee ssppeecicfiyfy):): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. How much foam i sed pr ring ven? 5. How much foam is used per training event? X__ Less han gators Sgatons ,X Less than 5 gallons 5 gallons Sto 10 goons ___ 5 to 10 gallons MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeeecdiyfy)):: _________________ o. Intainig, where doath spent fam go? 6. In training, where does the spent foam go? Som Sever Santa Sewer ___ Storm Sewer __ Sanitary Sewer Over (easedesciony ____ Other (please describe): __ Oonn-SsitetSeeptsicape__XX_ rome Ground 7. Wohmoadnoelorscoemenvt anyaoknsmliacge? rloesss cdo dress, nrseton ivr spel locaton 7. Where does/did the training take place? Please include address, intersection or other specific location un known information for current Un li!Jo41/l and past training areas. PPrhoonne:e: 651.639.9445 1800.473.741T1ok.: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 851.605.9473whiskdalintne.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00250 sStTaAreTE0_208228211220077 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WWThehasatptottynyppeee(a(ss)n) aannnddabbsriarnnadg(ns1)dooafiffpfoossaam)micaarareeo wolrrewaeesree uucshesedcknnooalwwl naanntdd 9innpthh:e ppaasstt bbyy hethe DDaegpaarrttmmeannt,, bthboth for for refire response and in training (if applicable)? Please check all that apply. Iweof oan Srandof Foam TYTUUraoassioieennrddintnigilgnns?e AAAmUUmmossuoueeauddnlntyt CCHuuirrsretenonrttiUUUssseeeoosrr CCFolarslmTsi~BnB~agAeAFqqoousueafeoFmoeouu(assFmFFFiFilm)n- |---- Brand of Foam Yes or No Annual!~ Historic Use? Forming Foam (AFFF) CRloasssa8toA(oRnAoFF Class B Alcohol- et ee casepown Resistant (AR)-AFFF Class B Protein C&Cllaasss 8 B Furor Fluoroprotein --_-- C(GFFlulPaarss)ossp8BroFFtiilemmn-FF(ooFrrHmmiFinn)gg ---- -------- -------- ---------- Caspar Fluoroprotein (FFFP) CBassesoArafoan Class B AR-FFFP Class A-B Hi Jef qe ;); Class A Expansion Foam Class A AflnAgjtAas5 Hi C'oom~b6J- /p7o() llees5s5 cEln~ Trang Foam -z omer Training Foam - Other ofTToirrhhnarantnonrookckcdhykynioioinnunugggff@eoo@rradsyyetaoolautuatarreetti.nimavi.eccnuooasmmdn)d)) ooccrorooYoIJpoipemuerarhSSatiivttiooooenccn.ki.ainnngPPgyleleeersraaaasstteettohcchoeoennnMMttiaaicnrnctnnteaeNNssaaoronnttcaaicyyPPnRRoOiogollsuddRtnqiioiNnunngsaCCtaootonnDDtamrneloalitlnaaAAegCCgeoeonnnnsccsuyyull((tta66an55nt11ts--23((6956577511-68.-666696687766.-oo55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ploass rotum this questionnairetoDelt Consultants by Hay5. 2008 in the enclosed stomped.sof: Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stame_~. self- aaddddrreesssseeddeennvveellooppee.. - QQuueessttiioonnnnaaiirree ccoommpplleetteedd obyy:: RareMaonsrTrheis JT GGeatssow chied Groimben MA) Name and Title Browatin Five fepl PO Bor 90% san re11grpoarun.eJnt~~,-1-dh <4 Fr"Ff /}Iffc>oWw1/n1. ft-ddvat /}!} /l) S631J.. PFhiroen{(De3e2Np;ua20mrt0pm)e)ernt J2>2o2-~5~6330o99 T5ae29-08 Phone Number Date j,Jt-J(i2. Evibd Add /nY\yV CClleeaurr LwJaCLvUee pneetf ' Hwee ene nan 2 PR TR TS Anee 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..025511 sSTTaArTeE__0022682211220088 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNNeeAAiinInIRRFFiEEirree TTrraaiinniinngg 1. 1. DfDoaootesesnyyioonuugrrDDoepepeparaarrttmmoerensnt?t cent currentlyoorrhhaassyyoouurrDDeeppaarrttmmeenntt isaricaly historically uusseedd CCllaassss AA oor CCllaassss BB ofoaarmssffoor firefightLingZopoersat-ioPns?rotco Queesetiodn j/""'' YNoe.s-SiPgrnotcheeedbtaockQoufetshtiiosnf2orm and stunto alta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howotenis Glass Bor ClAafsoasm used inesponse to fre cols? oaston 25.50% of ros 75:1o0f 0re%s 2. How often is Class B or Class A foam used in response to fire calls? , /0-25% of fires 25-50% of fires ___ 75-100% of fires 5. Doss h Daten have compress foam ystom (CAF) vi abn ark nits iets? 3. Does the Depastment have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? / / ves -----J/_ Yes No ___ No 4. Howoten's foam used nang xerses? 4. How often is foam used in training exercises? weak Woniy urn ___ Weekly ___ Monthly SombAmually Aonuaty Grammy ___ Semi-Annually ___ Annually ___ Quarterly ~nnually Tovereasespeoty ___ Other (please specify):------------------------ 5. Howmuch gam is usedpor angoven? 5. How mu:zm is used per training event? / Loss tans gators 5gatons 51010 galons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mero han 10 gaan (lease speci): _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaining, who docs th spent oam 607 6. In stomSewer ~arm training, where does the Sewer _SanlerySever spent foam go? _ _ Sanitary Sewer overtessedescber ______ .. Other (please describe): __One __ On-Site Sept Septic ~~Grnoudnd 7. Wheredooslid he iin ako place? lease includ aces, resection o thor specif location 7. Where does/did the training take place? Please include address, intersection or other specific location emotion or Cater an ass Vang reas information for current and past training areas. oe > pu '3Q 9 AzM.sc Cr ?e -s%7/~ ,.,;[ Huinogent ET 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mene 451.079.20081350 BTTL Tak: $91.639.04%) mawdsliasav. om Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00225522 sSTTaArTeE__0022682211220099 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. Wha tps) and braonfdfoa)m rrwer usd ow and nh stb ho Deparman, both for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response avn iin 1 soca" lease cock a 10 response and in training (if applicable)? Please check all that apply. TUasiendnign? AmUoseudnt Cumentuseor TTy:pt~eeooffFFooaamm Class 8Aqueous Fim- Class B Aqueous FilmForming Foun (FF) ~~ ---------- ---------- Forming Foam (AFFF) Glass 8Aconol Class B AlcoholResistant (AR)AFF --_-- Resistant (AR)-AFFF J Class B Protein GaFosrasn Class B Fluoroprotein " -_-- (FP) Gass Fim-Foming Class B Film-Forming Fuoroplan (FFFP) Fluoroprotein (FFFP) Cassmarirr Class B AR-FFFP cass ast Class A-B Hi Expansion Foam -- Class A Expansion Foam Class A J A Training Foam oer SS ES Other BBrraannddooffFFooaamm Aff-Mn (j tilg ~ us Used in Training? YYeessoorr NNoo teyj,_ss .. / Amount Used AAnnnnuuaallll:yt Current Use or HHisisttoorriiccUUssee?? E!::g:.vl-e-'1-"Se --S.b2n.e s Than youfor our me and cooperation. leas contoct any Faring a Dla onsuans (51697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or oding@dataentcom) aJnSlocinger tv mesa Folulon Gonvl Agency (531207 9600 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i Sockiger@sa me) #300 hav any estan regarding 1 Guesionnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plsase ctu tis auestonnatio Dt Consultan b May0 200 nthe close stamped, sot Please return this questionnaire to Delta Consultants bv Mav 9..2008 in the enclosed stamped. self- `aaddddrreesssseeddeennvveellooppee.. Gamues2asn4ai,Tehcopiedoby: -- Ls ~lvn 'JS~vzF/(/7 Questionnaire completed by: Name and Title .ec 1-r- Fre Depaimont Fire Department Phone 3NumbTerIE 54/157 PEhFonnueeANuiomibrefr 5 orm Brute sue vic E-Mail Address ; v ToAry. Date Xinogen PPrhoonne:e: 651.639.9445 1 860.477 5411Fak: 5910 Rice Creek Parkway 651.639.94491 800.477.7411 Fax: 51 639.9473 Suite 100 St. 651.639.9473 mandalASRY.OR Paul, MN 55126 USA www deltaenv.com 22222222..00225533 STSATTAETE0_202882211221100 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1 Does your Deparment curly nas your Departmen italy us GaAosrClsas foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for frehoning opoatans? firefighting operations? X_ ves -Procasd to Question l>( Yes- Proceed to Question 2 No- Sign the baocf hkis orm and return to Dla Consulants ___ No -Sign the back of this form and return to Delta Consultants 2. Howotenis CasBsor Class Afoam used in respons tore cals? _XX_ oaswottres 25.50% offres. 76:100%of fre 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltl--inn ttaannkk oonn iittss eennggiinnee((ss))?? XX_ vesYes NoNo 4. Mowaten's foam used nvaing execses? 4. How often is foam used in training exercises? weary ony Lune _ SemiAmualy ___ Weekly ___ Semi-Annually ___ ___ ____ Anualy Monthly Annually ar -----.,,.-Quarterly Bi-Annually orer(praso spect ---- ___ Other (please specify):----------------------- 5. Howmuch foamis used sr rang vent? 5. How much foam is used per training event? I Los trans gators 5galons />( Less than 5 gallons 5 gallons TO Mootantogolons esse speetyy ___ More than 10 gallons (please specify): _ ___ s5wtoio10gaglalolomnss 66.. _X_K_ storm Sewer Sanitary Sewer IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sewer _ _ Sanitary Sewer __ OOnnS-Sititee SSeeppttiicc GGrroouunndd TT over poses Oth~?.r (ple::JSE! clescrihe): _______ ------------------------ 7. Whe does the ining ako lace? Pioase includ address, nterscton a tr specif locaton 7. Where does/did the training take place? Please include address, intersection or other specific location omanfo curt an pas Varig roa. information for current and past training areas. CM 3ISoMMin crtMh_StecBut fla, ls Jake,_cm 3/S ;f1a,n Sfaef; KoXIgnogerpr. ,,, rome: ost 39.980 1 $530 037 411 Fok. 401615.3473 mmmdaltasns.ca 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00254 sStTaAreTE_208282211221111 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. Witand trande)of)foam re were usdpy an nh as byteDeparment both forfre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns and main 1 appease lease check of otapp response and in training (if applicable)? Please check all that apply. TUasondginy AmUosuesnt CurentUsoor TyTyp:[e!eooffFFooaamm gcuussso8sAaqmownosiFunis:n 3W 0371 La okt te Yeles s <<5Sggallnc Currgent Class B Aqueous Film- Forming Foam (AFFF) Class 8 Aono oo Class B AlcoholReston (parr DEE, Resistant (AR)-AFFF Class roan a Class B Protein Gl8Faucrosprtsein Class B Fluoroprotein Ey --_ -- ee (FP) C8aFims.Fomsing Class B Film-Forming Fucoprion rely | -------------------- ------------------------ Fluoroprotein (FFFP) casoavERR Class B AR-FFFP CassAB1 Class A-B Hi Eparson foam Tr -------- Expansion Foam Gass ngs Hr GmbAet YesS10ges __curceat Class A Tommgfon TC Training Foam oer - Other : BrBarannddooffFFooaamm 3fri L0h Waec A~~d IJJ- Cumbe:f A Used in y-e_s Training? YYoessoorrNNoo Amount Used AAnnnnuuaallllyy: Current Use or HiHsitsotorriiccUUssee?? < Sgallon.S e<-, c,I) t- ~-t_s .5-10J.O!IIM.J c.u. a_fllT ST ------ Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rhnadetaony cam) o in Soin: a he inmost PolloColAgony(651497 3090 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Foci Goto You hav oy aseonsroping is simone jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please aun this questio0nDaatsire ContobsyMay's, 200i he anclosed stamped st. Please return this auestionnaire tn De!ta Consu!tents !w .'!l!av 9. 2008 in the enclosed stamped, self- `addddrressedeennvveellooppee.. Ga,J b ""' `QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: NaCmaesyndTee Neal - free I(._ I Name a T1tle Ro fol Joke fice [1_1A ~to.l0 1--a14- FacDeparimert Fire Department 320- 833-2374 Fone ter Phone Number Chef Dept: Ebb al fAdgU Cet}isaee c.dh,i!e'd eff@@ ~hotfwmaaill/,, cCoofmf\ E-Mail Address S'!e--;2277-- 0oR8 Date Hmogew i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA vores 651.039.5530050 TLToh: eS Moa on Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00255 sStTaArTeE__o0z2s82211221122 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Trainiinngg Firefighting Foam Use in Fire Train 11. . DfDeooasetssehyyuoonuugrr DoDpeeoppraaarrttmmoenensnt?t ccuurtreennttlyy oorr hhaass youyour DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaasss AAoorr lCalassssBBfofoaammss orfor firefi_ghXtYiNn_g_oopYeY-eresa-sti-oPinPgsrrn?octeoheedtcatoocQekQuoueeessttthidiioosnnf22orm and rettouarltna Consultants No- Sign the back of this form and return to Delta Consultants 2. How fon Calassss BB oorr CClalssAaAfsfooaasmm used used in in response response tore to fire cas? calls? 2. How often is C _ ___ 00-2255%%ofoffifrireess ____2_55250-5%0%ofofffiirreess. ___,"XX__,____ 775-510-0%0oof0fffiirr%eess 5. Doss the Deparment avea compressed ai foam syst (CAFS) with buiarli oinns engin)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes var "t No 4. Howotenis foam useidn aring exercises? 4. How often is foam used in training exercises? Never Weakly Varin Quarry ___ Never ___ Weekly SomiAamualy Nag avarnuaty ___ Semi-Annually f{ Annually Monthly ___ Quarterly ___ Bi-Annually Overleasespeciy ___ Other (please specify):------------------------ 5. How much foam is used por raining ever? __ LesstunSoalons __ Sgalons 5. How much foam is used per training event? _ _ _ Less than 5 gallons _ _ _ 5 gallons _XX:_ s5ttoo1100ggaallloonnss Mero than 10 gallons (lease speci: ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In aig. wher doa th spent foam go? 6. In training, where does the spent foam go? _X_Somsewer __SantaySower ___OnSiosepte _X_Grou K Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Othe lease descr) ___ Other (please describe):----------------------- 7. Where does he waning tke place? Please incu address ersecton orale speciclocaion 7. Where does/did"the training take place? Please include address, intersection or other specific location armorcunt and pag rang reas information for current and past training areas. 202 Soille due 7v;l ~,J/P 6~ Kinogen O OV VE ER R~ -- FE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rome: 651.639.9108000.5433 411 Fok: 51 3.9473 wn aeliaenv. com Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002256 SstTaAtTeE__o0z2s82211221133 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What pu) and braofsfa)m ar wer usd non and ne pasty the Department, bhfo fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire spon and Varin f apeaney Pease check a rt apy response and in training (if applicable)? Please check all that apply. TUrsaoidnign? AmUoseudnt Cumenty Historical TyTlp~eeooffFFooaamm Clas 8Aqueous Class B Aqueous tomato Film-Forming Foam fess (AFFF) CaBAsconsel Class B AlcoholRemengw Resistant (AR)pe AFFF CossbPoon Class B Protein Gass Class B Fioropoi(eFpn) ---------------- Fluoroprotein (FP) Glass Fim Class B FilmFor Forming omgpatn ---------- ---- -- Fluoroprotein fe (FFFP) CoseARFER Class B AR-FFFP Coss Class A-B Hi Sroansanfoam + ------------ -- Expansion Foam Class tpsBocoms Jo 30 10 10 Class A A Training Foam oer -_ = = _ Other BBrraannddooff FFooaamm r !ht1J)S.. f<.-o IZef:E.tnJS ( Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllly Currently UUsseedd?? Historically UJsseedd?? ~ :dO lo !0 `Thyaonfko your Un and cooperation. Pease corct Nancy Rodinga Dalla Gonslani (651.697.5162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rode om) om Song 11 Mepe okhi Corl eres (61 5073008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mackie Gate ms) Tou have tng auesions roering is aueshonnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- ne addressed envelope. Questomate comple by: Questionnaire completed by: llpllia f T,[ pe rd~c NaFnGd Title FroBolBmumurhnme!n(t Foe Dit Fire Department FranA~NtUut-pIts-'~reyf 2~~;2;;3377 BeslP/y,k&s- Phone Number Date Ebpiuutlgetid(onlfstrret oQ/pt;pJtattt,/vI?aV;t~I (@i iafttheasoo o.(onn,e._ E-Mail Address NXXIinnooggernrl-' ,"' a PPrhoonne:e: 651.635.99455910 651.639.9449 1I 800.477 Rice Cree 800.477. 7415 k Park 7411 Fokway Fax :: 51.609.9473 Suite 100 St. 651.639.9473 daslsisnnv.cam Paul, MN 55126 USA www.deltaenv.com 22222..00257 sStTaArTeE__o0z2s82211221144 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trainiinngg Firefighting Foam Use in Fire Train x 11..TeDDtooasesns ayyoonuugrr DDoepeeppraaarrttmmoerensnt?t csrenty currently has or has your your Deparment Department torical used historically used CClasasAAosorr CClslassss 8 ams foams fox for X__ firefighting opYeersatio-Pns?rceeod ttcooQQueueessettiioodnn22 7 1 I NYoe-s ign- Pro the ack ofthis form and return to lta Consulants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How oflenis Glass8 or lass Afoam used i respatno sree cal? 2. How often is Class B or Class A foam used in response to fire calls? oa ofres savormes XK 510% tres ___ 0-25% of fires 25-50% of fires _____2{_75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS))wwitithh aa bbuuiilltt--iinn ttaannkkoonnititss ennggiinee((s))?? ve ----,.-Yes KXoveNo 4. Hown's foam usedinaiing exerses? 4. How often is foam used in training exercises? weeky voy Jr ___ Weekly ___ Monthly ___ Quarterly Tommy 3X Amaly arAomualy ___ Semi-Annually )(, Annually ___ Bi-Annually Other (ploase speci _ J ___ Other (please specify):----------------------- 5. How mu foam is use por vairing oven? 5. How much foam is used per training event? Loss hans gators 5gotons XC swt0gatons ___ Less than 5 gallons 5 gallons A -- ___ More than 10 gallons (please specify): _k_ 5 to 10 gallons 6. In aining, wher doss the spent foam Gc? 6. In training, where does the spent foam go? StoSewer __ Santary Sower onsiosepic XK Grom ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic LGround Other (ease dose): _- -- Other (please describe):----------------------- 7. Wher Goes th ining ake ace? Pease incu adress, ntrsecortohenr speci ocaon 7. Where does/did the training take place? Please include address, intersection or other specific location nrmaton for cure and pat ranng areas t1 information for current and past training areas. [atjiJaCr?ofl E (0> tfa ro.iaZlAnc, A(a;,,}(1!3t,~ j',aomMtltyfl oOwWnI1e?dJ 47 lB?uucroAsS/u/i1l'l)e~ Depletilly, ops Labeyitll = Looted of nFocsution oF CURL Rood anc? Hive. Ledge Bhd tn Burnsville. Xinogen' PEP SA ARE HA ae Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 i Paul, MN 55126 USA www.deltaenv.com 22222..00258 sStTaAeT_E0_022882211221155 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. sWWhphaoatnt tstyyeppee(n(ss)d) aannddabbirraagnndd(s())1 ooafffpfoopaacmmaiaaereyoorPrweweaersreee sucseheecdcknrooaww haanntdd 9iinnptthhee past past by by the the Depart Department, both both orfor fro fire response and in training (if applicable)? Please check all that apply. Casson CrTayssp8AoqoufeoFuosaFmim elBrandofFoam onstmenta T)l~e of Foam Brand of Foam Class B Aqueous Film- -7 Ar6v/ AFrF/A-Te 3/b Forming Foam (AFFFY Cl8aAlsohsa: Class B AlcoholResistant (RY AFFE Resistant (AR)-AFFF Class B Protein c.{;;L Usedin Used in Tenn? Training? YosorNe Yes or No .l/ ,;".J I AAAmUmUmossuoeueauddnlntyt Annuall)l G&oogg.-1 CCHuuismrtreeornnittcUUssUeeseoosrr cuorred Historic Use? c.vrn:...;J- ey _-- -e- ClCalassss BB FFlluuoorroopprrootteeiinn (FP) Furopolon (FP) ClCalassss BBFFiillmm--FFoorrmmiinngg --t9-- CFlouosrosparorteeinr(rFrFFP) -e- Class B AR-FFFP CBCllapassmssoAA-n-B8fHHoii am -& -e- Expansion Foam Cassa Silex #5 1% cud Class A Slvex Yfl> I Ljo<?ql:_ Cvtrt>l/lf- TTrraaiinniinngg FFooaamm An/sk.e:lv/ ({f'ororn>t /SJAU-GCHE1)e) yv"o".J Sht;;5a~q~d/ iJ: z.b -zbrre ~ OOtthheerr I -A- ee oTTrhawhnok yynaoouugfdfnoorsr yyiiooaurretimrmcaeoaamnn)d cocoropJoeprearSiatotiooncn.k. inPPlglee:aaasseetcchoonnMttaaiccttnNNeaannsccyyPRRoloouddLnioinnnggCaooftntDDrelolltaaACgCeoonnncssyuull(taa6nn5t1ts-((368955711-.-6666900776-.155115522 fim sockingor@stte mus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if 104Jim you hve any estos GAN Is QeSKOMaIE Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or sPPalldeeraaessseesraeedttuerunnvetthlhioisspeqq:uueessttioinonnanirseittroo DDaellttaCConosnuslutltaannttss bbyv MMaayy59,. 22000088 iinn tthhee eenncclloosseedd stomped, stamped. sel: self- addressed envelope. QQuueessttioonmnaaiireeccoommplpeletteedd bbyy:: D TiDreaqannnd THe!H-loovvee-- ,. $fe:s;1t CChh1eetr Name and Title FieBDoJe?rp.a_pr,sm,env~ntti/l7 l/[ee..- Fire 952 Department $95 FPhaonnee NNuummbbeerr 4572. = s/Gistefes Date EcJrlocntn.r.lhoovvee @ @ cCil./ 6buvnrnssilvl:fefe., 1m-nnn., uU.s..5 E-Mail Address Xinogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00259 STSTAATTEE0_202882211221166 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Trraaiinniinngg Firefighting Foam Use in Fire T 5 Wihtype(s) andbrand(s)ofoam ar or wreuscnow and nn pastbythe Depart, both for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Terman si rami (fappicabo) Posse check a ht 5p response and in training (if applicable)? Please check all that apply. TUosendgin? AmUoseudnt CumentUseor TTyyppeeooff Fooaamm Clas8s Aqueous Fim- Class B Aqueous FilmForme Foam (Fy Formin~ Foam (AFFF) Gis 8 Aono: Class B AlcoholSes ey -------------- ------ Resistant (AR)-AFFF ee -- Class B Protein Class 8 Fuoopatein Class B Fluoroprotein I) -_ (FP) Co lass 8n FimF, oaming ------------ -------------- ------ Class B Film-Forming Fluoroprotein (FFFP) cmsemere Class B AR-FFFP Class ABH Class A-B Hi a ------------ ---- Expansion Foam Class A ES Class A BBrarannddooffFFooamm Used in Training? YYesesoorr NNoo Amount Used AnAnnunaulallly Current Use or HiHsitsotorriicUUssee?? Tring Foam An Training Foam Other -- rt ee Other Thonk you for your mo and cooperation. Please contac Nancy Rong at Dolla Consutans (651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 remo saaaa mo Jo String: on, Mineo Poluon Control Agony (651-297 8665 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Saecr ike Too) 1 10u ave any estos earn 1s Guestmnare. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. lense rat this cestonnaie to Delta Consults by May , 2008 theenclose stampesedl.f `addressedenvelope. P!e:.se ret,m thic: (J!Je!i>.tionna!re addressed envelope. to De!t~ Consultl!nt.c; hv Mav 9. 2008 in the enclosed stamoed, self----- Question completed by: Questionnaire completed by: NNaammee aanndd TTiittllee oo FFiirree DDeeppaarrttmmeenntt Fe Phone Number - omDate EE--MMaailil AAddddrreessss Ninogen: TT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002260 sStTaAeT_Eo_0z2s82211221177 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFiEirree TTrraaiinniinngg NE ------ 1. Does your Department currently or has your Department historically used Class A or Class B foams for mp firefightinJ operations? rani nto ----_"V _ Yes- Proceed to Question 2 a -- lions So, ___ No- Sign the back of this form and return to Delta Consultants + ost ot rts Aan ss sone rcs? 2. How often is Class B or Class A foam used in response to fire calls? J cevann J ont _L__ 0-25% of fires 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntthhaavvee aaccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS))wwitithh a built-ibunilt-itn taannkkoonn iittss enggiinne((ss))?? v- ----,.L-- Yes 7 1/ No 2 todasim; 4. How often is foam used in training exercises? ny ny ay ___ Weekly Tl De ee ___ Semi-Annually -------;/Monthly ~Annually ___ Quarterly Bi-Annually So ema mot ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - EE 5. How muchyam is used per training event? remem tre swig __V_"_' Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ___ MMoorree tthhaann1100ggaalllloonnss ((pplleeaassee ssppeecicfifyy)):: se? 6. In training, where does the spent foam go? S tos n esoe s s onsets +~oromuned ___ Storm Sewer __ Sanitary Sewer 1 pr roi s notn aPe eisst, ton raetenne ___ Other (please describe): ____ _ _ On-Site Septic A x (cb MN Sino PPhhoonnee:: 651.635.0085 1 800 477 7411 Fos: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: $916399475mardnlinsns.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www de!taenv.com 222222..026611 STATE_02821218 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fiirree TTrraaiinniinngg Firefighting Foam Use in F --x- 11.. frDDeootesosnyyioonuugrroDDpeeeprpaaatrrtimmoenensnt?t ccuurrreenntltlyy oorhhaassyyoouurr Dogar Department hhiissttoorriciacallly uusseedd CCllasasAsAosor CGlasas 8Bsffooaasmmss ffoorr Xs firefighting operatPionsr? octo Qeuesstiodn 7No-Sithgabanck of this form Yes- Proceed to Question 2 o- Sign the back of this form aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss ___ N ----X- we 2. HHoowwoofftteenniiss CCllaasssBsB oorr GClalssaAAfsfooaasmm uusseedd iin eressppaonnssee ftoo ffirree ccaalllss?? 2. _5 ::i_ o0-a2s5m%otoif fiireess ___ 225s-s50o%wooif rfireess ______ 7755-110000%%ofoff frireess 3. Does the Deparimenthavo compressed akair oafoam ssyysstteemm ((CCAAFFSS)) wwitithha ulin a built-in arkons tank on itseennggiinnee((ss))?? ompressed a c 3. Does the Department have ___ veYes No 4. Howoften foam usedin ining exercises? 4. How often is foam used in training exercises? Weekly Monty ___ Weekly ___ Monthly Sema Aonualy Notes ease spect: Zach car Semi-Annually Annually -~-.xJ..::"<-- Other (please specify): zcc(n Vt CLiv vonngptoan aston n? 5. How mxu~h foam is used per training event? Less than galons 5 galore Less than 5 gallons 5 gallons _ ___ Qcuuaanrteenrlyy \ Bari-AAnmnuuaalllyy ,/ CLo<uhl)ldd bBee I"dfSfbe~e-rc.e"'n--d1 tMmce)l!tbbee_ ~ ___ swig 5 to 10 gallons 23 ;)~3 '171;-\0 MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - --_- - - - - - - - - - - - - - - - 66.. IInn trraaiinniinngg,,wwhehreereddooeesstthheespspeennttffooaammggoo?? Storm Sewer __ Santary Sewer onstosopic KX Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic , 1 ~Ground TT othr lease deseo __ Other Iplease describe):----------------------- ______ --------------------.-..---------- 7. Where doesidid he raining ake lace? Please ince adress, inerscion rather speci location 7. Where does/did the training take place? Please include address, intersection or other specific location omotor icunot nandpest vag arcas. oe information for current and ast training areas. chn din i an glance repr or oqff Fft.h_ee_ ball, 1} ono js Oi 2 five ate JI ~ e i smoyhe of NKinogen 3B Cree PY STG_TOUS FR WSS Us 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane sat. 70 SS Go SE Tok 9116359473 ws alas corh Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00262 STSTAATTEE0_208282211221199 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What os) ndbrat) f eamar crwar usodnwandin ho stb ho Deparment,bot for rs 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespones anim ain appa Pease crock ot ap response and in training (if applicable)? Please check all that apply. Teaonsigny Am"oeeudnt Cumontusoor TyT)p!j2eeooffFFooaamm `BraBndroofafFFnooaadmm Gl8oAquseosus Fin Class B Aqueous FilmFora FommaaRRy -------------- ------ -------------- Forming Foam (AFFF) GlBoAcsres Class B AlcoholReson agp | -------- Resistant (AR)-AFFF CosePOOn Class B Protein GlFaorsasn Class B Fluoroprotein ES rs (FP) Gloss 8 Fim Forming Class B Film-Forming Foon oR} | ---------------- Fluoroprotein (FFFP) FE , Class B AR-FFFP asso Class A-B Hi am IE wy a" Expansion Foam Gloss Class A Sammgrom-- ?frail~ill~ FOBIII SStliiL-lei vEf FS5D0O0 oer TT Other Used in Training? YeYessoorr NNoo Amount Used AnAnnunaulalllyl! Current Use or HiHsitsotorriiccUUssoe?? e '-Less pesGl ID~I") G~[ fot_o-~s;s~GGlQd/ J7ek.-mS SS:GGe9lr SSG e"f( Than youfor your ri and coopraon. loa cota Nancy Horing Del Consular 651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Grae com im losing io Mi For Col Aone (8197.300o0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or soonerGAR To) ou ive a Soesho en obs Stornare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please tum is questionnaire to Dott Consultants by Hoy,2000 nthe enclosed stamped, sat Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped, self- `addddrresssseeddeennvveellope.. Guestomarscomploed by: Questionnaire completed by: Tel Thope :J E-kP- Tftov'~e ome and Tie Name and Title TR Tope. Chief ~4 ~.pe__ Ch~~e-f' Fee garment Fire Department Bon HFeve /7/e byvoV\ Frara Nombor i Phone Number Date ESvSHaonAg7E_74Q7i5 nLgO0S6@ Guns]-. Com NKinoger: PMPROPINR... esYi ALSEA Fob kidd 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00263 stare 02821220 STATE_02821220 QQUUEESSTTIIOONNNNAAIIRREE Fireffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Fire ------ 11.. DDfroooeleosshiyynogouurr DDoepepepararartttmmoerensnt?t ccuurrreennttlylooyr hhaassyyoouurrDDeeppaarrttmmeenntt hhiissttoorriiccaallllyyuusseedd CCllasasAsAosorr lCalassss. 8Bffooaammssffoorr A firefighting operations? NoxSign thebackofthis form Yes- Proceed to Question 2 No - Sign the back of this form aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 22.. HHooww oofftteenn Cis lClaassssBB oorr GClalssaAAfsfooa?smm uusseed Idinn respo[n0sfre response to fire cals? calls? X_ oastoftres ___ 2255-.5500%%ooff tfirreess ___ 775-31 0-0%1o0offf0friree%ss 3. DDoosess tthhee DDeeppaarrttmmeenntt haavvee aaccoommprpesrseedsaaiisrffeooaadmm ssyysstteemm ((CCAAFFSS)) wwiitthhaa but built-in taarnkkoonn sits eennggiinnee(ss))?? 3. x ___ YYeess X_ Nnoo 4. Howollen's foam used i traning exercies? 4. How often is foam used in training exercises? -X -X- Newer weeky ___ mony J---- Never Weekly p--" Annual BiAnnualy ___ Semi-Annually Annually Monthly _ _ _ Quarterly ___ Bi-Annually Over lessespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. HHooww mmuucchh ffooaamm iis uusseedd pperr trraaiinniinngg oevveennt?? Lessthan galons. Sosllns swims ___ LMeosrso tthhaann510gaglalollnosns (Jeaassoessppeec5ctigfyyay)l:lo_n_s_...p.J. 42r4L-I--_-'__'-+5-to--10--g-al-lo-n-s------ More than 10 gallons (ple 6. Intaiing, where doo the spon foam 607 6. In training, where does the spent foam go? Storm Sawer _ Sanitary Se onsteSeptc Ground Storm Sewer __ Sanitary Sew,;5 _ _ On-Site Septic Ground Other (please desc: us ___ Other (please describe): _ _,.f1'---17-.-Jff'-_- ,_' - - - - - - - - - - - - - - - - - - 77.. WWsiheneerrreeddoocessol/gddiddcutthrhreeentrrtaaiainnniindnggpataaskkteerappillanaciceneg?? rPPellaeesaa.ssee nincculuddoe aadddrreessss,, iintnerstecrtiosnoeorirootothhenerr ssppeecciififc llooccaattioonn infor~a~d current and past training areas. 1/!fZl-- Xinogen OOVVEERR-----+ mone: 651.639.9035 1 800437S11Fak: S91 639947) mandalasne.com Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: SE ------ Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00226644 sSTTAATTEE__0022882211222211 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training Wiha yes) and banc) foam aor vere use naanw nh ast by th Departmen, bot for ro 8. What type(s) and brand{s) of foam are or were used now and in the past by the Department, both for fire or vom 1 mca Po reek hts response and in training (if applicable)? Please check all that apply. TUrsaodnign? AmGoouenst Gurenty Historically TyTpypeeooffFFooaamm BBrraannddooffFFoaamm clBAenss nu Fim Forming Poors Slee Class B Aqueous Film-Forming Foam ey (AFFF) ClaAsonso Class B AlcoholRee Resistant (AR)aeAFFF omg ee Class B Protein cn ases y ------------ ---- ---- -- Class B Fluoroprotein (FP) GloFsis Class B FilmFeri Forming Tamu | ---- ---- -- ---- Fluoroprotein re (FFFP) CasoaRFR Class B AR-FFFP Glos ASH Class A-B Hi Boon foam ---- ---- -- -- Expansion Foam Gass a Class A Tengen Training Foam oer = = = = Other Used in Training? YYeessoorr NNoo no Amount Used Currently AAnnnnuuaallllyy UUsseedd?? g~/u:5s'' ne. )/l.O Historically UUsseedd?? Kfnloo Thank you for ou lme and coopraion. lease cntct Hany Ring Dea onslats 051.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants {651-697-5152 orn ostac como in Stoner a inset Palo Gonvl Agar 6515573590o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or reer asma You ov oyaso regain i tomas jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Piese sur this auestionnatioe Dla Gosullants be Jun6e2008 nthe enclosed stamped, st: `addressedenvelope. Please return this questionnaire addressed envelope. to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- caomragunTniegrKuanrtyjat: Chile Name and Title L~ aColdihersmn.ee'ZT:F/7~r"'/ NIeJPg;7tf/ 1re Department ce-z F}oto/2 rZ 779C?55/1 Soe Phone Number Date ECrGLeIEFD!2 O(?D) pkatactrri/3i/pJeJ w.MoJn/1.'LCCo/?m'7 6-508 E-Mail Address inogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00265 stare_ozs21222 STATE_02821222 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DfDrooaoetssohyyioonuugrr DDpeeeppraasrrotmmneesnn?tt curently currently o o r ashas your your Department Department historical historically sedused CCllaassss AAoorr GClalss aB ffsooaasmmss ffoorr 3 V ves Protco Qusesstiodn firefighting operations? Yes- Proceed to Question 2 No- Sign the bak of this form and return to Datta Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. How often Class Bo Cass Afoam sed in respons of cols? 2. How often is Class B or Class A foam used in response to fire calls? oasw artes asso ortues 75 10o0f re%s ___ 0-25% of fires V 25-50% of fires _ _ _ 75-1 00% of fires 3. DDooeess tthhee DDeeppaarrttmmeenntt hhaavveaoa ccoommpprreesssseedd aaiirr ffooaamm stom system ((CCAAFFSS)) wwiitthhaa butbuilt-in taktank oonn 5its eennggiinnee(ss))?? 3. we ./ ~. Yveess No 4 Howoftn s foam used n raning exercises? 4. How often is foam used in training exercises? Never Wook ___ Never ___ Weekly emimaty Aaruay ___ Semi-Annually Annually Monty Monthly Quarter ___ Quarterly seaman Bi-Annually J\/_(__ OOtthheerr ((pplleeaassee ssppeecicfiyfy):): UhlheMawVIIee, Efs :rstt gfOo1t:Hre iL* pj?ovnr..p;tepnVre" 5. How much foams used or raining oven? 5. How much foam is used per training event? /losstronsorors ___ Salons _ sotgun / Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Z Morothan togatons (leasospocity ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6 Intraiingwhere doesthspentfoam go? 6. In Storm Sewer training, where does the _ _ _ Storm Sewer `Sanitary spent foam go? _ _ Sanitary SSeevweerr __ oOnns-StiteesSeeppiticc _i L__ GGrroouunndd Ona essadeserve) ___ Other (please describe):----------------------- 7. Vinee Coase th ang take piace? lease incudo adaess, terseocrtoothner specication 7. Where does/did the training take place? Please include address, intersection or other specific location Pp er a info%-for current and past training areas. Kinoger: OVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002266 sStTaAeT_Eo_022882211222233 QUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 What tps and banofsfo)am ae wer usd nw and th est th Dap sv 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire oy Pas rack otay response and in training (if applicable)? Please check all that apply. Tipe Foam ondotfoun TUYresvadoinrndgs AAmm"Gomouetnsyt GurCuesenstt'y Hiteoersctaty Ty:~e of Foam Class B Aqueous on Film-Forming Foam fs (AFFF) Gl8aAcstosr Class B AlcoholR---- Resistant (AR)RrAFFF Brand of Foam Used in Training? Yes or No Amount Used Annually: Currently Used? Historically Used? Class B Protein Rony Class B Fluoroprotein (FP) Class B Film- fr Forming Fluoroprotein we (FFFP) ------------ -- -- ---- Class B AR-FFFP Gass aBH Class A-B Hi Foam TT --_ -- Expansion Foam Glass Silv-ex 4s 72 7 7 Class A Towgram T TT Training Foam over = Other 5/iu-~ ~s ? 1 7 EC -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aa com) ooo Singer a Memes Foor Coes Arey 851307S088 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rasa Fo ove oy eso ogg erate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. -P:e:ase reti.i;n this qur2:stionf1airc: tG Delta Consultants bv June 6 2008 in the enclosed starnpedr se;'f.. aaddddrreesssseeddeennvveelloppee.. Qupptomatscomply: Q~,tionnaire co~pleted by: / 7FC7~ t4.aEe3nE-nb6~ Lto07i9s-e~ 4i3o7l0 Gifc6t/2-382- 5152oo -50 Phone Number Date Ziebirth 195 & fates.Lom GKlinsohgaerr E-Mail Address PPhhoonne:e: 651.639.9045 1 800.477 411Fon: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639.9475 Suite 100 St. 651.639.9473 wamwidsitasnr.iom Paul, MN 55126 USA www.deltaenv.com 22222..002267 STATE_02821224 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. oes youDeparment cured or has your Dopamen stray uso ia AorClas foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for frot3XitVeesi-oPrnoceed to Question 'i-- firefighting operations? Yes - Proceed to Question 2 No-Sign th bocf hiskform an return f Datta Consuants ___ No -Sign the back of this form and return to Delta Consultants 2. How ohanis Cas or Glass Afoam use in respons or cote? 2. How often is Class B or Class A foam used in response to fire calls? +Y_ oasories osootties Ts10o0ttrmes 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 5 oe th Deprmnt Hav compress a foam sylo (AES) iha ui ark n 8 engin? 3. Does the Departmant have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes no _ _-'<.IX_,_ N0 4. Howotenis eamused in ing exerci? 4. How often is foam used in training exercises? Chew Wey ony cue ___ Never ___ Weekly ___ Monthly _ _ _ Quarterly TT envtonsaty 0 rousty Leaman ___ Semi-Annually o( Annually ___ Bi-Annually Overpossospeaty ___ Other (please specify):----------------------- 5. Howmuchfoam fused or vain ven? 5. How much foam is used per training event? TT es ans goons) Sgalons si togons Less than 5 gallons __),._ 5 gallons TT wen em -- ___ More than 10 gallons (please specify): _ _ _ 5 to 10 gallons SomSower ___SantarySewer 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? _ _ _ Storm Sewer _ _ Sanitary Sewer _____OOnnS-StieteSSeeppiticc (~NGr_oGuronundd Over loss descr -- ___ Other (please describe):---------------------- 7. WohenrUonouiseasthnvionnvagoranykdVliacmege? rPolamswendbeoad-oerf+,,, crsastonof thr sec action 1 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. . I Uo \, e~ Q'{er-- ir~<- ur--<---- <::>~v NKinoger O OV VE ER R~ -- ee Phone: TT 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: TE Suite 100 St. 651.639.9473 A Paul, MN 55126 USA mn www.deltaenv.com 22222..002268 state_ozsa225 STATE_02821225 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training What pus) andbracts) fam sor wer used now andin hast he Departmen,bot or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse and in ain poicane' Please crack a os apy. response and in training (if applicable)? Please check all that apply. TUasendning AmUoseudnt Curenty Historically TyTyp~eeooffFFooaamm ClBaAquseosus Class B Aqueous Fimrommgom -- o_o Film-Forming Foam Frey (AFFF) Cl8aAlsohsa Class B AlcoholjRaema Resistant (AR)- BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? --- --- AFFF CossoPown JE Class B Protein cose Class B Pumpin (ep) ---------- ---- ---- ---- ---- Fluoroprotein (FP) Cl8oFism- Class B FilmFo Forming Fropatain _---- Fluoroprotein re (FFFP) Cassoarer o_o Class AB Hi LSz Class B AR-FFFP Class A-B Hi Erpansonfoan | -------------- -- -- Expansion Foam casa - Class A Teerem T -z X gf Training Foam aver --- = Other Sa ~r-1\) ri ~ Thank you or your tin and cooperation. leas contact Nancy Roding of Deta Gonsulans (851.807 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orrodhio@datacom) of im Slockinger the Maneset Poon Col gency (057397.000o8r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or FrsockngerGaseosu Nov a avesnos regoding is otshomnie jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return tis auestiontnoDalile Consultants by June5, 2008intheenclosed stamped, set Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, self- `addddrresssseeddeennvveellooppee.. QNuaemsetaamnndaTrescompleted ch . Lett Duzs Questionnaire completed by: Name and Title FQrCe .apLio e Ine Der c_(,~ l~ Fire Depart ent Chieet1 PiQmnN~ar 221 3) Phone Number Se 4/fsfob Date ExoJtddAvdds,re_s,. s@@ J4t.rl:~'F},reefa' Yn~e1i,nn.eed1 E-Mail Address Kwon --T EET EE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00269 sStTaAreTE0_208228122122266 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 11. . rDDeooteeoss myyuoonuugrr DoDpeeeppraaarrttmmoerensnt?t curt currently oorr hhaass yyoouurr DDeeppaarrtmmeenntt Hstocal historically used used Cias Class A A or or Class Class B B foams foams orfor 54 firefighting ~ o Yos-peratioPnrso?ceed to Question? YNoe.s-SPigroncteheedbtaocQk uofetshtiiosnf2orm and return fo Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. How often' lass Bo or Class Class A A foam foam used used nin sponse response to to refire col? calls? 2. How often is Class B _tX><'_ 00-2255%% ooffffirreess ' ____ _2_55205%-5o0f%foifrfieress ____7_575--1010%0oof0fffiirr%eess. 3. Dos iho Department have comprossod ai foam system (CAFS) with abun tank ons angio(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes oL_ ro 0 ,l No 4. Howoftn's foam usod in raining exerciss? 4. How often is foam used in training exercises? Weakly Marty Quarry ___ Weekly ___ Monthly ___ Quarterly 2X SomiAmualy Aonaty TT sina oZ Semi-Annually ___ Annually ___ Bi-Annually hor (please speci: SE ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. ow much foam is used por waning ovet? 5. How much foam is used per training event? A losshanSgatons ___ Salons _ sotogns ?<., Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Moro than 10 gallos (ease speci) _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaing hoo does th spent foam 0? 6. In training, where does the spent foam go? Storm Sawer __ Sankary Sower onstoSepte_X_ Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _12{__ Ground T oteessodoserber ___ Other (please describe):---------------------- 7. Where dosidld te ining ako place? leas include ade, nerscton or thr speci ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location frat or cure; an. pot van roe information for current and past training areas. Himogew 5 ee Ere are 100 r RSe I UE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene ser on RR TL Toh B15 0453 mata Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00227700 sStTaAeT_Eo_0z2s82211222277 QQUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg fleshed Cibo btitai-- ng ------ 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Tipeof Foam ---- TTyagnhg,y mA"Copyot Gument usor T)l~e of Foam Gl8 usnos Fi Class B Aqueous FilmFoForming Foam (AFFF) Go8 ecosn. Class B AlcoholRana, ---- Resistant (AR)-AFFF GeesPOOn | Class B Protein gaheme Class B Fluoroprotein o es (FP) -- Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)). Cosvrree Class B AR-FFFP Cass h8H Class A-B Hi EonFoam ee Expansion Foam cma C{!,hkeC:ImJ1C~utnAr~z_dJ YYeess og sume Class A THB eee mem wren meee Training Foam over - Other Brand of Foam Used in Training? Yes or No Amount Used Annual!)[ Current Use or Historic Use? I - 3o,qaL .::::: 3A-P'7 ~ FT ---------- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 f e ist ENAr or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or PS leas rotn ary is questionntoaDitrse ConstabynMatys5,2008 in th enclosedstamps, set: jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. selfaddressed envelope. 1ccl rz_t omnes Question?flire ccoommpplleetteedd bbyy: L4L;ael Eritc( ~soo--nJ NarmaarsTe Name and Title Carvosia>z C1/t!'lo,s-- r Frevme Fire Department /A?/!?C~ 72d3?99--G6Rt</t[f Frans nia Phone Number Fire Chief = 28fal oy ECranosa pire @ Whos, corn ro APE RONL.acJ 8 BN. RR _-- 222222..027711 state_o2s21228 STATE_02821228 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. frDDooofeeshs iyynoougurr DDpeeeppraasrrtotmmneesnn?tt crtenty currently o o r has has your your Department Department historical historically sedused Class Class Aor A or Glass Class foams B foams orfor firefiZ-gh-t-inL-gTopNYYeorea-st-is-oePinPrgsr?oonccsteeheeeddbttooaQQuouecfeststhktiiioosnnf22orm and rettouDarttna Constants i / No - Sign the back of this form and return to Delta Consultants 2. Howoften' Cass o Cass Afoam used in response orecal" 2. How often is Class B or Class A foam used in response to fire calls? _ omwatmes assomottves 75-1o0f0re%s ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 3. Doesthe Department nave compressed i foam system ystem (CAFS) (CAFS) wiabuh with a built-in taktank on on fsits engn(s)? engine(s)? pressed air foam s 3. Does the Department have a com ___ Yveess JE ___ No 4. How ofeni foam used in vaiing exercises? 4. How often is foam used in training exercises? New Westy Momhy _ cuneny ___ Never ___ Weekly ___ Monthly ___ Quarterly Somunly Away Ep e--" ___ Semi-Annually ___ Annually ___ Bi-Annually Other ease spec) _ - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por vaing oven? 5. How much foam is used per training event? LesstanSoalons ____ Soslons __ stot0gon Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Maro than 10glons(easespec) _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In aiing where docs th spot foam a5? 6. In training, where does the spent foam go? Sto Sewer ___ Santry Sower onsite Septic Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground har leas describe) e-- rr -- ___ Other (please describe):----------------------- 7 Where oosii he iin ake pace? Pease includ acres, ntrseocftavaenr specif location l. Where does/did ihe training take place? Please include address, intersection or other specific location omation forcunt and ast vag areas information for current and past training areas. Kinogerr OVVEERR----+ se 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 651.079.9005 635.0517411 Fok: S01 6159455 Mvdaltasncsa.m Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002272 SstTAaeT_E0_022682211222299 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What ye(s) and braofsfo)am arorwere us ow and i th past he Deparment,both arf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponse adn ain ( pplcate lease chock a hat aly. response and in training (if applicable)? Please check all that apply. Toeotfomn Bandotfoam TUYrseiesndoirgnd?e AAmUwosaeudnyt CUusreorn'ty HiUssaeicdaslly Type of Foam ClaAquseoeus Class B Aqueous Fimfommgfom -- Film-Forming Foam fest (AFFF) Cl8Aolcoshol Class B AlcoholRewaiRy o_o Resistant (AR)JAFFF CossbPown o_o Class B Protein case Class B Faron (7) _-- Fluoroprotein (FP) Class im Class B FilmForming Forming Fura ------------ ---- ---- ---- ---- Fluoroprotein Fe (FFFP) Cassone Class B AR-FFFP Glass A810 Class A-B Hi Eipardonfoam _-- Expansion Foam class - Class A TengFosm Training Foam oer - -- -- = = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Thank you for your tn and cooerston Pleas contact Nancy Roding at Det Consular (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orrodngGdaaemscom)or J Skintat hg Minnescla PORACRGorol Agency (651-3973666 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i socinge@stae us) You have any Gueslons roaring i Cuesionnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plassereunn tis questonnaitvo Dot Consultants by June6, 299 nth enclosed stamped si. Piease rei:urn this questionnaire to Delta Consultanis by June 6. 2008 in the encioseci stamped. seif- adaddrderesssseeddeennvveellooppee.. GWuoomstaornnaaTrileceompleted: Ms Questionnaire completed by: Ja."~ ,uarJsv/nG Name and Title / cA;jee -/ - c::...,~~1 FFiriree DDeeppaarrttmmeenntt PronefNuam7be-r 747-5000 Phone Number v,c;a. = 5h/eGofox d'ate 7 me E-Mail Address Xinogen hanes 431.620.9T005 1E000 TESEL yFake eS13T 05TOSUS ansWi TtSTIEtmUnR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00273 sStTaArTeE__0022882211223300 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. WDDeootsegsshyyioonuugrroDDpeeeprpaaatrritmmoenensnt?t curentloyr currently or hahas yy our our Department Department hhiissttoorriciacall l y uusseedd CCllasasAsAosorr CCalassss 8B ffooaammss ffoorr f i r e f i g Yes hting operat ~es - Proce ions? - Proce e tod to Questio2n Question 2 ___ NNoo -SSiiggnn tthhee bbacakoocfftthhkiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssutlatannttss emotes ___ossowottres sions 2. How often fs Class B or ClaAfsoasm used n responsto re cals" 2. How often is Class B or Class A foam used in response to fire calls? ~25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Does he Department have acompressed a foam system (CAFS) with a ulintankons engine(s)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ YYeess ~N0 Nho 4. Howofenis foam used in raring exercises? 4. How often is foam used in training exercises? Week wow _Cuaneny ___ Weekly SembAnmually only BiAmualy ___ Semi-Annually ___ Monthly ---=~A~nnually ___ Quarterly ___ Bi-Annually ter(pleasespac): - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmueh fan is used pr raining event? 5. How much foam is used per training event? _ ____ LLeesssstthhaannS5ggaallloonnss _ ______ 5Sggaallloonnss More than 10galons (peasespeci) ___ More than 10 gallons (please specify): ~5Og1al0loganllosns. 6. In taining, where does the spent foam 97 6. In training, where does the spent foam go? SomSewer ___SwarySewer ___OnSteSepic _o--Tiound ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ..----crr=ou nd er leasedeserbl ___ Other (please describe):------ -----------------. _________________ ------------ 7. 7. VWIihnfeerreocdooroessfim/oddriiuddathnhteetttorraaaiinnnniindnggpataaskkeevlpalaaccgee?? rPPeeleaaasssee include include adiess, address, nersecortatoenr intersection or other speci specific llooccaattioonn information for f-r~ current and past tt, ~ If-f~ training areas. ?&&c..: ~a1.ca Lo ve wo qT St Fr .so Fac tCoc erz Ae LTf t.E.a !l- SSlE e - AN/ +~Soovt.-T -//t i a..l4k-te/~ TTRR4Azz;. CC-E-(R7~ Hjfeo) tu-<-sS Fe JT.IR24agZJz;,/l ~ Ta0 e a Bu~ rn Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002274 STSTAATTEE0_208282211223311 QQUUEESSTTIIOONNNNAAIIRREE . FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What types) an brands) foamarwere used now and in th pastby he Departmen, bth or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire respons andi vamng sokatio" loss chock ah a ao. response and in training (if applicable)? Please check all that apply. Gash BACEGuned Tes jogh folh TyTyppeeooffFFooaamm Cl8aAquseosus Fin Class B Aqueous FilmForming Foam (FFF) | | Forming Foam (AFFF) Class 8 Alcohol Class B AlcoholResa ay aep| -------------------- Resistant (AR)-AFFF CosPown | Class B Protein Glass 8 Fucoprtein Class B Fluoroprotein I) _-- (FP) Clas 8 Fim Foming Class B Film-Forming Frvoraan gry, ---------------------- Fluoroprotein (FFFP) Cossmarerr Class B AR-FFFP Cass aH Class A-B Hi Coaonfon | Expansion Foam BBrraannddooffFFooaamm TUasondgine Used in Training? YYeess oorrNNoo AmUosuednt Amount Used AAnnnnuuaallllyy CurentUsoor Current Use or HHiissttoorriicc UUssee?? ---------- -------- ---------- -------- -------- ---------- o_o TCrlaasnsinAg Foam _szLvex Yes (teak Bolh oer Training Foam - - Other ToTairrhhaoannnrdookkdciyyknooniinuunggffe@ oorrrddGyyeaooltautuarereamtnnimvon.eccaoaasmnna)dd)oocmcfo9roJooJp)ipemerahrSiatvittioooencn.ok.ainnPPglnleeGerauaas1estseSthihcceooeornnMMistaaiicnGcttnaneNNrsaaaaonnstncacygyPPRRohooolelluddtniiiQoinnoenggsoCattotDronDmotrleatoltltaaAAsgCCgeoeonnnncscsyyuull(t(a6a6n5n5t11ss--2(3(695657751--18-8-666096897667--5oo5f1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please routhis quastonnaiteo ett Gansuients by May 820in0th8e enclosed stamped, sot: Please return this auestionnaire to Delta Consultants by Mav 9. 2008 in the enclosed stamped. self- Questonnare complete by `addddrreesssseeddeennvveellope.. Questionnaire completed by: Na?ts2tn-def1i4-6 ~ A ~)/J-b. A /i-ee Name and Title ( 4 sed FSCire pDDreeippeaearrtmkmecenwntt py"n\ e hoi: Ph~So,neUfN-Eab.e. rIs?P-<-H1- H t./tE s-~ 3Saf of Phone Number Date ECv~ aalrdlr!t1o-osusr~i-rhe~oh c)~hrifc- @ h tM-<mAe;!I .. com C-6 )1-1 E-Mail Address Ninogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00275 sStTaAreTE_0022882211223322 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DeDoooteeossnpyygoouurr DoDepepupasarirttommneesnn?tt curently currently o o r ashas your your Department Department istoricaly historically sedClass used Class Aor A or Glass Class foams B foams orfor Ren rcs firefighx operations? uesons YNoe.s-SiPgroncteheodbtoaQoucfetshtkiiosnf2orm and atuo Dota Consultants No - Sign the back of this form and return to Delta Consultants L 2. Howoften s Cass oCasAfosam used inresponsetoe cols? 2. How often is Class B or Class A foam used in response to fire calls? X_ oanatess 0-25% of fires ___252.55-500%% ootf resfires ___ 775-51 0-0%1o0offf0feiree%ss 3. Dos the Departmenthave a compressed ai foam systom (CAFS) witha bin tank ois engin(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ------,;;-- Yes Ae -A-No 4. Howofeni foam used in taining exercises? 4. How often is foam used in training exercises? Wea Monty Quarry ____ Weekly SomiAmualy X_ sorualy BrAmualy ___ Semi-Annually ___ Monthly ,X Annually _ _ _ Quarterly ___ Bi-Annually _ overpemesseety Other (please specify): _______________________ 5. Howmuch foam is used par raining event? 5. How much foam is used per training event? Less than' gas, Sgalos X_ 5010 gators ___ Less than 5 gallons 5 gallons X 5 to 10 gallons Moro than 10 gallons leasaspecity ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Intining, where does th spent foam go? 6. In training, where does the spent foam go? Storm Sewer _ Sanitary Sower onstesepic _X_rouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _2Q_ Ground JR---- ___ Othni (plsasc describe): _______________________ 77.. nWWhhooeroerddmooeasoo/drdlidcutathroeentinraniinginnndggpattasaktkeeappllnaaccgee?? rPlegoleeaassoe iinncclluuddee aaddddrreesss,, iinntetrseerctsioenaco' tr toithohernr ssppeocciificcloloooccaattioonn oF W11V finf/o?arm_1al3tio/lno_fkoabr&cduirreJnKtJao,nqdh~pzaTost trFainingLaTereay s. 1B1Y'1 ;f(}uq,lLonbd~. $~7J/{A.}.e ?J. J ) HXK1wnooggep1nt ''" Snare: Phone: 451.639.9945 1 850.430 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: FE300047) Suite 100 St. 651.639.9473 Mamttaam Paul, MN 55126 USA www.deltaenv.com 22222..00276 sStTaAtTeE__0022882211223333 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wnt pels) and brand) foam eo ere us maw an nn pst by th Daparimen, bo for vo 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaatt aapppplyly.. Tupeotom Bandof Foam TUasYeondrigbna lAAmmmoauualnyt , cHiustronsUesess Type of Foam gman AA -v:r .s-- e .. - 3 FT thieos Class B Aqueous Film- Foon rey = Formirog Foam (AFFF) ClCalassss BBAAllccoohhooll- su re: -- RReessiissttaanntt ((AARR))--AAFFFFFF Cosopwen Class B Protein Clas 8 Fuoroprten Class B Fluoroprotein ka _-- (FP) C8aFisFomsing Class B Film-Forming Floproen (FR) Fluoroprotein (FFFP) Cosmrere Class B AR-FFFP class ABH Class A-B Hi Sonne || mm ------ DE Cass Expansion Foam Class A Tring Fam TT Training Foam oer - Other Brand of Foam ~~~ ~j_/f; ~..,~ 1A1!rI)(s LL l Jez = Slee Used in Training? Yes or No ~ AAJcXJe Amount o-pj+L Used Annually a- c;-4_(_ / 0Oo Current Use or Historic Use? His"/OeJu &Leuei~a s.e vJ es 20-35 coer] Thankyoufot yor ne nd cooperation, Pleas contact any Roding t Dota Consutans (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Trohadaa com on Sting: he inset Palo Con Agere(653 597 3090 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency {651-297-8666 or soci Gate) 1 ou ho oy awn rogrdng i ostomee, jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurmntthhiissqquueestsitioonnnnaaiirreettooDDeeltltaaCCoonnsusiutitaanniissbbyy Maayv99,,22000088iinntthheeeenncciioosseeddssttaammppeedd,,sseeliff-: adiressed orsiope addressed envelope. Questonnacocompeted Questionnaire completed by: 07h Ls Plsser : Chel i:molh{ fJ &/et~vJe::;(' nate Name and Title (hss [ake 0VolLwae Eoenl Frc Hen. FCi AD~espaLr1t1u Fire Department v;J/8{ UP-3F=C9S Happ dBolofn?e-e3r35- ~!CJJ' Phone Number 1o-ce:<--cJP Date il cdLTa-vdf biPnscs: @e. tgJ.to'v(sJ, JWtEJOT E-Mail Address Xinogen eres eT TE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00277 sStTaAreTE_0022882211223344 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11.. DeDcooiesgshyyioonuugrr oDDpeeeppraaartrtimmoenensnt?t ccuurrrenntltyoyorr hhaass yyoouurr DDgeaprairtmmaerntt storia historically uusseedd CCllaasssAsA oorr CClaassssBB ams foams ffoorr firefighting / Ves protocQueestiosn2 operations? Yes - Proceed to Question 2 No-Sign thebackofthis form and retur fo Delta Consultants ___ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwoofftteenn'issCCalassss BBoorr CGalassss AAffooaammuusseedd iinrreessppoonnsseettooffrireeccaalllss?? ___ 00-2255%%ooff resfires ___ s25s-s50o%nooiftfireess 1, /7T55-110000%kootf resfires 3. Doss theDeeppaarrttmmeenntthhaavvee ca ocmopmrperesssseedd aaiirr foam foam system system (CAFS) (CAFS) witha with a bun built-in fark tank ons on its engine(s? engine(s)? 3. Does the D ve ___ Yes Le rLNo 4. How often s foam used in rang exercises? 4. How often is foam used in training exercises? Weak Monty _uaneny ___ Weekly ___ Monthly _ _ _ Quarterly SemiAnmualy Aavualy Team ___ Semi-Annually ___ Annually ___ Bi-Annually 2 one poservotn _Racely 1/ Other (please specify): _.,_g-+"4..,_.,.=-.-.e.,+--~- - - - - - - - - - - - - - - - - 5. 5. HHoowwmmuucchh ffooaamm sis uusseedd prper rtraaiinniinngg eevveenntt?? Moro than 10gaons (pease speci) v /LeLesssstthhaann 5ggalallloonnss 55gaglallloonnss _ _ _5510to1100ggaalllloonnss. More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - TO Gamsowr _Santoysover__onstesapre 6. 6. Intraing, In training, where where ddoocess tthhee ssppeenntt ffooaamm 07go? ___ ____ Overioasedesciber. Storm Sewer __ Sanitary Other (please describe): _ Sewer _ _ On-Site Septic u~rronunad 77.. WWfihonemearretiddoooneesso/idrdicdduthrheeentttrraaainnniindnpggataackkoefppallaanccege?? rPPeeleaaas.see iinncclluuddee aaddrderessss,, nineterrssoeccttioonn oorr octiheerr ssppeecciififc llooccaattiioonn Varies information for V4J"l~j =current ovand clu nat past training ttaf t vauelly areas. .t 'fyq/ly vussee. Fooqal?mr e~"n' l/;i..aeuiv~,i-,n.g. XKiInnooggepr:rf '"' i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: ov evs 2 See TTLTRL: SOL e300) madattaandan Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002278 sSTtAaeT_E0_202882211223355 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. TWenraotnentsman)vaann3feoa9amrc Pwiesrssaecdkiltandi 9.h pat te Deparment bth foc fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. ossttom mantottom TTUaasanringe aAm`moeuernnt ciumlmteUusosor Class B Aqueous Fim- Type of Foam FCFoolarrsmmsiinnBggAFFqoouaaemmou((AsAFFFFiFlFm))- Gas 8 coal Class B AlcoholReson oye | ------ Resistant (AR)-AFFF Cossopoen Class B Protein Class 8 Forte Class B Fluoroprotein fa ee. mmcom cn (FP) Gas 8 im Forming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFFPP)) Cwsmnie Class B AR-FFFP css oH Class A-B Hi aan foam Expansion Foam cass Mimecr Mo gogal hike Class A Tongro TPT Training Foam over - Other JB/h'ra1nnd of Foam Used in Amount Training? Used Current Use or Yes or No No LJe.Aes#ns~nBtuJha,oalllynt I~yqLlH_is_tbob.riic~Utf'so;e?~r/ci. --de__ 4 --ditI ar I NtJ Thankyou for yur rn and copa, lea contact Hany Rodingof Dells Consular 651697152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 odoicnom)on3 kis she Mets Fob Can Agony (855750o0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mecinan vaso ou ve sy ashe opens ect jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questomare amit: PPlleeaasseerreettuurrnntthhiiss qquueessttiioonnnnaaiirree ttooDDeelfttaeCConosnuslutltaannttssbbyyMMaayy99., 22000088iinntthheeeenncclloosseeddssttaammppeedd,.ssaelltf-: aaddddrreesssseeddeennvveellooppee.. -- Questionnaire completed by: Lilo ame si Th Name and Title /BJe,-,p1p7 'e7 el1l/ Canternninl Fis C. en f e. n J? ,~ I Fre Oepaen Fire Department Diatrie? PL rana mG ar srvgy-o Oo vrA Phone Number Date Eaft!A.o.Pdldd(cl_hhi/eef 14. @@ Ccoommc qci(a.nsfleett7 4-29-27 E-Mail Address Xinoger anes vere PR ol TS . teesa 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00279 sare ozsa1zie STATE_02821236 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1 . Does your fDioreefsigyhtoiungr Department Dopeepraatrtimonesn?t curentloy currently or has has yyoouurr DDeeppaarrttmmeenntt Hhiissttoorriiccaallllyy uusseedd CCllasasAsAosor CCllaassss 8B ffooaammss ffoorr X_ firefighting \(' opYVeereassti-o-PnPsr?orceeodttcooQQueeusestetiioodnn22 ___ NNoo-- SSiiggnn tthheebbaacckkooffthitsffohorrmmiaansndd rreettuurnm tto DDeellttaa CCoonnssuullttaannttss 2. 2. HHoowwooftfteenn iiss CCalassssBBoror CClalssAAaofoasarm uusseedd iinn rreespsonpsoetntoosrfiroee ccaalllsl?? ~_x'X-'_-- 0o-22s5w%ofoffifrireess _ ___ 225s-s500%%ofoff fiireess _ ___7_57150-1000%% ooffffirieress 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprperesssseedd saiir ffooaamm ssyysstetme ((CCAAFFSS))wwiitthh aa bun built-in ttaannkk oonn 1itss eennggiinnee((ss))?? X)( Yveess NNoo 4. How ates foam used in raining exercises? 4. How often is foam used in training exercises? Weekly Hon Quarry ___ Weekly XC somiAmualy Aanaaty Bhanu --rvP-'-- Semi-Annually Monthly ___ Annually _ _ _ Quarterly ___ Bi-Annually Other(pease spac): ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaammiiss uusseeddppoerr raining training vent? event? XX_ Less than' gatons Less than 5 gallons S5ggaallloonnss ___ MMoorree tthhaann 1100 ggaatlloonnss(p(plleeaassee ssppeeccif)y:): ___ 551to01100 ggaalllloonnss 6. Intraiing wheredoes the spent foam go? 6. In Storm Sewer training, where does the _ _ _ Storm Sewer spent foam go? _ _SaSnaintiatarryySSeewweerr _ ___ _OnOSn-iSeitSe eSpepiticc __XX__GGrorouunndd T overplessedeserbey ___ Other (please describe):----------------------- 77.. WiWnhfheoerrrmeeatGdiooosenssfol/cdiuiddrttrhheentrtraaiainnniindnggptatasaktkeeaipilaraiccneeg??aPPrleleeaasa.ssee iinnccluuddoe aadddrreessss,, ninttoerrsseeccttiioonn oorr oer other ssppeecciififc llooccaattiioonn information for current and Pf'Ao-frC-e.~ past training Pp'-e'~nc.c;.ee_ Cue areas. Qv-.J- - -D~D -- S~cE A.C. Kinogen SET Cre pry TT TOES Fel, A 55136 iUSK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane 31.039.9|084050.033 7411 Pov: S9LI010 9473Mn elias.cor Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.de!taeny com 22222..00228800 SSTTAATTEE__0022882211223377 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What y0(0) and ranofefoa)m ar orwere us roanw 1 stb he Darien, bot or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tokponas ad rang (1 9B loses chock ak 3p. response and in training (if applicable)? Please check all that apply. FGloorsmsingAqFuoeaomus(AFFiFn). TyTyppeeooffFFooaamm Class B Aqueous FilmForming Foam (AFFF) fining I ARC BrBarannddooffFFooaamm I+N~'-<7 /H2G .3-'f..~ TUUassmeeiddniginn? Training? f YYeessoorrNNoo jVt Amount Amount UsedUsed AnAnnunaulalllyy Nong ~uMfl:.. Curentuseor Current Use or HiHsitsotorriiccUUssee?? RRR 7)Jn vCoonnpen nceWT em veT s moE an. CCllaassss BB AAllccoohhooll-RReessiissttaanntt ((AARR))--AAFFFFFF CuossmPown Class B Protein Class 8 Formate Class B Fluoroprotein I)(FP) Class 8 Fi. Foming Class B Film-Forming Faoproton(Fp) | Fluoroprotein (FFFP) cosemmee Class B AR-FFFP Cass re Class A-B Hi Sorsonfoan | Expansion Foam Class A L l -- Nf\1O 00 ee en gpm p,{lo )O'.e .. sree see ---------- ---------- {20 C'dJC_ _ __ Training Foam of over TT Other Thank you for your time and cooperation Please contact Nany Roding at Dolla Consultants (651-687-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a Procnnaaaancom) or J Socingt at ng inhesla PORAoN Gorrl Agency (691-397-3606 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rocking Gtates) 1 hav ag uesons raring Ws qussbonnan, jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiiss qquueessttiioonnnnaaiirreettooDDeellttaaCCoonnsuslutltaannttssbbyvMMaayy99,.22000088iinntthheeeenncclloosseeddssttaamm~p..efdL.,. sseeilff-: `addddrresssseeddeennvveellooppee.. Questornare completed: Questionnaire completed by: GCoJk?Ee (fr ESE Cee &L=r G-G.'2 ~ Namo and The Name and Title c_ FreGCeCpaHriAmNontAS Soe) FFirreo(DnieHp~piamr,taimeeirGntu4a-sAaSt~ Phone Number Eri (0 LeSKE GY E-Mail Address WATELoUCSo s(os~alfoose Date co Ninogen: PPrhoonnee:: 651.630.90855910 651.639.9449 I 1 R880i0c0.4e707 C .4 3411. reek Park 77.7411 Fok: way Fax: 51.630.947 Suite 100 St. 651.639.9473 Ahibstliaknyca.m. Paul, MN 55126 USA www.deltaenv.com 222222..028811 sStTaAreTE_022882211223388 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1 . frDDeoofeeissghyyioounurgr aDDpeeeppraaarrtitmmoenensnt?t curroernhats currently or has your your Deparment Department historical historically usdused Gassor Class A or lasClas s B foamfasr B foams for pSK firefighting opYeerasti-oPnPsr?orceeodttcoo QQeuueessettiioodnn22 YNoe.s-Sign the ack ofthis form and returnto Delta Consultan _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwofolfteenn'iss GCllaassss BBoorrGCllaassss AAffooaamm used used in in response response ofr to fire cals? calls? ___ 00-2255%%ooffffiirreess. ____ ___ 252550-%50o%ffoifrfieress 2:XX 7755--110000%%ooffffiirreess 3. Does tthhee DDeeppaarrttmmeenntt hhaavvee accoommpprreesssseedd arair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bbuuiilltt-iinn taktank aonn 5its eennigninee((ss})?? 3. Does ___ YYeess )X<: oNo 4. How often s foam used in raining exercises? 4. How often is foam used in training exercises? Weekly Monty Cuan, ___ Weekly ___ Monthly ___ Quarterly Sombanmuaty SK Annually BiAmualy ___ Semi-Annually Annually ___ Bi-Annually Otter (leasespeci): -- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss usedper~'; ~ used per rtraaiinniinngg eevveenntt?? KL Lessthan'gators 5gallons. 5110 gal0lons ~ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Moro han 10 galons (pease speci) sees ___ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - - 6. Inainingwheredosthe spent foam 0? 6. In training, where does the spent foam go? Storm Sewer __ SantrySewer onsteSepic XXC - Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Other (please describe): - ___ .Other (please describe):----------------------- 77.. WWinhhfeoerrreemaddtooieeossf/ioddriddctthheentrraaiainnniindnggptaeaskkteealpllaaicceen?? aPlesleaa.ssoe ncudo include aaddddrreessss,, inersion intersection oorr throther speci specific llooccaattioonn DBS informatio11 02'85 ENGEN for current and past EN~\(\..., BWO training areas. &\'-.J 0 . Kinogen RE Cre PST 106 Si Fut, A S386 _TS.R 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA onan: 653.639.8|08005.033 7411 ok 39453 Mndias com Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.de!taenv com 22222222..00228822 STSATATTEE0_202882211223399 QUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 What ypo( andbrane) offoam are or we use naw ain pasby th Departboth for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espanaand n varie, 1 aplcate loses check a nt apy response and in training (if applicable)? Please check all that apply. TUosendgine AmUoseudnt CurentUseor TyTpypeeooffFFooaamm Clas 8Acueous Fin Class B Aqueous FilmFoming Foam (AFF) ---------- Glass BAlcohol. Forming Foam (AFFF) Cere SY c Class B Alcohol- Swe Resistant (AR)-AFFF cssepoon Class B Protein Clas B Floreat Class B Fluoroprotein I) --_-- (FP) Clas FimFoming Class B Film-Forming Flsoropoton (FFF) Fluoroprotein (FFFP) cosemreee Class B AR-FFFP Casenn Class A-B Hi Epmanfoam | Expansion Foam Class A HeSemBat TeyOe Fs ney Class A Teaing Foun ee meet meee meget Training Foam omer - Other BBrraannddooffFFooaamm Hi SonBaT Used in Training? YeYessoorrNNoo me tJ~ Amount Used AAnnnnuuaallllyy Current Use or HiHsitsotorriiccUUssee?? Q \\M~e~,b.n,~e~ ws~e `Thankyoufor your time and coopraton. less contact ary Roding at Dota Consular (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ar orodhing@aencom)orm Stinger at he innesla POT Cortol Agency (651497 3688 o jjoiimrmn..srstotodoccnkkiinnigngg@eerrd@@essltttaaaettene..vmm.cnno..umuss)))oiiffryyJooimuu hhSaatovvecekaainnngyyeqqruuaeetsstthtiieoonnMssirnreenggeaasrroddtiiannggPttohhliliusstqiqouuneesCstitoioonnnntrnaoialrirAee.g. ency (651-297-8666 or PlPeleaasseerreettuurrnththiisqqueusetsitioonnnnaairireettoDDeletltaaCConosnuslutltaannttssbbyyMMaayy99,, 22000088iinntthl]eeeenncclloosseeddssttaammppeedd,.sseellff.aaddddrreesssseeddeennvveellopee., Questonnace completed by: Questionnaire completed by: -Tr:if'Am.. wDEBE Fee CMEFR l~f},~ NNaammee aanndd TTiiltlee. - MASA E --a . S -- SSA. 443-2 Fire Department <==t.S~ ~ L t..t ~ ~ ,,C) P-h+one Naber Toto Fone @ Phone Number \,.J-J \. ~\.:) ~ ~ CT..'.a-'As&k~hs. EW Addes E-Mail Address NM"-.N~,.. Que H-23 s Date Sonogen To[ 0 JaEARE eo 5910 Creek Parkway Suite 100 St. Paul, MN 55126 USA ER Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00283 sStTaArTeE0_208282211224400 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DrDooasetss iyynoouugrr DoDepeppoaatrrotmmneesnnt?t curently currently oor ashas your your Deparment Department storia historically sedused Clas Class Aor A or Glass Class Bfoams B foams for for _/ Ves. Procasdto firefighting operations? - / Yes- Proceed to QQuueessttiioonn 2 No- Sign the baofctiks form and return to Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howften Class Bor CiaAfsoasm used in respotno sre clk? 2. How of/Class B or Class A foam used in response to fire calls? oasis 0-25% of fires 250% 25-50% ootftfirreess ___ 7755-110000%%0otfffrireess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aabubiulitlt--iinn ttaannkkoonnititsseennggiinnee((ss))?? ves ------r Yes re \ / No 4. Howofen i foam used nang exercises? 4. How often is foam used in training exercises? -- Weeiy Monty J ___ Weekly ------71'' Monthly _ _ _ Quarterly onthe sony a-- ___ Semi-Annually \/Annually _ _ _ Bi"Annually Over asso spc: ___ Other (please specify): _______________________ 55.. HHoowwmmuuschhffooaammiiss uusseedd ppoerr vainig training oevveerntt?? __+:L LLeessss tthaanns Mero than gatons 5 gallons 10 gators 55 ggaatlloornss leasespocty _ _ _ More than 10 gallons (please specify): ___ 5Sttoo 1100 ggaatlloonrss 6. ntrining, where dos tespent foam gu? 6. In training, where does the spent foam go? overpensodoseron)________ --- ___ SSttoorrmm SSeewweerr __ S`Saanniittaarryy SSeewweerr _ _ OOnn--SSiittee SSeeptpitcic. _____ Oth~r (please describe):. _ ---------------- V/vGroGruonundd 77.. WWfhohroemrraeetddioooensef/dosidcttuhtheevtrraaaiinniinanggpattasaktkeefppailaancceeg?? aPPreleeaaasssee iinnccluldued aaddrderessss,, trsecokroobenr intersection or other spi specific ocaton location iln>Bfoeermhhati'io,rnn-fdJor curr-fehinrrtLea-nd pHHaaolslt..tJra/ inin@<g2-areas.'9752f3sl HHto.-y1\/ 5372 I Kinogen PPhhoonne:e: 651.639.9045/ 500.977 7411 Fok: 5910 Rice Creek Parkway 651.639.9449 J 800.477.7411 Fax: 631.619.9473wah.daltasaY.com. Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00284 sSTtaAeT_Eo_z0s282211224411 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wiha ys) andrac) foam ar or vo used ow and nh ast by tho Deparment, bot forro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tessas 37m San fap' loss cock a ot ap response and in training (if applicable)? Please check all that apply. TUusondgin? AmUoosudnt GumomUsoor TTyyppeeooffFFooaamm Clas Aqueous Fin Class B Aqueous FilmFaming Foam (7) ~~ ---------- Forming Foam (AFFF) Gloss B one Class B AlcoholRossin arp | -------- -------- -------- Resistant (AR)-AFFF CossbPen | Class B Protein PS -- Class B Fluoroprotein ww _-- (FP) Class 8 Fim Foming Class B Film-Forming Fcoprten (FLFP) --_-- Fluoroprotein (FFFP) CassoaRFE Class B AR-FFFP Casas Class A-B Hi Caron oars . Spek Gass A Expansion Foam Class A THE mmm emi eens mere Training Foam oer - Other B BrarndoaoffFn Fooaadmm Cilbyex Used in Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? end"=<500l_avmge Tankyoufor your ie a cooperation. leas cnt: Nancy Rdgat Dea Cosufans (551.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or radon om) om Soi rg Mine Fok Core oon (6 S07 300o8 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fr sockrirGame mo) ou have oo aves eeding is stone jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. AT Please return this questionnaire to Delta Comwftants !:w Mow 9 2008 in the enclosed str>mned, seJ:F- `addddrresssseeddeennvveellooppee.. Questionnaire completed by: t-<eSeetJa-hks RQer'-chLhAarmnbbee~taAn. Name and Title Chief okEE there,; Fire Department I PhaNgeeN-abeZrAa-355h [AB 3% 3K0Y Bae 3/5/05 Phone Number Date Sa E-Mail Address Hoge PPhhoonne:e: 665511.663399..995499431950 /I 800.477 7411 Rice Creek Par 800.477.7411 Fak: kway Fax: 551.639.9475 Suite 100 St. 651.639.9473 wvi.daliaenv.om Paul, MN 55126 USA www.deltaenv.com 22222..00285 sStTaAreTE0_022882211224422 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1. DrDoaoetesos hyyioonuugrr DDpeeeppraasrrtotmmneesnn?tt current currently aor has has your your Deparment Department isoical historically uusseedd ass Class AA oorr CCllaassss 8B ffooaammss ffoorr firefighting operations? NvY-'"o'e-YessS--iPPgrrnooccteeheeeddbattoockQQouufeessthttiioisnof2no2rm and tur t Dela Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. Howotens How often Class is Class BBoorr CClalssaAAfsfooaasmm uussedd iinn rreessppoonnssee ofr to fire ccaalllss?? _ ___ o0-a2s5w%orosf mfireess rssonotes /25-50% of fires _ ____1_s7t5o-100a0%ttofrfieress 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommiprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwitithha ulin a built-in ttaannkkoonnfitsseennggiinnee((ss)?? we V" Yeess _ _ _ No 4. How often foam used in sing exercises? 4. How often is foam used in training exercises? weak Monty uae ___ Weekly Monthly -- Semdanuaty Aomualy biamualy ___ Semi-Annually Annually ~Quarterly ___ Bi-Annually Over pessespecty ___ Other (please specify):----------------------- 55.. HHooww mmuucchh ffooaamm iiss uusseeddppoerr raining training ove? event? +~ 2 Less Less than than Salons 5 gallons 55 ggaatlloornss ___ S5ttoo 100ggaallloonnss ___ More than More than 1100 ggaalllloonnss ((pplleeaassee ssppeecciify)): - - - - - - - - - - - - - - - - - - 6. Intaning, where oes the spent foam 0? Storm Sewer Sanitary Sewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer __ OOnn--SSiittee SSeeppttiicc tor (plonso dose -'------ Other (please describe):-'--------'--'----- vG"rGorouunndd 7. Where does he aig ake lace? lease include addess, nersectonor cher speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location formation for cnt an past amg reas information for current and past training areas. 0Va.<tJioouus:J tl-oo("a17z2u<1ntJs.I tooJf FPit&kte: DDJuJ7trttc'/.FfVokIl !phno.st!fe"" iBfloA1n-AsI.S. ~TIAh/otAmrsG 0<i7zFe)d//rbJvoju(.nNsJ I XKinogen nares 651.630.5R 008 1C400 T SAEpaFork SEheTo90SS Mpau,at551a36 sUoSnK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.corn 22222222..00228866 STSTAATTEE0_208282211224433 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 8. What ote) and ranofsfo)am ar orwere us row and ne astby he Departmen, bot fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire esponss and rain (1 appcae Foass chock ah nt a3: response and in training (if applicable)? Please check all that apply. TUnsendgin? AmUosuednt CurentUseor TTy~p~eeooffFFoaamm BBrraannddooffFFooaamm Cine BAqueous Fim Class B Aqueous FilmPre om GR] | ee ------ Forming Foam (AFFF) Clas 8 Alcott Class B AlcoholRonee | -------- -------- -------- Resistant (AR)-AFFF Cass 8prowen a Class B Protein Class 8 Fucroproten Class B Fluoroprotein Eo) _-- (FP) Class8 Fim Foming Class B Film-Forming Fcopoton (FFERy | ---------- | Fluoroprotein (FFFP) CossaRFER Class B AR-FFFP Class ABH Class A-B Hi Baan || mm me ee ee Class Expansion Foam Class A l11.u&6gJdSs. H!w!Jc(l.fol (muimrMr7 A/l TrainingFoam - Training Foam oar o - Other Used in Training? YeYessoorrNNoo. Amount Used AnAnnuuaalllly~ Current Use or HiHsistotorriiccUUssee?? _y Y th Besu lonesg s, ;i;11fF F'lt<rs Lvf:'rJJat' F;!(cf "Thank youfor yur te and coopratn. Pleas cota Nancy Roding a Dla Consults (851097-3152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of rodla@detaomcom) o im Stockia nhge Mirela Foluion Carol Agency (G51. 307-3668 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or isicker ite nu) ou hae any 080m eGCing 155 uOSHonnale jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plea~e ret!Jrr: this questionnaire to Delta Conz:.:!tantz by!!.~~ D, 2008 in the enc:osed starnped. s.;;ff.. Fr addressed envelope. Questonvare completed by Questionnaire completed by: Fars a Ts &Luecwr .4'1. ffr7eEets-Jwve.J! Nam'e and Title Fie caer Cond7e% Fike Deer FFiirree DDeeppaarrttmmeenntt Pons Naber (57- 257-462. Phone Number Eval Adar 3 E-Mail Address EDS-1-08. Date Xinogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222..002287 SsTTAaeT_E0_202682211224444 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DfDoroeoetsshyiyonougurr DDoepeeppraaarrittmomneesnn?t rent currently or or has has your your Department Department strc historically used used ClAaorslass Class A or Class foams B foams for for firefi~ ghtLinorg opYepNreoas-tioS-rniPsgr?noccteheedbtaotoocckQousuefeststhtiiiaoosnnfs2orm and stu toDeltaConsultants _ _ _ No -Sign the back of this form and return to Delta Consultants L 22.. HHooww oofftteenn' is CCalassss BBoorr CClalssaAAfsfooaasmm uusseedd iinn rreessppoonnses toe to fire ccaalllss?? oasw artes smonotties YX _ _ _ 0-25% of fires 25-50% of fires 7st00m fe 75-100% of fires 3. 3. Doss Does the the Department Department ave have a compressa compressed air ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a a ulin built-in aktank onson its eennggiinnees(s))?? ___ Yveess no -+No 4. How olen foam used in aking exercises? 4. How often is foam used in training exercises? Never Vicay jo Quarry ___ Never ___ Weekly YC semamusty Rory [re '(.. Semi-Annually ___ Annually Monthly ___ Quarterly Bi-Annually Overemespecty Other (please specify):----------------------- 5. How much foamis usa por vaining avers? 5. How much foam is used per training event? Less han'gtons 5 gators LK_ swiogons Less than 5 gallons 5 gallons 5 to 10 gallons More than 10 gallons (Fease pect _ More than 10 gallons (please specify): _________________ 5. tring, where coos th span foam go? 6. In training, where does the spent foam go? Som Sewer __ Santary Sewer onstesepic XK Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _:i__Ground Over (loose done); ____ - ___ Other (please describe):---------------------- 7. Wh dou th vaning take lace? lease incudo adress, torsion or other spoil cation 7. Where does/did the training take place? Please include address, intersection or other specific location formfoarctunot an past vagareas information for current and past training areas. ~~ ~ \."\---. ~ NKinogen OVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002288 SsTTaArTeE__0022682211224455 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 88.. WWrienhsaapttotyynppseea(s)n)daainnnddrabbirnarinndag(s1n) oo(9ff9ffs4oocaa)ammblaaerr)e?aoPrlwweeearrseee uucssheeecdcknnooalwwl haaanntdd 3iinphth.ee past past by by the the Departmen, Department, boorftre both for fire response and in training (if applicable)? Please check all that apply. TTeypQeeooff FFooaamm GCFliaslmsFBBaoAAmqqsugueefoosouusss m (AFF Film-Forming (AFFF) Foam RCCelamlssa8BnaAclscoRohhYsool- AFT Resistant AFFF (AR)- CClaassssBBPPrwoteenin CcFilasvssrs8oBprot(e7ip)n CCFFolluarlosmsrio8anBpgFrsoFitielmsmin-- (FP) Forming LE(FR Fluoroprotein C(FeFFsPs) eaRFER CECCxllaapassassnssABis-oBAnmRaFH-ioiFaFFmP CEaxspsanAsion Foam CTleanssnAgfoan Other Training Foam Other `BBrraannddooff FFooaamm -- ------------------ K~ X~ll L--vJEsxx - TrUUassieenddiininng? YesorNo Training? Yes or No AAmUmosoueudnntt Amuslly Used Annually CCuUursrrreeendnt?tllyy Used? HHiissUttsooreriidcca?allllyy Used? JE -- NXecd~ -- m ~ e ioToTrmrhhanosarndtorkondcynynkoogiinuu@ngfdfg@ooaerrrdlyy@etoosluatutarcraentttniim.vmnc.ueecso)oaammnn)dd) occoooomppeerarStatitioooncn.k.inPPgloleeraaassteetcchooennMttiaacnctnteNNsaaonntcacyyPRRooolddunioinnnggCaaottntDDreoalltaACgCooonnnscsuyull(taa6nn5tt1ss-((268955711---8660906776--o551155 you or Jim hSatoveckainngyearuaetsthteonMsirnengeasrodtiangPoilslutQioun eCsonotrmoil Aegency (651-297-8666 or 2 2 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. aPdPldlaeraaessseeserdettueurnrnvethhlioispseq.ueqsutioennsairtetitooDoDeelnlttanCCoanosniuslturaltnaetnstsbbyyJJuunnee66,. 2008 2008 in the the enclosedstamped, enclosed stamped, sof: seif- addressed envelope. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: NB ame a3ns a-:TJieS D ~re ~wrgJ Name and Title FieDepaQ rtment sTMm SiRE Fire Department Phone N2abepr 934-799.( Ol -BaoeY-08 Phone Number Date Eva AdT~drA~esSs~boabs@? ~F~N~R<A:N_tEJTt.\,COfa\\m. E-Mail Address XXinInooggefnn "'" _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phan: 651.639.91488005.477.7411 Fak: 651.635.9473 mandeltosnv.om Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222..00228899 SSTTAATTEE__0022882211224466 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Dos your Deparmentcura has your Depart sonal us Css Aor Cis as 1. Does your Department currently or has your Department historically used Class A or Class B foams for fre tebe firefighting operations? 4 es- Proceed to Questio2n V Yes- Proceed to Question 2 No- Sign the Backof this orm and eur to Dla Consulants No- Sign the back of this form and return to Delta Consultants 2. Howan's Class B.or Class Afoam used inespotnosroo cals? 2. How often is Class B or Class A foam used in response to fire calls? ___ 00--2255%%ooffffiirreess. v /Was25s-o50n%.ooff ffiirreess. ___ 7755--10100%% ooff ffiirreess. 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eennggiinnee((ss))?? vos ___ Yes RV1/ No 4. Howoten's foam used nang exercises? 4. How often is foam used in,training exercises? Wey Monty ___ Weekly Monthly ___ Quarry Quarterly Overtpeasespeaty V/_ sSeemmi-i-AAnnnnuuaallllyy _ _ _AnAnnunaulalllyy ____ __ BBii-AAnnnnuualalllyy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch oanis used or vaing event? 5. How much foam is used per training event? / Loss tans galons Sgalons 5010galore -----"'\/'---- Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More t1h0 gantors easespect) ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - . Intaing whoo dos th spat oa go? 6. In training, where does the spent foam go? J -- t\/_l SSttoorrmm SSeewweerr _ _ SSaanniittaarryy SSeewweerr _ _ OOnn--SSiittee SSeepptitcic. /-GGrroouunndd _ _ _ Other (please descri~e): - - - - - - - - - - - - - - - - - - - - - - - 7. Woiemroncioosoifdctuhevnatianvaoskpleanceg? rloomse che adress, rsot ahr speci oation 7. Where does/did the training take place? Please include address, intersection or other specific location Al information ~I.e~ fel Qskio, for. current and past ~-e;\.L ~kt-o(. 39S & fhe training areas. 3c<J? <;\- lv ~ ~ ~. SSoc.' Sec. 95 Leoraadsille. Towip Mave Co. (Eng by fmphad Knog XInogpl' '"" oro ov 579 TITS Tor ELT aom 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002290 stare 02821247 STATE_02821247 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 85.. WoWshhpaaottnttsyypapeea((ssn))daainnddabbnrrangad(ns()fdooafipffpfosloaia)cmmabaalreree)?oorlr ewwaeersreeeuucssheeaddcknnooalwwl haaanntdd piinonlthyh.ee ppaasstt bbyy tthhee DDeeppaarrttmmeennt,, bbootth orfor ffirree response and in training (if applicable)? Please check all that apply. TsUaesmedidniginn? AAmUmosoeuudnntt CumentUsoor Training? Used Current Use or CFClolaarTssmTssiyynpBpgeeAAFoqqoofuufaeeFFmoooouu(aassmNmFFfiilmn)-- | BBrraannddooffFFooaamm -------------------- YYeessoorr NNoo AnAnnunaulalllyy HiHsisttoorriiceUUssee?? -------- -------- -------- GCFRleolaasrissmsssitBnaBAgnltAFcl(ocoNoahRmhoLoAll(-AFFFFFF) ~~ ---------- ---------- CRleassisstBaPnrto(tAeRi)n-AFFF ee eee ee feCCClllayaassssss BB B Fuoropeotin Protein Fluoroprotein EE a | CPC(FlloaPass)rsso8BpFFoiilmme--nFFooermmriinnngg ------------ -------- -------- -------- Fluoroprotein (FFFP) + ClCalassss BB AARR--FFFFFFPP Class a8 Hi Class A-B Hi Egaion Foam -------------- Expansion Foam Glass A Begs ys leg det Class A Training Foam ~~ Training Foam omer Sleep os 0 gal _cupent Other EE Thani you for your lime and cooperation. Please contact Nancy Roding a Delta Consultants (551-097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 `oorr nArrooddnniinngg@@ddeellttaaeennvv..ccoomm)) oorr JJiimm SSttoocckkiinnggeerr aatt tthhee MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy ((665511--229077--88666666 oorr jjimim..sstotocckkinigngeerr@@staattee..mmnn..uus) iiff yyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. PPleleaasseererettuurrnntthhiissqqueusetsitioonnnnaaiirreettooDDeellttaaCConosnuslutltaannttssbbyvMMaayy99,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff:- sciressed enseiope addressed envelope. Questiognaie completed by: Questionnaire completed by: gS.{ue Queens Sve cht ~CQ_ <.4c-(_k~\ew:.\.,._ ame ana Tile Name and Title Fie DeparmCCe"n'et-~o~ 0 S~v~e D~, ogri 350 Fire Department 3~\::Y ou 40 3)4_~7Lf50 Phone FNoutmambeerr Evi AdesD b\;4U.ch u.l@ ~u edki\e Se ctl\Heec...-\.i.runLs\ E-Mail Address 5-508 owDate Xinogen' _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mane: 651.630.9585 1 300.433 S411 Fok: $51,039 047) mo ASlinAA a Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..029911 STSTAATTEE0_208282211224488 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 1. Dots your Depts cuenty oye Dap etsy oe Gio or Gas rs 1. Does your Department currently or has your Department historically used Class A or Class B foams for Renter rvoemrsossedto question ~ firefighting operations? Yes - Proceed to Question 2 No ign th baka his form an rte 1 Data Consular ___ No- Sign the back of this form and return to Delta Consultants 2 How fons Glass BoClass form used in sponse oes cots? 2. How often is Class B or Class A foam used in response to fire calls? TX cm iat osotis __JS.,_ 0-25% offires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 3 Doe he Depinant hav compress a foam system (CAFS) wiabuhin ak on is angio? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes TX ve Baaltindank bet cbf Compressed 4. Swarts esa 4. How often is foam used in training exercises? TT es Monty _ awnen ___ Weekly Monthly _ _ _ Quarterly somivenaty 1 sous Ep ___ Semi-Annually Annually Bi-Annually Over pls spect _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 How much foams sedpar ing oven? 5. How much foam is used per training event? pisJ 51010gators ?<' ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons evens rs Go oy ll ie so 3 addonk ___ More than 10 gallons (please specify): IAL(b""'-'~Ul'-';{;"'~'~-c.tSI.~e~py.::.<::<dlkl=e~r.__'J_f_.n."--""':tJ"-f'-.q:~.:::.LYJ._.(J___..,e>~$""'-L- 6. Intabing where dos he sportfoam 7 6. In traini~.>?~ere does the spent foam go? S`Sttoorrmm SSeewweerr _ _'*SSaanniittaarryy SSeewweerr _ _OnO-nS-iStiteeSSepetpiticc spelen ___ O+h.er (rie:::JsP. dP.sr-ribe) --------- ---- -- . ---..- GGrroouunndd 7. Where dosh ving ake pce? less inode adress, inerscin ihr spot ocatan 7. Where does/did the training take place? Please include address, intersection or other specific location jrrerimbipimdoniies vrmi- > " f:'o:=/#11 ~ .{2rqn/-~ information for current and past training areas. vt <:Jivr'<fi ciOJv~l-A, Inogen" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00292 sSTaAteT_Eo_206282211224499 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Wiht pel) and brand) foam are were us nw an in tho pas yt Dasma,boforre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eiponse sin tain (appa eos cca ot a5. response and in training (if applicable)? Please check all that apply. C-- losuTIuypopeeoout-- f FFsooaammFim Buandot Foam Brand of Foam ---------- Class B Aqueous Film- Forming Foam (AFFF) Ueodin Used in Tang Training? Touts Yes or No aAAmUm"moossoumeeudnd.nytt Annually CsumoontcUsoaor Current Use or Historic Use? ------ ---- -------- CCllaassss BB AAllccoohhooll- Ci 3M Bop? Resistant (AR)-AFFF CombPwan | Class B Protein Gwlnass Fuororien _--_-- Class B Fluoroprotein (FP) GlassFim Foming Class B Film-Forming Fron Gree) Fluoroprotein (FFFP) crs -- Class B AR-FFFP Gus 814 Class A-B Hi Eten ---- ---- --_-- Expansion Foam Gloss Webber Spe Class A Ton ------ FT Training Foam oerOther 3M vv 2 Thankyou fo your me and competion. lease conc Nan ringsDolla Constants (51697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ema como Sm Stoaciainnngesela Plo ConvlAgere (B51 97 8686 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rca sara mos You evs ay doers roan os Gnsionars. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plonerstrn this cussion to Dols Constant hy May 2008i th anclosed amped, Ple<!$Jl. rejy[n this auestionnaire to Delta Consult:mt<; !w May 9. 2008 in the enclosed stamped. selfi addressed envelope. Questomaro competed by Questionnaire completed by: srTo NamcandTfile ~ nell 2,f?AJc0uJ.Ar#,;y -r~ig f ~n EESe Fire Department Freie507525-272 Phone Number EE BateHZooe Date EEM-Maialil AAddddrreessss Kinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..002293 SstTaAreTE0_202882211225500 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 11. . tDDeooeeeissghyyioonuurgr DoDpeeeppraaarrtttimmI oenensnt?t curently currently or or has has your your Deparment Department historical historically used used Class Class A A or or Ciass Class B B foams foams for for K_ firefighting opVeerasti-onPrso?casdito Question2 "[ YNoe-s-SPigroncteheedbtaockQuofetshtiiosnf2orm and return to Delta Consultants No- Sign the back of this form and return to Delta Consultants 22.. HHoowwolotfteenn sis CCllaassssBB oor CGllaassss AA ffooaamm uusseedd iinn rreessppoonnssee tfoo ffirreo cal? calls? __X!(C{;__ ozs 0-25% aoif frireess ___ 2255--5500%% ooff ffirreess ___ 7755-1-0100%% ooff resfires 33.. DDooeesstthheeDDepeapratrtmmeenntt hhaavveeaa ccoommpprreesssseedd seair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuliltt-iinn ttaannkk oonn tsits eennggiinnee((ss})?? Yes ___ Yes xX No X: No r 4. Howofen i foam used in raining exercises? 4. How often is foam used in training exercises? Weekly Monty Quarry ___ Weekly Monthly ___ Quarterly AC SemiAnnualy Annualy BAualy IK Semi-Annually ___ Annually ___ Bi-Annually Ober (pleasespeciy ___ Other (please specify): _______________________ 55.. HHooww mmuucchh ffooaamm iis uusseedd erper tarianiniinngg event? event? {X<C: L Lesstethhaann5s5ggaalslolonnss. 55 ggaallloonnss ___ 551to01100 ggaatlloonnss MMoorree tthhaann 1100 ggaalllloonnss (p(pleeaassee ssppaecciiyfy):): EE _________________ Storm Sewse__ Santry Somer onstesopic A rome 66.. IInnatrianiniinngg,, wwhhoerree ddooeess tthhee sspeenntt ffooaamm ggoo?? _ _ _ _ _ _ thr Storm Other peas Sewer (please coscrie) __ Sanitary Sewer describe): _____ _ -_ _ On-Site ______ rome Septic LGround _ _ _ _ _ _ _ _ _ __ 77.. WWinhfheoerrrmoeatddiooocenssf//oddriddcuthrhereenttrraaainnniidnnggpattaskkteeUppnllaaiccege?? aPPrlleeaaass.sae iinncclluuddee aaddrderessss,, iinntteerrsseeccttiioonn oor ootthheer speci specific llooccaattiioonn 530 information for ?-do current YaYnJd2.ps5a-sSt5trar?in:ing areas.ac_i;t'IyJ SShfcepvee a::y::re~ aa~.lJ"a~ Kinogen: _ PPhhoonne:e: 651.625.51484005.473.7415 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639.947srkdaltasAL.cOm Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222222.00229944 sSTTAATTEE__0022882211225511 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What ype) ndbrands)of amaor ere usd nw and nhpas by he Daptment, bh ve 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespaneesiin taoin appa les cock of ot ap response and in training (if applicable)? Please check all that apply. IupeotFeam BandotFoam TTUosemdimony mAm`aeoeudnyt Gsureemtuseoor Type of Foam Clas AqueoFuisn Class B Aqueous FilmFor--------, -------------- ------ Forming Foam (AFFF) ClaAosre Class B AlcohoiFema (WOAFEE -- ~Resistant (AR)-AFFF CesBPOON Class B Protein Cl8 aosproetn Class B Fluoroprotein ES se. ms see (FP) Gl8 Foi Fsormsing Class B Film-Forming Fomten Fre Fluoroprotein (FFFP) -- Class B AR-FFFP GlassA810 Class A-B Hi Ersonfoom rn ee cassA Expansion Foam Class A A A Training Foam oer - Other Brand of Foam se sfo-ex Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? yve..es5 gpulewst Cuped I Thank youfor your te nd coopraon. Please coNancay Ratin of Del Consus (051.607.6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ornarecomo so Stains ir i se oor CorlAgency (51-597 3000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rockae eonserr in is jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleaserou tis questionnaireDla onsulans by Mays, 008 ntheenclosedstamps, sat: Please return this questionnaire to Delta Consultants by Mav 9. 2008 in the enclosed stamped, self- fi-rreriy addressed enveiope. - Questionnascompited Questionnaire completed by: r ;D;[2ire> KKli(?acer.r Te lIo9rL hes Name and Title Cages) C~-r-Kc/) [ors Fire Department Fre Cet FaraS5m2e0r- ger yy73 1\._e+ So Spo P h Clarke one Number Cl~r-k. {'.e I/J Rf'JCQ -f!f01/L{f ero( p)'\fi-eJ1r.nedn t Date Esras E-Mail Address Kwogew wn er 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00295 stare_ozs21252 STATE_02821252 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1 oes your Deparment curenty has your Department sora usd CaorsCass8 aso 1. Does your Department currently or has your Department historically used Class A or Class B foams for Fetapigarastonst firefig~ti~erations? BOve ressato uoton ___ Yes- Proceed to Question 2 No. Sign he back ofthis form and return to Dela Consular ___ No- Sign the back of this form and return to Delta Consultants 2. 2. How oles Clasosr Ho~Z' Cia" B or las Cia" foam A foam u"'sedd in response r"'pon'e fecals? to fire caM X oases sso aries 75100 ares 0-25% of fires 25-50% offires ___ 75-100% offires 5. os he Deparment Fave compressed a foam ysem (CAS) iha uti fark nsenin(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves -----;/ Yes Xo A--No 4. Howolenis foam usd in ring eras? 4. How often is foam used in training exercises? Weekly Monit ___ Weekly ~Monthly Quartet ___ Quarterly Over (ease speci -- ___`SSeemmi-i-AAnnnnuualalllyy. ___X__A_ AAnnnnuuaallllyy __"_ _ BBii--AAnnnnuuaallllyy _ _ _ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How mush foam is used por ring ever? 5. Ho~zh foam is used per training event? Los than gabon 5 gatons Sto 10 galore Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons "Moro tan 10 ators leas soci I ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. In vaiing, here doss esp foam g57 Storm Sewer _ Santary Sewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer J -- _______ Other (please describe): _ __ oOnns-StiteesSeepptticc AGX roGruonundd 1. Were does h nin ak lace? Plas cide aoss,inirstion othr speci acaton 7. Where does/did the training take place? Please include address, intersection or other specific location orm for coment an 35 Yay ap. information for current and past training a Bae pad" ese fo . rf?_ Fre SadenS _-- Hmogent re 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.9/060050.477 7111"Fox: 91635.9471 wm delianv.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222..00296 sStTaAreTEo_z0s228211225533 QUUEESSTTIIOONNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire vot response and in training (if applicable)? Please check all that apply. Used in Amun Amount q gor n TTyyppeeooffFFooamm Class B Aqueous FilmForming Foam (AFFF) BrBarannddooff FFooaamm ni Training? YYees orNNeo Used AAnnnnuaulalylly -- Current Use or HHiisstotorircic Use? Class B AlcoholResistant (AR)-AFFF Class B Protein Class B Fluoroprotein (FP) Class B Film-Forming Fluoroprotein (FFFP) Class B AR-FFFP Class A-B Hi q.. Expansion Foam on Class A TTraraiinniinnggFFooaamm 7 wes s z y - sy Other Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Tk ptrs d np,Pe cota oti tos Som or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. se pen ts tot Cost te med mp, ct. Please return this questionnaire to Delta Consultants bv Mav 9, 2008 in the enclosed stamved, self- `addddrreessssedeennvveelloppee.. CaDlrarelckss Ero0 tl_f\~0>()0-/ Questionnaire completed)V / A ) h I Fire Department550o77-~ 2Z55k 1-f 0rJrk6 _ a. - Phone Number Date E Kinogen E ] E-Mail Address PPhhoonne:e: 665511..663395..9554094019501/ R88ic90e00..C44r77e73e..k7744P11a11rkFwFoaauy:x: 851.639.9473 Suite 100 St. 651.639.9473 mn. daItasnv.com Paul, MN 55126 USA www.deltaenv.com 22222..002297 STATE_02821254 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. rDDeootesos hyyioonuugrr oDDepepepasarirttommneesnn?tt cstntoy currently or has has your your Department Department histuoserdCilacssaAolr historically used Class A or lasfoasms Class B foams for for f i r e f _X_ ighting o X Yesperatio Yes- Proceed ns? Proceed ttoo QQuueessttioino2n2 Ko- ian the baocfthkis form and return to alta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoftnis CBaorCls assAs foam used in response to re cals? 2. How often is Class B or Class A foam used in response to fire calls? ___ 00-2255%%oofftfirreess _XX_ 2255-.5500%%ooffffiirreess ___ 7755-1-0100%0oof%f frireess 5. Dos the Department hacomvpresesed ai foam m system system (CAFS) (CAFS) with with atin a built-in taktank onson its enino(s? engine(s)? ir foa 3. Does the Department have a compressed a J _XX_ YYeess ___ No 4. Howotenis foam used in ranng exercises? 4. How often is foam used in training exercises? Week Monty ___ Weekly ___ Monthly Py-- Aomaty ___ Semi-Annually Annually _ Guareny ___ Quarterly soma ___ Bi-Annually X_OtOhtehrer((pplleeaasseespsepceicyif)y:): _ ALUER. ___.J.M:.L.e::.C__./A'-"'E,:..!."f<:_,____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. 5. How How much much foam foam sis uusseedd ppoerr aig training oevveerntt?? Hore han 10 gators (pase spect): -- )X_(_ LLeesssstthhaann 55ggaalllloonnss 55gaglallloonnss ___ 5510t1o0 1g0algallolonnss ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. Intraining, In training, wwhhSeetrreeoddooSeesswetthrhe ssppeenntt _ ffooaSamamniggtooa?r?y Sever OnstoSeptc Ground _ X_ _ X. Over Storm Other (ase Sewer (please describe): DOES _we? __ Sanitary Sewer describe):_ J)oe>_ __ _A!d7' apply } __ On-Site Septic Ground -~------------ 7. Wfhoorrmeatdoonnforsctuhenrtarainngpaiskteaplnacge?rleeaass ncude adres, intersection orthr specie location 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogen: _ PPhhoonnee:: 651.639.5148040.4573 7411 Yok: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: 631.539.9473 Suite 100 St. 651.639.9473 Masidaltasav.com Paul, MN 55126 USA www.deltaenv.com 22222..002298 SsTTAaeT_E0_202882211225555 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. WeWhshapatotnttsyypepeen(ss))naannddvbabrnraainnn(dgs(s()) fomffefoooaamtmiaaereyoroPrwawoeserseree uucssreeeddcknnoaww naannadd piin ytthhe ppaasstt bbyy the the Department, Department, bol both frfor fre fire response and in training (if applicable)? Please check all that apply. Class BAqueous Fin- TTyyppeeooffFFooamm Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) BBrraannddooff FFooaamm Usain Used in Timing? Training? YYeessoorr NNoo. Amount Amount Used Used AnAnnunaulalllyy TT CuentUseor Current Use or HiHsitsotorriicc UUssee?? CCllaassss BBAAllccoohhooll- Bogus IAVDD 2s 5 cussePwon RReessiissttaanntt ((AARR})--AAFFFFFF -- 251 used ICCCclllaaa)ssssss 8B B Fucoprten Protein Fluoroprotein -- C(FlaPs)s B Fim-Foming Class B Film-Forming CassBarerp FFlluuoorroopprrootteeiinn ((FFFFFFPP)') oe I CCEClxllaaapsssasssnsAABi-oBABnRHHF-iFoFaFmP TE Class Expansion Foam mmm, see eee eee Trang Class A Training FFooaamm SS --/--/-- omer ce------ -- vr m-- Other `ofToirTrhmhwanasnorntokkxcdhyykniooiinnuungfggf@@ooedrrdyoy@eotoslutuztarretettneniimyvmu.eecceooaammnn))dd)ooccyorooooJipipuemmerharSSatvlittiooooecncn.kk.iainnnPyPggleleereeraasaassiteieitohcchoeeonnnsMMttaanicnacettnrseNNcosaaiotnntnacacygyPPRRoioololsluudd{tniiQooinnenngsgatCCaoootnnnDDvntroeaeollltlaasAA.CCggoeoonnnsncsucyultl((taa66nn55t1t1ss--22((9696757581-18-6-66609606767.--5o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `PPleianseetroettiJurmn tthhiiss qauueestsitoinonnairrme irte oto DDeletlta Constants f!nnsuft::.n~s by hv May May 9, 2008 2008 in in tho the enclosed enc!osed stamped, stamped. eltself- aaddddrreesssseeddeennvveellope.. QQuueesstiioonnnnaairte ccoommpplleetteedd bbyy:: Name and Title i Fie cDelpaarmmentLigrFerfResees Fire Department oFa2N2ur 0-p437sk3f EtaCdiApdrdrkemssenes @ feawmernserr E-Mail Address bDatae ts Date Kinogen _ Phone: Phone: 651.639.9045 1 800.474711 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.639.9473 Suite 100 St. 651.639.9473 wriodaltasnkctam Paul, MN 55126 USA www.deltaenv.com 22222..00299 STSTAATTEE0_208282211225566 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDroeohseonssiggyyoouurr DDoepeeppraaarrtttimmoenensnt?t crrenotf currently or nas has your your Deparment Department istorically historically used used ClaAsosr Class A or ins Class Bfoams B foams orfor _X._ en masstoauton firefighting operations? Yes- Proceed to Question 2 ___ NoNo- SSiiggnn tthhee bbaacckkooff tthhiiss ffoorrmm aanndd rreteurntttouoDDerleltntaa CCoonnssuullttaannttss 22.. HHoowwolofetennisis Clalassss orB or GCllaassss AAffooaammuusseedd inespnse [recals? in response to fire calls? __)<X.p.._.._ o0-22s5%%ofoif frireess ___ 2255-.5500%% ooff ffirreess ___ 775-510-0%o1off0ffirr%eess 3. 3. Doss Does the the Departmenthave Department have a a compressed compressed aiair foam foam system system (CAFS) (CAFS) wwiiththa bulbuilt-in ttaannkk ons on its eennggiinnee((ss))?? No X_ ves _..:..)<_._Yes ___ No 4. Howoftfoeamnu'sesd intainingexercises? 4. How often is ___ Weekly foam used Weekly in training exercises? ___ Monty Monthly SembAnnualy ___ Semi-Annually Aonaaty ___ Annually Quarry ___ Quarterly BAmualy ___ Bi-Annually --fX'--YX OtOhtehrer(p(plleeaasseessppeecciify:): 1____,A,_/\l""}te:._.T~"-R-.+.l.r.eu-"u""-c...,_i:"-'J'o-'--'vf_,'6"-_(,L"o"A'I.:.0....LT..;T'-h"A'-'-F-~'--o"""'::d..Ac.e:..."_n""":::...._________ 5. Howmuch oa is usedpr raining event? 5. How much foam is used per training event? X_ Less han'gaons Sgatons 51010 gations 'j. Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons (please speci): _ More than 10 gallons (please specify): _________________ 6. Intcanig, where oes he spent foam go? 6. In _ Somseser training, where does the ___ Storm Sewer ___ SantarySover spent foam go? __ Sanitary Sewer __ OOnn-SStiteeSSeeppiticc GroGuronundd CL _ _....:..._ oveesedesseer Other (please describe): --1,/\'A--'~.t~J~;j'-!-;AA:::>..----'----~------------ 7. 7. WWinhfhoeerrrmeatddioooeenssfi/doiiddcuthrhreeentrrtaarainniidnnggpataakskteeapplliaaccgee?? aPPreleeasas.see iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr oerother spac specific llooccaattioonn information for current and past training areas. rane: 653.639.3|08R0I5E50 C41r3e74r01 yaks S1T03T5O.U45S3MFmaiunsdaiStEaIaTndUsoE.m 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00300 STSTAATTEE0_208282211225577 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. Whatyet) adtransof foam aor wre usd now and nh os yhDeparment thre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espana on Fo appa' res cde a ot ap response and in training (if applicable)? Please check all that apply. Time of Foam Brandot Foam uvUesatemdniegnr aAm"mCoomuendat cusreen utser Type of Foam clBAsqwosous Fi Class B Aqueous FilmCm ran gy -------- ------ ---- ---------- Forming Foam (.LI.FFF) Ga8esesl Class B AlcoholReoney -------------- ------ -------- Resistant (AR)-AFFF CasoROsn Class B Protein Gas 8Furaproein Class B Fluoroprotein wn en. et, (FP) GBaFasm osmg Class B Film-Forming Fosoproen eres) -------------------- ---------- Fluoroprotein (FFFP) Camo Class B AR-FFFP Glass AH Class A-B Hi Eien foam --_-- Expansion Foam Glaser a Class A Tongro oer Training Foam Other Brand of Foam PN Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? hak youfor your mean cooperation. Pleasecoat Nancy ring Del Gonsuants 05-607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants {651-697-5152 raga com od Skin 1 Mrs Fotis Come ony (5030700 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or vr ao tou Meo moe egg ot esa jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plas stu is quesontoaDites Gonsuant byHoy , 2008 the enclose stampes, se: Please retum this questionnaire to Delta Consultants bv May 9. 2008 in t!Je enclosed stamped, seif- Sm - addressed envelope. Questomarscompiled by Questionnaire completed by: weNevers Lwer ~~1" A)rcT"t3:~ ai Name and Title Fis oar Fire Department Cemwamn _fn0) Prana meer Phone Number 320 SIE 55%) =Sf2/as Date ' EE--MMaailil AAddddrreessss. oo XXiInnooggepnl'' ,,, ------ TL TE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..030011 sate_o2s21258 STATE_02821258 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . eDDoooeeshs yyioounurrgDDeeppagarprettrmmateeonnnst?t curenty currently or or has has your your Department Department historical used historically used CiAaorsClasss Class A or Class B B foams foams for for \ es -ProtcoQueesteiodn2 firefighting;werations? _V~_ Yes - Proceed to Question 2 ___ NNoo-SSiiggnn tthhee bbacakoocftthkhiss form form and returnto and return to Dela Delta Consultants Consultants L 2. HowotenisClss BorClass Afoamused inresponse o fre cals? 2. How often is Class B or Class A foam used in response to fire calls? NL o0-a2s5%uootftfireess ______ 2255-s5o0m%otoif fiireess ___ 7755--110000%0 fires of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprpreesssseedd srair ffooaamm ssyysstteemm ((CCAAFFSS)) vwiitthh a a builtin built-in tank tank onson its engine(s? engine(s)? No X Yvoess _ _ _ No 4. How olen s foam used in raining exercises? 4. How often is foam used in training exercises? Never Weeky Moun Custey ___ Never Weekly ___ Monthly ___ Quarterly `SambAnnually Annuaty SC Bhnnuaty ___ Semi-Annually Annually ~ Bi-Annually Ober (lease speci): - JE Other (please specify): _______________________ 55.. HHooww mmuucchhffooaamm sis uusseeddpprer trraaiinniinnggeevveenntt?? 2X5 Lessth5gaatonrs Sgalons MLoesrse tthaann510gaglalollnosns lessespe5ctgyayllons ___ 510 5 to 10gators. 10 gallons More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sewer __ SanitarySewer onsteseptc XX_round ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT orerplossodesabey ___ Other (please describe):----------------------- 7. Where dole th vaining tke lacs? Please inch adres, torsion o othr speci locaton 7. VVhere doe~/did the training take plac~:;? Please include address, intersection or other specific location information for cuter and past aig areas. + ,Fboen training hos never Al..d +ra..~ information for current and past training areas. G-,Y\ b,._c,... S V\ <e. \I S..l meLecatish mien ~ L ecs-.,c:.... ..Q.W<r haane atm dhe-- Sams b .R..s.....O Q.. ~ ,SQ,ylA."::. XXIinnoogg~enn '"' OOVVEERR---+ rane: 631.639.000050 33 TATEFok SOL0309453 mardiaame.cam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00302 STSTAATTEE0_202882211225599 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 58.. WWTehhsaapttortpyaepstens(s)d) aannndarbrnaangd(sn()1oopfsfpffool)aacmmabaaere'oorPrlwweeearrseeeuucssheodcknrooww aaanntdd 3in5tth.hee stpast bbyy tthhee DDeegpaarritmmeenn,t, botboth rf for fire response and in training (if applicable)? Please check all that apply. Tsotoam Bandoifoam TTUUYrmasesiesenndodignirigndn??o AAmGmoooueulnntt AUmsuedl CCuUursrrreeendntrtllyy |HHiissUttsooreriisccraallllyy CCCliaTslm~s~oBBeaAmAqomqufsueFgeooorsauumoss m Brand of Foam Yes or No Annuall~ Used? o_o Used? Film-Forming Foam wGeln8acsonsor (AFFF) Rpree Class B Alcohol- Resistant (AR)- ACFaFsFsbPoon FuCCCallaraassossspeeBBoPtraontei(n9) _-- -- Fluoroprotein Clase Fim. Class B FilmFfaogroptoten Forming ( F P) | ------ ---- ---- ---- ---- ---- Fluoroprotein ((FFFFFFPP)) Cesare Class B AR-FFFP cas ns Class A-B Hi ErvansianFoam -- No Class A Expansion Class A Foam TamegFom o_o Training Foam omer - -- -- _-- Other Sr~y~ Il\J g,v~ ex { g~e\rlJ ~yQ.e.Ss No Thankyou for your time and cooperation. leas cnt Nancy Roding o Dla Consular (851-097-3152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oF wodng@aeiaamscom) or oh Stoeger a ng Minmescia Polulan Gono Agency (651-397 8086 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or romn Gare mma) vo hve a aes regain i queso jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Quesionnarscompetesby: PPleleaasseerreettuyrmntthhiissaauuesetsitioonnnnaaiirreettooDDefl}lttaaCCoonnsuslutltaannttssbbvvJJuunnee66,. 2.~0O0O8Blinn_tthheeenncllQo$s~eQ_d_!s}tfamopee_dd,.s_esleflf-: `adddrressedeennvveellope.. Questionnaire completed by: [ (MVy\ ~ (::h :_ T::l :faa..c.c.s~o b,"-/ gg hhii ieer oonty CcName and Title i FI e FacDeparment Fire Department FiSore6Nu7mber93 Phone Number _D/los $3Ba8e -08 Date XHwogen Phone: Phone: 651.629.0948 1 8007.1417P7aks 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 6536302473 Suite 100 St. 651.639.9473 Wardilinsav Cam Paul, MN 55126 USA www.deltaenv.com 22222..003303 SstTaArTeE0_202882211226600 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. DDolosoesshyiyoonuugrroDDpeeeprpaaartrtitmmoenensnt?tccuurrrrennttlyy oorr hhaass yyoouurr DDeeppaarritmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AA oorr CCllaassssBB ffooaammss ffoorr __X_ Yes ProctoQeueestidon firefighting operations? X Yes- Proceed to Question 22 ___ NoNo- Sign Sign the the baocfthkis form back of this form and and rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. 2. How How often often fs is Cis Class Bor B or CCilasssAAffooaamm uusseedd iinrreessppoonnssee ofr cals? to fire calls? ___X__X_o0z-2s5%oorftfiireess assholes 25-50% of fires _ 75_i_0075%-1o00t%forf feiress 33.. DDooeesstthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithtaha bbuuiilltt-iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves ___ Yes XX_NNo 4. Howoftn's oem used in ining exercises? 4. How often is foam used in training exercises? Weekly Hontly -- ___ Weekly -- ___ SSoemmii--AAmnunaulalllyy Monthly _XX__ AAnnnnuuaallllyy ___ Quarterly _ _____ Beri-AAnmnuuaalllyy [---- _ _ _ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam isusedpo raining event? 5. How much foam is used per training event? X)/.C. LLeesssstthhaann 55gaglallolonnss. 55ggaalllloonnss ______ 5sttoot1o0ggaallloonnss 7hoethan toalors (leasespectyy ___ More than 10 gallons (please specify): . - - - - - - - - - - - - - - - - - - 6. 6. In In raining,whoredoes training, where does tthheessppeennttffooaamm 07go? tom ___ Storm SSeewweerr ____ _ SSaanniittaarryy SSoewweerr -~- Other (clase Otller_{please deserve) describe.):--~---~-- __ oOnns-StitoesSeeppttiec -- XXK GGrroouunndd -- 77.. WWinhhfooerrrmeeatddiooeensfs/odlidctuthrhreentrrtaaiainnniidnnggpaataskkteerppallaancceeg?? aPPrlleeeaaasssee inncculuddoe aaddddrreessss,, iinntetrseercstiocnioonrr ootthheerr speci specific llooccaattiioonn 8oid Aotth Shoe Rel information for current and past training areas. coo'/~ old Aotlit SmLe ~ =- Fbi~gce tiaal.lll %~7 Xinogen' Prone: 651.630.9R 405 1 6C 50.003 41R 1 Tks S 454.635.34573 ndsleasnev.cuasmt Phone: 5910 Rice Creek Parkway Suite 100 St. 651.639.9449 I 800.477.7411 Fax: 651.639.9473 5 Paul, MN 55126 USA www.deltaenv.com 22222..00330044 SSTTAATTEE__0022882211226611 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8&.. WWrehhsaaptot nttyysppeee(a(ssn))aanindtabbirnarinnadg(ns()1odo3fifpfflosocaa)mamabarlreeeo?orPrwwleerarese uucssheetdcknnooalww haaanntdd 2iinp the the pastbythe past by the Deparment, Department, blboth orfor fefire response and in training (if applicable)? Please check all that apply. Bob. Engelson@ wewpagecorp. com TUUasisenedidniignn? AAmUmosoeuudnntt Curent Useor Training? Used Current Use or FoCClmlaaissT Tssny8Bgpy FeAAooqqofuaup feFemFoooouue a(assAmmFFFFiilFmm)-- BBrraannddooffFFooaamm YYeessoorrNNoo AnAnnunaulalllyy HiHsitsotorriiccUUssee?? CCRFeolasrissmstianB8angAtAlFcls(ocooahRhmosolAl(-AFFFFF) ~~ Cinss B Protein Resistant (AR)-AFFF ee ee ee CkCClsllaaa)ssssss BB B Foroproton Protein Fluoroprotein TTT FCC(FilaPolsr)soa8pBrsFoFitielmemn--FF(ooFrmFmiFinn)gg cosseaReE Fluoroprotein (FFFP) CCalassss AB BHAR-FFFP Expansion Foam CChte.em.mg:oJvaar-rd<l PPIfrAA..S.S. yye3s' Z2s eds 6 Ga~ l, HHIfSS7T-O0rN-/Ec <Chheemvrgt(ej aJcnudJ EFrt'rr-.o5r1 FFCC NAoI'Ox"" YYee.r,- n1o1on11eeyyee:rr hfS"i-r"v'rree vus.:e>e.._ Year Training FFooaamm AE oer Other - ToTrhhaawnnokkdyyrooiu nffoogrr@yydoouuerrlttaiimmeeenaaynn.dcaccroooomomppe)rearStaittiooonnc..knPPglleeeaaissteehcceoonnMttiaacnctnt eNNsaaontncacyyPRRoolouddlnioinnnggaCaot nDDoeelllttaaAgCCeoonnncssyuula(tan6n5tt1ss-((266955711---8666990770--o55r115522 fim slockinger@state nus )4 or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any avestons regaring hs questomaie Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297 -8666 or aPPdlldeeraaessseesrreeodttueurnnmvetthliiospsqeu:equsetsitoinonnnaaiirreettooDDeeltltaa CCoonnssuultltaannttss bbyvMMaayv 99,,22000088 in tthheeeenncclloosseeddssttaammppeedd,, sseellf:- addressed envelope. QQuueessttioonnnnaakiree ccoommpplleetteedd bbyy:: a.Fm&eababenreT-hrcT &pggeell.ssoorr/ =A Name and Title Fi[Cre D.iu/pa/rn-im-ao5nt=n"~ vVoo lI uora~-r,e-eeerr 7re Depart-- men Fire Department P(ho2ne1hu5ri)ber 525-0517 3May 7 2008 Enai Acress Kinogen: reso PO TEL TERE reno 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00305 STSATATTEE0_202882211226622 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Docs your Deparment curolr hya yous Deparment sonal sed CaAs ise foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for evnopisions? 2XYes-Proceed firefighting operations? X' Yes- Proceed ttoo QQuueessttiioonn 2 2 No- Sign the back ofthis form ad return to eta Constants ___ No- Sign the back of this form and return to Delta Consultants 2 How feCnlass or Glas foam usd in respotonfsr cals? 2. How often is Class B or Class A foam used in response to fire calls? "X<_X __ o0-a2s5%woorfifireess ~-- 2255-.5500%%ooffffirreess ___ 775-51 0-0%1oof0fffrir%eess 5. Does ho Deparment hav a compressed foam sem (CAFS) itha bi tank ns eines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves -,-------Yes Xn X No 4 Howoten foam used n raining excss? 4. How often is foam used in training exercises? Westy ey awry ___ Weekly Somvsomialy Aaa NR enomaaty ___ Semi-Annually ___ Monthly ___ Annually ___,...-- Quarterly ~ Bi-Annually Other (ease sci ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. ow much fois used pi raining ven? 5. How much foam is usedper training event? Less hams gals gators X2X somos Less than 5 gallons 5 gallons 5 to 10 gallons Moretan10 gators (ess sci): - More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - Tr ---- 6. In training, where does the spent foam go? SomSewr ___Suto Sewer __onstosepic S_Grouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic 1s._Ground overpesso descr) ___ Other (please describe):----------------------- 7. Wher consi th nin ok pce? los induc aes, inersction of other specication 7. Where does/did the training take place? Please include address, intersection or other specific location oCmoadyn or cOgtggnrtaasn.pt aPnrgorteee frmeny Rd Cloousp e/1-' .. P,r-- ~ information for current and past training areas. ~ )?ct (Jt--a&ti?:. KXiInnooggeprsf ,,, Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 or Paul, MN 55126 USA www.deltaenv.com 22222..00306 stare 0221263 STATE_02821263 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What tye) andbracts foam are wer usd ns and nh pasby the Deparment, bh for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tessar an Ti (aple eneches ck of bay pp. response and in training (if applicable)? Please check all that apply. TUasnsdnigne AmUosuednt CumentUseor TTyyppeeooff FFooaamm ClBqaouss Fsin Class 8 Aqueous Film- Roms nie -- a Forming Foam (AFFF) Class 8 Aohok Anges Alo Tos. Bs Class 8 Alcohol- RReessiissttaanntt ((AARR})--AAFFFFFF CessbPoen Class 8 Protein G8iFosrpreten Class 8 Fluoroprotein i) ee. S-- ree. en (FP) Class Fim Foming Class 8 Film-Forming Faoproton (FFP . n st s Fluoroprotein (FFFP) Casper Class 8 AR-FFFP Class A Class A-8 Hi fonds EE <3A-- t Class A Expansion Foam Class A Tain Foam - vy Training Foam oer Other `BraBndroofafFFnooaadmm --fges Used in Training? YYeess oorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? 1\_lo {,P~ -#,~ /Q tjA/.:,. B~'th. Sth _N__,_1_\o_L,=--o-d~ eslloogpt RaW Thank outor our me and cooperation. lee contac Nay Ring a Dla Consulans (51607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or och dshac com) tJ Sting at hg Mest Polos Cortl gery (6514973688 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing Gate nat) 9 hve ang Aueson rearing he stoma jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreottuurrntthhiissqquueestsitioonnnnaairireettooDDeellttaaCCoonnsuslutltaannttssbbyvMMaayv99,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseleflf:- aaddddrreesssseeddenevnevellooppee.. -- hl?e M~ QueLstiommaleAcoamnpgeteendbdy:bropnes Fike Cho Pt""-~/lqR/ltJ~v/J/1.~. Questionnaire completed by: .. Fae and Te Name and Title Clout GF.e.ee Togr-- FreDe,pta2rmte-antQveX: FF2riroemD/eeNp8aarbtmeerngt 79- 6b.Ssrt-yv ames Phone Number lanaenbrunner BA E-Mail Address ~ BwLo/~-2;)8-'6-- a08g Date @@ tH--ibt\MmAa,tt... Q Qo~ p~ NKinogen: i Phone: 651.629.5045 1 800.144117Fa7k: 691.6W3at9s a.el9ias4as7ia3m 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00307 sStTaArTeE0_208282211226644 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiirree TTrraaiinniinngg 1. Dons your Deparment cent has your paren istcal used iss Aor Gass 3 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Reratmg pastons? firefighting operations? 3" Ves ProtcoQueesteiond >('" Yes- Proceed to Question 2 No-Sign the Baocf thkis form and tun to alta Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Howtos GasBosr Clase Afoam used i esponse ors cals? 2. How often is Class B or Class A foam used in response to fire calls? oaswrires somos AC 75100 offees ___ 0-25% of fires ___ 25-50% of fires ?c:. 75-100% of fires 5. Docs the Depahravtamcomeprnessted foam sto (CAFS) witha bultin arkon 5 engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Cove ___ Yes -- he ~-No 4. Howotan's eam used in rang oorcses? 4. How often is foam used in training exercises? J away ___ Never ___ Weekly ___ Monthly ___ Quarterly Se Semenualy sovualy aly ~ Semi-Annually ___ Annually ___ Bi-Annually TT over essa speci _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch oanis uso per ining ovet? 5. How much foam is used per training event? Coss thnSgatars. Salons Sto 10gatons ___ Less than 5 gallons / 5 gallons _ _ _ 5 to 10 gallons "7 Mo1r0gatoors (tpeasaespenci): eee ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5 Inaiing.whor dss thospent fam 07 6. In training, where does the spent foam go? StormSewer ___ Santary Somer onstsepic Grou ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _bround omrpemedener ___ Other (please describe):----------------------- 7. Wie dosididhe vain take place? leas include across, ersecton of ths speciclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location omaton ot covet an pot Vann res information for current and past training areas. Kinogerr OVER~-- Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 een Paul, MN 55126 USA www.deltaenv com 22222..003308 SstTaAreTE0_02228121226655 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 5 What pl) an afn oamrs) wor ud no inh pst yh Barman, bot or 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire my Po to so response and in training (if applicable)? Please check all that apply. TYuentainm, Am"ou5nt Curmenty Watorcaty TyTyppeeooffFFooaamm [ry D5h - FiCFiilmlam-s-sFFoBorrmAmiqinnuggeoFFuoosaamm ras (ered (AFFF) Gon sine Class B Alcoholoe -- -- Resistant (AR)=AFFF Smile. qm nn ee Class B Protein Gens Class B Bmaen#) _ -- -- -- Fluoroprotein (FP) Comin Class B Filmfame Forming bon || -- ---- -- -- Fluoroprotein Se (FFFP) Coe Class B AR-FFFP oy Class A-B Hi Cnt, ---------- -- ---- -- -- Expansion Foam BrBarannddooffFFooaamm ES<rI:A._GiA-A{~Y~, (_MfJ I eM.~"t) Used in Training? YYeessoorr NNoo _ Amount Used AAnnnnuuaallllyy o~0u-1s5 Currently UUsseedd?? Historically UUsseedd?? ClCalassss AA --r ~ -- ~ TT Training Foam Omer = Other _Swvee -- sSoo-l50 Tok youto yor te an asepston, Pas coat Nr Rigt ana Comat (510075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a oom Ser or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or eo eee rand jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ists eum ti questionnaire o Dut orsutant ure, on aoe moss so Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellooppee.. Comisro--_ Questionnaire completed by: Sone naose [Fee ower ~. t'f. "hH.CJ( /CSL Tames: Name and Title C~O<R&S2S-E\T T ;::::,e~e.s _e I Fire Department 25-3~2588 37 e-rs- :3~ - sg-~ 7 Foam Phone Number Date p hntaa an e sit n o netri B2al/s e0n E-Mail Address ur<>cmlJ<r,f. Ninogen re so PR TL, Ts _ Xtnogfn '"" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00309 stare_o2821266 STATE_02821266 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1. DTDolosgesshiyyoonuugrroDDpeeeprpaaartrtitmmoenensnt?t ccuurrerenntltlyy oorr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriiccaallllyyuusseedd CCllasasAsA osorr ia Class BB ffooaammss ffoorr __X_ es Procasdito firefighting operations? _ _.IX'.__ Yes- Proceed to QQuueessttiioonn 2 2 ___ NNoo--SSiiggnn tthhee bbaacckk ooff tthhiiss ffoorrmm aanndd rreteurntttouoDDerletlntaa CCaonnssuulltaannttss 22.. HHoowwoofftteenn sis CCalassss BBoorr CCllaassss AAffooaamm uusseedd in in response response ofr to fire cals? calls? ___ 02 ofres 0-25% of fires _ _ _ 25506 25-50% ooffffirrees XX_7755-1:001%o0off0tfier%ess 33.. DDooeess tthhee DDeeppaarrtmmeenntt hhaavvee aaccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa but built-in arkons tank on its eennggiinnee(ss))?? x: Ze XC vYeess _ _ _ No 4. Howoften s foam used in ining exercises? 4. How often is foam used in training exercises? Never Weekly Monty uerery ___ Never ___ Weekly ___ Monthly ___ Quarterly _XX_ sSeemmi-i-AAnnnnuuaallllyy ___ AAnnnnuuaallllyy _ --___ BBri-AAnmnuuaalllyy Overessesecty ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. 5. Howmuch How much foam foam iisuusseeddppaerr trraaiinniinngg eevveenntt?? _XC_ Lteessss thhaanns5 ggaatlloonnss 55ggaalllloonnss ___ 551to01100 ggaaltloonss MMoorree hthaann 1100ggalallloonnss ((ppleeaassee spec} specify): -- _________________ 66.. IInnatrianininingg,, wneherrse cdooeess tthhee ssppeenntt ffooaamm ggoo?? Over (please describe): ee ___ SSttoorrmm SSeewweerr __ SSaanniittaarryy SSeewweerr __ OOnn--SSiittee SSeeptpitcic. __.XLCGrGoruounndd ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. VIWnifhnoeer.rmsea.tddiooeonsffodsficdutththeertraaaiinnniinngpgattsaktkeevppllaaaccgee?? aPPrlleesaasssee ince include ads, address, iinntteerrsseeccttiioonn oor ootthheerr speci specific llooccaattioonn . 1 information 9for current i and , = past training areas. ~_s 0) 77 62 33d0-O0 2 L ser 4h 3:rr ~ 2 --pensTC $7 COlgTowcetpetdhyp, s 2 rteong Xinogen OVE ER R~ -- Prone: 651.639.5005 TT1R$es0C0.rT7HF3TaFrok S1U1.6T305024S7E3MFasdWalaRanedUaSEm Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: = cue Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00331100 STSTAATTEE0_202882211226677 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88. WrWehhsaaptot nttycyppeee(a(ssn))daannndabbirarnnda(s(n)fooadffpffspooaca)mambaaoerr)e?woPrlwoeearsee uucssheeedcknnooaww iaaanntdd 3nin9h5ths.e astpast by by the the Deparment, Department, bthboth for for refire response and in training (if applicable)? Please check all that apply. Typeof Foam Brandof Foam YTTUUreraasssiieenonddiirniniNgnng?o? AAAmmUUmuossoeuaeudndlntyt CGuUursrreeeannrttlyy HHiissUttosorreiiccraallllyy CaTsys~BeAoqfeFoosams Brand of Foam Yes or No hs Annually Used? Used? FFF) Fim rami oom Class 8 Aqueous Film-Forming Foam T-hr;i..~a@ sKse_33'%% HmB (O)o-/g1l) 1e*s'-~ "gPuPs ~ igo C(AFlFF8)aAlscanso romani ws AT 34s NO Ops gw RFE Class 8 Alcohol- Resistant (AR)- ~vJ ATr J.-tf/o fVO 0 y;e.> ~a ACFoFsFsBPoOn o_o FuCCcsullaasossssspe88sotPerontei(nfp) ---------------- ---- ---- ---- ---- Fluoroprotein CFolmi8angFsims- Class 8 Film- ( F P ) Forming (FFuD)gen Fluoroprotein | ---------- ---- ---- ---- ---- c(FaFsFsP)paRERER FE cECCagllaasasssssmsAA8o-AB8nRHFH-ioFFaFnP -------------- ---- ---- Jt"Ptc ClEaxspasnAsion Foam Sis_l: lvv5e.{e{ S~L%Z--L19%: Class A yfe.c:sS.. B"'o1-Jk!Ons.s. y~ es. y~e.s> Taoogroam Training Foam T_T oer - Other oTTfhhaar nnikyyoouuo foorrdyyeootuuararn nitimmceeoaamnng )ddoccrooJooppeerarSattitioooncn.i.ngPPellereaaossteehcceoonnMttaiaccnttoNNsaoantncacyyFRRolooudcinoinngCa aDotenDlvetoltaaAgCCoeonnnscsuyull(tta6an5nt1ts-(0(6065/51-1-3-666960767--o55f115522 imsiockingor@state ns) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you haveay cestons fegaring this GuesLomnae Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297 -8666 or PPlleeaasseerreettuurrnntthhiissqquuesetsitioonnnnaaiirreeftooDDeletltaaCCoonnsuslutltaannttssbbyyJJuunnee 66,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-. adaddrderesssseeddeennvveellooppee.. ---- Questionnaire completed by: {n l~v<.t~e!t,11m Deis Lb Liphoin Fire Departmnt 3Ph0o0ne -Nu3mb5er0-300 Phone Number CEth!vhaoolAiJdd.pr~ese@s l.tA(g"Pil2>0c0>.. Ca.,m... E-Mail Address " spfoo on XXiInnoogger:no': ,. 11 rane: 651.039.9005 1 306.0375411 PokeE91.039.047) miutaIAAAL 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..031111 STSATATTEE0_208282211226688 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . fDDrooaeeisshyyioonuugrroDDpeeeprpaaatrrtitmomneesnn?t ccuurrerenntltlyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CClasslAAooarCClalasssss BB ffooaammss ffoorr f i r e f _X_ ighting o X Yes Proceed perations? Yes- Proceed ttoo QQuueessttiioonn 22 No Sign the baocfthkis form and return to Delta Consultants ___ No - Sign the back of this form and return to Delta Consultants 22.. HHooww oofftteenniissCCllaassssBBoorr CClalssaAAfsfooaasmm uusseedidinn rreessppoonnssee tfoo ffirree ccaalllss?? _X,..__ o0-z2s5w%ototf frireess ___ ___ o22s5s-o50t%oioffifireess ______T7s51-01000%%oloff ifireess _____){ 2. Doss the Department haavvee aa ccoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) waibu h with a built-in taarnkkoonn 1sits eennggninee((ss))?? 3. Does the Department h ___ YYeess --,XX NNeo 4. How often is foam used n traning axcrcises? 4. How often is foam used in training exercises? weoky tony Guaranty ___ Weekly Monthly SombAnrually XC onualy BiAmnualy ___ Semi-Annually X Annually ___ Quarterly Bi-Annually Otrer (please speci) ---- ee ___ Other (please specify):----------------------- 55.. HHooww mmuucchh ffooaamm iisuusseedd prper trraaiinniinngg eovveantt?? XC Losstan' gatons 5galons 5010 alors J>< MLoesrsetthhaann 510gaglalollnosns (lease spe5cg)a:llons 5 to 10 gallons More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - 6. Intsining, wher does the spent foam 607 6. In training, where does the spent foam go? Som Sewer ___SanitarySower Onsieseptc >< Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic ~Ground oterlemedssober ___ Other (please describe}:----------------------- 77.. WWfhohreemrraeetddioooenessif/ddoiiddctuthrhreenstrtaiainnnidnigpaataskkteerappilaanccieeng?? 1PP0lleeaaasssee ncudo include aaddddoressss,, iinntteerrsseeccttiioonn oorr ootlheerr speci specific llooccaattiioonn o ;t/ information for current and past training areas. Jt/Sss C(Joo.. tRDb,. J ~ toCLl-o1r/vJitr..t,L. F;FI~REL. bDIJSST{RJI:CJcr LRorl LAKE. ROAD ~ phuses Foomedbuking=Ham LAKE FIRE oN THE GroAlfLIUT TRA SCORING 200]. Kinogen Prone: 651.639.9S 545 1 $0E 0 43 74T 11 FakTF183190024S7) mTmvdcAlinSeaev.cvom 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00331122 SSTTAATTEE__0022882211226699 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 58.. WrWehhsaaptot nytysppeeea(s)n)daainnnddFbbarraannngdd(ss())fooaffpffpooiacamambalareree)o?orlrweweaersreee uucssheecdcknnooalwwl haaanntdd ii9nnp tthhee astbythe past by the Department, Department, both both for for fre fire response and in training (if applicable)? Please check all that apply. Typoof Foam `BrandofFoam YTTUrUeraastsiieenonddiirniniNgnngo?? AAAnmUUmnosusoeaueulddnnltyt HiCCsuutrroreernnittcUUUssseeeoo?rr CCFlolaarssmTssiyn8BpgeAAFqqoouuafeemFooouu(assFmFFFiiFlmm)-- Brand of Foam Yes or No Annually Historic Use? GCFRleolaasrsismssstin8aBgnAtAFll(ocoAo3hhmRaolVl-(A-/F\FFFFF) ~-- GRlaessisstBanPtr(oAteRi)n-AFFF ere t-- -- -- Class Class Class 8B B Fluoroprotain Protein Fluoroprotein -- C(CFFlulaPaoss)sasp8BrFFoiiilmmn-FF(ooFrrFmmiFinn)gg ~~ ------------ cwssBarFER Fluoroprotein (FFFP) GCCElllpaaamsssssssiAAB-oBBAnRHfH-iioFFaFnP ClEaxspasnAsion Foam _SSKILVV-EXEX YYEe-sS 2Dgulles crn TCrlaaisnsinAg Foam ET---- TOtraheinring Foam DDAiWAsHuketgnuds YES--5 alone Lurrenit: Other oTTrhhaoandrkriyynooguu@ffdooorrlyyiooauurernttiyim.meecoaamnn)ddoiccoooomppeerarSatittioonon.c. kPPnlleegaaesseettcchooennMttiaacnctnteNNsaaonntccayyPRRooolddlniainnnggCaaottntDDreeolllttaaAgCCoeonnnsesuyultl(taa6nn5tt1ss-((266955711---3666956770--155115522 Im stockinger@stae. mn u) 1you or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any question regarding this auesiomnae. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or aPdPldleeraaossseesrareedttuuerrnnnvtethhlioisspqeau.'=e!s.ttJi.Sotnion[laniariree to to Delta Delta Constante Consultants by bv Mey Mav 82008 g, 2008 infr: the th:: cncless enclosad stamped, stamped . sei: E>elf- addressed envelope. QQuueestsitioonnnnaaiirree ccoommppileettedd bbyy: Fam]eP?aaAnVdvTLeoe MfYc\c.FFpARf.LLAArN0E Name and Title Fire DepUarotLmLeVnVtJILLLL FtIf?R..EE:..._ bDEuPTr.. Fire Department Phans N2um1be8r -37 4404 Phone Number EvadCCe,FVDfb 'Allbo @@. R($oDr~EE.A.ALL .. OORRGG- E-Mail Address - ec B4a.e26-08 Date Xinogen re 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.625.5045 600.337 5411 Fav:$91.6139433 mA ow bLSR Aa Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00331133 SSTTAATTEE__0022882211227700 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DDeootseoss hyyuoonuugrr oDDpeesppaaartrttommneesnn?tt cutentoyr currently or has has your your Department Department historical historically sdused las Class orA or Glass Class B 8 ffooamasmfoosrr firefighX_ting opeVroastioPns?rotcoQueesetiodn2 X No. Sign the baof tchis fkorm Yes- Proceed to Question 2 ack of this form and and stun return oto DDeellttaa CCoonnssuullttaannttss No - Sign the b 2. Howoften Class Bor Cass Afoamused in rosponse orecal? 2. How often is Class B or Class A foam used in response to fire calls? X_ ozsworses 2500 res 75-1o0f0re%s X 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. oss tho Department avea ccoommpprroesssseedd aaiirr ffooaamm ssyysstteamm ((CCAAFFSS)) wwiiththaa bun built-inttaarnkoonn 5its nines)? engine(s)? e a 3. Does the Department hav ___ YYeess oeNo 4. Howton foam used in raining oxrcisas? 4. How often is foam used in training exercises? Woaldy Monty _ Gueny ___ Weekly Monthly ___ Quarterly Tommy Amway x seal Semi-Annually ___ Annually --=X~ Bi-Annually er aespect): _ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used or taining oven? 5. How much foam is used per training event? _ lossthonSoalons __X_ Sgalons swore Less than 5 gallons X 5 gallons 5 to 10 gallons Morothan togatons Gleasespectyy More than 10 gallons {please specify): - - - - - - - - - - - - - - - - - . 6. In In rtraaiininSingg,o, wwhmhereSeredodooemess rtthhe_sspp_eennt_t ffooaSamamnggtooa??y Sewer onstosepic _X_Graund T _ _ _ ~-- overplessedoscromr Storm Sewer __ Sanitary ~escribe): Sewer --- - _ _ On-Site Septic -------- - - - X - Ground ---- _ .Other (please -- 7. 7. WnWinhcfhooeerrmmreeaaTtddtioiooonensssfif/ooddrricdvdcuauthhrrrereeeitnwrtiaeariansninindnggppfataaarskskotoetmarppalliianaycicnegeeg??ararPlerleeseasatas.so.se inclu include adres, address, year. The iinntteerrsseeccttiioonnoor otthheerr ssppeecciificcllaoccaatlioonn last training vas in This varries from year to year. The last training was in ___tthhee 101000bblloocckkooffNNorotrthh RRaiaillRRooaaddSStrtreeeettiinn CCoommfrfreeyy.. Ino Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: ~ Suite 100 St. 651.639.9473 Paul, www MN 55126 USA deltaenv.com 2222222.00314 SsTtAaeT_Eo_z0s282211227711 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and rand) foam ar rwere used row andinhpastby heDeparment, bootr rho 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponsa and n ain f poteae Poses chock al nt apy. response and in training (if applicable)? Please check all that apply. Tupe ofFoam CFGlolaamssiTsny&BgpAeAFqqoouueufeoFrouousrasmirFiml,mCRoslsi8antcs(oRhsAoEFE Fcrrning Foam (/\FFF) Class B Alcohol- cassopwon Resistant (AR)-AFFF kC= l8Faurosprosten Class B Protein Class B Fluoroprotein C(GFFulaPlos)rsaoB8psoFFtiislimmn-FF(ooFrrFmmiPinn)gg CosmeaReER Fluoroprotein (FFFP) cCCEaxllaaspssesssrhABi-aoABnRtHF-iFoFaFmP Expansion Foam Brandof Foam Brand of Foam --ABnsJA.L!S.itei23Lx03 ite -_-- _-- TYTUoUroarssioeennrddignNiiglnne?e os Yes or No yes -- --_-- AAAmUUmmmossouueeaudndlnltty CCsuuimsrrtseonnrttiuUosUseseeoosrr fogs, Annually IEEE Historic Use? 5 __gaL current -- CCalassss AA Training Foam = Training Foam Other - Other S Sili vexl _ vex _yy eses_5g 5 a gal l _curcurrerenntt har youforyour ime and cooperation, Please contact Nancy Rodingat Dea Conslans (651-637-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or adnGdetaemscom) ors Slockinger on Mieco Pour Cort Agency (35.397 3060 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i Socksaitenmvg)e10r4 ave any auesLons regain is Guestonnale. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please enum ths qestiontonDaotrt Canstants by ay5, 2000 in she wetosed slaped, se Please r~turn thi~ N!Je.~tionnairs to De!ts Cor;~ultant~ bjl ,Wgy 8, 2&08 in tilti:t enc:;iu:;,ed sian;ped. seif- `adddrressedeennvveellope,. Quesionnaiecompeted by: Questionnaire completed by: Mark 0.Harner, Fire Chief Mark O.Warner, Fire Chief Nemeandtie Name and Title contrey rire & Rescue Comfrey Fire & Rescue FeeDeparment Fire Department 507-877-4405 1 vay 2000 507-877-4405 Phone Tambor Ore Phone Number 1 May 2008 Date Bs E-Mail Address XKinoger ee 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.6/38090..4779.744141Fa5s: 893639.9473 mowndeliacne.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 222222.003315 sStTaAtTeE__o0z2s82211227722 QQUUEESSTTIIOONNNNAAIIRREE FFiireffiigghhttiinngg Fooaamm UUse iinn FFiirree Traiinniinngg 1. 1 . DDaootceossnyyioonuugrr DcDpeeeppraaarrttmmoenensnt?t ccuursretnotlynootrhhaassyyoouurr DparmartHitorialy Department historically uusseedd CCllaassss orA or Gass Class B ffooaammss ffoorr firefiX~ ghtin_g opYYeNereosas--tiSo-PinPgsrr?nootccheeeedbsatoockQQuuoefesshttiiiosonnf22or and return to Dla Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoten's Clas Bo lass Afoa usd in espns oo cals? 2. How often is Class B or Class A foam used in response to fire calls? -+Yo- oasnortres 25.50% fees 75 10o0t r%es 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 5. Doss the Deparimnt Facovmpreess ai fam system CAFS) wih blitakans engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Cove ___ Yes x + N o 4. Howolten's foam used i raining exrcises? 4. How often is foam used in training exercises? _ Weaky Monty Quarry ___ Weekly ___ Monthly ___ Quarterly SomiAmualy Aoruly +X_ aianmuaty ___ Semi-Annually ___ Annually Bi-Annually TT oterpemenpety ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How mugh oa is sedpor akingevent? 5. How ~h foam is used per training event? TR tems sion swoon Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons TT deta t0gaions omowecty ___ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - - 66.. IInnttrraaiinniinngg,, wwhheerree ddooeesstthheessppeenntt ffooaammggoo?? SomSewsr ___Sania Sewer __onstosapie XC Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic --Ground ter (possedose) ARIS ___ Other (please describe):----------------------- 77.. WWahheerreme cdooenasTs/dfiicddrntthehepittroanaiinninngpg attaskkeevppallamacce?? rPPsalesaas.see iinncclluuddee adress address, erst intersection rahe or other spc specific ocaton location informati EEet\t( on : STAT sfor current and p 'T A.1/(1-.,..j a st tra ~ i n i nPlhg\aar0roA1"e.na~s . ~ 2] Dh3oa Rid _ Ninogerr i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Frome: 651.639.9045 1 890.44113Fo3k: 91 639.947)mamdsliaARE.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00316 sStTaArTeE0_202882211227733 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiEirree TTrraaiinniinngg SsBT RS a ET SOOT58 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Dasetomn Type of Foam ran Brand of Foam sn Used in 30 Training? LL Yes or No non Amount ELUsed a, Annually aSmiu Current Use or Historic Use? Class B Aqueous Film- Fonning Foarn (AFFF) CCllaassss BB AAllccoohhooll- Spl, Resistant (AR)-AFFF a. Class B Protein Sm Class B Fluoroprotein (FP) FACT Class B Film-Forming Gps Fluoroprotein (FFFP) -------- Class B AR-FFFP aGnyon, Class A-B Hi ONTT. fovea FE ---- oNN -- Expansion Foam Class A or = M 2k e TN J mm l Training Foam on oe Other a ---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rmcoer, Pes o i2 Cor Cosa or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency {651-297-8666 or Ee jim .stockinger@state.mn.us) if you have any questions regarding this questionnaire. ts tr 1s essinpgt Somer 05 rtd ct. Please return this cwestionnaire to Deft;, Gons~.!ltr;!~ts !n-' !'l!EW 9. 200B !n the enclosed stamped, zcff. nm addressed envelope. a~m. p~o)\1\ 4 Johns aa.)..J Questionnaire c~mpleted 9y: <uL' Name and Title Asst. cer FaCmoaon LACDY Fire Department 703 -767- At.oT47]1 C 58 7~3 -7ffl7- FT 5 Phone Number Date EE--MMaailil AAddddrreessss. HKwnogen Tr re eo TL EE C I E 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.0033117 STATE_02821274 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 11. . DfDroooeetsisnkyysoouurr DDegasmeentidenc t currea ntlyoorrhr haassyyooue rrDDeeppaary rttmmeenntt trical historicall y sedused CassClass A A or or Class Class foams B foams for fo r Yesperatio- nPsr?oceedto Question --+----t'-- No- Sign thebackof his form Yes- Proceed to Question 2 No- Sign the back of this form and and rettouorlna return to Delta CCoonnssuullttaannttss 2. Howofgpi-Gass Bo las A foam usin esos or call? 2. How.o~lass B or Class A foam used in response to fire calls? ames 2ssonotives 7510of0r%es {J___ 0-25% of fires 25-50% of fires ___ 75-100% of fires 5. os heDepart have a comprosoda foam syste (CAFS) ith audi ark ons enin(s? 3. Does. t~hD/eef'1:r'i'i8nt have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves j)__ Yes he ___ No 4. How fens foam usd n ring ners? 4. How often is foam used in training exercises? Weekly Vonty L:eQduaryry ___ Weekly Monthly TT cemamusy _ Amaly TT amuay ___ Semi-Annually Annually ___ Bi-Annually Over pessespechy _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam fs used por raining even 5. How much foam is used per training event~ tessa galons 25 sgalons surg Less than 5 gallons ___K_ 5 gallons _ _ _ 5 to 10 gallons More tan 10 gallons leas spc} _ ___ More than 10 gallons (please specify): __________________ anganste eon7 6. In train~n~does the spent foam go? Storm Saver Sanitary Sever __7_) _ .Sct:tnorrrrm Sewer __ Sanitary Sewer Other (please dscrbey ___ Other (please describe): __ ons On-Site Sept Septic ona -- 7. WhFeorremdaoteoslo chureaanndnaask vlaace? rleso.o nce adress, inrosr otahrscpetciaotinon 7. Where does/did the training take place? Please include address, intersection or other specific location inLWfo~erm'ra~iti"oenefs>or Ser current and ~m ram past training 't-r'III/11J vaareas. ""-it T, (a!y~ Hoge EE ET ET TO ESOe E UR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA PROPPINGXo. RE EE Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.003318 sStTaAreTE0_208282211227755 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg espana odin van ( pPicatey Pesos chock al at ap. 88.. WWhhaatt ttyyppee((ss)) aanndd bbrarnda(sn)oodffffsooaa)mmaarreeoorrwweerree uusseedd nnooww aanndd iinn tthhee ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, bbootthh ffoorr ffiirree response and in training (if applicable)? Please check all that apply. TUmsendginr Used in Training? AAmUmosoeuudnntt Used CCuumrreenntt uUsseeoorr TTyyppeeooffFFoaamm ClB Aqaueosus Fean- Class B Aqueous FilmFeira Gr, Forming Foam (A~FF) ClBaAcso e Class B AlcoholRossin (yer ---------------------- Resistant (AR)-AFFF Cosbrwen Class B Protein Cl8Fahorsoptsein Class B Fluoroprotein I _---------- (FP) Clas 8 FimFong Class B Film-Forming Fcroprton (Fey | Fluoroprotein (FFFP) Cossoargee Class B AR-FFFP Gass ns Class A-B Hi CpdanFoan 7 Expansion Foam Clash liex Yee spl Comat Training Foam Class A Training Foam over - Other BBrraannddooffFFooaamm ~;fue x o _, /I ..ld i?_ 'x., e YYeessoorrNNoo AnAnnunaulallly HiHsitsotorriic UUsse? Tv I I Tyd IrI 7 Thankoyr oyouur ime and coopera, Plas ctac Nancy Rings Det Corsa 6516875152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodhna@aaamsom)or Sockingr a he Minnesota Pollan Cankol Agency (129766o0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or I ama hav ag aeons regan pasate jim .stockinger@state.mn.us) if you have any questions regarding this questionnaire. aa I ~0/case ret:.:rr: this g:.:cztionns!;e to Delta Consultants by fr1a!( 9. 2008 .=n the enclosed stanlwGd, Si::lf- aaddddrreesssseeddeennvveellope.. Questionaire competed by Questionnaire completed by: Son Fruelel SaY7 --r:::ru p J..e f Wome ard THE Name and Title Cossmmooss. mm Fre Depaiment Fire Department (3%- 533 2 5y0 L 3;{a - ",3 - I'{,;..[() Prone Hubs Phone Number ches -- oaDate L Ets CSA _5Y0@ Snmuer sete not E-Mail Address 5 c --"2 'I ,_.Q ,_7 ,/ Kinogen PPhhoonne:e: 651.630.9045 / 800.477.7411Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 851.635.9473 Suite 100 St. 651.639.9473 whew daliaanoym. Paul, MN 55126 USA www.deltaenv.com 222222.003319 sStTaAreTE0_208282211227766 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg TR erermcottoaumionz 1. ossyur Doparmntcuranyo ha your Deparment stray used Cis A cr Gia foamfsor 1. Does your Department currently or has your Department historically used Class A or Class B foams for eaten operators? firefigh;< operations? ZTNo ign the baocfthkis form and return to Deta Consultants Yes- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howls Cass B.or Class foam used in rosponse to fecal? 2. How often is Class B or Class A foam used in response to fire calls? Kozo 250%ot fre 7510of0r%es ___i___ 0-25% of fires 25-50% of fires ___ 75-100% of fires 5 Doss he Dpriment havea compressed a foam syste (CAFS) wih atin akon 5 nine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes pp<!oNo 4. Howaten's foam used in rang eres? 4. How often is foam used in training exercises? Neer Week ony owe ___ Never Weekly ___ Monthly ___ Quarterly Somiamualy Aeraaty arannualy Semi-Annually Annually,// Bi-Annually B~L OOtthheerr ((pplleeaassee ssppeecicfiyfy):): -l1/e~/~"">L-~~=-:;p.fa'4-(.~~"'-~-'=------e ---e --- 5. Howmuch foamis used por ting ot 5. How much foam is used per training event? Loss hans galons Sgalons S10 10gators J_ / Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More tan 10 gaons (ease spect ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaining.where doa he spt foam go? 6. In training, where does the spent foam go? comer ___ SantarySewer Onto Seplc Groung Storm Sewer Sanitary Sewer -"Jat-C-- Or plas describe) Jiv q.A;;;;;;a :i- Z fr Other (please describe): an ~ On-Site Seotic ?L-. Ground CCL 7. Where does he teiing ke place? Please inde addross, erectoifaohnr secficlocaion I 7. Where does/did the training take place? Please include address, intersection or other specific location eatin fo echt ang pas ang reg. 5~ g~u;:~5 information for current and past training areas. 2 ' ee Ninogen: OVER~ -- I or 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ones 651.63859.S339A0LE0F5ok: G31630947 Mudaliadncyom. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003320 stare 2821277 STATE_02821277 QUUEESSTTIIOONNNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. otatnd raont)f)emse vr a not rd ath Dogri, bt fen 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire ee aha ne response and in training (if applicable)? Please check all that apply. Dmotfan pmatan eTsnoaral. aASmnAty CoCmhoanyty WoMtaecaty Type of Foam re Class B Aqueous ee Film-Forming Foam os (AFFF) erst oe . Class B Alcohol- wey SM i php Resistant (AR)- =AFFF TA es em om en om Class B Protein ces Class B Bien 9) --_ Fluoroprotein (FP) earn Class B Filmgee Forming A Fluoroprotein Bg (FFFP) Cosme Class B AR-FFFP Saat Class A-B Hi ini IM ---- -- Expansion Foam broly Adovs JW Bole Class A agra TT Training Foam ore = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Torstar sss, SemcCAo RS Con lts CERT S52 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Lots Corsa S157 0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Soci teMerete ttnCorel jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ptag tanssoe Sit ure, EER erate Please return iIJis QL.iestionnaire to Delta Consuiiants bv Jun~ 6. 2008 in t:he e;J(;/O!;;e:i siarnp~d. self- aaddddrreesssseeddeennvveellopee.. Questganaire completed by: .| Dnt Greek frie Hess (FageeoSie Jize 5S1h45s8-0860 stroll SKinoger re ee TR TT i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA TS Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222.00332211 sone. caseners STATE_02821278 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. Dos your Deparment cusrntoy has your Department isiricaly used Cis Aor Class foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for eto pasion? firefig~yg operations? en rnin -~--'--- Yes - Proceed to Question 2 No-Sign th backof this form andreturn toDlaConsulants No- Sign the back of this form and return to Delta Consultants 2. H o woflens Glas Clas s s B B or or Class Class Afoam A foam used used iinnrreessppoonnsseettoo recal? fire calls? 2. How often is --X-_'X~- oaswortres 25.50% offees ___ 25-50% of fires ___ 7755--110000%%ooff resfires 0-25% of fires 3. Docs ie Deparment have compressed ai foam system (CAFS) witha buntank ons ancine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes X_ no X No 7 4 How ofien's foam used in taining oxercises? 4. How often is foam used in training exercises? X_Nover Weaty Monty Guar X Never ___ Weekly SomiAualy Aomaty eam Semi-Annually ___ Annually Monthly ___ Quarterly Bi-Annually Other ease speci Other (please specify):----------------------- 5. How much foam i used preaining oven? 5. How much foam is used per training event? Loss than gatons Sgalons stg Less than 5 gallons 5 gallons 5 to 10 gallons Mor han 10galons lease specth). More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. 6. ntrainng, In _ training, where does the SomSewer where does the sspp_ee_nntSt ffaooanamtma5goy??Seuer ___ Storm Sewer _ _ Sanitary Sewer _ ___ OnOSnt-SeiSteeSpelptcic ___GGrroouwndd OOtthheerr ((pplleeaassee d desce ribs e):c r i b_e--) : - - - - - - - - - ' - - - - - - - - - - - - - - - - 17. Wf hore doa eorscethne vtt aainnpaasktovpalnace?rPelcesase inclu address, nersecton ocler spec location 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. JInogen' OVER~ -- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003322 SstTAaeT_E0_022682211227799 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm Ussee iinn FFiirree TTrraaiinniinngg 8. 8. VWriehhsaapttottynyppsee(a(ssn))daainnnddibbnrriaannndgd(ss())1 foaffpfpoolaocmmaabarlreeo?orPrvlweaersreee uscseheeddcnknooaww haanntdd piinolttyhh.e past past bythe by the Departmen, Department, bah both orfor fre fire response and in training (if applicable)? Please check all that apply. Typoof Foam Brandof Foam YTTUUerrasssiioenonddirnigiNgnn?e? AAAmUmUmossouueeunddnltt CCuUursrrreeengntrtllyy HHiissUttsooreriidcc?aallllyy T~[;!e of Foam Class 8Aqueous 3m Class B Aqueous FFiFnFf)omngfom --3M Film-Forming Foam Brand of Foam 3~ rroe Yes or No yta Annuall~ Used? Used? ~ ves (AFFF) Class 8Alot: Rosson Class B Alcoholrd Resistant (AR)- AAn~ssu~l~~ii:t:e A{), lefC we ~() Q2o0 'gjtsS ACFsFsFsBPoen cCCFullaaaossssosspBBoPtrsontei(nfp) ------------ ---- ---- ---- ---- Fluoroprotein CFolmianBgFsism Class B Film- (FP) Forming FFFuoPg)poen Fluoroprotein =< ---- ---- ---- ---- C(FaFsFPs)paReER o_o Class B AR-FFFP cEagsassanafnoan Class A-B Hi T-------------- ---- -- ---- ---- Cassa Expansion Foam S ~~~~h~~ ee ae tv() 20 'J_t) yw ~{/i CTlaacsseAgrowm -- o_o 2 ower Training Foam --_ DD = Other oTTfhhaannniikoyydooruuiffonorgyy@oouudrretltiimmaeeeaannn.ddcoccrooooomIppme)rearStalitioooncn.k.inPPgleleeraaasseetcchooennMttaaiccmtteNNsaaanlncacyyPRRolooucdlnnoinnnggaCaDotenDlretlltaaAgCCoeonnnscsuyullt(taa6nn5tts1-((626559117---60699077--6o550115522 imstockinger tate4sY)ou or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you haveany Qesions fegaring i QuestomSe Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please-return this questionnaire to Delta Consultants bv June 6 2008 in the enclosed stamped. self- adadddrreesssseeddeennvveellooppee.. Questionnaire completedby: Questionnaire completed by: \i:Plele \__pt.t.WD..j)\e_ able Lowagie Name and Title QC.e,~?~ _FiCreCoD;etopoa-rknmGev~nWotOoOd~ Fsi;rre_D~e~pQa,c(h~o\a1\d.-ti Fire Department Pho5n9e7Num$be2r9 - [220 Phone Number Efid&\Aooavs.w.e@ssF~.eftolYnl.t.iV,ee{c'nne~-tb,. nV\ee...d.~ E-Mail Address BaGe l2]og Date XKiInnooggrenn .,. SC Cree py ST 10~S Pan SEU 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 431.039.91555055 433 TA Fok: S01 035 047)mAA Phone: 651 639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00323 STSTAATTEE0_208282211228800 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DrDooaoetss iyynoouugrr DoDpeeeppraaartrtimmoenensnt?t cutnty currently oor ras has your your Department Department isoricaly historically sedused Cis Class AAoror CCllaassss B ffooaammss ffoorr 3X firefighting o Yes- peratio Procesd ns? Proceed ttoo QQuueessttiioonn 2 2 YNeo-s-Sign the baocfthks form and return to Datta Consulants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How ofen's CissBor ClaAfsoasm used responstoe fre cals? __ ozswaftres assootros XC 75100%offres 2. How often is Class B or Class A foam used in response to fire calls? ___ 0-25% of fires ___ 25-50% of fires .Y 75-100% offires 3. 3. Docs Does hethe Department Department have have a compressed compressed iair ffooaamm ssyysstteemm ((CCAAFFSS)) wwitthhaa ulin built-in tankans tank on its eennggiinnee((ss))?? ves XX o -------,,.-Yes No 4. Ho often s foam used in ning exercises? 4. How often is foam used in training exercises? Weekly Wnty ___ Weekly ___ Monthly Semi-Annual saaty ___ Semi-Annually ___ Annually XC cuareny $ouarterly Bama ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeeccififyy)):: - - - -a - - ----.--- - -- - - --- _----_----;-,-;-S-P-Po-= 5. How much foam i sod per aig event? 5. How much foam is used per training event? 2X Less than' gators 5 gators 51010gallons X Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons " ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): ----------------- 6 Intaining, where coss th spent foam oo? 6. In training, where does the spent foam go? XX storm Sever __ SanitarySewer onste Septic Ground ~Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground 7 overpessecescwer ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - 7. ero docs he training ake place? Please include address, inarsocton or cher speci location 7. Where does/did the training take place? Please include address, intersection or other specific location fmt for carn: an post ang reas information for current and past training areas. Clomweel nl 55722 ((,!LSSve4ALclc G '? A4TI rTHHtE~ 5592 Hew 2/6 rFri~lc.e~ H/-fAALCLL Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003324 STSTAATTEE0_208282211228811 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What (0 and tract) foam aor ve usenow an nh past th Dsparimen, bo for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll-tthhaatt aapppplyly.. Fam Foam FF) =e -- TUosend-- ign eAmUsoeue dn.t CumomtUsoor Class B Aqueous Fim: _t _S=.i- at ' e TTyyppeeooffFFooaamm Class B Aqueous FilmForming Foam (AFFF) BBrraanndd ooff FFooaamm ~ \ L\2 Clas 8 coor Class B AlcoholRossin yapry ------------------ ---------------- -------- Resistant (AR)-AFFF CesbPoen o Class B Protein Clase 8 Fioproton Class B Fluoroprotein ES --_--_-- (FP) ClasBsFimForming Class B Film-Forming Poe | ------ ---- ------ Fluoroprotein (FFFP) CsoARFR Class B AR-FFFP amas Class A-B Hi Gourd SILU =X _MtS HO ert coegenT Expansion Foam S/LjJ-6X ~ EE -- Training Foam over oe Other Used in Training? YYeess oorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HHiissttoorriicc UUssee?? har youfo your me andcooperation. Pleasecorac Nan Rotiaf DellsConstants (651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 `oorr nrrooddnniingn@g@ddeletaletnav.ecnomv.)ocorroJJmiim)m SSttoocckkiinnggeerr aalt tthhee MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy ((665511-2-9270-78-68666o6o6rr jjimim..ssttoocckkininggeerr@@ssttaattee..mmnn..uuss)) iiff yyoouu hhaavvee aannyyquqeusetsitioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Questo competed by PPlleeaasseerreettuurrnntthhiissqquuesetsitioonnnnaairireettooDDeellttaaCCoonsnuslutltaannttssbbyy MMaayy99,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff:- aaddddrreesssseeddeennvveellope,. Questionnaire completed by: Fame smi Tie STE wes Name and Title RL Ose" FRE CH ro FrCreorBmwoecpe.atFmre&en" t a FFiar22enDs1/eop/8aSrtsmenS 5t 991;--22S59V7/ 5 /Sa% [oS Er sbeidec Phone Number s brtcf2CJ--e__ e sg. cor t Date lJ..Sf?- cov--__ E-Mail Address Xinogen : 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA st Eh Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00325 sStTaArTeE__o0z2s82211228822 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. fDrDoeofsegsshyiyoonuugrrcDDpeeeprpaaarritmomenensnt?t curntoyr currently or hhaass yyoouurr DDeeppaarrttmmeenntt isorialy historically uusseedd CCllaassss AAoorr CCalassssBBffooaammssffoorr K_ firefighting .)( Yes rocoto operations? Yes- Proceed to QQuueessttiioonn 2 2 ___ NNoo-SSiiggnn tthheo bbackaooffttcihissffkoorrmm aanndd tur return ttoo DDeelltaa CCoonnssuullttaannttss 2. Howoften' lass Bor Class Afoam used in response to ee cals? 2. How often is Class B or Class A foam used in response to fire calls? _X:><__ 0o-22s5%%ofoif frireess _____os25s-5o0w%oiofffieress ______75715-0100%0%ofoffifireess 3. Does the Deparment have compressed ai foam system (CAFS) witha btn tankon is angine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xo X No 4. Howotn foam used in aning exercises? 4. How often is foam used in training exercises? Weekly Moniy Quarry ___ Weekly ___ Monthly _ _ _ Quarterly Som Amnaty Aovaaty X_ eisamaty ___ Semi-Annually _ _ _ Annually Bi-Annually T overgesseseory ___ Other (please specify): ________________________ 5. How much foam susepor raining even? 5. How much foam is used per training event? Loss hans galons XS galore S1t0 gatoors ___ Less than 5 gallons )( 5 gallons _ _ _ 5 to 10 gallons Morothan 10 gallons (leasospestys ___ More than 10 gallons {please specify): __________________ 5. In taining, where doos th spent foam go? 6. In training, where does the spent foam go? Stom Sewer __ Santary Sever onsioseptc _X_Grond ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ____X_ Ground Or lease doscrbe) ree ___ Other (please describe): ______________________ 77.. nWWfhhoeerrrmeeatddooonsessf/dodiriddcttrheeertraaiinnninggpttaaatkkeerppaiilanaciceneg??arPPelleaesaasse inclu include adres, address, nersoctono intersection or ootthheerr ssppeecciificcolcoactaitioonn By croshy information for current t?y Crosby (ify and past cdy Public training Pub/,( areaWcs.otrlikkSs }B;IleAi,. oonn ddi/crkt lIoot Xinogen: ESP FR Ar hi A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00326 STSTAATTEE0_208228211228833 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. fWWehhsaaptotyntpyspeoe(a(ssn))daainnddabbriarngda(s()1ono3fldffoocaa)ammbaiareree?oorPrvlweeerarseee uucssheeedcknnooalwwl ahaannd 3din51thh.ee past past bythe by the Dopartmen, Department, boorftre both for fire response and in training (if applicable)? Please check all that apply. ClaTsyTspy8~eAeqoouffeFFooouasammFim- Forming Foam (AFF) Class B Aqueous Film- Forming Foam (AFFF) CCRlelaavssssst8BanAAl(cooWnhVooAl-FFF Class 8Protein Resistant (AR)-AFFF IcCCClll)aaassssssB8B Floroproten Protein Fluoroprotein CFC(FlilPaaass)ossopB8roFFliilimmn--FF(ooFmrFmmFiRinn)gg CossBARFFP Fluoroprotein (FFFP) CCCBlpllaaaossssssnaAABo-BBAnRHHr-IiFoFaFmP Expansion Foam C<l:laassssA8 TTrraaiinniinngg FFooaamm OOtthheerr BrBarannddooffFFooaamm TUosneidnign? Used in YYTeerassinooirrnNNgo?o AmUoseudnt Amount AAnmUnnsuueaadllllyy Curent Useor HCiHsuitrsroteornriitccUUUssseeeo??r ~~ -------- | S---- er mee ---- ---------------------- --_-- L/.ii,i CCoommbharit1 A AAMIJGIU2SU.} -- ---- _-- yy'esS 59gaall. jt0-)15 -g15a"lgt~.f. yyeeaarrllyy ------ -- T`Thhaannkk yyoouu ffoorr yyoouurr ttiimmee aanndd ccooooppereartaitioonn.. PPlleeaassee ccoonnttaacctt NNaannccyy RRooddnniinngg aatt DDeellttaa CCoonnssuullttaannttss ((665511--669077--56115522 or woching@delcaoem)noy im Stockingeraito Minasola Polluion Gono Agency (651-597-36o68f or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im shockitnetg nue) 500 hav any quesions regan i Cuesionnaks. jim .stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questionnaie completed by: Please return tNs cruestionnaire to De!t~ Con~u!tants tv M:w 9. 201J8 fr? the enc!~sed sta.-nped. self. `addddrresseeddeennvveellope.. Questionnaire completed by: FaCCmhheuuat-cn'<dkTiLlLeeeoonnhhaarrdJ?r Name and Title FoCsrosospbay Fire Fire Department Chief. , P2)ho11n68e--!N/5a'{b96e6-r-.!5;-'4( 77'4I /J)2. 1188- 8-38B3-82-1 2g'1~-8L(ee5l11 Phone Number Da5te/08 Date E-Mail Eds Address Xinogen' PPhhoonne:e: 651.629.9/4$805 477 7411 Fox: 5910 Rice Creek Parkway 651 639.9449 I 800.477.7411 Fax: 851.539.9475 Suite 100 St. 651.639.9473 we. aaleasv. cm Paul, MN 55126 USA www.deltaenv.com 22222..00327 STSTAATTEE0_202882211228844 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDoroaaestsgyyhoouuurnr gDDeeppagaprratrmmaieoennnstst currant currently or has has your your Department Department istoricat historically seused Class Class Aor A or Cass Class B oarsfor foanis for 3 Yeu Proce firefig~erations? to Questio2n . YNoe-sS-iPgroncteheadbatockQoufetshtiiosnf2orm and return t Dela Consultants No -Sign the back of this form and return to Delta Consultants 2. How ofenis ClaBsosr Class Afoam used i response to ro cole? 2. How often is Class B or Class A foam used in response to fire calls? Lo-2o5a% swototf fiireess ___ossoworties 25-50% of fires 75.100% af fres ___ 75-100% of fires 3. 3. DDooesstthheeDDepeapratrtmmeenntt hhaavveea ccoommpprreessssead iair ffooaamm syst system ((CCAAFFSS)) wwiitthhaa btn built-in ttaannkkoonn isits aennggiinnee((ss)?? ___ vYeess A~~e No 4. How fans foam used in training exeriss? 4. How often is foam used in training exercises? Novo Wo Monty Guana ___ Never Som Anna Sova Simul ___ Semi-Annually . Weeky ___ Monthly ___ Quarterly _jL_ Annually ___ Bi-Annually overessaspecty ___ Other (please specify):---------,------------------- 5. How muchgam used or aking sent? 5. How much~ is used per training event? w V oLess tthhaannS5ggaalllloonnss _____ 5gaglallolonns.s 505 t1o 100ggaalllloonnss. Mare tha 10 galors (ease spect) _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - * ans ss 6. _ Somsewsr _1SantaySower __OnSioSeptc __ Grow ___ Storm Sewer Sanitary Sewer _ _ On-Site Septic Ground Over (pease desrbe) _ ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. 7. "lWcrmos/fordcuheinatska pplaanceg? rPloeaseinclude acres, inersoton or othr spec ocaion ELTConk JNaoist Meaundenece Foc li (o RA FT uf Lsclhe Mh Xinogen' OOVVEER R~ -- PPhhoonne:e: 651.629.81084005.477 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 631.639.9473 Suite 100 St. 651.639.9473 mornidelinens.iom Paul, MN 55126 USA www.deltaenv.com 22222..00328 sSTTaArTeE__0022682211228855 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 5. Wars tanoffo) 20te.tad tn aEy p St 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire ii AA s response and in training (if applicable)? Please check all that apply. vrosin AATmount ruty Htatenty TTyyppeeooffFFooaamm Gos Agons Class B Aqueous Gemewem, _ _ Film-Forming Foam = (AFFF) I Class B Alcohol- gmp Yeo 0 Resistant (AR)- eeAFFF o---- o_o Class B Protein cone Class B ny ------------ Fluoroprotein (FP) Comin. Class B Filmi Forming ci --_-- Fluoroprotein ae (FFFP) Coser Class B AR-FFFP Camnnn Class A-B Hi CA ---------- --_ -- Expansion Foam con JE Class A Toran __ Training Foam ore ---- Other BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? Fy -------- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Buc A oF A Ar 0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rete Coes jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. FA Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped. selfHEoEeppEmoneent ` addressed envelope. -&72-- FFiirree DepDeapratrmtmeenntt a21e6 52 3KE :hL8 _oCPlAlNCoss o flet= E-Mail Address 3~C~ 2os /lofor o Date ~ { Xinogen: PPhhoonne:e: 631.639.9445 1800.473.74F1o1k: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 451.639 947) Suite 100 St. 651.639.9473 muinedaliasnoem. Paul, MN 55126 USA www.deltaenv.com 22222..00329 J-- STATE_02821286 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. DoosyourDeparment cuntor has your Dpartment istoricaty used ClaAsosr Cass oars for 1. Does your Department currently or has your Department historically used Class A or Class B foams for frothingoperations? firefighting operations? Yes-Procesdto Question ----.,..,-- Yes- Proceed to Question 2 -5+ o-inth aois tom an tatDats Gorstr No - Sign the back of this form and return to Delta Consultants 2. Howofteni Cass o Cass Afoam used responseforo als? 2. How often is Class B or Class A foam used in response to fire calls? orci 25.50 free 75-1o0f0re%s ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. Doos iho Dopariment have compressod i aa system (CAFS) with abun tan ons engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes -- ___ No 4 How ofien foam used i ining exercises? 4. How often is foam used in training exercises? ook Monty ---- ___ Weekly ___ Monthly ___ Quarterly emiomaty Aarualy Team Semi-Annually ___ Annually Bi-Annually Omertgeasespectyy Other (please specify):----------------------- 5 How much foam s usedpor varing vent? 5. How much foam is used per training event? tess tans alors 5 gators ___ Stom0gons Less than 5 gallons ___ 5gallons 5 to 10 gallons TT Moret t0galons (emsempects More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In waning where doos th spent foam 7 6. In training, where does the spent foam go? SomSewer ___Santary Sever ontSept Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT overlomedemerver ___ Other (please describe):---------'--~-----------~- 7. Wher coed he waning ko place? Pleas inclu across, erection or ahs pectic acaon 7. Where does/did the training take place? Please include address, intersection or other specific location fom forcuare atn poatvan rung ress. information for current and past training areas. Xinoger: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003330 sStTaArTeE__o0z2s82211228877 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. fWWoihshapaot nptysepa(eas(sn))daainnnddtrbbarnarinndag(s(n)1oodaffpffslooaca)mmabaaer)e?ororPrweweeaersreee uucssheeeddcknnooaww taahnntd aiinnptptlhhye pastby past by the the Department,bh Department, both for for fre fire response and in training (if applicable)? Please check all that apply. FoCCrllmaasTsiTssynypgB8peeAAFocoqofuuafFcemFoooouu(aassAmmFFFiFilm)nCRCFeoilasrasmssstina8sBgntAcFl(oocoaRhmhJooAll(-AFFFFFF) Class 8Protein Resistant (AR)-AFFF Class B Protein CC#llaassss 8B FFulucorroopporoteteiinn CC(FFlulaaPsss)rssoB8prFFoiilemmn-FF(ooFrrFmmiPinn)gg cassearerR Fluoroprotein (FFFP) CECCxallaapsssasssnsAABi-BoABnRHHF-iiFoFaFmP Cassa Expansion Foam TCrlaassnAg Foam Over Training Foam Other BrBarnadndooffFFooaamm Usedin Used in Tining? Training? YYeess oorr NNoo Amount Amount Used Used AAnnnnuuaallllyy CumentUseor Current Use or HiHsitsotorriiccUUssee?? ~~ -- ---- -- -------- ------------------ -------- -------- ---------- ee ee ee er rrr ee ------------ ---------------------- -------- ------ ------ me | rere ee ems rr | ee me---- eee "ee es---- -- oJTTofirhhmoanasncrtiokiodncyynookginuui@gnfdf@goooerdlryye@zooaluetuaarnrtemtyenim.vemc.ecuooaasmmnn))dd) ooccroroaYJoJpoiipmeumerrahSSaiatttoiovonecon.ak.cinnkyPPglieleeqrnaaauastsegteseettthcchireooeonnnMMtstiaaincrnctnentgoeNNassaraaondlnticaacnyygPPRRohooliolldsludrltniQiooiunnnneggsaCCaDtootonnnDetnireaocalrtlaAeA.gCCgeoeonnnncscsyyuull((ta6t6n53at11ns.-22((6996577511-88--666069697766--o55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaassee rreettuurrnn tthhiiss qquueesstitoninoanirneattoio rDeeltDiata Consultants Consultants by by May Mav ,9, 2008 2008 nin the the enclosed enclosed stomped, stamped. sit: self- aaddddrreesssseeddeennvveellooppee.. QQuueessttioonnnnaairee ccoommppeletteedd bbyy:: NaBAmeBBfanldTlTi~leH.tRIf Ftl-Jpv~w/,nJ-s_ep_ CHie Name and Title iCopuarltnvenet i vor FFs leap] Fire Department PhAoniegNu-rserU3 507 Phone Number UDYatre eef Date Eminges E-Mail Address Kinogen XInogfn I I ,1 rene on FT TE ECE o-- h a " 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..033311 STSTAATTEE0_202882211228888 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Docs your Deparment tent has your Deparment sedClss Aor Clase 8fas or 1. Does your Department currently or has your Department historically used Class A or Class B foams for erating cpvatonss firefighting operations? A Yeo.protco Queesteiond A Yes- Proceed to Question 2 a-Si he baocf hki form an return Dla Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Howollen's Class 8or Glass Afoam us in sponscootrs? 2. How often is Class 8 or Class A foam used in response to fire calls? CX omwoites ___ossowolies ___7si00%oties _'><l.L.>L:_ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5 Dos th Depart have compress a oa syst (CAFS) ih ui ark on 5 engin? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Fro 'A No 4. Howoten's foam usodin caning ers? 4. How often is foam used in training exercises? Weak Monty oun ___ Weekly ___ Monthly ___ Quarterly TT semamaly 35 Aly TT sama ___ Semi-Annually ~ Annually Bi-Annually TT oreremespoory ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam i sd pr aig overt? 5. How much foam is used per training event? 50 oss han gahons _ sgalons 51010gators Less than 5 gallons 5 gallons Moro than 10 gatos Gossespecty ___ More than 10 gallons {please specify): _ _ _ 5 to 10 gallons 6. I borin, wher does th spnt foam 7 6. In training, where does the spent foam go? A Som Sewer __SanitarySomer OnstoSepte rund ~ Storm Sewer __ Sanitary Sewer Overipossedescroer ___ Other (please describe): _ _ On-Site Septic Ground 7 Wire dos he vining ke ploce? leas cd adios, ntrsotno le specclocaton 7. Where does/did the training take place? Please include address. intersection or other specific location rites Ainform Ji ta'v'::"":;; 41- a t i oHne f o r c u r r e n t pig. and pa s t t r a~in'i"Sn"og-nae-reas.~Pe\\ lXV"' ~ ~p~erd~. sre '5i'c!J2_ XiInnoogg~enn "" -- TT 5910 Rice Creek Parkway Phone: 651.639.9449 1 800.477.7411 Fax: -- Suite 100 St. Paul, a 651.639.9473 www MN 55126 deltaenv USA com 22222..003332 sate_ozsa1289 STATE_02821289 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. What 01) ad rnodff)om aor wre usdnw and nh os yh Deparment, bhofr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire oT as Hap Ps heck oo, response and in training (if applicable)? Please check all that apply. TUasnontignr Used in Training? Ambooudnt Amount Used cunentusoor Current Use or TyTyppeeooffFFooaamm Gass Ansous Fin Class B Aqueous FilmCe ---- Forming Foarn (AFFF) Gass 8Neotel Class B AlcoholRSE ee Resistant (AR)-AFFF CEI meee meet eee meee Class B Protein GlBFaropsrotson Class B Fluoroprotein & | (FP) Glass 8 Fim oming Class B Film-Forming rm -------- ee Fluoroprotein (FFFP) GmesmRie Class B AR-FFFP Gls 84 Class A-B Hi Tran mg me pn ------ Expansion Foam Class A Mego eo hSebodned Class A Tampon C77 Training Foam omerOther BBrraannddooffFFooaamm YeYessoorrNNoo AnAnnunaulalllyy HiHsitsotroiriccUUssoe?? Thank you for your me and cooperation. las contact Nancy Ring Della Consular 051-687-152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oorr nnrrooddninnign@gd@edltealentva.ceonmv).oocrroJJmiimm) SSttocokcinkgiernaatgttethhree MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy ((665511--229977--88666666 oorr ana Gaovou ve sy aoe open i ean jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plese return hs auestontnDites Gansta by Mav 208i th clos soma sat Please return this auestionnaire tn Delta Cnnsu.lta.nts f2y Mav 9. 2008 .in the P.nclos~d sta.rm:'led, .<;;elf- `addddrressseddeennvveellooppee.. Questorars camploted by Questionnaire completed by: oamseonsHelmy,Joav Chd as et ~Sor !Jv\Mv~~ Name and Title Clg Fone QQpplbevs~iVo\n-n\t- a Fire epartment Pafer20 Wak =574/0% Phone Number <-!ld..~ Oat~ 1 EE E-Mail Address HKwmogenw Phone: Phone: 651.639.99855910 651.639.9449 I / 800.477 Rice Cree 800.477. 7411 k Park 7411 Fok: way Fax: 51.635.9473mindaliasnu. am Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00333 sate_o2621200 STATE_02821290 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg -A-X:- rectoains 1. 1. DDaooiseoss iyynoougurr DDpeeeppraasrrtotmmneesnn?tt currenotr currently or has has your your Department Department torical historically sedused CGalassss A A oorr GlB asms Class B foams ffoorr firefighting operations? ___ No- Sign the baocf hkis form Yes - Proceed to Question 2 No- Sign the back of this form aanndd turn return ttoo aDtetltaa CCoonnssuullttaannttss 2. Howton' lass B.or ClAafsoasm used inesponse to ra cals? _ ozswortes _ assonortes 2. How often is Class B or Class A foam used in response to fire calls? of fires XXK 775-510.0%0oot0fffirr%eess _ _ _ 0-25% of fires _ _ _ 25-50% 3. Doss the Deparment havo a compressed a foa syst (CAFS) wih a bli ark ans engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes no )(" No 4. Hown a foam used nang exces? 4. How often is foam used in training exercises? -- wesny oan J ___ Weekly ___ Monthly _ _ _ Quarterly T Sombaonanty forualy cram ___ Semi-Annually ___ Annually ___ Bi-Annually > overipessospesty one _ _.Xo:...=.-- Other (please specify): __..L/t)_,__,tJ~ft_ -,_________________ 5. Howmuchoam is used per rang event? 5. How much foam is used per training event? 5tesstans gatens 5gatons stots _L Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ZT Morovan togatons Gloasespectys ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Invainng, whee doss thospent foam gs? 6. In training, where does the spent foam go? om Sewer ___ Santary Sever onsteSepte ___ round ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Or loscoserbey ___ Other {please describe):-------------------~-------------------- 7. Were dos th aie ake place? leas include addres, inssctanor othr spec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location oman for cue: an pas Varn roe. information for current and past training areas. Xinogen PRON. 1 EE T3 ERE Tda SHUGS16ES agu kWA SdETHTR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv com 22222222..00333344 SsTtAaeT_Eo_z0s282211229911 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. WWrhehsaaptot nttysypepeea(ssn))daainnnddrabbirnarinnadg(ns()1doaofp(ffpfooslaac)mmabaalrreee?oorPr wlweaersreeeuucssheeeddcknnoaolwwnaanntdd9iinnptth.he ppaassttbbtyhthee DDeeppaarrttmmeenntt,, bbootnh ffoorr ffirree response and in training (if applicable)? Please check all that apply. oe Silver Uo 1m <I TUrsiendign? AmUosuednt Cumentuseor TTyyppeeooffFFooaamm Cless B Aqueous Fin- Class B Aqueous FilmJ -- Fo~rning l=oarn (A.FFF) Class Aonol- Class B AlcoholResistant (RYAFFF ~~ -------------------- Resistant (AR)-AFFF Class 8Proton - Class B Protein Class B Faoroproton Class B Fluoroprotein I) ------ (FP) Class 8 Fim-Foming Class B Film-Forming FlFuluorooropprrootteeiinn ((FFFFFPP)) CosseARFEP Class B AR-FFFP Class ABH Class A-B Hi Expansion Foam - 3 Expansion Foam `BBrraannddooffFFooaamm Used in Training? YeYessoorrNNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotoriricc UUssee?? a TCrlaaisnsinAg Foam (l)r? ees. ses-- ---- over Training Foam esr. seme ee ee-- Other "FTooTrnrhhnaantnrnrookkcdyokynooiidnunuggfnfo@ eorirrdsynyeoolgutuearr@ettnitiJmvmc.eeocoeoaalmmnn)add))oeoccoronIo0oJpipmyem0rearhSStaaittioovoncetn.k.ainnoPPgylleeeQraacauassetetestkhhccoeeoonnnMitMstiaaicnFnctneetnGseNNasoaagrotnnitacacnyygPPRRotooholllcsudlhtniQaioiUnnnnGggSCCoaHootOtnnMDDvtRiroeBotllItlaaSAA.CgCgoeeonnnnsccsuyuyltl((taa66nn55tt11ss--26((6996757551-18-6-66669606767o--5or61r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. N Please return this questionr.a!re f.~ Delta Consultants bji ~1ay 9, 2008 in the ;cnc.lused stau;ped. s~if- aaddddrreesssseeddeennvveellooppee.. F Questor nmarpiLcompeteRdbsyN:pain. NzsJl- al.Care ye Name and Title p~ aTCEfflt:do~~-- ~lre Ire epartment ~ T e_ FEPPhhoonnee NNuummbbeerr 3 ry te, 77 Er E-Mail Address XKIinnoogg~enn .,,, PPhhoonne:e: 651.629.5545 1 800 477 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.630.9471 Suite 100 St. 651.639.9473 morriodaliannr.tam Paul, MN 55126 USA www.deltaenv.com 22222..00335 STSTAATTEE0_202882211229922 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDrooeetssggyyuoonugurr DDoeoepwpasarirttommneesnn?tt currenotr currently or has has your your Department Department historical historically used used Clas Class orA or Gass Class 8 B foamosr foams for 1% firefi)' opVereastio- Pnrs?oceed to Question 2 NYoe.s S- iPgroncteheodbatockQoufetshtiiosnf2orm and return fo Dott Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwofotftoenniiss CCllaassss orB or CCalassss AAffooaamm sedused iinn rreessppoonnssee ofr to fire ccaalllss?? Momus ~ 0-25% of fires assvmaries 25-50% of fires ___ 775-510:0%0ooff0ffirr%eess 33.. DDoosess tthhee DDeeppaarrttmmeenntt hhaveaaa ccoomvmpprreesossseedd aaiirr ffooaamm ssyysstieomm ((CCAAFFSS)) wwiithhaa but built-in taktank oonn 5its aennggiinnee(ss))?? ves Xho -:---Yes ,k-No 4. Howoften s foam used in raining exercises? 4. How often is foam used in training exercises? Woeky Monty Quartry ___ Weekly SomiAorualy Aanaty 3 siaarualy ___ Semi-Annually ___ Monthly ___ Annually _ _ _ Quarterly ~ Bi-Annually Toveremenpetty 7 ___ Other (please specify): _______________________ 5. How much foam is used por raring overs? 5. How much foam is used per training event? Ko tosses solos sttoguns ~ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Moro than fo gators Geasespoctyy ___ More than 10 gallons (please specify): __________________ 5. niwhen re dog ssth spent foam 7 6. In training, where does the spent foam go? Somsee Stays __ onsite Xoo ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground J ---- ___ Other_(please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - . . , . . . . - 77.. WWInhhfeeormreeatddiooocenssfi/oddricdduhthreeetiranaiinnindnggpataaskkteealpanlaccgee??arPPslleeesaa,sse iinncclluuddee aaddddrreesss,, iinntetrseecrtsioenocotr toithhoernr specie specific aca location Ar information for Uttr ous current and I olAS past laces training areas. fLflce_5 XKiInnooggepn::f "" PPrhoonnee:: 631.639.9158005.473 3411 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: $0630.947] Man daltasnv. com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00336 sSTTaAeT_E0_206282211229933 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. BWhathyet) raeoam arrwor ge and in hat hs Depaimr, bot for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. notre Type of Foam GeleeeAquos Fin. ---- Class B Aqueous Film- Forming Foam (AFFF) -- Brand of Foam Unetin Used in fro Training? -- Tl Yes or No moun Amount Used amy Annually Sms Current Use or Historic Use? CCllaassss BB AAllccoohhooll-- Ur gomspems, Ausubite yesLesSgrl curr Resistant (AR)-AFFF Guo, | -- Class B Protein dapClass B Fluoroprotein fa -- (FP) Gos 8 Fimoming Class B Film-Forming petted Fluoroprotein (FFFP) ee Class B AR-FFFP Gos 8 : Class A-B Hi Sin ee Expansion Foam Clase ASTDefense yesLesSpalCuero Class A 0 Training Foam over - Other ye..5 Less, ye> reg Torey toyota onpeaon. less conta Maney in at ek Gorm (10078152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 mamma tn oaras Meo a Comat ay So oon or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or iss jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. a RTH tH RTA tnt Please return this questionnaire to Delta Consultants bv May 9, 2008 in J!J.!LfH!q!.P.~.q..!;J.!!!!IJ.P..~t:L~!!..If.: fries addressed envelope. -- Questionnaire completed by: Fr'f:oou Row~aA-lLd:i Name and Title hmuarrr- k"f:sS CChhete t1=: FreTamsmen DarFur Fire Department Fare Dey PPhhoonnee NNuummbbeerr Ee E-Mail Address Xinogen- DDaattee Yy--~36a---0o%~ Phone: en 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: ~ Suite 100 St. Paul, MN 55126 USA TIE 651.639.9473 www.deltaenv.com 22222..00337 [ap-- STATE_02821294 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DDeootcegsshyyioonuugrroDDpeeoppaaatrrotmmneesnnt?t curanty currently or or has has your your Deparment Department istoricat historically sedused Class Class Aor A or Class Class B foams foam fors for XXC firefighting opVeerastio- Pns?rotocQeuesetiodn NYoe-sS- iPgrontceheodbatockQoufestthiiosnf2orm and return to Dota Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoften sClass Bor ClaAfsoasm used in rosponso to ro cals? 2. How often is Class B or Class A foam used in response to fire calls? ___ 02s orfres 0-25% of fires )X(ass2o5-m5a0%ttofrfieress ___ 7T55--110000%%ootfrfioress 3. Does the Deparment have compressed ifoam system (CAFS)with abntar ons angina(s)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ Yveess XXoNo 4. How olen foam used in vaiing exercises? 4. How often is foam used in training exercises? Newer Woy Monty Quarry ___ Never ___ Weekly ___ Monthly ___ Quarterly ommaly Away Xs ___ Semi-Annually ___ Annually :_){'___ Bi-Annually Other easespec; _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam s use por airing oven? 5. How much foam is used per training event? Xess tans gators 5gators 51010 ators X Less than 5 gallons 5 gallons 5 to 10 gallons Mero than 10 gals (Pease spect ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. In raining, wher does thospent foam go? 6. In training, where does the spent foam go? StSo ew _ Sanitary Sewer onstosepic Xero ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic LGround Orr lasso descr) _ Other (please describe):----------------------- 7. o Where droeca tuhr;raait nindgpaokto erlaacnegr ?aPoaess includ adress, erection rahe spctc cation 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. ~3? ~ ~{. NKinogen: OVEERR---+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00338 sSTTaArTeE__0022682211229955 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 5. What types) and bards) foam arcwere sed now nd nh pst bytho apartment for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in an 1 appicaey Pease check al nt apply response and in training (if applicable)? Please check all that apply. TUrsaendnign? AmUosuednt Curenty istorically TyTyppeeooffFFooaamm BBrraannddooff FFooaamm Cl8aAqsueasus Class B Aqueous Fimpommafoam -- o_o Film-Forming Foam frees (AFFF) Cl8acoshosl Class B AlcoholReman GRy Resistant (AR)3 AFFF ChsPown Class B Protein Cass Class B FFlluuoorroopprrootteeiinn ((FFPP)) Gloss Bim: Class B FilmFarr Forming ogoen =~ ---------- ---- ---- ---- ---- Fluoroprotein Fre) (FFFP) CeseameR Class B AR-FFFP Class AB1 Class A-B Hi Soanaontom - --_-- -- -- Class A Expansion Foam Class A TTraraininiinnggFFooaamm peau Mo0 wren GWE ma wm Other Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? EE -- x Ei No ge -- -- Thank you foyour to and cooperation. PressconactNay Roding a Dla Consults (651-097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oF rod dahaenecam)of ih Kosi t hs Mionesct Polio Corrl Agony (861-597-660o8 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or om Socnger@eato mv) you have ayGueslons regang nS GUESIGTREHS jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleaserou this uestitooDenltnCosnsitavnts byJune 6208 nthe enclosedstamped, sl. Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, selfQuestannare compiled. aaddddrreesssseeddenenvveellooppee.. mikch Balan, Son, tevin, unk have bale - (lien) NNaammee aannli TTiittllee = FiDeaDespear|imert ED Fire Department -- Phone Number 320- 275- 3206 Phone Number Bateb-2-08 Date ee E-Mail Address Xinogen } 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 51.530.9005 450 ATo GOA eh 003) Mea Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00339 sStTaArTeE0_208282211229966 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DDaooieegsshyyioonuugrroDDpeepepararrottmmneesnn?tt curently currently or or has has your your Department Department historical historically usseedd CClalsasAAsosorr CGllaassss BBfofoaammss fofor X firefighting )C Yes-ProtcoQeuesetiodn2 operations? Yes- Proceed to Question 2 No Sign the baocfhks form and return to Dela Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 22.. HHoowwolotfteenniiss lCalassss BBoorr CClalssaAAfsfooaasmm uusseedd iinn rreessppoonnssee ofr to fire cas? calls? __,)X_o__ _ 0o-z2s5%noorfmfireess 25505offres ___ 25-50% of fires 75:100%offre ___ 75-1 00% of fires 5. 3. DDoosess tthhee DDeeppaarrtmmeenntt hhavveeaa ccoommpprreesssseedd srair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa but built-in arkons tank on its eennggiinnee(s))?? ___ Yveess XX Ntoo 4. Howoten's foam used i raining exercises? 4. How often is foam used in training exercises? Weeky ony Quanety ___ Weekly ___ Monthly ___ Quarterly SemiAmually Annual Baal ___ XXK Sotehmeri-A(pnenausaellsy pect: Other (please specify): B' aaaAi?nn4gu-pa'&lolytu..rt p/)aAcdee ee?y/e~)tBi-4LA-n/ nfruacolly-a~23.5 5. Howmuch foam is used pr angovent? 5. How much foam is used per training event? XE Less h5agatnons 5galons 5110 al0ors )IC Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mor than 10 gallons (lease speci I ___ More than 10 gallons (please specify): _________________ 5. Intaining,wero oes the spent foam 007 6. In training, where does the spent foam go? Storm Sewer __ Sanitary Sever onsiesepic -X_X- Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground ner please describe: ~--'""""--'- Other (please describe):----------------------- 77.. WWinhhfeoerrrmeeatGdioooensef/odrsidcutthrhreeenttrtaaiainnniindnggpataakskeetppallaancceeg?? aPPrlleeeaaasssee ink include address, address, nesecotroothenr intersection or other spac specific locaton location information for Fike current and P1 (2.6: atc past training Mt L [o2 areas. 16 2 lBha'fe;eitr~ "s5Tr Dez creer NKinogen Prone: Phone: 651.639.9/484050.474311 Fok: 5910 Rice Creek Parkway 651 639.9449 I 800.477.7411 Fax: 681.639.0471 Suite 100 St. 651.639.9473 wasidaliasnr iam Paul, MN 55126 USA www.deltaenv.com 2222222..00334400 STSTAATTEE0_208228211220977 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WWrhehsaaptot nttyysppeee(a(ss)n)daaninnddrbbararnngda(s(n)1oodaffpffpsoolaai)mcmaabarlreeeo?ofPrwlweraeesreeuucssheeedccknnooawlwhaaanntdd3iinn91tthh.ee ppaassttbbyytthhee DDeeppaarrtmmeenntt, bbootthh ffoorr ffirree: response and in training (if applicable)? Please check all that apply. Typeof Foam BrandofFoam TYTrUUeraasssiieenonddiirniniNgnnge?? AAAmUUmmossouueeudndnltt CCHuiursrrtreoenrnittcUUUssseeeoo?rr CCFiolaarssmTssiynB8pgeAAFcqoouufaeeFmooouu(assFmFFFiiFlmm):- Brand of Foam Yes or No Annually Historic Use? ~~ -------- -------- CCRFelolsaarissmssstinaBgntAAFll(occaAoomhRhooVll(A-AFFFFFF) ClRaesssistaBnPtr(oAtRei)n-AFFF e-- ee-- ---- Ciass Class Class 8B B Fuoroproten Protein Fluoroprotein ~---------- ~~~ CCF(FlilaPassso)ssopB8roFFtiilmemn-FF(ooFrrFmmFiPinn)gg --_-- FEFluoroprotein (FFFP) -- CCCElxllaaapsssasssnsABAi-BoABnRHHF-iiFoFaFmP -------------------------- Class A Expansion Foam Sie-vex -Y~'---~--E'-_ 5 S_ iteessssT1rMeMm stam CTrlaaisnsinAg Foam A [16A.ktUJoJ-nN S------ over Training Foam eer. eee ---- ---- Other oTTfhanhnrkoyydoaonuuiffnoonrygyo@ioudurer tlmimaeeenaaynndd.occcfoooioomppme)rearStailtioooncn.k.ngPPleleeraatsseetcceoonnMttaiacnctnteNNsaaonntccayyPRRooolddlrnaiinnnggCaaoftntDDreeolllttaaACCgooonnnssuyullt(la6an5nt1ss-((26605571-18--666969787o--5f6115522 im stockingor@stae.m us) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you have ny auestons rogadng Us Qestomaie Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or aPPd!lo~eresossseesrreeedttuuarrnnnvetthlhioisspeqq,uueestsiotninaoirnenttooaDi1a1tret!etaa Consultants Consultants !h.wy May2008 Mav 9, ?OOB Inthe i.'1 the enclosed enclosed stamped. stamped, eltself- addressed envelope. - QQuueessttiioonnnnaaiirree ccoommppeletteedd bbyy:: N[Da)moAep-a-onN)a TolPfee.,vut)sCe?er-}s'tntrsr'f rptfibp&e=. cC f/e117rr- Name and Title -- FDir~eeDGefpra?r-rmetnJt CGRtEcE-R PPiltpue= i pe~cHeUrEe B Fire Department 215 42-2543 Phone Number 4-24-05 Date -- Ewes E-Mail Address Hmogen' ne ne PE TT TR a en e 5910 Rice Creek Parkway Suite 100 St. Paul, M N 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..034411 STSTAATTEE0_208282211229988 QUESTIONNAIRE QUESTIONNAIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. os your Deparment cureonrdbaysyour Deparment cay useClass Aor Cass 8 foams fox 1. Does your Department currently or has your Department historically used Class A or Class B foams for reaming opwatonst firefighting operations? Wo Ves ProtocQueesetiodn ~ Yes- Proceed to Question 2 ZLNo ian he baocf hki frm and return to Dla Consultants No - Sign the back of this form and return to Delta Consultants 2. Howolen lass Bor laAsfosam sen esonse fof cals? 2. How often is Class B or Class A foam used in response to fire calls? Xe oaswottues [---- T5100ote X- 0-25% of fires I ___ 25-50% of fires ___ 75-100% of fires 3. Docs the Daprimat hacomvpreess a oa ston (CAE) with ui rk n 5 angie)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Cw ___ Yes Kw X:. No ' 4. How olen soa usd i cing crises? 4. How often is foam used in training exercises? ea oy J---- ___ Weekly ___ Monthly semana Aon _ Bismuaty ___ Semi-Annually ___ Annually ___ Quarterly }< Bi-Annually Or las spc) - Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. How muchtoamis used pr ang overt? 5. How much foam is used per training event? 3Loss han tons 5 goons ___ stot0guons {<- Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons More tha 1 alos lace spec) More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - ontarherie doos,the spntfoam 7 6. In training, where does the spent foam go? Som Sower __ SantaySener onsiesepte 5 oraund ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Other plas dure - ___ Other (pleas.e describe):------------~--.,.......,..------- 7. Where doe to ain ke ac? laa nc arse, rst aa spc ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location ron caronenaywo gz " fo information for current and past training areas. cJy Gy Doley!.<"X?C~ Jda,:&eJUtc.Li? f3wLdt~ 0?1. JttAzlv<'~1 I 04J Ninogen 5910 Rice Creek Parkway Suite 100 St. Paul, M N 55126 USA Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003342 sate_ozs21209 STATE_02821299 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. WoVi3nhpaaottnttysyppaee(a(ssn))daainnddrbbarrannagdn(s)()1 ooaffpffoookaacmmasaaerr)eeo?orFrwoweaersreee uucssheeodccknnooalww taahnntdd aiinpnplthhyee: past past bythe by the Departmen, Department, bot both or for fre fire response and in training (if applicable)? Please check all that apply. FCClolaamTssisTsynypBBgpeeAAFoqqoofuuafFeeFmoooouu(aassAmmFFFiiFlmm)-- Forming Foam (AFFF) CRCRelleasasississssttaBBanAntAlt cl((coAAohRRho)oVl-l-AA-FFFFFF CCllaassss B8 PPrrootteeiinn CICilaa)ssss B8 FFlluoorroopprrootteeiinn CFC(FlllaPaiss)osso8BprFFoiiltmmn--FF(ooFrmFmiPinn)gg CosspARSFP Fluoroprotein (FFFP) CCCElxllaaapsssasssnsA4Bi-8oABnRHHF-iiFoFaFmP CEaxpsasnAsion Foam TCrlaaisnsinAg Foam omer Training Foam Other BBrraannddooffFFoaamm -------------------- Aa{g{sus 36% 5 3,.i2; ll- - -L..J'-"7fr!"~L.__--'--=:........::...---m---- - hugs Hitabde -lo% ------ - Usdin Used in Training? Training? YeYessoorrNNoo Amount Amount Used Used AnAnnunaulalllyy CuentUseor Current Use or HistoriHisctoric UUssee?? ---------- ---------- ------------ 2, bh bess the Spdp ootle essl ee -- TET yes Less Hoe Egil; ee eect Jobe Vo Fylor et . oTTrhhaoanndkkriyoonuug@ffodoroyylooauurer ntiim.mceeoaamnn)dd occrooooJpipemerarSattitioooncn.k.inPPgloleeraaassieetccooonnMttaaiccnttnNNsaoantncacyyPRRlooudntnionggCaaottntDDreeolltaaACCgooonnnssuyull(tta6an3nt1ts-2((6965751-13--666969767o--5r5115522 fim stockinger@sttemus) you or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you hve any oesins egarcing is questonnare. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Stcase return his questionnaire fo Dts Constants by May 9, 2000 1 the snclosed stamped, selfs addressedenvelope. Please return this quastio.--:naire addressed envelope. to Dslta Consu!ti:ints by ~1av 9, 2008 i;; the eil-:closed starnped, self- QQuueessttioonnnnaariree ccoommpplleetteedd bbyy:: NamJeoalnd~Tie// ~~~~ Name and Title FroODDeeeppea;r;v-mewtnVotteJodJ Fire Department PhJo/neN-om5oe3r 9-3980 Phone Number EtJda.PROadare@S@ss afl_l;1y-ul.v~ rn~e.etf E-Mail Address 7 PDitio a Date NKinogen: er 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.638.5/985005.477.7411Fok: 891.635.9473 monn dalinann.sam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00343 SSTTAATTEE__0022882211330000 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training r 1. 1. frDDcoohesgshyyioonuugrroDDpeeeprpaaartrtitmmoenensnt?t curenty currently orhas or has your your Dpaiment Department isorialy historically uusseedd CCllaassssA oorr GClaasss sBB ffooaammss ffoorr firefighting opYeerasti-oPnsr?oceetdo Questio2n "X No. sion hebackofthis form Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreettuurrnn tto0 DDoetltaa CCoonnssutlatannttss 2. Howoftn's lass Bor ClaAfsoasm used in esponsoto ve cal? 2. How often is Class B or Class A foam used in response to fire calls? oases assole 7st0holies ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 3. DDoooess hethe DDeeppaarrttmmeennt hhaavvee aaccoommpprreessssead aair ffooaamm ssyyssteamm ((CCAAFFSS))wwitithh a bitin built-in ttaanrkk oonn isits anges)? engine(s)? 3. ___ Yveess ___ NNoo 4. Howoften s foam used in ring exercises? 4. How often is foam used in training exercises? Weekly Vority Quarry ___ Weekly ___ Monthly _ _ _ Quarterly SemiAmualy povaty Brust ___ Semi-Annually ___ Annually ___ Bi-Annually Oth ease speci J ___ Other (please specify): _______________________ 5. Howmuch foam is used por raning overt? 5. How much foam is used per training event? Lesstnsguons ___sgalors ___ stot0gans ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons (ease spec) - ___ More than 10 gallons (please specify): _________________ . In taining, wher dos th spent foam go? 6. In training, where does the spent foam go? SomSower __ SantarySower __OnSHeSeple Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over pease scribe ___. _ Other (pleasedescribe): - - - - - - - - - - - - - - - - - - - - - - 7. WdhooreromeosfaChtuetotkaainnnidngaaskhealancge?rPoleaasse includ address, nrsectiono cter spec ocaon 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Xinogen Phone: 651.630.5085 1800.744117Fo7k: 51.635.9473 misdaltaeny.com "=: TTT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003344 SsTTAaeT_E0_208282211330011 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WfWohhsapatot nttysyppeee(a(ssn))daa1nnddtrbbarrnaainnnddgi(ss())1 ooaffpffloocaaammtaiarere)eo?orPrwlweoerarsoee uucssheeeddcknnooalww haaanntdd 8iinn7tt3hhe.e past past by by the the Daparment Department, both both for for ffi re re response and in training (if applicable)? Please check all that apply. GlaTsyTs yp8peeAoqofufeFFooouaasmmFim- Foming Foam (FFF) Class 8 Aqueous Film- Forming Foam (AFFF) CCRellasaisssssta88nktAl(ocoRhhpo:Al-FFF ClRaesssistBaPnrt o(tAeRin)-AFFF C#lassB Class 8 Class 8 Fuoroprlein Protein Fluoroprotein CC(FFlllaPaass)ossop8rFoFitilemmn--FF(ooFrrmFmiPinn)gg CossBARFER Fluoroprotein (FFFP) CECClxllaaapsssasssnsAA8i-BoA8nRHHF-iiFoFaFmP ClEaxspasnAsion Foam TrCaliansisnAgFoam Over Training Foam Other BBrraannddooff FFooaamm TUUasiseneiddniignn? YosorNo Training? Yes or No AAmmUosoeuudnntt AAnmUnnsuueaadllllyy HGCiuusmrtrooernntt UUUssseeeoo?rr Historic Use? ------------------ -------- -------- -------- ---------- ---------- ---------- ------------ re = ~~~ ~~ --_-- a er *---- ren een - SS o"iTorTrmhhranasonrntodkkodnycyniookinnuuiggn@ff@gooderredryyle@ooilsutuaatrreeattntniimsevm..eoccroaaumnnosdd))oomccryoroJoooJi)pipmuemerarhSStaatittiooovonccon.kk.aiinnnPPggyioleeorqraauaassetteestthhccioeooannMrMstiaairnmctentegeNNsasaoraondtnticaacnyygPPRRiooanolllsucdutniiqooinunnneggsCCoatoottnontDDmtrenreoloallttlraaAAeg.CCgooeonnnnsccsuyyultl(t(aa66nn5t5t1ss1-2((-696257591-187--666-96067676--o5o561r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PaldPedleraaessseesrereedttueurnrnnvtetihlsoispqqeu,ueessttiioonnnnaaiirreettooDDaeltltaaCCoonnsuslutltaannttssbbyyMMaayy 99.,22000088iinntthheeeenncclloosseeddssttaammppeedd,, sellff-: addressed envelope, QQuuaessttiioonnnnaairoe ccoommpplleettedd bbyy:: DNYamI~e a"ndlTies JWeLe~t Name and Title FieDeDefpoavremrennt Fire Fire Department PhoSnve 7Nu-mbesr ecs Phone Number Chie Dey 7 Gaosro Date EWA E-Mail Address XXIinnoogg~enn ''" PPrhoonnee:: 651.639.9485 800 477.7411 Fok: 5910 Rice Creek Parkway 651 639.9449 1 800.477.7411 Fax: 451.605.9475 Suite 100 St. 651.639.9473 mov dalinans.som Paul, MN 55126 USA www.deltaenv.com 22222222..00334455 SSTTAATTEE__0022882211330022 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. frDDeoohoegsshyyioonuugrr DDpeeeppraasrrotmmneesnnt?t cusenotr currently or has has your your Department Department torical historically usdused ClaAsosr Class A or Gace Class B foams foams for for firefighting opYeerastioPns?rotocQeuesetiodn2 Z3_ No- Sign thebakof his form Yes - Proceed to Question 2 No- Sign the back of this form and and return return to Data to Delta Consultants Consultants 2. Howoften's Class Bor Class Afoam uscd i respons to re cals? 2. How often is Class B or Class A foam used in response to fire calls? o2ssot ics 250% ot res 7510of0r5es ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. Docs the Department have compresisfoeadm syste (CAFS) vith a uti tank on s engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ vYeess ___ tNoo 4. Howoften foam used in raring eres? 4. How often is foam used in training exercises? New wey wenmy _ uneny ___ Never ___ Weekly ___ Monthly emily ___Amal sama ___ Semi-Annually ___ Annually ___ Quarterly Bi-Annually J -- SE -- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuuocnh ffooaamm sis uusseeddppoerr rang training eovveerntt?? _ esstransgaios ___ sgakons ___ Less than 5 gallons 5 gallons soa ___ 5 to 10 gallons ___MoMroere tthhaann 1100 ggaalllloonnss((pplleease ssppeecicfifyy)):: _________________ 6. ning,wher docs thospent foam go? 6. In training, where does the spent foam go? _ SomSews __SintaySower ___OnSteSeptc Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground J ------ _ ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Wfhecremdosaiodrtidctiuhneotaiarnnindgptaasktealnacge? rPelaesas include addres, interseocttihorn spec acaton ?. Where does/did the training takA place? Please inclurle address, intersection or other specific location information for current and past training areas. Kinogen: OOVVEERR---+ Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 _ Paul, www MN 55126 USA deltaenv.com 22222..00346 sStTaAreTE0_206228211330033 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. TWWehhsaaptot nttyysppeee(a(ssn))daainnnddabbiriarnndga(s()1noo3ffpeffpooka)acmmaiaaevryee?oorPrlwweeearrseeeuucssheeedcknnooalwwl aahnandd aiinnptyrh.ee ppaasstt bbyytthhee DDeeppaarrttmmeenn,t. bbootthh foorr ffirree response and in training (if applicable)? Please check all that apply. CFCTilaTymslyspFpe8BoaeoAmAoqfnqusfFugFeeoooFosaauoumsmssm BBrarannddooffFFooaamm -------- FF) Film-Forming (AFFF) Foam RClCealasssssaBAAc(locRhoohylo.l- -- poy Resistant AFFF (AR)- CClaassssBoPProoteeinn -- CCFlluaaosssosBpoenfp) ---------------- Fluoroprotein CFloasmsigFim- Class B Film- ( F P ) Forming (FFFoP)on Fluoroprotein | C(FaFsFPs)pARFFR CECCllglaaassassnAs8o-nAs8RfeH-oiFaFFmP ---------------- ClEaxspasnAsion Foam --- TClnasnsgAFoan omer Training Foam - Other Usedin Used in Trang? Training? YYeessoorr NNeo Amount Amount Used Used AAnnnnuuaallllyy Curromly Currently UUsseedd?? HHiissttoorriiccaallllyy UUsseedd?? ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- oTTrhhananrknkyooyudoffoonurr nyyooguurr@ttimndceeeoaamlnn)ddaoccrooedaopnpmeerraSatttoiooncn.k. ngPPellereaaasseetcchooennMttiaancctnt eNNsaaonntccayyPRaRlolodunliodnngaCiaottrnDiDerelogtlltaaACgCeoonnncssyuull(taa6nn5tss1-(662559117--6-6959767--6o556f115522 om stockinger@stale mn us) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if yoJim you have ny estos regain hs Qesomae Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or adPPollreeeaassseeserreodttauunrmnvettlhhoiisspeqq:uueessttiioonnnnaaiirreettoo DDeellttaa CCoonnssutlatannttss bbyy JJuunen6e6,. 22000088 innthe tehnecelncolosseedd stamped. self: $..tru:rill~{!_.._~~lf.~ addressed envelope. Qady Segrmsns Free QQuueestsitioonnnnaaiirree ccoommpplleetteedd by: Fa~m(e"a")n,d.Tte~~"'~s ov-- Y',~~ Name and Title FireO\DJee~pa~Nrumevewn-t V\)o~l\_. T\,y~e~e \Oo)t~.~ Fire Department PhoSn<0e:)N7/om.-o~e5~r'8\ --~"oL\0L--::1- (~W)') Phone Number Ocr~u.cAk SDapteulog ewes E-Mail Address HXKIwnoogegnfwne' . ,, Phone: 651.639.91080605.033 411 ToL. $91 619943)WMAAAILAAAAAL 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00347 STSTAATTEE0_202882211330044 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 8. What ets) and branoeffsoa)m ar vere used now and in th pst he Department, blore 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Teepe snd Va f ppicaney lease cheachkt 35. response and in training (if applicable)? Please check all that apply. TeUasmdiinng? AmUosuendt Curenty Historically TyTyppeeooffFFooamm Cl8aAasweosus Class B Aqueous Pomme Film-Forming Foam en (AFFF) Cla8Aosnos. Class B AlcohoiSe Resist2.nt (AR)AE AFFF CassbPoen SE Class B Protein cases Class B Foproten (7) ---- ---- ---- Fluoroprotein (FP) Cass Fim. Class B FilmToons Forming Fuaopiotsin re ---- Fluoroprotein Fr (FFFP) LL ---- Glass ABHI Class B AR-FFFP Class A-B Hi Epson Foam = bien tl -- -- -- Class A Expansion Foam Class A TAI mtn TD -- Training Foam oer Other BBrraannddooff FFooaamm Used in Training? YYeessoorrNNoo FLYAEFF fur? np Oyf =felpLgO Amount Used AAnnnnuuaallllyy = TL Currently UUsseedd?? Historically UUsseedd?? -- TT IT ..::-=------..._ Thankyo foryour me and cooperation. Pleas conac Nancy Roding a Dla Consult (051-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 roth hac cam) Son Stocat tkh iMinnesg Pon Cont Agency (651-297 868o8 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sock Gotta) 10 hve ay Gueslons rearing i questionnaire jim.stockinger@state.mn.us) if youhave any questions regarding this questionnaire. Fieusecoun iis qussionmailey Gos Sunsuitsais by June 6, 2000 nth enclosed stamped scl Fiease return l.his questionnaire iu Dt:Ua Cvnt>uitants by ..li.ili~ G. 2008 in the enclos~d stamped. -sci~ adadddrreesssseeddeennvveellope.. Questor compltedby: Questionnaire completed by: Kuurr femnedy Chic? r/ /(etVvedv Cf?,re'? DR[ ise in= d ielrsrs Fore Detismanr Fire_.Qepartment / 73248 ~ 28-8 (!It} J fcl~l Lf8- Phone Nurser oe P ne Number Date a E-Mail Address Kinogen: rere 451.573 2 TR TES Tos CIES miata, XInogfn "'" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003348 STSTAATTEE0_208282211330055 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 1. 1. DfDroofseissghyyioonuugrr DDoepeeppraaarrtttimmoenensnt?t curently currently or or has has your your Department Department historically historically used used ClAaorsClasss Class A or Class B B foams foams for for firefighting operations? No Sign the baocfthks form and retunto Delta Consultants XY__' YYeess-- PPrroocceeeeddttoo QQuueessttiioonn 22 I No- Sign the back of this form and return to Delta Consultants 22.. HHooww lotfteenn'issCClalassss BBoror CClalssaAAfsfooaasmm uusseedd iinn rreespsonpsoetntoofsfirree ccaalllss?? -.X._._p_ 00-225S%%ooffffeireess ___ 2256-.5500%% ooff resfires ___ 775-510-0%1oof0ffirr%eess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS))wwiitthh aa bbuuiilltt-iinn ttaannkk oonn titss eennggiinnee((ss))?? Yes ___ Yes No ___ No 4. How oflen's foam usedin training exercises? 4. How often is foam used in training exercises? Never Weekly Monty Quarry ___ Never ___ Weekly Monthly ___ Quarterly Semi-Annual Annually BAmnualy A_ otver please specityy_ MT" lol" maybe Ont oe \peer ___ Semi-Annually ___ Annually ___ Bi-Annually ~J-"-. Other (please specify): _.:....:lvl:..:::r...!./_c.-'--'"t'-"'Lo=..l...r____t._:.f'U-=---..:4-'f-,Y...:.&""'--.___,0,"'-'~:....:....I!E=--ot--..::...-iy'---..e_.&:e--'r'-_ _ 55.. HHoowwmmuucchh ffooaamm iiss uusseedd ppeerr vtraaniniinngg eevveenntt?? Xess /(' Less tthuann 55ggaatlloonnss S5 aglalolonnss ___ 5510t1o0 1g0atgaolrlosn.s MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecictiyfy):): - - - - - - - - - - - - - - - - - - 66.. Intaiing, where does the spent foam go? In training, where does the spent foam go? ___ SStotrommSSeewweerr __ __ _ SSaanntitaarryy SSeewweerr Oter (leasedescribe). __ oOnns-StiteesSeepptticc --- LX-X-.- Ground Ground ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. WWihfhecermreealodoonassf/odridchtheegtoralainininngpattaskkteealpaliaccgee??aPPreeieaaass.see iinnccluldued aces, address, iintnertseecrtiosnoeorcroiotthaheenrr ssppecciiificcoloccaattioonn 727091"I? 0c information for cur&e-nt and past 7o @C- Muur.z training areas. M Fl~i'rre.e. hhtJaL-iClL - -- Kinogen OOVVEERR-----+ cor TT TT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00349 SSTTAATTEE__0022882211330066 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg ve presettemion 1. 1. DrDoeostesasiyynoouurr DDopeeeppraaartrtimmoenensnt?t cunt currently or or has has your your Deaiment Department hisisttoorriiccaalllyy sedused Cis Class A oor r Gass Class BBffooaammss ffoorr firefighting operations? _ No-Signtho baocf thkis form and stun to Dota Consultants X Yes- Proceed to Question 2 No- Sign the back of this form and return to Delta Consultants 2. Howoltn's Class Bor CaAsfosam Class A foam used used nrespontosfre in response to fire cals? calls? _Xi___ omswormes 2. How often is Class B or 0-25% of fires ___o2s5s-5o0%meorf fieress ______7s7i5-01000o%ttofefieress 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CAC FS)A wwititF hhaabS buiulit) lt--iinnttaannkkoonn iittss eennggiinnee((ss))?? ves ---,--Yes no { No 4. Howalten's foam used naling exercises? 4. How often is foam used in training exercises? Wook Monty Quartery ___ Weekly Monthly ___ Quarterly SomiAmuaty 4X_ ranaty BiAmualy ___ Semi-Annually Annually ___ Bi-Annually Tomeripeasespocith i ___ Other (please specify):------------------------ 5. Howmuchoam fs usedpor aig event? 5. ___Xi__ Lossmansgalons How much foam is used per training Less than 5 gallons event? s5 aglalolonnss ___ swings 5 to 10 gallons MMoorree tthhaann 1100ggaalllloonnss((pplleeaassee ssppeecciiffyy):: - - - - - - - - - - - - - - - - - - PRI ------------ 6. In training, where does the spent foam go? Som Sawer SantarySewer onstesepc ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Tovey ____ . Ot~er (p!ecse describe): _______ J Gouna ____iGround 77.. WWihneergretddooonessio/difitdcttuhhoentvraaainniidnngpataaktkovealpralasccee?? alPrleeeaasse nce include aaddddrreesss,, ninat:errsseeccttioonn oofr othrother speci specific llooccaattioonn CR2 information for c~ current and past traini ED) = wed Reni rie per of x ." sc aot sida CR2. Ninogenr . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA [EO ASA EEE EH Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00350 sSTTaArTeE__0022882211330077 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training Wheantoynets)r vaants1omf ocmaar orPeoresvhodck andisohat ieDeparmentfor 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable}? Please check all that apply. Imeotfem _ gandotfom TTagUseadinngaAmomounyt cSumesntuseeor Type of Foam FCalm8aAFqsoueosuBsEFEiRm Bc03319) Jos Vee Sel Los Class B Aqueous Film0 Ligh asker Forming Foam (AFFF) Class B Alcohol- Rossa amare | -------- Resistant (AR)-AFFF coopoen Class B Protein lB Fog Tasted Oni Class B Fluoroprotein (FP) Clss 8 Fi faming CEE Class B Film-Forming FlFulourooroprporoteteiinn ((FFFFFPP)) Fe Class B AR-FFFP Gass ABH Class A-8 Hi Caron foun ee Expansion Foam Coss HatAges Js pd) Class A A J A Training Foam Over TT Other Used in Training? Brand of Foam Yes or No m hJyiJ,/?d'Ak--~-E-=~:....-s2..._ Amount Used AnrmaJ!v I ~ Current Use or -- aw ae Tor ou yur tr and oaperaon, Plc Nery iin ot Dl Conant (SL051452 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oes oroor So0a hiaWnna Poor Coes eres B5+ So7 8008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or recip ao 1 You ve or aor ogni acs jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. spelen ee St ta ea ean see Please return this g:..:estlonnaire to Delta Consultants bv ri{1ay sf 2008 in the Si1Ciosed starnp~o', seJf- `addddrresssseeddeennvveellooppee.. arecompote ~aire completej-~~,Y' ,-----r} / Eio oes oen Toke Cbs . ~o/t12 /-:! '2-}vk-E:__ J eT FrSam0a r7.r052238) Phone Number Go 8 ER E-Mail Address SKinogen wor _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA a IL TT LT Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..035511 sate_o2s21308 STATE_02821308 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire TTrraaiinniinngg Firefighting Foam Use in Fire JTH ve cons toavnton2 11. . DfDoroclesgshyiyonougurr DDopeeeppraaarrtttimmoenensnt?t ccuurrrernetlynootrr hhaass yyoouurr DDeeppaarrttmmeenntt hhiisstooiriccaalllyy uussedd CClaslsAAaoorr CCsllaasssss8B ffooaammss ffoorr firefighting operations? ___ No- Signthebaocftiks form Yes - Proceed to Question 2 No- Sign the back of this form and and rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 22.. HHoowwotoeftennfiss Giss Class Bor Ciass B or Class AAffooaammuusseedd inresponso in response ofr cals? to fire calls? ~ YA oases 0-25% of fires 25.50% 25-50% of of esfires ___ 7755-10-0%1o0offf0feiree8ss 33.. DDoosess tthheo DDoeppaarrtmtenntt hhaavvoe aaccoommpprroessssaedd a osm air foam ssyysstteemm ((CCAAFFSS)) wwiitthh abi in a built-inttaannkkoonn fsits eenngginnee((ss)?? ___ Yveess Xo'J.,, NNoo 4. Howoften' foam used in aig exercises? 4. How often is foam used in training exercises? weeny Wonty _ Cuanery ___ Weekly TT somamuy OK Amaly py. ___ Semi-Annually Monthly X Annually ___ Quarterly Bi-Annually Ober (please speci) _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - --+><- 55.. HHooww mmuucchh ffooaamm iisuusseedd ppeerr rtraaiinniinngg event? event? Xess than 5 atons Sgalons Stoogators LWeosrsetthhaann510ggaalllonlsos (lease spe5cgia)llons ___ 5 to 10 gallons _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intraning, uheredocs the spent foam go? Storm Sewer Santary Sowor 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer Other pase describe) ___ Other (p!ease d~scr!be): ______ ____oOnns-iSeiteseSpepitcic-- X...:_::i-GGrroouunndd 77.. WWinhfhoeerrrmeatcdioooeenssfi/oddriddctthhreeertraaiainnniinanggptaaaskktoevppllaaaccgee??aPPreeleaaass.see iinncclluuddee aadcdersesss,, inneterrsseeccttioonn oofr aorother speci specific llooccaattioonn information Ol) for current Ou) an8Bd ptAatsCut tra0Dini+ngpflaPreoao,s.n..,do ~= rPo 5SGE5 {cY/ AfloUrS:: Huwnogenr TS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA onan: 651.639.5005 | 00 IT TIE Tok 01 359453wankdatinans.tom Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003352 STSTAATTEE0_208282211330099 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What typos) and branodffsoa)m aroorwere sadnow and in he past by tho Deparment, both for fre 8. Wrreeshspapoot nntysspeeeaa(snn)ddaiinnndttrrbaariinanininndgg(s((i)iff oaafpppfpollaiiccmaabballeere))??oPPrlwleeeaarsseee uccshheeedcckknoaaiwlll ttahhnaatdt in the aapppplyly.. past by the Department, both for fire TTyyppeeooffFFooaamm BrBarannddooffFFooaamm TrUUassieenddiininng? YYTeerassinooirrnNNg?oo AAmmUosoueudnntt AAnnUnnusuaealdlllyy Cuontuseor HiCHsuitsrorteorniritccUUUssseeeo??r CCllaassss B8 Aquseeonuss iFimlm.- 5S-iFtLoQ-.<,ej t1::::S:S cIJ0F1L CCFRleolaasrsismsssitnB8agnAtAFll(occAooaRhhm)oolAl(.-AFFFFFF) ---- GRieesseista8Pnrto(tAeRi)n-AFFF oo -- Class C)lass Class 8B B Fuoropotein Protein Fluoroprotein --_-- Glass (FP) Class 8B FFiilmm. - FFoorrmmiinngg CossoARFEFP FFlluuoorroopprrootteeiinn ((FFFFFFPP)) -- CCCElxllaaapsssasssnsAABi-BoABnRHHF-iiFoFaFmP -- -- Cass A Expansion Foam S3"o'-To LU= -ti <X 0M DdeGm4/wJ(Jsxi TCrlaaisnsinAg Foam - ------ Over Training Foam --- Other "ioToTrmrhhawansnnrotokkdodyciynokoniuinugngf@fg@ooadrrrda@yyelsooltuetuaarnretttyeniim.vmnc.eosc)ooaammonn)dd) ooccrorouaoJpiipmmoerSrahSaitatotoiovocneckn.ki.ainnngPPgyolelerearaaaeasststeettthccoeoonnnMMtstaiaicrnmctentogeNNsasaoraondlnticoacnyygPPRRooNoollslcudlhtniaQioinnunnggeoCCSaotoLtrDnioDtrMrecoaBlltlHaAASCgCgoeeonnnnsccsuyyufla((ta6n6n53tt11ss-.2(2(6959575711--8--3666696067766--50o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PBllenasssee rreettuurrnn tthhiiss qquueessttiioonnnnaaiirree ttoo DDeelltta CCoonnssuullttanatnstbbsyy~ May8. /,.{Jay 9, 22000088 in in lie iiie enclosed enclosed stamped, stamped! sel: self- `addddrreesssseeddeennvveellooppee.. - QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: ama aAndLTi AY NELaens CHILL ~~ Name and Title Fire DaparimoDnft)ewr(pLJo;tp.JC ill( ~~ LLAA/K.dE~ [f{clcmpoi unM] Fire Department BeeoS5m'b0oe77r--G679o5---CJ7'75500 Phone Number oyw-28o8 Date Ea AddrDessupe ie yin or E-Mail Address Kinogen: SE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.635.51480405.477.7411Fax: 651.635.3473 mendalinsnv.cam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00353 SSTTAATTEE__0022882211331100 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Usse iinn FFiirree TTrraaiinniinngg 11.. DDfrooeefegsshiyynogouurr DDoepeeppraaarrtttimmoenensnt?t ccuurrreenntltlyy oorr hhaass yyoouurr DDeeppaarritmmeenntt hhiissttoorriiccaallllyy uusseedd CCllasasAsAosorr CGalassss B8ffooaammss ffoorr firefighA ?Z opYNereoas-ti-oSnPisgr?oncteheedbtaockQoufesthtiiosno2rm and return to Data Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHooww oofftteenn iiss CGalassssBB oorr GCalassss AAffooaamm uusseedd iinn rresepsonpsoetntoosrfireoe ccaalllsl?? ___ 00-2255%% ooffffirreess 2255-.5500%%oofffriroess _XLK_ 7r5s-t10000t%ototf feireess 33.. DDoocess tthhee DDeeppaarrtmmeenntt hhaavvee aa ccoommpprreesssseedd ai air foam foam system system (CAFS) (CAFS) wih with a a butin built-in ark tank on on fs its engine(s)? engine(s)? Yes ----rYes Kno ~No 4 How ten s foam used in aing exercises? 4. How often is foam used in training exercises? our phe eo TFury ___ Never ___ Weekly ___ Monthly Quarterly SemiAnnualy Annually BiAnnually -----,=-- Semi-Annually Annually ----;----,- Bi-Annually -$.- XC oer pease spect: Yowy foc = cost Other (please specify): __:\f!{_~~--1'1c...____._{-=o-c~q__=----_.:C.=--O-'S_1-----=.,________ 55.. HHooww mmuucchh ffooaamm iiss used used per per raining training event? event? ___ LLeessss tthhaann g5 agaollnonss ___ 55gaglallloonnss ___ 5510t1o0 1g0aglaollonnss ___ MMoorroe tthhaann 1100 ggaalllloonnss s(plleaassee ssppeeccif)y:): - - - - - - - - - - - - - - - - - - 66.. IInn itrnaiinningg,, wwhheerree ddooeess tthhe ssppeenntt ffooaamm ggoo?? ___ SSttoorrmm SSeewweerr __ SSaannittarryy SSeevweerr __ Oonn--Sstitee SSeeppttiicc GGrroouunndd ___ Ober Other (pease (please describe): desc r i b e ) : - eres - - - - - - - - - - - - - - - - - - - - - - 77.. VWiinfhhoeerrrmeoatddiooooenssfi/oddriddcuttrhhreeenrtrtaaiainnniindnggpaataskkteewappillanccnoeg?? aPPrleleeaasa.ssea iinncclluaddee aaddddrreessss,, iinntteerrsseeccttiioonn of or ther other speci specific location location information tor AA\__p vel current and past training areas. c::::t\\ Cl~ Kinogen: OOVVEERR----+ Phone: 551.629.9451 800.437 3411 Fok: $91 619433 MaMdRIARaRmL 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222222..00335544 SSTTAATTEE__0022882211331111 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg v 8. 8. WsWhhhaaottnttyyeppee(a(ss)n) aannnddabrranfad(s)soopffftfoo)acammaaaerreyoorPrwowesersreeeuucssheeedcnknooalwwlaoanntddainpytthh.ee astpast bbyy tthhee DDeeppaarrtmmeentn,t, btboth rf for fire response and in training (if applicable)? Please check all that apply. sot Foam Bmngotroam TUUossieenddniignne Tvraeisneinrgh?e AAmmUosoeuudnntt AUmsaedl CCusumrereeannrttlyy |HHiissstteoorrdici:acallly CCFliaTslm~s8f~BeaoAAomqqfsumuFeegoaosfauumsos m -- Brand of Foam Yes or No Annuall~ Used? o_o Used? Film-Forming Foam CFrl8aAlscohsol (AFFF) Rpemyon GR). Class B AlcoholResistant (AR)- ACFoFsFsmPoon o_o CCcFalllaaoasssspsrsBBoPtreontei(n72) -- --i -- Fluoroprotein Cla8Fsins- Class B FilmFForominog n Forming (FP) -- _-- we Fluoroprotein C(FFFoP) pan o_o cSaoswssAoBnHfoan Class B AR-FFFP Class A-B Hi | ---------- ---- ---- -- ---- Expansion Foam A Cass A S\y-eX Class A 5~\v-eX YyY gZsieoe~ _ N '1 Y oer Training Foam - -- == Other IaToTrrhhaanrsninroookkdcydyknooiinuunggff@ eoorrddyyaseonoualsturatereettnimvnn.eacoaamAmnn)d))coocorooYpoJioeipmnrueahrtSSaaitttvoiooonecnc.k.kniPnilPygneelegadrasutasetehscthiceaeoonnnMMstiaairncmntoeeNgssramaoetintcaancyygPPRRtoooioldlsudhitniqnoilnugngesCCaatootonDDrmtrenllolatlaatAAeCCgeeoonnnncssyulu((ta64ln55t1t1s-52((96967575118-8--006600967876--5o5o11r5522 jim .stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiissqquuesetsit ioonnnnaaiirreettoo DDeellttaa CCoonnsuslutl taannttssbbyv JJuunnee66,, 22000088iinn tthhee eenncclloosseeddssttaammppeedd;;sseellff-: Semmes addressed e:;~E1opc. Quesionnaecompleted: Questionnaire completed by: Nike Sead Chad ('[\: !& ScdlNahe and TCH.age Name and Title ~~ FiFrireeDDepearptamernt: TT sl-675 340! 5-57-08 Prone Nana: mScot+@ c;\-I e1""' EE-xMaarilAAgdcdrroessss Baie 5-o~7-oB Date i d'- Kc. ~a"-n.....(rO Ninogen rene 451.43059.19010R00i0c5e0 CreSL ek Par Fokkway E890) Suite 100 St. eaitom Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00355 sStTaArTeE_0022882211331122 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DoDeoiessyyoouurarDDeepRartmmeennt urentyorhas currently or has yourDeparment your Department Hstarcayusd historically used Cass Class A A oorrCCllaassss Bffooaammss ffooxr Yeserati-onPsr?oceedto Question 2 _-l.__ ___ No Signthebackofthis form Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreteurntttuoDDroetsltaa CCoonnssuutltaannttss o2shot res 25.50% tfres 22.. HHoowwoofftteenniissCCllaassss 8BoorrCClalassss AA ffooaammususeeddiinnrreessppoonnssee toofifrireeccaallllss?? _ _ _ 0-25% of fires ___ 25-50% of fires LL 75-1o0f0re%s 5. Dosrs ey have acompressed ae foam stom (CAFS) wibluhntankon 1s engin(s? 3. Does the Deyartment have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves __/.><:..___ YYees JE ___ No &. Mowoltfoeamnuisesd nang exrises? 4. How often is foam used in training exercises? wee iy _ cuneny Weekly _ ~nthly Jr" Analy eam ___ Semi-Annually ___v Annually ___ Quarterly ___ Bi-Annually Over (ease speci: ----_-- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - rout antsor ang ment 5. How m~ch fo~s used per training event? . oe Loss than gators. sgallons --'V=-=_-1.LP.ess~s than 5 gallons 5 gallons More than 10 gallos leass pec: ___ More than 10 gallons (please specify): swig: i ___ 5 to 10 gallons . na, SStoewees ros__mSsant?ary Sower onto Soc pdGrams ~orm 6. In training, whe.PE{d~es the spent foam go? Sewer __ Sanitary Sewer _ _ On-Site Septic v<.:nd oer (lease doscre __:..:::.___ Other (please describe):----------------------- 77.. WWfohhreearreaiddooneoso/dir idCttuhhenttvraaiainniindnggaatsatkeevplilaancceeg?? aPPrlleeeaaa.sse Iinncclluuddee aaddrderessss,, ersecotf aothne intersection or other pecicocaon specific location inLfoar-Cm(k._ate,iy\o..n\ forAcrurBmeeeentnrtkkainadnpbast.yLteornaiHnin-4ga-\a'-rteloabsC.C-oecamm)br;i:n'pLrgckunyoonl CCARu(.2 QV rg Bugle XXIinnoogg~enn '"' Prone: 651.639.9045 1 800 477.741Fo1k: 491.635.9471wari daliatne.con. Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 a. St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00356 sStTaAtTeE__0022882211331133 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Whats) andrac) foam aor wero usenow an nh pst by tho Deparment, bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tospores dn Taming apPIGatey Floss chock al ek apo response and in training (if applicable)? Please check all that apply. Teot Foam BrandofFoam Type of Foam Clos 8Aaueous in Class B Aqueous FilmForm Fem py | Forming Foam (AFFF) Gloss B Aone Class B AlcoholFerre | =m Resistant (AR)-AFFF CessbPoon Class B Protein Gloss Fororten Class B Fluoroprotein > _-- (FP) Gloss 8Fim Forming Class B Film-Forming Fon py | ------------------ Fluoroprotein (FFFP) CopameEe Class B AR-FFFP Gls ABH Class A-B Hi roarain Foam - Clas A Expansion Foam Class A Brand of Foam Sve Usodin Used in Tang? Training? Torte Yes or No Amount Amount UsedUsed amma Annually CCeuuirrroeennnstt UUUssseeeosorr Historic Use? ------ ------ -------- -------- -------- ------------------------ rr IB ii0ou-i1sg5dtyJ Carri TTrraaiinniinngg FFooaamm OOththeerr. -------- --------. ------ `-------- e -- p -- -- ee "TThhaannkk yyoouu ffoorr yyoouurr ttiimmee aanndd ccooooppeerartaitioonn.. PPlleeaassee ccoonnttaacctt NNaannccyy RRodondinngingaatt DDeellttaa CCoonnssuultltaannttss ((665511--669977--55115522 or ohn daze com) 4m Sioaing: ae inate Palio Conrl gare (651-597-30o80 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or cco Gate mut8 o)u hve av aves egg he uesbonnate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please stu this auestioDoolnsie Consultants beHay 5 200I8 heanclosedstamped, sl. Please return this questionnaire to Delta Consultants bv Mav 9, 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellooppee.. - FA y uy Questionnaire compl~ by: 1 /4v)C J JW\ NNaammee aanndd TTiittllee K Zale Like Fue ~/--e_ (A/6_ PFhroenDeeNpo5amr0et7 352355 Da Phone Number Date EA E-Mail Address Hwmogew hPohnoen:e: 651.639.91484005.473.7411Fak: 5910 Rice Creek Parkway 651.639.94491 800.477.7411 Fax: $51.639.347 Suite 100 St. 651.639.9473 matmuneliannu.iam Paul, MN 55126 USA www deltaenv.com 22222..00357 sStTaAreTE_0022882211331144 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Doss your Department cunt o has your Department historical sed Clas Aor Class foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for Tatung oprsions? __/X ves Proceso Question 2 firefighting operations? _ _,,v.K'-"--- Yes- Proceed to Question 2 No-Sign tho back ofthis form and return to Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. Howoften is Class or Cass Afoam sed nrsponse ofr cals? 2. How often is Class B or Class A foam used in response to fire calls? -A- _X omnes 25.500ofr 75:1o0fr0e%s 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires 3. Dossthe Does the Dapainant Department rive have a comprossed compressed siair foam foam estan systern CAFS)with (CAFS) with a a ulti built-in ttaannkk oonn 5its oennggiinnef(ss))?? 3. vYoess X ro ____}(__ No 4. Howes foam used in raining exercises? 4. How often is foam used in training exercises? Nor Weaky wonty Quarry ___ Never Weekly Sammy Armas ae Semi-Annually Annually Monthly ,...../ ___ Quarterly ~ Bi-Annually Othe pase speci): } SD Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 55.. Howmuch How much foamis foam is used used orper raining training ave) evex _ tosstonsgatons __X_ salons Less than 5 gallons 5 gallons __ ___ stomguens 5 to 10 gallons -- MMoorreetthhaann 1100ggaalllloonnss ((pplleeaasseessppeceicfifyy)):: - - - - - - - - - - - - - - - - - - 6. in ring hers coos th spent foam 57 6. In training, where does the spent foam go? om Sewer __ Santary Some onstwste DXorons ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Other essa doscrte) cer---- ___ Other (please describe):----------------------- 7. 7. WoWhhoerrroe ddmooeasafs/odiricddtahtrheeeo-rtraaininnninggpataaktkoerppallaancceeg?? aPPrlleeeaasasse inclu include adres, address, nersecottohnr intersection or other specicocaon specific location ZOR2 CgabbaA information for current and past training areas. Oc2d. IMM.2 Hwogew OOVVEERR~-- Fone: 651.639.51088550.477.7411 Fak: 51 639wi.s 9dal4iaa7ns.3com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00335588 sStTaAtTeE__0022882211331155 FirefightinQQgUUFEEoS:SaTTmIJOUONsNNeNAiAInIRRFiEEre Training Firefighting Foam Use in Fire Training 5 Wht pus) and branodffso )arcwore usd now and nh ast by he Depa hor ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse and in (1 pease" lose heck a ot sp response and in training (if applicable)? Please check all that apply. Tipeof Foam bandotfomn TVUresweaodnridngo AAmsmoeaudnlt CuUmseenrty |Hisstoersicsally Type of Foam Ga8 sosus Class B Aqueous Finfomegfom Film-Forming Foam fs (AFFF) Gass ono Class B AlcoholReam Resistant (AR)JesAFFF CampPoen Class B Protein cass Class B Propo (7) ------------ ---- ---- ---- ---- Fluoroprotein (FP) Gass 8. Class B FilmFarming Forming Fogoen ~~ ---- ---- ---- ---- Fluoroprotein re (FFFP) cmspaReER Class B AR-FFFP cass ron Class A-B Hi Eomnfoan | ---- ---- ---- ---- Expansion Foam Css Chtmguseo ys Dg) Class A Tanegroan > 70 TT Training Foam omer - -- -- ---- Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Thank yo fo your tn and cooperation Pea contact Nancy RositDgol Conutans (551.637.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oanGtaan com) o om Sonor oh Himsa Polulon Cor Acer (65.207 8066o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or shear) You hv a0 sions aging usm jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pinson this questionnairteo ats Consultants by June6,200in thesncloed stamped, sat: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped. selfQuggloncaecomply: aaddddrreesssseeddeennvveellooppee.. lia\ln~ee aannddTiTtitil ~ ErnfstG6RasnNno LGo.cefk..ss beOoh 1re Department c2!8 - 77..;?- ;zq.o ;z Phone Number a Date Sle goadi :Bebemua s n E- ail Address Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00359 sSTTaAtTeE__0022682211331166 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. cDDhooieetssiyynoouurr DoDepeppeaarrrtotmmneesnn?tt ccuurrreennttllyy oorr hhaas yyoouurr DDeeppaarrttmmeennt hhistioricsallytuusseoeddCrClalasisssAAcoorraCCllaalssss B8 ffooaammss ffoorr firefig><: opYeerastio- nPsr?oceed to Questio2n NYoe-s-SPigrontcheeebdatockQoufesthtiiosnf2orm and rettouDerltna Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants XX oamsornes sours fr-- 22.. HHoowwaloifetenns C is Clal ss BooarrGCllaassssAAfs fooaamm uusseedd iinn rreessppoonnssee ttoo ffiirree ccaallllss?? 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires 33.. DDooeess tthhee DDeeppaarritmmeenntt hhaavvee a ccoommpprreesssseedd aair ffooaamm ssyysstteemm (CAFS) (CAFS) wih with a a buitin built-in tank tank ons on its engine(s? engine(s)? Yes --::::--.....,...- Yes Xn -A-No 4. Howton is foam used in raring exercises? 4. How often is foam used in training exercises? Weekly Nonny Quarterly ___ Weekly _ _ _ Monthly _ _ _ Quarterly SemiAnnually pally --_ BiAnnualy -::--:-:-- Semi-Annually Af1ually _ _ _ Bi-Annually X__ ote (pleasespec) X Other (please specify): ~1-/.w..cA.JAr....c._.l........,_)y.._l _,e""-.-=..v_e=-.!_.r _________ X 55.. HHoowwmuciffooaamm iisuusedsppeerer trraaiidnniinngg eevveenntt?? LLeessss tthraanns5ggaallloonnss 55ggaallloonnss _ ___ 5stwoi1g0 agalllnonss ___ MMoorree tthhaann 1100 ggaalllloonnss ((plleeaassee ssppeecciify)): ---- __________________ X 66.. IInnttraaiinniinngg,, wwhheerre ddooeess rthee ssppeenntt ffooaamm 9g0o7? SormSewer ---:--::---:Storm Sewer _____SeSnainaitrayrySSeeuweerr _____OOnnS-iSieteSeSeppiticc ____ _GGrorouunndd XC oOmtheerr(peleaasseeddeesscerirbvee): |0.o<'n)t~ uussee P.Podrc Ftrt-aal/csdilnlgj 77.. WWinhfheoerrrmoeatddiooocenssfi/oddriddctuthhrreenttrrtaaaiinnniindnggpaataskkteerappiilanacicneeg?? aPPrlleeeaaasssee incu include aaddddrreessss,, iinntetrseerctsioenocoftr oittohhenrr spec specific llooccaattioonn information for current and past training areas. Kinogen' ST Ter Cen pS 10S FR_G WH $5176 US 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA nana: 631.039.9|584005.433 741 Poke S91 015047) MAab.Latnsa.m Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222222..00336600 SSTTAATTEE__0022882211331177 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg . tet) nd rr) fonusrtrwes Secdri nuid noete thorn,st fv 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. aPno g "Ba curomvsoar TyTpypeeooffFFooaamm. Cas in Class B Aqueous FilmSma, ---------------- Forming Foam (AFFF) Ge As Class B AlcoholReber Sees Resistant (AR)-AFFF ComsPwen | _ Class B Protein Gases Fanart Class B Fluoroprotein & _-------------- (FP) Gaimtsaemy Class B Film-Forming R---- ---------- ------ Fluoroprotein (FFFP) Comore Class B AR-FFFP Goren Class A-B Hi foi ; Expansion Foam Cann Drexel Cath No 2lagal seldom Class A Towgram | RE TA Training Foam over = TT Other `BBrraannddooffFFooaamm Used in YYTeerassionoirrnNNgo?o Amount AAnnUnnusuaealdlllyy HCHiusisrtrtoeornriitccUUUssseeeo??r EH p---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 po odors milopotaimiie riepeter de or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency {651-297-8666 or ot ey vraag jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerroettuurrnntthhiissqquueestsitioonnnnaairireettooDDeellttaaCCoonnsuslutltaannttssbbyvMMaayy99,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-: aaddddrreesssseeddeennvveellooppee.. CJOuastmIois cemSto,onek Past Chief Name and Title seplen Siee y a..s F ft?f) I Fire Department /c--e F 50Z7LI-B182-A A:255Y'/Ts- Sff/B 3-0P:> Phone Number Date EEE-Mail Address Xinogen' --ETNIES oF T TeeWT u T ER 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..036611 sareone STATE_02821318 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg RC vores cumin 11.. DorDeostesesyyoouurr DoDepepopararmrtitmmoenensnt?t curntyor currently or hhaassyyoouurrDDeeppaarrmtmeenntt istoricaty historically usedCass used Class A A or or Gass Class B B foams foams for for firefig~ing operations? No- Sign th back of his form and return to Dela Consutants !;( Yes- Proceed to Question 2 No- Sign the back of this form and return to Delta Consultants 2. How tens Cass Br ClAsfosam used incsponso to re cals? KA oaswotiies 26.50% of ros 75:1o0f0re%s 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Docs he Department have compressed i faa systom (CAFS) with abun tankon is angine(s)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vos ___ Yes Xo ){ No I~ 4. Howoftenis foam usedin taining exercises? 4. How often is foam used in training exercises? week ony une ___ Weekly Tommy A Amal Tera ___ Semi-Annually ___ Monthly X. Annually ___ Quarterly ___ Bi-Annually -- _ _ _ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por raining event? 5. How much foam is used per training event? _______ Lleesssstthhaanns5ggaallloonnss __KK_ S5ggaalllloonnss _ --_____ S5ttoo1100gaglallolonnss. Maro than 10gal(lesas speci: -- ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In tvaiing, who dos th spent foam 037 6. In training, where does the spent foam go? StormSawer _ Santary Sower onstosapte _X Grome ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic T obeGessedmeer ----- Other (please describe):------------------------- 1. Wher does ne training take ace? Pease includ scress, ntrsecon of ihe spc locaton 7. Where does/did the training take place? Please include address, intersection or other specific location motion rn and go Foi as = j information for current and p_ast training areas. _ !J t?j TwTheCyofa?'! EFeho Fen live 8,;.a 1), 't' 4 ,__jrc 1-""'f"l _ .' r/'(' nl/ o- es 7 wo) Fut Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00362 sSTTaAtTeE__0022882211331199 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58. WTWheahsaptot tntyysppseesa(n)si)taannddnbbiranrngd(as()1ooafnfpffsoo)aiamcmaaatreeyororPrweweeaersreee uucsseekdd nnoaohww naanntdc anintpthhpee pas: past by th by the Deparsmen,both Department, both for for refire response and in training (if applicable)? Please check all that apply. TUasmeidnign? AmUosuednt CurromUseor T Typy eoofp fFFooe aamm Clas &Aaveous Fim Class B Aqueous FilmForma Foam (WF) --_-- Formin9 Foam (AFFF) Class B Aotol- Class B AlcoholRossin (RAFF Resistant (AR)-AFFF CossBPwn Class B Protein Glass Fucroprten Class B Fluoroprotein & _-- (FP) Cla8sFism Forming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFFPP)) Cessparere Class B AR-FFFP Cass het Class A-B Hi Exparsin Foam -- NTL Class A Expansion Foam TCralaisnsinAg Foam Training Foam other A Other BBrraannddooffFFooaamm Silped fi tI Used in Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotoririccUUssee?? EE Yel Sge) Forphve yes Sa Thank yo or your and cooperation. lease contact Nary Roding at Doll Consulants (651-687-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rong dese camo) dm Soskinga at he Minnesota Pouion Control Agency (631-287-666o6f or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rockets) A ou hve ry Roem Fogg HS QUESHOAIS. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseererettuurrntthhiissqquueessJtjoinonn.fn!Jar..it?trJoeQD.eDletltaCConosnuslutltaannttssbbyvMMaavv99.. 22000088iinntthheeeenncclloosseeddssttaammppeedd..sseellff-: ain addressed envelope. Questomare completed Questionnaire completed by: Mhee Dirv wpergerChe . t j}) ee.- 0~ rf1Jt/!tce?9"-e Y' Rafe and de Name and Title Fre DeparteLd-e--&h-Av Fire Department Prone N5um2b7er QAP YZYe Phone Number Cell 50) 229 T2ao240 Y-Zr0f Date E-Mail Ee Address Kinogen: rare: 431.430.9505 1800 51 Toke SAS 0) mason. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00363 sSTTaAeT_E0_022882211332200 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Does your Department curenty has your Darien Hsricaly us iss A or Gis oars for 1. Does your Department currently or has your Department historically used Class A or Class B foams for "pm firefighting operations? Ves- proceed to Questio2n )(' Yes- Proceed to Question 2 No- Sign the Back of this form nd return t Det Consultants ___ No -Sign the back of this form and return to Delta Consultants 2. How often Class BorClesg foam used in responsetofre cas? 2. How often is Class B or Clas6{oam used in response to fire calls? ozmectives ssvnotes XK 75100% free ___ 0-25% of fires ___ 25-50% of fires K 75-100% of fires 2. Doss the Darien ave cress aia syste (CAFS) wha tan ark nt engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes ---x6--- NoNo 4. Howafienis foam usd in ring exerses? 4. How often is foam used in training exercises? Wee Wary J ___ Weekly Monthly Sermsty Aomuaty avAmualy ___ Semi-Annually ___ Annually ___ Quarterly ___ Bi-Annually 'O:>Y' OtOttheerr((pplleeaassee ssppeeccitfyy):: omer ----1~"'--"':<..!..-''-=::....__ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. How mh foasemd pe sig vent? 5. How much foam is used per training event? LMess roans0gr giotnssvloase n uscotins J S100 gators ___L4.1f-YJf'-l-:=+-------------- ___ Less than 5 gallons 5 gallons _ _ _ More than 10 gallons (please specify): _ _ _ _ _ 5 to 10 gallons . Intaining, where dos the spent foam go? 6. In training, where does the spent foam go? SumSover Saar Sever Onsite sete Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground oredr AF ----~--- Other (please describe): __________._t\'"'Jp'-h/kJ""-+---------------- 7. Who dors he sin ak pace? Peas nde ues, rset ova pec cain 7. Where does/did the training take place? Please include address, intersection or other specific location formoracetntianopnst ving rc. information for current and past training areas. Knog 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00336644 stare 02821321 STATE_02821321 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training Wnt yes) andbracts) foam rar roused ow and nh past by th Departmen,both for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire ermones i at pease Pease crook oy response and in training (if applicable)? Please check all that apply. TUsoedng AmUosudnt Cument user TyTyppeeooffFFooaamm Cl8Aqsueoeus Fim Class B Aqueous FilmFormingFoam (apy |------------------ -------------- ------ Forming Foam (AFFF) GlBoAosnso Class B AlcoholReston (yap | ------------------ -------- Resistant (AR)-AFFF CussbPoon Class B Protein Glass Foraeotn Class B Fluoroprotein 5 -_-- (FP) Gls 8Fin Forming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) cossommsrr Class B AR-FFFP cssABH - Class A-B Hi Copano Foam _ Class A Expansion Foam Class A Tanngron 0 TT Training Foam Over - Other BBrraannddooffFFooaamm hogas Used in Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyy - we Fog Current Use or HisHtiostroriicc UUssee?? typicel Thankyou fo you tm and cosperaton. leas contac ancy Roding at Dla Consuans (51,097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 roro dnagkaeemsaco)m s1 Tnou vttoomaeocsihonrna eersiengFooesCool Agency (51597.000o0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please etum ias uestonnoaDrlea Consultants b May0. 2000 nthe ncloss stamps, sa Please return this questionniJlre to_Delta Consultants bv Mav 9. 2008 in the enc!o.c;P-d stamped. self- `aaddddrreesssseeddeennvveellooppee.. Questomare congieed br: Questionnaire completed by: aNam~an~dliee f:::oer/Yf FeeDomnant & ee Fraime F re Fire Department F9 rans2ar-eGn 47FIFE _ o rpery s Phone Number QLllonnpinyriaiviec swoot y E-Mail Address oaDate 0o5r Jules rene ev1530 9T FeT TTT Take T Se M TaBTmTEe EToERn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00365 stare_ozs21322 STATE_02821322 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. frDDeoofgegsshyyioonuugrr DDpeeeprpaaarrtttommneesnn?t ccuurrreenntlyy ohasor has your your Deparment Department trical historically used used Class Class Aor A or Class Class foams B foams for for firefighting "'j Ves. Protco Qeuesetiodn2 operations? Yes- Proceed to Question 2 No. Sign the backof this form and rettuo arltna Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howat'Class Br ClAafsoasm use in response to ve cals? 2. How often is Class B or Class A foam used in response to fire calls? OX oaswotnes ___2ssovwatties 75.4o0f0re%s --"A.L.__ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 33.. DDooeesstthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS))w'-i"tlithh aa bbuui!t-nin ttaannkk oonn iittss eennggiinnee((ss))?? X_ ves ){ Yes \ weNo 4. HowoaCt s fNoeavemrused in aing exeWrecieskelsy? Monty Query ~ 4. How often is foam used in training exercises? Never . Weekly Monthly Quarterly Semi-Annual 2it soul arsveualy Semi-Annually Annually Bi-Annually Over (leas speci): ut haven?Traimah yo Jb fia nie who) Other(pleasespecify): [,&- ~V'~/lff"'l'a/frt!'ti w:JII..-.fi,~,1. 1/va.- W~f-<_ 5. How much fosis usedpor airing event? 5. How much foam is used per training event? PW Loss rans gtons sgatans Sto 10gatons ~ Less than 5 gallons 5 gallons 5 to 10 gallons More tha 10 gallons (caso spec: _ - More than 10 gallons (please specify): _________________ 6. Intraring, here docs th spent foam go? 6. In training, where does the spent foam go? Stom Sewer __ SantaySower Onste Septc Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over leasedescr ___ Other (please describe): _______________________ 77.. WWhheerree ddooeessi/ddidd tthhee ttraaiinniinngg ttaakkee ppllaaccee?? PPlleeaassee iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortrooitthoheenrr ssppeecciifficc llooccaattioonn kcrmatio for caret an as Yong res. r we dod (vert wweh oF all information for current and past training areas. w (. J ~{\-\- (Af if p-nL M .,),tcJ-.. IN 4 Jl g~ ee..llI na)g\ ., a0v YCA a~ so.K Ss p ,0- 1:) ~=<.... tpi,- n'Ce"'<- x~ .\ h \!'~"( "< 0"- 0-.<:5 'd)fj\"~ \-( frt'JV, r5 Cv I~ e C--'JL' M_ew.et~ghLce. I[~5h0o 220-o or Jgf'.\' g<ee,e-t-t uUs..e~vdcK Xinogen O OV VER--~ rare: 31.420.9505 1 000 45Ahk: PALA 05S manta 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00366 sStTaArTeE__0022882211332233 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What types) and rants) faa ar or wer used now and nips by ho Departmen, both ofr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire emanamaestPeai s hecn ho atg a response and in training (if applicable)? Please check all that apply. Tupeot Foam Bandotfoun eTUresoadimdn?e AAmm"Goaouoln"yt Guisreesntt'y Heoedrta Type of Foam ClBausouss Class B Aqueous Fmsomitan egy pw Film-Forming Foam fess (AFFF) Cl8asosl Class B Alcoholeen Resistant (AR)eyAFFF Coston -- Class B Protein Gass Class B tamper ms Fluoroprotein (FP) Ga8sFisn Class B FilmJ Forming Doan ---- nn Fluoroprotein fis (FFFP) Comoe Class B AR-FFFP gasren TT Class A-B Hi ronson Foam Expansion Foam Clase Brcompat se Class A Tamron Training Foam Otrer = = = = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Thar youfor your meancoopraon. losecoiact Nar Ring DelaConsuls (651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ednacomo i Stain in ate Pau Con Agere (651 57 3680 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or igosa a) ou ov any aes redness, jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plsse tur tis questionntoaDilrae Gonsalans by ume, 208i th enclosed stamped sel Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, selfEnte addressed envelope. Questomnaks comptes Questionnaire completed by: Sez !Jlvhpc!leYeJn- Fre chit _jo Rami len. ta ly Name and Title FreDamer !Iff ~rL 320 453 Fire Department (/g SO/ Fora ner Se Phone Number fre &- 2-28 Date sioolVlo Vyoy ore l plFo) oe lor E-Mail Address HKwogene ""'~'nbc'"'' XInognr '"' ---- RT Tn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA 'Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00367 sStTaArTeE__o0z2s82211332244 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg Cony Date rnc Dott tty ad CoAof Cae bans 1. Does your Department currently or has your Department historically used Class A or Class B foams for Em firefighting~ations? ro rnssttotmon __v_ Yes- Proceed to Question 2 a ------ ___ No- Sign the back of this form and return to Delta Consultants BT. 2. How often is Class B or Class A foam used in response to fire calls? ___ 00-2255%% ooff rfireess --a~s-s2o5-k5o0%ifoif feiress ___ ___757150-100%0o%foffrfieress a ---- 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vr ____ Yes pa 1/No or Venton 4_ How often is foam used in training exercises? ny Jp. ___ Weekly Monthly ___ Quarterly Semon Fo Sy ___ Semi-Annually Annually Bi-Annually _ __7:_V"_ OOtthheerr ((pplleeaassee ssppeecicfifyy)):: ----'~="'--'-'-'---'--------'-~-'-='--'--.::....____~ __ --ee _______ + HLoossmthan'sgm ratiosr. oa vn) 5gaons __ sttogalons ~ess 5. How much foam is used per training event? than 5 gallons 5 gallons oreo on oe cy ___ More than 10 gallons (please specify): _ _ _ 5 to 10 gallons . nmrtp 6. In training, where does the spent foam go? ___ SSttoorrmm SSeewweerr _____ SSaannititaarryy SSeewweerr pm -- Other (please describe): ____ _ _ OOnn--SSiittee SSeeppttiicc ~~Gorouunndd . Wiegand? gee ss SA rr oni 7. Where does/did the training take place? Please include address, intersection or other specific location ms information for current and past training areas. Cs ean Vrl-tl..rov....f 1..-~c.~r,of\IJ Inogen" Phone: 5910 Rice Creek Parkway 651.639.9449 /800.477.7411 Fax: Suite 100 St. 651.639.9473 -- Paul, MN 55126 USA www.deltaenv.com 22222..00368 sn STATE_02821325 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 85.. WoWshhpaaottnttysypspeen(ss)t) aannddrbbarairnnda(s()1nooaffydffopoa)aimmcaaaeree)oorPrwowesersreee uucssheeeddcnknooawwl ananntdd aiinptthpheppaasst by by tha the Daten, Department, both both orfor frofire response and in training (if applicable)? Please check all that apply. TUnsendgin? AmUosuednt CurentUseor `TTyy:pQeeooffFFooaamm B BrarndoaoffFnFooaadmm Used in Training? YYeess oorr NNoo Amount Used `AAnnnnuuaallllyy: Current Use or HiHsitsotorriiccUUssee?? Cl8aAqsuoosus im Class B Aqueous FilmFormingFoam (FF) ~~---------- Forming Foam (AFFF) Gi8Aosno Class B Alcoholi -- Resistant (AR)-AFFF Cossopown 0o-- Class B Protein G8i Fiorps roten Class B Fluoroprotein = _-- (FP) Cl8Faim Fsormisng Class B Film-Forming Le i -- Fluoroprotein (FFFP) Caseareer Class B AR-FFFP Cass hgh Class A-B Hi Somsion Foam TTT ---- Expansion Foam Cassa - Class A Tra Foam pr ee geeg ~ for Training Foam __f:'-F 5b0seo oT ~ Osog ?~ SU]l 50 ("c- "' Thank you for your tmo andcooperation. Pleasecontac Nancy Roigat DelaConsultan (651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or adnGlscome)orm S1ocoinnMignheesert Polutan CortoAgency (651-497-5606 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mock gers 1 8) 0 ave ay Gestion egaring i cuestomars jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnairtoe Delt ConstantsbyMay 8, 2008 n theenclosed stomped, sol. Please return this questionnaire to Delta Consultants by Mav 9. 2008 in the enclosed stamped, self- aaddddrreesssedeennvveellope,. - Questomnar competedby: Questionnaire completed by: NaNammae aanndd TeTitle FobwarimenEong Fire Department Phone RumberG52. 2- 0330 Phone Number Ear Adds mse heerecf ci, E-Mail Address edinn. mn ps TSoe-2o Date Kinogen none: 651.630.9908 05057 1 Fok CEL 6130435 earn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00369 sSTTaAeT_E0_202882211332266 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Re rrcsttocusions 1. 1 . rDDeofoisegsshiyyngoouurr DDoepeeppraaartrtitommneesn?nt"t ccuurrreennttlylooyrr hhaass yyoouurr DDeeppaarrttmmeenntt hiissttoorriccaallly uusseedd CCllasas AsAosorr CCllaassss BB ffooaammssffoorr firefighti?g. operations? _ _,X:...__NYoesS-iPgrnocteheedbatockQoufetshtiiosnf2orm and return to Delta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwooffteenn issCCllaasss BB oorCCllaasssAAffooaamm uusseedd iinn rreessppoonnssee tfoofrfire ccaalllss?? _ Xk_ o0z-2s5s%iootfrfrireess 252.55-500%%ooff resfires ___ 775-510-0%1oof0fefir%ess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS))wwiitthh aa bun built-in ttaanrkkoonn titsseennggiinnee((ss))?? ves ___ Yes Kl( eNo 4. Howolen foamused in rainingexercises? 4. How often is foam used in training exercises? Weeky Wonihly uate ___ Weekly ___ Monthly Semiawualy Annually $< Bimualy ___ Semi-Annually ___ Annually ___ Quarterly )cC Bi-Annually Ober(pleasespectyy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchh ffooaamm iis uusseedd pperr raining training event? event? X LLeessss thhaanns5gaglallloonnss 55gaglallloonnss ___ 551to01100 ggaalllloonnss ___ MMoorree tthhaann 1100 ggaalllloonss ((ppleeaassee ssppeecciify:): . _________________ 66.. IInnttersaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ___ SSttoorrmm SSeevweerr __ SSaarnvitaarryy SSaewweerr __ OOnns-StietesSeeppitcic -~- Oe ~-- .Other ((polleoaassee ddeessccrriibbe:): --- ________ _ EE AAGfroGruonundd i. 77.. IWWhnheerfreeoddrooemsfeao/dsticduittrhhroeeenntttraraiinnindnggpaataskkteetappilianccieneg??rPPelleaaaasssee iinncclluuddee aaddddrressss,, iinntteersrescetciotniooornr ootthheer spec specific llooccaattiioonn firs information for f/.11(!~ Starred current and past training sr.~?-o~# areG6a-sR-. -o~~e.Ps'hb.ss. reas Mrz JJ _ S25 XKinogen t!l PPhhoonne:e: 651.639.9445 / 800.477.7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 631.639.9473 Suite 100 St. 651.639.9473 wmidaitansv.com. Paul, MN 55126 USA www.deltaenv.com 22222222..00337700 SSTTAATTEE__0022882211332277 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 Vib ype() and raonffotamar or ware user nd ih st bye Deparment,btfor 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Teiponss and samSopaYs Passcra ok 9. response and in training (if applicable)? Please check all that apply. TupeotFoam randofFoam TTUosOenEdg aAmCooeyudnt CSumimttmsoaor Type of foam GCllaassss BB AAqquueeoouuss FFiilmm.- C------ Ae Forming Foam {ft.FFF) Class B Alcohol- Rhoey y ------------ Class 8 Fucroprotein Class 8Protein Resistant (AR)-AFFF Class B Protein Class B Fluoroprotein & rrr eA nn nn (FP) Glass 8 Fi Foming we Class B Film-Forming Arrr-- -- Fluoroprotein (FFFP) cmornrre Class B AR-FFFP Class AB Hi Class A-B Hi Eonfoam Class A Expansion Foam Class A Training Foam Training Foam ter Other Brand of Foam Used in Training? Yo 1h Yes or No Amount Used Annually Current Use or Historic Use? A 2 4 2b yrs Smlogee pT ee har you or your ie nd onpraon, Plea orc Nancy Roding a Dt Conslans (51607 152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Crasscom) oon Scion a nooo Folie COO Agony (4 07335 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or amason Tou vt sy sotoms vgn ih meson jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerroettuurmn tthhiissqquuesetsitioonnnnaiarireettooDDeellttaeCCoongnuslutlteannttssbbyvtMaayy 09., 22000088Iinntthheeeennccl!oosseeddssttaammppeedd,.sseellff- Dementia addressed envelope. Questonats comity Questionnaire completed by: [Ren Sect free fame //e6 .:5~~ FNraemDieen SL Bord Tacian,y Name and Title Fire Department Lixss [FD Fro aoe p Se y Phone Number Date el e Bp ?TFrDJJ. E-Mail Address At2e2~~ , Ar Xinogen- re rn CT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222.00337711 sare oas21328 STATE_02821328 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiEirree TTrraaiinniinngg . Doss your Department cents o as your Deparment Hisricl use iAsorGss foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for feviohingcpeaions? Tv - Proceed firefighting operations? p{:....:!_es- Proceed ttoo QQuueessttiioonn 2 2 Wo.Sign he backof his formand etn to DolsConsulants ___ No- Sign the back of this form and return to Delta Consultants Xvamos __assonatis__1sioonctts 2. HowllnsClass Boorr CCllaassss A A foam foam used used in response response to to rsfire cas?calls? s B 2. How often is Clas 0-25% of fires 25-50% of fires ___ 75-100% offires 5 Doehse Depaversment Have a compress a oa syst CAFS) wth aii arkonfs engine)? 3. Doe::; the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? PR S---- 4. training exercises? Duo wey ony cum ___ Weekly SeE ioaly | ___ Acrualy Ep ___ Semi-Annually Annually Monthly ___ Quarterly ___ Bi-Annually Oter ease speci: ___ Other (please specify):----------------------- 5. How much foam is sed or ining vent? How mg:oam is used per training event? Less han gators Sgatons 51010 gatons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mor than 10gators (ease spect SE -- More than 10 gallons (please specify): ------,.------------- Rr ------ In training, where does the spent foam go? Sto Sower _ Santry Sower Onssseptic Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Overloasedeserber .\:::::=:::::;:---- Other (please describe):---------------------- bestia ne airing ke lace? Pease includ address ersecton father speci acaton . es/did the training take place? Please include address, intersection or other specific location Son forcunt an pos vag re. tion for current and past training areas. Inogen OOVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www de!taenv.com 22222..003372 SstTaArTeE__o0z2s82211332209 QUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg Fooaamm Use iinn FFiirree Trraiinniinngg 5. U areT AA TAT Se 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire a ney im a oa response and in training (if applicable)? Please check all that apply. -- poate oTA olr s0ma uOmFmm waItrtEcnty Type of Foam Gus Moms Class B Aqueous -- -- Film-Forming Foam ((AAFFFFFF)) J -- Class B Alcohola oe Resistant (AR)5AFFF Gusto Class B Protein ems Class B Sony ------------ ---- -- -- -- Fluoroprotein (FP) Gems im. Class B FilmTne Forming | -------- -- -- -- -- Fluoroprotein oe (FFFP) TAIN po. | en sen Class B AR-FFFP gos an Class A-B Hi Caton me oe Expansion Foam Gen SwViX ohn pet 0 Class A TD | T= Training Foam aver __-- = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? 0 Thank ou tr Usd copra, Pao contWaryRoting of Col Conta SSL08T5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 amc so Samira eo Coco a aro or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or es jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. EC PPlleeaasseerreettuurrnn tthhiiss qquueessttiioonnnnaaiirreeftooDDeellttaaCConosnuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseelflf:- addressed envelope. Que ire completed Fe Jby, C Fr Sal i ipagerdd tt Fire Department :212[-7)]00--7?3?if 22-08 C Wrillee 1 f Yopoy LCc ceooo --nn-... Date E~ail Address HwXIongoge~nn.e ,"' ene on TR TL Ts 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00373 [ap---- STATE_02821330 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. fDDooeseossfyyoouurr DDeeppaaaprrmttrmsmieoennnst?t curanty currently oor ashasyyoouurrDDepeapratrtmmeenntt hhiissttoorriciacallly uusseedd lasA Class A oorr ClalassssBBfofoaammss orfor VP ver rossetto firefightin~erations? . t./ Yes - Proceed to Gunton Question 2 No.Signthebackof thisform and return toDott Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants By at 2. How o7'ass B or Class A foam used in response to fire calls? oaswartres 25.50% res 75:1o0tr0e%s ___ 0-25% of fires 25-50% of fires ___ 75-100% offires 3. Dos he Department have a conpressad ir foam system (CAFS) wiha but tank on engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes ove ~No 4 Howotien foam used in traning exercises? 4. How often is foam used in training exercises? a Weekly Marit Quarry _j:!ever ___ Weekly ___ Monthly TC seminomaly____ onuaty sama _ ___::(.._../"' .sc;~emi-Annually ___ Annually ___ Quarterly Bi-Annually Over (pease speci: ~ ___ Other (please specify): _______________________ 5. Howmuch foams used or raining event? Lessthan gallons =5gallons 5. How much foam is used per training eventy- _ _ _ Less than 5 gallons V 5 gallons [SE ---- ___ More than 10 gallons (please specify): = ____ ___ 55ttow1100ggaallloonnss 6. in ring pers does th spent foam 07 6. In traini~re does the spent foam go? emo Sonn ov A ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Jp-- - Other (please describe): ______________________ 7. Wfhoremraetidonofoar ctrh otraoinningpatsatkeaplvacge?rPelaesa,se icudo address, nterseocrtatohne spc adn 1S SF Ave | Ea Aven we otafm #0 Ninogen OVER~ -- sreeve 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA orane: 651.430.9085 1 $a0 3S AL Fok SOLe30 9473 miss a. Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00374 sSTTaAtTeE__0022882211333311 QUUEESSTTIIOONNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wate) ard bracts) foam arr wre us rw and nhpast th Deparment,bot for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire respons snd nan 1 spice less check ol ot ap response and in training (if applicable)? Please check all that apply. TUosondgin? AmGoouodnt Curenty Historically TTyvppeeooffFFoaamm BrBarannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? Gas Aves Class B Aqueous Fmtemwafom Film-Forming Foam we (AFFF) ClBaAcsohosr- Class B Alcoholeon Resistant (AR)pesAFFF Cosson Class B Protein cases Class B Foon(fp) ---- ---- ---- ---- Fluoroprotein (FP) Ga5sFism. Class B FilmFor Forming Pgoen | ---------- ---- -- ---- -- Fluoroprotein ft (FFFP) cmsoaRie Class B AR-FFFP Css ABH Class A-B Hi Demon oam -- a -- -- Expansion Foam Class A Hrsus. _ yB 3Buhy30 305a0ns ClassA m'-U.Z i~5 ~hrtc; 3D 3&sct(11'Lc; rare 0 TTT TT p/1;/et<..r-{ Training Foam oer --- fJ pee Other Trhanknyou ordyeoauer mecaondmoopdenrSonl.oalneaoseeconitamcaNtane oRloedhin CafoDnltaACgeornesl(a8n1s7((.5601.05601907-5o165927-5152~ Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or nga tem) 9 ov ary esi ogra os areca jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. pee#-- Presse stun ts qusstfontno DaoilrsGonsatants by June,200 nthe closed stamped, sot: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped. self- `addddrresssseeddenevnveellooppee,. mQFrueeTsGeffoiopnuvngasereivteetcomtAipt,evs:Tayesr | Fone Met Fire Department Bie 635-- 400 Tzakt 76>--- G~Y- 1/&0 Photo uber : ; Soe bwes@ Phone Number W t.-1T (!?_ cC-ro/-\eeocc..e. --~'A~Ar'itJCeArr my. us. Ei dots EE E-Mail Address Kinogen vee vero TR Bo eme m XInog~n '"" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00375 sStTaArTeE__o0z2s82211333322 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. eDDtooeesshyayoonuugrr DDoepepmpaearirttommneesnn?tt cstnilyohsyour currently or has your DDeeppaarrtmmeenntt historical historically used used Clas Clas s A A orGlass or Class foamsor B foams for firefighting Yes Proceso operations? Yes- Proceed to QQuueessttiioonn 2 Z/ TNo Sin the baocfthks form and rettouDrotna Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How oles Cass B or ClassAfoam used responsetore cals? 2. How often is Class B or Class A foam used in response to fire calls? L omnes mssotes ___isi00%olies 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5. Doss the Dapartmant have a compressed fou syst (CAFS) with bin ark ons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vee --~Yes we / N o 4. Howaltn s foam used in raing exercises? 4. How often is foam used in training exercises? News Wey ___ Mony _Quaneny ___ Never ___ Weekly ___ Monthly ___ Quarterly Somiamaly Amul man ___ Semi-Annually / Annually ___ Bi-Annually _ oveemsespecty ___ Other (please specify):----------------------- 5. 5. How How much much foisausmed foam is used por per taining training eevveenrt?? Mor han 10 gals (please spect) _ /7 LLeessss tthhaann 55ggalallloonnss. 55 ggaalllloonnss. ___ 55t0o 1100 ggaalllloonnss. _ _ _ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, Som Sewer wwhheerree ddooeess tthhee ssppeenntt ffooa_a_mm_sggaoont??orySewer __onOSnt-SaiSteeSpetptcic Ground Ground ___ Or Storm Sleewaesrede_se_ rveS)anitary Sewer errr ---- __ L ---------------- ___ Other (please d e s c r i b e ) : - - - - - - - 17. Voibrmo doasfirdnd he icupnenaitgnagpakoesgloanceg? Prieeg.as includ ads, intersection or othr specie lacaton + eliwas Friho 03 Molhe 4 M, i Cel XNKIinnooggfernn: ,'" OVER--~ rane: S51. oT Sen Ge CGrALFeTo SSELU61130004S7G5 WFaaaSlS sU.E 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003376 stSaTtAeTE0_202882211333333 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What 010 300 rnc)offou ar orwr used noanhdo asiynh Deparment, oor 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tekan snd van (appeals ass cock o bo response and in training (if applicable)? Please check all that apply. Usdin Amount Used in Timeof Foam Bundofem Yeate Amway -- Usest ees Training? Amount Used Currently Historically Type of Foam [ry-- - Class B Aqueous Fimrompgrom MLS Fomno-- Film-Forming Foam fs (AFFF) Cl8oAcsaer Class B Alcoholanny Resistctift (AR)peAFFF Cosepoon Class B Protein Goss Class B FlFuluorooroprporoteteiinn ((FFPP)) Cl8sFism. Class B FilmForte Forming Tegan || -- -- -- -- Fluoroprotein [ (FFFP) CmsamEre Class B AR-FFFP Cass ns Class A-B Hi Sperm Foam --_---------- Expansion Foam Goes - Class A Tegra TT TT Training Foam oer OO Other Brand of Foam Yes or No Annually Used? Used? -- TT Than ou or yourthn aconpertion. leas coNnantcy Raodcrigta Dela Goneutans (551.607 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Plato Sidra pogiof iinriod i bey Kent reed or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fn Socinger see ms) ou hav an avers ogarding i oso jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questomnarp compiledby PPlleeaasseerreettuurrnntthhiissqquueessttiioonnnnaaiirreettooDDeellttaa CCoonnssulutltaannttssbbyyJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,. sseellff~: aaddddrreesssseeddeennvveellooppee.. Baad VilLle palsllediieers Frc0s10 (ers.kema) ss Fire Department Fra4n3c2e-2879 "No ove thee w(e--32- 0% Phone Nu~lber Date /] .. _-- E-Mail Address Kinoglse0vnv0en 3. 4J3pmi r5oo w hS acd Faoll..BpAatS DR 'XInogfnf.) l~ t= ~) rv~ h;ucb T~e J\l~t- t) Phone: 5910 Ric= Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00377 stare ozs21334 STATE_02821334 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. . rDDeoofseissghyyoiounurgr DaDpeeeppraasrrtitmmoenensnt?t ccuurrerenntltlyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhsisltoorriiccaalllyy uusseedd CCllaassss AA oorr GCllaassss 8B ffooaammss ffoorr X__ firefighting X, Yes -Procood operations? Yes- Proceed ttoo QQuueessttiioonn22 ___ NNoo- SSiiggnn tthheobbaacckkooffththiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. 2. HHoowwolotfteenniiss lass Class B B or or Class Class Afoam A foam used used in in response response to to refire calls? calls? 02s 0-25% ooffffiireoss ___ Soles 25-50% of fires 75100%ofefes ___ 75-100% of fires 3. DDoosess tthhee DDceppaarrttmmeennt hhaavvee aa ccoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bubuilt-in ttaannkk oonn tsits eennggiinnee((ss))?? 3. ves ___ Y~s X_ No ()(' No ~ 4. How often is foam used in raining exercises? 4. How often is foam used in training exercises? Weakly Monty -- ___ Weekly SemeAmualy __X_ Annual BiAmnualy ___ Semi-Annually Monthly lX Annually ___ Quarterly Bi-Annually Other (pease spec): -- J ___ Other (please specify):------------------------ 5. How much foam is used or raining event? 5. How much foam is used per training event? A LesstnSoalons Salons 51010 galois .)\ Less than 5 gallons 5 gallons _ _ _ 5 to 1o gallons More than 10 galons (ease spectyy ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. In In ttraaiinniinngg,,wwhheerreoddooeess tthhee ssppeenntt ffooaamm 9g0o7? SormSewer ___ Sankory Sewer onsStoseptc ~_GXr_oGuronundd T ___ SotnoermreSeseewceersed_or_ ___S_anitary Sewer __ On-Site Septic Other (;:;!c3se Cescribs): - - - - - - - - - - - - - - - - - - - - - - - 77.. WWihnhfeeormreeatddiooooenssfl/oddridccutthrhereitrnanaiinninnggpaataskkteerappilianccioneg?? aPPrlleeeasass.ee incu include aaddddrreessss,, iinnteerrsseeccttioonn oorr ctr other spec specific llooccaattiioonn i n f ln AnnWal ormation for current and pa ~ /rvN""\..-Y~m \-\-v...\ \ s t SECMERERY training areas. w-tt:2;- e 1 R2: 7500 ton,SeasonsWS0t __cS0buauss-tt- iinnsskWliJfeeodd w~ heSSusii~em in 2907Tiatmed creesass thatLeshan o--.&L-r ki"' M c.. fcc"' vvl Hwogere rs 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Tone: 651.639.9405 1080 033 411 Fake 91 615 247) mdaltaans.cam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00337788 SSTTAATTEE__0022882211333355 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. WWrhehsaaptot nttyycppeee(a(ssn))daannnddrabbirraannindnd(g(ss())fooaffpffpoIoa<amambiaaerre)e?oorlr ewwaeersreee uucssheeedccknnoaolwwl haaanntdd piinnpltthh.ee ppaastt by by the the Deparment, Department, both both for for fre: fire response and in training (if applicable)? Please check all that apply. c. Tupeof Foam Brand of Foam YTTUeUrrasssaiaeonnddirnigNignn?o? AAAmUmUmossuoeueauddnlntyt CCHuiursrtrreoernnittcUUUssseoooo?rr CgClaasrmTs~p8Ba~AaeAqqeuosuefoeFoosnouuasstmFFiiilnmm- (C11b)hevnoBramc'Yznd-\vgo.fscu,FJaoamwd t .."""\. D0 nese fee Yes or No (\() Annuall~ 'Oo -~ Historic Use? "'-FMt:? CRCFelolsaarissmssstinaB8gnAtAFll(ocoaoRnmhaMolAl-(-AFFFFFF) ~~ -- ---- CiRaessissta8nPt r(oAtRei)n-AFFF ------ ------------ CCC#lllaa5assssss 8 Fuoraprotein B Protein B Fluoroprotein jm rs ~~ C(CFFlulaPauss)rssop8BFroFitilmman-FF(ooFrrmFmiFinn)gg CassBarFER Fluoroprotein (FFFP) cCCEIx<laap?sSasSsnsaABi-soABnRhHF-iFoFaFmP -------- Cass A Expansion Foam - Class A TTrraaiinniinngg FFooaamm LLheeeo ~mGhtrg).--aud y' \lte '$. s d1oo.(!:gllcl:rYe\....n _I '?lAo1\oayJna oOmtheerr eJ r ---- | -- I ----I ------ oTTrhhaamnnokkdyryoiounugff@oorCr oyyloouuarremtnimyeecaaonnmddo)ccoooioppenerarStaititoonn.o. cPPlkleeaanissgtee hcceoonnMtteaancctoNNsaoantncacyyPRRaoolddurnioinnnggCaaottntDDreeolllttaaAgCCoeonnnscsuyullt(taa6nn5tt1ss-2((6965751-1-8-666909767--5o5115522 im siockinger@stae mus) yo or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any aestonsfogaring he queslomaie Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or PPlieeaassee return return this this questionnaire questionnaire to to Dats Deita Consulants Consuitants by by Mayiillay 3. 9. 2008 2008 intheenclosed in rhe enclosed stamped, stamped, sel: seif- aaddddrreesssseeddeennvveellooppee.. -" Questionnaire completed by: r aGmleoagnsd TTla ie tle~ =t Frechee Name and Fie Department ZZ.llymvewc fF/IrCf dJeeepwar-r+tNm?ernv+t- Fire Department PhonQe NUu-mb4er0 004 20 399 YEdKe Phone Number Tat4e-25-08 Date EEM-Maialil AAddddrreessss. 7 " Xinogen Se Ere Ferrey EU 160 5 Faun 6 SIT UE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Shane: 631.630.9505 1 300.033 S411 Fok: SEL 018.047mHALIAAAA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00379 SSTTAATTEE__0022882211333366 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. frDDaoofoegsshyyioonuugrroDDpeeeprpaaarirtmomenensnt"t curanty currently o o r has has your your Deparment Department historical historically sedused Class Class Aor A or Glass Class foams B foams for for firefighting Yes - ProtocQueesteiodn2 operations? Yes - Proceed to Question 2 ~ 5X Ho ign the backofthisform and return t Delta CCoonnssuullttaanntt~s No- Sign the back of this form and return to Delta 2. Howoftn's Glass Bo Cass A foam sed nrsponse ore cal? 2. How often is Class B or Class A foam used in response to fire calls? stot res meokoiwes _ 1st00%olfies ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. Dos the Departmnt Hacomvpresesed f foam sysiom (CAFS) witha but akon i engines)? 3. Does the Department hav~ a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes No ___ No 4. Howoften foam used in varing ers? 4. How often is foam used in training exercises? News Weeky Monty ---- ___ Never ___ Weekly SomiAnvualy soviaty BiAmunly ___ Semi-Annually ---Annua---- lly Monthly ___ Quarterly ___ Bi-Annually Other lease speci) eerraemens ___ Other (please specify):----------------------- 5. How much foams used por raining event? 5. How much foam is used per training event? Loss than gators 5 gators 51010 gaons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mor than 10 gallos (lease spy _ More than 10 gallons (please specify): _________________ 6. In raiing where docs th spent foam go? 6. In training, where does the spent foam go? Som Sousr _Santary Sewer __ OnSiSetpe roma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over lease deserve) SE ___ Other (please describe):----------------------- 7. Wohromraetoonsost ctuhoraaainptakseapnliacneg? aPrieaesa.s includ adres, intersection or thr pec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogerr O OV VE ER--~ rene: 651.639.9585 450 7 SAL ok $0 039 9433 MAbLo 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003380 sSTTaAeT_E0_022882211333377 QUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 Us a rsERtS RDA SA 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TyTyppeeooffFFoaamm Goss Aquos Class B Aqueous COFilm-Forming Foam re (AFFF) Gl8ocsohso Class B Alcoholroteol Resistant (AR)nrAFFF `BBrrannddooffFFooamm ass Used in Training? Yeessorr No TE comm Amount Used Currently ---- AAnnnnuuaallllyy Used? Watotesty Historically UUssed?? Class B Protein Gomes Class B Aran Fluoroprotein (FP) Geos Fim Class B FilmFry Forming ((FFFluFFoFFrPPo))protein ------------ -- -- ---- P Saytan Class B AR-FFFP Class A-B Hi Expansion Foam -------- -- -- ---- Class A gf Training Foam Ofer es Other em Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 El a or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or tis jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. FoPlease return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamoed. selfaddressed envelope. QQuueesstitioonnnnaaiirreeccoommplpeletteeddbbyy:: 7G)GazyYy Defeorrs DCoChtfzeretf Nameau co sac 1 FiFriree DDeeppaarrttmmeenntt elers Frost 520 697 -SSYY we Phone Number ' 1 - Date ma E-Mail Address 527-0 XKiInnooggefnn'' '"' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..038811 STATE_02821338 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg X 1. 1. rDDaoofesos hyyioonuugrr oDDpeeeppraaarritmomenensnt?t cant currently or ras has your your Department Department storia historically used used Class Class AorGass A or Class foams B foams for for Ro prcosto firefighting operations? cusstonz 7 NoYes Sign the baocfthkis form - Proceed to Question 2 Sign the back of this form aanndd rreettuurrnn ttoo Dla Delta CCoonnssuullttaannttss No - 2. 2. Howoften' How often is Cass Class B oB or ClaAfsoasm Class A foam used used in in rreessppoonnsseettoorfiree ccaalllss?? 025%of res ___ 0-25% of fires ~ X_ 25.50% 25-50% ot of resfires ___ 7755-10-0%1o0offrf0iree%ss 3. 3. Doss Does tho the Deparment Department have have compressed a compressed iair foam foam system system (CAES) (CAFS) with with abun a built-in taktank onson its anpia(s? engine(s)? ___ vYeers XoXneNo 4. How ofts feoanm used in ining exercises? 4. How often is foam used in training exercises? Wey Marin Quarry Semi-Annual ___ Weekly ___ Semi-Annually Monthly _XX__ AAnnnnuuaallllyy_, __ iAmaaly ___ Quarterly _ __ Bi-Annually J -- _ _ _ Other (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. How muchioam is use por vaining ove? 5. How X_much X oss foam is Less hans gabons used per training than 5 gallons __ event? salons 5 gallons __ ___ sotogion 5 to 10 gallons MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. Inning, where does th spent foam go? 6. In training, where does the spent foam go? X_ stom Sour _ Santary Sower onste Sep Ground X Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Otvr lease doscrbel ; ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. Where osld he aining ako place? leas include adres, interseoctoitohnr specicacaon 7. Where does/did the training take place? Please include address, intersection or other specific location iormationfa Cuenta paste reas information for current and past training areas. ERS DRIVE f\'\.1 )'-.)tJ<.s t>ILt\.) E Xinogen' . 5910 Rice Creek Parkway Suite 100 St. Paul, M N 55126 USA rene: ev1.630.5 005 058 TATE Fok GOL 030 v3 inna. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00382 stSaTtAeTE_0022682211333399 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 58.. WrWehhsaaptonttyysppeee(a(ssn))daannddrabbirrnaainnnddg((ss())1oofpffofoolaacmmaeaar)oe?ooPrlwweeearrseeeuucssheeedcnknooiwwatanhndadaiinppttlhhyee ppaasstt bbyy tthhee DDeeppaarritmmeenntt,, bbootth ofor refire response and in training (if applicable)? Please check all that apply. TrUUassieenddiiningn? AAmmUosoueudnntt Curent Usoor TTyyppeeooff FFooaamm BBrraannddooff FFooaamm YosorNo Training? Yes or No AAnnUnnusuaealdlllyy Historic Use? Current Use or Historic Use? CCFlolaarssmssinB&gAFAqoquuaeemoouu(ssRFFFiFilm)m- ~~ GCFRleolaasrssmssslinaBBngtAAFll(occAooahmhRooyll(A.-AFFFFFF~) ~ Giese 5 Prion Resistant (AR)-AFFF Class B Protein -------- -- ere e-- GICllaassssBB FFuluoorroopprrootteeinn | er sere CGF(FlilaPaass)rssopBBroFFtiilmam-n-FF(ooFrrFmmiPinn)gg CassBARFFR Fluoroprotein (FFFP) CCllaassss ABBARH-iFFFP BgmsonFoan Class A-B Hi Expansion Foam Class A Sp aeA.s-.l.e.lm 6v-V~ aFe oR.LT .X.n .PA.>S t S TTX Xo al 33006(-A0l- coersaT CTlraassnAg Foam -- eee ---- s L ;_ - '-.J...F.._x s---- (c;R.J2J2-uT OTtrahienring Foam ---- --"---- Other oTTrhhawannokkdyyioonuugff@oorrdyylooiuuarr ettiimrmeecoaamnn)ddoccoooo4ppemerarStatitioooncn.k.inPPgloleeraaassieetcchooennMttaiacnctnt eNNsaaonntcacyyFRRoolouddtnioinnnggCaaottntDDreeolllttaaAgCCooonnnscsuyullt(taa3nn5tt1ss-(2(66955711---8660996776--o55115522 im stockinger@statcu.smn) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you have any questions regarding this uesionnaire Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297 -8666 or aPPdlldeeraaessseesrreeodttuuerrnnnvttehhliiosspqqeu.ueessttiioonnnnaaiirree ttoo DDeellttaa CCoonnssuulltaannttss bbyv ay5, fviay 9. 22000088 intheenclosedstamped, in the enclosed stamped, ssaelltf:- : addressed envelope. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: NameCanOd ETitFe Lous Name and Title FireEDelparytment FRE Fire Department GERZin PhDonpe-Nu3mbeasr -32272 Tae Phone Number Date EFlorieAdedrsesse e Er. Mm. Os E-Mail Address Hwmogene Prone: 651.629.9S 545 T850.C473e41F1araeks SS9U1R.61350.04553mPaar tWinTsuUS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00338833 SSTTAATTEE__0022882211334400 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Doss your Deparment uranty has you Deparment staricaly used ClAorsClasss foams fr 1. Does your Department currently or has your Department historically used Class A or Class B foams for Teton sions? firefighting operations? No- Sign th backof this form and return to Dla Consultants 7 vYees - PPrroocceeedettdoo QQuueessttioino2n2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howalln's lass Bor Class A foam used incesponseto fre cal? 2. How often is Class B or Class A foam used in response to fire calls? Lv oassotties 25.50%otties T810a0fr%os 0-25% of fires 25-50% of fires ___ 75-100% of fires 3. Doss tho Deporman ave compressed al fam yen (CAFS) wih a ulin ak ants engines)? 3. Does the Dep;;::rtment ilave a (;Ompressed air foam system (CAFS) with a built-in tank on its engine(s)? -- Wer ~ -----rYes No 2. Howoteni foom usedin raining xercses? 4. oS Never How often is foam used ,/Never in Weeky training exercises? Weekly ____ MMoonnthnly _ ____ OQuuaarrteerrlyy TT ombaoeusty Aocually shamualy ___ Semi-Annually Annually ___ Bi-Annually oer please spec ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - ;+ 55.. HHoowwmmuucchh ffooaamm iissuusseeddppeerr trraaiinniningg eevveenntt?? V/ll/A Lesstbansalons ___ Sqalons ___ Less than 5 gallons ___ 5gallons More tha 10 gallons (lease spac --~ More than 10 gallons (please specify): ___ 551to01100 ggaatlloonnss 6. intaning hrs coss te sperm 7 4 6. In training, where does the spent foam go? ~ 7 comsewsr ___SantanySewsr ___ Storm Sewer __ Sanitary Sewer __OnStoSepte __ On-Site Septic Gand Ground ___ OOtthheerr ((pplleeaassee d desce rives): c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. oman or cent an pas rang WWhheerree ddooeess//ddiidd tthhee ttrraaiinniinngg-ttaakkee ppllaaccee?? information for current and past training ree.PPlleeaassee areas. iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr ootthheerr ssppeecciiffiicc llooccaattiioonn Knog OVVEERR-----+ _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene 514793 eT Toks CEL 0) wales Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003384 SstTaAreTE_0022882211334411 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 5. iat ype anton foam.wr nds an i ht yh Dogme, ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire a ot response and in training (if applicable)? Please check all that apply. Petia meen aA l . aa eorlty ta"nIcaZty TlQe of Foam Brand of Foam Pro Class B Aqueous fopress Film-Forming Foam . fs (AFFF) Gos pl Class B AlcoholGetwewt Resisl<:mi (AR) f=AFFF Gomgpomn o_o Class B Protein ame Class B Rone?) Fluoroprotein (FP) qari Class B Filmfe Forming Freeoen _ -- -- Fluoroprotein as (FFFP) SYN smn. mvs een on Class B AR-FFFP Goat Class A-B Hi Eon -------- -- -- -- cass A Expansion Foam Class A S S I( Jl L-L)a ( x Toren eT Training Foam on TT Other Used in Training? Yes or No Amount Used Annuall)l Currently Used? Historically Used? ---- -------- --------- doloo tw~?y M~J grJoisf~p WRvT i.t>7<fq\'tKJ/,"..-0 ~1e.'11"-"" a eee na msni a anLaosnSom 800 1 T`Thhaannkk yyoouu ffoorr yyoouurr ttiimmee aanndd ccooooppeerartaitioonn.. PPlleeaassee ccoonnttaacctt NNaannccyy RRooddnniinngg aatt DDeellttaa CCoonnssuultltaannttss ((665611--669077--55115522 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiisqquuesetsitioonnnnaaiirrettooDDeellttaaCCoonnsuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseelflf.- Sm addressed envelope. Ouessate compu Questionnaire completed by: hLi~mRa-yY PF/eznrf/s?,s~[o)rnL ~ Q('[;_fJ =TERSDN - i NameancfTitle ED Evv h1 D Yl ....S ha - Ie 507-077-5553 Fire Department _Chb2Home HF Freie Phone Number Lpelees@ smig net , !cl/-ef?rZS@J ~lr! ~:9 n.dFins E-Mail Address -- wr208 Date XXiInnooggfenn "" POOPING... _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA J. 1I 3 Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00385 J STATE_02821342 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trraaiinniinngg Firefighting Foam Use in Fire T 1. Doss your Department astonor has your Department historical sed ClaAosr Giss fans or 1. Does your Department currently or has your Department historically used Class A or Class B foams for frothing persons? firefighting operations? -- Yes-Proceedto Question? ___ A~ L. Yes- Proceed to Question 2 NNoo--SSiiggnntthhoe bbaacckk ooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss t 2. Howoften is Clasos CeAefosam used n responsre call? 2. How often is Class B or Class A foam used in response to fire calls? 025%orfres pr 75-100%of res ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 3 Docs the Dooorimont have compressed ai foam syysstteemm ((CCAAFFSS)) wiabtithin with a built-in ttaannkkoonn fsits eennggiinnee((ss)?? compressed air foam s 3. Does the Department have a ___ vYeess ___ Nheo 4 Houten s fosm used in ining exercises? 4. How often is foam used in training exercises? ook Monty --r ___ Weekly ___ Monthly C omiematy ___ Amualy BrAmualy ___ Semi-Annually ___ Annually ___ Quarterly ___ Bi-Annually omer pease speci) - ___ Other {please specify):------------------------ 5. How much foam suse por vaing ove? 5. How much foam is used per training event? _ lesstanSomons Salons __ Stot0gaons ___ Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons Mors than 10gallons (leasespec) - ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ning where coss te spent foam 957 6. In training, where does the spent foam go? _ SemSower __SantaySewer ___ Storm Sewer __ Sanitary Sewer TT ovrlemseteserhey ___ Other (ple::.1se rlPscribe}: ____ ___ _OnOSn-tSeitSe eSpepiticc Grow Ground I 7. Whore dosidd te raing ake piace? Pleas include addres, nersecotothnerspecticlocaten 7. Where does/did the training take place? Please include address, intersection or other specific location omaton for cura a pat rng areas information for current and past training areas. Xinogen [ESP oerFCEreeSaRA TR T 00S PaE SS usa Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: Suite 100 St. 651.639.9473 _ Paul, MN 55126 USA www.deltaenv.com 22222..00338866 STSATTAETE0_208228211334433 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. WWrhehsaapttontyysppeeea((sn))daainnnddtrbbarrnaianndng(s)()1ooaffpffpooiaacmmaasarcre)e?oorlrweweaersreee uucssheeocdcknnooalwwl aaantnd aiinnpthphe.e past past by by the the Dopartment, Department, both both orfor fre fire response and in training (if applicable)? Please check all that apply. TUUisseenddgiinn? AAmmUosoeuudnntt Curent Usoor TaTpypeeooff FFooaamm ClassB Aqueous Fim- BrBarannddooff FFooaamm YesorNo Training? Yes or No AAnnUnnusuaealdlllyy HistoricUse? Current Use or Historic Use? Forming Foam (FFF) Class B Aqueous Film- Forming Foam (AFFI=) ---------------------------- -------- ---------- ---------- GCRlelaasissssstaBBntAAll(ccWooRhnoaAl-FFF ---------------- ---------- ------ ---------- Class 8 Protin Resistant (AR)-AFFF marr: | rer eg -- Class Cl)ass Class BB B Fuomoprotein Protein Fluoroprotein = ---- CCF(FlulaPasss)osso8BprFFtiilemmn--FF(ooFrFmmFiPinn)gg = CosseARFFP Fluoroprotein (FFFP) Class B AR-FFFP ExCCpllaaansssssiAAo-Bn8FHHioi am -_ Class A Expansion Foam - TCrlaaisnsinAg Foam - ter Training Foam --- Other JToTornrhhaawnsnnortokkdodyicynonkoiinugung@ffg@dooerrord@tyyesooiltutusaarretetlreniimwvmn.eecceooaamm)nn)dd)ooccoroooioJpipeummrearhSttaaitotioovocnecn.kk.iainnnPPgyelleeraeraeaaasisstettthccnoeooennnMMtstaiaicrnnctenntgeeNNassaraoodnntticacanyygPPRRootoholllcsudlrtniaQioinunnnggeaCCSaooLtnnoDDteoMrelolBlttlNaAaASgCCgooeonnnnscsyyuull((ta6a6n55nt11ss--22((69065775-11-83--666696697676--1o55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `a`PdB!ldearaaessseesrreeedtteuunrrnvnettlhhoiisspeqqu.ueessttiioorn:nnaaiiree ttoo DDeetltsa CCoonnssutlatannttss bbyy MMaayv 95,. 22000088 iInn tihhee eenncclloosseedd stamped, stamped. sit: seif- addressed envelope. - Questionnaire complted by: Nahe anad Th Te Name and Title _ - Vol FiBEre UDmepa1rrinrah&t~ Ue! Fire Delt Fire Departm APhtonseiN--ulmbfe~r 2-~0 ?Ht:3-5-- ;H&EKLtOJ Phone Number EaclsloA~cdrkks. c@!e?u_deilUyL-<.ib ,n~ oX-- E-Mail Address ToDatog Date Xinoger ~ L~ar~leet PPhhoonne:e: 651.639.8443 /800.477.7411Fak: 910 Rice Creek Parkway 651.639.9~49 1 800.477.7411 Fax: 651.639.9475 Suite 100 St. 651.639.9473 wns Paul, www daltasnv.om MN 55126 USA deltaenv.com 2222222..00338877 SSTTAATTEE__0022882211334444 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11. . TDDrooeoetgsshyyunooguur oDDpeeeppraaartrttimmoenensnt?t ccururenrtlyaoorrhnhaasstyyooyuurr DDeeppaarrttmmeenntt ihsisatoririccaalllyy uusseedd CClaasssAAosor Gas Class B8 ffooaammss fofor X_ firefighting ><. ves - protocQeuesetiodn2 operations? Yes- Proceed to Question 2 No- Sign ho back ofthis form and tum0 Dota Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 22.. HHoowwoofflteenniiss CCllaassss 8BoorrCCllaassss AAffooaamm uusseedd iinnrreessppoonnsseettoo frireeccaallllss?? ~ X_ o0a-25n% otres of fires ___ 2255.-5500%% ooff resfires ___ 750of r%es 75-100% offires 5. DDooeess iethe DDeeppaarrtmmeenntt hhaavveeaa ccoommpprreesssseedd aiair ffooaamm syst system ((CCAAFFSS)) wwitithha bin a built-in ttaannkk oonn sits eanngginnee((ss)?? 3. Yveess re Y N o 4. How fens foam used in rnin excises? 4. How often is foam used in training exercises? Waly Monty Quarry ___ Weekly SemiAmualy X_ novuaty Bermuaty ___ Semi-Annually ---,:- Monthly X Annually _ _ _ Quarterly ___ Bi-Annually Other (please speci A -- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por Varig ave? 5. How much foam is used per training event? Less ansgatons __X_ 5 galors 51010 gaons ___ Less than 5 gallons X 5 gallons _ _ _ 5 to 10 gallons EeA -- ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. InvoLigng wher does th spent foam go? _X_siomsewsr ___SantorySewer 6. In training, where does the spent foam go? Storm Sewer _ _ Sanitary Sewer ____ OnOSni-SeisteeSpetptcic X_X_ GGrroouunndd Other easedescr __ -- - ____ Other (rleC~se descrihe): ----~ _ - - - - - - - - - - - - - - - - - - - - - - - 7. Where oosio ne sri le ac? Pleas cc acess, tersecion oraber speci locaon 7. Where does/d-id tne rrarrl'"''9 \?:i&c. f).-Coe':: l?!.eas.8. indude address, intersection or other specific location mation cute; and patyng areas - w information for current a and past trai {'() t.L l--.. ng areas. cht behind out b u._..j Fie Hee u.-1 le F_o--st sidJe Addin iw a ColdesCaoce,sh= akCeo5u4nd Sol AEA C ., I R_ o__ ~;1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - l_;:'il "!--~ 2.-wt-{ )cc(dv.. costal be, Gosh ater WN Xinogen none evn 070 TRS ICre FaTAL: SSELTeRTG90%S)EmFaatiassAidnUaesnk 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639_9473 www.deltaenv.com 22222..00388 sStTaAteTE0_202882211334455 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. TWehaamtonpesen)irdsriannts) oaffopamparaorPwoearssucshedcknawl oati8n5. pat by ne Deparment,bot or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. sot Foan Type of Foam Class 8 Aqueous Fin Class B Aqueous FilmTm Forming Foam (AFFF) Gl8aAcsohosl- <= RRCelesasisisssttaaBnntAt l((cAAoRRh))o-AlA-FFFFFF~ camopon | Class B Protein Brandof Foam Brand of Foam -------- Usodin Used in Tammy Training? Yaurte Yes or No -- AAamUUmmossmoeueaudnd lntyt Annually CCHuuirsrretenonntteUUUsssoeeoosrr Historic Use? aL --__ CCllaassss BB FFlluuoorroopprrootteeiinn // i) --_-- -------- (FP) ---------- Cass B Fim Foming Class B Film-Forming Fn ry ---------- ---- ------ ---------- Fluoroprotein (FFFPi A Class B AR-FFFP Glass AH: Class A-B Hi Errno | mm _---- \ Expansion Foam Cass A \ Class A I Tanngroon \ JE Training Foam oer ~uWnbi:vessa Goll! _ o.u:;o..l JJ Other G fJ Thank youtoryou me and cooperation. lea corto and Boring a Dla Consutats (51,607-5152 ~I/ ffoo:33~2o Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 nota com 3m Stone oo Monae luo Convl Aganes (51 507-3606 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rooknpa@amre ro ou hove om aves' ong Goto jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please retum tis questionntaoDirle Gonsulb aManys,2008 n teenclose stamp, ss: Please return this questionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellope.. kQu_estor completa TomAndetsors Questionnaire c.o.mp.leJeo by: Kame sw TilA"'J~tso~ Name and Title f:P van soille Uo..,._ .5 L> ,'ffc.. Fre Geparimant Fire Department And Aston cic P3h3o;3nel0oN--o88b33'19--44795745 Phone Number Eg208 Date Gs E-Mail Address Ninogen i PPhhoonne:e: 651.699.91489405.473 9411 Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.636.9475 Suite 100 St. 651.639.9473 was asitasnx.com Paul, MN 55126 USA www.deltaenv.com 22222..00389 sStTaAreTE0_208282211334466 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Does your Department cutotoyr has your Department historical used Class Aor Class foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for fretohing operations? firefighting operations? Ves -rocesd to Questio2n 2XX --...,..-- Yes - Proceed to Question 2 NNoo-- SSiiggnn tthhee bbacakoocfftthkhiiss ffoorrmm aanndd rreteurntttouoDDreellnttaa CCoonnsuslutlatanntsts. 2. Howotnis Cas8osr las foam used response to re cals? 2. How often is Class B or Class A foam used in response to fire calls? oaswoites ___ossowoifres ___75i00%olfres ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Coss the Department ave a coommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wihwith abun a built-in tankons tank on its anoio(s? engine(s)? a c 3. Does the Department have ___ YYeess ___ NNoo 4. Howaften's foam used in rang oercises? 4. How often is foam used in training exercises? Wesky Want ___ Weekly Monthly Semawualy ___ Aooualy ___ Semi-Annually ___ Annually Quarry ___ Quarterly T enmany ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecicfifyy)):: - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuchioam is used pr aig event? 5. How much Less foam is ss than' gators used per training than 5 gallons event? 55ggaatlloonnss ___ Le ___ swig 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciiyfy):): 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? stom Sewer ___ Santry Sewer OnsteSepte Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground over plossodesctber ___ Other (please describe):----------------------- 7. Whore doeslid ne ining ake place? Please includ adress, nrsecotraobenr spac locaton 7. Where does/did the training take place? Please include address, intersection or other specific location formaftor cunt and past vag reas. information for current and past training areas. Kinogerr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..003390 stSaTtAeTE_0022882211334477 QUUEESSTTIIOONNNNAAIIRE FFiirreffiigghttiinngg Fooaamm UUsse iinn FFiirree TTrraiinniinngg E i iE RT eran 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. vein Amun Used in Amount TTyyppeeooffFFooaamm Class B Aqueous Film- me Forming Foam (AFFF) Crem Class B AlcoholET Resistant (AR)-AFFF ---- Class B Protein corpo Class B Fluoroprotein or - (FP) Cos rinsamis Class B Film-Forming Eek -- Fluoroprotein (FFFP) BBrraannddooff FFcoam Training? YYeess oorr NNoo Used AnAnnunaulalylly Current Use or HHiissttoorriicc UseUse?? rmnes, Class B AR-FFFP Class A-B Hi Expansion Foam -- Class A ---- Training Foam ho EE -- Other J, Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 EO or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ts jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Bose Please return this questionnaire to Delta Consultants by May 9, 2008 in the enclosed stamped. self- msi como ~ddr~sscc! ~n'.!c!cpe. - Lut HK Ped On Ct] wi7l1l0 799 7570 Fire DePartment 1 21 7ft( 7 j j 0 Phone Number 5C%pig Date -- Kinoger -- E-Mail Address PPhhoonne:e: 665511.6.369.3955494.1950/I48R840ic003e0..4C47r7e77e..k7344P11a11rkFwoFauay:x: 651.639.947 Suite 100 St. 651.639.9473 mut deltasnv.tom Paul, MN 55126 USA www.deltaenv.com 222222..039911 STATE_02821348 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 11. . TDDrooreegsshyyioonuugrr oDDpeeeppraaartrttimmoenensnt?t ccuurrrreenntlty ohs or has yyoouurr DDeeppaarrtmmeenntt isorical historically uusseedd GClaasssAsoorr CCllaasss B8 ffooaammss ffoorr X__ firefighting opYeerastio- nPs?rotco Qeuesetidon 2 )( No. Sign the baofcthkis form Yes- Proceed to Question 2 o- Sign the back of this form and and rreteurntttouoDDerelltntaa CCoonnssuullttaannttss ___ N _ ozswoties meats OK 751008 offres 2. 2. How How often's often is Gass Class BBoorr Class Class AAffooaamn uusseedd iinnrreessppoonnssee ofrto fire ccaalllss?? _ _ _ 0-25% of fires _ _ _ 25-50% of fires 75-100% of fires 33.. DDooeess tthhee DDeeppaarrtmmeenntt hhaavvee accoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa bbuuliltt-iinn ttaannkk oonn 6its eennggiinnee((ss))?? ~YEveewsse No 4. Howoften is foam used in airing exercises? 4. How often is foam used in training exercises? Weekly Monty J semamualy ___ Weekly ___ Semi-Annually KX Amualy ___ Monthly '}. Annually ___ ___ samuel Quarterly Bi-Annually Otter (ase speci): } ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis Used per raining vent? 5. How much Th foatmesisstuhsaendspgearltoranisning 5 gallons event? ____ S5ggaallolonnss. ' } Less than _ ____ 5sttoot1o0ggaallloonnss More tan 10 gallons (lease spect ___ More than 10 gallons (please specify): _________________ 6. In vaining where dos the spent foar go? 6. In training, where does the spent foam go? Sommer SwtaySewer __onstesepsc Ke Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _i_Ground --creer reer ___ Other (please describe):------------------------ 77.. WiWnhhfeoermreeatddioooeenssfi/oddridectathhreetrnraaiainnniindnggaatsaktkeerappiilanaciceneg??aPPrleleeaasa.ssee iinncclluuddee aaddrderessss,, iinntteerrsseeccttiioonn oofr otthheerr speci specific llooccaattiioonn information for current and past training areas. f{\.l\ 4.-p~ ~~ )c,c.:;. zh<:---:> Xinogen _ Toner 651.639.91080550.077 3411 Fak: 93 639.9473 msdeitaane.cam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00339922 SSTTAATETE0_208282211334499 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 2. Wha tos) nc bracts) foam aorwae sednow an inn pastby ho Deparment, bot rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire SE response and in training (if applicable)? Please check all that apply. Clos 2 r:!t-- utr-, mount 11/tJ-57 B l/ Lr TTyyppeeooff FFooaamm Gloss Aqueous Fin Class B Aqueous FilmFarming roam pay ------------ -------- Forming Foam (AFFF) CissBAono Class B AlcoholResa (RAFF | -------------- ------ Resistant (AR)-AFFF Class BProg a Class B Protein Gl8Fahaosproston Class B Fluoroprotein = re (FP) Glass Fim Foming Class B Film-Forming Fleonan (orgy, ------------------ -------------- Fluoroprotein (FFFP) CosmARFER Class B AR-FFFP Gass AH Class A-B Hi Spero foam -------------- ------ -------------- Expansion Foam Glaser _Silvee es Joga cure Class A |A Training Foam oer - Other far ;PO5~el) ~Ze ~ -- sSk~e ~sed in Amount BrBarannddooffFFooaamm YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy HCiHsuitrsroteornriitccUUUssseee?o?r Fy -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rennet com os Sor es oR Col Aone (5h S0.0000o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or FronGta us You ov ay doors rogrding is ots jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnntthhissqquuesetsitioonnnnaaiirreettooDDeletltaaCCoonsnuslutltaannttssbbyyMMaayy99,.22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellff-: te addr~ssed ~nt'e!ope. -- Questionnaire completed by: SSe:qwr Geshe bre CChi-J -:== Fares Name and Title G~~k Fra opiCnelso fue Dish + Fire Department Frets ee (755-2Z-- P/&>oo f/&oS"so Phone Number 4-28-08 Date ET E-Mail Address 2 agre < NKinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00393 sStTaAreTE0_208282211335500 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. . aDDotoseossnyygoocuuprr eDDreepapaatrrottmnmesen?nt ucurtreentlynoortrhhayass yyoouuer DDeeppaarrttmmeenntt Hhsisttoorriiccaaltlyy useused CaA sCasss Class A or Class BB ffooaammssffoorr XC Yes Proceetdo firefighting operations? ~ Yes - Proceed to QQuueessttiioonn 2 2 ___ No. No- SSiiggnn tthheo bbaacckk ooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo Dla Delta CCoonnssuullttaannttss ---- 2. Howoftenis Class Bor Glas Afoamusedin response to fr cals? 2. How often is Class B or Class A foam used in response to fire calls? 02s etfres 0-25% of fires 25.50% otras 25-50% of fires ___ 7T55--110000%%ooff tesfires 3. Doss te Department rave compressed ai foam system (CAFS)vith a bullin tank on s engine(s}? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ Yveess ~XNoo 4. How fens foam use in traning exercises? 4. How often is foam used in training exercises? Weakly Monty -XX_a-uareny ___ Weekly Monthly Quarterly TT Sommualy _ Amualy 7 enon ___ Semi-Annually Annually ___ Bi-Annually Oter ease speci; ___ Other (please specify): _______________________ -+- 5. How moc foam i used par ing vent? 5. How much foam is used per training event? KC Less tan 5gators 5 gators 51010 0akons Less than 5 gallons 5 gallons 5 to 10 gallons More than 10 galons (pease speiy): ___ More thari 10 gallons (please specify): _________________ 5. I ining, whee dos the spent foam gc? 6. In training, where does the spent foam go? Stom Sawer __ Santary Sower onsteseste XY(_- Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Other lease describe) ___ Other (please describe): ________________________ 77.. WiWehhfoeorrreemddaotoensef/dosidcttrhhee:ttraaiainnniidnnggpattasaktkeeralpilaanccieneg?? aPPrlleeeaaasssee iinnccluludde aaddrderessss,, nrsecin intersection ooter or other speci specific llooccaattiioonn information for current and past training areas. c_,\~ she> p _ HNEmerge SE fackisg [ot Xinogen: rane: 631.439.9565 r8e00.E07r3eTp H Fok:SSIL3094T53 aSdapleuiS asnG ean 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00339944 sSTTaAtTeE__0022882211335511 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg TWeiihpaonysss2) andTboanfacpoop)mearle'alroesuesheecknof wpanot pin tph past byth Dapaimen, botfor ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUosendign Amsoedu.nt Cumomusoor TyTyppeeooffFFooaamm Gloss 8Aquoous Fin Class B Aqueous FilmFor Foam Ry | -------- -------- -------- Forming Foam (AFFF) Close Aone Class B AlcoholA -- Resistant (AR)-AFFF CossoPoen Class B Protein ClasBe Foren Class B Fluoroprotein ww --_-- (FP) Clos FimFaming Class B Film-Forming Fonoproton erry ------------------ ------ -------- -------- Fluoroprotein (FFFP) Cossmarerre Class B AR-FFFP Gloss A818 Class A-B Hi a, ---- ---- ---------- Expansion Foam Glass - Class A Tgfoam TT Training Foam Otrer - Other BBrraanndd ooff FFooaamm Used in Training? YYeess oorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HHiissttoorriicc UUssee?? Than you for your ie and cooperation. Plea cortact None Fodroif Dnega Cosufans (551.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oreodaes como Stosinger i inet Palle Convl Agere (651 07.3580 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Troan Gamer aS ou ovat avesho oy i poe jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plage atu tis auesfontoaDeilea Consultants by Me5, 2008 th anclosed stamped. sl. Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped. self- PO-------- `addddrresssseeddeennvveellooppee.. Questionnaire completed by: Fre Name and Title Foiemmt TO-; fL'(\r\ cw-f- Feo Deparment Fire Department PPhhoonnee NNuummbbeerr DDaattee E-Mail EA Address Xinogen' rene TTTe TRS en 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00395 sStTaAreTEo_z0s228211335522 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11.. rDDaoofceissghyyioounurgr DDopeeeppraaarrttmimoenensnt?t ccuurrrreenntlty oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallyl uusseedd CCllaassss AA oorr GCalassssBB ffooaammss ffoorr 3X_ firefighting opYereats-ionPs?rotcoQueesteiodn 2 )( No- Sign the baocf thkis form Yes- Proceed to Question 2 the back of this form aanndd rreottuurnn ttoo DDoetltaa CCoonnssuullttaannttss No- Sign 2. HHoowwtofotenn sis CCllaassss BB oorr CCllaassss AAffooaamm uusseedd in in rreessppoonnssee oto fre fire cals? calls? 2. X_ o0-0225s%%ooff frireess ___ 2255.-5500%%ooffffiirreess __7_5_1705-010%0%ofof ffiirreess 32.. DoDosess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprperesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiilthh a bun a built-in ttaannkk oonniitss eennggiinnee((ss))?? ___ Yveess JXc Nnoo 4. How often i foam used in raining exercises? 4. How often is foam used in training exercises? Welty tant ueny ___ Weekly ___ Monthly ___ Quarterly X_ Semi-Annual Annual BiAmualy _:\-\--- Semi-Annually ___ Annually ___ Bi-Annually Other (pease speciy) _ A-- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. 5. ow How mmuucchh ffooaammiiss uusseedd ppeerr trraaiinniinngg aevvaenntt?? X)(X Lesstmansoalons Salons swig MLoesrsotthhaann510ggaalllolnosns (pease spe5cgia:llons ___ 5 to ---- 10 gallons More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. In In vaiing, training, wwhheerree ddooeess tthh e ssppeenntt ffooaamm ggoo?? _X_iom ower __ Sanitary Sewer Onto Septic Ground T _)_( _ Oterlessedescber____ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground _ _ _ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 77.. WWInhhfeoerrrmeeatcdiooooenssfi/dodriidcuthhreeentrrtaaiiannniindnggpttaaaskkeeapplliaaccgee??aPPrlleeaaaasss.ea iinncclluuddee aaddddrreessss,, itn"rtesrseeccttioonn oorr ootthheer ssppeecciififc llooccaattioonn i n f;2o)0r7m07aIt i on J f o r LLcuu"rn'r:!epnRet pannTdfu\pJraTzs t t Li r ai ~ (4 ) Falces ning areas. F c 0 _J Hoch 5/03 Maw. ww Paellwy LT. of Fig Spmison Kinoger: _-- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.9025 1600.477.341Fo1x: 691.639.9473wwwdaliasav.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00339966 SSTTAATTEE__0022882211335533 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and bance) foam areawreused no and nth pastbyteDepartment, bah for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponse adn amin ppicae lease chock al hat aly. response and in training (if applicable)? Please check all that apply. TvsofFoam BrandofFoam VTUeasrneodnrigSnre AAmUmosmeuadnlty CHuimseinontsuUsseeosr Type of Foam Clos 8Aqueous Fn Class B Aqueous FilmForming Foam NFER) | ---------------------- -------- -------- -------- Forming Foam (AFFF) Glass Achar Class B AlcoholRover mye | ------ Resistant (AR)-AFFF cesspoon Class B Protein Glass Furoproten Class B Fluoroprotein Eo) ee tt: sm. fre (FP) Cl8 FaimFsomisng Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)). Cespameee Class B AR-FFFP Caserta Class A-B Hi Eprsonfeam Trager Eom T yr SERS Class A Expansion Foam Class A Tring Foam cs Training Foam oer - Other Brand of Foam 3 Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? -- ps \j ~~ ..> -)*'...!..~--'..s=-- - issih & 1. l!~S #~"'"'..$ S'<ff' L.r;s-t; ;~-J .ss~~---- Thankyou foryour tne and cooperation. Pioas contact Naney Roringat Deta Consulas (651-667-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or eadna aaa coomr ) Shocking at hg Minhesla Poh orl Agency (651497-3660 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or cing Gate) 90 hve a Quo aga he estimate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas returnthisauestiotno nelaaiCronesultan bvMay,2008 intheanclosedstamed. sft: eilveiooe. -- Please returnthis questionnaire to `aiCdjd(rj;(e;s;5s5eed'iei nvelope, Delta Consultants bv Mav 9. 2008 in the - P.nc/osed stamoed. se!f- Questomatscomp<te by Qe Wuenasesz Questionnaire completed by: c_ \X..~ \ "'-.te t-\A,j \ <._. RS amet e Name and Title Faee Chie Fre CoFFpatia:m.e)cnctce:,s,v Weng ns PFriroenDobeNSpaa1rbtmeer=nt 193- 1L3S Phone Number 4/5B9aie jo 8 r Date I cC KKu\a w,ln~nh ,yE \-1 ~3)2<. 9...~. . -Ffra4.llece.~vr hhit,zi'g.e h~ihc),~ __ oorQ._d E-Mail Address NKinogen eto [ETS J ACR LR ed 5910 Rice Creek Parkway Suite 100 St. Pa.ul, MN 55126 USA 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00397 sStTaAreTE_0022882211335544 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DrDoeosfesis nyyioonuugrr DcDepepepararartttmmoenensnt?t curenty currently or has has youyour Department DeQartment Nitra used historically used Clsa Class Aor A or Clafsoamss Class B foams for for Ves Proceadto firefighting operations? ___ Yes - Proceed to QQuueessttioino2n2 X)<-- NNoo- SSiiggnn tthhee bbaacckk ooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss \ 2. Howtos Cass o Cass Afoamused in response orecals? 2. How often is Class B or Class A foam used in response to fire calls? _ oosweres ___osSonoifes __ 75io0olfres ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Does the Department nacomvpresesed ir foam sysiam stem (CAFS) (CAFS) wiabuht with a built-in taktank on on 5its engines)? engine(s)? m sy 3. Does the Department have a compressed air foa ___ veYes JNo 4. Howalton is foam used in traning exercises? 4. How often is foam used in training exercises? --Newr Weekly Monty aur ___ Never ___ Weekly ___ Monthly ___ Quarterly SemiAmualy poruaty Gamay ___ Semi-Annually ___ Annually ___ Bi-Annually Ober easespecty ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam suse or r raining training event? event? is used pe 5. How much foaLmess ran' gators 5gatons ___ Less than 5 gallons 5 gallons ___ 5510t1o0 gaons 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy)):: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. In ring, wher doss th span foam go? 6. In training, where does the spent foam go? Sto Sawer _ Sanitary Sower onstesepic Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Orr leasedeserve) - -- ___ Other (please describe):---------------------- 17. WfhoremraetdionolCheerttaianinngaaskteTlaanceg? aPriseesa.s include adres, nersecton or thr speciclacaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogen OVER--~ Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..003398 stSaTtAeTE0_202882211335555 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg ~ >ve~ uo1 ~J_ 58. teWWsihphaoatnttsyyppeeea((nss))daainnddrabbirrnaainnnddgi(ss())1 ooaffpffopoakamcmaaairree?ooPrwlwaeearrsee uuhseesdcnknaoolwwahaanntd aninpythh.e ast past by by the the Departmen, Department, bth both fos for fire response and in training (if applicable)? Please check all that apply. TypeofFoam Sand of oom YTTeUUrrassisioenenrdidinnfiigglnn??e AAAmUUmmossoaueeuddnnltt CCuUursrrreeensnt?tllyy |HHiissUttsooreriiscc?aallllyy CGFliaTslnysfpBBeaoAAqomqufsmueFegooosaFuumsos m -- Brand of Foam Yes or No Annually Used? Used? (AFF) Film-Forming (AFFF) Foam GCRlealsws sBBaaAcmslcoRonhsyoorl- re Resistant AFFF (AR)- Cassopown Class B Protein o_o FuCcsulaosssspnBroan (p= = ---- CForlmian8gsism Fluoroprotein Class B Film- ( F P ) Forming FuPoR)te Fluoroprotein | ---------------- ---- ---- ---- ---- c(FaFsFPs)ARERER CCCGlllpaaasssmssssAABo-BBAnHRFH:-oiFaFFnP | ---- ---- ---- ---- Cass Expansion Foam LL TCalanssnAgRoam o_o over Training Foam --_-- DZ Other ToTrhhaaonnkkhyyoonuu ffGoorrayylooauursr ttimicneoaamnn)d occrooooippemerarSatiitiooonnc..knPPglleeeaaissteehcceoornMttiaacnctnteNNsaaonntcacyyFRRolouodinoidnngCaiaotnDnDvloegllataACCgooennssnuulat(an6nt5tss1-((626559117---66590677o--6556r115522 imstockingersate. us) Y0u or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have an QeSUons Fegaring is QUESHOMIBIS. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Pleaseratum thisquestiotnoDnelatire Consultants by Jun6e2008 i the enclosedstamped self: Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped, self- `aaddddrreesssseeddeennvveellooppee.. Questomarecongietad by: Questionnaire com::ed by: Fhe2 Dblak Name and Titl liieb FiSre~DaLelp'at\rmooewnntCCo.omm mroo')cdlti'jN\ieteeD~g Fire Department PhoFneAumCbIerE TEN Phone Number EraY\{socAa\dAdrd,Lesbsd@oms\h"in\S.JJ cCooMm clan YaGrate Date 5-28-2098 Kinogen EE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 /_ 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00399 STSTAATTEE0_202882211335566 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DrDoeoetesgs hyyioonuugrr gDDpeeeppraaatritmomenensnt?t current currently or or hahas your your Department Department historical historically used used Class Class AcA or CssClass B B foamosr foams for firefigh:rereatsio-nsp? rotocQueestaiond2 NYoes-S-iPgrnocteheedBtaockQoufestthiiosnf2orm and returnto Dla Consultants No -Sign the back of this form and return to Delta Consultants 2. Howalten's Class Bor Class A foam usedin response to frecas? 2. How often is Class B or Class A foam used in response to fire calls? caskets I ___ 0-25% of fires ___ 25-50% of fires ~5-100% of fires 5. Doos Does ihe the Department Department hove have a compressed compressed aoa air foam syste system (CAFS) (CAFS) wiablithin with a built-in ttaannkk oson its aernggiinnee((ss)?? 3. Pa ----7:es ___ No 4. Howfoaamusted neainng eviarcisses? 4. How often is foam used in training exercises? Westy any nary ___ Weekly Monthly SombAnmually Anus ShAualy ___ Semi-Annually Annually -----=-Q~u-arterly ___ Bi-Annually Ons lease spi _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - Horm atsr sno? 5. How much f~ is used per training event? Loss than gators 5galons _ ____:.\/"'_ LLee~ss than 5 gallons 5 gallons ___ S5ttoo 1t00ggaatlloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): 6. Intaling, where coes the spe foam go? 6. In training, where does the spent foam go? i oe _onsisite a~ensd ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ter leasecasero _ -- ___ Other (please describe): ______________________ Era Tend Minnesote Acca = Foe Hl 7. Where doesidd he wining ako lace? Please includ address, interseoctitohnrspecficocaton 7. Where does/did the training take place? Please include address, intersection or other specific location omanGE cure ae pas Vang ares. information for currert and past training areas. 1 h :!'<.. // d A 1-~ A(' ~~ n / 0 fl. t /1 t'1 <-So C q ; 1- = grouwc-ll pQl; s dhe (G 1 S 7:+--C I Kinogen: Phone: Phone: 651.630.91084009.477.7411 Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.630.9473uns AeliAGRY.COm. Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00400 sStTaAreTE0_208228211335577 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 8 Wiha typo(e) and ranofdfoa)m ar o wrused now and in he past he Deparment, both or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponee ni amin (1 appcatie Foes check al nt a5. response and in training (if applicable)? Please check all that apply. TUUossieenddniignne AAmUmosoueudnntt Cumsntuseor Training? Used Current Use or FCoClrlaamsTsiTssynyp8BgpeeAAoFqqoofuuafFeemFoooouu(aassFmmFFFiPilm)m- BBrraannddooffFFooaamm YeYessoorrNNoo |~~ AnAnnunaulallly -------- HisHtiostroriiccUUssee?? ---------- CRleasssi8nAl(cRoynpaep | Forming Foam (AFFF) Class B Alcohol- ---------------- -------- ------ ---------- CosspPown Resistant (AR)-AFFF G#in Class Class BB B Foooprotein Protein Fluoroprotein _--_---TMstm: mk1t0------ C(GFFlalaPaoss)rssoB8rFoFitilmomn-FF(oorFrmFmiFnin)gg -------- ------ ---------- CossorreEe Fluoroprotein (FFFP) CECClxllaaapsssasssnsAABi-oBABnRHHF-iFoFaFmP ET Gass A Expansion Foam 2m cs zopl !NIH.u TCrlaaisnsinAg Foam A, r oer Training Foam - Other TSooTrhrmhaaonsnnritokdodycynonokiunuiggfef@oorrGrdyysedootlutuaararetmtneiamvom.eoca3oaammnn)n)dd)oyoccroro1oo0JJpip.emnrearhiStaitvtiooo0encn.k.0ainnPPg0yllee0era:aaasstethShccgeootnMMatiaciencmtntaGeNNssacaointntcnaacyydPPRRoooollluddtnaiiQoinrnunggoaCCSaooHtnnoDDtevnreloonlttlaaaAASCCggoeoennnrscseyuull((ta6a6n59n1t1ts-32((699657571-18.--665696067670--5o651r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiissqquueestsitioonnnnaairireettooDDeletltaa CCoonnsuslutltaannttssbbyvMfa11yg_9v_.!21_0l00088iinntthheeeenncclloos~eeddssttaaJm!Ip..Jel!dtd..sse~l(f:. `adddrresseddeennvveellooppee.. Questions or J / Q.uestio~etJd by: . tTeeteZ. (Sal . CAL r Nama ane Tie -- Name and Title hFl, actuJ Fe Dept J Fro Deparment Fire Department Phon2e Nsber-353 bro SRE Phone Number Err few Sue CS. E-Mail Address J z lo XKinogerr hPohnoen:e: 631.639.9349 1 300.477.74Fa1k1: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 551.639.047 Suite 100 St. 651.639.9473 mamodaltaans.cam Paul, MN 55126 USA' www.deltaenv.com 222222..040011 sSTTaAeT_E0_022s82211335588 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Dos you Deparment curenty has your Department isturseiGicsAaoGlisy8 oars or 1. Does your Department currently or has your Department historically used Class A or Class B foams for Reraring operators? firefighting operations? Xen proctoeQuaesiodn --$.---- Yes- Proceed to Question 2 No- ign thebackof his form and etn f Det Consular ___ No- Sign the back of this form and return to Delta Consultants 2. How ofenis Glass Bor GaA fsoam usin espns or cals? 2. How often is Class B or Class A foam used in response to fire calls? Kozma asso ottves 75100 aes X' 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 5 Docs ihe Deparmenthave compressed i foam ssf (CAFS) wiha bin ake angie)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes X to X No 4. How fens foam usd n ring rerio? 4. How often is foam used in training exercises? Nee weedy ony EY ___ Never ___ Weekly Monthly ___ Quarterly X_ Sent Sal asArnaly _ _..X'-'--. Semi-Annually ___ Annually Bi-Annually Othe (posse spec: SE -- Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 How much foam s used er ving vent? 5. H o X _X_ w much fo LessthanSgalons am is used per train Less than 5 gallons i n g event? ____ 55ggalallloonnss. Mare than 10 gallos (esse spect ___ More than 10 gallons (please specify): _ ______ s5ttooi100ggaallloonnss 6 Invining, wher dos the pent foam 007 6. In training, where does the spent foam go? Som Sever __ Sankar Sewer ___ Storm Sewer __ Sanitary Sewer __ onsiosopso On-Site Septic XG _X_ Ground _ _ _ OOtthheerr ((pplleeaassee d desecrs ibec):ribe):-_ ~-------------------- 7. Vo ~i._he:rr_e;.m d.o.-.e, s--.ida cidmtohent traainnino pg otaskVen pianceg? rPloe.ase includeaddress, intersection or ther specific location Typren 3 7 47 SA Mert ho, Fiber Go, 726. JInogen OOVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222..004402 SstTaAreTE0_20228121335599 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiirree TTrraaiinniinngg 5. Whitt] ands oo rps ers uss i nosh ate Cepia Sifor 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire pirsbielibsioaokt beeps response and in training (if applicable)? Please check all that apply. Tupeot Foam Bondotron TUYrseowaodnribngs AAmGmooeuesnyt utreesntt'y His"thoeriscsaylly TyQe of Foam Glss 8 Aveo o Class B Aqueous Eotomton Amt Film-Forming Foam en (AFFF) Gl8Acos Class B Alcohol- omit fwlbe Mo Zu ds Resistant (AR)- peesAFFF CassPoon Class B Protein Gases Class B Foon ---------- -- -- -- -- Fluoroprotein (FP) Gl8Fsin Class B FilmEni Forming Fggoten -- Fluoroprotein po; (FFFP) Camere o_o Class B AR-FFFP gasno Class A-B Hi --an | ---------- ---- -- -- ---- Coss A Expansion Foam Class A Temgbom TT Training Foam over _ -- ---- = Other Brand of Foam -==11i ~ 'tl_rlA-tJ7iUJliy,<~ S;i;,-l"leKex Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? luo ~;j_i:-tl ~s r,V(sS pr /~y.-1 kks5 E ~ E Tort ry andenpe egion, sas oo NeryBoing at Bly Goma SSL 152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Se 5oo Sa osinger re m pet Foa Co Pennyan ooo or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or eee ou You vec stars ering ese jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped self- adadrderesssseeddenenvveellooppee.. Ouestomaroconpeedty. Questionnaire completed by: Fre Cheelt Chostople flaw Fer hre.- uh, Ramen v6 Name and Title __Pshe Fie 4 Rese h,5h-cr Fre Capatiment Fire Department i Sy saLW 2~/~8~ -- &59/ - 220 Phone Number 68// :3s// o0?8 Date 7 ./ 1t-rh/c,et.r- @r2 Eva E-Mail Address HKinogen: XInogfn ,'" rf'ef'yU. , M pelt- ero vr IL TE Tn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00403 sate_o2621360 STATE_02821360 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. frDDooofseissghyytoonuugrr DoDpeeeppraaarrtttimmoenensnt?t ccuurrerntelyonorhthayass yyoouurr DDeeppaarrttmmeenntt hisisttoorrcicaallllyy uusseedd CCllasasAsAosorr CGlasls 8Baofoaasrmss ffoorr es - Proceed firefighting operations? -----"'~"-Y- es- Proceed ttoo QQuueessttioino2n2 NNoo-- SSiiggnn tthhee bbaacckkooff tthhiiss ffoorrmm aanndd rreetutrnuttmoo DDletltaa CCoonnssuullttaannttss 2. How tenis CassB or CassAfoamusedinresponsefofrcals? 2. How often is Class B or Class A foam used in response to fire calls? _Lomsmorres _ __,_l/'_ 0-25% of fires ___zs2s5o-5w0o%totfrfieress _____ 775s-i10000m%otoif frireess 33.. DDoosess tthhee DDeeppaarrttmmeenntthhaavvee aaccoommpprraesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa bitin built-in ttaannkkoonn isits eennggiinnee((ss))?? Yes ___ Yes Vo iv,C" No 4. Howofens foam usedn raining exercises? 4. How often is foam used in training exercises? Weekly Monty Quarterly ___ Weekly Monthly ___ Quarterly semimaly Away ema ___ Semi-Annually ___ Annually Bi-Annually _O_me_r(Opthleers(psleeassepespcetciyfy_): _---J-J--N'V_oo"---'W.JJ--E-"<_.{f _______________ 5. Howmuch foam i usedpr raining evert? 5. How much foam is used per training event? 0 Loss hanSgalons 0 5galens 0 sto 10gatos __[)"'-_' Less than 5 gallons _ __,Q<- 5 gallons _.C,c..2_ _ 5 to 10 gallons More than 10gallons (ease spect QO _ ___,0=- More than 10 gallons (please specify): -----\::f-------------- 6. Intraining, where does the spent foam Go? 6. In training, where does the spent foam go? _ SomSewr ___SataySewer __OnSteSepic Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Oer(poasedeserbey ~ ___ Other (please describe):----------~-----~-------------------~------------~----- 77.. WWinhfhaoerrrmoeatddiooooenssfi/odiriddcutthrhreeenttrtaaiainnniindnggpataaskkteeippnlaiaccneeg??aPPrlleeeaaasssee incu include aaddddrreessss,, iinntetrseerctsioenocortr loihtoheenr speci specific llooccaattiioonn information for current and past training areas. Xinogen Phone: 651.639.5540 S1e860Co.o4n47F173 TFak S5a8161395034S7E3wFnarudnaWlNinSaTnIsG.cUaSKm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00440044 SSTTAATTEE__0022882211336611 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. TWWohhsapatot nttysyppoee(a(ssn))daannnddrabbmrarinndag(s(n)foo2lffpffspooiaa)cmmabaalrr)ee?oorPrvlweeerarseee uucssheeedcknnooolwwnaaannldd 9iinnptth.hee asby tthe past by the Deparment, Department, boor t both for fire response and in training (if applicable)? Please check all that apply. TyTyppeeooffFFooaamm LCElass 8 Aqueous Fim- Class B Aqueous Film- CRCFelolsaarissmssstinaB8gntAAFll(cocAoaoRlmn:)looAir(-AFFFFF) CRiesssisstanPtro(AteRi)n-AFFF CCIClllaaa)ssssss 8B B Floroprtein Protein Fluoroprotein C(CFFillasPaoss)rssop8BroFFtiialmimn--FF(ooFrFmmFiPinn)gg Caspar Fluoroprotein (FFFP) CECCxllaapassassnssABia-oA8nRsHF-iFoFaFmP Cass A Expansion Foam TCrlaaisnsinAg Foam oer Training Foam Other BrBarannddooffFFooaamm mm---- ---- ss ;uL-yb- t gK -EK --- sedin Used in Tiining? Training? YYeess oorr NNoo Amount Amount Used Used AnAnnunaulalllyy CumentUsoor Current Use or HiHsitsotorriiccUUssee?? -- -------- ------ ---------- re eee as ---- -------- -- Np JSke a b 5 I 6---,~~-t ------ io"oTrTrmhhanosanrotidkodyiycnookinnuuignff@gooerryd@syoestoutlturaaartentteni.imvmi.eeccnoaaemno)nd) amoccrorooooJ)IpipmemurearhSStaaitttoiovooneccn.kk.ainnngPPgyelleeeraraaeaasssteettthcchooeeonnnMtMstaiaicfncmtontegeNNsasaaarontnitcaacnyygPPRRotolhollusuditnQioooinnnugaCCaeotdotnDnstDetrrelooolllitlaa.AACgCgoeeonnnnnsccsyuyull(gt(a6t6n5s5t1s1-2-((692657591-178---66669696767--605o661r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. adPPldleeraaesssees!re"oedtteuunmmvetlhtoiispsequ.qeusetsltninonnn;aoifrree ttoo Des De!t::o Constants Cons"!t"!nfc; hbyy MMa<xw 9 2008 2008 in thintehe eenncclloosseedd ssttaommppeedd,, sseellft- addressed envelope. - QQuueessttiioonnnnaairree Teaes ccoommpplleetteedd bbyy:: ads Chief NNaammee aanndd TTiitllee ch :e f - rFiredDDbeeppatarrmtameneptnteed --upliactecn sls 2 4-239 Phone umber Home Algu2t"255) Toe Date ERB[fLFA1l0doogi,fCsutngoeol0l DFiInI ef 8e Hfoo1lmn4a,d'L (en i Cd41._ E-Mail Address 4-260 XXIinnoog~g:enn.' ,, PPhhoonne:e: 651.629.91484005.4777411 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 891.639.9473 Suite 100 St. 651.639.9473 wonvodalinsn.com Paul, MN 55126 USA www.deltaenv.com 22222..00405 STSTAATTEE0_202882211336622 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. rDDeoofeissghyyioonuurgr DoDpeeeppraaartrttimmoenensnt?t curentlyor currently or hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly uusseedd lClasasAAosorrCClslaassss 8Bffooamasmffosor f i r e f ighting o --iJ__ Yesperati Yes -o - nPsr?oceed Proceed ttoo QQuueessttiioonn22 #_.!...._/v__ NNoo-- SSiiggnn tthhee bbaacckk oofftthhiiss ffoorrmm aanndd rreattuurrnn ttoo DDeellttaa CCoonnssuulltaannttss 22.. HHooww otoftnesn Clas8 is Class B oorr CClalssaAAfsfooaasmm uusseedd iinn rreesspopnosnesltoeo ffirrea ccaalllss?? --f.-- A o0-z2s5w%otoif vfireess _ ____ 2255-5500%%ofoffifeirse.s _____75751-01000%%ofoffrfireess 33.. DDoooess thhee DDeeppaarrttmmeenntt hhaavvee a ccoommpprersseesd aaiirffooaamm ssyysstteemm ((CCAAFFSS))wwiithh a buiin built-in ttaannkk oonn iitss oennggiinnee((ss))?? ___ vYeess No 4. Howoten i foam used in traning exercises? 4. How often is foam used in training exercises? Weeky Monty uae ___ Weekly ___ Monthly ___ Quarterly SembAmualy _X Amel IT ___ Semi-Annually I X' Annually ___ Bi-Annually over (poasospecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam i used pr raining event? 5. How much foam is used per training event? X_ Loss wanSgalons ___ Sgalons (J( Less than 5 gallons 5 gallon~ ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): ___ s5 two 1i00ggaalelonnss 66.. IInnttraaiinniinngg,, wwhheerree ddooeess the the spent spent foam foam go? go? ___ SSttoorrmm SSeewweerr __ __ SSaanniittaarryy SSeevweerr __ OOnnS-StitoesSeepptticc ~GAroGuronundd TT ___- overpessedesony Other (please describe}:--'---------------------- 77.. WiWnifhhoeerrrmeoatddiooooenssfl/odiriddcutthrhreeentirtanaiinninndggpaftasaktkeerppallnaaiccneeg?? aPlreleeaaasssee nincchluddae aadddirersos,sisnt,erisnecftirosnoeorcroottohhenrr spec specific llooccaattiioonn information for current and past training areas. Ty4 rrVtJAfi lRll.Ii ceS .--S.:s i & ;Rc f "' ,_f 9/ ,re - lkoga grfJpeeTl.l pet1d1 =:2>-- Kinogen- rane: 531.039.9$00557|e0s0 C3rSeTApTaA rtFoyk: S$U9T10T3OU34S53FnRndWeliSasSat.cUoSmK_ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00440066 SSTTAATTEE__0022882211336633 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training sponse an raining (apple? Please check al ha 3p. 88.. WWhhaatt ttyyppee((ss)) aanndd bbrraanndd((ss)) ooff ffooaamm aarree oorr wweerree uusseeddnnooww aanndd iinn tthhee ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, bbootthh ffoorr ffiirree response and in training (if applicable)? Please check all that apply. TypeofFoam Brandof Foam YTTUUroraasssiieenonddiirniniNgnng?o? AAAmUUmmossoueeuauddnlntyt CGHuiursrrrteoennntetUUssUeseeoosrr CGFlolaarssmTssiynB8gpeAAFqqoouufaeeFmaoouu(assFmFFFiiFlmm)-- Brand of Foam -------------- Yes or No Annually Historic Use? CCRFieolansrssmesstianB8ngtAAFll(occoRaohmhYooAll(-AFFFFFF) ClRaesssist8aPnrto(tAeRi)n-AFFF A -- Class Gass Class 8B B Foroprtein Protein Fluoroprotein _-- CFC(FlllPaiaoss)rsso8BprFFoitilmamn--F(FoForFmmFiPinn)gg cosseaRFFR Fluoroprotein (FFFP) CECCxallaapsssasssnsAABi-oABBnRHHF-iFoFaFmP mS -- ee Expansion Foam ClCalassss AA --A XS irgws Training Foam ey | ser ere me ter Training Foam ---- ee ee Other r?/_;JtA..., Tohrhaawrnoikdynyoionuugfo@ordroyyloosuurerntmivme.ecoaamnn)dd occraosJopipemerraSailtoiooncn.k.inPPgleleeraaassfeectcohoenntMtaaiccmtteNNsaoanlncacyyPRRoooldtdnoiinngnaCgaot DDneelclttaaAgCCeoonnncsysule(ta6nn3ts1s- 2((696575115--660699770--551155 2 2 fim siockinger@stote mus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if YouJim you ave any Questions regarding Ns questionnaire. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or PPlleeaassee rreettuurrnn tthiis squeqsutieosntnaiiorenttnooaDDeielrtlteaa Consutants by Consultants by Ma9y. Mav 9, 2008n 2008 in hethe enclosed enclosed stamped, stamped. ser: self- aaddddrreesssseeddeennvveellooppee.. - QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: g . e ae nd TT1rtlee al if e. _ FireCDIePpfaZr.F m~e;n,tl"-611o ) Fr o 0 esr 0e 0w 00 Fire Department Ph3one2N0umbe2r 97 Sve> ZBoe--2otf Phone Number Date E-Mail AEdaddreesss Xinogen PPhhoonne:e: 651.629.54455910 651.639.9449 1f 800.473.7411 Rice Creek Park 800.477.7411 Fok: way Fax: 451.639.9473 Suite 100 St. 651.639.9473 worndeliaanniom Paul, MN 55126 USA www.deltaenv.com 22222..00407 SSTTAATTEE__0022882211336644 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 1. Does your Derm conto has your Department srl sec laAsor iss 8 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for retohing opistons? 2 firefighting )<:' Yes- Proceed operations? Yes- Proceed ttoo QQuueessttioinon2 No Sigthn backof this form and return to Dela Consulants ___ No -Sign the back of this form and return to Delta Consultants 2. How oflenis GlaBsosr lass foam used in response of cals? 2. How often is Class B or Class A foam used in response to fire calls? oasares XC 255ot0th%es 75-10%offees ___ 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuililt-iinn ttaannkk onn iittss ennggiinnee((s)?? ves ___ Yes So to >o No 4. How ofenis oom usin airing exercises? 4. How often is foam used in training exercises? Wea ony ___ Weekly Monthly oun ___ Quarterly " ovegemespeaty ___ `SSeemmi-i-AAnnnnuaulallyly .....Y.X.'_-_-_-~_ AAnnnnuuaallllyy BBii--AAnnnnuuaallllyy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por aiing event? 5. How much foam is used per training event? X'_ LLeesssstthhaannS5ggaallloonnss _____ 55ggaalllloonnss ___ 551to0 1100 ggaalllloonnss. ___ MMoorree tthhaann1100ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): _________________ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? 3X Stom Sewer ___ Santary Somer onsteSepte se. Ground }(' Storm Sewer __ Sanitary Sewer _ _ On-Site Septic __..k;'_ Ground T rerlossodoseber ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - 7. Wihlo diocsctreevaiaringpaksvaacn?aPresas includ aks, erecta acer spec cation 7. Where does/did the training take place? Please include address, intersection or other specific location Alina giclee 22/02 information for current and past traini,l . , -~'i._ :ofL- r.J-t> /v -=-. IZ areas. 5 .c...u,,..e._cd-/ wt;rl/a~a~ d.Pov-d-f t112~ /L4e-. Gots Kod 30.5 Josston MM. rn EET TE ne 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00408 sStTaAreTE0_208282211336655 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg Weapteyet) 20aiora t) fonviern sheanod nth at bh Depart rf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Imsotfom astra Ji vaieat s AAmvouyr ei Type of Foam loss Asus Fi -- Class B Aqueous FilmTm ---- Forming Foam (AFFF) Gare ons: -- Class B AlcoholRL GaSe -- - --_-- Resistant (AR)-AFFF osoromn | -- Class B Protein Cases Futon -- Class B Fluoroprotein & _-- (FP) Goss imomg _ Class B Film-Forming fade - Fluoroprotein (FFFP) CCllaasssBsB AARR--FFFFFFPP Canon Class A-B Hi Cmte ------------ me me Expansion Foam Gon ChomCoracenf yes 2Sgele Strachos Class A Toren | me 0 ZT TTT Training Foam - - OtOhtheerr Brand of Foam _-- --- /'" I (' tf (__... h" '"'\ ..::.-r 0 l'r'){ -- _,.. ee Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? -------------------- Tricor urtm ond pet rss conc Nar odin De Corals 51.897162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 easto a Sebioa nanoon Polos Com por 0397308 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ploneetn ti aussttooDntsnCoansttanetsbyMex, 2088 nthe sno samc, Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. selfSomes addressed envelope. ---- Questionnaire completed by: Lines -~ -r .I>" ~ :. (~/ T.:o1:o...n...--)...) 6.rm.1:.o. m3...a.._ mnas "-'2.... s Er HageessCael Name and Title - f[bocs:5s-tboo~n-e~ FZA. )/2.~ hme Fire Department (CRped -- c r... "D',). I/ EF- .o A '-! <T ') .L , 7 (, T7 r,f Ci..nt.-v) F L a IL Sug I Phone Number ~ Bolrepilyposlen pagoDd)sisoon on E-Mail Address s5y,Iot.J . of Date Fires (Inogen Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00409 snare casas STATE_02821366 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Traininngg Firefighting Foam Use in Fire Traini 1. 1. DrDoeociesgsnyyioonuugrr DDpeeeprpaaarrttmomenensnt?t cstenty currently or hhaass youyour DDeeppaarrttmmeenntt torical historicallyuusseedd GassClass AAoorr ClssClass 8 ffooaammssffoorr f i r e f i-g7-h5fti:n,g--o perati NesoYes -o-sPnPisrgr?onoctceheeedebttadoockQQouufeesstthtiioisnof2n2orm and return t Dela Consultants ......__ _ No- Sign the back of this form and return to Delta Consultants 2. Howoten's Class Bor Cass foam used in respotnosfro cali? XK oasnotties 25.50% offres 75100% of res 2. How often is Class B or Class A foam used in response to fire calls? '(:, 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 3. Doss the Deparment aav compre essed a foam system (CAFS) witha butin ak ons angina)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? XL ves Yes Te ___ No 4. Mowaln's foam used n ain excises? 4. How often is foam used in training exercises? -- eawy Monty ___ Weekly Monthly SembAmusly Somat ___ Semi-Annually ___ Annually une ___ Quarterly XK se oruaty --+~"-'''- Bi-Annually ___ OOtthheerr ((pplleeaassee sspecp ify)e : c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam usedpor aning event? 5. How much foam is used per training event? CX Lesstmansgalons soars _ stotogalon X Less than 5 gallons 1 5 gallons _ _ _ 5 to 10 gallons More ha 10gators (ease sect _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaing wero docs the spot foam 0? 6. In training, where does the spent foam go? _ somsewer ___sataySewer __OnstoSepte 3 Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic --;t:..- Ground Orr (esse dscrbe) _ _ Other (please describe):----------------------- 7 Wher dost h alin ako place? lea nde adres, inesecton of ofhr spi locaton 7. Where does/did the training take place? Please include address, intersection or other specific location damation fof cent an pas aig reo. information for current and past training areas. Xinogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 _ Paul, MN 55126 USA www.deltaenv.com 22222..00441100 sStTaATTeE__0022882211336677 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WrWehhsaaptot nttyysppeee(o(ssn))daainnndabibrrarinndag(s(n)1oodaffpffpsoolaai)mmcaabarlreee?ooPrrlwweeaersreeecuushseeedcnknoaolwwl haanntdd piinltyth.he ppasatbbsyyttthhe DDeeppaarrttmmeenn,t, boboth frfor ffirree response and in training (if applicable)? Please check all that apply. Tupeof Foam Brandof Foam YTTUUerrasssaieenonddinrnigiMgnn??o AAAmUUmmosmsoeuueuadndnltty CCHiuusrrtreoenrntitcUUUssseeeoo?rr FGoCrrlaamssiTssnyBBgpeAAFqqoouuafeeFmooouu(assAmFFFiiPlmm)-- Brand of Foam ------------------------ Yes or No Annually Historic Use? ------------------------ CCFReolasrilsmsstinaBBagnAtAlFslc(ocaaoWnmhsyooAl(-AFFFFFF) ---------------------- ---------- ---------------- CRleassisstBaPnrt o(tAeRi)n-AFFF ei se = EE ICCCcillaaa)ssssss 8B B Fuoropeaein Protein Fluoroprotein _-- CCF(FlllaPaasso)ssopB8rFoFliilemm-F(FoForrFmmPiinn)gg CassBARFFP Fluoroprotein (FFFP) CCcBlallaaansssssssiAABo-aBAnRhHF-iFoFaFmP ~~ -------- Cassa Expansion Foam - TCrlaassnAg Foam a Training Foam oOtthheerr Thank fg00 youfor yourtime aHnad-Tzrec.ecoeooh'pvweeworoadotl(ioooCg:n?t."o'- 2neP.-3:tl:.eraos lcontact --Yes-- Sgal Nay Rodinga Dea Consua nt s -- (651-697-5152 ofToifrhmwansnrtookodcnynkoiingunggf@Georrd@lyseotltaauatreetnn.imv.eccooamumns)d))oocyrooioJipummerhSSaltvtioooecnck.akinnnPgygleeeqrauaasetesttthchieoeonnMMstiainrncnentgeeNassraoodnttiaacnygPPRhooollsudotniaoinnunegsCCatootonnnDtnoreaollrtlaeAA.gCgeeonnnccsyyul((ta66n55t11s--2(26985771--8-5666966768-o5oxr152 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped. self- sdcressod enveiope: addressed envelope. Questionnaire completed by: Questionnaire completed by: Nabbmer/eeavnadtk\T-ie vMni;l\l\ ee_rc Name and Title Fee Ciel _FPireua.D.n.e/'puta.1r1ma.e-n6it,, nlA. Fre Fire Department PhoSneoN7um-b2eree- 4933 Phone Number Deb SSDo--e55--00%~ Date eas E-Mail Address Ninoger re een 2 A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..041111 STSTAATTEE0_202882211336688 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DfDrooosfeissghyyioonguurr DoDpeeeppraaartrttimmoenensnt?t ccuurrrreennttllyy oorr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriiccaallllyy uusseedd CCllasas AsAosorr CCllaassss8B ffooaammss ffoorr XC firefightiry X es - Procosdto operations? Yes- Proceed to QQuueessttioino2n2 ___ NNoo - SSiiggnn tthhee bbaacckk ooff tthhiiss ffoorrmm aanndd rreottuurnn ttoo DDaetltaa CCoonnssuullttaannttss _L_ 2. 2. HHoowwoofftteenn is is Cialassss B or B or Class Class Afoam A foam used used in in rreessppoonnsseettoo frfire cals? calls? X_ oases 0-25% of fires 2255.-5500%%ooff firreess ___ 775-150-0%1ooff0rfiro%ess YNo 3.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprpreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiilthh abitin a built-in ttaannkk oonniitss negnigninee((ss))?? 3 YYeess a 4. 4. How often How often is is ffooaamm uusseedd iinn rang training eexxeerrcciisseess?? Never Weaidy Monin Custer ___ NSeevmeir-Annual ___ WeekAlynnuaulalllyy BiAnnualy Monthly ___ Quarterly ___ Bi-Annually ___ Semi-Annually ___ Ann -XX_-_A-- OOtthheerr ((plleeaassee ssppoecciitfyyy): _LLhJM +-"'a."=..a :JJ+|--6ft~v __.h_l_e-t~rae ~~-y--e""QrL._'f~~~r.__i___._E'f.!...._T_.-:..h~---=a..:...r:~:..:..!.f-1__ 5. How much foamisused pr raining event? 5. How much foam is used per training event? _XX__ lLeesssstthhaannS5ggaallloonnss ____ S5ggaalllloonnss _ _ _S5ttoo 1100gaglaollnosn.s More than 10 gallons (ease speci) ___ More than 10 gallons (please specify): _________________ X 66.. IInnttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm 6g0o7? ___ SSttoorrmm SSoemweerr ____ _SSanaintitaarryySSeewweerr __ Oonns-StiteesSeeppstiec _X_cGrorouunndd _ _ _ Other(pease Other (please descrio) des c r i b e ) : - - - - - - - - ---- - - - - - - - - - - - - - - - 77.. WiVnifhhoeerrrmeeatddiooosenssfioiddiidacutthrhreenrtrtaaiainnniindnggpttaaaskkeeappliiaaccgee??aPPrlleeeaaasssee iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonnoorrooltheerr ssppeeccififiicc llooccaattiioonn we information for W'e curtHreoon--tevaend paNNsteteravvineeinrgrareasu\...st$eedd Foam [4 Te i fut Years. So I Cowd mek tteelrlr Ven tied Ihe Lesh 7ihe we Thesned worn [f r /' .1 r _ Xinogen OOVVEERR----+ hone: 651.63S9.T510R60e85e0.C13r7e4p11 yFok: E49E3 635.03473 S mdFaanstiIWtW aSTsInS csUoS.Am 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00441122 SSTTAATTEE__0022882211336699 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 What types) and brand)offoam a or were usednow and i th past by tha Dapartnart, both or fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire esponse ani amin (fapmicate)? Pease checkal nt 9p response and in training (if applicable)? Please check all that apply. TUrsaendnign? AmUsoeudnt Curenty Historically Tlyp~eeooff FFooaamm Cl8aAqsueosus Class B Aqueous Fiamma -- Film-Forming Foam Fry (AFFF) Cl8aAcsotesl- Class B Alcoholseni, Resistant (AR)= AFFF CassBPOON Class B Protein Casson Class B Fonopolfopn) | ------------ ---- ---- ---- ---- Fluoroprotein (FP) Gla8sFism Class B FilmForming Forming Fugen ~~ ---- ---- ---- ---- Fluoroprotein (Fe (FFFP) casoaRFER Class B AR-FFFP Class AH Class A-B Hi Expmnton Foam ee Cass A Expansion Foam Class A TamngFom o_o Training Foam oer = Other BrBarannddooffFFooaamm An&~gv.jes Used in Training? YYeessoorrNNoo Amount Used AAnnnnuuaallllly Currently UUsseedd?? Historically Usseedd?? N~OD K/(1Wat oT 7 I Thankyufor your me and cooperation. Plea contact Nancy Roding of Dla Constants (851-607-6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or odno@tsemycom) orm Siockingor a ho Minnesota POluLOn Conral Agen (651-497-6696 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i siockinger@siate mus) You hav anyCUGSUonS rarding hs GuestioTnars. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Fioaserat his questior nafio velels Consisnts byJune 6, 2008 in the enclosed stamped self: Please return ihis questionnaire to DeliC:J ConstJJ'tants by June 6 2008 in the enclosed stamped% self- `adddrressedeennvveelloppee,. Questionnarecompletedby Questionnaire completed by: NCauamnnToie GE Fre Cues Nams~eraynedeTeitlcefof/o+1l- FiFriree DDeeppaarrttmmeenntt " 20-836 2Y// Phone thumber Ge Phone Number freefort Pd alpanytel. com EtatAddress : E-Mail Address 5Frog Date inogers 74s is Tre 2% Tike I Flies Ths ou 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ron esr ean An Re TSE TE ELE) An de Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.004413 STSTAATTEE0_208282211337700 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Does yur Deparment careno has your Darien isrcaly sea Gass A or Gis 8 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for eratingapeatons? firefighting operations? SC Yea proocQeuesteiond2 X Yes- Proceed to Question 2 7 No- Sign the back ofthis form an rettouertna Corsutants ___ No - Sign the back of this form and return to Delta Consultants 2 owolen' Gass 5. las A foam usdin spor 0 call? 2. How often is Class B or Class A foam used in response to fire calls? casmoties a ___ 0-25% of fires 2(::: 25-50% of fires ' _ _ _ 75-1 00% of fires 5 Docs he prime hava compress ai foam syste (CAFS) wih abi ark on 6 gine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Sc vveos ___ Yes 4. Howafenis foam used in ong crersss? 4. How often is foam used in training exercises? Weeks Veni Quarry ___ Weekly SC Semvarmuaty Aomaty aly ,. X Semi-Annually Monthly ___ Annually ___ Quarterly Bi-Annually TT ovripemsespecty SE ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 Hows oxi uedpo sing vent? 5. How much foam is used per training event? 3 Les tansgalons salons _ swtoguns X Less than 5 gallons 5 gallons I -- _ _ _ More than 10 gallons (please specify): _ _ _ 5 to 10 gallons ontario,where dos thespent cam 07 Storm Sewer _Santary Sewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer __ oOnns-StieteSSeeppttiec round Over esse desoer Other (please d~scribe): -------------~----,-----,------- 17 Where docs he rain ok lace? Plas ince adress, intrsaction ahr speci ocsion 7. Where does/did the training take place? Please include address, intersection or other specific location tomaotctaoeanndpo ang rcs. l!/Kb information for current and past training areas. pnHWS ZiDE Like,AN 5ST J TI lw E LAKE CCOoAmAmtil/,si!rz-yrt CCEEMAE/IllR:;.X Kinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00414 sStTaAreTEo_z0s228211337711 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. WrWehhsaaptot nttyysppeee(a(ssn))daannddabbrrraannidl(ss())1oosffpffopoaacmmaaearyree?ooPrrwlweeearrseeeuuhsseeecdknnooalwwhaaenntdd aiinpthyhe.e ppaasstt bbyytthhee DDeeppaarrttmmeenn,t, bbootthh arfor ffirree response and in training (if applicable)? Please check all that apply. Tvpe ofFoam CCFlolaarssmsTsiynBpgAeAFqqoouuafeemFooouu(assAmFFFiiFlmm)-CRCFleolaasrssmisstianBngAtAlFl(ocoVoanRmhaPoA.l(-AFFFFFF) Class 8 Protein Resistant (AR)-AFFF Class B Protein CCIlla)assss 8B FFlluoorroopprrootteeiinn C(CFFlilaPasss)rssop8BFrFtieilmimn-FF(ooFrrmFmiFinn)gg CassBaRFER Fluoroprotein (FFFP) CCCEllloaaasssmsssdAABo-BABnRFHH-ioiFaFFnP Expansion Foam Brand of Foam Brand of Foam YTTUUreraasssiieenonddiirniniNgnngo?? Yes or No AAAnmUUmnossoeuueudndantlt Annually CCAuulrsrretenonrtteUUssUeesoeo?rr Historic Use? ---------------------- -------- ---------- ---------- ~~ - EET TT ~~ ---------- ---------- -- LeFs cinen nwa Ves "FHI por Traning Class A Training FFooaamm ------ -- oOmtheerr c---- | -------- TioTorrmhaamnrsnroiotkdodryycniooiinnuungggof@ @eordrrd@oyyeslootluatuoarerteniteniymmv.ne.eccuooaasmmnn)d)d) ooccroroyoioJopipemmrearhSStaatittoioovoncecn.kk.iainnnPPggyleleeerGraaeiassstteehthhccoeeoonnnMMtstiaaimcrnctnentgoeNNassaraoondtnticaacnyygPPRRoioloolsluudditniQiooinennngsgtCCaaoototrmnDDrnteoraelolrlttlaeaAA.CCggoeoonnnnscsyyuula((ta6n6n53tt11ss--2(2(6969575711--8--6660696967760--oo55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please Please retum return tisthis questionntoaDielrtea questionnaire to Delta ConsultbyaMnatys9, Consultants by Mav 9. 2008 2008 In in the the nclosed enclosed stamped, stamped, sel: self- aaddddrreesssseeddeennvveellooppee.. - QQuueesstitioonnnnaaiirree ccoommpplleetteedd bbyy.: f' Fama ana THe fe~r{le:in!( rL-e.~se?cL:nIIAaKn Name and Title FiFire DDeeppaarrtmmeenntt PPhhoonnee NNuummbbeerr Evan E-Mail AAdddrreessss TOWN UF FREE UFp of Ex S Xf 25H Fog To Y-R-08 Date hLer::e.-s'5"c91y/1s-Kr D (i" CIt/N 'lftBi~#I'l1N/cfTT; LLtLnk Kinoger rane: 651.639.0085 |R8e00.C4r3e3eS4P11 yFok: TSOLe61T9 0S47) mSS SEaUE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00415 STSTAATTEE0_202882211337722 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 41.. rDDtooegesshiyyoonuugrroDDpeeappraaarrittommneensnt?tccuurrrreennttlyy oorr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AAoorr CCllaassss B ffooaammss ffoorr firefig X_hting opYereast.iopns?rotocQueestiosn2 ){ No- Sign thebackofthis form Yes- Proceed to Question 2 -Sign the back of this form aanndd rreettuurnm ttoo DDeelltaa CCoonnssuullttaannttss ___ No 22.. HHoowwofoefnteins is CCllaassss BBoorr CClalssaAAfsfooaasmm uusseedd iinn rreessppoonnsseettooffirree calls? calls? _ _ _o20s-2n5o%loififieress ___ 2255.-5500%%ooff resfires _,XX__..,.__7755-110000%0ooffffrireess 33.. DDoosess hethe DDeeppaarrtmmeenntt hhaavvee aaccoommprperesssseedd akair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bbuuiiltt-iinn ttaannkk ons on its eennggiinnee((ss)?? ves ___ Yes FEX No 4. Howoften s foam used in raining exercises? 4. How often is foam used in training exercises? Weekly Monthy Quariety ___ Weekly ___ Monthly ___ Quarterly T Sominnuaty Analy SiAnnualy ___ Semi-Annually ___ Annually ___ Bi-Annually &_ oer easespect __ pox _Veay _ oFrea -~.:....___ Other (please specify): ----+-M:..:o<-T'---~:...t_;t.___._y__..:::O:...F:....:..r-=-t.::.._ .# __________ 55.. HHooww mmuucchh ffooaamm I usdpr is used per trraaiinniinnggeevveenntt?? _-~X"'t--e--ssLetsus nthsanga5 lgaollnonss ___ S5ggaallloonnss ___ swings 5 to 10 gallons ___ MMoorree tthhaann 1100ggaalllloonnss((pplleeaassee ssppeeccififyy)):: __________________ 6. 6. Intaning, In training, where where does does tthhee ssppeenntt ffooaamm 07go? Storm ___ Storm SSeewweerr ____ _SSanatnaitrayry SSeewweerr __ OOnns-SiieteSSeeppitcic _c..JKX_L_ .!...__ OOtthheerr ((pplleeaassee ddeessccrriibvee)): __ RRe.mo~ve..~s P ~od GroGuronudnd 7. 7. WWinhfheoerrrmeeatddiooocenssfi/oddriddcuthhreerertnraaiainnniidnnggpattasaktkeeralpilaanccieneg??aPPrlleeeaaasssee iinncclluuddee aaddrderessss,, iinnteerrsseocctiioonn oor tohtheerr speci specific llooccaattioonn information for current and past training areas. 3"%3oo 1 7 1 '!" fA.en Fabry me sc1z Kinogen ST Cr Perey SUT 160 SC PRT e WH SSIe E USK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene: 631.639.5405 900.033 411 Fak: $91 619453mandsltasnu. am Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00416 SSTTAATTEE__0022882211337733 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88. WWohthapatotnttsyyppeee(ns(s)i)aannncdabbrramnadg(ns)cooaf(fpffoos9oaKm)maHaar0reYooPrrowwaeesrreo uucssheecdcknnooalww raanntdd Siinnptnh:ie past past by by hethe Dapatmat, Department, bofotr rhe both for fire response and in training (if applicable)? Please check all that apply. Cisse Aqueous Fim- TyTpypeeooff Foaamm BrBarannddooffFFooaamm CFFoolarrsmmsiinnBggAFFqoouaaemmou((AsAFFFFFilFFm))- ---- TUnsendginr Used in Training? YYeessoorrNNoo. AmUoseudnt Amount Used AnAnnunaulalllyy -- CumentUseor Current Use or HistorHiistcoric UUssee?? ClCalassss 8BAAllccoohhooll- RReessiissttaanntt ((AARR))--AAFFFFFF Cossepoon Class B Protein Class 8 Fuoprotein Class B Fluoroprotein # --_-- (FP) Clos 8 Fam Forming Class B Film-Forming Fuoroprotsn (FFP) Fluoroprotein (FFFP) CossArF Class B AR-FFFP Class ABH: Class A-B Hi Expansion Foam a aa Class A Expansion Foam Class A Training Foam a Training Foam oer Oo Other IM AusaeSievee e V.ts H = Hesipsoonnsse No Cupsser Thank youfor your tn anc cooporaton. Please contac Nancy RodrofDiotga Consuants (651.607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodnng@dataanycom)orm Stockinger ot he Minosots Polio Convo Agency (851-20 865o6 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or TmatockngerGator us) You hava ary doestans regedng i Questomnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Piesan ron tis quostionsatio Dott Corsultnts by oz0 2008 1 the enclosed stamped, ssl P!c:~s~ return this q:.:estion:1a!re to Delta Consult;:;nts bjj 1'/!;:;y 9, 20!18 in tf:e enclosed sta:r:pedt self- adadrderesssseeddeennvveellope.. P-- Questionnaire completed by: Souv Dene Fine Quine ~0 '~ !J Var ana To Name and Title )"!> (\ (.,. ,F;a.i1s'ceLety Feo Dopariment Fire Department 763-572. 2610 7(t,3- 5;7).. 1&10 Phos umber Phone Number Evian Adb aob~sa~s~-i~(e1.. cc;i.Q~e,-c:dJl/e!yy E-Mail Address mooao..tu-1s~ TaeDate sShberliooyY . XXiInnooggef:nn' .~~ Prone: Phone: 651.620.9408 800 433 5411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: S01.6159431 Suite 100 St. 651.639.9473 MmckobAlLAASA Paul, MN 55126 USA www deltaenv.com 222222.004417 stSaTtAeTE_0022882211337744 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. rDDtoosoessniyyoonuugrrDoDepepeparararmitmoennestn?t urenty currently o has or has youyour Deparment Department starkly historically usused ClAaorslasss Class A or Class foams B foams for for firefighting V opYeerast.ionPs?rotcoQeuesetiodn 2 NYoes-S-iPgrnocteheedbtoaQoucfetsiktisonf2orm and rturn to Datta Consultants ___ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwooftfteenn iiss CCllaassss Bor Cis B or Class A foamused A foam used nrsponse in response ofr calls? to fire calls? Vv oasotines Zsovottns . ___ 7s100%orfres 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 53.. DosDoes tthhee DDeeppaarritmmoenntt Hhaavvee aa ccoommpprreessssead irair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bu built-inttaannkkoonn sits eennggiinnee(ss))?? V ve NoYes ___ No 4 Howostn is foam usedin rang oxorcises? 4. How often is foam used in training exercises? wea ony J. ___ Weekly Semidaly poral Vania ___ Semi-Annually Monthly ___ Annually ___ Quarterly t/' Bi-Annually Oth leasespecty): Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. How much foam s used or rang ovr? How much foam is used per training event? VVoss Lesstthhaann's5 ggaalllloonnss 55ggaatlolornss ___ 51010gaons 5 to 10 gallons MMoorree tthhaann1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): _-_- __-_- - - - - - - - - - - - - - 5. Inrining wher doos th spent foam go? 6. In Storm Sewer training, where does the _ _ _ Storm Sewer SanitarySewer spent foam go? _ _ Sanitary Sewer __ oOnns-StiteesSeeppiticc V__ Garroouunndd hr lease deste) - ___ Other (please describe):----------------------- 7. rWohremraetdonofoorcuttherraainnidngpotskte apinscge?alreeaasse nude adress, erst o thr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location informatiog:nJrVfo'aLr\vVceuel.r\renfpt~iatnt-d past training areas. MoskFxvse oF Foam 35 on cor cccdat fore Ninogen- XInogfn" ,'" none: 651.629.9005 1 800.473 TATE Fok: GE039043) Mama 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00418 stSaTtAeTE0_202882211337755 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. What type(s) and bancofefoa)m re a wr sed nowand nthe pas by he Department, bho fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tokponss and in vam (1pPIGaSoT loose chock al at apy response and in training (if applicable)? Please check all that apply. Tiesof Foam T~~e of Foam CloAquseoues Fi Class B Aqueous FilmFemi Fom eR) Forming Foam (AFFF) BrandofFoam Brand of Foam Usedin Used in Tanngs Training? Tore Yes or No Amount Amount Used.Used Amal Annual!~ GsuireonntUesesosr Current Use or Historic Use? CCllaasssBsB AAllccoohholo-l- J4t. RReessiissttaanntt ((AARR))-}AAFFFFFF CosbPoen Class B Protein Glass B Furoproten Class B Fluoroprotein I) _--_-- (FP) Class Fim-oming Class B Film-Forming Fuaoprotan (FFFP) -- Fluoroprotein (FFFP) ceseareer Class B AR-FFFP Cass ABH Class A-B Hi Evanson Foam Class A Expansion Foam -Class A TonogPom 7 Training Foam omer - Other AA n5s: iili/khe, A Cc 2 SSllvi-l~x v~c~ ex /MJoo <S5a_al~ LC.uJrrr-fa'n~+ I Yy_fe2J s SSl'-{0a~"-g{ Q~u(e"r(e"~st Thankyofur yur time and caapsaton lose coriac Nancy Rin a Dela Corsi (6516975152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ar rodnnaGokaamcom) or om Sackinr ath Miele Pour Corel Agere (34-307 3698 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or SangoGites) 14 hove an Goesons regarding i octonnate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please sour this avestonnaieto Delt Gonsulants by Moy,008 inthe enclose stamped, self: Please return this questionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamped. self- `addddrressedeennvveellope.. Questomare compte by Questionnaire completed by: SSh~.a.wvn~ E~+tt.i-c..i/,lJ,y.ee_) SS..ee_ce_r_~eehh~at,r..jy DLe Gack) NNaammee aanndd TTiittllee G-~v-f.\'Q..-\b F~-i--r..:e(_ DepaCcl.k<'mtVeV'n~tt- Fro Deparment F3ire~2D0e0pa--r-tm3ze8~ntv3--22222z33 Ap lRAME eferbe Phone Number Bh 05/27/08 Date Be E-Mail Address Kinogen PPhhoonne:e: 651.639.910$040.593 1911Fo: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 631.635.9473 Suite 100 St. 651.639.9473 was asliasnr.com Paul, MN 55126 USA www.deltaenv.com 22222..00419 sStTaAreTE0_208282211337766 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . fDDroooseissghyyioounurgr oDDpeeeppraasrritmmoenensnt?t curtenty currently of or has.has your your Department Department istaricaly historically used used Class Class A A oor CaBsamss Class B foams for for 2X Yes Protco Queesteiodn firefighting operations? )( Yes- Proceed to Question 2 ___ NNoo- - SSiiggnn tthheebbaacckkooff tthhiiss ffoorrmm aanndd stun return oto Dota Delta Consultants Consultants 2. How often ClasB or Glas Afoam used i respons fo fr cals? 2. How often is Class B or Class A foam used in response to fire calls? 025% of res X_zssonatres 75:100% of res ___ 0-25% of fires X 25-50% of fires ___ 75-100% of fires 3. Dos tno Deparment have compressed i foam system (CAFS) with abun takons angino(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes we ___ No 4 Howoten s foam used in ining exercises? 4. How often is foam used in training exercises? -- Newr Wooky monty _ ouneny ___ Never ___ Weekly ___ Monthly ___ Quarterly -- semiamualy _X_ Annual J -- ___ Semi-Annually 'X, Annually ___ Bi-Annually EE -- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmush foamis used por varing ove? 5. XC Less than'gallons How much foam is used per training 'X Less than 5 gallons event? 55ggaalllloonnss swi0glons ___ 5 to 10 gallons TT Mor0gatoors teasaespencthy More than 10 gallons (please specify): __________________ 6. Intraiing wher docs the spent foam go? 6. In training, where does the spent foam go? SomSewer ___ Santary Sewer onsteseic XXC Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over pessecescibey TT ___ Other (please describe):----------------------- 7. iWhnorfeodomeasoirtocienoenntreiannidngpaektavaacen? rPeiaasse includ adress, nersectonf oter spec locaton 7. Where does/did tile training take place? Please mclude address, intersection or other specific location information for current and past training areas. Xinogen OOVVEERR--~ hone: 651.625.9T 505 I#50 E473 54T11 rFak $91 6119.04S31 WTmmcsbaelivaitenama 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone; 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00442200 STSATTAETE0_208282211337777 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What ys) an brands) foam are were used now nc nth past he Darien, bho fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse an nano plese Posse check all ht Sp. response and in training (if applicable)? Please check all that apply. TUosnoidntgn? AUmsoeudnt Curent Historically TTyy(p;!eeooffFFooaamm Clas 8 Aquacus . Class B Aqueous Pimfommgfon ee ee __ Film-Forming Foam ((AAFFFFFF)) Glass 8 cohol . Rossen, Class B AlcoholResistant (AR)pa AFFF CossbPoen o_o Class B Protein Css Class B Peony ------------ ---- ---- -- -- Fluoroprotein (FP) Cl8aFism- Class B FilmForm Forming Fugogen | ---- ---- ---- ---- Fluoroprotein Fo (FFFP) CmsaRFE Class B AR-FFFP Class ABH Class A-B Hi Tron | Tome mmm mm em ---- Expansion Foam Clas A Ba12/g.7- ds xs [pw XA Class A Tango oC TT TO Training Foam over _ -- -- -- = Other BrBarannddooffFFooaamm Ccih~etmmGcQuuaderdL t}_ r/5 Used in YYTeerassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy Used? Currently Used? Used? Historically Used? #_A0/tl - -- - - - L.t'5_ /p!_ X Thank yofo your ti an cooperation. Peas contact Nancy Rodin st Dla Consular (E51.697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or vod danaer caomi)n locking the Minnesot Polo Contl Adeny (831-507-800of8 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ccna) av ary Guess ed is utorrte, jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plesss stun is guestonnioDoll GonsultuibsrJune 6,208 a the enclosed siampes sl. Piease ;t:turn l.ili::> quesiior;naire- to Delta Con:;ull'al,t~ by .Junti: 5. 20GB fn the enclos~~d st;.zmpt::d, selfsmn addressed envelope. Questonnae conpletedty: Questionnaire completed by: - /'-.eq-'7 ,XM/15 Logppsuiecchd erors Name and Title t:d'e cheC A G /~Pr f2 ?/ / FrcBetrinon Fire De[?artment 1:1/-e__ ,LZtj/2L -507- ~ S15 GULLIT geRfey Phone Number e f_8i6r/'e< @ ~pyuc;ytc'.l.e,/s' W wa4vteY,t',p.4i/ecr/- Etal Address E-Mail Address 1 R42, Ninogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene: G30 3Ven ST ToL DELS 0S me Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..042211 sStTaAreTE0_208228211337788 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 11.. eDDloooeshsiyynooguurr DDoepeeppraaarrttmmoerensnt?t cstcurrentl ory or hhaass yyoouurr Depart Department istrict historically uusseedd lasClassAAoorr CCllaassss B ffooaammss orfor Ree firefigh~:x rocoto operations? ceston YNoe.s-SPigroncteheodbtoaQoucfetsiktiosnf2orm and return t Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. HowoftenisClass B or Class Afoam usedinresponseto recal? 2. How often is Class B or Class A foam used in response to fire calls? __XX____ o0-z2s5s%otoif frireess 2550 25-50% 0otf resfires ___ 7755--110000%% ooff resfires 5. Doss the Department have compressed i oa syst (CAFS) with a uti tank os engine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? X ve Aw ___ Yes No 4. Howoftn's foam used in raining oercises? 4. How often is foam used in training exercises? week mony _X_auarery ___ Weekly Monthly ___k__ Quarterly Semi Amaty saraty SrAmualy ___ Semi-Annually Annually ___ Bi-Annually One ease speci ___ Other (please specify): ________________________ tounge mts' 5. How ~9h foam is used per training event? Less than sgators Sgatons _,_?\-'--- Less than 5 gallons 5 gallons [---- ___ More than 10 gallons (please specify): ___ 551to01100 ggaallloonnss _ 6. niwhen edoesg thespen, tfoam gc? 6. In training, where does the spent foam go? _ Stomawer ___Santary Sewer onstosepic _X Groune ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic )(' Ground "Over peacsosee _ _ _ Other (please describe): -----~--------,---------c----- Direction 5 ne wo Ts; in, 7. Ver dos he aio sk ce" Pens nce aes, trsecton es pc ten 7. Where does/did the training take place? Please include address, intersection or other specific location fcemor cteintoann pat raging areas ! 7, 2 35h SE I information for current and past training areas. ff Jhirfe~f,;t, tJ-f lilJtve, )/,W, cf- .S-t: MJ1,~ City propoty 500 Black oF Main Shree? Uks7" HXwImnoogg~epn:e ""' rane: e51.630.95S85T 440 C05r3eATaFOL EFETAE1304033 0MS aPelSmio 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00422 stSaTtAeTE0_202882211337799 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wrheastpotnypse(as)danndvbraainnds()1 pfoiamcaar Pwleorneucshoccrkoaw tanad ipn h.e past by ihe Deparment, boi or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Dmsotrem Bndof Foam YToUarsmoeirdnfigln?e AAmUmosauednlt CsuimseinontiUUsseeo?r Type of Foam Clas 8Aqueous Fi Class 8 Aqueous FilmForFmoaim(FnFPg)| | Forming Foam (AFFF) Cl8aAosnso Class 8 AlcoholResin (RoAFFF Resistant (AR)-AFFF casopown Class 8 Protein Cis B Furoprotein Class 8 Fluoroprotein #5 _--_-- (FP) Cl8Faim Fsormsing Class 8 Film-Forming or i -- Fluoroprotein (FFFP) cmssparsE Class 8 AR-FFFP Class Hi Class A-8 Hi ~ Tring Foam EA n . ESxopaonnsiogn Ffooaamm Brand of Foam Sily=~e, Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Yes SWgal, I _5;:r:>--1.-;0os(/1l?.. ,, / Training Foam Over - Other Thank youor your ms nd operation Pleas contact Nancy Roding at Dota Consuans (651-667-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or ouhngdalsemy cam) or Jn SloCG: at Mimessts Pluto Conve Agency (551-497.56o88r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i Sockingr@tate 2) 70 hve an Guesons raring ts questonnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rou this questonnaitso Dt Consultants byMay, 2008 the enclosed stamped, sll: Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. self- addressed envelope. Questionnaire completedby: NGameoydra1L6ictseh / J, Fire / L( r/r~ Chief s FGoxene evapFia re r Lyon ate,a? Fire Department PhonSeONu7mb-er254-Y759 Phone Number _Egnqbgta:Aer,.nkfsichj,@ f{;r,o);ne.t,/r;n'eerrenne-eti nneet-f E-1\fail Address . Da.t3sS--55--0o8? Date Kinogerr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.de!taenv com 22222..00423 sSTTaAeT_E0_206282211338800 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg ----X- veo ProtovGueestoion2 1. 1. frDDooosteshs iyynoougurr DDpoeeppraasrriotmmneesnn?tt curt currently oor has has your your Department Department istorcaty historically used used Clas Class Aor A or Class Class B foams foams orfor firefighting operations? No. Sign thebackofthis form and atu to Delta Consultants Yes - Proceed to Question 2 _ _ _ No -Sign the back of this form and return to Delta Consultants 2. 2. How How oftn's often is lassB Class B oor ClAafsoasm Class A foam used used in in respons response ore to fire ccoalllss?? ---+- __ ___ oaswattes 0-25% of fires J assoiattres 75:0of0fr%e 25-50% of fires ___ 75-100% of fires 3. Does the Dopatmont havo compressed i foam system (CAFS) wih a buntak on 5 oninis)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ----,-- Yes ----4-X noNo 4. Howitftoameusned nraiing oxercises? 4. How often is foam used in training exercises? Never Weokly ory Quarry ___ Never ___ Weekly ___ Monthly ___ Quarterly ZX semiemialy_ Aoaty -- bAmualy )( Semi-Annually ___ Annually ___ Bi-Annually ___ OOtthheerr ((pplleeaasseess pecp tfye : c i f y } : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam s used por raining overt? 5. -- tesstonSomons How much foam is used per training _ _ _ Less than 5 gallons _X_ event? ,&;' s5 ggaatlloonnss sw10gaans ___ 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecictiyfy):): _______ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthheessppeenntt ffooaamm ggoo?? SomSowr ___SanitaySower ___onSteSeptc XY Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ----4...-Ground Oh lease deserve) -- ___ Other (please describe):----------------------- ;z:: ::: >: .:~'tFf#:JJ;::;Ej} ~ 77.. WiWnhhfooermreae.tiddooones'siidiiddchtuheetrteraaainininngptaaaktkeevipiacacene??ePPilaeaasssee iinncclluuddee adres, address, innteerrsescteiocnotoroiotothhenerr specie specific ocaion location Le information for sie current and io Speci. past training are_aJ , oisnn in s , re " oval tfP b7 f i FEt E z OT" NKinogen: O OV VEERR--~ ST Fee re pS Toy SC pa SE _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 631.0351.35005ST5S ATL Take SOL Matsaan Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.dettaenv.com 22222..00424 STSTAATTEE0_208228211338811 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 5. Wht 0(0) an band)of oa rc were us ria an he astby te Darien, ohfor ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response amin vain 1 appa less hecho ot apy response and in training (if applicable)? Please check all that apply. TUusnidnign? AmVoeuent Curent Hisaricay TyT~p~eeooffFFooaamm Gloss B Aquos Class B Aqueous Amato te Film-Forming Foam ey (AFFF) iBsAosno Class B AlcoholReena, Ne Resistant (AR)p=AFFF cwspraon MAeo Class B Protein Css Pa Class B Floren) A --_-------- Fluoroprotein (FP) Close Fim Class B FilmEom ;Jo Forming Fluoroprotein ree A coserere (FFFP) Class B AR-FFFP class AB1 Do Class A-B Hi Expansion foam ry Expansion Foam css Fes 3050 SANESpme TraingFoam Class A Training Foam Over -- 1t= -_ = Other `BBrraannddooff FFooaamm Yrs Used in Training? YYeessoorr NNoo /Jo Amount Used AAnnnnuuaallll~y Currently UUsseedd?? Historically UUsseedd?? No Ma Jlg_ Le ~ ELA YA-AtC"'We Thankyoufor your ine and copra, Please coro Nay RorainDelgls Constants (551.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orgdataan com) o in Sosingor ho Minnesota Palio Conl four (837597.3580o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i Socknge tsa 2) Jou hove any aoe on regain i snare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please tum his stintsfo Des Consulants by June 6.2000 he anclossd stamped, set: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped. self- adaddrderesssseeddeennvveellope.. Questomma:rocompdedbpy: :~ '11ti . -- :~ NNaammeea~nidtTlitele FFiirree DDeepaarrttmmeentn.t . - - FransRSimO' 3Y~ G2If SSe=27-08 Phone Number Date c@ Ervaam ga;);b' by lhoota -f,c 'n@l my cJ'Ie !'qr UJQs ir e coc c? iave E-Mail Addr Kinogen: PPrhoonne:e: 66515.163.56.534495 . 1 5910 9449 I 800.344117Fa7k: Rice Creek Parkway 800.477.7411 Fax: 51 35ma.sk.9dal4ian7nu.t3on Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00425 sStTaArTeE__o0z2s82211336822 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DDfrooeeefssghyyioonuugrr DDopeeeppraaarrttmimoenensnt?t cureonrhtays currently or has your your Department Department historically historically used used Clas AoGass Class A or Class B B foams foams for for firefighting operations? _XX__ YYeess No. -- PPrroocceeeeddttooQQueusetsitioonn 22 Sign the back of this form and rettouDerltna Consultants No- Sign the back of this form and return to Delta Consultants 22.. HHoowwofotfteenn'iss GCalassss BBoorrCClalssAAaffoosaamm uusseed iinn rreessppoonnssee ofr to fire ccaalllss?? _)X(_ ommotes 0-25% of fires ___s8Ghoifes ___ 25-50% of fires __ ___ 7T5o-t1o0o0t%ototf fiireess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavve eaa ccoommpprreesssseedd siair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a a bbuuiiltt-iinn tank tank on on isits angine(s)? engine(s)? ve XXow ----,-Yes No 4. How often foam used in raining exercises? 4. How often is foam used in training exercises? Weoky Monty J ___ Weekly SemkAnnually X_ noruaty ema ___ Semi-Annually ___ Monthly X Annually ___ Quarterly Bi-Annually overgleasespectyy Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchhffooaammiiss uusseeddpprer trainniinnggeevveenntt?? XXess tans Less than 5 tons gallons 5gallons 5 gallons 51010gations _ _ _ 5 to 10 gallons ___ Moro More han than 10 gallos 10 gallons ((plleeaasseessppeecciifyy): ------------------ 6. Intaiing, where does the spent foam go? 6. In tomSewer training, where does the ___ Storm Sewer ___SantarySewer spent foam go? __ Sanitary Sewer __ Oonns-StitoesSeeppiticc __X_){_G_rGorouunndd tor(pease describe): ___ Other (please describe):------------------------ 77.. WiWhnheefrroeoddroooemssfai/oddticddritthehoeennrttraaiainnniidnnggpftaaaskkeeHppallaanccege??aPPrlleeaaaasssee iinncclluuddee aaddrderessss,, iinntetrseerctsioenocotr otihtoheenr spec specific llooccaattiioonn inLfLoorr)mccaa:atli-oln for \Wc4u,r8hr-ebnt School and past training Schoo I asgreceatos)V.wnf\ddss =- lF:o' sodobaklal!l Field I Xinogen: Ree Cree Ry Se TOU S} a SE TER 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.615.5140005.037 7411 Fok: S91 6199435 mnbAliasnsitm Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222..00442266 SSTTAATTEE__0022882211338833 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What tps) and rac) foam aor war usd now adn th st ho Departmen,both or rs 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesporce and Vain pica Please chack a tap. response and in training (if applicable)? Please check all that apply. TUhsindnignr AmUoseudnt CurentUser TTyyppeeooffFFooaamm Class 8 Aqueous Fim Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFF)) CCRlealassissssta8BntAAll(ccAoohhRoo}lA- FFF Resistant (AR)-AFFF CossBPo@n Class 8 Protein Class 8 Fuorapoten Class 8 Fluoroprotein I) --_-- (FP) Clos 8 FimFaming Class B Film-Forming Fiaropaton (FFF) |---- | Fluoroprotein (FFFP) CssoaRFR Class 8 AR-FFFP Class A810 Class A-8 Hi Eanion Foam Expansion Foam Coss --- Class A Trang Foam ee ee Training Foam oer - Other BrBarannddooffFFooaamm ---- Ans Used in YesorNo Training? Yes or No Amount AAnnUnnusuaealdlllyy HistoricUse? Current Use or Historic Use? ~~ Y Y'feee ts;. slel1 es.sss hfha2n-tr5g5aql;yllJtoltHn Thank youfo your me and cooperation. leas canact Nancy Rodinga Dla Consult (BS1-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or madhing@dataenoof mi)n Socking: a tv Mimesots Polio Convo Agen (51207 3606or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjiimm.ssttoocckkiinnggeerr@@ssttaattee..mmnn..uuss)) iiff yyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Please rot this auestionnare to Dots Constants by Moy 8, 208 In theenlesed simp, set Please return this questionnaire to Delta Consultants by 11/lay 9. 2008 in the enclosed stamped. self- `addddrresssseeddeennvveelloope.. Questorare neoy Questionnaire completed by: CNaomae avngd isRayman C:fa\9i Ravm a.n . Chet FireGDleepaarvmielntle Fire Department Mfi1y).J Sbo3p PhSo3n0D e R7iumer44g 39JL Phone Number ERfcaaicyAmrmdraaostnsJcce.~g3eesscvhhoooollss_ CCoomm E-Mail ddress DMatae y l1:J3_2:;0oo0f Hoge PPrhoonne:e: 651.639.9345 1 300.433 7411 Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: S51 630.047) Suite 100 St. 651.639.9473 masn.AAlARRY.AOm Paul, MN 55126 USA www.deltaenv.com 22222..00427 sStTaArTeE_0022882211338844 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Does your Department crenty has your Department istoricaly usd Gass Aor Cas ams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for rotten firefighting operations? XX ves Procosdo Question 2 .-'-<~~--/""'-- Yes - Proceed to Question 2 No-Sign the baocfhks formand return to Dota Consultants ___ No- Sign the back of this form and return to Delta Consultants 2 How fen i los Br ClaA fsoasm usd in sone fe cal? 2. How often is Class B or Class A foam used in response to fire calls? --X\~._ o0-z2s5w%atoif fvireess ___ 2255.-5500%%ooff frireess ___ 7755-:110000%% ooffffirreess 5. Does he Deparment have a compress i oa ysl (CAFS) ih ain tak ns anginee? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes TeNo 4 Hoof foam used in ring exerci? 4. How often is foam used in training exercises? Week RT Query ___ Weekly Monthly Semisaruay Aovualy ./K'<C simul ___ Semi-Annually ___ Annually -~- Quarterly Bi-Annually Otver (ease speci ___ Other (please specify):----------------------- 5. ow uch foams vendpor rani event? 5. 2KX_ tess How much foam is Less than tors used per training than 5 gallons event? 55 gatos gallons 5$1to01100 ggaallloonnss TT Moron 10 goons essespecty ___ More than 10 gallons (please specify): _________________ 5. Intinng,wher coos the pent0a7 6. In training, where does the spent foam go? stom Sewer __ Sniony Sever onstosoe _Xcro ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _k.Ground [Ep i. -~- OthAr (please describe): _______________________ 7. Wher don th inn ok loce? lose cleaves, inrsion or othr speci ation 7. Where does/did the training take place? Please include address, intersection or other specific location fomaion or cent an pt Vang res information for current and past training areas. NKinogen rene cor TE TENS mc 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00428 SstTaAreTEo_z0s2z8123163585 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training WehsaptafnassdainndTbamainngc)(fpoiamcaaorPlweaarseeucsheodcnkaolw aantdanphy pastby tho Departmen, bo for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUasmeidnign? AmUoseudnt GurentUseor TTyyppeeooffFFoaamm BBrraannddooffFFooaamm GlBoAquseosus Fi Class B Aqueous FilmFarming Foam | -------- ---------------- -------- Forming Foam (AFFF) Clas 8 Acoho- Class B AlcoholRossin aoApE | -------- Resistant (AR)-AFFF Cassopwen Class B Protein Glas Puropraen Class B Fluoroprotein _--_--------- (FP) Glass Fim Foming Class B Film-Forming Foot py -------------------- ------ -------------- Fluoroprotein (FFFP) CsbARFEP Class B AR-FFFP Cass ni Class A-B Hi Craton || mm-- ee eee Class Expansion Foam Class A AFupurs Feivge unS gta oT Training Foam oer - Other Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? fis L?emssflht<{~,L-_ _ harkyour yr time and cosperaton. Pleas contac Nay Roring a Dla onsuas (51697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 enoGdutaams como sm Soin ov inate oluion Cont Agere (651-497-3586 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or voc Gate ro You ov sy docs vegan ms pesto jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. i ae GH ait ,0 /ease retu;n this gucstlonne:ire to Delta Cc::su!t;;,-;ts by fl.'!~r D, 2008 in the anc!osed stilmpcd. self `adddrresseddeennvveellooppe.. Quesiomaro comptes Questionnaire completed by: ,LOaqvui/d Octo4 Clef &lou<5.1-;' eiwood h;.: e CG!ler~awind) Name and Title Fro Depart Fire Department Foie LheSeere 7 li = 260-r47E58 7%,SRS Eldoimfsdave dP yatay. coms E-Mail Address / Kinogen: Ten N TT SE PT E CTY I TIL ST IE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00429 sStTaAreTE0_02228121338866 QQUUEESSTTIIOONNNNAAIIRREE FFiirreffiigghhttiinngg Fooaamm Use iinn Fiirree Traiinniinngg 11. . DfDoeosfesisghyyoiounurgroDDpeeeppraaarrttmmoenensnt?t ccuurrretnnttlyyoor hhaass yyoouurr DDeeppaarritmmoenntt hhiissttoorriiccaallllyy uusseedd CCllasasAsAosorr CCalassss B8 ffooaammss ffoorr + Yes Proceedto firefighting operations? Questio2n / " NYoe-s-SiPgroncteheedbatockQoufetshtiiosnf2orm and rettouDerltna Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants VV oassotties 25.50%of res 75-1o0f0re5s 22.. HHoowwootfetenniiss CCllaassss orB or GCllaassssAAffooaammuussaeddiinnrreessppoonnssee tooffriraeccaalllss?? 0-25% of fires .-::..._ _ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDepeartpmeant haravvoetaamccoommepprrneessssteedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwithaiabbuuihitlt-iinn ttaannkkoonn 5its oennggiinnee((ss))?? Yes ___ Yes a , / No 4. How ofen i foam used in raining exercises? 4. How often is foam used in training exercises? Newr woody Monty Quarry ------:::: Never ___ Weekly ___ Monthly ___ Quarterly oT Somidwally ____ Aonualy Bimal /". Semi-Annually ___ Annually ___ Bi-Annually Other pleasespac): S-- ___ Other (please specify): _______________________ 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppeerr rtraaniniinngg eevveenntt?? ___ LLeessss tthhaanns5gagtaollrosn.s 55ggaallloonnss + / 551to01100 ggaallloonnss ___ HMoorroe tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciiffy:): __________________ _ omsews __santaySewss __OnSteSeptc _ Grow 6. In raining, wheredoes the spentfoam 097 6. In training, where does the spent foam go? / Storm Sewer _ _ Sanitary Sewer _ _ On-Site Septic ~round Otor please coscrie) -- ___ Other (please describe): ______________________ 77.. WWinhhfeoermreeatddiooocenssoi/drdiddcutthrheentrrtaaiainnniidnnggpataakskoealpilaiaccneeg??aPPrlleeeaaasssee iinnccluldued aaddddrreessss,, iintnertserctsioanocorricoiothhenerr ssppeeccififiicc llooccaattiioonn reo i 7800 nforma 7 fv tio o n f or c b.:> Golden urrent and i d Valle past training VA. I I e areas. ar:>. fl.. 7 l" ..... Xinogen: O OV VE ER R~ -- STS Ree Cree pari Sa 190 SE _ Fa WH STIG USK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.91580550.033 5411 Fas: 311039473 MdmeLaACar Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00443300 SSTTAATTEE__0022882211338877 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training . What ys) and rants) fo aor wee used ow arin sthe Deparment, both ere 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse sn n aein Spe iene hed at 39 response and in training (if applicable)? Please check all that apply. Twestesn Smdotfomn TrUYaesirdnaiirnnSg?e AAmUmosueadnlt Csuereanrt Hisstoericdally Type of Foam [eryv--" Class B Aqueous Fivomaran o_o Film-Forming Foam ay (AFFF) GiBAosno Class B Alcohoien Legs fe 20 ResistarJt (.AR)peAFFF CmsoPwan Class B Protein case Class B Flcoprte(i77n) Fluoroprotein (FP) ca0sisn Class B FilmForm Forming Fugen ---- ---- ---- ---- (FFF) Fluoroprotein (FFFP) CosearFER Class B AR-FFFP Casson Class A-B Hi Eagan Foam Class A Expansion Foam Class A A Training Foam oer -- - Other Brand of Foam Bogus Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? 2D JJJeess. so hark or yur time and cooperation. less contact Nan Rosin stDells Corsuarts (651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 nda com 3m Siig a os metaPalio ConlAgar (31-397 3680 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or oko Gate nut) 104 av ay slong Th cso jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- addressed envelope. Questomarecompledby Questionnaire completed by: J!Vla, oe _ ~ a Name and Title _&n Jddee,,.. FeaBapaine Fire Department Pri2s3-moa5r 793 - Ford Da6te-5-0f Phone Number EathKuahdoleys @ci, ;gildenn us ~~~.~il Address Ninogsr XInogrn "'" A Date ""' ... . "' r Phone: 631.639.91484050.477 411 Fak: 451.639.9473miviasliasay. com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taenv com 222222..043311 stare ozsz1368 STATE_02821388 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. DrDeooteegss hyyuoonuugrr DDopeeeppraaarrttmimoenensnt?t curentoyr currently or has has yuryour Deparment Department histuoserdilacssaAlo historically used Class A or Coss Class B B foams foams orfor Yas- Proceed firefighting operations? / to Question 2 7"---:YNoe-sS-iPgrnocteheedbtaocQkoufetshtiiosnfo2rm and rettouDrotna Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoten's Class Br Cass A foam used in respons of cals? 2. How often is Class B or Class A foam used in response to fire calls? ___ 002-2555%6 offre of fires .AXK_ 2255-.5500%%ooff resfires ___ 7755-.11000%%ooff resfires 3. Dos the Department have a compresseda foam sysam (CAFS) ith a bitin tank os angine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes _ Hote -----,-- Yes )Z No beriTinTank bel dots WoT use compresmed sive 4. Howatfoa'm usedin raining xercses? 4. How often is foam used in training exercises? New ___Wesdy ___ Mouny Query ___ Never ___ Weekly Seminal SL somualy avamnaty ___ Semi-Annually ~nnually Monthly ___ Quarterly ___ Bi-Annually overglessespeaty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foamis used per aining event? 5. How much foam is used per training event? vee X---4._s ___ Less than 5 gallons 5 gallons 5 to 10 gallons More than 10 gaors (ease spect _ ___ More than 10 gallons (please specify): _________________ . ntaiing whee doo the spent foam go? 6. In training, where does the spent foam go? Somsewer __saniaysowr __OnSteSepte SC Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic ~Ground Ova lease descr) = ___ Other (please describe):----------------------- 7. oWhmaradnoafsrdchueeintianptaaskevloacme?aPrlseesas includ adres, intersection o tpr speci ocaton Ninogen: OVER--~ oo PPhhoonnee:: 651.620.01584005.477.7411 5910 Rice Creek Par 651.639.9449 I 800.477.7411 Fak: kway Fax: 851.635.9473wrkdaltacnv.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222222..00443322 sSTTaAeT_E0_022682211338899 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WWhhaatt ttyyppee((ss)) aanndd bbrranad(ns)odof(fffoosaa)mm aarree oorr wweerree uusseedd nnooww aanndd iinn tthheeppaassttbbyy tthhee DDeeppaarrttmmeenntt,, bbootthh ffoorr ffiirree a Nomen om cr hk to response and in training (if applicable)? Please check all that apply. wVesitn Am0onudnt Curent iret TTyyppeeooffFFooamm GosAes Class B Aqueous Com Film-Forming Foam ((AAFFFFFF)) Goss or Class B AlcoholSmee Resistant (AR)PsAFFF CombPoen Class B Protein God Class B Flavin ee) --_---- -- -- Fluoroprotein (FP) Goss Fa Class B FilmEn Forming os | ------------ -- -- -- -- (FFP) Fluoroprotein (FFFP) Comoe Class B AR-FFFP yen Class A-B Hi Cpmanforn oT ---- ---- ---- ---- 4 Expansion Foam Caso Sibveex Yes AGF 350 2G/(7 ms Class A vn ---- IE THT Training Foam omer = == Other BrBarannddooffFFooaamm . Used in Training? YYeessorr No Amount Used AAnnnnuuaallllyy Currently UUssed?? Historically UUsseedd?? . mbt Fu-- Thank you for you'r time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 eae er Hees ota Com For 5 So sn or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or os ave a wom sopra emp) jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellooppee.. -- Questionnaire completed by: TT;oSs. Bessed! Rv5"5:C // hin Name and Title Aseistont Chorl En G0o"aoodAl{a4nr\dj WloaTeer Five LepporlonenT Fire Department dB mP-hTzoo:inoe;etcNcuhem=l teh"be@rr @< h/e 1u,=g-oh/eb>sRy .~. IaVv-e2r ]j_- aaSli `oS/ot.z s s Sinogen: E-Mail Address XInogfn' "" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00433 sStTaArTeE0_20828221133990 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg + 1. 1. aDDotoceossnyyioonuugrr DDpeeeppraasrrotmmneesnnt?t cusroerhnats currently or has your your Department Department Historical historically useused esAso Class A or Cass Class B B foams foams for for firefighting opVereats-ionrso?cead to Question XC ---:c- YNoes- S- iPgroncteheedbtaociQcuofestthiiosnf2orm and return o Dota Cansuliants No- Sign the back of this form and return to Delta Consultants 2. How often ClasBosr lass foam used in ressro cols? 2. How often is Class B or Class A foam used in response to fire calls? Omori _ossowoies Ts0o0tfe%es 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. 3. Docs Does tothe Department Department have have a compressed compressed aiair ffooaamm ssyysstteomm ((CCAAFFSS)) wwiitthhaa uitin built-in ttaannkk os on its eannggiinnoe((ss))?? I ___ Yes ___ NNoo 4. Howaftn foam used in raining oxcrcisos? 4. How often is foam used in training exercises? -- Weeky ony J ___ Weekly ___ Monthly ___ Quarterly Som Analy povuaty Samual ___ Semi-Annually ___ Annually ___ Bi-Annually Otner (asso speci: - ___ Other (please specify): _______________________ 5. Howmuch foam is used por varing oven? 5. How much foam is used per training event? Less ths gaatonrs 5galons 51010 galons Less than 5 gallons 5 gallons 5 to 10 gallons Mor than 10 gallons (aso spi: - More than 10 gallons (please specify): _________________ 6. In ting, whee docs th spentfoam 907 6. In training, where does the spent foam go? Storm Sewer __ Santary Sewer _ On-Ste Sop ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Over (lease deserve -- Other (please describe): ______________ aroun -- Ground 17. 7. WWIfhheoemrraeetdcioooensof/odrsidcutthhreeetw:rianainininndggptaaaktkoevppilaaaccgee??PaPerleeaaasssoe includ include address, address, nrsecoiraohenr intersection or other spi specific location location information for current and past training areas. Kinogen rane: es 1a 900s OR STL Tok GEL3000S Mea 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00434 sSTTaAeT_E0_208282211339911 QUUEESSTTIIOONNNAAIIRE Fiirreeffiigghhttiinngg FFooaamm Ussee iinn Fiirree Trraiinniinngg A ii A aRas ATRSS Sep Se 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Fo POPP SveodLinI N AmAount ri ie Type of Foam gro sar Class B Aqueous Filma eee eem Forminq Foam (AFFF) Class B Alcohol- Sy -- ---------- Resistant (AR)-AFFF a Class B Protein gpa-- Class B Fluoroprotein Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? (FP) Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFFPP)) - Cite Class B AR-FFFP Class A-B Hi Expansion Foam ---- Class A re Training Foam over EE -- Other mmm Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Lr or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or re ol jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Sg ee A AR EO ON Please return this questionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamped. self- Imm addressed envelope. ep . Questionnaire completed by: P(R)lfL/dE;=- Hsp) SAE CHE Name and Title !lt;AJs?l1') I oo12dtYI/aL:!?E. NCATRESBESUE (g_ d/0 Fire Department ,!JIW,/}6:~5ct{(? _ eraA2lI1~ 8--J-3B2-f8!f7l( wok 4-29-08 7 = Phone Number ft/tJAtt Date EE--MMaailil AAddddrreessss HKwogew are en Re FR Th TS bn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00435 STATE_02821392 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. RDoesskyoaur Dpeapsatromneen?t ure a has yous Deparment socal used Class ArClas 8foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? No- Sign the backof hs form and return f Dea Consulans ~4YYeess -- PPrroocceeeedd ttoo QQuueessttiioonn 22 _ _ _ No -Sign the back of this form and return to Delta Consultants 2. Howofienis Cass Bor lasAfoam used i espns 070 cals? 2. How often is Class B or Class A foam used in response to fire calls? V& 00--2255%% ooff ffiirreess. ___ 2255--5500%%ooff ffiirreess. ___ 7755--110000%% ooffffiirreess ves 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk onn iittss ennggiinee((s)?? _ _ _ Yes ..----NNoo 4. Howafenis foam used n ring oxercises? 4. How often is foam used in training exercises? Wook eany ___ Weekly ___ Monthly Guarery ___ Quarterly oer eae spect ~ ...-- SSeemmii--AAnnnnuuaallllyy _ --_--_ AAnnnnuuaallllyy BBii--AAnnnnuuaallllyy ___ Other (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. How much foamised por ining event? 5. How much foam is used per training event? Nore han 10 gaan (ease speci): - 4 ~ LLeessss tthhaann 55 ggaalllloonnss 55 ggaalllloonnss _ _ _ 5ttoo 1100 ggaalllloonnss. _ _ _ More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. nino, wher dos the spent foam 07 6. In training, where does the spent foam go? Som Sowr__ariary Sowa /'storm Sewer __ Sanitary Sewer T overemedmemer Other (p!t:'ase describe) onsiesopie __ On-Site Septic Grow 7. iWohmamratdoonetosahmeean ainnpaoksstpalnacg? rPoemas incu arse eset are speci cao 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Ct.i'ttf'yt tD:u>~m'p-P, XNKIinnooggpe-nr ,,, oo err i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00436 stare 0221303 STATE_02821393 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WrWehhsaaptot nttysyppeee(a(ssn))daainnnddrabbirnrainnadg(ns()1dooaf(fpffpoosiaac)mmabaairee?oorPrlwweeearrseeeuucssheeeddcknraoowwtaahnnaddt aiinnptthphee ppaasstt bbyy tthhee DDeeppaarrttmmeentn,t, bbootth foorr refire response and in training (if applicable)? Please check all that apply. TTyyppeeooff FFooaamm FolCralamssissnBBgAAFqqouuaeemoouu(ssAFFFiiFlmm.)- CGRFleolaasrssmssstinoBBgntAAFll(occooRahmhyooll(A:-AFFFFF) CRleassissta8nPt r(oAtRei)n-AFFF Class C)lass Class 8B B Fluoroproten Protein Fluoroprotein C(CFFlilaPavsso)ssroB8pFrFoiitlmmanF-Fo(orFrmFmiPinn)gg CossBARFEP Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAABi-oABnRHHF-iiFoFaFmP ClEaxspasnAsion Foam CTrlaasnsinAg Foam Otner Training Foam Other BBrraanndd ooff FFooaamm TUUaissnedidiningn? VesorNo Training? Yes or No AAmUmosoueudnntt AAnnUnnusuaealdlllyy CCHuiursrtreoenrntitcUUUssseeeoo?rr Historic Use? ~~ ---------- ---------- ------------------------ ---- ---------- ---------- -------- ----, T---- _-- ~~ N _SWoTer yZ e o ediTe dgeies -- ---------- -- ---------- oTTrhhaarnnokkdryyioonuugff@oodrreyytootuuarrettniimvmceooaamnn)ddoccorooopmpeerarStaittioonon..ckPPlileeanaatssgteeohcceroonnMttiaacnctnt eNNsaaonntccayyPRRoooldudnoiinngnCgaoftntDDraeotlltaaAgCCeaonnncssyuall(taa6nn5tss1-((626550117---66899677o5--555r115522 im stockinger@statemn.us) you or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any questions regarcing tis questonnale Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or pogeenst Sddressed envelope Pleas<:.> return this questionnaire addressed envelope. to Delta Consultants bv May 9. 2008 in the enclosed stawpsd. self- QQuueessttiioonnnnaaitree ccoommpplleetteedd bbyy:: F'DDamOve.u.cav.n_ao..T.'iv"l'Loe~sRRu\.bdo~roe('dJss.o:-n. Flewchat Name and Title FiCCeJrDreaAp'v-a-r'e<t-v1mJie~ln/lttr.ee FF"i.rre~ "DDee_p_tpf, Fire Department Ph3o3nZ2eo0Nu-7m-7b4Cerf8'tf-'-77991U1 Phone Number E.9JM1u,i);lAJldldt~ ree-sLsit-e'e dde<peps+(C@Q HHe,ot- Mtida.tl,\ icon , CO% E-Mail Address EgDaoe f Date Kinogen PPhhoonne:e: 651.639.51064550 437 5411 Paks 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 61.635.34%3 Suite 100 St. 651.639.9473 mdaliasns.cam Paul, MN 55126 USA www.deltaenv.com 22222222..00443377 SSTTATAETE0_202882211339944 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DDeooieegssyhyoiounurgroDDpeeeprpaaatrritmmoenensnt?t curentoy currently or has has your Department historically used ClaAsosr Gasfoasms your Department historically used Class A or Class B foams for for firefighting operations? {X)_( YeYNosesS--PiPgrnorctehoeedtbtcooQaQueoeucfsettsehktiiioosdnnf22orm and return to Delta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoltenis lass or Glass A foamused mesponseto recalls? 2. How often is Class B or Class A foam used in response to fire calls? _0_2_5%0-o25f%forf feiress 255% ___ 25-50% offrfieress _ ___tK'C_7755--11000%%ooffffiirreess: 33.. Does the Depaavearcommpresesednsi ftoam system (CAFS)withabun ark ons engine)? Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ vYeess aW'yNo 4. Howoften's foam used in rainingexercises? 4. How often is foam used in training exercises? oo weaky -- wontiy _ aureny ___ Weekly ___ Monthly ___ Quarterly SemAnnually X_ povualy BrAmuly ___ Semi-Annually __tX._._ Annually Bi-Annually ter (please speci --_-- ___ Other (please specify): _______________________ 5. Howmuch foam is used pe raning event? 5. How much foam is used per training event? Lessthan 5gars Sgelons K 5010 gatons ___ Less than 5 gallons 5 gallons K. 5 to 10 gallons Moro han 10 goons (lease sect ___ More than 10 gallons (please specify): __________________ 5. Intaining. wherecoss the spent foom 07 &_ stom Sewer Sanitery Sewer 6. In training, where does the spent foam go? ~ Storm Sewer __ Sanitary Sewer __ OOnn--SSiittee SSeeppttiicc ~G&roGuronundd 3 _Oter (oasoosebey ____ . -'----- Other (please describe):___." -------------- -- - - - - - - - - +:- ..,..r 77.. VWicihoneremrreatddioooeenssfi/oddridduthrheeentitranaiinnindnggptasaktkeeraplilaanciceneg?? rPPeelecaasssee iinncclluuddee aadddrreessss,, nersecton intersection oofr oatlheerr speci specific llooccaattioonn information for current and past training areas. ):D:e,.p,ea?c~.h~)? ~on -r~Baby = swag o<>-'\._ bed cea Xinogen none: 631.0301.93050.84387 SAL FhL: S91 019WM0M4AIAR7AAA) 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00443388 SSTTAATETE0_202882211330955 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeNeAAiinInIRRFFEiirree TTrraaiinniinngg 5. What gaa ant tanto of om trevees iatiin n ety Depron, Stfor 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Serra J-- =rUoronndign oAmbouuont Gm urenti tsoor Type of Foam Glass Aun Fin: Class B Aqueous Filma -- Forming Foam (AFFF) emgamo. Class B Alcoholery ---------------- ---------- Resistant (AR)-AFFF cmoPown | Class B Protein Cas Fuctoprtsn Class B Fluoroprotein or EE -- (FP) ComdFmbome Class B Film-Forming Emon CS Fluoroprotein (FFFP) en cass st Class B AR-FFFP Class A-B Hi ne a Expansion Foam ame JE Class A Tran Training Foam ao - Other Brand of Foam Sly ex Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Yes az 7 TR TE PR NS SARE IIE Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 trans: or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sms jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnn hthiiss qquueessttiioonnnnaaiirreettooDDeletltaaCCoonnsuslutltaannttssbbyutMeyw 99, 22000088iinntthheeeenncclloosseeddssttaammppeedd,.ssaellf-t fC 2 addressed envelope. cumggpareateceomDoles 17/ Ad chy\ N~and itle/ /l , J CorBeoatd fore Dipdoret lo/i?nfc! ~/!P. 0 Fre Sepamnt Fire Department (F- Rzees5- 87" mAafaelvased(Oegrand fafih mas E-Mail Address / Date Yo XInog~n '"' Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: TTR Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00439 [Ep-- STATE_02821396 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1 . DrDoeosfeissnyyioonugurroDDpeeeppraaartrttimmoenensnt?t cuteor currently or has has your your Department Department historically historically used used Clas A Class A or or ClasBfoamsor Class B foams for f i r e f i g h t iyXn;._g_; o Yes - ProtcoQueesteiodn perations? Yes- Proceed to Question 2 No- Sign the back ofthis form and return to Dott Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2 How often iasBoe ClaAfsoasm used i response to re alk? 2. How often is Class B or Class A foam used in response to fire calls? LK omwottes __ osswoffes __ 75100%olfres K. 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% of fires 3. Dos te Deparment havea compressed i oom system (CAFS) wih a bultin tankons encinols? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vs an ___ Yes f- No 4. Howoften is foam used in ning exercises? 4. How often is foam used in training exercises? 2X Never Way jr. Quarry .F)<., Never ___ Weekly SomiAnmualy Analy BrAmualy Semi-Annually ___ Annually Monthly ___ Quarterly ___ Bi-Annually OOtthheerr ((pplleeaassee ssppeecciiffyy)): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis used or raining oven? 5. Loss tan' galons How much foam is used per training Less than 5 gallons event? ___ 55ggaatlloornss ___ 5510t1o0 galons 10 gallons MMoorreetthhaann1100ggaalllloonnss((pplleeaassee ssppeecicfifyy):): ________________________ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? SomSowr __SaniaySower __OnSioSoplc ___ Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over essadescrboy ___ Other (please describe):----------------------- 7. Where does the aiing tk place? leas include adress, erectoitohnr pec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location imaftotciurotannd pas ang reas. information for current and past training areas. Xinogen OV VE ER R~ -- Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..004440 sTae_02821397 STATE_02821397 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. {WWehhsaaptot nttyysppsee(a(ssn))daainnddtabbirrnaainnndgd(s())1 oosffpffpoohaacmmaboalrreee?oorPrwlweeerarseeeuucssheeeddcknnooalwwl naannadd3iinn33tthh.ee ppaasttbbyy tthhee DDeeppaarrttmmeenntt, bbootthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. TTvyppeoooff FFooaamm CFCilamslsF8BooAmqAunqseugoeFoueousson (FF) Film-Forming (AFFF) Foam FeCCslasslisa8BnatAclsGcoRoh)hos.lo.l- Jr Resistant AFFF (AR)- CclaassssBoPPrOotWenin eCFulsaasossroeBproten (FP) Fluoroprotein CFolmian8gFsisn Class B Film- ( F P ) FlFFFaolouFraomprFoirnpogrtoeteiinn C(FaFFsPw) amEFR ClCCBalolaasmssssssAiaB-o8BAnHRHfi-ioFFaFnP iss A Expansion Foam TCalamssnAgFoam over Training Foam Other BrBarannddooff FFooaamm I+---------------- A C dh opd A i ( - .. I b.; -1- YTTUUreraasssiioenonddiirniniNgnngo?? Yes or No AAAnmUUmmossuoeueauddnlntyt Annually CCUuusrrreeednn?tlty Used? HHiissttUoosrrieicdcasallllyy Used? o_o --_-- ------ -- -- ---- ---- ---- ---- dAe/o per o_o ___ iTohorrmharnsnrotoakdodcyiynkooniinuurgngf@fg@ooedrrrydsi@yoetsoultaturaaeretlnt.niimyvmm.eeccuoaasmnno)dd)oomcc#rorooJyoJ)pioipemmurearhSStaaitttiovoonecon.k.acinnPPgkylleeieqraaaunaisseteegsttthhccroeeoonnnMMtstiaaincrnctnentgeeNNassaraoondntticaacnyygPPRRiooioolulsudlctnQiaoiiunnnegnasCCgaottotnonDDvntroenaollatlaaiAA,gCCgeoeonnnnccssyyutla((ta6n6n5t9t1ss1--2((692657591-178---66689606767o6--o550r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. adoressed anvelope PlPeieaasseerreettuurrnntthhiissqquueests addressed envelope. itioonnnnaaiirreettoo DDeellttaaCConosnuslutltaannttssbbyvJJuunnee66,. 22000088iinn tthheeeenncclloosseeddssttaammppeedd,.sseeiltf:- [---- Questionnaire completed by: Fare anDeaoTnhe Stoechma Name arid Title Fre Chick Is FoieoGlopGrar-reem~ee-n.t.nTolfre Fire Department F1e-.'tec Poff Phone5SNo0um77ber .3J2l0C: Phone Number 3:JC9[t4-tt 2G-Ta-le 0-o3~ Date EL E-Mail Address XXiInnooggefnn: I'll -- SST Ter Een par SUE 160 SC Faw SSI USA 5910 Rice Creek Parkway Suite 100 St. Paul, MN S5126 USA rane: 631.039.5985 | B60 433 7411 FOL: S911039 047) mA a AACA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..044411 SSTTAATTEE__0022882211339988 QUUEESSTTIIOONNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg ET EAA sas sep Cann 1. Does your Department currently or has your Department historically used Class A or Class B foams for i firefigz operations? NC Ve prcendto cueston Yes - Proceed to Question 2 I oie hak fom ad eta 10 Daa Gort ___ No - Sign the back of this form and return to Delta Consultants 2 Howotani oesBor Cts Ate sae rst oct? 2. How often is Class B or Class A foam used in response to fire calls? cones _XX sseomorwes __rstoosoiives ___ 0-25% of fires 25-50% of fires ___ 75-100% offires 5. Entel Rs eal 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? -xXX veYes -No 4. Howoomosedtamn nrets? 4. How often is foam used in training exercises? eer ortty -- ___ Weekly Te ZE TKC any ___ Semi-Annually Monthly ~Annually Quarterly Bi-Annually er ons spect? _ Y J1_ . - A~/'- ;~ Other (please spec1fy): /.._ "7 . 4 5 towmesenistsoamnos /~I2llon gifMEET Wy gellon, a;r / 5. How much foam is used per training event? / ~ L { J<./ T<V-' 7 / ' , \..... I tt ee SiR Hoentsonm ')<'" Less than 5 gallons 5 gallons 5 to 10 gallons TE retro agains imme ort _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5 BRD 6. In training, where does the spent foam go? X ___ Storm Sewer _ _ Sanitary Sewer ~ omeemedmater 7 _____ Other (please describe): ____ . _ _ On-Site Septic Ground A---- 7. Where does/did the training take place? Please include address, intersection or other specific location I Rain PB og i bo is Tot m 2 wi we information Dens or current and <.. past air training areas. hed Muss L_ fren Xinogen PONPOINE J.RE Xb Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: -- Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00442 sStTaArTeE__0022882211339999 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Wht ote rae nffta rra vr snowaaitneho pt yh Oprmen ob fof 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. ---- Bandotfoam Tynl, eABmtEoE,n mSpmeteest Type of Foam Brand of Foam Glos Anus Class B Aqueous Film- ee -- -- Forming Foam (AFFF) Clas8s Aono Clo_ . m CEpa Class B Alcohol- eee eB Resistant (AR)-AFFF C ..>J?.n a.a_r/ omopoon | -- Class B Protein Gas Frmeooon Class B Fluoroprotein = ELH. (FP) Faas Fimo Class B Film-Forming nm ------ -- Fluoroprotein (FFFP) omomere Class B AR-FFFP amass Class A-B Hi Can rr -- Expansion Foam by hom Lyard yr ee. Class A pn Tee Training Foam over EE -- Other Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Eo ------ Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ao ee ee Scone 1.07 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or nr a os a yer peo rs toma jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ap ong SE ort ee ee es snd Please return this auestionnaire to Delta Consultants bv May 9. 2008 in the enc.losed .c;tamped self- aaddddrreesssseeddeennvveellooppee,. -- at , J 10 L. / brees ve)AvRoar F;T ireoDegpaL r~tment.L 9~@P?-~p22p=1-7LEA z= Phone Number ~= ~r f2 Date ------------ E-Mail Address XSKIinnooggernn .,. Phone: Phone: 651.639.00455910 651.639.9449 I 1 800Rice 800 437 7411 Creek Park .477.7411 Fak: way Fax: 91639.9475 Suite 100 St. 651.639.9473 msiodaiinanosm. Paul, MN 55126 USA www deltaenv.com 22222..00443 stare. 02821400 STATE_02821400 QQUUEESSTTIIOONNNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doss yourDeparment cent or your Deprmnt Wray ea Gio or ins foam or 1. Does your Department currently or has your Department historically used Class A or Class B foams for ee es firefighting operations? 22 ve rossi senton zC- Yes- Proceed to Question 2 No Sign theback of his form and ret to Dla Consular No - Sign the back of this form and return to Delta Consultants 2. Howotlons les Bor Gis ous response focal? 2. How often is Class B or Class A foam used in response to fire calls? X_ oos tties 25505 ote 7510of0r8s Xt 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% of fires 3. os th Doprtmant have compress foam sytem (AES ith tin rk nis anges? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes Ew 6 No 4. Howooam ustdinerarinng ee'rcsses? 4. How often is foam used in training exercises? ew ey many J ___ Never ___ Weekly ___ Monthly ___ Quarterly Samay _X_ rosy samt ___ Semi-Annually K Annually ___ Bi-Annually ___ OOttnheerr ((pplleeaassee ssppeecicfifyy)):: - - - - - - - - - - - - - - - - - - - - - - - - 5. om 5. How much foam is used per training event? TL mnt Sions Soons f--_-- X Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons Pr _ _ _ More than 10 gallons (please specify): __________________ 5. Intaing, who doe th sonloamga? 6. In training, where does the spent foam go? "om Sewer Santry Sower Onstosepte _X_rund ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ---1(_ Ground rn = ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 1. Wi te ho ving ak pce? Plas nck aes, erection othr sesh can 7. Wr'1~n~ Cf"oes/did the training take piace? Piease inciude address, intersection or other specific location ram aon vo information for current and past training areas. A old Bose ball Fold = c:Ff; Leopeifh; A f) IJ ;!J a <e irJa // F: ., l j L r ;?v v/ e J" Kinosen OOVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00444 state_o2s21401 STATE_02821401 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What types) and branof dfo)am a or wero sed no andi th pastby ha Deparment, boortfro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesp0nse and in ain (f aspucabey Passo check al nt 9p response and in training (if applicable)? Please check all that apply. TUrsaamdnign? AmUsoeudnt Curently Historical TTyyppeeooffFFooaamm Cl8aAqsueosus Class B Aqueous Fimpammgrosm -- o_o Film-Forming Foam pies (AFFF) ClaAlscosr Class B AlcoholRewgamwy, Resistant (AR)rE AFFF CosbPoon Class B Protein cassn Class B Furoprolon (7) --_-- Fluoroprotein (FP) Cla8 simse Class B FilmForming Forming Fraomoten -- -- Fluoroprotein Fr (FFFP) CesbaRsR Class B AR-FFFP Class AsHi Class A-B Hi Bpmsonfoan -------------- ---- ---- ---- ---- Class A Expansion Foam Class A `BBrraannddooffFFooaamm Siledep Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUssedd?? ys Speloxless[year TrTaraininiinngg FFooaamm --_-- oer JE Other _-- --~---- -- -- `Thi you for your te and cooperation. Please contac Nancy Rodinga Delta Consutants 851.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or odhngGdaaem coomo)h Slockinger ah Minnesota Polulon Gono Agency (551-397-6606 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or imStockinerGite. 0) 0 hve any Questions Gerding 1 QestonTare. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please sium hs qusstionnsictoe Olt Consultant bi June6,2008 in tho anclosod stamps, sof: Please rGtu;n this questionnaire to Delta Consultant bv June 6. 2008 in the enclosed stamo~!l. selfadirsssadonveiops: addressed envelope. Total else QQueusetsitoionnnnaaiirreeccoommplpeletteeddbyby:: fell Dessertf ors swTi 6 <// lie v5 c4-c .-- Name and Title BEFFiirree parent Depart ent Pron2e 2um0b-er225-2 EY Phone Number chsh Toe2-07 Date mea E-Mail Address HXKInmoomg~enn "" Phan: Phone; 651.629.54455910 651.639.9449 1I 800.477.7411 Rice Creek Par 800.477.7411 Fak: kway Fax ; 651.639.9473 Suite 100 St. 651.639.9473 maividaliasny.cam Paul, MN 55126 USA www.deltaenv ..com 22222..00445 sStTaArTeE__o0z2s82211440022 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Does your Deparment cure ohas your Darina strat used ies Aor Gis oar or 1. Does your Department currently or has your Department historically used Class A or Class B foams for eetabingcpesions? firefighting operations? es Protco Queesetiodn 7. Yes- Proceed to Question 2 No-Sign he Backof ns form and return fo Delta Consular ___ No- Sign the back of this form and return to Delta Consultants 2. Howllenis lass Bor Clas A foam usin espns oes cals? 2. How often is Class B or Class A foam used in response to fire calls? Beaman smitten T5008 feos 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 5 Doss hEe Denpvaersment hava compres a foam stom (CAFS)wih abn arkon 5engine? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? 4. Howtlenis foam use nang eres? 4. How often is foam used in training exercises? Weck nity ___ Weekly Monthly ___ Quarry Quarterly _ _ _`SSeemmi-i-AAnnnnuualalllyy 2)(X AAnnnnuuaallllyy BBii--AAnnnnuuaallllyy Overpessasoociyy -- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How mc foam is sed per raining ver? 5. How much foam is used per training event? 3 Loss tan' etons 5 gars $1010gators Less than 5 gallons 5 gallons 5 to 10 gallons TT Moro tan 0 otons emsepecty More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. In ting, wher docs te spen foam 007 6. In training, where does the spent foam go? Som Sower __Sontary Sewer _OnStoSegte =Groune ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic er esse cesrbor -- Other (please describeL ------. _______________--------,-----...,....,---0 7. Where dost he vain ak lac? Poa inch adios rseto ava pes ocsion 7. Where does/did the training take place? Please include address, intersection or other specific location domain of cuenta pes tang rcs. information for current and past training areas. Ino 5910 Rice Creek Parkway Suite 100 St. Paul, M N 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..004446 SstTaAreTE0_202882211440033 QQUUEESSTTIIOONNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. WTheontotrpssS ) andbran)opfosams a)PwaosresuSsodcknoow aordotyh. aby1h Depa rs 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUasendginy AmUosuednt CurentUser TyTyppeeooffFFooaamm `BBrraannddooffFFooaamm ass Aqueas Fin Class B Aqueous FilmFarin Foam app) -------- Forming Foam (AFFF) GlBacsonse Class B AlcoholRaggy | -------------- Resistant (AR)-AFFF A Class B Protein G5l8Fauasotson _---- Class B Fluoroprotein (FP) Gas Fin Forming Class B Film-Forming Broan ry, -------- -------------- Fluoroprotein (FFFP) casper Class B AR-FFFP Gass 81 Class A-B Hi Spar Foam - ClassA Expansion Foam Class A Hague Goo RRJA Training Foam oer - Other Used in YYTeerassinooirrnNNg?oo Amount AAnnUnnusuaealdlllyy HiCHsuitsrorteornriitccUUUssseeeo??r x Seu Thay or your mo and cooperation. Plea corac Nancy RodainDlga Consulants (51607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aaa) ooo Soins oe Mims Poor Cate genes 0513013668 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rs mma 1Tosbres oto rein ih esha jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. less rtu is questteiDtosns Gosslton b H', 2008 nts enclosed stomped self Please return this questionnaire to Delta ConSultants bv !/fav 9, 2008 fn the enclosed stamped: self- aaddddrreesssseeddeennvveellooppee.. Questommarocompelsby: Questionnaire completed by: Zh,Dust TO. ./~Z)rcv~f Re Name and Title we Clty Saws Fire Department Fo3ra8t0ari857 -2/54 Phone Number a S28 Date -- I -- E-Mail Address Kinogen Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: i. Suite 100 St. 651.639.9473 i Paul, MN 55126 USA www.deltaenv.com 22222..004447 stare 0221404 STATE_02821404 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DrDooaeesstyyaoouurr DoDesepepararartttmmoenensnt?t crrntoyr currently or has has your your Deparment Department Wstorical historically used used Cass Class Aor A or Coes Class B B foams foams orfor x7 firefighting Tras operations? YNoe.s S- iPgroncheeedbatockQoufetshtiiosnf2orm and stu to Dela Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants 2. 2. Howoften sClass How often is Class BB oorr CCllaassss AAffooaamm uusseedd iinnrreessppoonnssettoo recals? fire calls? X>_('oa0s-2o5%ttoef fsiress __ 250% _ 25-50% oes of fires ___ T50o0f r%es 75-1 00% of fires 3. DDoocess iethe DDeeppaarrtmmeenntt hhoavvee a ccoommpprreesssseedd aiair oafoam ssyysstteomm ((CCAARFSS)) wihwith abut a built-in ttaannkkoonn sits angie? engine(s)? 3. ___ Yveess xX"';( Nnoo 4. Howltn a foam used naing exerees? 4. How often is foam used in training exercises? eauy ven _oumeny ___ Weekly _ _ _ Monthly _ _ _ Quarterly SembAmualy Aaoualy SiAmualy "X ---=--}:( over praso speci: Semi-Annually Other (please specify): Once.[evfear Annually _ _ _ Bi-Annually . . . .~.<():.Lf\~c:o. J;e" '- f/J~TJc:. c! -!2. !1/<:. . . +{1~ :.=tL:. !_ .V' _____________ 55.. HHoowwmmKuXucc_hh ffooatamemssiisstuurssaeenddsgppoaerrtrtoraraisnningg oevveerntt?? Sgatons Less than 5 gallons 5 gallons ___ 5$1to01100ggaatlloonnss ___MoMroree tthhaann 1100gaglallloonnss ((pplleeaassee ssppeeccififyy)):: - - - - - - - - - - - - - - - - - 6. ntaring, whe dos th spent foam go? 6. In training, where does the spent foam go? Sto Sawer _ Saniary Sower onstesapic IC Grauns ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _K_Ground over pensodoseber ___ Other (please descri~e): - - - - - - - - - - - - - - - - - - - - - - - - - 7. Wohorem dofcta schuenn ttoainndipnaaskoalancge?rPelaesa.se includ address, nrsecoirootenr speci locaton vate ie /Beus 2 all all!~ Xinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..004448 SSTTaATTeE__0022682211440055 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Trraiinniinngg 88.. WWrhehsaapttonttyysppeee(a(ssn))daiannnddrbbarriaannnidd((nss)1g)oofafpffpoolaiamcmabaalreoe)?oorPrlwweeearrseeeuucssheeeddcnknooawwahanandtdaiinpnpthlhyee. ppaassttbbyytthhae DDeeppaarrttmmeenntt,, bbootth foorr rofire response and in training (if applicable)? Please check all that apply. TrUUassieenddiininng? Training? AAmUmosoueudnntt Used CCuurrreenntt UUsseeoorr CGFoalarssmsTsiynBBpgeAAFqqoouuafeeFmooouu(assFmFFFiiFlmm).- CCRFelolsaarissmssstiBnaBgntAAFl(oocaoRnmhpoo:lA(-AFFFFF) GRleassissta8nPt r(oAtRei)n-AFFF CCClllaaa)ssssss 8B B PFlruootreainprotein Fluoroprotein G(CFFhalaPasso)ssroBBprFFoiitlmman--FF(ooFrrmFmiFinn)gg CassBARFFFP Fluoroprotein (FFFP) GECClxllaaapsssasssnsAABi-oBABnRHHF-iiFoFaFmP CElxapsasnAsion Foam TCrlaaisnsinAg Foam OtThraeinring Foam Other Brand of Foam Yes or No Annually Historic Use? ~~ ------------ ---------- ---------- ---------- ---------- - -- rrr rt -- ---------- ---------- ied osliwhan)e --f--o--s-- --su--p5--pa--l ----Spel--f--or HJ pe rT ----" -------- o"TrThharannokkydyoiouunffogorr@yyolouarurctminmaecoaamnn)dd occroooo4ppemerarStatitioooncn.k.inPPglaleeraaassteetcchoaonnMttiaancctnteNNsaaontncacyyPRRoolocudnlnioinnnggaCaottnDtDerelollttaaAgCCaoonnncssyuull(taa3nn5t1ts-(2(6965751-1-8-606960767--o55r115522 im Sockinger@state.mus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you have any questions regarding 4s questionnaire Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or addressedenvelope. Please return this questionnaire addressed envelope. to Delta Consultants bv May 9. 2008 in the - enclosed stamped. self- QQueusteonsgatfie o~rceocmopmlpeletteedd bbyy:: 1rd Ramo a),n(ah,hT_eit1e ~BiokvUuIMstul/-n10 fire Yt Name and Title Fira D(Co)pauWrMiumfatnlt~ Jd T ax! VEU. Fire Department PhonAe NEum-be3r 35 F203 da Phone Number EMai~l A{dAdrerssf! fgoolllleotn1=-eeaal~ Co d {!_/J?Z1 fCoase be Xinogen: TE CR TI TU 80, 5 po ee ve 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.015.9045 | 800 437 7411 Fok: B91 619947) Mmmedelinttamn Phone: 651.639.9449 1.800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00444499 SSTTAATTEE__0022882211440066 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. tDDoooessoyyoonuurr DDoepeeppraaarrtttimmoenensnt?t curenty currently or hhaass yyoouurr DDeeppaarrtmmeenntt istrict historically uusseedd lassClass AAoorr Gass Class BB ffooaammss ffoorr f i r e f i g h t:Xi>nCg_( oYpeerasti-oPns?rotco Queesteiodn2 YNoe- sS-iPgrnoctehedbatockQoufeshtiiosnfo2rm and atu to alta Consulants No- Sign the back of this form and return to Delta Consultants 2. How ofenis Class Bo las A foam us espns ove cal? 2. How often is Class B or Class A foam used in response to fire calls? canaries ---XA_a-ssomaties 7500 offre ___ 0-25% of fires 25-50% of fires ___ 75-100% offires 3. Does the Deparment have a compress foam system (CAFS)with abun arkon fs engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? X_ ves )( Yes a ___ No PR -------------- 4. How often is foam used in training exercises? Never Wey Monty Quarry -- semamaty _XX._ Awualy _ evAmnualy ___ Never ___ Weekly ___ Monthly ___ Quarterly Semi-Annually --1-'--"'-- Annually ___ Bi-Annually Over (plesespect: ER Other (please specify):-----,....------------------ 5. Howmch amis usd or ring vent? 5. How much foam is used per training event? -XX_- toss han gts Sgn s1t0gatoors Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mors han 10gatos oa soci A ___ More than 10 gallons (please specify): __________________ . nang, wher dos he spt foam g07 6. In training, where does the spent foam go? SomSever __ Santry Sever Onsiesente _X_crown ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic *Ground J -- SO ___ Other (please describe): _______________________ 7. Vianremsasdoeofs htoenarain noastkYlaanceg?rleaes.a cide dross, arse avr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. KwXoIngoeg~nne ''" OVEERR---+ nn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00450 sStTaAreTE0_208282211440077 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wht type(s) and rane) foam are wre usec now and n he past b the Dept, both for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss nin Vain (apical Pleas crocka ot aly response and in training (if applicable)? Please check all that apply. TUrsiednign? AmUosuednt Curenty Historical TTyyppeeooff FFooaamm Clas Aqueous Class B Aqueous Pmfomgrem -- Film-Forming Foam FF, (AFFF) GloAosns Class B AlcoholRemamoR: Resistant (AR)ae AFFF CissBPown o_o Class B Protein cise Class B Reopen(fp) ------------ ---- ---- ---- ---- Fluoroprotein (FP) Class Bim. Class B FilmFemi Forming Furggoen | -------------- ---- ---- ---- ---- Fluoroprotein Fe (FFFP) CossbamsEe Class B AR-FFFP Css ABH Class A-B Hi Trt ---------- -- -- -- -- Expansion Foam Class Srlven IX Lowe Class A Tengbom Training Foam otra - _ -- _-- Other BBrraannddooff FFooaamm Used in YTYereassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy Used? Currently Used? Used? Historically Used? >< Thank you for your te and cooperation. Pass carta Nancy Roding a Dla Consulant 851-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or mochna@eaem com) or Jn SioCnGor a tho Mescta Poon Convo Agancs (5514978056or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sock ger site) 0 hve ay eon eGAInG 1h CuesionTals jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questonnaieto Delia Gonsulanis by Jun6e 2008 nthe enclosed stamped, se. Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- adaddrderesssseeddeennvveellooppee.. Questomare compet by Questionnaire completed by: CR_rioes Cf< /'700ttE Fors ana Til Name and Title CHex FoH f-e1-DA Ae-pCCat.rc.meeEn"rJtVa.ssAte!Kr. freA Fire Department P2ro/ne8Nu-mbe6r 9-6162 Phone Number [Fae Qepr 6-5Daotef Date er E-Mail Address Xinogen ~ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.630.9045 1 800 4377011 Fok: $91 39.0473 mh.daliasnu.ton Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..045511 sStTaArTeE0_208282211440088 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Does your Department cureonrthays your partment istonaly usd Cass AorCas 8 amor 1. Does your Department currently or has your Department historically used Class A or Class B foams for Faro opasions? firefighting operations? >< Vos - Proceetdo Questio2n ~ Yes- Proceed to Question 2 No-Sign he backof his form and efrfno Dela Consulans ___ No- Sign the back of this form and return to Delta Consultants 2. Howten fs Class B.orClss foam used in response fre cals? 2. How often is Class B or Class A foam used in response to fire calls? ozs otties saatres SX 5100 ftres ___ 0-25% of fires 25-50% of fires . k _ 75-1 00% of fires 3. Docs ihe garment havea compress ai foam stom (CAFS) wha bin ak on fs ngine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? --a ve (LcEasEs ot Rese Und) X--Yes No ( .i eM=> lA"'-t+ ~ i , R.e..>cue.-.- V "'-:.f-) 4. How fansfoam usedi ann anercions? 4. How often is foam used in training exercises? Woks oy J -- ___ Weekly _ _ _ Monthly ___ Quarterly Seramaty S><S.-: omaty i ___ Semi-Annually ,-- Annually ___ Bi-Annually Onepemsespecty - - - Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used per rang oven? 5. How much foam is used per. training event? >< Less rans gators __ salons St010galons ~Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons _ _ _ MMoorreetthhaann1100 ggaalllloonnss((pplleeaasseesspepceicfiyfy)):: 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? SomSaver __ Soir Sever onstesepic >< crowd ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Ores essa dese) - ___ Other (please describe):----------------------- 7. ifrorerdaoeofsctuhesninnegpaackpalnancg?rloena.s nce adress, nrsetion avr speci ocaon 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. \/A-RIOt)<; Hwmogen rE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651 639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00452 Stare 02821408 STATE_02821409 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. ToWchoaotnpss0s0n)damd abraanoseffsoo)msaoroPveenresucsrdanow aond piyh. os yh Depatmont she 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Tangy -- "eed curentUsear TTyyppeeooffFFooaamm GlsB Aous Fan Class B Aqueous Filmii-- Forming Foam (AFFF) Glos 8 Akal Class B Alcoholrn -------------- ------ Resistant (AR)-AFFF CesBPOON | Class B Protein Gass B Faroprotn Class B Fluoroprotein ww _-- (FP) Glass BFi ming . Class B Film-Forming Poon rey, ---------- -------- Fluoroprotein (FFFP) Cason Class B AR-FFFP cuss AH Class A-B Hi Soman foam -- Expansion Foam Goss A Sylver Mee Sgl Boll Class A . TAI etme em oT Training Foam over - Other `BBrraannddooffFFooaamm Used in Training? YYeessoorrNNo o Amount Used AnAnnunaulalllyy Current Use or HiHsitsotoriricc UUssee?? Toa outa ur he an compan, Pea sot ary Rodin Dek Goran (051.607.152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 taeao m son Sia sha nos on Comms to or ean or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or resin Gore) fou bo ry aarp sso jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerreettuurrnntthhiissquqeusetsitoionnnnaairireettooDDeellttaa CCoonnssuultltaannttssbbyyMMaayv99,. 22000088iintthheeeenncclloosseeddssttaammppeedd,.sseellff:- aaddddrreesssseeddeennvveellooppee.. renaDon Kruecer QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: ])otJ KRuEGEt< Name and Title FeeCuce Searalae f-J4M Lf4-kF Fire Department Q i 27663'3 -- 22335s---1I6b45 of o EPhoanderLkrumevbseur e7ew Ct,bcul/1--~/okela,k.eD.tMe.n,us:- E-Mail Address XNiInnooggefnn: ,,, sree 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA hone: 651.639.9245 1 800.473.74F1a1k: 651 639.047 mwer.galtaanoem. Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv com 22222..00453 state_o2621410 STATE_02821410 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg TX erssttoausionz 11.. DaDoonseossnyyooguurr DoDpeeeppraaarrttmmoerensnt?t ccuurtreennttlyy or hhaass yyoouurr DDeeppaarrtmmeenntt Hstocaly historically uusseedd CGalassss AA oorr CGllaassss B ofoaarmss ffoorr firefight)( operations? No Sign the back of tis form and retur to Dott Consultants Yes- Proceed to Question 2 No - Sign the back of this form and return to Delta Consultants 2. Howie Class B or Class A foam used in response fs cals? 2. How often is Class B or Class A foam used in response to fire calls? -XL oasis ossmeotties 75-100% fees 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. Doss the Department av compre essed afoam sysem CAFS) witha bltankons engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve Xn ___ Yes )( No <. Howlin s foam used in aning exercises? 4. How often is foam used in training exercises? Wey oun ue ___ Weekly Monthly ___ Quarterly Semvamualy ----XAC - sort akAnaly ___ Semi-Annually Annually ___ Bi-Annually Over ease spc: - _ ___ Other (please specify): _______________________ PR -- 5. How much foam is used per training event? _XX_ LLeessss tthhaann 55 ggaalllloonnss 55ggalallloonnss ___ 5510t1o0 1g0alglaollnosn.s Mare than 10 gallos (ease speci: ___ More than 10 gallons (please specify): __________________ 6. ntrang, whee Gos tho spent foam go? 6. In training, where does the spent foam go? Stom Sewer ___ Sonar Sewer onstesepte XX aroma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _____{ Ground Or leasa desc: I ___ Other (please describe): _______________________ 7. Whee doe th vain ake lace? Pleas includ advess, iersectonor other speci cation 7. Where does/did the training take place? Please include address, intersection or other specific location 7 information for ::ent and past training areas. Iff r f.iRotVJW/9- PPhhoonnee:: 651.629.5445 / 800.477.7411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.639.9475wai daltasnv.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222222..00445544 sStTaAreTE_0022882211441111 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training . Wnt) dmraet)oaf osmnrrFwoersuosdonhtontionnh.ostby ho Doar, ah or 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TupeotFoam ---- 0 TvenEti hAUmEoyn sSimg Type of Foam orrem---- Class B Aqueous FilmCp ---------------- ------ -------- Forming Foam (AFFF) Geos A: Class B AlcoholRae --_-- -- Resistant (AR)-AFFF beri Class B Protein Fp ams Class B Fluoroprotein fa _-- (FP) GoFsnFmeing Class B Film-Forming Commi Fluoroprotein (FFFP) Connie _Prgus Yes soul Class B AR-FFFP cmnon Class A-B Hi en -- Expansion Foam Goren a Class A Tron TT Training Foam Over Tr Other Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Er -------- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 maaan irae so Memon os Como pons 05 So 3981 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or a: jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. AeTae eats Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellooppee.. `QQuueesstti~g_npaaiirreeccomopmigpi~eddbyb:y: wlL51?1912 /UPloactJe rf Oy 4ita ete FFiirreeDDeeppaarrttmmeenntt = FrXoaS-miwd7-2030 73 Phone Number fL{ocle<oc7ar- SaT;o0 @~/JHoott:.., ccoorr?? RE E-Mail Address = o-2pof Date Kinogen ra TR TE Cn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00455 [p---- STATE_02821412 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1 . frDDoootesashyyioonuugrroDDpeeeppasarsrttammneesnnt?t cstrtoyr currently or has has your your Department Department historical historically sdused Clas Class A oorr CGllaassss B ffooaammss ffoorr X_ firefighting X opeVroastioPns?rotcoQueesetiodn2 YNoe.s-SPigroncteheedbtaockQoufesthtiiofno2rm an return to Data Consulants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. How How often' often is Gasso Class B or ClaAfsoasm Class A foam uusseedd nin rreessppoonnses ttoo refire ccaalllss?? ___ 025%offre 0-25% of fires XX_ 225-550.%o5otf0frir%eess ___ 775-510-0%0oot0ffirr%eess 5. Does i Departmenthave I acompressedai foam system (CAFS) with abun tan ons angine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s )? X2_( Yveess I ___ NNoo 4. Howislfotamuesednintraingexercises? 4. How often is foam used in training exercises? Wook SC ony Quarry ___ Weekly ';i Monthly Semi-Annual Paty BrAnnuaty ___ Semi-Annually Annually ___ Quarterly ___ Bi-Annually Or (loasaspacty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por raining ove? 5. How much foam is used per training event? Loss hansgaons__ gallons 51010galons ___ Less than 5 gallons ,>( 5 gallons _ _ _ 5 to 10 gallons Maro than 10gaons(easespec): _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - ----t- 66.. IInnttrianininingg,, wwhheerree doos does ththe spent spent foam foam 0?go? X_ stomsever ~8SaniSutnatorryy Sewer __OnstoSepic __X2{__Ground SOtovremr Speowaseor descrbol Sewer ___ On-Site Septic _ Ground Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. WfhoromraetGioon eforsctuhteaiarinngpakstoaplnacge?alroeaass.a incudo adress, erst or thr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location info99rm/2altiot/n-1fao-erm-creunrercent/R2aynnd (Fre STN past training areas. ( Ffll(__ .snt-r/orJ ).-) 4A1\n1._D0 <GSTTTH-kR..JRL VvAA-RrUiocuu..SS LoeamionsS NKinoger: Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..004456 SsTTAaeT_E0_208282211441133 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Whot types) and branodf fsoa)m acwor usd now and nh astby he apart rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire enon sna soma) Pls cack oo 99. response and in training (if applicable)? Please check all that apply. TUesadninng AmGeoeusn't curent user `TypTeoyoffFFpooaaemm Gls Acwoous Fim. Class B Aqueous FilmFamine ---------- ---- Forming Foam (AFFF) Gass 8 robe. Class B AlcoholSeen | Resistant (AR)-AFFF Gas 8 Proton a Class B Protein Gas 8 Foran Class B Fluoroprotein w= -_ (FP) Gas 8 FiFemi Class B Film-Forming onary ------------ Fluoroprotein (FFFP) I, Class B AR-FFFP Gass naH Class A-B Hi Cito ------------ ------------ -------- Expansion Foam Gass Anse Sve x Googel pumat Class A A Training Foam Over 0 Other BBrarndoaoffFnFooadamm Used in YesorNo Training? Yes or No Amount AAnnUnnusuaealdlllyy HCiHsuitsrrtoeornriitceUUUssseee?o?r X t?uvrettf Thnk you fo your tne and cooperation. Plas contact any ing of Dla Consults (851.0075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oma som oo Somirger a Mme oo Coes Aone O50boot o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Geen oo 4 Yo ov oy mo ogg some jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseererettuurrnnththiisqquuesetsitioonnnnaaiirreettoo DDeellttaaCCoonnsuslutltaannttsbbyvMMaayv99,.22000088iinttheeenclooss~erdfssttfaY!ml_pp~eg_d,_,_sseellf:f::. . addressed envelope. [------ Questionnaire completed by: H!-l\ B.buawpewGuest, wee ll.Al\Jl)-o ~ ~e s1 Rarand The Name and Title Home bu ae Deg ~e...L. FFiirree DDeeppaarrttmmeennt t 1733 SYoQ a FN PhoneB~rNreu~am-bVne\rddcot"nY\.. GCu-ue.esstt@@ ~HMafm._eLdfF=iln~e;oorSj eee E-Mail Address 1Y- May 08 KXIinnoogg~enr ,"" rn ET TE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222..00457 state o2s21414 STATE_02821414 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. Doss your Deparment curentlyorhas your Deparment strc used Gass A or Cis B foams a 1. Does your Department currently or has your Department historically used Class A or Class B foams for feigning opesions? firefighting operations? Ves- Proceed to Question 2 Yes- Proceed to Question 2 X4_ o- Sign theback tis ormand turn o ota Conant No - Sign the back of this form and return to Delta Consultants 2. Howolen as or GlAafosam usd in osponfosfer cals? 2. How often is Class B or Class A foam used in response to fire calls? 028% otros 25a otis T5005 cts ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Does the Deparment ave a compressa foa syste (CAFS) wih abull akons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes TeNo 4. How olen foam sed in raining exercises? 4. How often is foam used in training exercises? Weekly fr Quarterly ___ Weekly ___ Monthly ___ Quarterly TT somavmaly Aonualy Semuaty ___ Semi-Annually ___ Annually Bi-Annually oer pease spect --e ___ Other (please specify):-------------------~--- 5. Howmuch foam sed por Varig vent? 5. How much foam is used per training event? Loss tan galons sgn ___ Less than 5 gallons 5 gallons More than10 gallons (ease spec: ___ More than 10 gallons (please specify): S1t0gatoons ~ ___ 5 to 10 gallons 6 In rig where doheespsrfam007 6. In training, where does the spent foam go? somSower ___SanaySewor __OnStoSeple Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Ove (please descr: _ Other (please describe):---------------------- 7. Vihre does he ining ok lace? lose cu aves, iersetion of over spciclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location Momo caren an pics arog rs information for current and past training areas. PPhhoonnee:: 651.639.5/40405.937411"Fok: . 910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 631.639.9475 Suite 100 St. 651.639.9473 WaAASIIARRY.AOm. Paul, MN 55125 USA www.deltaenv.com 22222..00458 stare 02821415 STATE_02821415 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WoWshhpaaottnytsyppaee(a(ssn))daainnddrabbirnarinndag(s(n)1oopdfflffscooaaa)mbmiaaerr)ee?oowPrelwerearesee uucssheeeddcknnooalwwatanhnaddl aiinpythhe:eppaass by t by the the Department,both Department, both for for refire response and in training (if applicable)? Please check all that apply. Type of Foam CCFlolaarssmTssiynBBpgeAFAqoqouuafeemfooouu(assRmFFFiiFlmm)-GCFReaolasrsismssstinaB8gntAAFllo(cccoR;o~hhPmooAll(-AFFFFFF) Gass B Proton Resistant (AR)-AFFF Class B Protein C)lBFlaorosprosten Class B Fluoroprotein FiC(CFvllPaaossr)ssop8BrtFFeiilimmn--FF(ooFrmFmiPinn)gg CossmArFEFP Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAABi-oABnRHHF-iiFoFaFmP Gass A Expansion Foam TCrlaaisnsinAg Foam Other Training Foam Other BrBarannddooffFFooaamm -- -- ------ ~~ --- rse -- TUUaissnedidiningn? Yesorto Training? Yes or No AAmUmosoueudnntt AAnnUnnusuaealdlllyy HCCiusutmrroeernnittcUUUsssoeeoo?rr Historic Use? -------- ------ --------t-- o0To`rrharnTtrnaookdcdyhkynhooiiuinunafgngof@eogrnrr@d@yyesdokoltuteuaarlettteniiimvammc.eeceooaanummnny)dd)sooccroroyaIoJ)opipmmeuerraShSattattooiovoncecn.kk.iainnnPPggylaleeeqrraauaassettseettthccihoeooennnMMtstiaaicnnrctnentgeeNNassaraoondntticacanyygPPRRo1ololosluudttnniqooiunngnegsCCtaaoiotntontDDnrtnireooatllitlaarAAegCCg.eoeonnnncscsyuuyll(t{a6a3n5n5t11ss--22{(699657751--18-9-660696607667--o5o5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped. self- addressed envelope. aPa QQuueessttioonnnnaagiree ccoommpplleetteeddbbyy:: are~ and Tv i 7217 alle t.hLe ~ im aSheva cast Phone INuEmber 4KTS BS Phon'e Number <0& s-/- aie Date E-Mail AEdaddreesss Xinogen SST er Cen parr ST 160 SE Fat eSvTIeUS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.620.95005 457 7411 Fak: 91 6199475WtmaRAILAAARAL Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222..00445599 SSTTAATTEE__0022882211441166 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm Use iinn FFiirree Trraiinniinngg 11.. DfDrooofeeisgshiyyngoouurr DDopeeeppraaarrttmimoenensnt?t ccuurrerntelyonorrhthaayss yyoouurr DDeeppaarrttmmeenntt ihsistotoririccaallllyy usseedd CClalsasAAsosorr CGalassss BBffooamasmofsorr firefighting )( vo rrossatiocummtons operations? Yes - Proceed to Question 2 ___ NNoo- -SSiiggnn tthhee bbacakoocfftthkhiiss ffoorrmm aanndd rreettuurrnnttoo DDeellttaa CCoonnssulutltaanntsts. 22.. HHoowwooftfteenn sis CCllasas BsBosorr CGlalssaAAfsfooaasmm uusseodd iinn rreespsonpsoetntoofsfirree ccaallls?? 'Af... 0o-a2s5t%ofoif fvireess ___ 2255.-5500%%ooff ffirreoss ___ 775-150-0%1ooff0rfiro%ess 33.. DDooeess tthhee DDeeppaarrttmmeenntthhaavvee aaccoommpprreesssseedd ar air foam foam system system (CAFS) (CAFS) with with a bitin built-in tankon tank on ts its engine(s)? engine(s)? Yes ___ Yes Xo )( No 4. Howoften foam used in ining exercises? 4. How often is foam used in training exercises? -- ieay vont quarry ___ Weekly ___ SSeemmii--AAnnnnuuaallly _X nana --:--- Monthly )<. Annually ___ Quarterly ______ BBri-AAnmnuuaalllyy Other (please speci): ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss uusseedppeerr trraaiinniinngg eavveonnt?? A -j.... LLeesssstthhaanns5ggaallloonnss ___ 5Sggaallloonnss Stt0gaens ___ 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaallloonnss ((pplleeaassee ssppeecciiffyy)): -- __________________ 66.. IInnrtraaiinniinngg,, wwhheerree ddooeess tthheessepnenttffooaamm ggoo?? ___ SSttoorrmm SSeewweerr __ SSaanniittaarryy SSeewweerr __ OOnns-StiteeSSeeppiticc ~$G4,roGruonundd ____ Other Other ((plleeaassee ddose crbs e) c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WVInifhhooerrrmeoatddioooeenssfoi/dciddcuttrhhteeenttrtraaainnniindnggptaaaskkteerppailaiaccneeg?? aPPrleleeaasa.ssee iinncclluuddee aadddrressss,, iinntteerrsseeccttiioonn oorr ootthheerr spec specific llooccaattioonn Dal information ~u..\\.- Sel for current \;e,\6 Quand past ~(1\~ bt training hi:t~ areas. XKIinnoogg~enn: '"' none: 651.639.9o54T0 w85e0 E43r3e54F1a1 rkFaak S31U0E319000S4C MPaubl, AWSHIC5A5R136LUaSrK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222222..00446600 SSTTATAETE0_208282211441177 QUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Whot tots) aa nd rantsafoao m are Pa woer ursdorow paood ei t.h past by th Drmnt, Sot for rs 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. GF8laAcursonus ,Fin- TTyyppeeooffFFooaamm Class B Aqueous FilmForming Foam (AFFF) Class B Alcohol- nny Resistant (AR)-AFFF ComBPOOR | Class B Protein GareFawepiein Class B Fluoroprotein &(FP) Ga8 FisnFomsing Class B Film-Forming Hy, Fluoroprotein (FFFP) BBrraanndd ooff FFooaamm TUasendginy Used in Training? YYeess oorr NNoo Amoooutnt Amount Used AnAnnunaulalllyy Gumentuseor Current Use or HHiissttoorriicc UUssee?? -------- ------ -------------- ---------------- -------- EE ---------- -- Class B AR-FFFP Coton || ---------------- Class A-B Hi Expansion Foam ---- Class A Tofu Training Foam over - Other Thank oufor otmrand cooperation. less conc any Ring of Della Corals 051-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 am5oa o Singsn Memes Polos Cot ry oo 3075008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Belis jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please retun tis questionntoaierte Consultantbsy May 5, 2008 ntheancosed stamped. Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped. self- `addddrresseddeennvveellooppee,. ape or Questionnaire completed by: ~~~cbt= ~ Nai and Title - = Frepapa 4 Ul de jy 3Dose, Fire Department FseoJa,-rL~1-;;tVct:t Sailroes @Quherpind E-M il Address J 2 Date PPhhoonne:e: 651.635.5443 /800.477.74F1o1s51.639.547 5910 Rice Creek Parkway Suite 100 St. 651.639.9449 1 800.477.7411 Fax: 651.639.9473 wmPuawiuwnl , a.MddaNell tt5aa5e1sn2nv6v.icUtoSomAm 222222..046611 STATE_02821418 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Doss your Deparment ureod has your Departmen italy used GlAasClass foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for fred coetied] firefighting operations? A5 Ves proceed to Questio2n Yes - Proceed to Question 2 No- Sign he baocf iks orm and return to Dota Consulants ___ No - Sign the back of this form and return to Delta Consultants 2. How olen Gass B or GlAafsoasm used i rosonso ors cals? 2. How often is Class B or Class A foam used in response to fire calls? X2 vaste 25.50% otfres T5100 offre 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5. Does he Deparment rave a compress ai foam system (CAFS) wih3 in ak on 5 eng)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes >X heNo 4. Howotionis foam used nang exercises? 4. How often is foam used in training exercises? Weak voy -- ouneny ___ Weekly _ _____ SSoemmiiA-Annnunaulalllyy X -..,...-- Monthly XX _ aAnnnnuuaalllyy ___ Quarterly _ ______ BBii-AAmnnuuaalllyy Gtr (aso soci: EE ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foTamiseusredpmr rsang eSvesn? gars J ~ 5. How much foam is used per training event? _ _ _ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Vive han 10gars lease speci ___ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - Storm Souer Sanitary Sewer 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? er _ _ Sanitary Sewer __ OOnns-SiiteesSeeppiticc XP<. GGrroouunndd TT oveemedsmer _7----storm Sew _ _ _ Other (please describe): ___ ----------- 7. Wmhaerteodnoesuhro reanaingpkoteHplaacme?rPloea.se incude adtoss erseton oalher speci lacaton Tre. v in foes. ; Gorlin _ Hmogen [ETS TA E ECTR TROSRE TR TE UE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..004462 sStTaAreTE0_202882211441199 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What type(s) anc bancoffeoa)m ar arwer used nowand nh ast by the Deparmon, bth for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tospons and n vain poles" Please chock a ht a5. response and in training (if applicable)? Please check all that apply. TupeofFoam BrandofFoamy YToUarsnoeirdniNgnl?e AAmmUmosueuadnllty CfuimsteonntiussUeseorr Type of Foam GFoersmpintg Feoaemn(FrFiFn). Fe | tedaamen? mrt) Class B Aqueous Film- Forming Foam (AFFF) CCllaassss BB AAllccoohhooll- Salem, Aamdzc ges Ler Lee Resistant (AR)-AFFF Brand of Foam )o/A A/; Te, l}f15:</;z-e cassoprown _F% Class B Protein Used in Amount Training? Used Current Use or Yes or No Annually Historic Use? ~J~.,~-!f~~A~1~Q~j~;~$p~'=:~,~Eb~t~~( j/~<; 7 O.lfdei.>= (uJge#'~ ;;&-f Class 8 Fuoropraton Class B Fluoroprotein & ---- ------ (FP) Class 8 Fim-Faming Class B Film-Forming Furoproten (FFP --_-- Fluoroprotein (FFFP) omen Class B AR-FFFP Class A 1 ECExxlappsaasnnsAsii-ooBnnHFFiooaamm Class A TTrraaiinniinngg FFooaamm OtOhtheerr | me ee Core 1/6 ee / Tor fom Bpue-fco Yes Jshu (Comeed Thnkyou for your ie anc cooperation. Pleas contact Nancy Rodinga Dla Consults (651-657-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or odin datacoom4)m locking the Meso Pollo Conl Agency (65107-8666 a jjoiimrmn.ssrtotodocnckiiknnigg@ negrd@eerslt@taasettena.vmt.cneo..mums)n)io.iffruyyJsooimu)u Stockinger at the Minnesota Pollution Control Agency hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueessttiioonnnnaaiirree.. (651-297 -8666 or Plosso stun this ussionnaleto Delt Consulfants by Hay. 2008 the ensosed stamped, lf. Please retum this questionnaire to Delta Consultants by fl/lav 9. 2008 In the enclosed stamped. self[rT p---- `aaddddrreesssseeddeennvveellooppee.. c ) NWaammieaanndd THTitle LdFeheraG.orpmarmidmmon7ot n\Yy 1",V;-ee__ IDJes-kt >3/ Fire Department ' P5S ho?neJo Nu7ber~E6R '66E-- cB/o6ooo)iJ -- 52S21/I!H/e-D-da)e]ul,/ Phone Number Date dA~f'/B!lJa"m'eGMyVuNf 10D<($)p1>eVen~-c. ceozWl E-Mail Addres? 2508 Kinogen _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene e31.030.0008 800 SASAE Pole ELIS3) meat am Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00463 sSTTaArTeE__0022882211442200 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DDoosaess tyyoouurr DDmeeppoaarrrtmmee?nntt cstnty currently or or has has your your Darimentistoral Department historically sedused Clas Class Aor A or Class Class 8 B foams foams orfor firefighting V opYerati-ooPnrso?cseed to Question 2 NYoe-s-SPigroncteheedbtoaQoucfetshtkiiosnf2orm and return to Dott Consultants No- Sign the back of this form and return to Delta Consultants 2. How often s ClasBsorClaAsfoasm used in response to fr cals? 2. How often is Class B or Class A foam used in response to fire calls? VY o0-22s5%tooff rfireess ___ 2255-.5500%%ooffffirreess ___ 7755--110000%%ooff frireess 3. Doos the Department have a compressa ac foam sysom (CAFS) wih bultintankon is engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? 7 vhees 7 -----,......--Yes _ _ _ No 4. Mowoten s foam usedin raring exsrses? 4. How _often Y is foam used in training exercises? NSeovmeiramniaty W#ea7kly Never ,p ___ Weekly aomualy ___ Semi-Annually Annually Marty Quarry Monthly _ _ _ Quarterly_ Sealy ___ Bi-Annually OOtthheerr ((pplleeaassee ssppeecctifyy:): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmu~chfofoaammiiss uusseedd ppeerr ttrraaiinniinngg eevveenntt?? ston J Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons " Morovantogaionspomespecigy More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggo? _Stomsawer A santary Sover onSiesepic Grad ___ Storm Sewer ~ Sanitary Sewer _ _ On-Site Septic Ground J ------ i _ ___ Other (please d e s c r i b e } : - - - - - - - - - - - - - - - - - - - - - - - 7. Wheto does th iin ake pice? Please incu address, nrsection of oler speci ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location formaotr cieonnt and past vain ress information for current and past training areas. OVVEERR-----+ Ninogerr __.X~cln=o~gc.e""",n...,"""""'"""'"~---------h::o-n:e:::--:5-1::.:6-3-9:.:0:50-94:1-0o:-1:R-8ic:e:0:-C:0r:e-e-.k~1=P9-a-1:r3k-Fw--7ao-y-:::S6:5u--1it:e6-3:19-0-.0-0:4;7S-3;t.:m;dP-aa;ra:ur;l,-l-M~N~t--5a;5-1~s2~6-Y-C-Ua-S.-mAPhone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..004464 SsTtAaeT_Eo_z0s282211442211 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WWhhaatt ttyyppee((ss)) aanndd bbrarnad(ns)odof(fffoosaa)mm aarree oorr wweerree uusseedd nnooww aannddiinntthhee ppaasstt bbyy tthhee DDeeppaartrtmmenetn,t, bbootthh ffoorr ffiirree response nd kang ( s5picae Please chock lat 3p. response and in training (if applicable)? Please check all that apply. Tipeof Foam Bundoifem TrvUiesnseiodnrigSn?e AAmmUmoseaudnlty Csuereenrt Histoirsiecda:lly Type of Foam Clas Aqueous Class 8 Aqueous Fimfomeabam -- oo Film-Forming Foam [rs (AFFF) Clos 8 Aonor Class B Alcoholfoseny -- Resistant (AR)aEAFFF CossbPown o_o Class B Protein Css Class 8 Farolan (7) ------------------ -- -- Fluoroprotein (FP) Ci8Fsim- Class B FilmForming Forming Fumo | ------------ -- -- ---- ---- Fluoroprotein Er(FFFP) Caspar o_o Class 8 AR-FFFP Coser Class A-B Hi Domsntnm ---------- = -- ---- ---- Expansion Foam Class Siv-ew ON Rw Class A TamgFon Training Foam oer -_- __ __ _-- Other Brand of Foam sdv - e)C._ Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Thar youtor ou me and cooperation. leas contact Nancy Rodrig of Data Consular (51.6073152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or radmin daacmecom of Jin Slockinger of th iomesat Potion Cons Agony (45%597-3006 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or FringeGetto oro ou hove og avers rondo is thom jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Sr EPleleaasseerreettuurrnntht hiiss qquueesstit ioonnnnaaiirreettooDDeletltaaCConosnuslutl taannttssbbyvJJuunnee66, 22000088iinnttheeennccllosseeddssttammppeedd,. sseellff:- addressed envelope. oie. Flebunp QQuue~sitoinonnnaaiirreeccoommplpeletteeddbyby:' r~!u"l 1~ Re and Tal Adie Name and Title Fn FeeDaparment Fire Department 561-80- 2ue1 561- g>qf-- Zll<g '1 Feel Phone Number Foe Oct Dtate I Ba E-Mail Address XKiInnooggefnn ,,, Pron: Phone: 651.620.95455910 651.639.9449 1I 800.477.7411 Rice Creek Park 800.477.7411 Fak: way Fax: 631.639.9473 Suite 100 St. 651.639.9473 warnidalinantam Paul, MN 55126 USA www deltaenv.com 22222..00465 sStTaAreTE_202882211442222 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. TDDooosests yyeoounurrDoDeppeoaprraatritmmoenensnt?t cattoy currently or has has your your Deparment Department historical historically sedused Clas Clas s A or or ClBafsoamss Class B foams orfor f i r e f i g h X_ting X. o pYeersatio- nPs?rotcoQueasteiond2 NYeos-SPigroncteheodbtaockQuofetshtiiosnf2orm and return to Dott Consultants No- Sign the back of this form and return to Delta Consultants 2. Howoften's Cass BorClass Afoam used inresponse to re alk? 2. How often is Class B or Class A foam used in response to fire calls? X_ o2stot ves 25.50% offre 75-1005 of ees >( 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Doss the Department have a compress ai foam system (CAFS) wih bin ak ons engine)? 3. Does the Department have a compressed air foam system (CAFS) with a bwilf-in tank on its engine(s)? ves ___ Yes X_ vo X No 4. owottenis foam used in traring exercises? 4. How often is foam used in training exercises? Wolly Meaty Quarry ___ Weekly ___ Monthly ___ Quarterly Somat Aomuaty _ aimuaty ___ Semi-Annually ___ Annually '/., Bi-Annually Other (ease spi: _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam s used por waning ove? 5. Less than' gallons How much foam is used per training event? ___ Less than 5 gallons 55gaglallolonnss RK 551to01100 ggaatllioonnss Varo than 10galons (ease spect } ___ More than 10 gallons (please specify): _________________ . In aig. where coss he spent foam go? _XX_ somsever ___santaySewer 6. In training, where does the spent foam go? Storm Sewer __ Sanitary Sewer ___o_nSOtne-SSiteepStepitcic _~XGrGoruounndd Over lease describe -- ___ Other (pleac;e describe): --~----'--"--~~---'---~~--- 7. Wfhemre Gtosfosr ctuhnatiarningpfaasktevpiaacne?rleesass nude ade, intersecorttihorn speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. rp.o.,l/Jli.'peh1e<- ' lL..o. .c....t.)i:,e.'-n"ss Kinogen: XInogpl' r "" [ESP EE Ee A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00466 sStTaAeT_Eo_z02s82211442233 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WrWehhsapatot nttysyppeee(a(ssn))daainnddVbbarraiannndd(s)()1ooaffpfpfohoacomamblaaerrey?oorPrlwweeearrseeeuucsseecdnnooawlwhananctd ainnptnhye asb the past by the DDeeppaarrttmmeenntt,, bbootthh ffoorr refire response and in training (if applicable)? Please check all that apply. TyTp~~eeooff FFooaamm Class BAlconol- ClCalassss BB AAqqueuoeusoFFiuillmsm-FFoorrmmiinngg FFooaamm ((AAFFFFF)) Class B Alcohol- Resistant (ARVAFF Resistant (AR)-AFFF CossoPoen Class B Protein Gla&Fslssooprotein # Class B Fluofroopprrooltein BBrraannddooffFFooaamm Ansuecr_ AAC 3SafLf{ -Josnr U61J..-T /./ gg () 4Ar-erv 2 1 ArJ5t-t urt., 4AC.. we No'-'. o ---- {\}~rJf(.... TUUassmeeiddniginn? Training? YeYessoorr NNoo od y Y AAmmUosoueudnntt Used AnAnnuuaalll!y~ 7 Hee -- CurentUseor Current Use or HiHsitsotoriricc Use? _-- --_---- CFluaosrsoprFotieminFo(FmFiPn),g ----*ve (FP) Class B Film-Forming Fluoroprotein (FFFP) No?"f.... I ClCalassss BB AARR--FFFFFFPP. cassas Hi J Class A-B Hi Spansion Foam = mn Expansion Foam Classi hogar XY ent Class A -- .t..J.J.V.,II./!)_,-/ E" ~~ TrTarianiniinngg FFooaamm otOntheerr _fse XY -- NUN~ f'-SDO v ( 00 hari oufo your tie and coaperaton. Please contact Nancy RociingaDea Consultant (851-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rong@delaen com) or dm Stockinger a tv Manesot PIL GoniolAgency(661-497-60016 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or fim tocnger@state mnus) you have any aestons regan I Gestom ae, jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Sloss pou thi quastionnsito Delt Consutents by Moz8 2008 nthe enclosed stoped, set P!~ase retu!"n this queetior:na!re to De!t=: Consu!tents b',/ !fl!sr' 9, 2008 i:: thz er:clrzsed stamped! self- aaddddrreesssseeddeennvveellooppee.. Questionnaire competed by: Questionnaire completed by: Hoskins tF::i,.e"(_ Fame and THe , o)&bI....... ~~.T.orcew:.n.s..ecn.Ae.A.. Name and Title FooJ.D/e~p~!a.ri"'mnt> FFioren{(De.5le>p1uiamritmeerntlufkkoo-- <~11 s5o0 Phone Number EDrbornsend@i, Jh~,_,_.,_,s c. ....,A.[.J <. , bL..o.s..h>uhg's~c. s. E-Mail Address - ma.vs ...,.., "1. ...; S Fag. 208 TDoaete -- Kinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00467 STSTAATTEE0_208282211442244 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . fDDrooasetssghyyuoounurgr DDopeeeppraaartrtimmoenensnt?t ccuurresntrlyonorhthaayss yyoouurr DDeeppaarrtmmeenntthhiissttoorriiccaallly usseedd CCllaassss orA or CCalassss BB ffooaammss ffoorr 2 Yes- Procosd firefighting operations? Yes- Proceed ttoo QQuueessttiioonn 2 2 _ _N_oN~o-SSiiggnn tthhee bbacakoocfftthhkiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa Constants Consultants 2. 2. Howoenis How often is Class Class B or or CCllaassssAAfofoaamm uusseedd iinn rresepsonpsoetntoosrfiree ccaallllss?? ___E:iC}_ o0-a2s5w%otoif ifireess ___ 250% 25-50% o01f resfires ___ 7755-10-0%1o0off0friree%ss ve 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt-iinn ttaannkk onn ittss ennggiinee((s)?? _ _ _ Yes EY::wNo 4. How1often foam used in raining exercises? over Weedy 4. How often is foam used in training exercises? Never Weekly MMoonmtmhlyy Cusneny ___ Quarterly JER -- Aovualy sama ___ 7 X_ __C,'Q~-=- Other please speci): Semi-Annually Other (please specify): Annually CCl/?&a5SsQs?eo~s onl C3?"- ( y Bi-Annually 5. How much oa i uspreinding oven? O0D tess than 5 gatons 5galons 5. How much foam is used per training event? Less than 5 gallons 5 gallons _ _ _S5toto 1100ggaallloonnss Mor than 10 gaons (ease spec) -- More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - TR omer pemse descr. {UP 6. niin, where doa the spent foam go? 6. In __SormSever _ training, where does the spent ___ Storm Sewer foaSmantgaor?y Sewer _ _ Sanitary Sewer __ oni On-Site SSeeppttiicc GGrroouunndd (J Other (please describe): _ __,.N~-"IT___,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 7. Where oes th taining ako piace? Please nud adress, nrsocion osiher spec acaien 7. Where does/did the training take pl8ce? Please includf.! adoress, intersection or other spe~ific !o~ntion formation or cent an ack tang rons. information for current and past training areas. Classes only. HKwogen OVEERR---+ rane: G51.Gan.9008 R45e0 CTRTTRoYk SG3U1T63T3OU04S3E5 m Faun Wa H SSIt aUSh 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00468 sSTTaAeT_E0_208282211442255 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg &. 8. WWfohhsaaptot nttysyppaee(a(ssn))daannnddrbbarnraainnncdg((ss())1oo2ff9ffpookaacmmaabariro)eo?orPrwlweeerarseeeuucssheeeddcknnooalwwhaaanntdd aiinpnpttlhyh.eeppaassttbbyy tthheo DDeeppaarrttmmeentn,t, bbootthh fforr ffirree response and in training (if applicable)? Please check all that apply. TUUrssaoedndiginn? AAmUmosoueudnntt Curently Historically TTy~pQeeooffFFooaamm BBrraannddooff FFooaamm Yesorfo Training? Yes or No Annually Used Annuall~ Used? Currently Used? Used? Historically Used? (CCFFRililamFsmlF-sFF)BBooaArAmmqqnuisnueggeoorsFuuoossaomm ---------- [EE G(CRAloaFslsFssFBoB)aAnAcsl(cooWhhsoyo-l- AFF Resistant AFFF (AR)- CClaassssBBPPrOoGtenin GCFlllaaassrssopBBroten (FP) -- GCFFlolualmosisroanBBpgrFsoFitielmsmi.n- (FP) FFFFhlouearomrr)ooinppgrrooteeiinn - C(FoFFsPs)BARFER ClCCEaxllaapsssasssnsAABi-BABonRHFHi-oFi FaFmP oT Tr fy Expansion Foam Class A S5;ilf ryf.e~ee_zxQ NNDO gg L<!:SS ~i Same s(&W\<:. 5S.:1a....,m...,_e<- TTreaibniinggFooeamm ter Other - oToTifhrhmaarnsnnrooikkddoyyncnooiknuuiigfnnf@ oogrgred@yyreoo@Jlutusarartetitanimmrave.oeecmoanamunn.sdd))cooccryoorodoooJmpipmeum)erarhSSatatittiooovonccen.kk.iainnnPPggyleleeorqraauaassetteesttthCchioeoeonnnMtMtsaiaicnnrctnentNgeeNaassraonodnttciacanyygPPRRhoooolulsuddbtniiqooinnunnggesCCaatoottnontDDntrenreoolallttlraaAAegC.Cgaeoonnnnccsyyuslu(t(a63ln53t1ss1-2-((692657591-178-.-66689600767o-6.o556rr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PaPldl~ed'lar.a!si.s.ef.s!r.e_ed!t:uJe~rlnnivt!e.h!liJoJsp.Jeqh.u~-egs.tu~isoJinonnanaiirree ttoo DDoetltaaCConosnuslutltaannttssbbyvJJuunnee 66,. 22000088iinntthheeeenncclloosseeddssttaommppeedd,.ssoellf- addressed envelope. QQuueessttiioonnnnaaiirree ccoommppeletteedd bbyy:: FamGeaan.d-Tc,qie~ SSc_chhuo- (ltfLc Ce Name and Title FiraDHepoarwtmtenot s Acco Five FireDepartment wt /i Phon2e 1Nu8mber4E3- A PYS Phone Number EW HAdEEdrfRe<ssAA CClluubb @t AAv'iv"vi~gg... Nne.e~t E-Mail Address 5E-n 2708 Date XXIinnoogg~enn: "" TR Con pe to sr ie. e 0 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 631.639.95001 $60 433 5411 aks S91.615.3453 muadRILASAY.SOm Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00446699 SSTTAATTEE__0022882211442266 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. frDDoootsegssnyyioonuugrroDDpeeerppaaatrritmmoenensnt?t cuentas currently or has youyour Department Department isarcaly historically usdused ClAaorsClasss Class A or Class B oars foams fox for YoseProcsadto firefighting operations? -----:----- ~roceed to Question Question 2 ~No "No ign - Sign tha the baocfthkis back of this form form and and return return to to alta Delta Consultants Consultants 2. Howoften' Cass o CasAfosam used in respontso ro cols? 2. How often is Class B or Class A foam used in response to fire calls? 025%of res seonotties ___76100%offres ___ 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% of fires 5. Docs ie Deparimonthave compressed i foam system (CAFS) with abun tankons engines? 3. Does the Department have a compressed air foam system (CA.FS) with a built-in tank on its engine(s)? ___ Yveess ___ NNoo 4. Howofs fioanm usod in raining oxrises? 4. How often is foam used in training exercises? Never Wed ony Quarry ___ Never ___ Weekly ___ Monthly ___ Quarterly Somidmaty Poy Sealy ___ Semi-Annually ___ Annually ___ Bi-Annually OOtthheerr ((pplleoaasseessppeecctifyyy): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam is used pr rang cent? 5. How much foam is used per training event? Loss than goons 5 gatons 51010 alons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Hor han 10 gallons (leasespeci - More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 66. IInnttraaiinninngg,, hee where ddoocess tthheo ssppeenntt ffooaamm ggoo"? ___ SSttooSewer rm Sewer ____SSaanintitaarryy SSoewweerr _ onto _ On-Site SSeeppttiicc Ground Ground ___OtOhtehrer((pplleeaasseeded scre ives):c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WWmhhoeraree ddooteossf/odiiriidcuthhroeeertraaaniinnniincnggptaaaktkoeappllvaaccgee?? rPPellaeesaassee iinnccluldued addres, address, intersection intersection oclher or other speifclocaton specific location information for current and past training areas. XXIinnoogge~nn: ,"" OVER--~ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00470 sStTaArTeE__o0z2s82211442277 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 0. Wap) arnt bm rr mre sro ar ety he 8. What type(s) and brand(s) of foam are or were used now and in the past by the se i oe response and in training (if applicable)? Please check all that apply. Deectrem mmisren a Yveiatns aAmAmoSunet Type ofFoam cms Aamo Class B Aqueous Men. Film-Forming Foam fs(AFFF) Goss Class B Alcoholmy Resistant (AR)beAFFF Capron Class B Protein cans FCFllluuaoosrrsoopBprrootteeiinn ((FFPP)) Class B Film- fy Forming Fluoroprotein es(FFFP) Comma Class B AR-FFFP Gano Class A-B Hi Se ---- -- -- Expansion Foam Brand of Foam Used in Training? Yes or No Amount Used Annually - ern Department, CCureynt Currently Used? ihboth for fire t"oriy Historically Used? Class A Training Foam over = = == Other Thatkvsndusprer, lescrate or Dl Cor65a145l7 5s152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 eoounWevse in ot Catde oo Son or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiissqquueestsitioonnnnaaiirreettoo DDeellttaa CCoonsnuslutltaannttssbbyyJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-: `aaddddrreesssseeddeennvveellooppee.. cfnot pra 4 [2ER Questionnaire completed by: /C~ (\ CGte,)--J-1- Rg Name and Title 4tf thfeeyywwa~d F(-)rTee_ dt Fee Fire Department $0 7- Ugo 955 Sobes SO 7- 4.o()-- (J-.)d- aor = Phone Number Date ------------------------ Kinogen E-Mail Address ~ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..047711 STATE_02821428 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DDfrooecetssgnyyuoonuugrr DoDepepepararartttmmoerensnt?t cutae currently or has has your your Deparment Department torical historically used used GlaAss Class A or ClasBfoams Class B foams fo fo r _ firefighting i- o Vos.peratioPnrso?ceed to Question 2 YNoe-s-SPirgocteheedbtoaQoucfetshktiosnf2orm and return to Dela Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howofeni Cass B orClAafsoasm used response to fr cals? 2. How often is Class B or Class A foam used in response to fire calls? _ ____ o0-a2s5w%ototf fiireess _ ___a2s5s-5o0w%otoff ifireess ---X'fK.__ 7755-110000%%ootfffiireess 5. Docs the Doportmant have compressed a foam system (CAFS) wilh a ulin arkans engine? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ Yveess 'f.. hoNo 4. How olen foam use in raning exercises? 4. How often is foam used in training exercises? -- weaky monty ___ Weekly ___ Monthly SembAmualy Aomuaty ___ Semi-Annually Annually _X ouerery --+'/..._,____ Quarterly arrualy ___ Bi-Annually ___ OOtthheerr ((pplleeaasseespsepcetcfiyfyy:): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foams usedpr rang event? 5. Loss How much foam is _ _ _ Less ranSgatons used per training than 5 gallons eSevent? 'b galons 5 gallons ___ 551to01100 ggaatlloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecci)fy:): _________________ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sower__ Santry Sewer Onstesapte _X_ Grom ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _1_Ground overpessecesber ______ Other (please describe): ----'- ----- ---------------------- 7. Where does ho ring ko plo? Pease include adress ersecon fae spec acon 7. Where does/did the training take place? Please include address, intersection or other specific location fomation ff cent ond pas aig rea. information for vcuf@rren-it,aoonhnd ui past training Urdies on areas. ~"' ddi.;llfl( XKIinnoogg~enn "" Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: Suite 100 St. 651.639.9473 i. Paul, MN 55126 USA www.deltaenv.com 22222..00447722 SstTaAreTE0_208282211442299 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training WTehsptonpsestas)ranndabriannct() afopapmearseeorPreeasuescreocnaow oansd anphy stbyth Deparment, both for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUsiodnign AmGoeudnt Curent user TyT~pmeeooffFFooaamm Pr ---- Class B Aqueous FilmPome Foam OFF) aa ae Forming Foam (AFFF) Gls 8Acool Class B AlcoholReson (aarp | ------ ------ Resistant (AR)-AFFF cmsoPwen Class B Protein awsns 8 Fororoen _ Class B Fluoroprotein (FP) Class 8 Fim Forming Class B Film-Forming Foran (FFF) _ Fluoroprotein (FFFP) FS Class B AR-FFFP Coss ABH Class A-B Hi Eins foam -------- Expansion Foam ps UCRr~uoc-g/Jued jes ap obi Class A J A Training Foam oer - Other BrBarannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyll Current Use or HistorHiisctoric UUssee?? yes ,i_{)9c.l /1]:;-/or;( I Than you for your tr and cooperation. leas ctact Nancy Horn De ones (051.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ornatae com sn losing vg nase FORA Col Agnes (55 50.9000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sr Socknger Asem) yo ov og aves eying SoS jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. lage af hi ateonaateConsutyte bt Js hs arches SO. addressedenvelope. Ph~ase return this g:.:es!!onnafre addressed envelope. to Delta Ccnsu!tants - bv !'Jlav 9. 2008 fn the enclosed stamped. s-elf- QueDDsataonnracomBplleudnsyt. = SSecc_ry abog ~{ Questionnaire completed by: a. wmt - e 4 P.---,p--- in Name and Title /Yfze.rrrovvtJoVn1 1DJrn2 GtJgpet-d/f,m-nnMt/ FreDamrinen Fire Department Prana aber s32~o0_-20f6"< 4--2t23877- LAo~t~s !fJrrr~yl Phone Number eeZo Date EEE-Mail Address -- Hwogene hPohnoen:e: 651.639.9305 1 800.4737411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 451.635.9471 Suite 100 St. 651.639.9473 mammadaliaanv.cam Paul, MN 55126 USA www.deltaenv.com 22222..00473 stare 02821430 STATE_02821430 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFiEEirree TTrraaiinniinngg 1. 1. DrDosootessg uyyoonuugrroDDmeerppaaasrrotmmneesnnt?t curroehnats currently or has your your Department Department istrict historically sedused Clas Clas s Aor A or Glass Class Bfoams B foams orfor '3f firefighting Yes-ProtocQueestsiond2 operations? es- Proceed to Question 2 NYo Sign the baocfthkisformand return to Datta Gorsulants _ _ _ No -Sign the back of this form and return to Delta Consultants 2. How often Class Bor laAsfosam used in responseto re cals? 2. How often is Class B or Class A foam used in response to fire calls? M oaswortres anoles 7sionolties ~ 0-25% of fires ___ 25-50% of fires _ _ _ 75-100% of fires 3. Dos ih Deparment have compressed a foam system (CAFS) witha bun tankonis enginels? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Mtoe ~No 4. Howoftn's foam used in raring exercises? 4. How often is foam used in training exercises? Weekly Monty Quarery ___ Weekly TT cemihomaty JS Amunly Taman ___ Semi-Annually ---==---- Monthly ~Annually ___ Quarterly ___ Bi-Annually Or lease spec _ _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. How How much much foam is Less foam is used tuasend' ppoerr vainng training gators oevveennt?? 5gators }("' Less than 5 gallons 5 gallons _ ___ sw_io5 tgo a10lgoalnlonss ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - 6. nvaing, whe docs th spent foam 007 6. In OK training, '--... SomSewer where does the Storm Sewer __SantaySower spent foam go? _ _ Sanitary Sewer _____OOnnS-SiioteSSeeppttiec ___GGrroowund Or pleas dese): ___ Other (please describe}:---------------------- WE oi ie Jaam_ on/Jqwu Criss Fehon 7. Wfhoermraetdioonsiodrdctuhrat aindnpaaskovlaacge? rPelaesa.s includ adress, inarseocftotohnr spec l`ocaton CH EEbu ub skPi upe abl pose. 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. ,0_~ /,Ab? onLL Y !IIJv;fE ~tltw. ~)J tJtJ!C GtAS> ;&611$J..i6 ICJb iAlAw)i,\ !H!AiveE tOJ1n1JLt. Yy lHllA}DiJ lGitE! I/ANI.E )Y!.afAl,~e!~ iD)ut~e BJb L1a/JkM)J EFKAfJ!fSAJSE T 1/MRfWR JiJ&IHK IJAASSIBL VEfEiGLN) I{KEept pr 72b ip iufRunJ)J ~oNn A1ANvDi.) t!,k I!NiJ Eiuslh:JJb h!1P ,t~J/J J@S_ Kinogen EE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA momar 651.639.9405 1 800 73 541Fo1k: E91 61947] Wmadaliaeny.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00474 SstTaArTeE0_208282211443311 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. Wemaot)vn an Sbonsrsiws)thchs3a.ibssntby he Dstt 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Tbeegt Amour cures TTyyppeeooffFFooaamm cose Aono Fin Class B Aqueous Filmpreterit Forming Foam (AFFF) Class B Alcohol- Rey ------------ -------------- Resistant (AR)-AFFF A Class B Protein as 8 Fooprton Class B Fluoroprotein & --_-- (FP) Class B Film-Forming Fe -- Fluoroprotein (FFFP) Gooner Class B AR-FFFP cos nets Class A-B Hi Stem Expansion Foam cman ous YESSGi Cust Class A A Training Foam over - Other BBrraannddooffFFooaamm /Jn)GU5 Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HiHsitsotorriiccUUssee?? I hark yoourutnr sso. ls cna rc Rao Dota Constants 651-07.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 maaanSo Siro Mees oh So Ag(3e870s8 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjiimm.ssttoocckkiinnggeerr@@ssttaattee..mmnn..uuss))iiffyyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueessttiioonnnnaiariree.. Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. self- addressed en;./eiope. Cunsnars cmt. Questionnaire completed by: Steve peterson, cnet Steve Peterson, Chief Name and Title Heute Fice Departaen, PO Bo 91, Hevice, 5645 (lease corsect adress Hewitt Fire Department, PO Box 91, Hewitt, MN FroDoprret Fire Department 216.524.4255 (aves daytime rome) storie 218.924.4255 (Chief's daytime number) PPhhoonneeNNuu mbem r ber 56453 (Please correct address 5/07/08 DDaatee Ee --_stsetevveeppl@ararvviigg.pneett E-Mail Address 0000000000000 aaccccoonrddiinngellyy: XXIinnoogg~enn: ,"' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00475 STATE_02821432 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trraaiinniinngg Firefighting Foam Use in Fire T 11.. DfDeoossetssihyyuoonuugrr DDoepeeppraaarrttmmoerensnt?t ranodfhays currently or has youyour DDeeppaarrttmmeenntt tail historically usdused GCllaassss AAoorr lass Class B ffooaammss ffoorr firefightxXing_opNYYeorea-esti-SosinPsgr-?onctPeheedrbtatooocQkQucouefesotsthticiioosnndf22orm and tur to Dott Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How fens Cass B or Class A foam used in sponselo re cals? 2. How often is Class B or Class A foam used in response to fire calls? XC ozswottes seve 7si00koltres X 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% offires 3. Doss ihe Department havao compressed ir foam system (CAFS) witha buntak on fs engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes X_ no IX No 4. Howlen's foam used inraing exercises? 4. How often is foam used in training exercises? Wolly Nari _ Guneny ___ Weekly ___ Monthly ___ Quarterly Som Annual X_ povaty oem ___ Semi-Annually X' Annually ___ Bi-Annually Or (asespeci eer ---- eet ___ Other (please specify):----------------------- 5. How much foam is used por vaing vent? 5. How much foam is used per training event? XC Loss than gators: 5gatons ___ swiogions X.' Less than 5 gallons 5 gallons 5 to 10 gallons TT Mortum togolons lomo ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6 In voining, where docs tho sprt foam 957 6. In training, where does the spent foam go? Sum Sows ___Santory Sover onstesepic 3 Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _){__Ground Orr leas descr) _ _ ___ Other (please describe):----------------------- 7. Wohe2rm2e d2oo0stifodrdcihuBetroeaoanikncenplasykteevlaancnegD?oaPrleaosas incHluodelladirnegs,, inienrtsco$tto5hnr7s9p6ec ocan 1 it. 1-/r LL"S, 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. .23;;~o 13,~oof:-1 ... v11vv s-~-7 '-It Kinogerr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..004476 SsTTAaeT_E0_202682211443333 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WWrehhsaaptot ntyysepeesa(s)n)daannddibbnrraangnde(s)1)ooafpfffpooloaimmcabralreee?oorPrvlweeearrseeeuucssreeeddcnknooawlwhaantdd 3iinptth.he ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, botboth orfor frefire response and in training (if applicable)? Please check all that apply. TTyupeeooff FFooaamm CFCiolasrssmssin8BgFAAaoquuaeemoouu(ssAFFFiiFlmm)-- CRG Feolasrismsstii 8nBagnAtAFol(oca NnaoRmhoolAl(-AFFFFEF) Class 8Protein Resistant (AR)-AFFF Class ICcl)as Class BB B Flaoroprotein Protein Fluoroprotein CFC(FlslPaaoss)ossp8BFrFtiialmmn-FF(ooFrrFmmiPinn)gg Gossamer Fluoroprotein (FFFP) CCBClollaaoasssssemsAABo-8ABn1RH0F-iFoFaFmP Expansion Foam GCllaassss AA TTrraaiinniinngg FFooaamm BBrraanndodoff FFooaamm TYTUUorrasssaieenonddirnigiMgnn?o? Yes or No AAAmnUUmmossuoeueauddnlnltty Annually CCHuuisretrenorntiteuUsUseseoeorr Historic Use? ~~ --= ere-- | ---- --_-- et meee ne ea -------- ---------- Sila MNe o Saud Fesen es Sgr Other iTToormrhhawnatnronookydcdynkoohiiununngfgfo@ogerrrdy@y@eoodsultutrasrtettteniimvamm.eecucoaasnmnn)ddc)ooccofooryomJoJopiip)emmerarhSStaatittiooovoncecn.kk.aiinnnPPggyleeleercraauaasseiteesttthcchooeoennnMMtstiaaicnnrctnntgeerNNssacaooninttcnaacygyPPRRioooolsldudortnQiioinunnneggsoCataotnotnnDDttnereaololrttlaaeAA.CCggoeeonnnncscsyyuull((ta6a5n5n5t11ss--22((699657751-618--666669696767--ao551r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PsdlPoeleraaessseersreeetstueurnrnnvtetilhoisspqequuesetiosntnaiireottnoDDneelalttaaiCronesuCltoannstsbublyvtMMaanayyt9s9,. 22000088Iinntthheeeennclcloosseeddssttaammppeedd,,sseellff- adciressea envelope. QQuueestsitioonnnnaaiirree ccoommpplleetteedd bbyy:: Tony Poqocels (o""Y Nameanate LT Name and Title Pocjwrels Firecliof FFiirreeDDeeppaarrttmmeenntt = ) PhoneNumer 2IR- 262- S966 Phone Number EvanAddret-ssfpooog7our.re-elfss ec:_ cic,', Lbribl~"l'i"n'Jg E-Mail Address ' Sgro DaeDate mania .....,v,, L<'> none: 651.6251.89085.4o757y5411 Fok: G51618.047a) mT ombatiaT smictom . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00477 STSTAATTEE0_208282211443344 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. DfDrooasetssghyyioounurgr oDDpeeeppraaartrtimmoenensnt?t cont currently oorr hhaass yyoouurr DDeeppaarrttmmeenntt risorialy historically uusseedd CCllaassss AAoorr CCalassssBB oafoarmssffoor firefighting operations? _~_XX~__ YYNeoes-s-S-iPPgrrnooctceeheeoddbttaoocQkQuuoeefststhtiiioosnnf22orm and tun eturn oto DDoetltaa CCoonnssuullttaannttss _ _ _ No -Sign the back of this form and r 2. How often is CCllaassss BB oorr CClalssaAAsffooasamm uusseedd iinn reesspopnosenttoosfrioree ccaalllss?? 2. How often 3. Doos the Deparment have acompressed ai fam system (CAFS) witha buitin tankon fs engine(s}? X'X_ 0 0-252%o5offffii%rreess. __ _____22555-500%%ooffffiirreess ___ 7755-10-01%o0off0ffiirr%eess 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ veYes --XX_ NNoo 4. Howoften s foam used in aing xercisos? 4. How often is foam used in training exercises? Woe monty _ auneny ___ Weekly ___ Monthly ___ Quarterly SomkAnnually X_ ovat arAmualy ___ Semi-Annually _ _;)(o..=...._ Annually ___ Bi-Annually ver (ease spect): - ___ Other (please specify):----------------------- 5. How much foam is use por vaning oven? 5. How much foam is used per training event? __XX__ _ LLeessss tthhaann 55ggaalllloonnss 55gaglallloonnss. T Morotun togalons (easespecty ___ More than 10 gallons (please specify): ___ 551to0 1100 ggaalllloonnss 6. Inaining where does the spent foam go? 6. In training, where does the spent foam go? _______ SSltoorrmmSSeewweerr _ ___ _ SSaanniittaarryy SSeewweerr _____ OOnn--SSiittee SSeeppltiicc ___Xl_L GGrroouunndd -- Oteripeasedescmbor_____ - Other (please describe):--------------------------- 7. Vinee Gost he alin ake place? Please include adres, inerseocttohnr specication 7. Where does/did the training take place? Please include address, intersection or other specific location orton fo carnt and past ving reas. information for current and past training areas. WIOOV lbololc.-o\L oo.Ck.:. CCe.en.vt+r.raAl\ ao.v.uee io Hills (MN [ESR rs CrA FRY Se H100RSSE a RSS UE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00447788 STSTAATTEE0_202882211443355 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yes) and brands) foam arrvere usednw nn th sbt y he paint. btfo fhre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse ad nang 1 opucabey Passo chock a na ap response and in training (if applicable)? Please check all that apply. TUUossneenddiginne Training? AAmUmosoueudnntt Used CumentUseor Current Use or TTyyppeeooffFFooaamm ClaAqsueosus Fim- Class B Aqueous FilmFomingFoam (RFR) ---------- ---------- -------- ---------- Forming Foam (AFFF) Cl8aAcsonsol Class B AlcoholRest(RayArFtF | Resistant (AR)-AFFF Cossepown Class B Protein Glass 8 Fucropraein Class B Fluoroprotein =) _-- (FP) ClFai sFormsing Class B Film-Forming Furopotin (FHF) ---------- ---------- ---------- Fluoroprotein (FFFP) CosomreER --_ Class B AR-FFFP Coss ABH: Class A-B Hi Son Foam ------ -------- rt Expansion Foam Class A Training Foam 7 Training Foam other J, Other BBrraannddooffFFooaamm ANSUL Silex YYeessor NorNoo. AnAnnunaulalllyy HiHsitsotorriiccUUssee?? Yes Lesstuapsgal = Sal.Au) Thank you for yur me and cooprston, Plas corte Nancy Rodinga Dla Consult (851.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or adaaaa com) or oh Sockingor a the Minnoscta olution Control Agoncs (651-407-660o6 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sm sockinger Gat ms) You have an GueSLans regan Guesionnars jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questomnarecompleto by PlPeleaasseerreettuurrnnththiissqauueestsitioonnnnaaiirreettooDDeellttaaCCoonnssuultltaannttssbbyvMMaayv99..22000088iinntthheeeenncclloosseeddssttaammooeedd,.sseellff-: `aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: RDamlesJersxnedeTkJil Btusd~dkesesAoJw SSeecc.,.. Name and Title FroHDieplalrsmentArea Fire Department ProSneoNnum:berabd- 3ido Phone Number 5D-at3e8-05 oo Date Etat Adios dba. @ hotmail com E-Mail Address NKinogen Frame: Phone: 651.639.9500 850.433 411 Fk. 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: $9161.47 Suite 100 St. 651.639.9473 MasodAliAtAA Paul, MN 55126 USA www.deltaenv.com 22222..00479 STSATATTEE0_206282211443366 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trainingg Firefighting Foam Use in Fire Trainin 1. 1. DrDooeoeiss gyyuoouuarr DDoepeeppraaarrbtmmoenensnt?t cent currently or or has has your your Department Department Historical historically used used Class Class A or or GassB Class B foams foams for for firefi~ gMhtingeopsYNeroea-stiSo--inpPgsrr?nooccteeheoeddtbtaoocQkQuuoeefststhtiiioosnnf22orm and tutoDnla Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How ow o often it sGCalassi ss BBoorrs CCllaasssAAfofoaamm uusseedd iinn eressppoonnssee ttoo refire cas? calls? 2. H o2swattres X_ asso artes ___ 7T55-110000%% ooff resfires ___ 0-25% of fires )( 25-50% of fires 3. Doss the Deparment haacovmpreess foam system (CAFS) wih a iin ak ons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xho X No 4. How oftenis foam used in taining exercises? 4. How often is foam used in training exercises? Weekly ont quarry ___ Weekly ___ Monthly _ _ _ Quarterly TT somamuaty somal BeAualy ___ Semi-Annually ___ Annually ___ Bi-Annually X OX OOvtheerr (pplleeaasseessppeecciiftyy): --+,JIJo-.e<-t...Q.L-L-,r;,_t:""'_~-------------- 5. How much foam sed per vain event? 5. How much foam is used per training event? nMoONE. _ toss hans gators ___ salons __ swtogons 1\ C. Less than 5 gallons 5 gallons Meet t0calons Gemespecty ___ More than 10 gallons (please specify): _ _ _ 5 to 10 gallons 6. naling, In training, wwhheerree does does ththe spat spent oarfoam 07go? 6. _ Som __ Storm SSeewweerr ____ SSaanntitaarryy SSoewweerr __ onsteSepte On-Site Septic Grow Ground 1. WohemreadnosioifdctuhritnainngpaakseLpalancge?rleses.a includ adres, inarsectonof othr spec locaon OOtthheerr ((pplleeaassee ddesce ribes): cribe):---------------------- 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. HXoIngogern ,, ,, omer 51.639 9405 1 800 413 5411 FAN: SL 6309471WndaItasRY.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..004480 SStTaAreTE0_202882211443377 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What type(s) and branoffdoasm aor wer us now and nh astbytho Departmen,bot or fe 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesonss and in anid(1 appwcaioy Pease chock a ot pp response and in training (if applicable)? Please check all that apply. . TUrsaandiinng? AmUosuendt CumentUseor TlTy~pee ooff FFooaamm BBrraannddooffFFooaamm Class 8 AaueousFin Ys Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) Cl8aAcsotosl- Class B AlcoholResmi (RyAFF ee Resistant (AR)-AFFF CossBPOON Class B Protein Cl8Fauorospotscin Class B Fluoroprotein Ia) > (FP) CFliaosrsopoFtiimn-Foming EE Class B Film-Forming (F7P) Fluoroprotein (FFFP) CossorreEe Class B AR-FFFP class Ash Class A-B Hi Bomsonfoan | ---------- Glass A Expansion Foam Class A .Ss;ilv-el..xu-ex Teaining Foam = Training Foam omer - Other Used in Training? YeYessoorrNNoo. /;tlo Amount Used AAnnnunaulalllyl oT Current Use or HiHsitsotorriiccUUssee?? o/Debo.s/S..~ W\Jhc.dkcg.\wv(iW'd.kbtbd~ Thyaou fnor ykour tino an cooperation. Please contact Nancy Rodinogt Dla Consular (551-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of odin dskaencom) Jn Sikingt hs Minnesla POR ortil Ageney (661597-3668o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Istockinger Sete os) You have any duesions regarding i Cuestonnate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseererettuurrnntthhiisquaeusetsitoionnnnaairireettoo DDeelltteaCCoonsnuslutltaannttssbbyvMMaayy99,, 22000088iinntthheeeenncclloosseeddssttaammpoeedd,,sseellff:- `addddrresssseeddenevnevellooppee.. - QuesStonaereconpIViItiedtyke Hhied I Ques~aire compl\')te%: j, Jt-c11e~ reo/(() ame and 1s Name and Title FPireomDsNepaaa1rrt//181-C9~7-~8C2"7r:,~ STa2e 0 Phone Number Date A E-Mail Address Hinogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 rene Paul, MN 55126 USA www deltaenv.com 222222..048811 sSTTaAeT_E0_022682211443388 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1 Dot ur Deparment cents yo Capri trays Cis Aor lB ams fr 1. Does your Department currently or has your Department historically used Class A or Class B foams for Son cope firefig2< operations? iA Yes - Proceed to Question 2 To So--fo--ST 0 Soa Comms No - Sign the back of this form and return to Delta Consultants 2 owohuni Glos Sor Cis A am sneer cal? 2. How often is Class B or Class A foam used in response to fire calls? oasis ___sonatus rors ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 5. Dots Daputmt hae corse a foam se CAFS wih aul ark bs ng? _2_DX_ ves 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes pnNo o. Horna 4. How often is foam used in training exercises? owe or sn X aun TT ___ ___ Sembmualy Never Semi-Annually Annually 2X Weekly ___ Monthly Annually einmuaty___ Quarterly Bi-Annually orca ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuh tom una gorvoigovn? 5. How much foam is used per training event? a er saps X_ swrogen ___ Less than 5 gallons 5 gallons X 5 to 10 gallons Wren am TT ___ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - - 5. van pte? Storm Somer __ SontarySewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer _ _ oOnn-SsitetSeepstiac pte__AXG Grom round roi wioSariCsgpioonst dEi derr,b TonU Zndusdea\ Rel ---- ___ Other (please describe): ----------------------- us eas oS \J FON z Xinoger: OOVVEERR---+ ree TE TT _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA TE Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00482 stare oas21039 STATE_02821439 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg u]:\) scr 5. 8. WWrehhsaapttotntyysppeee(a(ssn))daainnddLbbarramnaid(sn()fodosffpfifpooiaa)cmmasaarer)e"oPrwewaaercreeeuunsseeecddnknooawlw naanntdd 3iinn3t5thh:ee past past b b they the Department, Department, both both orfre for fire response and in training (if applicable)? Please check all that apply. Twos ofFoam Brandof Foam YTTUUorrassoaieenrnddilnigilgnn?o? AAAmmUUmmossuoueesuddnlntyt CCUuursrreeonnstyly HHiissUttosorreiiccdaallllyy GTClaTslrysp8BeoAoAqoqufsueFmeooosauumass Brand of Foam Yes or No Annually Used? en Used? mn FD Film-Forming (AFFF) Foam Gl8aAosnosl- Class B AlcoholrForssa, Resistant (AR)- ACFaFsFsePown FuCCGmllaaaossssspsBBotPeronte(infp) ------------ ---- ---- ---- ---- Fluoroprotein (FP) Cla8Fsism Class B FilmFlPuerropsen Forming [EE Fluoroprotein FCarsmeaRfER (FFFP) cEoamstsoangfHoam Class B AR-FFFP Class A-B Hi ---- ---- ---- ---- Cassa Expansion Foam Sloex TClaasnsnAgfom o_o oer Training Foam = Other SoiToTfhrhaaneSnnroookkcddkyyninoniunuogge@ff@orocrrdayyesoosluiutearrtemstmni.mvom.ecc3ooaammnn))dd) oocc0roroooJspipemmrearvSStaiittiooeoonccn.ki.ainnnPgPg)leleeerGraaaassteSehthccoeooSnnMMttaiaiGncncntneNNesaaaosnntDcacnygyPPRRoIololEoluudLtniiQoOinSnnggHCCaoOoottMrnDDItirelBooltlaHaAASgCCgeoeonnnncscsyyutla((ta6n8n55tt11ss--23((699857751-168--606696607667--0o55r115522 jim.stockinger@state.mn. sasrossodenvelios pe. Piease return this ques uquestisonar ) if tionn toDet you have any aire to Deiia Consuiantsby Jue6. questions regarding this Com.uitanis by June 6, 2008ithe questionnair 2008 in the enciosed e. enclosed ssttaammppeedd,, sseel tf- addressed envelope. Quegtonmaye completeody: RelTlyEie 0 U NoNnoevaer -tCohiycy FTohDeepearmentey Vel. Fue Dept Fire Department FoCcnecss.Nt!lamo_~ar222o0--'2L0/99-- [/<[Y([sY-' Baw Phone Number ElHIiIotAEdeDe Q@ _S~T ~\e_..C . CCooVmV\_ Date E-Mail Address XXiInogefnn ,,, PPrhoonne:e: 651.639.91334050 433 411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 5) 30.msi9Aal4ian7nv.L)0m Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00483 sSTTaAeT_E0_022882211444400 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1 . TDDoroeetsshiyyoonuugrr DDpeeeprpaaarirtmomenensnt?t current currently o o r ashas your your Deparment Department istorcaly historically sedused ClasAs Class A or or Glass8 Class B foams foams for for XX_ firefighting !?( oYpeersati-onPs?rotocQueestsiond2 YNoe.s-SPigroncteheedbtaockQuofestthiiosnf2orm and tumto Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. Howafienis How often is Cass Class B B orClass or Class Afoam A foam sedused in in responsetoecals? response to fire calls? SET t::/.-... 0-25% of fires _ ___ o255-s5v0h%ofoff frireess ___7755--10000%%ofoff ifireess 3. Doss the Department have compressed i foam system (CAFS) witha bi tak on engines)? 3. Does the Department have a compressed air roam system (CAFS) with a built-in tank on its engine(s)? ves '1-ovo -----,--Yes No 4 How often s foam used in raining exercises? 4. How often is foam used in training exercises? Never Vieady ___ Never ___ Weekly SomAnmualy Ponty ___ Semi-Annually ___ Annually Monty KX curry Monthly _ _J>(---= Quarterly BrAmualy ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeeccififyy)):: ________________a _______ 5. How much foamis us per ring evr? 5. How much foam is used per training event? X Loss than sgalore 5 gators sigs \K. Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Marothan 10galons (peasespac More than 10 gallons (please specify): _________________ 6. ining where coss the spent foam go? 6. In training, where does the spent foam go? _ Somsewer ___santaySower ___OnStesaprc KK Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ___K_ Ground Other lease doscrbo) E ___ Other (please describe):---------------------- 7. Weherre daoatsoirdciehenoitnaninndgpaasktevpilancge?rPelaesas inclu aves, intersection or thr speci locaton Se. ave eBl u d Go Xinogen: OOVVEERR-----+ PPhhoonne:e: 66551.162.96.534495 . 1 5910 9449 I 360.477.7F4a1k1: Rice Creek Parkway 800.477.7411 Fax: 651.635.5473 Suite 100 St. 651.639.9473 wun.dataanv.com Paul, MN 55126 USA www.deltaenv.com 22222..00484 STSATATTEE_0022882211444411 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg rat tes) and ras) foam arr weruse now and he pasty ne Department, for fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespanes nd rain topes Posse croc oh oh. response and in training (if applicable)? Please check all that apply. Tupsof Foam Bandera TYUerssaoomdrningney AAmuUosmueadnnt Cvuhreesnst Hissteosriscal T~[!e of Foam ci8Aequses Class 8 Aqueous Framerem Film-Forming Foam ey (AFFF) Clacsorsi Class 8 AlcoholRoseman Resistant (AR)p=AFFF CossePwon Class 8 Protein cuss Class 8 Fioaprotin (7) Fluoroprotein (FP) Gis Fim. Class 8 FilmFomig Forming Frrgmoton -- Fluoroprotein [1 (FFFP) CusmaREE Class 8 AR-FFFP Coss A810 Class A-8 Hi Brand of Foam Used in Training? Yes or No Amount Used Annuall~ Currently Used? Historically Used? Expansion Foam Cassa LY Syd md bgd Class A Tangram TT _ TY TTF Training Foam oer _ = -- Other 'e S~al 1.,..cS",.-J r ~ Thar foryour te andconperaton. leas contact Nancy Rodingot Dea Consulans (55697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oro taci omyoo Soi 8g Mot Foti. Co Poon ton SoySoon or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rockerGe ro) Yo ve sry estos rein i ho jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseererettuurrnntthhiiss qquueestsitioonnnnaairireettoDDeellttaCConosnuslutltaannttssbbyyJJune66,. 22000088iintthheeeennccllosseddssttaammppeed,. sseellffaaddddrreesssseeddeennvveellope.. Questommarocamplotedby: Questionnaire completed by: Famd e onieTie Tenn. Glad Name and Title a Fire Department Frv Nie 2U8 ~F62 22060 Phone Number ETAec_r~s,bl~u.n,_,__ @Q_ ~ he W L~e~b!J E-Mail dress KXiInnooggefnn ,., oie s$---2z..7_7 -- 0o&fDate L ki..tz(. ime, ,VV\f\..l I w<...u 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00485 sStTaArTeEo_z0s228124144242 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. DDrooaesgs iyynoouugrr oDDpeeeppraaarrttmomenensnt?t ccuurrreennttlylooyr hhaass yyoouurr DDeeppaarrtmmeenntt historically historically used used Clas Clas s Aor A or Glafsoasms Class B foams orfor firefighting operations? No-Sign tho baocfthkis form and return to Dola Consultants /P':v .<._--~ -- YYeess-- PPrroocceeeedd ttoo QQuueessttioino2n2 7 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. Howoftn's How often is Class Class B B or or ClaAfsoasm Class A foam uusseedd iinn rreessppoonnsseeftoo refire cal? calls? _ _ _00--2255%%oofffifrireess ~ AD2255:-5500%%ooff firreess _--___7755-1010%0oof0ffifirr%eess. pa 5. DDooesothhsee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiiththa bitin built-in ttaarnkoonn isits eennggiinnee(ss)?? 3. ___ vYeess / ) ( ) No 44_ HHoowwIooffteenniiss ffooaamm used used in in raining training exercises? exercises? ___ NNeevveerr ___ WWeeaekklyy ___ Monty Monthly ____ quarry Quarterly ter (please speciy): eeeeereee ALO)`SSeemmi-i-AAnnnnuaulalllyy _ _ _AnAnnunaulalllyy -- __--_ BBii-AAnnnnuuaallllyy /___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmush foam is use por vaining oven? 5. How much foam is used per training event? 25: Lass han S gatos 5gatons swig X' Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons 7 J -- _ _ _ More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. 6_ IInnttrraaiiniinngg,, sc, wwhheerree cdoosess tthhee SomSewsr ssppeenntt ffooaamm 07go? ___SanaySower / / ....?s-i Storm Sewer _ _ Sanitary Sewer _____OOnnS-SiieteSSeeppltcic wrod ~Ground 7 ___ OOtthheerr ((pplleeaassee ddesce ribes): c r i b e ) : - - - - - - - - - - - - - - - --- - - - - - - - 77.. WIWhhonerrefe ddoooemse/odrasicdtutthrheietisroanaiinnnindnggpataaskktoevppaalnaccneeg??aPPrlleeeaaasss.ee|inncciluodde aaddddrreessss,, innetresrseeccttiioonn ooler or other ssppeeciifficclloo-ccaaitioann "BTax ase LHL Iran information for current and past ""-"'--'-"--- - trainin+g<ar'ea-s-_ <'~(, "-~- ~ ~1[(0 M~ ' . <- (L_ i s.. +-o_f' rr. - PeurtL (_CooCla aepa(crulR. Fo9rC,o oows0ef-{S _ iG* F.E Kinoger: OOVVEERR-----+ mane: 651.039.5005 B50 TS TE Fok 31359453 aa bias com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaeny com 22222..00486 STSTAATTEE0_202882211444433 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 5 What pes) and rans) of foam aorvere usd now an in he pest by he Depa, or 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesora Foca Poss rock top response and in training (if applicable)? Please check all that apply. TUrsaendign? AmGoouudnt Curonty Historically TyTyppeeooff FFooaamm B BrarndoaoffFnFooad amm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? ClBausouss Class B Aqueous Biomigton Film-Forming Foam fos (AFFF) GlBastesl Class B Alcoholeen Resistant (AR)arAFFF CessBPOON Class B Protein Gues Class B Ropu) ------------ -- ---- ---- ---- Fluoroprotein (FP) Glass Fim Class B FilmFain Forming Fagmeten --_ Fluoroprotein pot (FFFP) Comore Class B AR-FFFP Glass 8H Class A-B Hi Eten -- ---- T-- = Expansion Foam casa Sili=fx A sso Ne EE Class A Tomngromn ual Jule A 5 es Training Foam tu J 1 , 'Jc:.vf..Q../ Over EE Other rte eet eee PENS myo cores Thank you for your time and cooperation. ) (i "{! l' l.;rrC""-'3c_, .\--1_ r......z ~ Please contact Nancy Rodning at Delta Consultants (651-697-5152 Saban com oon SoinheWevesats Poor Cones goes O5107 0008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rrGeta) Fo avs a doshas op os sesh jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleaseretur is questionnaireDt Gonsulans by hun 6,200th enclose stampa, et `addressedenvelope. Please return this questionnaire addressed envelope. to Delta Consultants bv June 6, 2008 in the enclosed stamped, self- QuestonRgauebcormpilceted0 Yale G Questionnaire completed by: ~~-?-r.c Name and Tite. - FraDopLamiervtiu foc 30- = 2244 Fire Department 320 ~ -r'-{ G- zzq'-( rane mer Phone Number Eo-10-0) Date ENianogen: E-Mail Address er vero 2 Tl A ann 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00487 sSTaAtTeE_o022s82211444444 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Traiinniinngg Firefighting Foam Use in Fire Tra 11. . D{Doeosessstiyyoonuugrr DDoepepopaaarirtmomenensnt?tccaurrreenttly ohasr has yyoouurr DDeeppaarrttmmeenntt taricalyusdGass historically used Class AAoorr CCllaasss Bffooaammss ffooxr f i r e f ighting o XX___ Yes - ProtocQueesteiodn perations? - Proceed to Question 2 NYoes-Sign thebackoftisform and return to Dla Consultants A V No- Sign the back of this form and return to Delta Consultants 2. Howes Gass Bor Cllaassss Affooaamm uusseedd iinn rreespsopnsoetntoosrfiere ccaalllss?? C oaswartes 2. How often is Class B or 2ss0%ot res rs 100rses _ 75-1 00% of fires _ _ _ 0-25% of fires _ _ _ 25-50% of fires __ 3. Does the Departmenntthhaavvee caocmopmrperesssseedd irair ffooaamm ssyysstteemm ((CCAAFFSS)) wihwith aa bun built-inttaannkkoonn sits eennggiinnee((ss)?? me 3. Does the Depart ___ vYeess ___ NNoo 4. Howattenisfoam used nang exercises? 4. How often is foam used in training exercises? New Wesky bony _ cuanery ___ Never ___ Weekly Monthly _ _ _ Quarterly emia, Awwaly aman ___ Semi-Annually ___ Annually Bi-Annually T overesespesty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam used or raining oven? 5. How much foam is used per training event? Loss tan gatons 5gatons ___ Swotogaians ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons "bore than 10 gotons (please speci): _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. In viing where doos th spent foam 007 6. In training, where does the spent foam go? Som Sows __ Santary Sower ont Septic Grom ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Or leasedescribe) . _ _ ___ Other (please describe):----------------------- 7. Whe doesth raining ko lace? Ploasa include adress, terscton a thr sec locaton 7. Where does/dicfthe training take place? Please include address, intersection or otherspecific location omafotrcuora nan pas avn res information for current and past training areas. Kinogerr OOVVEERR---+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00488 sStTaAreTE0_202882211444455 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 8. What type(s) ans branofios)m ar or wer uscd now and th pstby he Deparment, bot fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponss and in ang (399s leasehock al at apy. response and in training (if applicable)? Please check all that apply. TUrasiendiinng? AmUoseudnt Curent Historically TTyyppeeooffFFooaamm Glass Aqueous Class B Aqueous Fmromegram -- o_o Film-Forming Foam feiss (AFFF) Cl8aAosnosk Class B AlcoholRewamoRy Resistant (AR)AEAFFF CossbPoon o_o Class B Protein cass CFFllluauoosrsroopBprrootteeiinn((FFPP)) Cl8aFsis Class B FilmForming Forming Furggoen ------------ ---- -- ---- ---- Fluoroprotein we (FFFP) cmseamere o_o Class B AR-FFFP Class ABH Class A-B Hi ExpansionFoam --_-- ---- -- -- Expansion Foam chs J UN Class A TwengFoam Training Foam over - -- -- = Other BBrraannddooff FFooaamm Used in Training? YYeessoorrNNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? oo Thankyoufor your me nd cooperation Please contact Nancy Roding of Dota Consutans (651-667 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ar rodnng@dalaencom)orm Sockingr 3h Minhosts POR Corel Agency (65397 3508 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i tockiner@sat nus) 0 ve ny sens regarding hs stoma jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `PaaPlddleddeararseesesserssereeetddteuuernrnnnvtvethelhilooissppqqeeu.u.eesstitioonnnnaaiirreettooDDeellttaaCCoonsnuslutltaannttssbbyvJJuunnee66,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseelflf:- Guestonnarscompet by Questionnaire completed by: Steve Sepp S-h:_ ve..- Norman He\lCLn tollandaw Name and Title ~ cLoJ..u Frabapaiment Fire Department Gre Dept Fowtome Phone Number ET E-Mail Address weDate -- Xinogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00489 sStTaAreTE0_208282211444466 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFFEEiirree TTrraaiinniinngg Firefighting Foam Use in 1. 1. TDDrooesetssihyyoiounurgroDDpeepepararrottmmneesnn?tt cently currently or or hhaass yyoouurr DDeeppaarrttmmeenntt istocaly historically uusseedd asAso Class A or lCalassss BBffooaammss ffoorr 3K. firefighting )<. Yes-ProtcoQueesteiond operations? roceed to Question 2 NoYe.s S-iPgn he back ofthis form and return o Dela Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howaltn'sClass Br Cass Afoam used inrespons oe cals? 2. How often is Class B or Class A foam used in response to fire calls? o2s%0t res ssonetis 700%ales ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 3. Doss te Deparment have compressed a asm syst (CAFS) witha bin tank on is engine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes Xe (<. No 4. How fens foom used in rang exercises? 4. How often is foam used in training exercises? Week vow _outeny ___ Weekly ___ Monthly _ _ _ Quarterly ap--" Aoouaty Bhaly X Semi-Annually ___ Annually ___ Bi-Annually over pessespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 How much foam is used par vaning oven? 5. How much foam is used per training event? Loss hansoatons ___ Sgelons swings ")< Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons or than 10gallos (leasespec ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - PRI ------ 6. In training, where does the spent foam go? Stom Sewer __ SanitarySever onsioseptc XK roma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Orr lease describe): _ _ ___ Other (please describe):-------,-------------------- 7. Where dossid he taining ake piace? lease includ acres, nerscction or ater spec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location ortor couentnandpas raining 10a. information for current and past training areas. T TT e Inogen' Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Tg Suite 100 St. 651.639.9473 -- --_ Paul, MN 55126 USA www.deltaeny com 22222..00490 sSTTaAeT_E0_208282211444477 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WWohshapatotnttysyppeee(a(ssn))daainnnddabbrrriaanncdgt(ssf)) ooafffpfopoaiamcmaaartrieeaoPr ewwaeesrree uucssheedonncoaoklww haaanldn3in9hnthee astby past by hethe Departmen, Department, bhboth for for fire response and in training (if applicable)? Please check all that apply. Typeof Foam BrandofFoam TYTUUoorassnoieenirddinNnigilgnn?e? AAAmUUmmosmsoeuueuaddnnltty CCsuuimrsrtoeonnrttiUUssUseseeoosrr CFClolaamssiTsny&BgpAeAqFquooueafeomFouou(assRmFFFFiil)mm-- | Brand of Foam Yes or No Annually Historic Use? CGRFoloarlsmssiin8BogAnAlFsl(cocAooaRshmn)oaAl(-AFFFFFF) -- CossopOwn Resistant (AR)-AFFF CIla)ss Class Class 8B B Fluororoten Protein Fluoroprotein _-- CFC(FullaPsos)rssopB&rFoFitilmamn-FF(ooFrmFmiFinn)gg| CosswareER Fluoroprotein (FFFP) CCcExallaapsssasssnsAABi-goBAnRHhF-iiFoFaFmP Sar Cassa Expansion Foam ee ee eee TCrlaaisnsinAg Foam - ower Training Foam - Other iToTormrhharanSnnrotoikoddyycnnookinguuigndff@gooarrdslyyeaaooltuutcarreenttn.iyimvn.eeccoouaammsnn))d) ooccororoYoJpoipmemuerarhSSataittKioovo0ncen.ki.ainnnPPgoyllereeGraauaasseteestthctchoeooennnMMtstiaaicarnctnntooeNNsgsaaoonntetcsacryyPPRRotololsluuodttnicooidunnnegsCCioaiofotonDnntnDtrnlreoaogllartlaeAA.gCCgeoeonnnncscsyyuula(t(a6n6n5t5t11ss--22((699357751--18-6-666696607667--5oo5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerre~t.tuWr!Jn..tt!h!ils .qQu-e'!.s!#tiJoinonnaniarireettooDDeletltaa CCoonnsuslutltaannttssbbvvMMaavv99,. 22000088iinntthheeeenncclloosseeddssttaammpoeedd,.sseellff-. `aaddddrreesssseeddeennvveellooppee.. Questornarecompletedty Questionnaire completed by: CCi.h..o..s.;e~ LL;i._n.,g~~e.-r-, Namaanc Tie Name and Title Hellen free Och t}o 1\o.....J P~ Fi Department Fire Department cC~le~oJt, {)-tp). Phos NumbSeor 7-347- 3370 5D/ee5)os Phone Number Date EE--MMaailil AAddddrreessss Xinogen - re on RT TRE A , on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..049911 STSTAATTEE0_208282211444488 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Dossyour Depart cureny rhs your Deparment historical used GaasClsas ams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for ah opusionss firefightz operations? Ren wrasse to cussion Yes- Proceed to Question 2 No- ign the baocf iks form and return to Delta Consular ___ No- Sign the back of this form and return to Delta Consultants 2. wollen las o ClAafosam usd in sponse foro cas? 2. How often is Class B or Class A foam used in response to fire calls? Ko oaswotties 250% ates 751005 crf p. 0-25% of fires ------"' 25-50% of fires _ _ _ 75-1 00% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eenggiinne((s))?? +'6 vesYes NoNo 4. How fen is foam ued in ing neces? 4. How often is foam used in training exercises? J ___ Never Weekly ___ Monthly SemArmualy Aaruaty X_ ___ Semi-Annually Annually 'f. samaaJ ty Bi-Annually Quarterly _ _ _ e Other (C please specify): - - - - - - - - - - - - - - - - - - - --- - - - 55.. HHooww mmuucchh foam foam fs is used used por per raining training ven? event? X)<. LLeessss tanthan 5 goaallloonnss _ ___ __ salons 5gallons 51010 gators ___ 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): - - - - - - - - - - - - - - - - - - . Intaiing. wher dos the spent foam 7 6. In training, where does the spent foam go? X__Stom Sever soiory Sever Onsie Septic Gouna X Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground J -- _ _ _ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. Wohemreadnoeatscuhmenv:aainnpaoskvaaceg? rloo.n cu kos, rst chr spi cate 7. Where does/did the training take place? Ple::Jse include address, intersection or other specific !oc2ticr: information for current and past training areas. o -- I d t 2 cO z% 1 '- po y.:e .. v-e -L. S l s o a 000000000000 XKIinnoogg~enn ,,. O OV VE ER--~ Fone: 651.629.9045 1 860.433 7411 Fak: 691639.9473 asn.dalisane.tam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00492 stare 0221449 STATE_02821449 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. sWWhphaoatnt ttsyyepeeas(sn))daainnddrabbirnrainnadg(ns()1dooaf(fpffposolaai)mmcabaalvreeeo?olr ewwaeersreeeuucssheeeddcknnooalww haanntd 3innptthh.e ppaasstt bbyy tthhee DDeeppaarrttmmenetn,t, bbotthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. TrUUassieenddiininng? AAmUmosoeuudnntt Currently Historically TyTyppeeooffFFooaamm BrBarannddooffFFooaamm YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy Used? Currently Used? Used? Historically Used? CCFliaslmsf8BaoAAqmqusmueegoosufusos m -- Jess Film-Forming (AFFF) Foam ReCCsllaassstssaBnAtAklo(cto0oh)lo,.l- Jr Resistant Ai=FF (AR)- LY Class B Protein -- FicCsollarasosspesBetein (7) CFCFolluarlosmsrio8onBpgFrsoFitielmsmi-n- (FP) Fuoopoen Forming Fluoroprotein | ---- ---- ---- ---- ((CFFoFFFsPPs)) BAREFP Class B AR-FFFP Ca lassAB i Class A-B Hi Class A Expansion Foam Class A Bf!reePotw-eer d/voo [IOOffAR-LL yes rate BME DEES ,~.,-em.~.,v..c! ,_ c.!ds A !3 ""J.M .-r ' yrs o( ' o ote. Training Other Foam H}AIte::..T7Ce-- EFs:e nSerood lr;id>dlA~.e---- Gr re y-eS ToTfhhoaaniknyyooguu fo@ordreyyloosuurer nttiimwmee4c4/"a3,'-;no{7ca;.o.mccs,r.po,o.d)o.)otiptpsme~'er",S'aP-rt"t'-i"aoow"c.nt.k.1nH?-l'.gPr-.Ii.e'Ilz>e:r\_s"a,.",a,set,e.t,.Cch~o.oe;r.n.tMtaiacnctnteNNsaaonntcacyyPRRooolddlniainnnggGaaotnDDeoelllttaaAgCCoeonnnscsuyullt(ta6an5nt1ts-((266955711---8665996776--5o5r115522 im shocking @sate mus) You or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you ave any questions regarding hs Guestonnars. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please P!ease roan ret11m this this auastionnaitro rwestionnaire to Dita Delta Consultantsby Ju6n,20e08. Inthe ConsultantsQ.y__.f.untiJ.Jl....~_Q_QEJ.J.n!.IJ!J enclosed enclosed stamped. stamped, self: self- aaddddrreesssseeddeennvveellooppee.. QQuueessttiioonnnnaaiirree ccoommppleetteed bbyy:: NabrDAAanLdLTiEele pecien Foe chied Name and Title FireDHepoarmwenet s [ine DepT Fire Department PhovGnesN2a?.roers5~-~g- 66 '{S5|/ Phone Number ESba-5pdpees.vsv~sine"-'(e@YIbOPoilCeInIs-m5meN.- cCoOIuAr/7 E-Mail Address sO-ea708 Date HXwImnog~enn ,., rane: 631.635R.910r30086.T033eS4e 11 Fok:SSEL035.0407) WSaAASEER AUS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00493 STSTAATTEE0_208282211445500 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 11. . DrDoeostesos nyyioonuurgr DDopeeeppraaartritimmoenensnt?t croor hnas currently or has yyoouurr DDeeppaarrttmmeenntt ihsisttoorriiccaaltlyy uusseedd Class Class Aor A or Class Class 8 B foams foam s for for firefighting opYerati-eonPsr?osceedto Question 2 JX No ian tho baocfthkis form ~-yes - Proceed to Question 2 ____2S.._ No - Sign the back of this form aanndd rreettuurrnn ttoo DDoetltaa CCoonnssuullttaannttss 2. 2. Howoften How often is is Class Class orB or CaAsfosam Class A foam used used in in response response toe to fire ccaolllss?? osmorfres ___ 0-25% of fires 2550%of res ___ 25-50% of fires ___ 7755--11D0O0%% ooff resfires 33.. DDooeess hethe DDeeaprairtmmeenntt hhaavveeaa ccoommpprresessesd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiiththaa blink built-in tankoonn 5its eennggiinnee(ss))?? ___ Yveess No No 4. How often i foam used in raring exercises? 4. How often is foam used in training exercises? Wesky Monthy Quarterly ___ Weekly Monthly ___ Quarterly SomkAnmualy Aouaty SrAmualy ___ Semi-Annually ___ Annually Bi-Annually Orr lease spect): S-- ___ Other (please specify):----------------------- 5. How much foam is used or aig eve? 5. How much foam is used per training event? lesstansguon salons surg ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons "Morothan togatons (loasespoctyy ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6 In rainingwhere coss th spent foam gc? 6. In training, where does the spent foam go? Sto Sawer _ Santary Sever onsite Septic Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground J ---- i - ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - - 7. Whe doath iningtke lace? lease include address, nterscton or othr spcfic cation 7. Where does/did the training take place? Please include address, intersection or other specific location ifcmaton for cute and past ag ross, information for current and past training areas. Xinoger EE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Franc: 631.639.0010 1 800.877 7411 Fak 241.630.9473mdueniliaene.cam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..004494 SsTTAaeT_Eo_z0s282211445511 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6 What type(s) and brandof(fsoa)m ar orvero used now and in he pastb haDoparmnt,bifo ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponas an n vain ppieae" lease chock a tas. response and in training (if applicable)? Please check all that apply. TUUossaeenddniignn? AAmUmosoeuudnntt CuentUseor Training? Used Current Use or Cla`sTTyy8ppeAeocouffeFFooouaasmmFin BBrraannddooffFFooaamm YeYessoorrNNoo AnAnnunaulalllyy HistoHrisitocric UUssee?? Glass Aconok FCFoolarrsmmsiinnBggAFFqoouaaemmou((sAAFFFFFilFFm))- ---------------------- -- Revatan (WoAFFE | Class B Alcohol- Resistant (AR)-AFFF -------- CasssPoon Class B Protein ICGalassss 8B FFuluoorroopprrootteeiinn --_-- -- ---- ------ C(CFFllPaarss)sso8BFmFiilmemF-F(ooFmrmipni)ngg -------------------- ---------- -------- ---------- CossparsER Fluoroprotein (FFFP) CSCCoollaaasssssnsaABAi-BABnRIHF-iFoFaFmP --_---- Cass Expansion Foam - TCrlaaisnsinAg Foam - ober Training Foam - Other oiToTrhrhamsantnnarookkdcdhkyyniooninnuuGgg@ff@oocrrGadyyetootlsutuararrenttnimyvoc.ecaoaamm=nn)dd)) ooccrrooYooJJopipmnaerrahSSativttoioooneccn.ki.ainnlgPPgelleereraoaaastsetthcchneooinMMtaHainGcGntSaeNNEsanotnytaacgyPPRRmoooolsluddutniisoitnnnggtCCaaoootnDDntmrevokltlaaAAgCCgoeeonnnnsccsuyyultl(t(aa66nn59tt1ss1-52((96967575116-8.-666609066776-$1o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pa leasea returntp isauestiotoalnnair 5tg Pa Consultants by Mav 8, 2008 i the enclosed stamned, set Questionnaire compre J peeseesmmmeemaia Nemes Tie if Fowloo Name and Title Fra Geparimant Fire Department 4, PPhhoonnee NNuummbbeerr Err E-Mail Address NKinogen: Daste --o pe= Phone: Phone: 651.639.9445 1 500.473 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: $51610.9471 Suite 100 St. 651.639.9473 dwariltannea.m Paul, MN 55126 USA www deltaenv.com 22222..00495 sStTaAeT_Eo_0z2s82211445522 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trraaiinniinngg Firefighting Foam Use in Fire T 1. Doss your Depatment curenyo has your Deparment istrcaly used iss Aor Gas oarsor 1. Does your Department currently or has your Department historically used Class A or Class B foams for erenangopraions? firefighting operations? X__ Yes -ProtcoQueesteiodn2 X Yes - Proceed to Question 2 No. Sign he bacof this orm and rf ta Dota Constants ___ No -Sign the back of this form and return to Delta Consultants 2. Howofl las 8 Glas A foam usdin sponse fo re als? 2. How often is Class B or Class A foam used in response to fire calls? eames ___ossondtes X__tsiomectives ___ 0-25% of fires _ _ _ 25-50% of fires _X......__75-100% of fires 2. Does he Deparment have a compresasi foam stm (CAFS) wiha bin ark on 5 engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes X_ to X No 4. Howateni foam used n ring corse? 4. How often is foam used in training exercises? Weeks ony _ouneny ___ Weekly Monthly Ip Aovuaty X_ oamualy ___ Semi-Annually ___ Annually ___ Quarterly ~X_,___ Bi-Annually P-- A -- ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is sed por rig vert? 5. How much foam is used per training event? X__ Los than gaons 5goons Sto 10gators X Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Wore than 0 alors ease speci): ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. inaning, where does the spent foam go? 6. In training, where does the spent foam go? meer Sursever __OnSieSepic_X_ Gro ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic TC ovressedesebor ____ Other (please describe): __________________________ --X- Ground 7 Where coos th iin ak place? lose cud aes, nerseirtr sopecni ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location mtn of coment ae van ar rss. information for current and past training areas. Tigh BAGdli or by ed Likes FD. XInJoIngo~genn' '"" Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 ee Paul, MN 55126 USA www.deltaenv.com 22222..004496 stTaAreTE0_02228121445533 S QQUUEESSTTIIOONNNAAIIREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg I ----_-------- 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire ot aot response and in training (if applicable)? Please check all that apply. TTyyppoeooff FFooaamm rr Class B Aqueous Film---------- Gass B Alcohol Form in~ Foam (AFFF) Class B Alcohol- mite vetSpd| Resistant (AR)-AFFF i Class B Protein lac 8 Porprotn Class B Fluoroprotein = _-- (FP) Goes8 Pimms Class B Film-Forming ---- ---- Fluoroprotein (FFFP) Gomme Class B AR-FFFP BBrraanndd ooff FFooaamm Lover Pypae CCllaassss AA--B8 HHii Get, Expansion Foam Geen Class A Tang Foam Training Foam Otrer Other AAdvesdq e=xlde Islues g DenSeep Tyanege Used in YYTereassinooirrnNNg?oo A"goodo Amount AAnnUnnusuaealdlllyy curenuseor HCiHsuitrsroteornriitccUUUssseee?o?r fy -- LLeenHBnoSpultar JJfeora SBayk rT Fs TT TThhaannkk yyoouu ffoorr yyoouurr ttiimmee aanndd ccooooppereartaitioonn.. PPlleeaassee ccoonnttaacctt NNaannccyy RRooddnniinngg aatt DDeeilttaa CCoonnssuullttaannttss ((665511--669977--55115522 a mmr: or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ripe asians Yo av ot sears esi oe jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plas sou is axestonnaie toDt Gonsuant b Mav. 2008 th enclosed stamps, sat Please return this auestionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamned. self- aadaddrreesssseeddeennvveellooppee.. genres Questionnaire completed by: w9h--e-er~r( .f!vi..s h'/t NFt#eaemodetBafnadLLTtia&tltekfe<rr rF-:e/-r do, Fire epartment Fron mie ~RIIgE--2;22.:25s---3c?c-c0v0t) Phone Number =S283 Date E---- E-Mail Address XXi1nnooggpe1n ,,, Phone: . i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ET TITTIT 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaeny.com 22222..00497 [p---- STATE_02821454 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. frDDaootseoss nyyioonuugrr DDopeeeppraaarrttimmoenensnt?t utyorhas currently or has your your Deparment Department stosadlGayss historically used Class A A or or Clase Class Bfoams B foams for for V/" Yes.ProtcoQuaestsiodn2 firefighting operations? Yes- Proceed to Question 2 Nox Sign the bactkhsofofrm and return to Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. 2. Howoftn's How often is Cass Class oCasAfosam B or Class A foam used used in in espontosroe response to fire ccaolllss?? 'X>_( o0-252%osofftfi%rreess ___252.55-500%%ooff ffirreess ___ 7755-10:0%1o0off0rfiore%ss. 3. Does the Depaharveamcoemprnestsa aifoam system (CAFS) viabtuilhtin tank ansengine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve --:-..,....- Yes EEX No 4. Howoften s foam uscd in ning exercises? 4. How often is foam used in training exercises? New wey Manny oun ___ Never ___ Weekly -- Somvomuaty Porualy X_ siAmualy ___ Semi-Annually ___ Annually Monthly X Bi-Annually Quarterly Other (peasespect) ___ Other (please specify):----------------------- 5. Howmuchfoamisusedporvaining ove? 5. How much foam is used per training event? Loss th5gaatonrs Sqatons 2X sotogatons Less than 5 gallons 5 gallons X 5 to 10 gallons Mor han10 gals (peasespeci: More than 10 gallons (please specify): __________________ 6 Intinin, where doss tho spent foam Go? Storm Sever Sanitary Sewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer __ Oonns-SiiteesSeeppiticc _XX_GGrorouunndd TT overessodemermer ___ Other (please describe}:---------------------- 1. Winer doesiid he tainingtke place? Pleas includ adress, rsectofaohnr pectic locaton 7. Where does/did the training take place? Please include address, intersection or other specific location ormaorcteroa ann post tamng areas information for current and past training areas. =D 55S2n tug mp 5 HwGo pp 55075 ...)..3.??-3 17'o s /N Hu@& -"'lN" 5'St::)3:f!r XXiInnooggernn': .., OVER~ -- enone: 63139500 80s TTA TAR: SOL mation. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00498 sSTTaAeT_E0_022682211445555 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What typts and rats foam are wer usd ow an i th pastby he Deparment, Sth foc vo 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eon i va aay lenecroc oko sr response and in training (if applicable)? Please check all that apply. TUrseadning AmDooeu'nt curonty Mistoricaly TTeyppeeooff FFooaamm Ca8 suosus Class B Aqueous gmorwer ONC NN NN Film-Forming Foam ey "- (AFFF) BrBarannddooffFFooaamm ~ " Class 8 con " Class BAlcohol- FReemaon ANews OX>< foew Yes Iz Resistant (AR)- AFFF AN6US Clas Pron SE WR Class B Protein Gases Class B FFlluuoorroopprrootteeiinn ((FFPP)) Ga0Fsi. Class 8 Filmjd Forming Frggoen --_-- -- Fluoroprotein fet (FFFP) Class ARF _ _ Class 8 AR-FFFP goss no Class A-8 Hi on Roam ' y Cass A Expansion Foam Class A _ANGKS. Used in YesorNo Training? Yes or No ~ Amount AAnnUnnusuaealdlllyy Used? Currently Used? ~ 1o ~A'L YeJ" Used? Historically Used? \.____ 1v~:5 I x lace Yes Yes TTrraaiinniinngg FFooaamm ~~ over TST IN IS Other = =O Thar youfo your ime and cosperaton. Please cone Noney Rosin at Dla Consulas (51697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 moana oa Sins he ones Pos Coes ane(O8S000087o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or TanGor oo ou hav a sie opi os scare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questomarecompaed PPleleaasseerreettuurrnntthhiiss qquueestsitioonnnnaairireettooDDeeltltaaCConosnuslutltaannttssbbyvJJuunnee66,, 22000088iinnt-thheeeenncclloosseeddssttaammppeedd,, sseellff:- `adddrressedeennvveellope.. Questionnaire completed by: FrebHoeaicneon Fire /CoH Kon GGAlfR/fYY NaNmameeaannddTTititllee. Fire Department - popr Ire SamTER -- Fos~&55/1 er#4292 36 a a jer Phone Number SKinogen: BiS--2P--05 Date ] 5910 Rice Creek Parkway Suite 100 St. Paul, Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www _ reson MN 55126 USA deltaenv.com 22222..00499 sate_o2s21456 STATE_02821456 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. . DiDofoeegsshiyyoonuugrr DpDeeeppraasrrtotmmneesnn?tt ccuurrrtennttlyy oorr hhaass yyoouurr DDeeppaarritmmaenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AAoorr CCllaassss B8 ffooaammss ffoorr X_ firefighting opYeerastioPnrso?ceed to Question 2 )\ No-Yes o- Sign the back ofthis form - Proceed to Question 2 Sign the back of this form aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss ___ N 22.. HHoowwotftoenn 'is CCllaassss 8B oorr CGllaassss AA ffooaamm uusseadd iinn eressppoonnssee ofr to fire ccaalllss?? ___ 00-2255%%ooffffrireess X_zssootfes --f~'--- 25-50% of fires ______7755-11000%0o%ffcirreelss 3. DDoooess tthhee DDeeppaarrttmmeenntt hhaavvee a ccoommpprreesssseedd aaiir ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh abbuulillt-ainn ttaannkk oonn its eennggiinnee((ss))?? 3. ___ vYeess X'6 Ntoo 4. Howofen'sfoam used in aning exercses? 4. How often is foam used in training exercises? Weaky CL enty __X_ curry ___ Weekly ___ Monthly X Quarterly Sembnnually pr BiAmuely ___ Semi-Annually ___ Annually ___ Bi-Annually One peasespecity ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppeer rtraaiinniinngg eevveenntt?? XX__: Less than 5 galens Sgalons 51010 alors LMeosrse tthhaann 510gaglalollnosns (please sp5egcatllons _ _ _ 5 to 10 gallons --------- _ _ _ More than 10 gallons (please specify): - - - - - - - - - 6. 6. Inaining In training, wwhheerree ddoocess tthhee ssppeenntt ffooaamm 6g0o7? __XX:_SlSotomrmSeSwewserr _ ___ SanSainrityarSyeSweweerr ___ Over __ Other p(peleaassee ddeessccrriibbee)}: _ ___ _OnOSn-lSeitSe eSpepitcic ___YL_GGrroaunndd es-------- 7. WInhfeorrmeatdioonefosr ctuhreei:nainndgpfaaskteapinacge?aPrleeasa.se include addrss, intersection or lhe speci locaton 2s 29 Pee 5 Hhhioon 1200 Mims sh SE XKinogen none 651.630.9156440033 SAT Fak: B11639 5475mdmtsliaeny.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639 9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222..00550000 SSTTAATTEE__0022882211445577 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. {WWohhsaaptot nttysyppoee(a(ssn))daainnndrabbrirananindnd(g)(os(f)1fo2fpofopaakmmcaaairreee?oorPrwlweoerarseeeuuscsheeoddcknnoaawlwhaaanntddaiinnpytthh.e ppaassttbyy tthheeDDepeapratrtmmeenntt,, otboth foorr rsfire response and in training (if applicable)? Please check all that apply. TUUrssiaenddiginn? AAmUmosoeuudnntt Curemtuseor Training? Used Current Use or ClasTTsy~pB~eeAoqofufeFFooouaasmmF Fim.~ BrBarannddooffFFooaamm YYeessoorr NNoo AnAnnnuuaalllly~ HiHsitsotorriicc UUssee?? FCFooirramm"iinnBgg AFFqoouaaemmou((AsAFFFFF)) Class B Alcohol- -- 33171-- ,1 ~"~" 4~U,~~ (-- vn~ b- -- > cs }/?2> Class B Alcohol- !+IC" 'f:hL!_.. 1e9b !F?p'L Y.skr,'c CRlesaissts8anPtr(oAtRei)n-AFFF ee, ss set(/ cree Class Class Class 8B B Flcraprten Protein Fluoroprotein --_-- C(CFFlllPaaaoss)rssop8BrFoFtiielmminF-F(oorFrmFmiFinn)gg csssearere Fluoroprotein (FFFP) CECClpllaaaassssssnsAABo-BABnRHfH-oiFaFFmP s.: L:'t.::>c~. ClEaxspasnAsion Foam *- TCrlaaisnsinAg Foam _A Siu~e~{x~ Ccl~aA hY- yApA: Jg""if'u,/Ll td oer Training Foam - Other oJTTofrhhoanaSnrcitokiodcyynnkooiginuun@gogf@doerrerdy@yleosoiluttuaraaretetmenimnvmo.eccnooaaummnns)dd))ooccorooyo4JopipemmerarhSSatatittiooovonccen.kk.iainnnPPggyleleeeQrraauaasseftseettthccihoeoeonnnMtMstaiaicnrcmtontegeNNsasaoarontnitcsacnyygFPRRahooillolusdltniiQooinngungoCCaasoottnnDDoteirelmoalttlaaaAAsgCCgoeeonnnnsccsuyyull{t(ta66an5n5t1t1s--2((26690557711-8---668696067766--6o55.r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Sines Roe Babhlon Chief Ly pared Questonnaire compietad by: PPlleeaasseerreettuurrnntthhiissgauueestsitioonnnnaaiirreettooDDeellttaaCCoonnssulutltaannttssbbyvMMaavv 99..22000088iinntthheeeenncclloosseeddssttaammpoeedd..sseellff-: `adddrressseeddeennvveellope.. - Questionnaire completed by: Nama a~nMatTYlI.ee?~c;_ ~~ FoirelDDeepipaarlrtmmebennttiscan Foe 0 Fons N2um2be0r SB AS HSI wbabo s/b8 Phone Number Date Evan A(dSe~o~nPgrpeCC? Q0:. ib1oV\d-hell,i,'n,- ,.sf-oOrn._ . /o11m/1., Uus$,y Xinogen' Prone: Phone: 651.639.94455910 651.639.9449 1I B00 Rice 800 473.7411 Creek Park .477.7411 Fok: way Fax: 31.619.947F Suite 100 St. 651.639.9473 dnaersltannea.m. Paul, MN 55126 USA www deltaenv.com 222222..050011 SSTTAATTEE__0022882211445588 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg X. 1. 1. iDDocoeelsshiyyoonuugrroDDpeeeppraaarrtttommreesnn?t curently currently orhas your or has your Deparment Department istorically historically used used ClaAsosr Class A or Class Class BBfofoaammssffoorr X___ firefighting oYpeersati-oPns?rotcoQueesteiodn2 7 _ _ _ No-Sign the backof this form Yes- Proceed to Question 2 No - Sign the back of this form aannd rreettuurrnn ttoo DDietltaa CCoonnssuullttaannttss omnes XJ saat T51o0ttr0es 22.. HHowoowlotfetennisisCClalassss BBoorr CCllaass s A foam A foam uusseeddiinnrreessppoonnsseetotoffirreeccaallllss?? ___ 0-25% of fires 25-50% of fires ___ 75-100% of fires 3. DDooeess tthhee DDeeppaarrtmmeenntt haavvee aa ccoommypereesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bbuuiitlt-iinn taarnkk on on 5its engines)? engine(s)? 3. K ves ___ oYes No 4. Howoltenfoiams used in raing exercises? 4. How often is foam used in training exercises? Never Weekly Monty Quarry ___ Never ___ Weekly :X: 2X sSeemmi-i-aAnnnnuuaallllyy _ ___ AAmnnuuaalllyy __ BiAmualy Monthly ___ Quarterly Bi-Annually ZT overplessespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuen oan is usedper ining event? 5. How much foam is used per training event? em mnemm sours J-- ----&._ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 galors (peasespec: - , ___ More than 10 gallons (please specify): _________________ X. 66.. IIn ttraaiinniinngg,, wwhheerree ddoocess tthhee ssppeenntt ffooaamm ggoo?? _comsower ___santanysewer ___Onstosepte X_Ground __ Ober _ Storm Spleewaesrede_ ser_ve)S:anitary Sewer __ On-Site Septic Ground ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 1. 7. Wfoirsnoen dofeoscuhpe taainnidngpaaksespilanceg?rPleepasse clude des, nersecortiohne specific locaton ns ls 5) -- Lar Cor" trol, 2a -- 00 S< O OV VE ER R~ -- rene 651670.9005 305 AT ATL Fin: SRA 018 047 WSR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00550022 STSTAATTEE0_202882211445599 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wha yet) ran foam aa wer sew and gat be Copan, Sth fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire vag ates Paes eck om soy. response and in training (if applicable)? Please check all that apply. Teaming? -- "Boot umonty Hort TyT~p~eeooffFFooaamm Cl8 souss Class B Aqueous mo (AFFF) Film-Forming (AFFF) Foam Gusodons Class B Alcohola Resistant (AR)pdAFFF Cessspoen I Class B Protein Goss Class B Aopen) ------------ ---- ---- ---- ---- Fluoroprotein (FP) Go8 Fsin Class B FilmBRrS | ---------- -- -- -- Forming Fluoroprotein fs (FFFP) coer Class B AR-FFFP Gloss 81 Class A-B Hi Doman ---- ---- -- -- Expansion Foam Class 4 Lgus 95 al Spe Sune Class A Ton. F~C Training Foam Over -_ -- -- -- Other BrBarannddooffFFooaamm ~9~,2 Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaall!l~y Currently UUsseedd?? Historically UUsseedd?? ~~( s~t? ruY/1-<- Thank ou for our lm ad cooperation. less contact Non Rinf Dea Consults (051-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ara comSo oi a etn oor Comet pps (Lor 00h or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or TE ozs jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plese retur tis questionnaire toDts Constant yun, 100 he anctose stamped, st Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped. selfQupptomaecoinegsted addressed envelope. ale Nam and Title U a / FFiirreeDDeeppaarrttmmeenntt ~H J ~(/- 214 cuT- Y39% Flanagan 21 rt- t;t1.1- LfJ1 (__ Pho;t;:;,ber /llo/ &2, Ei Stay IE-Mail Address La-Y-0% Date Xinogen Phan: Phone: 651.629.5445 1 800.477 7411 Paks 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639 9473 Suite 100 St. 651.639.9473 wanadelinsncosm. Paul, MN 55126 USA www.deltaenv.com 22222..00503 sate_o2621460 STATE_02821460 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 11. . DDooeess yyoouurr DDeeppaarrttmmeenntt ccuurrrernetlynootrr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd cCilaass(JBApr\r CGllaassss 8Bfofoaammss ffoorr retgaung opasiors? firefighting operations? V X. Yes -ProtocQueastsiodn f.... Yes- Proceed to Question 2 No- Sign the baocf tkhs form and rettouDrotna Consultants ___ No - Sign the back of this form and return to Delta Consultants 2. Howofeni GasB osr Glas Afoam used i rospos orcas? 2. How often is Class B or Class A foam used in response to fire calls? X__ oasmattes 2550 tees _rstoamottres ____,/.,,_,..,..__ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 3. Docs the Department havea compressed i foam system (CAFS)wih abutin arkon 5 engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve x ---Yes X No ~No 4. Howofen's foam used ining exercises? 4. How often is foam used in training exercises? wee ean oun ___ Weekly Monthly TT semvonunty Aomuaty TX aeaomaaty ___ Semi-Annually ___ Annually ___ Quarterly >( Bi-Annually _ -- _ _OtOhtheerr((pplleeaasseessppeceicfifyy:): - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foams usedpr aig event? 5. How much foam is used per training event? XK Loss hansgators 5 gatos S1t0gatoons __.'f.-,_______o_ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Nore than 10 gas (oma spectys ___ More than 10 gallons (please specify): __________________ &. Intaing,where doa he spt cam go? Storm Sewer ___Sanitary Sewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer _ _O_ nSOtn-eSiSt~eSpeiptcic ~_GXr_oGuronundd Other (pleasedosre A ___ Other (pleC'lse describe):------'------------------ 1. Whee doesdd he toiing ke place? Peas include addrss, ntrsecton oaths pecic locaton 7. Where does/did the training take place? Please include address, intersection or other specific location tIoHrpSor Nof ouvae han agXYa Sraesstna Quine 6h Rodieg) /S\~ information ~\~A for current and \pZas6t trainin~g-a-r~ea"s".'c.__~ Q~~ \tA (~\S\o_c.\L~_"")" Ninogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005504 SstTaAreTE0_208228211446611 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. WTheastportyapee(asn)danndabmriacnts) pfpoiamcaare'alwessescreocknoawl aant anpyh. pastbyhe sparen, bh for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TyT yppeeooff FFoaamm Be rand ofT Foam TUosiendnigne Used in Training? YYeessoorr NNoo AmUoseudnt Amount Used AnAnnunaulalllyy CumentUseor Current Use or HiHsitsotorriiccUUssee?? CCllaassss BB AquAqeuoeouuss FFiillmm-- Pompiumars DONQ Suge yes loqals Forming Foam (AFFF) Gs8Acoshok Class B AlcoholResear (RAFF --_-- Resistant (AR)-AFFF CossBPwwOn Class B Protein Glass Pcroprten Class B Fluoroprotein wn _-- (FP) Class 8FimFoming Class B Film-Forming Fcoprton (FFEPy Fluoroprotein (FFFP) Le -- Class B AR-FFFP cass na Class A-B Hi rsonfoan || mm ---- ------ Expansion Foam case nn Class A TringFoam - Training Foam over - Other y}\'\2- ~\(\(~'i !OqoJ3s _ __ harkyoufor your tre and coopera, Pieas contat Nancy Roding at Dota Consulars (651-087 $152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodhina@daaam com) orm Sockingr a he MinhestaPoh on Gonvol Agency (361-3973666o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency {651-297-8666 or rearinmge om va) ou hav any aston rearing ws Quoshomae jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pease rou tis aussionni to Dat Consultants be Mo0, 008 I the coclosed tampad, oat. F,!easa return this guestionna!l'""a to Delta Consult~nts bjl !'l~t' 9, 2008 in the cnc!C$Cd stamped, sc!f aadddreresssseeddeennvveellope.. Yoo Xs 'Y-r6vaones Guestomarscomplet br A~ ~~("S Questionnaire completed by: Noarma Tee Name and Title ' c,__~ "FiTe aBodpaemeortt aie \ NA Fries ay ---&e~" \ ~u\, I~'<"<--~<{~ l ONY 79% Fire Department 8\CG 7d-~ SSdDlQs~ Fie Nor Tie Phone Number Y~//9org?:|~otg' Date J ge / 9\E-Mail Address ER $,:\:' &I\" 0!01 "XX""'"iI"'nnooggefnn' "'" 00'C) 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00505 sStTaAreTE0_208228211446622 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doss your partment cuenty has yor permet strcly use CAiorGsis oars or 1. Does your Department currently or has your Department historically used Class A or Class B foams for eancpamions? firefighting operations? A=Nove-s-SigPn thrbtoaocQkucoefstathiiossnf2orm and tuto Dla Consulants 7~ Yes- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howls Cass Bor ClAafsoasm used in response to ve cals? 2. How often is Class B or Class A foam used in response to fire calls? A oasotties sevhoites ___istuomoliues ~ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 5. DoeOsXthe Devpaerment have conpsayseoseCPAdFaSl)mwipha iin ark on s engines)? 2C_ fJu~f 3. Does the Department have a corn.pr2sss8 pi taam svstem (GAFS) with a built-in tank on its engine(s)? Yes Te ___ No 4. Howtn s foam usd n aningexerses? 4. How often is foam used in training exercises? wea voy our ___ Weekly ___ Monthly ___ Quarterly ~ Sombamualy povuaty BiArnualy T omepeasespecty Newer ___ Semi-Annually ___ Annually ___ Bi-Annually ___ Other (please specify): _____._N--=---"'tZ..v="----'~=.J!_--=--____________ 5. Howmuch foamis usd pr varing event? 5. How much foam is used per training event? _ Lessmansgalons ___ soa stg ___ Less than 5 gallons 5 gallons aretha gators sso pec YvIo&ILONRD ___ More than 10 gallons (please specify): _ _ _ 5 to 10 gallons 6. Invaiing, where does th sient fan 607 6. In training, where does the spent foam go? Storm Sewer __ Santry Sever Onsie Septic | ___ Grong _ _ _ Storm Sewer Other(pleasee dd_ eesscc_ rriibbeeS))a: n-_-i-t-a_'-r-y_~-S-"_'e-wK\eJ_r,.c___::C:_ ::__-_ -'---O'-+~-,S'-"-i-.1ct...el.;cS:.A~e--"p'~=t-ic J Ground -: -~--'----- Other (pleas z.-..;.. 7. Where Goi he uaing ake lace? Pleas inclu adress, ersectoonf ahs soci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location oman fr cuter an pat ang nga. information B : =laa see Low ., for current and Da past 1.-~training a a:.zas . fL u e;e. o~ Xinogen rome 651.479.9108450.5037 5411 Fuk 493 #39947) WMdsIiacdanm Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 TEER Paul, MN 55126 USA www.deltaenv.com 22222..00506 sStTaArTeE0_208228211446633 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WTWehhsaaptot ntyysppeee(a(ssn))daainnndrabbirrnaainnndgd(sf)) ooafpffoopaamemaaasrreeeoorPr ewwaeersreeeuucssreeeddcknnoaowwhaantndpiinltthyhee ppaasstyt the by the DDeeppaarrmtmenetn,t, bbootlh orfor refire response and in training (if applicable)? Please check all that apply. TTyyppee ooff FFooaamm Class Aqueous Fim- Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) ClBaAcsorsor Class B AlcoholRevs(NtYAaFFnF Resistant (AR)-AFFF CassPoen Class B Protein Class 8 Fuoropoen Class B Fluoroprotein )(FP) Class 8 Fim-Foming Class B Film-Forming FFluluoorroopprorotteeiinn ((FFFFFPP)) LE Class B AR-FFFP cme Class A-B Hi pansion Foam Expansion Foam Cass A Class A -- BBrraanndd ooff FFooaamm oo -- - om = Usedin Used in Tring? Training? YeYessoorrNNoo Amount Amount Used Used AnAnnunaulalllyy CurrentUseor Current Use or HiHsitsotorriicc UUsse? -- - Wo JIOo ggaAlIIMlJe=_y- __ 1l:LA- DILA oer T`Trraaiinniinngg FFooaamm a -- -- ---- Other "ioTofTrmhhnanartnrnoookkcddyykrnooiiiununngggff@eoo@rrryde@yoesoatlutuaarertettoniimvmm.eeccoaanmnond))oocmcroroJoooJp)ipeumerarhSSatatittoivooocnecnk.k.aiinnnPPggyleleerecraauaasseteesttlhcchooeaonnnMMtstaaiicnrcmtentsgeNNaasaarotndntiacacnyygPPRRooNloolSluudditniQiooinnunnggeCCaaoSoftnnLtDDtreroeoolllMtlaaAAegCCgoeeonnnnsccsayyull(t(aa66nn53tt11ss--2(2(699657751--18--6666096907676--o5o5r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. sPPalldeeraaessseestreeodttueurnmnvetthlhioisspeqq.uueestsiotninaoirnetntooaDDieertlteaa Constants byMay Consultants by May 9, 9. 2008 2008 in in theenclosed the enclosed stamped. stamped. self: self- addressed envelope. ovr pe Oue,tiort7mplety' ameang Til E . ~/a -- r < =le Fie ped Cece . -220 -CH--3_ //7 mE 2008S mm, E-Mail Address Xinogen' Prone: 631.63T9.I31C080S05.4C3r3ee41p1arrFoyk: SS9U1T103T80004S7GWPhamu,bA51I26atUaRSK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00507 STSATATTEE0_208282211446644 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg X 1. 1. DDaootoesshiyyoonuugrrcDDpeeepproasrriitommneensnt?t curroehnats currently or has your your DDeeppaarrttmmeenntt isoricat historicall y uusseedd CClasls AaoorrsGCalasssss B ffooaammss ffoorr firefighting opYereats-ionPsr?oceed o Question 2 5 o-sig the back of hs form Yes - Proceed to Question 2 the back of this form aanndd rreettuurrnn ttoo DDeelltaa CCoonnssuullttaannttss No - Sign 2. Howatn's Class B.or ClAafsoasm usd in csponserte cals? 2. How often is Class B or Class A foam used in response to fire calls? 028% ofrus 250% otras T5100% ores ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 3. Does te Deparmentt hhaavvee a ccoommpprreesssseedd iair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh atin a built-in ttaannkk os on its eannggiinnee((ss)?? en 3. Does the Departm ___ veYes hNeo 2. Howotfeoanm'usesd in aiing exercises? 4. How often is foam used in training exercises? west Wonty ouanery ~~-Weekly ___ Monthly Somi-Annualy pomaty Semuaty ___ Semi-Annually ___ Annually ___ Quarterly ___ Bi-Annually ZT oteromespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam s use por vaing oven? 5. How much foam is used per training event? _LessthanSgalons ____ Soslons stg Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons (ease speci) ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. Inrining, wheedoss thospent foam ga? 6. In training, where does the spent foam go? SomSower __ SantarySewer ___OnStoSegic Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Oho (passe descr) A ___ Other (please describe):----------------------- 7. Where coos he iin ako piace? Please includ adres, intersectiorn ober specif locaion 7. Where does/did the training take place? Please include address, intersection or other specific location Womtfeeurno andpas vag res. information for current and past training areas. Kinogen Prone: 051.639.5051 800 413 TAIL Fok: GEL639047) Mndaliatav.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005508 SSTTAaeTE_0_022882211446655 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. {oWWshhapatotntysppsoeta(ssn))daainnndd ibbnrainnrdg(s()1aoaofpffpfoonlaacmmaddaiarere)?sowPrlrwe)eaersee uucssheeeddcknnaoolww haanntdd3iin1nthh.eppaasstt bby thheeDeDpeapratrtmmeenn,t, bbootthh fforofrirrce response and in training (if applicable)? Please check all that apply. Twpeotfoam BraofnFoadm TVTUUaerassmoieeniradinfnigilgnn??e AAAmUUmmossoeuaeuddnnltt sCCiuusrrtrroeornnittsUUUssseoeoorrr FoCCmlaisiTsnygBapAeAqFquoosueafeomFosuous(asmFFFRiilm)m- Brand of Foam | -------------- | Yes or No Annually Historic Use? ReCCFvloloasrssmtsain&BngAAFGlocoRoanmhoooAl(-RAFFFFF) ------------------ -------- -------- ---------- cussBPoOn Resistant (AR)-AFFF Class CIlass Class 8B B Furoprotin Protein Fluoroprotein _-- CFC(FullaPaas)ossoB8pFoFililonmn-FF(oorFrmFmiFnin)gg -------- ---------- LSFluoroprotein (FFFP) CaCCSllspaassmsssshABo-naBARfiH-oiFaFFnP Class Expansion Foam - TCrlaaisnsinAg Foam --_-- Ober Training Foam - Other "foToTirrhhmeaansnnraotkkoddyycnonokinuuiggfnf@ogoaredyryioe@ouslsturiarateiteniimmvm.eccnaooanmmuned)d))ooccororoYoJpoipoemueraraSSattittvoioooecncn.kk.iainnnPPggyleleeeQrraauaassetesettthcciheooonnnMMtstaaicrncetetngeNNsasaraondanticacnyygPPRRohoololslduudrltndiioaiunnnneggsCaCtaoootnnnDDitnroeeaollrtlaaeAA.gCCgeoeonnnncscsyyuull(t(a6a6n55nt11ss--2(4(699557711--88-666699607766--55oo11r 5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaassee rreottuurnr tthhisiqsueqsutieosntnaiiorenttnooaDDeilertltaea Consulantsby Consultants by May May ,9. 20I0n t8he 2008 in the enclosed enclosed stamped, stamped. elt: self- aaddddrreesssseddeennvveellope,. - ~ jonnae ionnaire ccoon~geitteedd bbyy:: NamISoravnulAcTcheo._ ~ ~ Si"rrce.. Chief FNiaemDTDeehkpaoasnsdrcmcTceiettnle.t\VfoollulAnnt.e~eVr" Ft1ivvee JD)ee.p-et+ Fire Department Pho2 ne Numbbe7rs -reaT of[29Tafteox Phone Number Date B e b~ec ,i -t1-ae os....csca.c-...e j vgue ~he\ls; uco. nAn/\, e. E-Mail Address Kinogen: . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ene on 2PR TE EIS An en Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00509 STSTAATTEE0_202882211446666 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Doss your Deparment curt has your Deparment staal usd ClAasClasss oars fr 1. Does your Department currently or has your Department historically used Class A or Class B foams for ingammion? firefight~erations? Ves -Proto Qcuesstsiodn2 . Yes- Proceed to Question 2 No- Sign the baocf hkis form and stuto Dla Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. How olen' Cass B.orCAlfsoasm use response to rs cals? _o2swatfres wanes i times 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires 25-50% of fires L75-100% of fires 3 Go emt scott 0S sr 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ~es '" Yes. No ___ No PRETR---- 4. How often is foam used in training exercises? Weakly Many ___ Weekly Monthly ___ Quartet Quarterly er leasespeci): ee 7 ~ SSeemmi-i-AAnnnnuualalllyy _ _ _AnAnnunaulalllyy _ ___ BBii--AAnnnnuuaallllyy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmm ucu h ~ ganis is uspereraidning used per training event? event? 5. How TT Moetan toga omosbectt ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Inatiriangi,n~heerre dosdoes hethe spefnoatm spent foam 60? go? 6. In ___ Storm Sewer _ _ Sanitary Sewer _ _ On-Site Septic Ground Totem _.___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - - 7. Wher does ho aig take lace? Pleas include adess, narsecoftooien seciclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location ca a ro etand as vain ress information for current and past training areas. 205 Shevi dan ~f&S sJo. :./"'"...- NKinogen Phone: 651 5910 Rice Creek Parkway 639.9449 j 800.477.7411 Fax: Suite 100 St. 651.639.9473 , Paul, MN 55126 USA www.deltaenv.com 22222..00551100 SStTaAreTE0_202882211446677 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. sWWhphaoatnt tstyyeppee(a(ssn))daannnddabbrnarnida(s(n)1ooiaffpffspoolaa)cmmabaairrree?oorerwwaeesrreee uucssheeecdcknnooalwwiaahnn!dd3iinn9thhhee ppasstt bbyytthhee DDeeppaarrttmmeennt,, bbootth afor refire response and in training (if applicable)? Please check all that apply. Coen Solves pes Joss CCFlloaarssTTssmyy8BeppeeAAFaqooouuffaeeFFmoooouu(asasmFmFFFiilim)m-- CGRFloloaarsssmsssin8iBgnAAFll(occoWoahmhRooll(A.-AFFFFEF) Glass 0Proton Resistant (AR)-AFFF CCCIlallaaa)ssssss BB B Floroprotein Protein Fluoroprotein GC(FFllaPaoss)ssrBFeFiimltm.-fF(ooFrrFmmiPinn)gg FE Fluoroprotein (FFFP) CCCElillaaapsssasssnnABsa-aA8nRhHF-iFoFaFmP Expansion Foam BBrraanndd ooff FFooaamm ---------------------- -- -- Usedin Used in Taming? Training? YYeess oorr NNoo AAmUmosoueudnntt Used AnAnnunaulalllyy CCuurrrreenmttUUsseaoorr HiHsitsot orriic UUssee?? ---------------- ---------- TCrlaaisnsinAg Foam - Orer Training Other Foam FE -- ToTfhhaaonnhkk nyyoouu ff@oodrroyyloouaurar ntiimymecoaamnn)dd occoorooppmeerarSatlitioooncn.k.nPgPelleraaasisetcchooonnMttiaacactnteNNsaaonntcacyyPRoRloouddfniiionnnggCaaotntDDrelolltaaACCooonnnsseutl(taa6nn5tt1s-2((6955711--8-660996776--o55115522 im siockinger@state. mn 3) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you have any cuestions regarding Us Queso, Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please Please rroetutrmua rn tthhiiss qquueessttiioonnnnaaiirree to to Dott Delta Consultants Ccnsultants byMay2, by-- llllay !', 2008 200e iin ths the enclosed enclosed ssttaammppeedd,! sseolff.- addressed envelope. Lull QQuueessttioomnnnaaiiree ccoommpplleetteedd byby: J Nam a 11 CZ &he~ Name and Title Fro De_Tpa_rJamIenCctKMsY FZi'r~e-< /D),o..pe.r!-e~ Fire Department Nadia tno SELLS Prone Rilm1b?er7- S~'y177-- J/t31?2-/ Phone Number ioAA E-Mail Eee Address HKwogen en 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.638.9/964005.473.7411Fok: 391.635.9473 mn daltasnu. am Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..051111 STSTAATTEE0_208282211446688 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 11.. rDDeooofesshiyyoonuugrroDDpeeeprpaaatrritmmoenensnt?t ccuurrtreennttlyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt istarcaly historically uusseedd CClasasAA osorrGCaslassss BB ffooaammss ffoorr firefi_g_htJ_in_g__o_peNYeores-asti-o-SnPPisrgr?oonccteeheeoddbttaoockQQouufeetsshttiosinofn2orm and return to Dol Constants No- Sign the back of this form and return to Delta Consultants 2. Howo-fe4n'-s-Class BorGlass Afoam used i espanso to fre cals? NL ozsmartes soles 75100%ofies 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Dos the Department have compressed ai cam syste (CAFS) vith abut tank on is angire(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vos ___ Yes --2-- neNo 4. How fens foam usd in raining axeries? 4. How often is foam used in training exercises? Weekly vow J ___ Weekly ---'-- Monthly SomiAnnualy 3 hovuaty Senay ___ Semi-Annually ){: Annually ____ Quarterly ___ Bi-Annually Omer pessespecy ___ Other (please specify):----------------------- 5. Howmuch foam is usedpor aning oven? 5. How much foam is used per training event? A tess hansgators gators 51010 ators ,..,; Less than 5 gallons 5 gallons ee -- ___ More than 10 gallons {please specify): _ _ _ 5 to 10 gallons 6 raining,where dos thespent foam oo? 6. In training, where does the spent foam go? Som Sour ___SantaySower ___OnStoSopic ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic TT overtpemedmeemey Other (p!e9Se describe):_._._.::----'----'- _X)Y(, GGrroouunndd Jtsyt;. 7. Vino ossidd ne aiing take lac? Please include addres, nerslon or othr pecclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location ifoato fo cent an past vaning ara. " SJ- C2f L}~ information for current and past training areas. [Jq U}.g.a.j) Xinoger rene 651.679 9S0 eRo CreATL Fok TSeOb S43 Msaau, k5a512t6 aGiSmR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222..00551122 STSATTAETE0_208228211446699 QUESTIONNAIRE FFiirreeffiigghhttiinnQggUFFEooSaamTmIOUUNsseeNAiinnIRFFEiirree TTrraaiinniinngg 0. Weaote) ndvbaanrtw) aoa ceorPvees adknhevnodiynhesh oparimen, bh fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. nmsctrem miatrem vwveaitgetse AABmwolan cuereiussear T~12e of Foam loss 0 Asn Class 8 Aqueous Filmeter -- - Forming Foam (AFFF) Gusor Class 8 AlcoholResta ners -- Resistant (AR)-AFFF Cmabpuen Class 8 Protein C8aFcrmpemton Class 8 Fluoroprotein & _--_------ (FP) lose 8 Firing Class 8 Film-Forming -- -------- ------ -- Fluoroprotein (FFFP) mone Class 8 AR-FFFP ausnon . Class A-B Hi te = -- Expansion Foam Cana Sex 0 gl eunedu Class A Tomogr 0 FTE Training Foam over -- Other Brand of Foam <);( Ltt. --- e v 7 Used in Training? Yes or No Amount Used Annuall~ Current Use or Historic Use? (lO ~i~~tl (!,;.g~~ FC -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 isitirk turbotmr rE A or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mes mao oy si epeaba ct jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. eas rent usstonts Dts Const by Hor, 208 inh noes tae, at Please return this rmestionnaire to De!ta Consultants by Jll!ay 9. 2008 in the enc!osad stam;:;ad, saff- `aaddddrreesssseeddeennvveelfooppee,. TEL 4 Questionnaire completed by: C)v{rD . k NNeafmmee5a4na TTiitlee '>l u<J-t?M 1 FFiridr 7DDepeapr a r 7n t 935 Ee " ~ So'1 3(/~- 7qd:5 hie JPThooAnsesNpeue~mrber~F6B6 @~ iitwJ Nfle-e..t.f-1 E-Mail Address Kinoger: - we09 DP coos Date 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00513 stare oamaser0 STATE_02821470 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use iinn FFiirree TTrraaiinniinngg Firefighting Foam Use 58.. WWThahaasttsttyyoppee(a(ssn))daainnnddvbbariainrndg(sa1)oosnfpffoso)aiamcmaaatrreee)oorPrweweaersreeeuucssheeedcknnooalwwhaantnd 9inpthh.ee pstpast bbyy tthheo DDoeppaarrtmmeenn,t, bbootthh orfor rofire response and in training (if applicable)? Please check all that apply. Nb t~IJSI<!~ TUUosseenddgiinne AAmmUosoeuudnntt CurentUseor Training? Used Current Use or TTyyp~eeooffFfooaamm CaarmisngsFoeame(nRFF) Class B Aqueous Film- i ; `BBrraannddooffFFoaamm Wa YYeessoorrNNoo. Loans AnAnnunaulalllyy Z ~ ~~w (urimk HiHsitsotorriiccUUssee?? (}. UYf!VIr Forming Foam (AFFF) CRosls8iaAnos(nasorr Class B Alcohol- TORI | Resistant (AR)-AFFF orem eres mies sete Class B Protein Gl8Fauorosprtsein Class B Fluoroprotein --_-- (CCFFlulaPasss)rssopB8roFFtiilommn--FF(ooFrrFmmFiPinn)gg -- A Fluoroprotein (FFFP) -- Class B AR-FFFP cCaossrAiBnHto Class A-B Hi | Class A Expansion Foam OM TCrlaaisnsinAg ing FFooaamm 'hfrl Ls TOtrahienr ACS QILlWl- i-V1{ -EL N NOO ZL S6 ~Bq:tS C.. uC,ry(e(-nlnft- Mm t nJc,s 5gt4ts Ceov?VJd zli= Other TTorhhannarkoyydoouunfmfoo@rr cyyooeuulrttiiammeecoaamnn)d cocoroooappemerarSatiltioooncn.k. inPPglleeeaaasseethcceoonnMttaaiccmtteNNsaaantnccayyPRRooolddunioinnngg CaaottntDDreeolllltaaACgGeoonnncss0yuula(tan6n5tt1ss.((268955711.--8666906776--5o5115522 Tr Sockinger tate mS) 90 or nrodning@deltaenv.com) or Jim tockinger@state.mn.us) if you have ay cueslons regaring (ns Questomaic Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or jim.s Plasse rturn this questionnaitreoDlts Constants byMay 8, 200088 Iin the the eenrc;clJecsseedd ssttaammppeedd,, self. self- Please !'eturn this questionnaire to Delta Consultants br Jl,/!az 9. 20 aaddddrreesssseeddeennvveellope.. QQuueessttiioonnsnaicreocmopmlpleettedebbdyy: Tame and~T(e ae'\S \ S o~Yh\SnoVe) | Sectelae y Name and Title -=:r\2.-*:)?._ FirDeparmeTntetlegss sF\{'s2_ Det. _ Fire Department _ Aylezzzen. 4-29.08 PhPohonnee NNuurmsbeerr DDaattee C Evan o Aces he J?"'Ye \L\Ad 'f'-\ @@CeLnJ!t-nut "c<"'g~=l\-.e)l..iY1ned E-Mail Address XKitnnooggfenr "'" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005514 STSTAATTEE0_208282211447711 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. Docs our Deparment curtis your Deparment storia used GaA slsass foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Tetiung opomions? YK firefighting '~-..._ opYeerastio- nPsr?oceedto Yes- Proceed to QQuueessttiioonn 22. No-Signthobackof this form and return to Dla Consultants ___ No- Sign the back of this form and return to Delta Consultants 2 How fn' Glass or Glass foam used i respons of cals? 2. How often is Class B or Class A foam used in response to fire calls? ~ 2K 0o-z2s5w%orotf fiireess ___ Boles 25-50% of fires ___ 7755-110000%%ooffffrireess 33.. DDooeess tthhee DDeeppaarrttmmeenntt have a ccoommpprresseed aaiir ffooaamm ssyysstteemm ((CCAAFSS)) wwiitthh a bbuuililt-iinn ttaank on ittss ennggiinee((s)? ves ___ Yes A'f.w.. e ......._ No 4. Howtn's foam used in aring xerses? 4. How often is foam used in training exercises? Weekly Wont Quarry ___ Weekly Seminomaty XC Amat -- eamualy ___ Semi-Annually -___,.-Monthly X. Annually ___ Quarterly ___ Bi-Annually tr (ease speiy SE ___ Other (please specify):------------------------ How ugh foo feud por rig over? 5. _KW tossthansgatons How much foam is used per training Less than 5 gallons event? 5saglalolonnss Wore than 10 gators ease speci ___ More than 10 gallons (please specify): ___ Stiga 5 to 10 gallons 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sewer Sanitary Sewer onstesepic ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Orr ene case -'--- Otl->er (p1e"'!s<=> describe): __........:..___---'-~~-'---'-~-~ I K~KGGrroouunndd 7. Voimeartdonooirtctuhteir nangpoaksoalancge?rleess inlude ade, mrs or over specication 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. "TdeooFFcDus voee &ac ndk Doai vegon Ninogen: sree evr CS E CIT EE FETYoe STTOs eRi aRAtSEeIS nVE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taenv.com 22222..00515 sStTaAreTE0_202882211447722 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg r 1. 1. DfDeooaests ayyuoonuugrr DDieeoppaanrrtmmseen?ntt curantoyrhas currently or has your your Deparment Department sora historically used used ClasAs Class A or or Gass Class B B ams foams for for firefighting opVereatsionPsr?ocsed to Question 2 __ XC._NYoe-sS-iPgrnoctehedbtaockQuofesthtiiosno2rm and return to Della Consulants No- Sign the back of this form and return to Delta Consultants 2. Howofien sClass Bor lass Afoam used inrespons fo ra cals? 2. How often is Class B or Class A foam used in response to fire calls? oasw ares 25.0% afres 75100% a fres ___ 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% of fires 3. 3. Docs Does tho the Dopariment Department have have compressed a compressed aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bu built-in ttaannkk onson its aennggiinnee((ss)?? ves ___ NoYes No 4. Howoften foam used in rang aneriss? 4. How often is foam used in training exercises? weeny -- touny ___ Weekly ___ Monthly Semidaly ___ porualy ___ Semi-Annually ___ Annually ume ___ Quarterly BrAmualy ___ Bi-Annually ___ OOtthheerr ((pplleeaasseessppeeccitifyy:): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuon foam is used por rang overt? 5. How much foam is used per training event? Less than 5gators 5 gators ___ Less than 5 gallons 5 gallons Wore than 10 gators (lease spit ___ More than 10 gallons (please specify): 51010 galons ___ 5 to 10 gallons 6. Inning, wher dos to spent foam gu? 6. In training, where does the spent foam go? Sto Sawer __ Sanitary Sower ont Septic Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground thr lease describe) _ ___ Other (please describe):-------~------------- 7. Wfchremraetidoonsortcutrhenatrainnptaaskevlaacge? rPeleaass include adres, nersecortoothnr specication 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogen eon 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.620.9540 1 800471 F411 Fon: GL1639.247) MbdbA a Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00516 sStTaAteTE0_202882211447733 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 8 Whtype(s) and brandofifosom) ar o were usc now and nh ast by he Departmen, lh for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espana a in rang f pPGaHYT Pioaso check a hat ply response and in training (if applicable)? Please check all that apply. TUasnaign? AmUoseudnt CumntUseor TTyyppeeooffFFooaamm ClaAqsueosus Fin- Class B Aqueous FilmForming Foam (FR) | -------- -------- ---------- Forming Foam (AFFF) GlossB conor Class B AlcoholRosatan (RAFF Resistant (AR)-AFFF cassepoon Class B Protein Class 8 Fuoropooin Class B Fluoroprotein I) _-- (FP) Class 8 im-foming Class B Film-Forming Furoprotan (FFF) -------------------------- -------------------- ---------- Fluoroprotein (FFFP) CossoAReER Class B AR-FFFP Goss A Hi Class A-B Hi Exparion Foam Expansion Foam Class A a Class A Training Foam TT Training Foam oer - Other `BBrraannddooffFFooaamm Used in YYTeerassinooirrnNNg?oo Amount AAnnUnnusuaealdlllyy HCiHusisrtrtoeornriitccUUUssseeeo??r Thnk you for your tine an cooperation. Please contact Nancy Roding a Dafa Consulnts (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodng@ sae com or 1m Siockingar a tho Mnosels Pokon Control Agency (651-27 5656 o jjoiimrmn..srstotodocnckkiinnigng@ geerrd@@essltttaaaettene..vmm.cnno..muuss)))oiiffr Jim yyoouu Stockinger at the Minnesota Pollution Control Agency hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueessttiioonnnnaairiree.. (651-297 -8666 or Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. self- `addddrreesssseeddeennvveellope,. Questomais completetdy . Questionnaire completed by: h.b''(J/,-h,ze,Pj Lizey it De Nara oa ile Name and Title f-;okfo' oh ref 6tepetriemen~, q&nA Fife Department/ FdHroGrme~--N-a8-m8b7'o7r5s----- .4:tb0~33 Phone Number a 5)zr/et E-Mail Eas Address HKwogen Prone: 651.620.9445 / 800.477.7415 Fok: 451.600.9471)want daliaane.iom. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00517 SsTTAaeT_E0_202882211447744 QUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. ooyor Department rent hsyourGoprman col snd Css AceClos Boas for 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for Sore Sopa firefighting operations? NE ven protco qeuesstiosn ~ Yes - Proceed to Question 2 No Sig th back ohfom and eur 10 Dll Consus ___ No- Sign the back of this form and return to Delta Consultants 2 Howat ls or Class Aloo usd insanefof cols? 2. How often is Class 8 or Class A foam used in response to fire calls? oadte meds _YTotnes ___ 0-25% of fires ___ 25-50% of fires _ *5-100% of fires . oo th Deport ae. compose fom ptm (GAPS)wilh ulin ark on fs engin? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? i --...,....-Yes a + N o o. Wooten om estirnesg? 4. How often is foam used in training exercises? won Wontiy Ouray ___ Weekly TTcommnty OR mat anny ___ Semi-Annually Monthly ~ Annually ___ Quarterly ___ Bi-Annually TT ter lone sch ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. wma foam i no par ang vent 5. How much foam is used per training event? Tenman soni J Ks goons stot0gaons ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ___MoMroeretthhaann 1100gaglallloonnss((pplleeaassee ssppeecicfifyy)):: 6. novi.whore does espn fam 57 6. In training, where does the spent foam go? nai vwtysons onsen ___ Storm Sewer __ Sanitary Sewer ve on rome -- os Cther (please des~ribe): -----'---- _ _ On-Site Septic ~Ground 1. Wor ooh rin ah lac? Pas nko ass, section ct specication 7. Where does/did the training take place? Please include address, intersection or other specific location asasmb nop g pon /dl, information for current and past training areas. 'Z-1u~ (f70 K:t:t?s~ Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00518 sStTaAreTE_202882211447755 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WWTehhkaasttonttyysppsee(a(ssd)) aainnnddvbbarrmaannnddg((ss())1 ao5f5ffooIaamGmaaaerre"oolr wewaresreee uucssheocdcnknooawhw aaanntdd ainnprth.ie past past by hethe Dapatman, Department, both both orfor refire response and in training (if applicable)? Please check all that apply. 0J-1l/7 TUUasseenddgiinn? AAmUmosoeuudnntt GumentUseor ClaTsuTsyp8~eeAoqofufeFFooouaasmmFin BBrraannddooff FFooaamm Yosorle Training? Yes or No Amul Used Annually HistoricUse? Current Use or Historic Use? Form Foam (Fey Class B Aqueous Film- Forming Foam (AFFF) ------------------------ ------ ---------- CGRlleaassssstB8aAAcl(coWothRaoyll-A-FFE ~~ Resistant (AR)-AFFF -- CkCClallaaa)ssssss &B B Fucropten Protein Fluoroprotein ---------- et C(CFFlrlaPaass)rssoB8nFoFitimlom.n-FF(ooFmrmipinn)gg ---------------- ---------- -------- ---------- CassoamsEe Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAABi-oBABnRHHF-iFoFaFmP Da - ClEaxspasnAsion Foam TCrlaaisnsinAg Foam T ~~,il.Jc~ o --tJt-5-- 5 ~- ltL.Es5 fix heh 7 7 mT 7 over Training Foam - Other sToTofhrhaoancnnrokkndiyynooginuugffG@ oorrGadyyeosolutusaerrettsnimvma.eccsooaammnn))dd) oocc1roro7oJoJp0ipem4erarhSSatoiittiooovonccen.kk.siinnolPggyeleeereraaaassstettthcchaeooonnnMMttiaainnrccnentgeeNnassarooednttiacaynygPPRRooloolluuddttniiQooinnnnuggaCCeaaotsnnDDtttrelooaltlaarAACCggeeoonnnnccssyyulu(t(a66ln55ts1s1-29((6976573-1-168--666609697676--oo55rr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Ca~su!tants by Mall 9. 2008 in the enclosed starnped. self- aQFduaaerrsootso3sn7en4dgTesohnsceoimop>pee:ecby ~ addressed envelope. FreKDdaodsinsetonFeLop Phone Kumar e - 3 Tae EV Addons ~ 5/5 /e Xinogen rane: 651.639.9S808 R0CreTaL SFok SSU eTbO 0S47E5 Pmau dsSEeE U.SE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.947.3 www.deltaenv.com 22222222.00551199 STSATATTEE0_208282211447766 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DeDooaoetss iyynoouugrr DDcepepapararirtmomenensnt?t curtoahials currently or has your your Deparment Department hoa historically uscd used Glass Class Aor A or lasBfoams Class B foams for for firefighting Ves. operations? Question To Sign he backof rs form and returfon Dota Consultants 2. Wowafenis iss Bor Cass Afoam used in espns os cals? 2. How often is Class B or Class A foam used in response to fire calls? cash aties 25.50 otros T5100 aes ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% of fires 5 Doss ihe Deparment avecastes ai foam stom (CAFS) wiha bin ak on soni? 3 Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes NoNo 4. Howftn's foam used in vain eres? 4. How often is foam used in training exercises? Cheer eddy Maniy awry ___ Never ___ Weekly ___ Monthly ___ Quarterly CT Semhmaaly Aol J ---- ___ Semi-Annually ___ Annually ___ Bi-Annually _ _ _OtOhtheerr((pplleeaassee sppeecciiffyy): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. Howmuch foams used por ving overt? 5. How much foam is used per training event? Losthan gone Sgatons S10 10 gatos ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ore tan 10 gatos leas speci): ___ More than 10 gallons (please specify): __________________ 6. intimin, where dos th sent 7 6. In training, where does the spent foam go? Storm Sover __ Santry Sower Onto Sete Gow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over (pss desaboy ___ Other (please describe):---------------------- 7. VFionmaotdooncaschaentirainngpaotkvlaacne? rPoass.o incu adress. asec ave speci locaton 7. Where does/did the training take- place? Please inc!ude address, intersection or other specific location information for current and past training areas. Xinogen' OVER--~ PPhhoonne:e: 651.630.9645 1800 9773411 Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 51639.947 Suite 100 St. 651.639.9473 Mawbdnliastnorm. Paul, MN 55126 USA www de!taenv com 22222..00520 sStTaAreTE0_02228121447777 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 8. TWWohhsaaptot nttyysppeee(n(ss)d) aainnnddabbirarngda(s1)nooaffdfpfooca)amambaaereyoorPr awwseersreoe uucssheeeddcknnooalww haaanntdd aiinnphthyee past past by by hathe Department, Department, both both orfor refire response and in training (if applicable)? Please check all that apply. Typeof Foam Brandof Foam YTTUoUrravsasioemenrdidinNiniglngn?o? AAAmUUmmsosoeuaeuddnnltt CCUuusrrreeesnn?ttly |HHiissUttsooreriidcc?aallllyy CCFlaiTslmysppBeaAoAoqmqfusuFemeooogsauumtss o -- Brand of Foam Yes or No Annually o_o Used? Used? FrFilm-Forming (AFFF) Foam Cl8aAsons Class B AlcoholRprosman ORY Resistant (AR)- ACFeFsFsBPoOn FuCCcrllaasosssspsBBotPerontei(n7) -------------- ---- ---- ---- ---- Fluoroprotein CForlmian8gFsisn Class B Film- ( F P ) Felryopoen Forming Fluoroprotein _-- C(FoFFsPo) areER CECCxallaapsssasssnshABi-ooABnRHF-iFoFaFmP - Gass Expansion Foam - CTlaanssnAgfoam = otner Training Foam - ---- Other "iooTTfhrmhawannsnriootkodynycnookinuugifgnf@@gooecrydroyoe@ossultutearrtentteniyimvmm.eeccuooaasmmnn))dd)ooccororoYoJpomipemuerarhSSatliattioooovnccn.kk.ainnnPgPgyleleeerQraauiassGtte:sthhLcceooeonnnMtMstaiaicnnrctnent geeNNassaraoondntticaacnyygPPRR1ooollisludltnniQaoinongnsgtCCaaoootnmnDDvntroeaeollrtlaasAA.gCCgeoeonnnnccssyyuul((tla66an59t1rs1-2-((692657591-178---66639696767-6-5o561r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. adPPlileefaaessseesrroeetdtuuerrnnnvtethhliiosspqeq,uueestsiotninaoinrenttoaoDiDelertletaa Consultanbtys Consut(~!J..ts bv June6 June 6. 2008 2008 in in theenclose the enclosed stuped, stamped. sirself- addressed envelope. Questomngrespmplted by. A CNU omaT n TitEe dnd chet SYED 2emer [rive [oof = From -- epEta-- Ross-------- E-Mail Address Xinoger PPahnoen:e: 651.639.9/084005.477.3411Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: _ $91.6309475 Suite 100 St. 651.639.9473 muwdsltacnv.iom Paul, MN 55126 USA www deltaenv.com 22222222..00552211 sSTTaAeT_E0_022882211447788 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Firee TTrraaiinniinngg Firefighting Foam Use in Fir 11. .DtDoohseisnyyooguurr DoDpeeeppraaarrttmimoenensnt?t cunt currently oorr ashas yyoouurr DDeeppaarrttmmeenntt isoricaly historically uusseedd CClaslsAAoaorr CCsilaasssssBB ams foams ffoorr firefightXXingeoNpYenoreastiS--oinPogsrc?noacteehededtbtoaockQQouufeesntthtiioisnno?2rm and return to Delta Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants 2. How often lass Boorr GCllaassss AAffooaamm uusseeddiinnrreessppoonsnesfteoo refire ccaalllss?? Class B 2. How often is oaswoltres )JCC~.25.50% offre ___ 7755--110000%%ooff resfires ___ 0-25% of fires 25-50% of fires x 3. Does he Deparimenthave compressed ai foam ssyysstteemm ((CCAAFFSS)) wwiitthhaabbuuiiltt-iinn ttaarnikkoonn tsitseennggiinnee((ss})?? pressed air foam com 3. Does the Department have a ___ vYeess STNo 4. Howton is foam used in raining exercses? 4. How often is foam used in training exercises? -- Woeldy mony _ ouanery ___ Weekly ___ Monthly ___ Quarterly Sem Annually >< Annual BLAmualy ___ Semi-Annually ')C. Annually ___ Bi-Annually Otner please speci) -- ___ Other (please specify):----------------------- 5. Howmuch oa is used per raining ove? 5. How much foam is used per training event? 2_ LLeessss tthhaann 55 ggaalllloonnss. 55 ggaalllloonnss. ___ 551t0o 1100 ggaalllloonnss More than 10 gallons (pease speci) JE More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. In traning, where does the spent foam 07 6. In training, where does the spent foam go? X2<_ SSttoorrmm SSeewweerr __SaSnaintiatarryy SSeewweerr _ ____OnOSni-Stitee SSeeppttiicc _Z.B?crGoruounndd Other please describe) rere ----.,..-- Other (please describe):----------------------- 7. Whee dosiid he ining ako place? leas ncude adres, resection o othr specic location 7. Where does/did the training take place? Please include address, intersection or other specific location Info0rcmrat and pas taning acds. Packie pe information for current and :pAL-lk A--'tL pa-x\s-t 9% training q ~ ar&seaL.s.5S.~ A -- SE --L~ el~ikoo'rr&.oY"n\. ~ Xinogen _ rome 491.639.7005 305 SATE Tek: G91631947] MubdaltagncoYm.. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639,94~9 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005522 STSTAATTEE0_202882211447799 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What yes) and ranofsfoa)m a or were uss now and th pst he Darimen, boatrfhr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aalll tthhaatt aapppplyly.. Tmeotfom Brand of Foam YTTUoUroasssmieoenndrdinifgignlnr?e AAAmUUmmossoaueeudndnltt CCuusmrtreeonnrtteuUUsssoeeoor?r CFClolaarssmTssiyn&BpgFeAAqoqouuafeemFcoouu(assRmFFFiiRlmm)- Brand of Foam ---------------------- Yes or No Annually Historic Use? ---------- -------- ---------- CCRFleolaasrssmtssianB8rgtAAFll(occoaoRmhhooAll(-AFFFFF) CassoPOOn Resistant (AR)-AFFF EClyass Class Class 8B B Fororaten Protein Fluoroprotein _----_----_------ CC(FFllcaPasso)ssp8BraFuitlmmn-FF(ooFmrmFiFinn)gg | -------- -------- cosoarer Fluoroprotein (FFFP) CBlpasmssAonHfoan Class B AR-FFFP Class A-B Hi pm CElxapsasnAsion Foam Angus Mew Z5adsBon TCrlaasisnAg Foam --~ oer Training Foam - Other fToiTohrhaanesnnrookkddonyyniooicnnuuggffk@@oodrdiayyseoohtluntuaaarreteettnnimwmvir.eccuoaaammn)n)d) ooccoro0ooJdpipemrearhSStaliattioooovnccn.kk.aiinnnPPggyeleeeQrraautasestesthihccaoeonnnMMtstaaiicrncmtenteegNNssaaaaointntcnaacyygPPRRioooollluddtniCiioiunonnegcCCaaiotoonDDrtrnenlolotalarAAeCCggoeoennncssnyuul(t(la66nt5t51ss-12((569557711-.-8-06668966776-6o-5o56r11r 5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaassee stun return this this questionnaire questionnaire to to Det Delta Consultants Consultants by bv May May 8. 9. 008i 2008 in he_the enclosed enclosed samosd, stamped. sat: self- aaddddrreesssseeddeennvveellooppee.. Questonnass completed X eX vioen Name and Title FFriree CDeapparatmreont - Zipt-- PPrhoonnee NNuummbbeerr Bh oo ode tcl mannasge@ddendd Xinogen' rane 31.430.9T005 TEOO CrSTT aPokSeTe1S000SSE m Pou a PSE Ta IE oUSnK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00523 sSTTaArTeE__0022682211448800 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11.. DeDotoseosshyyioonuugrr DDoepepepraaarrtttimmoenensnt"t ccuurrreennttllyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly uusseodd CCalassss AA oorr CClalssa8Bffsooaasmmss ffoorr XX__ firefighting o es- peratio nPsr?oceed roceed ttoo QQuueesstti.oino2n2 NYoesS-iPgn thebackofthis form and rettuoDralnta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHooww oofftteenn sisC Class BBoi orr CCllaasssss AAffooaamm uusseedd iinn rreessppoonnssee t[o0 frfire ccaalllss?? ___X.2_(__ 00-2255%%ofoff frireess ___ 2255-.5500%%ooffffiirreess _ ___ __ 7755-110000%% ooffffirreess 3. Does the Deeppaarrttmmeenntt hhaavvee aaccoommprpreesssseedd aaifr fooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bbuuliltt-iinn ttaannkkoonn isits eennigninee((ss))?? e D 3. Does th ___ YYeess TXX: Nono 4. Howes foam used in raining cercses? 4. How often is foam used in training exercises? J---- Monty _ Guarery ___ Weekly Monthly ___ Quarterly TT Sommualy Ansel sammy ___ Semi-Annually ___ Annually Bi-Annually __..._LXX""_-- OOtthheerr ((pplleeaassee ssppeecciitfyyy): ((,o~n1-/i AAT.e\~x~"e'c.l1 1rv vvisee. iIvN ' owC)jt} TRemny 55.. HHooww mmuucchh ffooaamm iis uusseedd peper airing training event? event? SC Less than' galons 5gallons $10 10 gallons MLoersse thhaann 510gaglalolnosns (pease spe5ctgyayllons _ _ _ 5 to 10 gallons ---- More than 10 gallons (please specify): - - - - - - - - - - - - - 66.. IInnttaraiinniinngg,, wwhheerree ddooeess tthhee spt spent ffooaamm ggoo?? _ StormsSewer __ Sankary Sewer On-Site Septic Ground _ Ti-_c-_~ Omeripnsse Storm Sewer (please dose) __ Sani describe):_ t dant ary Sewer ud_.:t~t- ..Sv.SE._ e-._ . .J[O:4nt- IN_ Site Septic ______it{ [[R(larai:~n~i-'n-gnGs.roJ'u-n-d--- Oth0r 77.. WnWfhhoerermreealddlooosenssfl/dodiddcttuhheertteraaiainnniindnggptatasaktkeerappillanaciceneg?? aPPrleleeaasa.ssee iinnccliuuddee aaddddrreossss,,iinntterrsseeccttioonn oorr the other spec specific llooccaattioonn information for current and past training areas. e. ~ Spem 11w-l Trehungs I cdkurnntt- vv1ie r Xinogen STE Cr py TUT [06 _SFR Wn SS Us 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mone: 651.639.5001 800 413 ATL Fa 1039.04)mmsdelineacom Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00552244 SSTTAATTEE__0022882211448811 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88. WeWhshapatotrttysypapeea(ssn))daainnnddibbnriarnndga(s(n)1ooepffpffsioocaa)ammblraeroyeo?orlrveweaersreeeuuscsheeeddcnknooawlw haaannldd i th 3p.in the past past by by the the Departmen Department, bot both orfor fre fire response and in training (if applicable)? Please check all that apply. 'Q Tipeot Foam BrandofFoam TUUisseenddgiinn? YTerasinoirnNgo? AAmUmosoeuudnntt CurentUseor AUmsaedl HiCsutrroerniteUUsseeo?r T~[!e of Foam Cf lass B Acue eous Film: Class B Aqueous Film- Brand of Foam Yes or No Annuall~ Historic Use? CGRFoolavrlsmsstianBaBngAAF(lsloccRooaVhsmhooAll(-FAFFFFF) FEResistant (AR)-AFFF -- CGalassss 8B FPororteeipnroten Class B Fluoroprotein (G(FFlPaPs))s 8Fim Forming - Class B Film-Forming CesssARFFP FlFulourooroprporotteeiinn ((FFFFFPP)) Bh CECClxllaaapsssasssnsAABi-BoABnRHHF-iiFoFaFmP -------------------- -------- ------ ---------- ClassA Expansion Foam Class A (C""~~h~:eb ~~mts~oe .J.uTto:aii'lccd M)\_{o o SSeaUolnr er, Teaining Foam ew f. J L II... '>S" A IP1 Jt Other Training Foam -- ee -------- Other `oTTrhhawanoikdyiyoonuug@foordryeyofouzurer mtmimyeceoaamnn)dd occooaomppeerarStatitioooncn.k.inPPglolereaaassehccooonnMttaiaccmttnNeNasanoncacyyPRRooouddlrnaiinnnggaoant DDteeoltaaAgCCoeonnnscsuyultl(taa6nn5tt1ss-((266955711---0660900776--5o5r115522 im stockinger@stte mus) You or nrodning@deltaenv.com) or Jim jim.stockinger@state.mrtus) if you hve any Questions regarding hs questonnaie. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or sdarossedsnveiope. PPleleaasseerreettuurrnntthhiiss qquueessttiioonnnnaaiirreettooDDeellttaaCConosnuslutltaannttssbbyyMMaayy99,,22000088iinntthheeeenncdlcosseeddssttaammppeedd,. addressed envelope. soellff-. QQuueesstitioonnnnaaiirree ccoommpplleetteedd bbyy:: j/,f{OO{ _Bjao~mob anaHTlsetler/Jet:s:'s?!eL(n..s,<e(nL . FiNtaeJKm<eDe;totarptndatder~mTeitlngRet,i.vJe~s4" ! )uonLc Fire Department FonsN2u1m)ber27 Yil2 Phone Number fire Chief STBaeelog, Date -- Ee E-Mail Address Xinogen rere PO TT A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00525 SSTTAATETE0_208282211448822 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11. . DrDooootesosnyyioonuugrrcDDpeeoppraasrrittmomneesnn?tt ccuurrerntrlyoeorrnhhatass yyoouurr DDeeppaarrttmmeenntt isarical historically uussedd CCalassss A oorr CClasls Baffooaasmmss ffoorr YJ. firefighting I es- ProtcoQueesteiodn2 operations? Yes- Proceed to Question 2 No-Sign the baocfthkis form and return to Delta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHooww ooffteenn'issCCalassss BBoorr CCllaasssAAffooaamm uusseedd iinnrreessppoonnssee ofrto fire ccaalllss?? __X__ o0-a2s5s%otosf feireess 2550%offre ___ 25-50% of fires ___ 775-510-0%1oof0f firr%eess 5. DDooess tthhee DDeeppaarrttmmeenntt hhaveaaccoommvpprreesossseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh abut a built-in ttaankk oonn fsits eennggninee((ss))?? 3. ve ___ Yes Kw f( No 4. Howton s foam used in ring exercises? 4. How often is foam used in training exercises? _ Wesky vonmy ___ Weekly ___ Monthly Senanuly Annual X_ ovr less spect) desta ve ___ Semi-Annually ___ Annually ___,X'-"-- Other (please specify): Jt; 1 1 ; ;Jl ~ jr Cuan ___ Quarterly samy minaf vocJech Bi-Annually 1/&L., t~t..h forfen 55.. HHooww mmuucchh ffooaamm sis uusseedd prper trraaiinniinngg eevveenntt?? K__ Less tansgalons 5gatons ~ LMeasrsotthhaann150ggalluonnss (easespe5c)gallons _ _ _ More than 10 gallons (please specify): ___ 5Sttoo 1100ggaatlloonnss -- 6. 6. Intraining, In training, wwhheerree ddoocess tthhee SomSewsr ssppeenntt ffooaamm 9g0o7? __SamtaySewsr ___OnStoSeplc ___ Ground . _ _ _ mer Storm S(eawsera doscrbe)__________ __ Sanitary Sewer _ _ On-Site Septic Ground _____ _ _._._.~ Other (ple8se describe):----------------------------- _ 77.. InWVfiohnremeraretiddoonoesoe/drsidctathhreenatraaninnidnngpattsaaktkerpaplliaanccneeg?? aPPrlleeeaaasss.ee incu include aadddrreessss, erscotfofhne intersection or other speci specific looccaaitioonn Tn information ~.'.., oy in for current and /"""~, /"' foam bo dine past training areas. l~er.... /2 dv,...e .a~tjb-- ~dp0S"e"n/t4h (C,.o~_t,Jo-..n...._!1 (Cto//l1f-ertec la Wath Prenfats, [920LeeBhd, uth finkak(L003 HKimogew [oRAER Ra eA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005526 STSTAATTEE0_208282211448833 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WrWehhsaapttottynyppsee(a(ssn))daainnddrabbirrnaainnnddg((ss())1ooafffpfooolaacmmabraero)e?oowlreewraesreeeuucssheoedcnknooawiwahanantddaiinppthlheyeppaassttbbyyththe DDeeppaarritmmeenntt,, bbootthh orfor refire response and in training (if applicable)? Please check all that apply. RiSepmnrry --ref------ EO --Spder TrUUassieenddiininng? Training? CFClolaamssTiTssynyBpBgpeeAAoFqqoofuufaFeeFmoooouu(aass\mmFFFFiilFmm)- | BBrarndoaoffFnFooaadmm YYeessoorr NNoo ~~ GCRFeaolasrsismssstinBaBgntAAFl(oocRo8hhmYlo-l(A-AFFFFFF) ~~~ GRleassisst8anPt r(oAtRei)n-AFFF -------- CCllaassss B8 PFlrouoterionprotin Class B Fluoroprotein ((FFPP)) - A CCalassss BB FFiilmmF-Foomrminingg 5" [- . Amount Amount Used Used AnAnnunaulalllyy Current Use or Current Use or HiHsitsotorriicc UUssee?? ---------- ---------- I Fluoroprotein (FFFP) CosspARFEP Class B AR-FFFP Class AB Hi Class A-B Hi Expansion Foam Class A Expansion Foam Class A Training Foam Training Foam Other Other sets cesses "5:1 Glevex WWoo frgal/s Lk sbths Sm - o5TTorrhhamansnnroookkddcyynnkooiiinuunnggfog@oer@rrddyy@eoooslututlarraeeittninmmevv..eec.moaacumnnosdd))moocc)foroooJdpuipemmerharSSatatittviooooncecn.kk.iainnnPPggyleleeeqrraauaassettseettthcchioeoeonnniMtstanaicrncntentcgeNNsasaoraondlnticaacnyygPPRRatohlooliluudsbttnuiiooinennngsaCCtaoootnnnDDtinreeocaltlaraAAeCCggoeeonnnnsccsuyyull((tta6a6n5n3t1ts1--2((692657501-178---666896067676--0o556r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeosszeo rreettuu;nm tthhiiss qquusessttiioonns,;iallrras to to Data Delta Consultants Consultants byb\l rH.naay y39,. 2008 2008 In in tho tlle Gnciosed :iiciosed stamped, starr1ped, sei: self- `aaddddrreesssseeddeennvveellooppee.. QQuueessttiioonnnnaaiirreo ccoommpplleetteedd bbyy:: RaBfmf?arrqaannd""~tTi.Poen/'\ ff+ca;;,.g~a.en....s5oCJn"" Fire Chef Name and Title v FFiire~KDiepearsttmeent Department Fire Dept PhoTneoN7um-e5r 3- 7458 Phone Number Y-Ba2te9-04 Date EMA E-Mail Address Kinogen: none: 651.6S2T91.r85e60r4.44C7r53eeATPH EFak: SE310U39.2417930 SrFRrbWAiILSa5s1e7ctUaE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00527 SSTTAATTEE__0022882211448844 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in FFiirree TTrraaiinniinngg Firefighting Foam Use in 11.. fDrDoaotesgshyyiooruugrroDDpeeeprpaaatrritmmoenensnt?t ccuurrreennttlylooyrr hhaass yyoouurr DDeeppaarrttmmeenntt storia historically uusseedd CClalssAAaoorsCCalasssss BB ffooaammssffoorr Y_ firefighting 't Yes - Proceadto operations? Yes - Proceed to QQuueessttiioonn 22 "No Sign thebackofthisform and return to Delta Consultan ___ No- Sign the back of this form and return to Delta Consultants X 2. 2. HHoowwatotfteenniiss CCllaassss B8oorr GCalassss AAffooaamm uusseedd iinn rreessppoonnssee ttoo fefire ccaallllss?? Nason ~ 0-25% of fires 2550%ottves ___ 25-50% of fires ___ 7755--110000%%ooffffreires 3. Dos the Deparment haveea ccoommpprreesssseedd aair oafoam ssyysstetme ((CCAAFFSS)) wwiitthh abun a built-in taarnkk oonn isits sernggiinnee((ss)?? hav 3. Does the Department Yes Xv ----:-- Yes No 4. How often s foam used in aiming exercises? 4. How often is foam used in training exercises? Weary tony usr ___ Weekly ___ Monthly _ _ _ Quarterly TT omdaty Amal may ___ =--;~7: Semi- Other A ( nnually please speeccifty;): _ __L__JeLA_lnenu_datdtl>lyo/1n1'1ft Other(pleasesp use C-<.5 he Fedinlug ___ Bi-Annually f;J,e, f;e_I9;N)"'j _"yN_C_. Lessa sgoloms soptons 55.. HHooww mmuucchh ffooaamm iis uusseedd ppeerr tvraaiiniinngg oevveennt?? TT orothan to gallons (lossespechy Less than 5 gallons 5 gallons _ _ _ More than 10 gallons (please specify): J ___ 5 to 10 gallons 5. 6. nrining In training, whee where doss does tothe ssppeentt ffooaamm Ggoo?? SomSower ___SanitarySewer __OnSieSeple Ground ___ M__\CC_ Over Storm ther Speewnessreedde_ secsrc_ iribbeeS))a: n__it_aD_ry)j_SoQew__Merl/O() FT_~_ U~ SOnE-LSited4So1er'ptLicd-ecta~i~?m~g-Gro__u_n__d__ (plea _ O 77.. WoWhnhomerareetiodoosnessf/iodriidcthuheertotraii8ninindngptaaaktkoerppallaanccege?? rPleelseasas.see iinnccluldued aadcdersesss,, innetresrseeccttiioonnoor aottheerr ssppeeciifiiccllooccaatioonn information 5/2 for current 5/:2 Spruce AVE. and past training areas. :Sp~a... ,4v. K;<i;nNAn/g~7 Hoge ren 651 60 Srsoa CreTFL aFok SEENT11800043SCm Feu dSSa G cUakr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00528 STSTAATTEE0_208282211448855 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 85.. WWThehasatptottynyppsee(o(ssn))daannddTbbarrmaainnnddg((ss())f foaffpfoopaaCmmabaaree"ororPrweweeaersreee uucssreeeddcnknooawhw naanntdd 8in35tth:he ppaasstt bbyytthhee DDeeppaarrtmmeentn,t, boboth for for fre fire response and in training (if applicable)? Please check all that apply. TUUassmeeiddniginn? AAmUmosoeuudnntt CuemtUsoor TTuyppoeooffFFooaamm BBarnanddooff FFooaamm YosorMo Training? Yes or No Amul Used Annually HistoricUse? Current Use or Historic Use? Cr FelarsmsiyBnAFqou-- aemou(s-- RFilym- | -- Forming Foam (AFFF) GRleasstsa5ntA(oVRn)AFF Class B Alcohol- FS Resistant (AR)-AFFF Class B Protein CCEllaaPssss BB FFuluoorroopprootteeinn -- C(CFFlalaPaass)rssopB8roFFtiilommn-FF(ooFrmmFiFinn,gg ---------------------- -------- FS Fluoroprotein (FFFP) CCCExallaapsssasssnsAABi-BoA8nHRH:F-iFoFaFmP ---- - Expansion Foam CTCrllaaaissnssinAAg Foam Siv-=gx N NOO _& - over Training Other Foam - Tohrhaanrnrikoyydoonuugffooarr yyaoouurcr itimmeecaannoddocmcrooooi)ppmeerraSaittoioonnc..kiPPnllegeaaissteehcceoonnMttaaiccntteNNsaoantncacyyPRRoouodlniainnggaGaotnDDveoelllttaaACCgoeonnnscsuyullt(aa6nn5tt1ss-(2(6935761-1-8.666969767-.o55f115522 i stockinge@tae i) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you hve any Questions regarding hs Quesionnare. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or adPPdl!eoraaessseesrreeodttouunrnmvetthlhiiosspqqeuu,eessttioionnnnaiarietrt!eoJDDeellttaa Constants Consultants bi by Hoy8, A1a;r 9. 2008 2008 iin the the eenncclloossesdd ssttaammppe!:)dd,, sot.seff., addressed envelope. - QQuueesstitioonnnnaaiirree ccoommvpiletteedd bbyy:: Fam[/e1a1n~dA1TL?h._iK,1( fTlr)wwn,4/et;.eE,e E Name and Title Asst _ehiel ttJit relly -GeGeener!! StoSort. Fire Departme t Prone NaPnfYer: Phone Num6f 4Ga-te30-08" Date Ei Ad/d(o6n0s55 PF:i~nte- @@M11c? eA-lSl sTi- ., Ceoo~m E-Mail Address Kinogen PPhhoonnee:: 651.639.90405910 651.639.9449 1f 800.473.74F1o1k,: Rice Creek Parkway 800.477.7411 Fax: 851.639.9473 Suite 100 St. 651.639.9473 mdararliannuam. Paul, MN 55126 USA www.deltaenv.com 22222222..00552299 STSTAATTEE0_208282211448866 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1 . DDeooteeasstyyuoonuugrroDDpeeeprpaaatrritmmoenensnt?t rn currentlyoorr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriccaallllyy uusseedd Clas Class A oorr CGllaassssB ffooaammss orfor firefi:g_htXZinCg._opYeNVreoeas.sti-oSnrPisgor?onccohesoeddbttoQo auQoeufcsestthtkiiiosonfn22orm and returntoDota Consulants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How often' Cass oCasAfosam used in responsetoe response to fire cals? calls? used in 2. How often is Class B or Class A foam ___ 00-252%o5offffii%rreess ___ 225-550-%o5off0ffiirr%eess. _XK___775-51 0-0%1o0offf0firree%ss 5. Doas the Department navae comprroesssseedd irair foam foam system system (CAFS) (CAFS) witha with a bun built-in tankans tank on its ngin(s)? engine(s)? omp 3. Does the Department have a c '..f ves Yes "TeNo 4. Howton is foam used n rang oxercises? 4. How often is foam used in training exercises? Weakly Monty Quartery ___ Weekly Monthly ___ Quarterly SX semiaomuaty Aaruay BiAmualy )'(_ Semi-Annually ___ Annually Bi-Annually T oveessenpesty ___ Other (please specify):----------------------- essthanSgalons Salons 5. Howmuch How much foam foam is is uusseeddpprer aiing training eevveenntt?? 5. TT Worthan t0galons leasespocity ___ Less than 5 gallons 5 gallons _ _ _ More than 10 gallons (please specify): so togaon Y 5 to 10 gallons I 6. Intaning, wher coe he spent foam 00? 6. In X__ stommSewer training, where does the >( Storm Sewer Sanitary spent foam go? __ Sanitary SSeewweerr p-- ~"--'--'--'- Othe~ {please describe): __ OOnns-StiteesSoepptticc ~GGrroouunndd = ::t4 w ../!ir 7. 7. WWihfhoeerrrmeeaddtooosenssfi/oddriddcnthroeatiranaiinninnggpataaktkeerppallaanccege?? aPlreeleaaass.see include include adres, address, iinntteerrsseeccttiioonnoo r thorother speci specific llooccaattioonn ~6 information for current and past training areas. L. L!.r#u...J.- 2;-t,...,( / 1 -1- 54-Lrl</ 4 T 5 4 L "e 47 gl HKwogewr rane: svt 07 Soree EERApokSSEL 313600455 m Fa aSEaaUR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00553300 sSTTaArTeE__o0z2s82211448877 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg UEa RTmBoo gAg A CA 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. SvootRNAmoAur LA TTy~p~oeooff FFooaamm gon smn Class B Aqueous FilmSHRINE rr rrr cere ee Forming Foam (AFFF) Goom Class B AlcoholSi ------ ---------- Resistant (AR)-AFFF --a-- Class B Protein A, Class B Fluoroprotein > _-- (FP) Connor Class B Film-Forming Cope Fluoroprotein (FFFP) ---- Class B AR-FFFP Groner Class A-B Hi Li ig Expansion Foam ry tDoipotondAei He z54) GEE Class A atin A ee Training Foam over TT Other Ab1.. 1 BBrarndoaoffFnFooaadmm tJ~ t1~mJ-J- .4 Used in YesorNo Training? Yes or No Amount Annually Used Annuall~ Historic Use? Current Use or Historic Use? ~' :2~ 4,1 ~~ A ---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 i or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fo LS CL jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. fC " PlPeleaasseerreettuurrnnththiisqquuesetsitioonnnnaaiirrettooDDeellttaCConosnuslutltaannttsbbyvlMaayy99,.2200008iinntthheeeennclcloosseeddssttaammppeedd,.sseeilff- addressed envelope. - `QQuueestsitioonnnnaaiirreeccoommplpelettedbbyy:: Gogol =Toisiy ote b/~ 1-d.~fiLnd. I = Trains Nam and Title AdS y ;::YC L~ &5~ Fire Department 5 20%3 BR Phone Number B Gi:&~ e T ~ Si ;./pvJ...EI;vL? & 14Cr?7'Vepd/).G E-Mail Address Date " Kinoger 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7.411 Fax: 651.639.9473 www deltaenv.com 222222..053311 somone STATE_02821488 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiirree TTrraaiinniinngg 1. Dossyour Deparment cure has your Department atolslo ClAao sClasss oa for 1. Does your Department currently or has your Department historically used Class A or Class B foams for ratonung opemions? firefighting operations? Repro Gunton 1 _ Yes- Proceed to Question 2 No- ign the backof hsformand turn f Dt Consular ___ No- Sign the back of this form and return to Delta Consultants 2. Howofon i lass orGlass A foam usdi sponse ofro cals? 2. How often is Class B or Class A foam used in response to fire calls? oases AKX _asaosorties 75.1a0fr0es ___ 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5. Doss he Deparment havea compres a oa system (GAS) ith a iintakon fs args? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes Ano ~No 4 Howafenis foam used in ring eres? 4. How often is foam used in training exercises? woo en rAary _ SemiAanualy ___ Weekly ___ Semi-Annually __ Anmualy ___ Monthly ___ Annually 25 siAmualy ___ Quarterly Bi-Annually Oter pleas speci) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam i usedpor ring over? 5. How much foam is used per training event? XK Los than ators Store '[:. Less than 5 gallons 5 gallons somos 5 to 10 gallons ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): - - - - - - - - - - - - - - - - - - 5. Inning, wher dos tho pont foam 07 6. In training, where does the spent foam go? Storm Sever __ Sony Sever onstosomie ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Over pss desroor ___ Other (please describe):------------------ _)X!;.__oGrrouand __ 7. Wine docs h ain ak lao? lea cde address, nersction o ihr spec ocsion 7. Where does/did the training take place? Please include address, intersection or other specific location oman oa an po my rom information for current and past training areas. rues \aeefaos \) t VIO'-'-'> J0 C..c..~~S. Ninogen: i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rarer oon TETo Ts ion Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005532 stare 0221489 STATE_02821489 QUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What 01) nd branoeffso)m arc wre usd nw adn 1h abysth Deparment, boo 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire enon Si sang aes Poo Sek ohoS. response and in training (if applicable)? Please check all that apply. TUaeendign Am"Goeuondt cumentuser Spy TyTyppeeooffFFooaamm CCllaasssBsB AAqquueeoouuss FFiilmm- Forming Foam (AFFF) FraClass B AlcoholRecs eer rr e Resistant (AR)-AFFF Cosproen Asal Mo O_O Class B Protein Gas 8 Fuaoproton Class B Fluoroprotein & EE -------- (FP) Gs Firming Class B Film-Forming oe ------------ ---------- Fluoroprotein (FFFP) A Class B AR-FFFP Gass ABH Class A-B Hi Baton | -------------- ------------------ Expansion Foam Gash Angas fe 20gds Cn,a;?.lls Class A a Training Foam Over - Other BBrraanndd ooff FFooaamm S 3 'ft Y\ h I ~sL<..t Used in Amount fi 4% wan Training? YYeess oorrNNoo v`~e.Ss Used AAnnnnuuaallllyy ~ S5'a~u""l~s~ Current Use or HHiissttoorriicc UsUsee?? T'ra ...-:-~d'~"'e" ,d... s ;.Ja c) C) -+y_-e::..-.5_ _ ..]0 gtls ({5 Thank you fr your ine and ceraion. Plea contact Nancy Rodinag Dl Conan (51.057.6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Sm como oo Soinhe Minos oho Come Ages (S3ah7 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or en aeroYo ove ot tos area ocho jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please atu his auestomtoaBiatet Consullant by Mev, 200i8n th closed stampa set Please return this auestionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamped. self- `addddrresssseeddeennvveellope.. Questomate completed . Questionnaire completed by: M GC-ovo-e.,.p~ a ( 'o"t~ b BCiiee DCe hliuee i '('(\a ( W\ u. Name and e Lake ElI mo LC{ {-<; .e. fVI 0 Fie Depart Fire Department Frans omer l~eS5]1~- 7272200~-5s-0o0o~C Phone Number oo fre/s Date ~ 1 te C a + @t lakkeeseo llnue r c y E-Mail A dress Ninogen sre ar TR TT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00533 sate_o2621490 STATE_02821490 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doosyour Deparment cuntor has your Dpastment istoricaly used Cis A or CassB foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Rg firefig~tin~ operations? 2X Ves Proceso Question 2 ,?<.... Yes- Proceed to Question 2 No Signthebaocftkis form and retur to Dela Consultants No -Sign the back of this form and return to Delta Consultants -X- 2. Howoten i Class B.or ClAafsoaem used in rsponseto rs cals? SK oases 2550 offres 75-1of0ro%s 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires 25-50% of fires ___ 75-100% offires 3. Doss the Deparment have a compressa foam syst (CAFS) with abul ak ans engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? YesYes a Y N o 4. Howofien's foam used in tiring exercises? 4. How often is foam used in training exercises? Wosky Monty Quarry ___ Weekly ___ Monthly ___ Quarterly SomiAomualy Aovuaty oe Annual Semi-Annually Annually Bi-Annually rX_ oOtthser p(plleeaassee ssppeecctiyfyy:): e ~)<2..y .-t'( v\Cao-cre=- t\_a,0ee cd\oDsb:>h\ tl s'l. ~e~ S.d>aG;mN\SSo\iwr- A-\vv-de._n. ,:.;,"'1 Que A Me Son OF WN "3 Q'-<.~ -\c ~ ~\ 0~ ~\~ 5. Howmueh foam s used por aig oven? _XX tessthansgalons ____ Salons 5. How much foam is used per training event? Less than 5 gallons 5 gallons _ _____ swi5 otog1a0 lgaellnonss Moro than 10 galons (pease spc ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - Stom Sewer ___ Santary Sower nstesopic Ground 66.. IInnttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm go?? T _ _ _ - - - ._ _ oterpeasedesemer NA Storm Sewer __ Sanitary Sewer Other (please desc~ibe): _-~-,~.::._y{,-l-P\__._-,---_ _ _ On-Site Septic ________ _ _ _ _ Ground _ _ __ 7. Where dos th vaakie ance? leas include adress, section of othe speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location mation or cant an past ang reas information for current and past training areas. XXiInnooggefnn . Phone: Phone: 631.635.50455910 651.639.9449 1I 800.437.74Fo1k1: Rice Creek Parkway 800.477.7411 Fax: 41635.9473 Suite 100 St. 651.639.9473 wheredaliatn.com Paul, MN 55126 USA www.deltaenv.com 22222..00534 sSTTaArTeE__o0z2s82211449911 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What type) and braofnfo)am a or were sed row and i th pabshta Department, both fo fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns niin ain (f spcale Passe check al mt 9p response and in training (if applicable)? Please check all that apply. Tueotfoam Brandof Foam YTTUsraoasemoiendidrininNiggnne?? AAAmUUmmossoeuemuddnnatt CCsuutmroreernnitteuUUsssoeeoo?rr ClasTsy8pAeqoufeFoouasmFim Brand of Foam Yes or No Annually Historic Use? Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) -- oo - GCalsaSsossnpB Aclcoonhol- AA~n-ssuv.l\i,v\e~ AA.RRrS;,. N~O0 '>>55 CGG,.)\ Cc.u~tr'"rfae.n~\t- casswpown Resistant (AR)-AFFF Class B CIlass& Class B Furoprten Protein Fluoroprotein ~~ CCF(FillaPoas)ossps8BroFFiiulomnn-FF(ooFrmFmiPinn)gg ---------- - - CosearerR Fluoroprotein (FFFP) Class B AR-FFFP CBaassraonHFoam Class A-B Hi ------ Cass A Expansion Foam SheEC NO 0G Cures CTrlaaisnsinAg Foam ss -- oer Training Foam - Other ToJToifhrhmaanoSnnroockkcdnyykniooiinnuungggff@@oeodrrdoyy@leoosalutuiearrirett.niimvnm .eeccooaammnn3)dd))o1 occrorooJYoJpoiipemunerarSaSatitttviooooencnc.k.kainniPPgynlleegearaaeaisssteelttihcchooeoennnMMtstaiaicrnnctnentegeNNsasaaoronntitcaacnyygPPRRoioololslduudrtinciiooiunnnneggsCCaaototnontDDmtrereoootlaltlaarAA,gCCgeoeonnnnccssyyuul((tla66na56t11rs--2(3(699557711--.8-8666699667760--5o5or11r 6522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questonnaie compet by: PlPeleaasseerreettuurrntthhiissqquueessttiioonnnnaaiirreettoDDeletltaCCoonnsuslutltaannttsbbyyMMaayy99,.22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-. aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: L<':::>'(t"N G.\h"\~'d NNaammeeaanndd TTiitlee Fie Doparmen ead Five Deo} -- Fire Department FSon0e7N-umCbearled SISO Phone Number HOr-e23-0% Date EEM-aMialil AAddddrreessss Kinogen Phone: _ 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: TTTTe Suite 100 St. Paul, MN 55126 USA 651.639.9473 www deltaenv.com 22222..00535 STSTAATTEE0_202882211449922 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Doss your Deparment uteo has your Deparment ioral used GlaAsos Clas Boarsfo 1. Does your Department currently or has your Department historically used Class A or Class B foams for Retain verins? firefighting operations? XK. Yes - ProtocQueesteiodn {'( Yes- Proceed to Question 2 No- Sign th baocf tiks form and stto Dua Consults ___ No- Sign the back of this form and return to Delta Consultants 2 How fens Gass 30 las A am us in espns ov cals? 2. How often is Class B or Class A foam used in response to fire calls? oaswaries wamottes 0-25% of fires ___ 25-50% of fires C7500 offres )<7 75-100% of fires 5 Does he Dpariment have a compress ai foam system (CAFS) wiha bintak 5 gine)? 3. Does the Department have a compressed air foarn system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes Xo y; No 4. Howoleni oom usedin ain exercises? 4. How often is foam used in training exercises? X_ tower Weekly Morty >G Never ___ Weekly ___ Monthly Semi-Annual Sova ___ Semi-Annually ___ Annually Quarry ___ Quarterly analy Bi-Annually ___ OOtthheerr (pplleeaassee s specp ify)e : _c _ _ i_t_y_y _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. How much foams ued per ring vert? 5. How much foam is used per training event? Loss hans galons sgatons ___ Less than 5 gallons 5 gallons ___ 5Sto 11t00ggaalolloonnss ___MoMroreetthhaann1100ggaalllloonnss ((pplleeaassee speecciiyfy)):: __________________ Intoining, wher dos thespent foam 0? 6. In training, where does the spent foam go? SomSewer __ Soniory Sever _ona Sot Goma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Other ensdose ___ Other (please describe):---------------------- 7. Where does he sin ok ice? Please nce acess, insect othr specific location 7. Where does/did the training take place? Please include address, intersection or other specific location Eomatcoomne an pos amin ro information for current and past training meas. Inogen OVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005536 SstTaAreTEo_z0s22821144s933 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 86.. VfWionhsaapot nytysepaesa(s)n)daannddrbbarmainandg(sn()1oo2fsfpffpoo)aaimmcaaaerr)ee?ooPr wwaeesrroee uucssheeoddcknroaoiww haaanntdd aiinpplthhye.e paassttbbyy tethe DDeegpsarrttmmeennt,,bboothh frfor ffirree response and in training (if applicable)? Please check all that apply. TTy)pl~eeooffFFooaamm Cl8aAquseosus Class B Aqueous Fimfomngfom Film-Forming Foam (FFF) (AFFF) Cl8aAsons. Class B AlcoholReson RY Resistant (AR)ps ,6,i-FF CasBPOOn Class B Protein ciass8 Class B Fliowprotin (77) Fluoroprotein (FP) Cl8aFsims. Class B FilmForming Forming Fuowpoien Fluoroprotein Fey (FFFP) CassamFFR Class B AR-FFFP BBrraanndd ooff FFooaamm ---- ---------- -------- Usedin Used in Timing? Training? YYeessoorr NNoo Amount Amount Used Used AAnnnnuuaalll!)y[ Currently Currently UUsseedd?? Historically Historically UUsseedd?? ---- ---- --- CSClolaaossassnAAs-B-oBnHHFiioam L Ss-i.llvv<e..x;c E NNOO SH rOofpfea~vll ane 1p'-a01r\.Le.. mie \u!n-~m'b\.e~o"'u"n" Class A Expansion Foam - CTlaasoswAgRam omer Training Foam - Other oTTfhhaaonnkdk iyyoonuufof@ocreyylooiuuarrettniimym.eecoaamnn)dd occooooJppeerarStaittioooncn.k.nPgPleleeraaassteethcceoonnMttiaavcciteNNsaaonntcacyyPRRoloouddtnioinnnggCaaotnDDreelllttaaACCgooonnnssyuull(tta6an5nt1ts-((266955711---8600996770--5o5115522 im stockinger@stat mins) fou or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have ny Gestion regarding hs QuesLomare Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or adPPdlleeraaessseesrreoedttuuarnmnvetthhliiosssqqeu.ueessttiioonnnnaaiirreettoo DDietltaa ConsulbtyaJnunte6s, Consultants by June 6, 008 2008 ntheenclosed in the enclosed stamped, stamped, self: self- addressed envelope.. QQuueestsitioonnnnaairireeccoommplpeletteeddbbyy:: amV~ovoa.rn.tdk+Til R(Lo.,g~ ue,sJ FF~ruce.. cChh:ci.&tc- ewsd Name and Title L"'-kwcoJ. Fro Deparment E:i;re t(__ f~e~ppt+., L-5T- Fire Department Lt8/SLf- S53"80o]f a -- Phone Number Date EJpwi.h_Ae~dwWdOorOersd~s cchli~cekJ @)h~eabtm~ai,ll ('cC~"o""m"" E-Mail Address XKi1nnooggepn1-' .,,, rane: 431.035.9T045 S806.C037ITLT,FLL: TS91.039T.047) 5 hGL o aLLv AAARR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00537 STSTAATTEE0_208282211449944 QUUEESSTTIIOONNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. osyour Department curanty rhsyourDeparment storey usedGass Aor Cas 8 ams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for emma coasion? firefighting operations? X_ Yo ProcoQuessetiodnz X Yes - Proceed to Question 2 No Sign hebackofthisformand return fo Dela Consulants ___ No- Sign the back of this form and return to Delta Consultants 2. Howatlenis Gass Bor las A foam us in espns call? 2. How often is Class B or Class A foam used in response to fire calls? K_ oasmartees [------ T5006 offre ___j{__ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee D Depeartp mea nthhr aavvet eaam ccoommepprrenesssst eedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a2 bbuuililtt--iinn ttaannkk oonn ittss eennggiinnee((ss))?? ve ___ Yes .XX_ teNo 4 Howofon foamused in airing execs? 4. How often is foam used in training exercises? Ther Week Worst Quarry ___ Never Weekly J-- J X_ sama ___ Semi-Annually Annually Monthly X' ___ Quarterly Bi-Annually Over plese speci) ___ Other (please specify):----------------------- Horsogea ann? 5. How much foam is used per training event? TX loss mans tons Sqatons 510 10 olen )( Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Nore an10gators (Heese spi): -- ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ning, wheredo th pon foamgs? 6. In _ SomSewer training, where does the _ _ _ Storm Sewer ___ SanioySewer spent foam go? _ _ Sanitary Sewer _ ___ _OnOsn-tSeitse eSpepttcic .XK__GrGorouunndd ome posse connor Sa ___ Other (please describe):----------------------- 17. WrhoLetoGooornsfsyo cha3meraaioLetnokstvi aoinslo rooasRe? cluldPuacddkress, rBosleiytuLcofht-rspeci ocalon ~ol\+y .:8 ? ~k;o I?.~!I ld-Vft~"J 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. 1J ./) f61/"/{ Ninogen O OVVEERR~ Phone: ver Te 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: TESuite 100 St. 651.639.9473 _ Paul, MN 55126 USA awww.deltaenv.com 22222..00538 stare ozs21s5 STATE_02821495 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WWTohhspaaotntyysppeee(a(ss)n) aadnnddrabbirrnaainnnddgi(ss())1oopfff ifooacmaaa)mre?ooPrrlwwoeaersreeecuuhsseeecddknnaoolwwahanandtd aiinnpthhyee past past by by the the Department, Department, both both orfor fefire response and in training (if applicable)? Please check all that apply. Type ofFoam CCFliaTsml)slf[;B8!oaeAmAoqmqfsuugFeeofooeauoumssom Film-Forming Foam RGC(e(AAladFFlsFFasFF8)B)naAAl(slccRoohYhso.oll.- Nr Resistant AFFF (AR)- CessBPoln CiCFCillsiaaosssrssoBpBBroPtreoitnei(nFP) CFCFolluarlosmsrioan8BpgFrsoFitiemlsmi.n- (FP) Forming FFhaRoaproten Fluoroprotein C(FaFFsPB) ARFFP cCCallpaasassssssirABo-oABnRnHF-iFoFaFmP ClEaxspasnAsion Foam Taengfoam Class A Training Foam Oomtheerr Brandof Foam Brand of Foam -- YTTrUUoraasssiieenonddiirniniNgngno?? Yes or No AAAmmUUmuossoeaueudndlntyt CCuUursrrreeosnt?tllyy Annuall) Used? o_o /AJGG.uu/AJ CcOo -- )p}o0 -- ;p(JOkUG --_-- - ------------ ---- ---- ---- !9GvuAlt E_cco A /./0 = Awe ,l)fJ)JCr o_o --- |HHiissUttsooreriidccasallllyy Used? ___ -- ---- -- iToTormrhhaoanSnrntdokokhdciyynkooniinuunggg@ff@eoodrrrdasyyelooliutuaraareetinimnmvt.oeccooaammnne)dd) ofoccroro)o0oJJpiipemmerarhSSataitttioovonocen.k.cainnkPPgylileeeQrnaaauassgteteetasthhccoraoeonnnMMtstaiaicrnnctentngeeNNassraaodonntitcaancygyPPRRoNoofolsluuddttniiqooinnunnggeCCsaaotottnnotDDtremreoloallttlraaAAegCCgeaeonnnncscsyuyull((ta6a3n5n5t1ts1--2((6926575911-78---666890667766-oo5661r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped self- aaddddrreesssseeddeennvveellooppee.. Questionnaie completed by: Questionnaire completed by: fpdrew _ Deshe Chief /hdto.J.l & ame and Tile Name and Title _ Lenesboro LM e.S.b'l> r 0 Fire Deparment Fire Department /Jrf!.,M e_ Phon7 e Number 967-2125 Phone Number G55at-e-;2;99---0088' Date a -- E-Mail Address Kinoger- _ Prone: Phone: 651.639.9445 651.639 . 1800.744117Fo7k: 5910 Rice Creek Parkway 9449 1 800.477.7411 Fax: 851.630.9473 Suite 100 St. 651.639.9473 dmeras llasa.m Paul, MN 55126 USA www deltaenv.com 22222..00539 STSATATTEE0_202882211449966 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1 Ooo Cotman chs ye Opt rst ss Oss Aor Gis oars i 1. Does your Department currently or has your Department historically used Class A or Class-8 foams for petites firefighting operations? De rcsoto austen ___ Yes- Proceed to Question 2 -3PX- Non tc i frm a stan oot Constr No- Sign the back of this form and return to Delta Consultants 2 Hooton los or Clos Ao eineclss? 2. How often is Class B or Class A foam used in response to fire calls? oasis ---- 00kcrn ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. Don i opatment ve cape os to (CAS) ihai nits anit? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Ce ___ Yes --w ___ No & Wowoten sox at on rcs 4. How often is foam used in training exercises? ee en owen ___ Never ___ Weekly ___ Monthly ___ Quarterly Tmt pat Taman ___ Semi-Annually ___ Annually ___ Bi-Annually TT Gomes = ___ Other (please specify): _______________________ . Howmaisaodsraannges? 5. How much foam is used per training event? CT esumsonne sare sito Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons [a ------ -- More than 10 gallons (please specify): __________________ ova. ws sve sro 27 6. In training, where does the spent foam go? TY amon soso __onsusose ana ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground pa -- ___ Other (please describe): _______________________ TT -------- 7. Where does/did the training take place? Please include address, intersection or other specific location Sn ion information for current and past training areas. inogss OOVVEERR--~ mre eon PT EAE Sie. h 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00540 sae azeziesy STATE_02821497 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and brant) o foam are cr war used no and nhgas byte Deparnent, bh for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss and in tang ipoicae? Please check al at apy. response and in training (if applicable)? Please check all that apply. Tsotfoam Bondorfosn TvUoesisonodnrighnee AAmmUmsoueuadnlty Cusrereanrtly |Hisotoerisc:ally Type of Foam Class Aves Class B Aqueous PEt | Film-Forming Foam ee (AFFF) Clas 8 coho Class B AlcoholReson, o_o Resistant (AR)peAFFF CessPoen o_o Class B Protein Class Class B Fceproten (9) _------ -- Fluoroprotein (FP) Gloss Fim Class B FilmForming Forming Fuogosn _-- Fluoroprotein ((FFFFFPP)) CessbamEER Class B AR-FFFP Cassns Class A-B Hi Eoanfom ------------ ---- ---- ---- ---- Expansion Foam Cass - Class A Toegram TT Training Foam omer = = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Thankyoufor your time nd cooperation. Pleas contact Nay Rodriag Dla Consular (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rodnaaatmcom) or Jn Slinger at ng Mishasla Pounar Cartel Arey (50 307 3688 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i Sackingr Gate) You hav ang Questions regarding i questonnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please seu this auestonntaoie Dot Consultants by June 6 2008 in the enclosed stamped, sel. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- `aaddddrreesssseeddenevnevleoloppee.. FP FisatDaeddar, -- Fre , fe chef T wm d2 Phone Number Thaee Date hd 1xrar, ccc tnferhd. nei (j) 3/,2/ `eC bina @ecrenctnef E-Mail Address ~ he. Kinogen: EE -- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 51.430.1B90005 SL Fok e130 mataom Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..054411 sStTaArTeE0_208228124194898 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. DrDeoohseoss myyioonuugrr DDoepepepraaarrtitimmoenensnt?t currant currently o o r ashas your your Deparment Department istricaly historically sedused Clas Clas s A A or or Class8 Class B foams foams for for 1 Yo -Protco Queesteiodn2 firefighting operations? tf" Yes- Proceed to Question 2 _ No- __ No-SStiggnntthheebbaacckkoofftthhiiss ffoorrmm anand rreettuurrnn to Dea to Delta CCoonnssutlatannttss 2. Howofonis GassB.or ClAafsoasm used in resptoorencaslse? 2. How often is Class B or Class A foam used in response to fire calls? ___ oases 0-25% of fires _vVosS2m5-h50o%toff feiress ______77551-01000%%ofofffrireess 3. Does the Dogan ave compressa foam stom (CAFS) wih lin akon fs enghvee)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves /Yes "o ___ No 4. Howat foam used in raining oxcrcises? 4. How often _9 foam used in training exercises? er eos -- ct _ _:_V_ Never Weekly Monthly ___ Quarterly SomAaly Aooually aramaaly ___ Semi-Annually Annually ___ Bi-Annually Over ossespectyy ___ Other (please specify): _______________________ 5. Howmuch foams used or aining event? 5. How much foam is used per training event? Vv"/"_ LLeessss tthanh55ggaalalllononnss 5gaglallolonns.s ___ 551to01100ggaalllloonnss Moro tan 0 gaons leasespectyy ___ More than 10 gallons (please specify): _________________ 6. niin, where Goss the spot foam go? 6. In training, where does the spent foam go? AstormSower__ SanitarySewer OnsteSeic 1 Grown V Storm Sewer __ Sanitary Sewer __ On-Site Septic ----\L' Ground er lase dscre ___ Other (please describe): ______________________ 7. WihoeZrremFaclofauoinfnsceernntianwisngatckkeTplaiustace? rPa4ags4ese incluZdaegainditnsg,s, ersecton ale spec Fu acaton Le, ip ly Be how Ew membie 2 ply 2 Tie _foginsiy inl foldiefal)+ 8) in 5 po <A Titles.tiny fin co 1f Legian Gori Wednc on Emgric HK Ninogen OVER-- PPrhoonne:e: 651.639.9451 860.437 7411 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: S51 63510473 Suite 100 St. 651.639.9473 waiaaliacaanm Paul, MN 55126 USA www.deltaenv.com 22222222..00554422 sStTaArTeE0_202882211449999 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. What type(s) an ranofsfoa)m a or were use now and the asby the Departmen, both 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns and n rang 1 appicatey Paaso chock a nt apy response and in training (if applicable)? Please check all that apply. Dusetrem BndofForn TYUresaveondrigNn?o AAmmUosaeuldnyt CuUrsreendttly HisUtosreicsally T~~e of Foam Clos Aqueous Class B Aqueous Finpomegfom -- o_o __ ___ Film-Forming Foam prea (AFFF) ClBaAlsots Class B AlcoholEJEor NR, Resistant (.A.R)- Brand of Foam ---~---- _________,..____ ------------------- Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? ------- . ----------- ------------ - - - - AFFF CassoPwon o_o Class B Protein cassn Class B Fuaroprotin (7) -- Fluoroprotein (FP) class aim Class B FilmFoming Forming Fuaopoten _-- -- -- -- Fluoroprotein FFF (FFFP) CaseareER Class B AR-FFFP Class AoHi Class A-B Hi Epson Foam -- Cass Expansion Foam Class A Tagen o_o Training Foam over - _ -- = = Other S5;l /v-e ~ e W ,ve z ~ (/.(f/. ss:-oglfl. Thank you for yourti and cooperation. Please contact Nancy Rodingt Dalia Consulans (61-607 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of rang caaha com) or J SioGinger a he MOSGIa POLAGY Conol Agony (6915076606or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or fo tagecr sktate) 04 hve any estos GATING hE QUOSHOmIBHS jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please ratum thi questionnairtoe Delt Consultants by June 6, 2008 i the enclosedstamped, sot: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, self- `addddrresssseeddeennvveellope.. Questionsconte by: Questionnaire completed by: ~ ~~u kie&r~ NNaammee aanndd TTiittllee 4 TT pAabffi Fire Department 4 PSh.osn.e?7N1a-b3gesr.7 -?- 444-4~4W Phone Number ER77A?d~2s1IIU>4"A 4@J~f/o1~w/Pl.t/sl,it:t/, 2d E-Mail Address -- B2oe7-48 Date Xinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00543 STSTAATTEE0_206282211550000 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DrDooeuesstyyioouunrr DDopeeeprpaarattmornestn?t curanty currently or or has has your your Deparment Department tora historically used used CaAosClsass Class A or Class Bfoams B foams fofor Ves - Proceed firefighting operations? ~es - Proceed ttooQQueusetstiioonn 2 ___ NNoo-SSiiggnn ththe bbacakoocfftthhkiissffoorrmm aanndd rreettuurrnn ftoo alt Delta CCoonnssuullttaannttss 2. Howofn fs Class Bor ClAafsoasm used in csponse fo rs cals? 2. How often is Class B or Class A foam used in response to fire calls? 00-2255%% ooff ffirreess V~2v 5s-.5500%% ooff frireess ___ 7755-:110000%% ooff frireess. 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a& bbuuililtt-iinn ttaannkk oonn iittss eennggiinnee((ss))?? es v-Yes NoNo 4. Howofinis foamused itraining exercises? 4. How Nova often is foam used ~Never in training Weakly exercises? Weekly ___ SomAmualy Semi-Annually ___ Awuaty Annually Wontly -- Monthly ___ Quarterly seaman ___ Bi-Annually ___. OOtthheerr ((pplleeaasseessppeecictifyyy): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por vaiing oven? 5. How much foam is used per training event? Lessthan5gatons Sgaons $1010 alors Less than 5 gallons ___ 5gallons 5 to 10 gallons Ware than 10gallons (lease speci) More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ntraning, where does the spot foam ga" 6. In Storm Sewer training, where does the ___ Storm Sewer __ Sanitary spent foam go? _ _ Sanitary SSeevweerr __ oOnns-Sititee sep Septic GGrroouunndd ___ OOtthheerr ((pplleeaassee ddesce ribes):c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. Wfhoremraetdioon efrsctuhnrtianngpaaksovplaacge? rPsleaa.se includ addres, interseoctitohnr spec ocaon 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. NKinoger OVER--~ Prone: Phone: 651.629.9085 / 800.477.7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639.9473 mdoewnliatnu.iom Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00544 sSTTaAeT_E0_208282211550011 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 ht yo) adbrand)of foam are orwre usdnw din h st yh Deparment, bolofr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Teper Sum san toes} Panos cok oo Soy response and in training (if applicable)? Please check all that apply. Tipeot Foam adotrom TUvrseaesndoirgnh?e AAmUmosuednyt Gubrseesntty Histeoreiscaslly Type of Foam c8iuosous Class B Aqueous Finrommgrem -- o_o Film-Forming Foam ne (AFFF) Clos Act Class B Alcoholeen Resistant (AR)reAFFF CassbPoon Class B Protein Gls Class B Fioproton (FP) --_-------- Fluoroprotein (FP) Gloss Fim. Class B FilmFiona Forming Fucraproten --_ Fluoroprotein we (FFFP) CCaossssnbsArrsE '0' - conor Class B AR-FFFP Class A-B Hi Expansion Foam Gls = Class A Tannen Training Foam oer = = Other Brand of Foam Adl ,,_v-ee x Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? ND 0b Y&R Thank fo our time andcospeation. Plea onto Nancy Roding at Dela Gonsutans (51697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodney amy ro Soci tr Mirhossy FoR Cathe Pony (55307 ooh or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Frock sma a) Youhove a aos eging is Sots jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Fleas retumtis auestonnoDaliav ConsultabnytsJun 6 2008 i th ancosedstamped, sel. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. selfee addressed envelope. Questomarecomity Questionnaire completed by: Tone ORELE Fire Chir \ C)vn QJ6e-Lff Ramo as Name and Title FoekE Some. Fine DEPRT ENT i? Sut-vlL. began Fire Department S0-Lled- 40 Fr Numer vo Phone Number Ll5(% NSineogerr E-Mail Address SS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA vs ves TT Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00545 stareozs21502 STATE_02821502 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 1. 1 . frDDeooteegsshyyioonuugrroDDpeeeprpaaartrtitmmoenensnt?t curenotrlhay currently or has your your DDeeppaarrttmmeenntt isoical used historically used CCllaassss AA oorr CClalss BaB ffsooaamsmss ffoorr K__ firefighting opYeerastioPnrso?ceed to Questio2n -){-NoYe-sS-iPgrnocteheedbtaockQuofestthiiosnf2orm and return to Delta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants LXC oaswattnes zs soortres Too ctires 22.. HHoowwoofftlennsis CCllaassss BBoorr CCllaassss AAffooaammuusseedd inrreessppoonnsseettooffrireeccaalllss?? 0-25% of fires 25-50% of fires ___ 75-100% of fires 3. 3. Does Does the the Department Department have have compressed a compressed aiair fam foam system system (CAFS) (CAFS) with with abubiuliltt-iinn ttaankk oonn isits eennggiinnee((ss))?? 7 ves No - + - Y e s No 4. How oflen s foam used in rainingexercises? 4. How often is foam used in training exercises? J-- Monthy urn, ___ Weekly ___ Monthly ___ Quarterly Semi-Annualy Annually Bama ___ Semi-Annually ___ Annually ,..---- Bi-Annually XC over oss spect omer cn doe yeaa X Other (please specify): __......~(_,.~'--'--"'--=-'=--_ _._c"--r..._,__k'--=--'=-:U:d='"""'.""--'--z}~"/L.,_7f""".AA..~~--- 5. 5. How How much much foam foam iis used used per per ining training eevveenntt?? Mor than 10gallons (lease speci: __ Bl ----_--Xf5_-_- L Lesse tthhaanns 5gaglas llloonnss 55ggalallloonnss. ___5510to 1100 ggaalllloonnss _ _ _ More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. In airing,wheredoes he spent foom 07 6. In training, where does the spent foam go? Stom Sewer _ SantrySewer onstesepic _X_ Ground ___ Storm Sewer __ Sanitary Sewer _ _ Oh-Site Septic 1_Ground I Ep -- ~ - --- Other (please describe): _______________________ 7. Winhfeorrmeatdiooensoirdictrhevainidngpaask:erapiinaicneg?aPrleeasa.se include adres, intersectioorn ther speci locaton Xinogen eee oe BE TS C . i_- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00554466 SSTTAATETE0_208282211550033 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wehastpnyosuatn)dai nvbaamnc1)apfpocamatrieeyorPweease ucehedcknoolwoantd anptphley pas byte Deparment bh for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUasmednignr AmUosuednt CumentUsoor `TTyyppeeooffFFooaamm [ery ---- Class B Aqueous FilmForming Foam (FF) |---------------- -------- --_-- Forming Foam (AFFF) Gl8aAlcsohosl. Class B AlcoholRestart (Rapp ------------------ Resistant (AR)-AFFF cesspoon Class B Protein Glass 8 Furoprotein Class B Fluoroprotein (F(FPP)) Clas 8 Fim.Foming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)). CossoaRFER Class B AR-FFFP Closer 14 . Class A-B Hi Eaanfoon | ma, Cis Expansion Foam Class A Training Foam =z Tr Training Foam over - Other `BBrraannddooffFFooaamm Used in YYTeerassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy HCiHusisrtrtoeornriitccUUUssseee?o?r ee B JEN.Jagal cen fils Thnk you for your time and cooperation. Please contac Nancy Roding i Delia Constants (551.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or wangco@ m)ordmSo tockiangeraato Mnasse Poluton ConrolAgency (661-497-66o56r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i ocingatstems) 9 hve a Goes egarang he Question. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiissqquuesetsitioonnnnaaiirree ttoo DDeellttaa CCoonnsuslutlatantnstsbbyvMMaa.yJ9t..9,"2_0200088 nintthheeeenncclloosseeddssttoammppeedd,.ssoeflf-. aaddddrreessssedeennvveeiiooppee., - HO compas by Quennnaire completed by:, / . FeE a~De0pY\art ~Oa-t]le/y' Freu:1uti-) nt Name andTitle BN Prone3Na2b0er 260 486A Phone Number 4ba-te5-0F Date EEM-Maialil AAddddrreessss. -- Xinogen rane: e51.6a0.5 00s OR ATL Toe BL 613 00S area. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00547 sSTTaAeT_E0_022682211550044 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1 . eDDroocaesstiyyoonuugrr DDcepepepasarirtmomenensnt?t rent currently hasor has youyour Deparment Department etary used historically used Class Class Aor A or lassClass foams B foams for for X-~ firefighting I , vesProcto aeuesetiodn2 operations? Yes- Proceed to Question 2 No- Sign the back of his form and return to Dota Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howolen Gass Bor ClAafsoasm used i response to re cals? 2. How often is Class B or Class A foam used in response to fire calls? _........ /' y.... o0-22s5%ofoffifireess ___ 2255-.5500%%oofffifirreess. ___ 775-510-0%1oof0fffiirr%eess 3. Docs the Doportmant ave compraesfoasm system (CAFS) with a bullin ark ons angina)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ---.-Yes TM -----c''-/.~./ No 4. Howafinis foam usd in rang eres? 4. How often is foam used in training exercises? New wey wey, oun ___ Never Weekly ___ Monthly '\/ TT Semimaaly aly OX orm ___ Semi-Annually Annually /'... ___ Quarterly Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecciifyy:): - - - - - - - - - - - - - - - - - - - - - - - - 5. Howgay foam is used pr raming oven? 5. How~Jch foam is used per training event? sven ors 5gallons J' Less than 5 gallons 5 gallons Mor tha 10 gators (ease spect ___ More than 10 gallons (please specify): $1010 gators 5 to 10 gallons 6. nang, wheredoes th spat foam go? 6. In training, where does the spent foam go? mtn samysom onsets X como ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic \ / _}'i_ Ground Over eas cesar ___ Other (please describe): _______________________ 7. Woheremdosatotrdsuhnmeeraainiptoskmliacg?rPoesasse include adross, ersocton rahe otc ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kwogere OVVEERR-----+ Prone: Phone: 651.629.9945 1 800.477.7411. Taki 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 351.639.9475mwASliadnv.com. Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00548 sStTaAreTE0_202882211550055 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 Wiha types) ardbracts)of eam a cr ware sod nw adn stby tho Departmen,both or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaatt aapppplyly.. fUsedrin Amount -- TTyyppeeooff FFooaamm [rryv-- i Class B Aqueous Fimfomngrom -- J& Film-Forming Foam BBrarannddooff FFooaamm Used in Training? YYeessoorr NNoo .t \ fVc Amount Used AAnnnnuuaallllyy Currently UUssed? Historically UUssed? ((AAFFFFF)) RCClelaasssssoBBnAAl(clcoBohhoYoll-- REAFFF CassBPoen ClassB Class B Protein Class B Foapoorny Fluoroprotein (FP) ------------ w7nieg QC N-- o -- -- -- Forming CClalassss BBFFililmm-Forming Fuoropaion (FFP Fluoroprotein (FFFP) CosearFr lv-- Class B AR-FFFP Gono N}oo oo Class A-B Hi Expansion Foam co TO fs Feel Class A Tamegron Training Foam oer _ _-- = = = Other 1At30 Wo Thar youfor your meandcoaperation. leasecontac any odin a Doky Corsulans (516975152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oC rodmna dase com)of J Socknge:at hsMimecetaPORKon GorilAgency (651-497-8666 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i ocknaer ase mn) ou hav any QUEST gn I HOTA jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please run tis aussfotno Daolis Gosullants by une 6,200 in theenclosed stamped, sat: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, self- `aaddddrreesssseeddeennvveellooppee.. ------"-- Questionnaire completed by: Chale Mdcke l.>' /~-,~..V\<'\f '-. l,/\f7t~.ol'---7'/~o '-... Ramon Yio Name and Title LcLiwo 7/Sst.o+v~ Fre aSpar0tme7nt 52>3,-350 7/ __56 5~2 Fire Depal\ment 1_1 ~-c) Fron Number Phone Number C~.hi ~e\l= BoS-24.53 Date EW Assess CCm3erYdic:e..+kde~..@~, CG,o-AnCa;.,lIl. oom (VlY\ E-Mail Address Xinogen: rene oor Se TE Tar TTT Matern 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00549 stare 02821506 STATE_02821506 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DiDoogsesis ynyooguurgr DDreepepaairrtotmmneen?ntt ccuurrrreenntltyoorr hhaassyyoouurrDDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CCllaassss AoA or Glass Class 8 B foams foams for for firefi_gh7 t_in_:gv_~erNYYaeetosiso--SnPPisgrr?onoccteeheeeddbttaoocQkQuouteeshstitiiosonnf22orm and return to Dela Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. Howofenis How often is CassBor Class B or Class Class Afoamusedin A foam used in response response oto frefire cals? calls? ---=V'--002-255t%h of of tres fires ___ 2256--5500%% ooff ffirreess. ___ 7755-:110000%% ooff ffiirreess 33.. DDoosess tthhee DDepeartmpenat haarvveeamaccooemmgpenreessstseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithtaha but built-in arktank oonn ksits eennggiinnee(s))?? Yes We ? Y e s ---=--No 4. How olen's foam used in taining exercises? 4. How often is foam used in training exercises? Woekly Monty -- somiamualy ___ Weekly --~ Semi-Annually _V Awnualy ___ Monthly V Annually One (please speci; - _'."-- Other (please specify): Quarry -- eramualy ___ Quarterly ___ Bi-Annually 5. How much oais usedpr vaningovert? 5. How muchJoam is used per training event? Less man Sgatons ____ Sgalens signs _ _,Ve....__ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 galons (pease speci): SE ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In aining, wheredossthespenfoatm 97 6. In training, where does the spent foam go? Storm Sewer __ Sanitary Sewer Onto Sept ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ter (leasedescribe)... ---- Other (please describe): ______ -------------------- A ~uGrnoudns 77.. VIWnihfnoeemrreatddioooeenssf//dodiddcutthrheerertrnaaiainnniindnggpaataskkteeaplilaiaccneeg?? aPPrelesaa.ssee iInncclluuddee aaddddrreessss,, iintnerseerctisoncoofircohathenerr spac specific llooccaattiioonn S they Deus o Goya information for current and past training areas. S ~w1 Q'<"'-J..._ C9 t~\' AA~s-al- -- t!.- XKinogen: orane: 653.639.310R003e05.C47r3eeTAp1a1rrToyke T0U1TE635T05O3EmSnaFsiWtnSaSnscUoS.En 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00555500 SSTTAATETE0_202882211550077 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What pets) ard bracts) o foam aorwer used ni and ne pasbyth Departmen,ba forre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire tesponse ar amg (F 293035107 loses neck al nl 83p. response and in training (if applicable}? Please check all that apply. Typeof Foam Brand of Foam GCFloloarssmsTsiynBpgeAAFqqoouuufeeFnooouu(assRmFFFiFilm)m- | Brand of Foam CRleasv8io(nRoyppp | Forming Foam (AFFF) Class B Alcohol- Cospoen Resistant (AR)-AFFF Cila)ss Class Class BB B Furoprotein Protein Fluoroprotein _-- FuC(CFclaPrls)osap8BoFsFliisolmmn--Fo(oFmrFmiFnin)gg Comore Fluoroprotein (FFFP) CCCExallaapsssasssnsAnBi-aoABntRHiF-iFoFaFmP -- Class Expansion Foam Awan Class A VTTUUeraassonioenrndditnigilgnn?e? Yes or No AAAUmmUmossoemueuddnnatt Annually CCHuuimrsretenonrtt cUUtssseeeoorrr Historic Use? ------ -------- -------- --_---- ps --g_--amba Sen L~ l\,__~.._ ~ u(>- \ TTrraaiinniinngg FFooaamm --_-- omer - 0 Other T2.v .\s~ p~ M ~Sjv:S::. Thankyo or your timo and coaperaton. Pleas coniat Nancy Roding of Dla Consular (6516975162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of rohngGdaaem om) or sm lockiangh:oMAnoRDts Poluton Convo Aone (651-497-6696 1 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing tem) 2 hve any Guesions raring te estimate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plosatu stehis questionnaire to Delt Consultants by May. 20I0nth8e enclosed stamped, salt. Pl~ase return thi~ questionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamped. self- `adddrressedeennvveellope.. Name gauanave compteedbsy. . I Name and Title arom Fee \...~-~~~ ~'{'~ Feo Deparment Fire Department Phare Number 62-78 ~ 2292. Phone Number BaFoe Date EwE-Mail Address Xinogen } 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA nares 431.430.9008 1900 TLTAR: SOLES 05S mma Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..055511 sSTTaArTeE__0022682211550088 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. frDDoooteshs iyynoougurr cDDpeeoppraaarrtttmomneesnn?tt astoonr currently or has has your your Departmant Department historical historically sedused Class Class Aor A or GissClass B foams foams ffoorr 3 firefighting o )( pYYeNeroesas--ti-PoSnPrisgro?onccteeheeeddbttooaQQouufceessthtktiioisnof2n2orm and return to Dita Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoftn s Gass Bor Class Afoam used in respotno sreo cals? 2. How often is Class B or Class A foam used in response to fire calls? pos al WL Finchn 025% of fires. --X'_X_ 25-50% of fires. 75100% of res 0-25% of fires 25-50% of fires .. 1 75-100% of fires IJ.tJ L.!"'W5 A.l! (.)JI ( J V1 t:J 5/-ftu::/ure 3. Dos tho Departmenthave compressad a foam system (CAwFilhS3 ull rk 54 4 3H? r /Jr"r'A"' "_,.,t.,; <1.:: s s. A ~~ 3. Does the Department have a compressed air foam system (CAF$) with a bu-ilt-in fank on its engme~s)? Yes ___ Yes Xo X,_ No 4. How often s foam used in ning exercises? 4. How often is foam used in training exercises? esky --_ vouny _cueny ___ Weekly _ _ _SoSmeim-Ai-nAnnunaulallyly Monthly _)X(_ AAnnnnuuaallllyy B-Amually ___ Quarterly ___ Bi-Annually Over(pomaspesiy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is usedpor rang avert? 5. How much foam is used per training event? LetansSalsons Salons _X_swo0gions ___ Less than 5 gallons 5 gallons 5 to 10 gallons TT Miretoan togatons Geasespoiy ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. naling, whore coos th spent foam 957 6. In training, where does the spent foam go? Somower ___antorySewer __onsiesepte ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic thar (poss descr) O~her (plPase d8scribe): ~----'-----'----~--- _XXK GGrr ou ou nd nd _ 77.. WfWhohorerrmeeaddtoooesssf/odiriddctteheertatraairnnidnagpaatnaksktoeipapinnlaaccggee?? aPlrleeeaaassse nude include adres, address, interseoctoithoenr intersection or other speciclocan specific location Behind Sleds information for current and past 8efJ}./1d._ SJ~;:-'~ training areas. 22 G10 Tye Cock De. Shey ow 55079 HXwInoogg~rep.n ''" [ESPNS HFCC r pRS EA S 100 e SG R a s SA EE UE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00552 STATE02621509 STATE_02821509 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Wot types) and bandof efoa)m acwor usd now and nh ashy he Depa, rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eo vg may ros creck ots response and in training (if applicable)? Please check all that apply. Tipe Foam BrandatFoan TTUAasdnMingE eAmGoudynt GSuirmeoonnUser Type of Foam CClaslsBBaAAqqusueeoosuuss FFiilmm.- FFoorrmmiinnfg:l FFooaamm ((AAFFFFFF)) Gass Onkat 3h 4, e Se Class B Alcohol- er Resistant (AR)-AFFF CesvPOON Class B Protein Gis 8Furaproein Class B Fluoroprotein & --_--_-- (FP) Gls 8 FinFaming Class B Film-Forming onan ory ------------ ------------ Fluoroprotein (FFFP) ponssapeontoet Class B AR-FFFP cana Class A-B Hi on foam -- -- - - Expansion Foam asin Silv-exChad' Mo 2625 umifhishic Class A 0 Training Foam Ober 0 Other Brand of Foam 3;n L.i,g/h.t.,."eib~oldluee..k/A7C.S.T.E ey ........ 3/U\ ljbt tut.:~ ~'/C- .C:. .; JIV- ex t_!,- I c...A{ s.s,1-Ar 1/ Used in Training? Yes or No Nyec:-::> <= ~s ;Uo Amount Used Annually SS-/oOpe-a;..atl (/ 5 --/[)4.-._~ <.../ Current Use or Historic Use? H/-/r;-:s;;h;_o,/"i; et L4//e....,.J Thank you for sma coperton. las cotct any Ring of Dl Corsa 051-607 $152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ota somo oo Sominge se Menem Foes Cos anes 05 Soy book or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjiimm..ssttoocckkininggeerr@@sttattee..mmnn..us) iiff yyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Please return this questionnaire to Deft~ Consultants bv ~'1ail9. 2008 in the enclosed stamped, self- frre addressed envelope. - Questomaie complet by: Questionnaire completed by: TSotm ockiye. fire Coploa TJi;"m/Yl S.5t1-occ>ckk:i-o/~.r NNaammeeaanndd TTiittllee C/ yr Ls, " Liowood Five Loot. L ,'./J cvood T//e Fis Dammers Fire Department - 365-1524 7/0 shee S/fs Phone Number E------ E-Mail Address Hwogenw TET 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00553 state_o2821510 STATE_02821510 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. DDaootessiyynoouugrr oDDpeeeppraaarritmmoenensnt?t currant currently oor has has your your Department Department hhiissttoorriciacallly uusseedd CCllaassss A oorr GCllaassss B ffooaammss ffoorr A'A firefighting Yes - ProtocQueesteiodn operations? Yes- Proceed to Question 2 No ign the ackof thisform and rettuoDrlna Consulants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howofetenn is is lassB Class B or or ClassAfoam Class A foam used used in in response response tore to fire calls? calls? 2. How o XX_ o-a2s5%wootf ftireeess ___ 5255-500%% ooff resfires ___ 7755-10-0%1o0off0friree%ss 0 3. DDooess tthhee DDeeppaarrttmmeenntt hhaavve eaa ccoommpprreesssseedd aiair ffoaama syst system ((CC.AAF.FSS)) wwiitthh atin a built-in ttaannkk on on fsits eenngginnoe((ss)?? 3. ___ YYeess KXonNoo 4. Howoftenis foam used in raining exercises? 4. How often is ___ Novefoam used Never in Weekly training exercises? ___ Weekly ___ Som Away Semi-Annually ___ AAonnnuuaalllyy Nonny Monthly Quarry ___ Quarterly may Bi-Annually ---P"'Xvv_r.--- OOththerer((pplleeaassee ssppeecicfiyfy):): ____.,/,,I__a.t>_r,_,_f"___,R,{,.=.-,-u__,c;n_'-"-e'-'"''-s''<,.__,_;;,_a_,c...=---'-?~"~""s.c...a_,_c,_r-__ _ _ _ _ _ _ __ . 5. 5. How How mush muX,c_h foam foam iiss Less uusseedd than orper tvraaiinniinngg gallons eovveennt?? sgatons _ swtogaons X MoLreses tthhaann510ggaalllolonnss (pleasespe5cyga)l:lons _ _ _ 5 to 10 gallons -- _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Inainng, here oss he spent foam go? 6. In training, where does the spent foam go? Som Sewer __ SantarySewer onstosaic ----4- Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Otter (please describe) ___ Other (please describe):----------------------- f ;_ . 77.. WWoimhnaeertreiddoooncess0i/ddiddutthheeentttrraaainniidnnggptaaakskeeapplliaaccgee?? rPPoelesaasssee iinncclluuddee aadddveressss,, ninteerrsesctieoncoortraobothenerr ssppeecciififc llooccaatioonn Itt Ru oodc 130%k mm ? 0 To informa ;:z:;, t i Lownty on for current /~v"'"~ andotpda:-sbt traoain..ingga9r"oe<a>s1.w14-- s-ot~ olLdJ.: b..ohow.vme f i Kinogerr OOVVEERR---+ none 651.639.9085 1350.710117F7ak: 651 639.0473mvideliasny.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005554 STSTAATTEE0_202882211551111 QQUUEESSTTIIOONNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg BA An En ASA 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rr Ls response and in training (if applicable)? Please check all that apply. A Used in Tony Co commnty Wattealy Training? Amount Used Currently Historically TyTyppeeooffFFoaamm Gone Aeon Class B Aqueous CE ---- -- Film-Forming Foam es (AFFF) Gl8oAsrs Class B Alcoholio Resistant (/\R)pesAFFF GDN, es een Class B Protein Jy Class B Fron ee) _-- -- -- Fluoroprotein (FP) Gossorim Class B FilmFry Forming Beta | ------------ -- -- -- -- Fluoroprotein ((FFFFFFPP)) Como Class B AR-FFFP manors Class A-B Hi Ca, ---- -- -- -- -- Expansion Foam Garon a Class A Ta------ ~~ T= Training Foam ao = Other BBrraannddooffFFooaamm YYeessorr No AAnnnnuuaallllyy Ussed? UUssed? yy Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 o`orr nnrrooddnniinngg@@ddeellttaaeennvv..ccoomm))oorr JJiimm SSttoocckkiinnggeerr aatt tthhee MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy ((665511-2-9279-78-68666o6o6rr to a como sm jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ita a rar EtRal Please return this questionnaire to Delta Consultants bv June 6 2008 in the enclosed stamped, self- `aaddddrreesssseeddeennvveellooppee.. TQuRePsoAasScioompF any Cey ce.7 Fire Department _bsohr Soo-2p08 Phone Number er 5 jjI(xWwe~iidJ,e.c(1t:: tD @/1m1!\() c: ~("' fA.Jo~}sV~tpp/i~n~ ~ e Qege slecaecat t E-Mail Address Ninogen [EP A HE PE = 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00555 [p-- STATE_02821512 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 0 1. Docsyour Departmen: curedor has your Department israly use GassAg Cis 1. Does your De artment currently or has your Department historically use Reratagbatons firefightin erations? os ProtcoQueesteiodn2 ~====!>--- Yes - Proceed to Question 2 7 No Sign he baocf hkis form an return to ota Constants ___ No- Sign the back of this form and return to Delta Consultants I") esor 2. Howolen is Gcaass 3o.ttGieass A foam usd innsoanreefos call? OC mae ~5-100% 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires 25-50% offires offires 5. Does heDeparmentrave compres ai oa stm (CAFS) wih aii arkon 5engine? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ~Yes pe ~No 4 How tenis eamusd rang exerci? 4. How often is foam used in training exercises? Wook iy Quarry ___ Weekly Sem sly Sy Anmuaty ___ Semi-Annually ------:---- ;;:tonthly ~Annually ___ Quarterly ___ Bi-Annually Overpemespeciy ___ Other (please specify):----------------------- 5. How muchfoam is ued or rinovegrt? 5. How ~am is used per training event? Los tan galons Sgatons _ swrogons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ore han 10goons (jasespec ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - . Invaiiog, wher dos the pen fam 07 6. In training, where does the spent foam go? Somos SurSovr__ontosepte OX Grouns ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~round Over (eas cosa -- ___ Other (please describe):~--------------------- 7. Vince does heraak i lace? lnas cde adsenosr iehr spc acaton 7. Where does/did the training take place? Please include address, intersection or other specific location gation for caarngtos vgn rg Drlrriy Id Detar) Sins inf mation for current and pas trai ing are F zd Stollen 3S Kinogen Phone: 5910 Rice Creek Parkway Suite 100 St. 651.639.9449 f 800.477.7411 Fax: 651.639.9473 i. Paul, M N 55126 USA www.de!taeny com 22222..005556 stare 0221513 STATE_02821513 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What tos) and brand) foam aawor usdnw ann he pastby he Derm, or ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesora i Vai 1 SOmSSRy Pore rockah ap response and in training (if applicable)? Please check all that apply. TUooendign Am"Uoseudn.t Cumomtuseor Gl8aAquseosus Fim- TyTyppeeooffFFooaamm Class B Aqueous Film- Fam Foo GPR) 41A%--f Ee Forming Foam (AFFF) Gloss Aono Class B AlcoholRemar gr | -------- ------ -------- Resistant (AR)-AFFF CosoPoEn Class B Protein Glas 8Fuorarten Class B Fluoroprotein Ea --_---- (FP) Gass 8Fin Forming Class B Film-Forming Fcomoon tre, ------------ ------------ -------- Fluoroprotein (FFFP) FS Class B AR-FFFP Gass Class A-B Hi ti --- Expansion Foam Cass Ansett Qed SgllyS ude sil Class A A Training Foam Over - Other pan BrBarannddooffFFooaamm Used in Training? A /vU YYeessoorr NNoo Amount Used AAnnnnuualalllyy Current Use or HiHsitsotorriic UUssee? FE -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 raatm aom caa moin Sheng ha oso Pools Comet Aone 691 S07 360 1 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or scm Gta mut) Tou hove any avers roping ih qos jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. self- `adddrressedeennvveelloppee.. - -- ~ . Questionnair~mpleted by: Asse LRF! esmibasapJ ndreiineimCom~et end flow C00h00g00000 Fire Department 0 7/2t3 LS~Ii--SYj1/-r 043 Fiona amie = Phone Number do Ap Admmiil/.t.1yy (CD2)) C C4m.Co &sstm f. na ot Easier E-Mail Address Date s clog Xinogen B PPhhoonnee:: 651.639.9545 1 800.437.74F1a1k: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 691539.9477mu.daltaant.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www deltaenv.com 22222..00557 stare_oz21514 STATE_02821514 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Dos your oparmmont cunt or as ye Depry sd Cl or Ci fos fi 1. Does your Department currently or has your Department historically used Class A or Class B foams for argh opssioet firefighting operations? -1----- resto ausion2 Yes- Proceed to Question 2 Ko-ign th back f hisform adrt to Dota Cutan No- Sign the back of this form and return to Delta Consultants 2 Howtos Css Bor Cis Afom sod eso ofr cl? 2. How often is Class B or Class A foam used in response to fire calls? X_ozswottes f-- f---- 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 5. oath Doputnnthav comps fam sys CAFS) ina ut ans ogo? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Ye ___ Yes Xe 'fJ No PT ---- 4. How often is foam used in training exercises? No eo nny away ___ Never Weekly Monthly ___ Quarterly Tema Ay TX esenss Semi-Annually Annually Bi-Annually Ter pcnn onc Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. imc foams sdprinvegn? _X__ lessthansgalons ____ galls ____ 5w10galons. 5. How much foam is used per training event? Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ' MoMroeretthhaann 1100ggaalllloonnss((pplleeaassee ssppeecciiffyy)):: - - - . . . . , . . - . - - - - - - - - - - - - - - [RI ------ 6. In training, where does the spent foam go? ___ SSttoorrmmSSeewweerr __ __SoSnaintitaarryySSeewweerr _ ___ _OnOSn-tSeitSe eSpepiticc x_JX_GGrroouunndd Oe pees ener ___ Other (please describe):----------------------- 7. Wer ott vin ak ace? Ps ev a0, rector ts sect 7. Where does/did the training take place? Please include address, intersection or other specific location GrH s NeoZ Lyrrwnoes.Hus 314 J" fir NE- Lrt71E ~r.5 information for current and past training areas. Kinogen OOVVEERR---+ Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 _ Paul, MN 55126 USA www.deltaenv.com 22222..005558 snare oasansas STATE_02821515 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 5. Wht psd rr)of fs rr vor sd now an i oe pt bh Operon Sb fo 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire ney en a ho response and in training (if applicable)? Please check all that apply. fentin fit lFUusednin fAmoount aa -- "oe? Ty~e of Foam ClCalassss BB AquAqeuoeouuss Gores Mu-mhui0 tco &No Sls Ko yyso Film-Forming Foam rE (AFFF) Brand of Foam n1JJ- fV] JJJ!IiiG- Gos oor Class B Alcohola R.esistant (AR)esAFFF Gmbh Class B Protein Genes Class B FlFulourooroprporotteeiinn ((FFPP)) ~~ Gone im Class B FilmFir Forming Rtn | ------------ -- -- -- -- Fluoroprotein ey (FFFP) Gesbae Class B AR-FFFP Class A-B Hi goon, Ff-50R0 O Ne Zs ye ve Expansion Foam [oe SumRFX-e gE ws NSB Class A -Sn IL- A -5-- -A -5- Training Foam over = = = Other Used in Training? Yes or No Amount Used Annually ~50vlt~ Currently Used? A.lv Historically Used? ------ ----- ~ 'Le&wts ~) yt:S w~ ~b Thyounforkout Um and comport, Pras cna NayRoding st esConstants 054075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a SS or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or aev ro oe a oo vo moma jim .stockinger@state.mn.us) if you have any questions regarding this questionnaire. AR ete te ERR asa Piease return this questionnaire to Deita Gonsuitants by June 6. 2008 in the enclosed stamped. self- `aaddddrreesssseeddeennvveelloope,. I !!1;etlr1-tL Wwe !NJe;Emt1a!ti1~ Questionnaire completed t;Jy: pdt Name and Title LLEimeE 1Ftzrs_s &Feee _) 1mr F1re Department fFi1i2tr:e: (CJh/;iifst fL1et2rr. BEPho~~be~/0 - s39r Date HpnngdecChonoe emmmner E-Mail Address Xinogen: Phone: 651.639.9095 /300.473.7411Fak: 651.635 947 hiai.daltaanu.am Phone: I 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00559 sare ozssis STATE_02821516 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg man 11. . DfDrooeeefssghyyioonuugrr DDeeppaasrprtetrmmateeonnnst?t ccuurrreenntltyoloyr hhaass yyoouurr DDeeppaarrttmm! eenntt hhiissttoorriiccaallllyyuusseedd CClalsasAAsosorr CGlaassss8B ffooaamms frfor firefightin~erations? No Sign the backofths form and return to Dita Consultants V Yes- Proceed to Question 2 No- Sign the back of this form and return to Delta Consultants 22.. HHowoowltoeftneinsisCClalassss BBoorr GCllaassss AAffooaammuusseedd iinn rreessppoonnsseettoo ffirreeccaalllss?? o ~25h% ten of fires 2255--5500%%ooffffrireess ___ 7755--10100%% oofffrireess 33.. DDooeess tthhee DDeeppaarrtmmeenntt ahavveeaa ccoommpprreesssseedd afoam air foam systom system (CAFS) (CAFS) witha with a builtin built-in tankon tank on sits engine()? engine(s)? ___ YYeess C ~ e 4. Howoflens foam used in taining exercises? 4. How often is foam used in training exercises? Wooly Monty Cuarry Weekly Som Annually Anual BrAmualy Semi-Annually Monthly ~ually _ _ _ Quarterly Bi-Annually Otereasespeety Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam is used pr raining event? 5. How 3Lessthan'gallons ~ess much foam is used per training than 5 gallons event? So5aglaollonnss 551to01100 alos gallons Mor than More than 1100 ggaalllloonnss ((ppleeaassee spec specify): ------------------ 6. In ngswoon training, where does tose the spent omg foam go? /stostrommSSeewweerr __'__SSaanniitoarryySSeewweerr _ ___ OnOSni-SeiSteeSpeiptcic ___GGrroouunndd ___ . Oberleassdesober ____ Other (please describe): _ ______________________ 1 7. 7. WViinhhfearrremaddtoonesfeo/dsidcthrheeett:raaaiinninndggpataaskkteevppallaiacnceeg?? aPPrelesaa.ssee include include adess, address, nersecton intersection or or ierother sposi specific locaton location infAAor+bmatt+iol4n fo.S{ir\c;.cb<uu-lkrlGr,e.nllt 1and-t1pea4stCCtra'oninrvinneug aroefas. Dme, PPhhrecssetnM.. < a0s.~d 33r4J AAv-<u.... Xinogen: _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Pane: 651.639.9545 650.47417A F7ok:S5110m3s5d.ii9as4is.7ca3m Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222222.00556600 SSTTAATETE0_208228211551177 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. reWWsihphaoatnttysyppeee(a(ssn)) aannddabbnranrnda((sF)nsoofpfdffpoocaa)ammtiaarreeroForrewwsresree uuhsseeecd knrooahww iaanntdd 3nin5tt5hh.eeppasatst by by hethe Depart, Department, both both orfor frofire response and in training (if applicable)? Please check all that apply. TyTpypeeooffFFooaamm Cl8aAcsusosus Fim Class B Aqueous FilmForming Foam (FFF) | -------- Forming Foam (AFFF) Class Alcona: Class B AlcoholResta (RAFF | Resistant (AR)-AFFF Casson Class B Protein Class Furoproten Class B Fluoroprotein & --_-- (FP) Cl8Faim Fsomisng Class B Film-Forming Fraoroproton (FFF) Fluoroprotein (FFFP) CusssARFFP Class B AR-FFFP Cass ABH Class A-B Hi Spmmonfoanm | Expansion Foam Class - Class A Training Foam - Training Foam omer - Other BBrraannddooffFFooaamm Usedin Used in Trang? Training? YYeessoorr NNoo Amount Amount Used Used AnAnnunaulallyly ee CumentUseor Current Use or HiHsitsotorriiccUUssee?? -------- iToTofmhrhaanosnnroickkdyorynciouiinnunggff@g@ooderrderyyet@oolutatuarreaenttmnimyve.eccooaaommnnF)dd)) ooccrorooYoJJpoiipemumerarShSattaittoioovocncen.kk.iainnnPPggyleleeerqraauiassetteesthihcceooeonnnMMtstaiaicnnfctaontegeNNsasaaoronntitcaacnyygPPRRo1ooolluddotnrQioiniunngegsCCaaoiottnonDDrntroealollltlaaeAA.CCggoeoonnnnscsyyutla(t(a6n6n5t5t11ss--2((26989575711--8.8-666696607876.-o5o5rr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questionnarecomplete by: `PPlleaagseererettuurrnn tthhiissqquueestsitioonnnnaaiirreettocDDaet!ttaaCCoonnsuslutltaannttssbbyyMMaayv 99.. 22000088i!nntthheeeenncclloosseeddssttoammppeedd,sseellff-: 1 `addddrresssseeddeennvveellope.. Questionnaire completed by: JlltcfaJ FhaohandoT!s LLet;C(ll/aqsl;s. Name and Title ' Seesfa FieDoLpearlmeentLuck bri Depentmest Fire Department Phone imber ur) 2zF-bese Phone Number Dae S=/-0k Date Ee E-Mail Address Xinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..056611 sStTaAeT_Eo_0z2s82211551188 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFiEirree TTrraaiinniinngg Z 1. 1. DeDsoorseoss hyyuoonuugrr DDcepepspaaartrtmomenensnt?t ureorhdas currently or has youyour Deparment Department Hitarcausly historically used CassClass Aor A or lassClass foams B foams for for firefighting 3" oNpYYeoorea-ustSi-oinPPgsr?norcteheeodtbtoocaQkQueeuosetsteithioiosndfn2o2rm an return to Dela Consultants No -Sign the back of this form and return to Delta Consultants 2. Howoflens Glass Bor Gas foam used espns ov cals? 2. How often is Class B or Class A foam used in response to fire calls? 025% of res 2550 otros Ts 00 of fres ___ 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% of fires 5. oss he Deparment hav a compres ai oa system (CAFS) itha butikon 5 anges? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes No ___ No 4. Howofien's foam used in ring rere? 4. How often is foam used in training exercises? Woody Moy Quarry ___ Weekly Monthly ___ Quarterly Somamusly Amal BtAraly ___ Semi-Annually ___ Annually Bi-Annually Other (eas soci - Other (please specify):------------------------ 5. How much foamis usdpor ving overt? 5. How much foam is used per training event? Los than gators Sguions sto t0gatons Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons Wore tan 0gatos leas speci: i. More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ining, wher dos the spent foam 07 6. In training, where does the spent foam go? Som sewer Soar Sewer___OnStoSopie Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Other (eas dere) - ~-- Other (please describe):--------------.,...----,------.,.------ 7. Woirre dmoeeotstrhaeonvonan ioannk vpaimace? rPolemasse nce dress, nersetion chr speci cao 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Xinogen' Fron: 651.639.01088050 377741Fo1k: 891 639.947)waridaltatniscon. nT ern 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005562 sStTaAreTE0_022882211551199 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg . 90e.0. )retDtsasmfvrNoi1 -ce rd bn ty Costner We D~o~r USE Tor--n \Ua)r)ER~. 0ONLY 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aannddiinnjaaiiniinngg ((iiff aapppplliiccaabbllee))??PPleleaassee c chech kalalle ltthhaac ttaapppk plyly.. tJLY Tipe ofFoam BrandofFoun aVUeslndorinSne AAmGmoemeuadnlty csuroernuesesor Type of Foam Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? ci8Aeqwosous Fim Class B Aqueous FilmForty, ---- ------ Forming Foam (AFFF) Gi8Aosne: Class B AlcoholRossin are --_-- Resistant (AR)-AFFF ClCalassssBBPrPorotteeiinn Gl8Fauorosprtsein Class B Fluoroprotein ES ---------- (FP) Gas 8 FinForming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) CasoavFR Class B AR-FFFP Gass ABH Class A-B Hi Conte | ------------ -------------- Expansion Foam Gest a Class A Toto Training Foam Ober - Other -------- ------------ -- - Thyoufrryour im ancoopera, Pleas cota Nancy odin aDet Consultants 6516575162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 roas comt o in StaaheMiinnneCosnvloAgetre a(851n597 3680 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rsa re moa ou hav ay ts opi oe sma jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnntthhiissqquuesetsitoionnnnaiarireettooDDeletltaaCCoonnsuslutltaannttssbbyvMMaayv99,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-: E a p pr ta ie addressed envelope. - NNaammee aanndd TTiittllee FraLaormnat Lm'YlAi\J RRovga~- r FMirveue._ FFirreo(Dne~RNp1aa1mrt8om:e)e1rnt2~71188-- 6G1l1\44 Phone Number Associa 55//33Ss|/~zL0b86 Date EE--MMaialil AAddddrreessss. Ninogen To i. PPhhoonnee:: 651.639.9445 1 500.477.3011 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.639.9475 Suite 100 St. 651.639.9473 mmriaelinsnv.com Paul, MN 55126 USA www.deltaenv.com 22222..00563 stare 0221520 STATE_02821520 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 4TX rassto auton 1. 1. DTDoaostesis nyyioonuurgr DDoepeeppraaarritmmoenensnt?t cunt currently or or ashas your your Deparmnt Department soruseadCllassAyor historically used Class A or CGlaiss aB ffsooaamsmss ffoorr firefighting operations? ___ No- Sign the back of his form Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreettuurrnn to to DDeelltaa CCoonnssuullttaannttss 2. Howie'sClass Bor Class Afoam used in rsponse to fr cals? 2. How often is Class B or Class A foam used in response to fire calls? XK oasnottes meokotties ___rst00molties ~ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 5. Docs the Deparment avea compress ac foa syste (CAFS) witha bul tak ans engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves _______ Yes a 4 - - N o 4. Howten som used nang exercises? 4. How often is foam used in training exercises? Weakly Monty Quarry ___ Weekly T commaaly _X_ Amualy Tema ___ Semi-Annually Monthly ~ Annually ___ Quarterly ___ Bi-Annually Other peasesoci) - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis usd por aig event? 5. How much foam is used per training event? -X5-- Less han gators 5 galore _ swtogums Less than 5 gallons 5 gallons 5 to 10 gallons Moo than 10gals (easepectyy ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. In ring, where dou tho spent foam go? 6. In training, where does the spent foam go? KornSewer _ Santary Sows j( Storm Sewer __ Sanitary Sewer ' Omer (loa dose) ____ ~-- Other (p!Pase describe): -onstesoste __ On-Site Septic _____X2_(_ Growns Ground /-;ef 77. nWWhhceerrerddoomessoia/rdiicddtattrhiheentvo:raaaiinnnnidngpgataaskkeeapplliaaccgee?? rPleloeaaossse iinnccluldued adres, address, rarsecton intersection oofr othrother speci specific llooccaattioonn ~Gls Lake information for current and past training t 5: . La I{P areas. s$fF- S~.~ hFi'rree Jet Kinogenr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00564 sStTaAeT_Eo_z02s82211552211 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5 eWhamt yoe(S)iandaragn)4feoasmair orPweasroesucseodhnokan pnyh pstby Deparment,bth forfs 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUeoanmdnignr Am"oooutnt cumomuseer TTyyppee ooff FFooaamm Gloss8 Aus Fin Class B Aqueous FilmFr ----, -------------------- ------ Forming Foam (AFFF) Gloss 0 aro: JE Class B AlcoholResa ary ------ Resistant (AR)-AFFF omoPoan | -- Class B Protein Glass 8 Frcopron Class B Fluoroprotein & _-- (FP) Gls BFinFoming Class B Film-Forming Foca pop) ---------------- Fluoroprotein (FFFP) -- Class B AR-FFFP Glass 8 Class A-B Hi Den rm-- rg ee Expansion Foam Class A Silveex Ja EEE Laced Class A A Training Foam Ober - Other BBrraanndd ooff FFooaamm s; Iv-ex Used in Training? YYeess oorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HiHsitsotorriiccUUssee?? Thankfoyroyouur in and copra. lea contact ancy Roding a Dol Conulans (516075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 `oorr nnrrooddninnign@gd@edltealentva.ceonmy).oocrroJJmiimm) SSttoocckkiinnggeerr aatt tthhee MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy ((665511-2-9279-78-68666o6o6rr rece mo ou hav oy avon rend sion jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas rotun is quesionniet Dell Gonsulnt b Hy, 208 th aciosed samzs, st Pleast4 return this queslkmnaire to Delta Consuitants bv May 9, 2008 in the enclosed stamped, sGlf- Shanta in addressed envelope. Questonnaecompltdy Questionnaire completed by: Jim Kreomer Sire Chief -1c~ Kceem FTraemLeeaomdinTgiS /Pbrcaai,-r"i;e Voluntear Fire Dept. -~ e Name and Title Fire Depa ent Fo33s22H00o-r-er7733;2;z-- 339Y7l33 o1Ie--3300 -0O&Y ofire dad" &Embhxal'/k< mmaaildc , Camo Da.te m. E-Mail Address' i Xinogen- Phone: 651.639.9949 1 800 433.74F1o1k: 891.635.9473 mn deliannv.iom 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00565 sStTaAtTeE_o022s82211552222 QQUUEESSTTIIOONNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm Ussee iinn FFiirree Trraaiinniinngg 1. Doe your partment cen or as your Depron tral sdCia: ArCis Beamsfor 1. Does your Department currently or has your Department historically used Class A or Class B foams for regs a firefighLoperations? vcs Gumi Yes - Proceed to Question 2 7 No ion te back fis fom an turn to Det Calas ___ No- Sign the back of this form and return to Delta Consultants 2. Howollen's Clas 8or Gass A foam us in esonse orcal? 2. How often is Class B or Class A foam used in response to fire calls? oases _zssonoites ___sto0natives __L 0-25% of fires 25-50% of fires ___ 75-100% of fires 5. Dossth Dprment ave comes foam yt (CAS) wih uti rkons gels? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Za1/ No 1 HA 4. How often is foam used in training exercises? TT ea -- ane ___ Weekly Monthly ___ Quarterly 7 OSombvhmouhaemlyswroct: Dgy oCnaailsple years Shama _L____ -____,~ Semi-Annually Other (please specify): Annually c?ve~v (>OtAf!/e ___ Bi-Annually JfA/5 5. How muchai sd or ving overt? 5. How ~Lam is used per training event? PP, sans 51010gators Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons MMoorree tthhaann1100ggaalllloonnss ((pplleeaassee ssppeecicfifyy)):: - - - - - - - - - - - - - - - - - - 0. indast espe rit 6. In training, where does the spent foam go? Som Sovr___ SantaySever onstosonts _o roma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _L_Ground Ae -...,....,...- Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7 Where dost he ving ke ae?Plas nudadress, erecavrtspic oacntn 7. Where does/did the training take place? Please include address, intersection or other specific location roksb p.tJie2 n tc-a c ;s.5ZJ ~~ information for current and past training areas. Kinogen: Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 } Paul, MN 55126 USA www.deltaenv.com 22222..00566 SsaTrAeTEo_a0s28a211552233 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. reWshaptontseetn)dandrbarnag n1odafsfipoiascmabaieo"rFiwoeasreucshecnkaalwBaantd anpe. ast thoDepartmen,bot frfe 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. g; Tosotran Bandotfom YTTUUroaassioenntddigniigenn?? AAAmUmUmossomueeuddnnatt CCHuusrrrsoementtUUUssseeeosorr Gl8Aqaueosus ism: Type of Foam Class B Aqueous Film- Brand of Foam 3,&( Yes or No iJtJ. Annually C)_ Historic Use? f?t&-e&/- Forming Foam (AFFF) CRelso8anAcs(oRrsoArRE Class B Alcohol- I CossBPron Resistant (AR)-AFFF C&lasClass Class 8B B Fuoroproten Protein Fluoroprotein rm re ee mn CP (CFlaPs)ls 8Bn FFaiilmmF-sFoEorIrmmsiRnin]gg | mm me Cosssarere Fluoroprotein (FFFP) CSlosmseAnBfoam | Class B AR-FFFP Class A-B Hi ---------- ---------------- ClEaxspasnAsion Foam TCrlaaisnsinAg Foom - SilvelIv vey pes gx cwredt over Training Foam - Other oTTrhhaamnnokkdyyooouuffoGorrdyyloousurretiimmecoaamnn)dd occfooooappemerarStaictioconkn.i.ngPPelleeraaasseetcchooonnMttaamcctet NNsaaenneccyyFRRaoildnnuinnggCaaottntDDreeollttaAgCCeoonnncssyuultt(aa6nn5tss12((966755116--660698677--o55115522 isiockinmgneue@) sotutavee ay Quon Gang hs Qestomna or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. (651-297-8666 or PlPeleaasseererettuurrnntthhiissqquueestsitioonnnnaaiirreettooDDeletltaa CCoonnsuslutltaannttssbbyvMMaayv99,.22000088iinntthheeeenncclloosseeddsstta~mmppeedd,,sesleflf:- fio rs addressed envelope. Questonnaecompleted by: . Questionnaire completed by: l,lfp '4v aver Fieohiet !d).ffttJf (' NAC and Name and Title shipped g meee ol Phone Number t Date Be E-Mail Address Kinogen' vanes 31.639. 0005 S00 TL ak: TELS miami 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00567 sStTaAeT_Eo_z02s82211552244 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Dos your Deparment cureny has your Dpartmrtistricaly us Cis A cr Gas oa or 1. Does your Department currently or has your Department historically used Class A or Class B foams for featoningaperatonss firefighting operations? _XX_.___ YYeess- PPrroocceeeedd ttoo QQuueessttiioonn 22 No.Sign he Back of is form and etn to Dt Consultants No- Sign the back of this form and return to Delta Consultants 2. Howolonis Class Bor GlAafosam used i resp oe cas? 2. How often is Class B or Class A foam used in response to fire calls? X_ oaswottes 25.50 otros 7510at0e0s ')( 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. Doss the Deparment have a compressa foa syst (CAFS) wtabulh ak ons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xo X No 4. How oflenis foam use in vaining exercises? 4. How often is foam used in training exercises? weak wey _ouey ___ Weekly ___ Monthly ___ Quarterly TT Senvhomualy Ama TT sma ___ Semi-Annually Annually Bi-Annually XC Over (ease speci) __{1eNer_o very Seldon _)(.<......e..._ Other (please specify): --J.(\.........,e""-\l.:....:e..::...:v_=O_f'___.\J<-=e'-'-r-+~---"s::....:.e.,::....l=b.:..;:__---..__,_______ 5. How muh amis uod or ring vent? 5. _K_ALesstanSgalons __ How much foam is used per training event? Less than 5 gallons S5 aglalolonnss ___ 5Sttoo 1i00ggaallloonnss Vere than 10 gallos easespay ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. totaling, whore dos the spent foam go? 6. In training, where does the spent foam go? S__ t_ orStomrm SSeewweerr __ SSaanniittaarryy SSeewweerr Co oheremedmsaber ~ _.. __ Other (please describe): ---- _ ___ _ On-OSni-Stitee SSeeppttiicc ~GX_rroouunndd 7. Winer dos he aig take lce? leas include adrss nerseocrtaohnr speciclocaton 7. Where does/did the training take place? Please include address, intersection or other specific location oon ot cone an vos Vin roms. information for current and past training areas. Cecoil using !AJNnKknfolow~~i,;nC,\ 1 ii"f' aom uMY GcJMLNl training. ~uy1e.a.rrss oorn-. We wie Gam ,ddegppco;s.t.mr~en.,tf |5I: 1 only ddoo nnoott when alosslutel, ue Lessa because "of cost. Hwogen re 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mane: 631.639.5005 1 890 437 TATEFok: 643.635.9473 mieridalinans. om. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005568 SstTaAreTE0_208282211552255 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. TWWeihshapaot nttyysppsee(a(ss)n) aannnddGbabirrainnadg(ns()1doo3f(f0ffos5oaaK)mmaabaroreeyoorirwoweaersreeeuucssreeeddcknnooaww avaannddsiinnltythh.e ppaasstt bby tthhee DDeespaarirtmmenetn,t, bbotthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. TUUrssaeedndiginn? AAmUmosoueudnntt Curentuseor CisTsyTsyp8peeAoqofufeFFooouaasmmFilm BBrraannddooffFFeoaamm Training? YYeess oorr NNoo Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? FormingFoam (FFF) Class B Aqueous Film- Fnrming Foam (AFFF) ~~ -- CCRellasaissssstBanAAtcl(ocAohRh)oolAl-FFF --_-- Class Protein Resistant (AR)-AFFF ---- ------ IcClass Class Class 8B B Foroprotein Protein . Fluoroprotein -_-- ---- CFC(FlllaPaisso)ssop&BroFFtiilemmn-FF(ooFrrFmmiFinn)gg ~~ Comparer Fluoroprotein (FFFP) cCCExllaaapssasssnsaABi-soABnRHF-iFoFaFmP Angus Sedeo?l % opt --_-- Class A Expansion Foam rt ee ee eee TCrlaanssinAg Foam eee eee er eer oer Training Foam A Other iooTTrrmhhaawnsnnrooikkddoryynciooiinnuungggff@@ooedrrrdoyy@elooslaututarertenmteniymvem.eccsooaammnn))dd) ooccrrooyooJJopipmeerrhSSaalvttoioooneccn.kk.aiinnnyPPggleleeeQrraauiassettseetthhccieoeoonnnMMtstaiaicnnrctnentgeeNNassaraoondntticaacnyygPPRRhoooolslluddtniiGioinnsonggtCCoaaoomtnnmtDDtraereoorklltleiaAA.CCggoeoennnscsnyuull((ta6a6n5n5t11ss--25((699657751--186--666696097667--1o55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please Please return return this this questionnaire questionnaire to tp Delta Delta Consultants Consultants by bv May Mav 9, 9, 22000088 Iin ththe aenncclloosseedd ssttaommppeedd,. sseetlf.- aaddddrreesssseeddeennvveellooppee.. - QQuueessttioonnnnaairee ccoommppeletteedd bbyy:: F[amiekaend TiYleetrer| Fire thief Name and Title FiLLoDonenpsasrdtJemeddnt Ff-i/rree_ D0o-itf'.f Fire Department Ph2one-Nu2mbe5r 0281 Phone Number _ HDeare he Date EitIIannnJdA!ltd,lIdiIr!n.e.!sDJs)pni/tst4s'1.".ni1eet.. I-- _ E-Mail Address Knog Phone: 651.639.5T98T5 |R8C06.C4r33eeSApTE yFok: SG0T1S63196.0475 mFeti,datiSoSsEmtUoRm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00569 STSTAATTEE0_208282211552266 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. feDsotsashyionugr Dceppeasrimoennst? credor has your Deparment torical used Class Aor iss foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? No-Sign thebackof his form and returtno Dota Consultants _XX__ YYeess-- P Pror ceeo dttoocQQue ueesstetiiood nn22 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. HowoflenCliass or Glass Afoa usd in response fo cals? 2. How often is Class B or Class A foam used in response to fire calls? X_oosmothe Li, osavoles sei 7SA00olfies X 0-25{oOffir'es ~*~_.__ 25-50% of fires 75-100% of fires 5 Does th Deparment have a compresseda foam ys (CAFS) wih a bintankon seins? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves X Yes KX Nnoo 4. Howollen is foam used in vaningaxrises? 4. How often is foam used in training exercises? Weeks Vonty Query ___ Weekly Monthly _ _ _ Quarterly Sombsorualy X_ oat puaty Semi-Annually )( Annually Bi-Annually overpessespecty I ___ Other (please specify):------------------------ 5. How much foam sed orang event? 5. How much foam is used per training event? -- tesstansoalons _X_ sqalons __swtogios Less than 5 gallons X 5 gallons 5 to 10 gallons More than 10gallos lease spec: _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - e. ntaing, whre does th spent oar 07 6. In training, where does the spent foam go? "X Somer ___SomtonSewer _onStasepse Grog X Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground ter plas descr: I -.:...::..."-- .. Other (please describe):----------------------- 7 Winer does h iin ako lace? Please cde aes, inerscton avr speci action 7. Where does/did the training take place? Please include address, intersection or other specific location Womentofouter aeyas Varn rea. information for current and past training areas. 359 med = ~ ~ - -~ .. . ., .... .a. r. .....i...: ., ey Amat Hwogene re 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.635.51088005.473 7411" Fou: 451.6m3r9i d.al9tas4nt7aco1n. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005570 sStTaAreTE0_202882211552277 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg . 85.. WWrehhsaaptot nttysypepeea((sns)daainnddabbnrriaannndge(s)()fooafpfpffoloaiacmmabaalreree)?oorlrweweaersreee uucssheeaddcknnoaolww iaaanntdd 3iinpolthhye.e ppaasstt bbyytthhee DDeeppaarrtmmeenntt,, bbootth: or for fre fire response and in training (if applicable)? Please check all that apply. , Typo of Foam Type of Foam CCllaassss BB AAqquueeoouuss FFiilmm-- FFoorrmmiinngg FFooaamm ({AAFFFFFF)) Class B Alcona Class B AlcoholResistant (AR) AFFF Resistant (AR)-AFFF Class 8Protein Class B Protein BBrraannddooff FFooaamm 3m YTTsrUreaaesoiiendnrdiiinnNingngo?? Yes or No es YE AAAnmUUmnosusoaeueuldndnltty Annually Sp ~'514t'k- CCHuiusmrtreeonrnittcUUUssseeeoo?rr Historic Use? oT ~~ -------- ---------- - CCllaassssBB FFlluuoorroopprrootteeiinn #(FP) Class 8 Fim-Foming Class B Film-Forming Fiuoroprotan (FFP) Fluoroprotein (FFFP) Coser Class B AR-FFFP CassasH Class A-B Hi Expansion Foam Expansion Foam Class A Class A Training Foam Training Foam over Other te ---- eee ee ete. ee es e: e o_o -- eee eee ost stesso eee ee oTJToirrhhmanoasnrdroklndyynoiooinnuucggffk@oo@rriddyyenoeolutugtarreaettnicimrvmm.eiec@cnoaausmnnost)cd)oomaccroroytooJ)opiipeemmurearhSStaaitttiovoooneccn.kk.aiinnnPPgyglleeesQraauaassetseettthcchioeoeonnnMtMstaiaicnnfctnont egeNNsasaaoronntitcacanyygPPRRooilolosluuddttnqiooiinunngneoCCsgaotottnnotDDtrmreeooalltsliaAAegCCgooeonnnnsccsuyyull((taa63nn55tt1ss1--2((269857951-178---:660896907766--oo566r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. : `PPlleeaassee rreettuurrnn tthhiiss qquueessttiioonnnnaaiirreettoo Delt Delta ConsultantsbyHay Consultants bv May ,9. 2008in 2008 in the the enclosed enclosed stamped, stamped, self self- aaddddrreesssseeddeennvveellooppee.. - QQuueessttioonnnnaatiree ccoommpplleetteedd bbyy:: NaJme<aFndFTileLeute TTT ASST chickTe TT Name and Title L Fl:o:oa!~slyTtfinedpTr Fire Deparimert 2P7h4otnJ3e -N-ul4mfb17e'r91--13o0:3J{, Phone Number oactopulblnintha@ bitrateCor hlio~aW.a-ca1rd6es1/}"/,L,z w.tles@ l.of1'14lt. C'(),.., E-Mail Addr ss oStefp Kinogen Phen: Phone: 651.639.9445 651.639 . 1 5910 9449 I 800.71417Fa7k: Rice Creek Parkway 800.477.7411 Fax: 651.630.9473 Suite 100 St. 651.639.9473 hmrodeliacnrciam Paul, MN 55126 USA www deltaenv.com 222222..057711 STSATATTEE0_202882211552288 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1 Does your Depart croryha your Department historcal se Cass Aof ClasBs foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for fratghng operators? firefighting operations? Vos - rocoto Question --,---- 34X, NYoes- -SSPiiggronncttehheeedbbtaaoccQkkouofefstththiiiossnffo2orrmm No- aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. Howofenis Cass B or Class foam used response fo re cals? 2. How often is Class B or Class A foam used in response to fire calls? 025th res 25.50%of res 75-1of0ee%s ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5 Docs teDeparment havo a compressed i oa syst (CAFS) with atin arkon 5 Gngno(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes ke ___ No 4. Howoltn foam used in ain execs? 4. How often is foam used in training exercises? J ony _ aumeny ___ Weekly ___ Monthly ___ Quarterly SomiAmualy Aoruly BrAmualy ___ Semi-Annually ___ Annually ___ Bi-Annually TT oteemenpenty ___ Other (please specify):----------------------- 5. 5. How How much much foam foam sis used used por per vairing training oevveennt?? Less than 5 gelons 5 gators Less than 5 gallons 5 gallons ___ swig 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - 5. In aining, hero doesth spent far gc? 6. In training, where does the spent foam go? Sto Sower __ SataySewer ___ Storm Sewer __ Sanitary Sewer Otros deseo) c___ OthBr (ple<'lSP. degcribP.): - - - __ Onstosopic On-Site Septic GroGuronundd 7. Where oeslid he ling ako piace? Please include adres, intersectiono ther speciclocaion 7. Where does/did the training take place? Please include address, intersection or other specific location norman for cute and pat ang areas, information for current and past training areas. Kinoger: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00572 SsTTaAeT_E0_022682211552299 QQUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 Wot pes an ear) cam 0 wr ec anh at yhDogrtinnsl fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire vm pe oe response and in training (if applicable)? Please check all that apply. TyTyppeeooff FFooaamm Ganson Fin. Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((.AAF.FFFFF)) Geos, Class B Alcohol| Resistant (AR)-AFFF i Class B Protein Goa Fuoroprnn Class B Fluoroprotein = -_ (FP) Cat FE Class B Film-Forming Bn Fluoroprotein (FFFP) amome | -- Class B AR-FFFP quan Class A-B Hi I Expansion Foam pan - Class A BBrraannddooffFFooaamm Ttanns Used in Training? YYeessoorrNNoo Amount Amount Used AnAnnunaulalllyy -- EE optanor Current Use or HiHsitstoorriiccUUssee?? -- -- Training Foam over -- Other Toyourbrykour ne andcpt, Psa conta Nay Ring 3 ots Carta 51.007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 eas Weoreassa peodt CLoErlS2oonetras or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerroettuurrnntthhiissqquuesetsitioonnnnaaiirreettooDDeellttaaCCoonnssuultltaannttssbbyyM11ar1yav99,. 22000088iinntthheeeenncclloosseeddssttaa.m-nppeedd,,sseellff-: aaddddrreesssseeddeennvveellooppee.. J TLovuu!LsebE Turyo-1E d hie" Lovss bor Name and Title Freon ~~ Fire Department Fron Toms =A Se fo F Phone Number Date ------------------------ E-Mail Address Kinoger: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00573 stare_028215% STATE_02821530 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1 oss your Department curentyo has your Deparment isrcaly usd iss Aor Ga8sfoasms for 1. Does your Department currently or has your Department historically used Class A or Class B foams for fearon operations? firefighting operations? Yes - Proceed to Question 2 ----:- Yes - Proceed to Question 2 17 No Sign thbackoftis form an return Dt Consultants V No -Sign the back of this form and return to Delta Consultants 2 How fens Gass Bo ClAafasm us in esos col? 2. How often is Class B or Class A foam used in response to fire calls? _ orvdies _osseottes ___7si0bolfes ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. Does the Department have a compressed i foam ste (CAFS) wih abun tankon 3 engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? You ___ Yes we ___ No 4. How ofonis oom used in raking exercises? 4. How often is foam used in training exercises? New Wey Mow ___ Never ___ Weekly ___ Monthly Semvaaly | ___ nal ___ Semi-Annually ___ Annually cure ___ Quarterly aramualy Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecicfifyy):): - - - - - - - - - - - - - - - - - - - - - - - 5 Howmueh foamis used per ining overt? 5. How much foam is used per training event? _ esstamsgalons ___ salons _ swtogakns ___ Less than 5 gallons 5 gallons TT Moro tan togutons emery ___ More than 10 gallons (please specify): _ _ _ 5 to 10 gallons 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sower ___ Santry Somer Onstesete Grows ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over esseceserver ___ Other {please describe):----------------------- 7. Whete does he raining lake lac? Please incude adds, erscotloenr speci ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location Hemant vt an pos ann eas. information for current and past training areas. BDXInog~:rr ,,, OVER--~ rene som S ES GTLTOE E VEL Sras hma aeni. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 65.1.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005574 SstTaAreTE_022882211553311 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What tyes) an ranofsfo)am aor wer use now andthe ast btyh Deparment, bt fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss arn sain (appease Please cracak rs apy response and in training (if applicable)? Please check all that apply. TUrsaemdnign? AmUsoeudnt Curenty Historically TyTyppeeooffFFooaamm is Aquesous Class B Aqueous et Film-Forming Foam en (AFFF) Cl8Aaconsor Class B AlcoholFesaony Resistant (AR)p=AFFF CossePwon Class B Protein Goss Class B Fcroproton (7) _-- -- -- -- Fluoroprotein (FP) Go8sFism Class B FilmFog Forming Freamoton -- -- _ Fluoroprotein Fre (FFFP) Chspamse Class B AR-FFFP Cass AH Class A-B Hi He Ream --_---- -- -- Expansion Foam Goss --- Class A eT Training Foam oer = = Other `BBrraannddooff FFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? Than you for your te and cooperation Plea contact Nancy Rodinagt Det Consultants (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodingoaaemcom) om Siding 11g Memes PoonCorotAgnes (60 3079008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency {651-297-8666 or acing Gott mus) You hav sg avesions veering suecioroae jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. EPlleeaasseerreettuurrntthhiisqqueusetsitioonnnnaairireettoDDeletltaCConosnuslutltaannttssbbyvJJuunnee66,. 22000088iinttheeenncclloosseeddssttaammppeedd,.sseelflf- sessed anane addressed envelope. Questonnarecomsleted by: Questionnaire completed by: Lore, DSaa_nses Fire Chief Lore11 11..5 ~12 Fam ang i Name and Title L Ot<,l_tl bp Fire Department Fras33R~2am00sar-- ;2;28~3J-- _557-;66S5 Phone Number -- S5o--e33o0--o0<c%? Date a E-Mail Address HXKIwnooggefnne' ,, 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00575 sStTaAreTE_022882211553322 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DfDoroseests tyyioonuugrr DoDpeeeppraaartrttimmoenensnt?t curtentoyr currently or has has your your egarient Department Historical historically uusseedd CCllaassss A A oor ass Class 8 B ffooaammss ffoorr X_ firefighting '-~' opYeorast-ionPsr?oceed to Questio2n ___,.,/\.......__ No. Signtho baocfthkis form Yes- Proceed to Question 2 o- Sign the back of this form aanndd tu return ttoo DDoetltaa CCoonnssuullttaannttss ___ N 2. Howoflen is lass B.orClAafsoasm used respotnosfre cas? 2. How often is Class B or Class A foam used in response to fire calls? 025%offres ___ 0-25% of fires 25.50% of fres ___ 25-50% of fires XX_ 151005 75-100% ores of fires 3. Doos the Department have acompprreessssead aair foam foam system system (CAFS) (CAFS) wilh with uti a built-in arktank on on tsits engines)? engine(s)? com 3. Does the Department have a XX ves NoYes _ _ _ No 4. Howoten s foam used in vaing exercises? 4. How often is foam used in training exercises? Newer Weady ___ Moniny X_ auarery ___ Never ___ Weekly Monthly X Quarterly SomiAmualy poruaty BeAmualy ___ Semi-Annually ___ Annually ___ Bi-Annually Tovepemespenty ___ Other (please specify): _______________________ 55.. HHooww mmuucchh ffooaamm iiss useused ppoerr aining training oevveerntt?? ____X_._><_'--L"-e- sLsestshtahannSg5aglaollonnss ____ S5ggaalllloonnss ___ S5ttoo 1100ggaalllloonnss ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): __________________ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm go? _ SomSower ___saniary Sow _onsteSeptc _X_Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ___){__ Ground Oth lease deseo: _ ___ Other (please describe):---------------------- 7. Wfhoremraetdioonaifocrdcuhrerenit anndgpatsatkaplnagc? aPreeaasse include adress erectionorca pec ocaon 7. Where does/did the training take place? Please include address. intersection or other specific location information for current and past training areas. Xinogen OOVVEERR---+ Phone: 651.639.0089 1 800 477.7411Fox: 451.645.9471 nduiSliRY.Cnom. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005576 sSTTaAtTeE__0022882211553333 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg - 8. WWshphaoatnt sttyyeppee(a(ssn))daannnddabbnraangdn(s1d)ooa(fffpfsooaia)mmcaaareeeoaPrwawosersereeuuscsheeoddcknnooawwnaantnd 9iinnptthh:eppaasstt bby tthheeDDeegpaarrttmmeenn,t, bhboth for for fre fire response and in training (if applicable)? Please check all that apply. TUUrsasenedidniignn? AAmUmosoeuudnntt Gumenty Historically Training? Used Currently Historically CFCliaTTmsiy~sfpQ8BooenoAmAoqfmqfsuugFFeeofooosauaoumsmsom -- BBrraannddooffFFooaamm YYeessoorr NNoo AAnnnnuuaallll~y UUsseedd?? UUsseedd?? FFF Film-Forming (AFFF) Foam CCRlaolsss8BaAAscslcoRohahas)oi-l- -- _ __ EE Resistant . 11..FFF (AR)- CasspPoen Class B Protein o_o cFCllaansossospBrotin (FP) _-- -- -- -- Fluoroprotein CForlmia8ngFsims- Class B Film- (FP) Forming Fh(rFoepmroten Fluoroprotein || on te (CFaFFsPs)BARFRP Class B AR-FFFP CBoaasonaFsoam Class A-B Hi --T---------- ---- ---- ---- ---- Expansion Foam CCllaassss AA TwongFan SSpLLyV =-eE-xx Y\tCE3 l ~ SIoou y-jtcm5 yI tILeC:sS omer Training Foam ---- | -- -- -- Other oTTrhhamannokk ynyooguu of@ordreyytooauurcrntiiymm.eeconamnd)d occoooorprpemrearStalitioooncn.k.inPPgleleeraaassteehccaoonnMttaaiccnttoNNsaeantncscyyPRRoodoonindngaCiaotDnnDerloetglltaaAgCCeoonnncssyutlt(aa6nn5t1ts-8((066755611--666699677--o55115522 im Stocking @tet 08) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you hav any Questions regaring 1 QuesiannaLe. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or aPPdllreeeaassseeserresettuuerrnnnettlhhioisspqqeuueestsiotninaoirnetntooaDDiiertlteaa CCoonnssuullttaannttss bbyv JJuunnee 66.,22000088 nthe in the enclosed enclosed stamped, stamped. self: self- addressed envelope. Questacompleted Questionnaire completed bbyy:: . FameLLmaund.;TprilGoat/ bZfofie" C c?&pEeF Name and Title FFiirreGDopeaprairtmmeenntt Pron/e-N2um1be8r -843~ 753) Phone Number -- tl--4Da4t-e-60F8 Date E~~=~-oeq E-Mail Address (Inogen - Shane: 631.630.95051 895.0375411 Fok: SEL633047) momsobasntt tom a Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00577 STSATATTEE0_202882211553344 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. frDDaoofoegsshyiyoonugurroDDpeeeprpaaartrtmomerensnt?t curently currently or has has your your DDeeppaarrttmmeenntt sora historically uusseedd CClaslsAAaoorrCCsalasssss BB amsfo foams fo r firefi~ ghtine g opNes eorsa-tiSo--iPnPgsrr?nooccteeheeoddbttooQauQoeucfsetsthktiiiosonf2n2orm and return to Dol Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. How o ft n's is CCalassss oor CClasasAAsffoosaamm used used in in rreessppoonnsseettoorfiroe als? calls? 2. How often B o2ssot tress X)<K 2550 25-50% ootf resfires ___ 7755--110000%%ooff resfires _ _ _ 0-25% of fire 5. Doos the Deparment have acompressed ar oa syst (CAFS) witha bitin tankon s angine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes vo ~No 4. How often foam used in traning exercises? 4. How often is foam used in training exercises? Week --_ Wonty oun -- somiAmualy ___ Weekly ___ Semi-Annually Monthly 2X% AnAnnunaulalllyy -- _ _ _ erAmualy Quarterly Bi-Annually Toveesespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm sis uusseeddppoerr aig training eevveenntt?? :2::z4<_ Less than gas Sostons MLeosrso hanthan 10 galons 5 gallons gallons sa (please spectys5 gallons specify): _ _ _ More than 10 __ ___ swiogons 5 to 10 gallons 6. ning, where does th spt foam 957 XK storm Sewer SanitarySewer 6. In training, where does the spent foam go? >( Storm Sewer _ _ Sanitary Sewer I _ _OOnns-SiieteSSeeptpiticc S~GBrGoruounndd J ---- _ _ _ _ Other (please describe):---~~-,-----------------,----,---,-----:-- 7. Where doosldd he ining take lace? lease incude addres, interseocttihorn speci ocain 7. Where does/did the training take place? Please include address, intersection or other specific location ormaton for cute 3 pst rang reas information for a t1"' GG~ruo\v)eL current and 5S;+ &~ 4ve- Ly past training areas. 2 t-dAve LyleI.~ MN XKinogen rane sot ore Srs EBS CreSTRL RFok EELee1h000435) mFaalSTtIG aUE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00557788 STSATTAETE0_208228211553355 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 68. WsWhphaoatnt ttsyypepeea(ssn))taainnnddabbirraanndn(s)1) ooaffpffopoaaemmaatareeoyorPrwawesersreee sucseheeddcnknooawhw naanntdd aiinppttlhyhe paspast by by the the Department, Department, both both orfor frefire response and in training (if applicable)? Please check all that apply. sotto BrandofFoam YTUonseondgrin?e AAmUmosueudnlt CsuimosrnotUUsseeo?r Type of Foam Brand of Foam Class 8Aqueous Fim Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) -- Class BAlot: Gass 8 Protein Class B Alcohol- RReessiissttaanntt ((AARR)}-AAFFFFFF Class B Protein - Cas 8Fuoroprotein No Class B Fluoroprotein = mre eee (FP) Gass 8 Fim Forming o cassoarerre Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) ~~ Class B AR-FFFP Cass ABH No Class A-B Hi Gono or --02 Expansion Foam Gass A Class A Traing Foam Training Foam Silv-ex - Oter S.A Other Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? M Noo NNo o --- Me No No N NNeooe No YYees s Bgl. lurrens NNe o = Thankyoufor youre nd cooperation, Pleas contact Nancy Ring ai Det Corsalans (651-097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rodnnaGdohacm.com) or Slings 3 the Minnesota Poulan Corr Agency (31-597.3606o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im stckiner@stte mn) 0 hve any estos GANG Ie uestomars jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiisqauuesetsit ioonnnnaaiirreettooDDeellttaaCCoonnsuslutl taannttssbbyyMMaayy99,, 22000088iintthheeeenncclloosseeddssttaammpoeedd..ssoellff -- setassod onseione addressed envelope. [Tr -- Questionnaire completed by: Tadd Cooling, Chieff -r;;J.~ Coo\ i ~ ame and Toe Name and Title C..~; e_ F; Freeper 1L-y'1l)eQ_._ Fire Department irree DDQept Ph55on00e1N7-um--be33r.;2< S5--22 22221- I Phone Number _Ev+-1a-0odeddJssCCoooolJi/;.n..Jg:. @@ .Ffrroohd..if te'err- nn,e~t+.. Yn\ ee+t E-Mail Address T4Loe/-~2300 --0088 Date Xinogen PPhhoonnee:: 651.629.3549 800.477.7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639.9473 Suite 100 St. 651.639.9473 dmoewnliasnv.cam Paul, MN 55126 USA www.deltaenv.com 22222..00579 sStTaAreTE0_208282211553366 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 11. . fDDrooefeeosshiyyngoouurr DoDpeeeppraaartrtimmoenensnt?t ccuurrreennttllyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CCllasasAAsosorr CClasls 8Baffooaasmmsssffoorr firef ig)r opYerat-ioePnrso?cseed toQuestio2n "_7 __ No Sign tho backof tisform Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreettuurrnn ttooDDeelltaa CCoonnssuullttaannttss f 2.. HHoowwoofftteenn'isCCllaassss BB oorCClalassss AAffooaamm uusseeddiinnrreessppecnnsseeftooffrire ccaalsls?? 2 _ ___ o0-z2s5%nootfwfireess oXKss25w-5h0%otofefiress _7__1_0_07%5-o10f0%fiofefiress 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprresessesdaeaidir ffoaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa ulti built-in ttaannkk oonn iftss eennggiinnee((ss)?? Yes ___ Yes to + N o 4. Howoften ifoamused in raining excrcses? 4. How often is foam used in training exercises? Weekly Monty Quarry ___ Weekly Monthly ___ Quarterly Semi Avualy +x Aon BiAnnually ___ Semi-Annually Annually ___ Bi-Annually Ober (picasaspeci ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. HHooww mmuucchh ffooaamm iis uusseedd ppeerr trraaiinniinngg eevveenntt?? ~ Yo Lesstan stone Sgalors Sto 10galons. 0 _ _(_ oro Less More hanthan than 10gatons 5 gallons 1o gallons p(plleeaassee speci5 gallons specify): _ _ r-- e e ___ 5 to 10 gallons _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ 6. Intaining,where does the spent oom go? 6. In training, where does the spent foam go? StomSawer ___ Sanitary Sower onsteseptc _K_Graun ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ___f:._ Ground Othe (peasecoserie)__ JE OthP.r (plea~e desr.ribe): - - - - - -------..--------- ---------- .. ----- - - 77.. WWinhhfeoerrrmeeatddioooeenssflo/rddciidurtthrheeenttrtaaiainnniindnggpaataskkteeapplnlaaccgee?? cPPalleesaa.ssee iinncclulddea aaddddoressss,, iintnerfseecrtiosneoofcrotothoheenr spec specific llooccaattioonn information Jf ric,urreDntUaSnd past traLti-nioOngeCa_rAeaTs. IOtNJS5 Kinogen Frome: 551.639.9S00S8T1430 C033RSLFTarrFayk SS1u1e0310024S7C3 w7ar WaNliSnTaInG.UcSomK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00558800 SSTTAATTEE__0022882211553377 ; QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What type(s) and rankofsoa) a orwere use ow and 1th astby ho Oparimen, bth or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaatt aapppplyly.. TeoFoam BrandofFoam YTUasooedrnitgne aAnmUaoseuldnyt Curent usoor Type of Foam CCllaassss BB AAqquueeoouussFFiilmm-- pmb om fsTul SEM Forming Foam (AFFF) GlBoAosnso Class B AlcoholRosson (RAFF me ge Resistant (AR)-AFFF cobra Unulfun\.0 awn fio-J2 s)_ 5 eshai Class B Protein Gl8Fauorospecsten Class B Fluoroprotein w _ (FP) lass B Fim Forming Class B Film-Forming Pron ory, | -------------- ------ ---- -------- Fluoroprotein (FFFP) cosoamE Class B AR-FFFP GossABH Class A-B Hi Corsonfoam --tB---------- Gass Expansion Foam Class A A Training Foam oer rT Other 3M Brand of Foam '3M "1 w V\ _stevas Used in Training? Yes or No f_2--3t )_ Amount Used Annually IJoolgtat( Current Use or Historic Use? ,5~%4./l rfu/3;-cG Mos 395 Covnuct Thnk or our me and conperaion. Plas contact Nancy Roding af Dela onsuans (851.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rigGetaeycom) on Soin on Minese Fob Cond oer (51 5075000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or eck Gta) ou hav a aon regarding asia jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Prose aun this questionnaireto Dols Coptntsby Mey 2.200 i hs enclosed stamped sel Please ~eturn this questionnaire to Delta Consultants bv flllay 9, 2008 in the enclosed stamped. self- Fr rorrie iony or " addressed envelope. - NRaammoe asnndd ThTitle _M FreDisarimh ant o Fogg Ofe f n Fire Department PhonSe KBur7oer Gor Foy =Sh I fs Datr HaCdpipet KXiInnoogge~rn: ,., - 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA RE Eh mT Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..058811 sStTaAreTE0_208282211553388 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DfDrooaeetssgryyuoounurgr DDopeeeppraaarrttmmoerensnt?t cst cur r e n t l ory or has has your your Deparment Department storal historically sedused CassClass Aor A or Class Class 8 foams B foams orfor f i r e f os Proceedto ighting operations? -~s-- Proceed to QQuueessttiioonn 22 AC o-Sign hobackofthis form and return to Delta Consultants ~ No- Sign the back of this form and return to Delta Consultants 2. How oftnfsClass 8or ClaAfsoasm used in respons to re cal? 2. How often is Class B or Class A foam used in response to fire calls? _ oaswottees 25.50% or fres Ta 00% a res ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Doss he Deparment have comprossod i aa ysiom (CAFS) witha bun tkons anil? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes Te ___ No 4. Howoften foam used in sing xercsos? 4. How often is foam used in training exercises? New Wey Mon _ Guneny ___ Never ___ Weekly Monthly ___ Quarterly -- Sombanuaty Porualy omy ___ Semi-Annually ___ Annually ___ Bi-Annually Over easespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam i used pr aning oven? 5. How much foam is used per training event? Less tan gators Sgalons ___ Less than 5 gallons 5 gallons ___ swig 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfifyy)):: - - - - - - - - - - - - - - - - - 5. In oining, wheredoes tho spot foam gu? 6. In training, where does the spent foam go? Storm Sawer _ Saniary Sewer onsite Septic Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Overioasodoscivoy ___ Other (please describe):----------------------- 7. Wdohromroetdioon eofsCunreenrtnanidnpaoktovplaacge? aPreaass.o includ ads, ntersecton ober specific ocaion 7. Where does/did the training take place? Please include address: intersection or other specific location information for current and past training areas. Kinoger OVVEERR---+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..005582 sSTTaAeT_E0_022682211553399 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What pee) and rans) foam ar orwer uso now and in hepa th apart, bn os fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire a ang aes Ps Sock om oy response and in training (if applicable)? Please check all that apply. TUrsadninny AmUooeudnt Gumenty Historically TyTyppeeooffFFoaamm BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? Class B Aqueous orommatan o_o Film-Forming Foam ey (AFFF) Gl8aAses. Class B AlcoholResin, Resistant (AR)feAFFF CosBpoon So Class B Protein Gls Class B FFlluuoorroopprrootteeiinn ((FFPP)) Glass Fim Class B Filmjo) Forming Fimopoten _-- = -- Fluoroprotein re (FFFP) Caw Class B AR-FFFP Gass 81 Class A-B Hi Eitan --_-- Expansion Foam Gass a Class A Toor Training Foam one = = Other Thar you for ou meandcosperation. Pleasecontac any Roting atDolla Consuans (51097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oreo ae como im Stosinge tn nase Poon ColAgere (51 5973000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or frist ei Err la sel jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas retum is questionntoaDiortet Gonsutanbtys dun5, 2008 nth enctosed stamped, st Please return this questionnaire to Delta Consultants bv june 6. 2008 in the enclosed stamped, self- `addddrresssseeddeennvveelloppee.. Quesionnakscompleted: Questionnaire completed by: Llogne hoon CHS ~&;A~ ~~ Corsa aaa Na~nd Title rine Zoe Mop? ./Ai,~t'/~~4/f. Foe Doprinat Fire Department 1/i-= Fran Nim PLE P35 Phone Number Ninogen E-Mail Address 5357 BoGrp Date ee vores srr TTT TS a 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00583 stare 02821540 STATE_02821540 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. DfDrooasefssghyyioonuugrr DpDeeeppraasrrotmmneesnn?tt crtnty currently o o r has has your your Deparment Department sora historicall y usedClass used Class Aor A or Class Class Bfoamfos B foams for 2X firefighting X Yes Proce operations? to Questio2n NoYe.sS- iPgroncteheodbtaockQoufetshtiiosnfo2rm and return to Dela Consultants No- Sign the back of this form and return to Delta Consultants 2. Howoften s CBaorCisass s foam used in response fo re alk? 025% of fres __ sssouotmes A7st00%offies 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires _ _ _ 25-50% of fires l75-100% of fires 3. Doss the Departmenthave a ccoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wihwith aun a built-in arktank onson its eennggninee((ss))?? e a 3. Does the Department hav No AXveYses _ _ _ No 4. Howoften's foam used n vanng exercises? 4. -- How often is ___ Weeity foam used Weekly in training SA exercises? $__ wMoonntnhlyy SeomAnmualy Aomcaly a+Arnualy Semi-Annually ___ Annually -- ___ uQaunareterryly ___ Bi-Annually overessespecty Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 Howmush foam suse por vaining oven? 5. How much foam is used per training event? 2)<X. tLeesssstthhaanns5ggaallloonnss ____ S5ggaalllloonnss _ __ ___ S5wtoi01g0aglaollnosn.s Morsthan10 gallons (lease spi LM. More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Som Sewer __ Santary Sewer Onstesepic AGround ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic $Ground ter please deserve . ree ___. Other (please describe):--'---~==--- --'-'---'-------------- 7. Whore oeslid he ring ake piace? Please include addres, nersectono other spec acaon 7. Where does/did the training take place? Please include address, intersection or other specific location formation for cir an past ing ances. ~~~~ information for current and past training areas. XKinogen A TE TS Te Be oer 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA roner 651395005 305 71 TATE TRL: BAL mae tacan.cam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00558844 STSTAATTEE_0022882211554411 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg eVxiptoarteyepeesn)dainnGbariannes aofppfloeasm reoPwearseucsheecknawaantd anphy past ye Departmen, bh for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Gmthamartn Ange ISgda en TUnsendgine AmUosuednt Curentusoor TTyyppeeooffFFooaamm Class 8 Aaueous Fn: Class B Aqueous Film- Forming Foam (AFFF) Class 8 conor Class B AlcoholReason (apy | -------- ------ Resistant (AR)-AFFF Clssepoen Class B Protein Glas& Fuoroprren Class B Fluoroprotein I) -- -------- (FP) Clas Fim-Foming Class B Film-Forming Faron (Hp) | | Fluoroprotein (FFFP) CassoaRFrR Class B AR-FFFP cassaph Class A-B Hi Sosmfoam T------------ Class A Expansion Foam Class A Training Foam ee rr Training Foam over - Other BBrraannddooff FFooaamm Ao~ Ooguae Used in YesorNo Training? Yes or No Amount AAnnUnnusuaealdlllyy HCiHsuitsrrtoeornriitccUUUssseeeo??r ya 100cdeaugpet ISyun Thankyo for your time and coopraton. Peas contact Nay Roding a Dla Consular (651-097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or edn dase coomr i)m locking at hs Mines Poon Corl Agency (651-487-8006 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or SocketGite nae) 0 hve ay Guesions regarding hs Queshomnans. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rotu his ausstonnsle to Dot Constants by May , 2008 the enclose stamped, sl. Please return this qu~stionr:aire to Delta Consuft;;nts by ,Way 9, 2008 in the enclosed stamped, self `adddrressedeennvveelloppee.. Questomare compltedby Todd Rogers --- Questionnaire completed by: =tOdd ~o~~r ..s [ Name and Title PNdormedi ED '(Y\ ~'r-)ro'rY"'\d\ \=-- D ire Deparment Fire Department Phone Rarer LS) MS Phone Number LsS22 -, 'fY) ~ ~ om-e...d:, EEM-Maialil AAddddrreessss. f~ A2 c.oroc. a--s+ Y\..QJ't- - = 4|2al04 NKinogerr } 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.629.0945 1 800.477 7411 Fak: 651.639.9473 mhuridslinans.cam Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00585 sStTaAreTE__o022s82211554422 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. . DrDoaoeenssgiyyoonuugrr DDoepeeppraaarritmmoenensnt?t ccuurrrenetlynootrrhlhaayss yyoouurr DDeeppaarrttmmeenntt hhiissttooriccaalllyy suseedd CCllasasAsAosorr CGilassss BB ffooaammss ffoorr XX_ firefighting opVeerastiponsr? otcoQueesetiodn2 YNoe. s-SPigroncteheedbtoaQoufcetshitiiosnf2orm and rat0Duelmta Consultants No- Sign the back of this form and return to Delta Consultants 22.. HHoowwofoeftennisisCClalassssBBoorr GCllaassssAAffooaammuusseedd iinnrreessppoonnsseettoo rfireeccaallllss?? x _X omwortes 0-25% of fires ______z2s5s-5w0%oioif feiress ___ ___ _7s7i5o-100s0e%otoff ifireess 3. Does he Department haveeaa ccoommpprreesssseeddaaifir ofoaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa bbuuiiltt-iinn ttaannkkoonnistseennggiinnee((ss)?? av 3. Does the Department h Kv ~Yehse No 4. How often s foam use in ining exercises? 4. How often is foam used in training exercises? x SWoomlAlyrually ZoMorntay d QaiuAamrursyly XCOther pease speci: "Werr Use ___ Weekly ___ Semi-Annually ~ Monthly Annually Other (please specify): / ( /C U S C: ___ Quarterly Tp Zmizy Bi-Annually r /) vq/-~/-js / 5. How much foam s used po ining oven? 5. How much foam is used per training event? 2X_ Lossthan gators 5 gators Sto 10 ators X Less than 5 gallons 5 gallons . _ _ _ 5 to 10 gallons Moro han 10 gallos (ase speci cee ---- More than 10 gallons (please specify): ------''------------- StomSener __ Santry Sever onstosane 2Gow 5. 6. ning, In training, wher where doss does tthhee ssppeenntt ffooaamm Ggoc?? . ZX. --.,....-S ~- over torm Other pease Sewer (please deserve __ Sa describe): Z_criedam nitary Sewer __ I uSeJ o.vJ O[n-iGSir'rteee..Seip,tLiEc_. ct,iJaa,n.1l/ddGbr.o/zeuen_CCde-Co7orJr#/v-h.irefde,n 77.. WWonhhmeeraretddoooenessif/dodriiddcttuhheentrtraaiainnniicnn.ggptaaaskktoeappllnaaccgee??aPPclleeeaasssee iinncclluuddee aaddddrreessss,, nesocton intersection oofr cirother ssppeocciifiic llooccaattioonn /'ctv '1 ruining Bap on pla NS) information for current i.Ie. bo ue.. por wsedJ. and past training areas. /led-- u.r.e this tee ab A Se bgouimnt=cU Hei-_r bir XXiInogeenn ,,, JEST ro Cre FRA SETR 1E00 H5 Fa SA SE US Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 --, Paul, MN 55126 USA www.deltaenv.com 22222..005586 STSTAATTEE0_208282211554433 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. What type(s) and branodfsoa)m a r ware use ow nd nh pastb he Depart, both or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire osponse and in asin aplcaley" Poses check a rt 39. response and in training (if applicable)? Please check all that apply. Tootfom BandofFoam VTTUUeraasslmienoaidirninitggnne?? AAAmUmUmossuoueeaunddlntyt CCHuuirrsrteeonnntteuUssUeesoeosrr ClTyBapAequosef oFsuoasmFim- Brand of Foam Yes or No Annually Historic Use? Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) CRloavssta8ntco(AhRo)lACFE Class B Alcohol- I - _-- eS Resistant (AR)-AFFF GlIa)ssClass Class 8B B Foroproten Protein Fluoroprotein _-- CFC(FullaPsas)rsso8BprFFtiilommn-FF(aoFFrmmFiRinYngg we = Cowen Fluoroprotein (FFFP) CCEClxllaaapsssasssnsAABi-BoABnHRFH:-oiFaFmFP = Class A Expansion Foam Clas .wx. .SSi Iiv,elxveex za LepshosCutrur 52 s A oer TTraraininiinnggFFooaamm - -- ee re] tmnt Other io`TorTrnhhanwatnrnooakkcdkyynnioiunnguggffe@oorrrddyyeeootllutouaartreeetin.nimynrv.seiccoaaemnno)dd)oomccroro1oYoJ)poiphemurearhSStaaittiioovonecn.ok.aincPyPglileeceraanaeasstgestohchcreoeonnnsMMttaiaicrnnctnteaeaNsrscnaiolncntaacgyyPPRRooolOluddtniciRoiunnneggsaCCabootonDDnntrnelvoaltlaarAAsgCCgoaeonnnnsecsuyyull((ta6a6nn5i5t1s1s--2((969357751-158--666689657567--o5o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerroettuurrnntthhiissqquueestsitioonnnnaairiree ttooDDeellttaaCCoQnfls.uSlUtitaanntts~bbyvMf!aI!.'y!V 99,,22000Q8B iinntthheeeenncclloosseedd stamoestamdped,. selfse-lf Freer addressed envelope. Questonnae completed by: Questionnaire completed by: AAiDu5....-= Nar and Tits ,:;(!..,~Jp /-err- Name and Title Fo7Bo]stihrtoen ~E~ier_e_ Fire Department Pho2ne/N5abe3r 89-63 Phone Number Depart mes p sB-ae7-o8 Date EG E-Mail Address NXiInnoogg~epn.:" ..,. SE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.635.5/084090.977 411Fok: 691.639.9473 mn delincns.som Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00587 sSTTaAeT_E0_202882211554444 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Trraaiinniinngg Firefighting Foam Use in Fire T Les Proceso questionz 1. 1. DfDorosaetssgyhyouounurgr DDoepeppeaarrrotmmneesnn?tt currant currently or or has has your your Depariment Department storia historically usedClass used Class AAoCor CllasasBBfsfooaasmmss for for firefighting operations? 7 No ign the back of this form and return to Delta Consultants :)'"'-=I Yes- Proceed to Question 2 _ _ _ No - Sign the back of this form and return to Delta Consultants 2. How ofenis Class B or Cass Afoam useid response fo fre cals? 2. How often is Class B or Class A foam used in response to fire calls? o ozs ates 250% offre 75-100%of res ~ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 3 Doss he Department have compressed oi foam syst (CAS) with a utin tar on is engine(s? 3. Doe~ the Department have a compressed 8ir foam system (CAFS) with a bui!t-in tank on its engine(s)? ve ___ Yes alto ~No 4. How often foam used i ining xerciss? 4. How often is foam used in training exercises? J -- unary ___ Never ___ Weekly ___ Monthly ___ Quarterly TT omiamualy | _OK_ Amualy Beunly ___ Semi-Annually o<.... Annually ___ Bi-Annually Other ase speci) -- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam sus or vaning oven? 5. How much foam is used per training event? Less han 5galans 5gatons 51010 gaons C?'S... Less than 5 gallons ___ 5gallons ___ 5 to 10 gallons More g than 10y gallons (please specify): - -- - - - - - - - - -- - - - - - - - ---- 5. In aining. whore dass the spent foam Go? 6. In training, where does the spent foam go? ______ SSttoorrmmSSeewweerr ____ _ SSaanniittaarryy SSeewweerr _ __ Oonns-Sititee Sseeppttiicc ~SGXroGruonundd T ovepomeceserwer ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. Whore oosicid ne ining ako place? lea includ adress, nersecton ocler specie locaion 7. Where does/did the training take place? Please include address, intersection or other specific location nFoon for cunt an pat aig arces. oe fe Lose /Jc. L ~ information for current and past training areas. \l.c_ ll c;. -..1 " [AG G. (p \ SNS L::--> \ \ s~.-~ RG?-A~ Kinogen OOVVEER R~ -- mona: 651.639.5805 1805 43 ATL Fok: E91 635.471 maaennIRERY.COM Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: pg Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00558888 STSATTAETE0_208282211554455 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 88.. WrWehhsaaptot nttysypeeeas(sn))daainnnddabbiriarnnadg(ns()fdooaff(affposolaac)mmabaalrreee?ooPfrewwaeesrreee uucssheeecdcknnooahww naanndd nit9nptthhee ppaasst tbbyytthh e e Daparment, Department, both both for for fre fire response and in training (if applicable)? Please check all that apply. GFCilTaTmslyysfp~BBoeeaAomAqofnqufsugeFFeopooosauoaumssmam FFF) Film-Forming (AFFF) Foam RCCelsalsssaBBnaAlAlslo(ctWooRhs)lo-l- press Resistant AFFF (AR)- CCalassssOBPPrrootweinn CCFullasasesspsBrotein(p) CFCFolluarlosmrsiaon8BpgsrFoFitiselmmin- (FP) FFFFloluuroomPrrooinppgtrootteeiinn C(FoFFsPs)BARFFP CCCElxllaaapsssasssnsAABi-SoBAnRHHF-iiFoFamFP ClEaxspasnAsion Foam TCalaisnsiAngFoam over Training Foam Other -- BBrraannddooffFFooaamm TUrasiendiinng? Used in Training? YYeossoorr NNoo Amount Amount Used Used AAnnnnuuaallllyy ~~ ---- _-- -- = S.5,h/vcox es 5",S/v..i.:- ...l... uea ee = Yve~ss oo!Gs'~\ Hy; eess Lj'Ce,asrrl ---- Gurently Historically Currently Historically UUsseedd?? UUsseedd?? ---- ---- ---- -- Yyeess yy~ess yyeess pl'c:e'.Ja ZT ,d1t& V\. 77%. Stale Chior "ioToTrmrhhwanasornntoodkkdchyynkiooinnnuugggffe@@oordrr@doyyselootlutsuaarertentinimwmvmce.eco3oaammnn))dd)ooccyroroooJJpoiipemmerarhSStaaiottioovconeckn.ki.ninngyPPgelleerecraaeaasssteeilthcctoeoonrnMMtstaiaicrnnctnontegeNNsasaaoronntitcaacnyygPPRRoioololslcuudrtinQiiooinnunnggeCCaasototnLntDDotrreeoMolltlaaaAASgCCgeeoonnn(ncss6yuu6l(tla61nt5-t1ss2-2((9696757511--8--866696967676o--5o50r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plsaseroti P!sase mt:.::-n this this estontoiDaata auesticnnaire to Delta CCoonnssuultaanntstbhsyv Jluunng e6&.,22000088iinntthheeoenncclloosseedd ssttaammppeedd,, ltself- `aaddddrreesssseeddeennvveellooppee.. QQueusetsitoionnnaniarireeccoommplpeletteeddbbyy:: Nlaimnee aannda TieTitle - l-c FiteNDaeplarlmentmr Sige Fire Department ~Lon~eI~NaE-b=er 7Dg"0o --C7{3J-5533 hone Number Dee AGale fog Date Ee E-Mail Address Kinogen STE Cre pry EU 0 PouSIRUA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 651.639./ 98050.44353 S411 Fok: S9L639.047) mAomLLAcAom Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00589 STSTAATTEE0_208282211554466 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Firefighting Foam Use in Fire TTrraaiinniinngg 11. . DfDiooosefssigyyhooiunurgr DDoepeeppraaarrtttimmoenensnt?t ccuurrrreennttllyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyyuusseedd CClaisas AAsosorr CCllaassss BBfofoaammss ffoorr 7S Yes- ProtocQueesteiodn2 firefighting operations? ~Yes- Proceed to Question 2 No-Sign the baocfthkis form and rotu to Delta Consultants No- Sign the back of this form and return to Delta Consultants 2. 2. Howofen'sClass B or How often is Class B or Class Class AA ffooaammuusseeddiinnrreessppoonnssee t0offrireeccaalllss?? K~ e oats 0-25% of fires 25.50% 25-50% of of fres fires ___ 7755-10:0%4o0offt0friree%ss 3. Docs the Departmenthave a comprraesssseedd arair foam foam system system (CAFS) (CAFS) wibuhl with a built-in tank tank on on isits engine(s)? engine(s)? comp 3. Does the Department have a ___ YYeess = No r-No 4. Howolen is foam used in raining exercises? 4. How often is foam used in training exercises? -- wesly Noni Quan ___ Weekly -- semimualy XE norway BiAmnualy ___ Semi-Annually ___ Mof)thly )<: Annually ___ Quarterly ___ Bi-Annually Over essespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam i used per raining event? 5. How much foam is used per training event? ___ LLeesssstthhaann 5ggaalllloonnss 55ggalallloonnss. ,2 E s5ttoo1100ggaatlolonnss More than 10 galens (please speci) ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Intcaining, where Coes the spent foam 607 6. In training, where does the spent foam go? ~~ SomSewer ___SantorySewer __OnSteSeptic Ground ~Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ovepessedesbey '-'-'------'- Other (p!ee~e descFibe): _._ _ _.:..c__c:.:.:..c_.:.....,..._--..:_-'----'--'--- Ground 77.. WWinhhfeoerrrmeeatddioooeenssf/ioddriddcutthrhreeentirtanaiinninndggptaaakskee(lpaalaicceeg?? aPPrlleeeaaasssee iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr alr other speci specific llooccaattioonn i n f o rFEmiaitri~oen f Statodnl or current and past tr Stc.:{-,~ rJ u. I a i =nin - g 33ar'e0oas0o. mlllro\o-de0i, ~ e1~ /ft1,e..e_ r Ymtl a, / XKinogen i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phones 651.639.9545 1 850.TA4L3Fo0k: E5163wo9m .dt9la4cav7.c5om Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00559900 SSTTAATTEE__0022882211554477 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training Weshptaynoa(a)nanndvbaann(ofcafop)amparse vleorooucs ecnaaoantd 3i3n0h asbyItn Oriment, bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUasendginy Amwoeudnt Curent usoor TTeyppeeooff FFooaamm Sima--5:smh-- Yes s-bgd.pet CCllaassss BBAAqquueeoouuss FFiillmm-- Forming Foam (AFFF) Gi8sAono KleoSead ves OBL _Currert Class B Alcohol- CE --PrgusFlCoSeel YoS 5-0 Curt Glass 8 Protein Resistant (AR)-AFFF Class B Protein BBrarndoaoffnFFooaadmm Used in @SocNo Training? 'PrNo y~ Amount Amualy Used Annually Historic Use? .Current Use or Historic Use? s-~ltoo:m.. f.kr++ 5 ... fO .9tre LvrY~ Znlish declyoy Glass B Fcrorten Class B Fluoroprotein ka i ---- (FP) Gloss 8Fioming Class B Film-Forming FlFoluroorporportoeteiinn ((FFFFFPP)) -------- ~~ gmoahnn Steera you cnt Cass ABHI Class B AR-FFFP Class A-B Hi Expansion Foam t-e Comeld~ Gass - Class A Tron Training Foam oer - Other Thank youto tm and coperaton. less contact Nan ining Dela Constants 651.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rata como in Stings ha inners Polo Comet Agony (05% 07.3000 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or roca Gta ms) Tou hos ay doors roping is qotshonrare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pies roti is aus onnaire to Dts rsa by Mey 5, 000 te used stamp, si Please return this guest!onn~ire to Delta Consultants bv 1\'lay 9. 2008 in the encloseo' siarnpedr sei'f- sass enviops. addressed envelope. Quesipmaspmpeibsy Acmtp1;eevte'dtJt>-':\ri.oanit N me and Title wveodsr -- Gre Fie YMDerpe\aromneYnklte~h~s~ So1~3)-8103 Fire Department ForSeoo!m-e-r-"J~)-~1~ 3 73/o5/0e SvReadE res E ecrellyyImoJa/mYnll.kCi{a~hhQfesos. pfo-1aa;1D..-a-.tesUy.S' E-Mail Address NXiInnoogge~nn: ,., } 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 631.619.9945 1 800.473.74F1a1x: 51.635.043 mami.daltanns.cam Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..059911 stare ozs21548 STATE_02821548 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1 one yur opment curryoro ye Depart hry ec iss Aor Clos fas fo 1. Does your Department currently or has your Department historically used Class A or Class B foams for Bema firefighting;>perations? von saa Gunton V/ Yes- Proceed to Question 2 ono t frmaf rnto Dts Contant ___ No- Sign the back of this form and return to Delta Consultants 2 owClos l orCssfam asa repre rocals? 2. How often is Class B or Class A foam used in response to fire calls? 2 oasnotnes 25.00offs Tot0o0tfr%es / 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 5 Doe he Dnt av comes fn yo CAFS) wi uli ank an rl? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? i"Yes 7 2 - _ N o BRR 4. How often is foam used in training exercises? oor ory oy ___ Weekly Monthly Tenaya rr ___ Semi-Annually Annually _ _ _ Quarterly ___ Bi-Annually ___ OOtthheerr ((pplleeaasseess pecp iyye c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - FE 5. How much foam is used per training event? 7 ww een0eo ronrs hsn e skuynir1202 3d -- _ 2_ Less than 5 gallons More than 10 gallons (please spe5cigfya)ll:on--sL..../L-"O"'-'-C:::~7-/7L5A't'o-'1d0~!gL~a-ll=o=n=s---------- 5. Wis 6. In training, where does the spent foam go? tenn amysonsr__onstwsone ~1ouarnunda ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic pe ___ Other (please describe):---...,....--------------------- a7. rWr duit ingoS reee?sePemstsc-t-=ee(, GrrectCoratsnspedec ten ~ ~h//1/LJ.N ~. 7. Where does/did the training take place? Please include address, intersection or other specific location ./'7'\nformation for curren d pas~ areas. / ./ / LV . / JTA?"//t?P!./ 0 (L_..)/L_Bii_ ?le?,dG~~ l-s~ s.z~~S#oAr~eJn S Z~Z SN=_. F~[/:27Y-"Ss-Oo ~_,6~ ' ~7 77~ . ~~ac;;;J~ d'2a/ . XXIinnoogg~errn "" re ooo ST TTL Ey i Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: pe Suite 100 St. 651.639.9473 AST Paul, MN 55126 USA www.deltaenv.com 22222..005592 sSToArTeEc_0a2s8e2i1e5e4s9 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training Wht p01) ad braofdfo)m arrwre used wand he sy th Deparment, boo 8. What type(s) and brand(s) offoam are or were used now and in the past by the Department, both for fire espana somes Pes ch of ot330 response and in training (if applicable)? Please check all that apply. Tange Used in Training? -- "ood Amount Used cumemuser Current Use or GFlB Avor ons. TyT~pQeeooffFFooaamm Class B Aqueous FilmForming Foam (AFFF) mm BBrraannddooffFFooaamm YoYsesoorr NNoo TF AnAnnunuaalllly~ HiHsitsotorriicUUssee? I CClalassss BBAAllccoohhooll- 7 /bg~.:t Resistant (AR)-AFFF ~ <<.a : Si,Jfdrtd"" -- Cambro | Class B Protein Gl8Faunsoprson Class B Fluoroprotein w= ee (FP) Glo8Fsis Famg | --- LLI Class B Film-Forming Fluoroprotein (FFFP) CassaRsr Class B AR-FFFP -------- cannon ii - == Class A-B Hi on foam Expansion Foam CsA onaryS5?8:t. Ab op Class A Taneg Foam Lips hme. Training Foam oer = Saco Other hzA7E~?~/V' 5:"' .4/1/7 L/s/~na/1/.I?L M ~~ /C:~t:7q.....pLT- LbT~~ hark you or your ie nd cuperaton. Plea contact ancy RodiDnelg Consular (516376162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Sm com)oso Sociha Woo oh Come gees (4+S57 4g or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or nA) Yo ov ay Aslan en eS jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas return ts stoneto Dat Constants by My 9,20I0 th actos stamped, set Please return this questionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamped. self- D Questpme nsis e comity addressed envelope. - Cn mss rr Te tre FTaneia., Cre fe LBs m7i5. 17-650) i fn r Fraga E-Mail Address er melee FoiE,rp 4S Inogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00593 sSTatAeT_Eo_206282211555500 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg J Yoo Proceed to Questio2n 1. 1. fDDeoooceissghyyioonuugrroDDpeeeprpaaartrtitmmoenensnt?tccuurrrreennttlyoorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallyl uussedd lClasasAA osorrCClslaassssBBfofoaammss ffoorr firefighting operations? 7 ~ NYoe-sS-iPgrnocteheedbatockQoufetshtiiosnf2orm and rreettuurnm ttoo DDeellttaa CCoonnssuullttaannttss _ _ _ No- Sign the back of this form and 22.. HHooww ooffteenniiss CCalassss BBoorr CClalssaAAfsfooaasmm uusseedd iinn rreessppoonnssee ofr to fire ccaalllss?? % 'j::, 00-z2s5%%ofotf ifireess ___ 2255-.5500%% ooff ffirrees ___ 775-51010%o0of0fffirr%eess 3. Does the DDeeppaarrtmmeenntthhaavvee aa ccoommpregseseedasaisrffoooaadmm ssyysstteemm ((CCAAFFSS))wwiitthhaabbuuiltn-in taarnkk oonn sits eennggiinnee(ss))?? 3. Does the YYeess 0 ..)() NNeo 4. Howoenis foam used in raing exercses? Hens Semihnoualy Annually Annually 4. How often is foam used in training exercises? O0 f.pJ c.e..{ l, ))U NNeevveerr WWeeeekkllyy MMoonntthhllyy _ Qu_a_ rtQeurartleryly vj YytA 1 r' ,v-J"" Semi-Annually Annually Bi-Annually 55 5Y~,, gA<eu s OOththeerr ((pplleeaasseespsepceicfiyfy):): - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ofoaamn iiss uusseedd ppeerr ang training eevveenntt?? X_ Lesstansgatons Salons 51010gallons LMeosrs tthhaann 510gaglalollnosns (please spe5cgia)llons _5 to 10 gallons ------------ More than 10 gallons (please specify): - , - - - - - - 66.. IInntaraiiinningg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sewer __SaniarySewer onsteSepic 3~kGroGuronundd ___ SOttotremr (Spelweaesre d_ esc_ ribeS)anitary Sewer __ On-Site Septic _ ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. WWinfhhoerormeatddioooensfe/odsidcuhthreerettrnaaiainnniindnggptaaakskeenppillaancceeg?? alPreleeaaasssee iinncclluuddee aaddrderessss,, ninetesrseecctitonooonrr oer other spec specific llooccaattioonn 8 5 mi Nown oF Chavo [aair 1 _i.n!.f,o!6Gr..m.::ua.vtt.iw.o=Nn~rtf~fLoJu.r...cn!.uyv_.rT.:.r.._.e..\.-n/t-.t.al1Jn.o.d..Ln;IpL;dae;isL!.tl~tl.r.a.,_Fi_n__.iifn--grr:...ea.!r.,e-"a"SM-s~C.:_a____n!I:__eJ_VA~t..::...--:l..=------'EG.~.e_,....._w,_trk.t: _ -'u!. ~l:r. _~"l'__,_'J _!T_Tra..!.m!:fl:i.'-'ff!:l.i,_L'-"-""do''----t,.v.V---'a-'-'~dH'"u'-'ts..=iSTr/te.eWmt 6) /lJotLJ1(~ r:?JZ I'JA.t<Ai. f11;v RRoa. S M i; {f-IIJ4,v..O XKi1nnooggepn1:' ,, OVER~ -- mane 31.s 0645 |e3E009Cr.3eTe5IpEaFrok SS9UL10 635.9473Sm PR WNs iSn1e26cUaSrAh 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00559944 SSTTAATTEE__0022882211555511 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 8. rWWhehasatpt toyypnpeela(ssn))daainnddabbirarnnad(ns()1dooafifpffoopsaaem)malaar)ree?oorPrlwweeearrseee uucssheeoddcknnooalww aananndd ainnpytth:he pastby past by the the Department, Department, bth both for for fre fire response and in training (if applicable)? Please check all that apply. TyT~p~eeooffFFooaamm ClBaAquseouss Class B Aqueous Fim Foming Foam Film-Forming Foam FFF (AFFF) Class Aonol- Class B AlcoholRess OR: Resistant (AR)RFF AFFF Class 8Protein Class B Protein casse CFFllluuaoosrrsooppBrrootteeiinn ((FFPP)) Cla8sFism- Class B FilmForming Forming Fuoproien Fluoroprotein (Fem (FFFP) casseaRFFP Class B AR-FFFP Class a8 Hi Class A-B Hi Expansion Foam Class A Expansion Foam Class A TanngRem Training Foam oer Other BrBarannddooffFFooaamm -- TT - SJuuv1=/ f- -r>J 75S4y5.n -- - TrUUassieenddiininng? YYTeerassinooirrnNNg?oo ---- ve '1-S Amount Amount Used AAnnUnnuusaaelldll~y Cumently CUUusrsreeeddn??tly HHiissttoorriiccaallllyy UUsseedd?? JE ---- ---- ---- ari G () o 0 SSecFm/-1L ToTrhhaannnrkokydyrooiuunfgfoo@rrdyyeooluuarrettniimymeecoaamnn)ddoaccoooomppeerarSattitioooncn.k.ngPPellereaaatsseehccooonnMttaiacncttoNNsaoantncacyyPRRloolddlnioinnnggaCaotntDDreeolltaaACCgooonnnssytula(tan6nt5tss1-((628559117---60890077-0-o556f115522 ism tockinger@stae nus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you hve any Gueshions regarding i Guestonnale. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or PPlleeaasseerreoturrn this this questionnaitroe questionnaire to Delta Delta Consultants Consultants by bv Jun6e, 2008 June 6. 2008 In in the the enclosed enciosed stamped, stamped, selself- aaddddrreesssseeddeennvveellooppee.. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: NNoaF;m/:e!mo:0eaifadfk~eTieoecrir!pCoom~ FiSveiDeaparrmenAiton Cee Fire Department Jnt S02 CHeE Phone Nomber 2 21r.~..,3p "?0l 7., [IS53J0o ULtooMmCe ~eo/ Phone Number Dae /l Z:Joo Date I ef Ewes E-Mail Address XXiInnooggefnn' ru oo PPhhoonne:e: 651.639.9/484650 477 5411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 53 639.9473 Suite 100 St. 651.639.9473 asi.asliannoem. Paul, MN 55126 USA www.deltaenv.com 22222..00595 STSTAATTEE0_202882211555522 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEEiirree TTrraaiinniinngg 11.. DDrooacetssiyynoouugrr DDoeoepepararsrtttmmoenensnt?t ccuurrrrennttlyy oor ashas yyoouurr DDeeppaarrtmmeenntt hhiissttoorriciacallly sedused CCllaassss AA oorr GCllaassss B ffooaammss orfor firefightVLing oopYNesroea-sti-oSnPPisrgr?oonccteeheeddbttaoocQQkuouefessthtiiioonnf22orm and return to Dla Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howollonis Glas or ClasA Class A foam foam sedused nin esse response ofa to fire cal? calls? v ' onsets 2. How often is Class B or 0-25% of fires 225s-s500k%aloif fvireess ___ 7755-110000%% ooff resfires 5 Docss iothe DDoeppoarrttmmeenntt hhaavvee a ccoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh abun a buill-in ttaannkk oonn fsits eennggiinnee(ss))?? Doe 3. "Vvveess NNoo 4. Howoten foam used in aiing exercises? 4. How oft~oam used in training exercises? Ea Wosky Wontly Quarety ___ Never Weekly SomiAmualy Aovuaty array ___ Semi-Annually Annually Monthly _ _ _ Quarterly ___ Bi-Annually TT overtessespecity ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foamsusod por rang avert? 23/2 5. How much foam is used per training event? ,.J /Q Loss than s galons 5 gatons sto 10 gators ___ Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons J -- _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Invaning wher doo he spent foam co? [ey 6. In training, where does the spent foam go? Storm Sower _ Saniory Sewer __ OnSite Stic Ground ___ Storm Sewer -__ Sanitary Sewer _ _ On-Site Septic Ground her (ease dos) _ Other (please describe):----------------------- 7. here does no vaining ak plac? Paso inci ass, ersto ier speci locaton 7. Where does/did the training takeplace? Please include address, intersection or other specific location oman fo cre: and a8 Yang reas information for current and past training areas. HXiInnooggepnl"r "'"' OOVVEERR-----+ rere EE TS RL 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00559%6 SsTTaAeT_E0_022882211555533 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. WWrhehsaapttonttyysppeee(a(ssn))daannnddrabbirrnaainnndge(s())1ooaffpffpooiaacmmaabarireee?oorPrlwweeearrseee uucssheeeddcknnooawlw and hantd in the 3in99t1h.e pastby past by he the Degarment both Department, both for for fre fire response and in training (if applicable)? Please check all that apply. TUUrassieenddiininng? AAmUmosoueudnntt Curent Historically TyTyppeeooffFFooaamm `BBrraannddooffFFooaamm YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy CUUusrsreeeddn??tly Used? Historically Used? C[FliansrsfBomAyequge--fooussm -- o_o ___ FFE) Film-Forming (AFFF) Foam ReCCsllaassstssaBnAtAolOcnoRahl)o.l- er Resistant AFFF (AR)- LS Class B Protein -- cFCualaissassrBBoprot(e7i)n - CCFFollualmosisro8anBpgFrsoFitienlsmi-n- (FP) FFuoProproen Forming Fluoroprotein --- (CFoFFsPs) pARFEP CExlCCpallaaasssnssssAABi-oABBnRHFH-oiFaFmFP --_------ CElxapsasnAsion Foam Say-ex NO races, TCalanssnAgFoam over Training Foam - Other ToTfhhaoanntikhiyoonuugf@foodrsyyotouaurer ntmimveecoaamnn)dd occrooooippemrearStaittioooncn.k.inPPlgleeeaaisseetccnoonnMttiaancctnteNNsaaonntcacyyPRRlolocudrinioinnnggaCaDotnDevoetlltaAgCCeoonnncssyuull(taa6nn5t1ss-2((6965751-18--660909707--o55r115522 Jim siockingor@stat nus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if 04Jim you have any auestons regarding is Quesbomir Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please reurn tis questionnatoire Dita ConsultantsbyJuno6, 2008intheenciosed stamped. sel: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellooppee.. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: dl Name and Title "' FrFiroe DDeeppaarrtmmeenntt :2:1l.o8fn6-e-N2:u?m4tbf7e1-r~ 7?8g8g5 5 Phone Number ?LB1al1too/ogtr Date ET E-Mail Address Kinogen -- Phone: Phone: 651.629.9945 1 5910 651.639.9449 I 860.A4TL7F7ak: Rice Creek Parkway 800.477.7411 Fax: 631.639.9473merdnliasny.cam Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00597 STSATATTEE0_202882211555544 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. HDDrooaeefsgshyyinooguurr DDopeeeppraaartrttimmoenensnt?t ccuurrrreenntlty oosr hhaass yyoouurr DDeeppaarrtmmeenntthhiissttoorriiccaallllyy uusseeddGCalassss AA oorr Clalassss BBffooaammssfoforr f i r e f Iv Yes - ighting operatio ~Yes- nPsr?oceed Proceed ttoo QQuueessttioino2n2 7 No Sign the backof thisform and return to Delta Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants X 22.. HHooww oofftteenn is CCllaassss BB.orr CClalssAaAfsfooaasmm uusseedd nin rreessppoonnssee tfoo refire ccaalllss?? _XC 0o-a2s5w%otoif frireess _ ___ 225s-s50o%vooffifireess ___ 755-.1010%0oof0frfire%ess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS))wwitithh aa bbuuiilltt-iinn ttaannkk oonn iittss eennggiinnee((ss))?? Yes --~Yes XXowNo 4. Howoten's foam used in traning xercses? 4. How often is foam used in training exercises? Newer Wey ___ Monty Quarry ___ Never ___ Weekly ___ Monthly ___ Quarterly SemiAnually XXC novaty BeAmaly ___ Semi-Annually Annually ___ Bi-Annually Over peasospecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - Loss than s gals, 5gators > X sw 10gtons 55.. HHooww mmuucchh ffooaamm iis uusseedd ppeer rtraaiinniinngg eevveenntt?? Wor than 10gallons (pease spec): ___ Less than 5 gallons 5 gallons 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intraning where does the spent foam Go" 6. In training, where does the spent foam go? X,>C(' sStotormrm SSeewweerr __ SSaanniittaarryy SSeewweerr __ OOnn--SSiittee SSeeppitcic. GGrroouunndd J r-- ee ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. Wfohromraetdionofso cuhrerenvtaisnnidngpatsktewpainaicneg? aPrlceaasse inci adress, inlersecion o the speci ocaton __200 JudbD STREET Sree on cen, b .5I: 7. 1/Vhere doesidid the training take place? Please inciude address, intersection or other specific location information for current and past training areas. '20 I ~b SI#J--1 /J1/ftE?.t~t.- ~ ~/) C .... XKIinnoogge~nn: ,.., OVER~ -- SRE Cr pry SU 106 SSFE Wh SS Us 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane 631.630.5045 800 33 TATE Fak S01 63519475 m delinn eeam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00559988 STSTAATTEE0_208282211555555 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yes) an brands) foam ar were used now an in th pastbythe easton, bth or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespons and n Gai f pleat Pease check al tap response and in training (if applicable)? Please check all that apply. TusorFoam SondotFoam TvUoesnsidonirgnS?e AAmUmsoaeuldnyt Csueraernt|Hisutsoreidcaslly Type of Foam Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Class B Aqueous Fitommotam Film-Forming Foam fie(AFFF) ClBaAosnos Class B AlcoholResin (Ry Resistant (AR)EE AFFF [A Class B Protein Cassi Class B Fucroproten (7) Fluoroprotein (FP) Clo8 Fsim Class B FilmFog Forming Fimogen Fluoroprotein Fee, (FFFP) --3M dh 7 Ya # MO eS ben. - _-- -- -- -- -- -- ---- CClalassss BB AARR-FFFFFFPP Class ABI MIF Class A-B Hi ErparsionFoam ~~ Expansion Foam ess -- omen YES Ye -- Class A v Tong Foam Training Foam over _ -- -- Other ir 7 hess __Apeds 7 -- Mo fis -- se -- tttJo---2/w) e61nf-e~ YYESs ~<SYeoe T 5-loo &.J-lli1Pe 5 fvow ~s s e.f-ss Thank you for your te and cooperation. Passe contact Nancy Roding s Dla Consultant (651-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or roan aac caomfi)n Slocingar tg meses Poor Corl gency (651-357-30o08 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or in tocingr tae ueY)o hve ay Gelons regarding i cuesbonnan jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plana eu this questionstc Dots Conslnts by uz 52008 nto closed stamps, sa PJaac:g rgturn tN.:: questionn:!!re to ne!ta C"'ns,Jtants hv June 5. ?008 fn the enclosed stamped, self: aaddddrreesssseeddeennvveellope.. &/1-c? { ped~ D)e)Ivt#e~ coer QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: > ENR. Name and Title I EF pte go 5. Ceorx reD/e1p1a11r-mfle-nr/tf)t: PP $: Fire Department Phone sNu/m-bero/3333--Z2<5f0t)/l Phone Number Et0DaD/A)dEed!wrVew~ss~D~u.ss Cps.Sp/1.. to)JRe.&to E-Mail Address : a-- _ 5/f2e 6Jo Xinogen ovenes 51-570 3TO ST Toke CES Ie Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Cw or Paul, MN 55126 USA www deltaenv.com 22222..00599 sStTaArTeE0_208228211555566 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEiirree TTrraaiinniinngg Firefighting Foam Use in F 5. Wha ype(s) and branodffsoa)m ar arwer usc ow and ni astby the Departmen, bth for fe 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eran st va f spl) Pass crack a at 35. response and in training (if applicable)? Please check all that apply. TUesiendnign? AmUosuednt Currently Historically TyT~p~eeooffFFooaamm cl8aAquseosus -- ---- -- -- Class B Aqueous Film-Forming Foam Fe (AFFF) CWl&aAE osrs Ban ee ee A Class B Alcohol0 Resistant (AR)wr AFFF Comopn -- -- -- ---- ---- -- Class B Protein Cass8 Class B nf ---------- ---- ---- ---- ---- Fluoroprotein (FP) Ca8sFism. Class B FilmFong -- Forming Fuaropoten -- Fluoroprotein wy (FFFP) CospareER Class B AR-FFFP Class ABH Class A-B Hi a, ------------ ---- ---- ---- -- Expansion Foam Gass A Class A rnngFoan Training Foam oar re eet ree me Other BrBarannddooffFFooaamm "-:{ yY") _5S; lvieklek Ml2_aa;rv)mJ a) Used in YYTeerassinooirrnNNgo?o Amount AAnnUnnuusaaelldlly~ CUUusrsreeeddn??tly Used? Historically Used? MnJeo Ml&ss S'~af-kJ> 1 Ta hank oa ufor ya or mecaannd ocooJperaSttioin.ngPelreoastconMtaichtoNsacnteyFRooduinngaContDroal ACgoonnsyu(a5n5s1-(269571-.8660676.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or cnaa r ue) 90 hve ay qussons regarang hs qestomie jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Prenat his quastiontpoaDiartes Constants by June 82008 1 th anclosed stamped it. P!eflse return thi.s questionnairg to Delta CDnsu!tants by June -6, 2008 i:? tho enc!oscd st~mpedt ::;:;If- aaddddrreesssseeddeennvveellope.. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: WR /Jlqrc- A. /!~ h-Name and Tie Name and Title FPieyDregsarhimeenttl Fire PLegpatnes Fire Department -- oo Fanotmeer 527-532-514 Phone Number bas(0-3-0% Date Etta Adress lP'hatr:lsrhshaJlIl.,tZ:'ilrr.ee ~ ITu"ww..v~e~s E-Mail Address XNKIinnooggfenn """ Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, www ever MN 55126 USA deltaenv.com 22222..006600 sSTTaAeT_E0_022882211555577 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DfDoroeoeissgyhyoiounurgr DDeeppagaorretrmmaetoennnst?t ccuurrrerntelyonortrhhlaays yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uussaeddCCialassss AAoorr CCalassss Bffooaammss ffoorr firefighting operations? iv~ Yes -PPrroocceeeedd ttoo QQuueessttiioonn 22 ___NNoo-- SSiiggnn tthheebbaacckk oofftthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 22.. HHooww ots often is CCllaassssBBoorr CClaassAAsffoosaamm used used in in response response to to fofire cas? calls? ___ 00-2255%% ooff ffirreess ~ asso 25-50% ootftfirreess ___ 775-51 0:01%o0off0tfrire%ess ves 33.. DDoosess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd arair ffooaamm ssyysstteemm ((CGAAFFSS)) wwiithh aa bulin built-in ttaannkk oonn iittss eennggiinnee((s6)?? JY _ _1<:.i/_Yes _ _ _ No 4. How ates foam used in raining exercises? 4. How often is foam used in training exercises? Never Weaky oni LL auarery ___ Never ___ Weekly ___ Monthly ~Quarterly --semchmudly Amal JET ___ Semi-Annually ___ Annually ___ Bi-Annually Oer(easespecty Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchh ffooaamm iiss uusseedd ppeerr trraaiinniinngg eevveenntt?? /7 LLoessss rthaann s5ggaatlloonnss 5Sggaatlloonnss ___ 556to01100ggaatlolornss. ----_ Worethan 10 gars please speci) More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn trraaiinniinngg,,wwhehreere ddooees ththe ssppeenntt ffooaamm ggoo?? __S_toStrormm SSeewweerr __ __ SSaanniittaarryy SSeewweerr Otver(plessecescrboy __ oOnns-StiteesSeepptticc Gr~ouunndd ___ Other (please describe):----------------------- ?It 77.. WWinheefrreoddrooeemssfat/odrdtcidduirtthrhoeeenntttraaiainnininnggpaataskktoerappillanaiccneog?? aPPraleeaaass.sae iinnclcuhdse aadcrdoressss,, iinntterrsseaccttioonn oor ootthheerr spect specific llooccaattiioonn inf~tion for current and past training areas. Llhke M~ahrsahf altl P/))rrte:rcrr7-df- C~o,t.o..n "2 ,Ltyds 3333 XXIinnoogg~enn '"" OOVVEERR--~ SS AT re Perey SU 100 St Paul Hi $3136 US_K 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.029.9505 1 850.037 S411 Fok $91.639935 maHdARIE.AE Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00660011 SSTTAATTEE__0022882211555588 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fiirree TTrraaiinniinngg Firefighting Foam Use in F 1. 1. DDeoofcegsshyyioonuugrr oDDpoeappraaarrittmmoenensnt?t ctontoyr currently or has has yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaass s AAoorr Clalassss fas B foams orfor X_ _ firefighting I X' oYpeersat.ioPnPsr?orceeodttocoQQueueesstetiioodnn22 YNoe.s-Sign the baofcthkis form and return to Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoft i Glass 8 or Cass Afoam used in respons of cls? 2. How often is Class B or Class A foam used in response to fire calls? -_+Fr-_''-o_aseoimes ___25S%oifies ___TSi00%affres 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% of fires 3. Doos te Department have compressed ak foam system (CAFS) with a ulin tank on 5 ongine(s}? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Yo 'f No 2. Howoften foam usedin training exercises? 4. How often is foam used in training exercises? Waxy Monty -- ___ Weekly Monthly ___ Quarterly -- XC Amat Bramall ___ Semi-Annually k Annually ___ Bi-Annually ___OtOhtheerr((pplleeaasseessppeecctifyy;): __O_o_.P.R.--'-__,lL..,__EC_--S=s~"S"'S""'---------------- 5. Howmuch foam i usedpo raining event? 5. How much foam is used per training event? ILessthansoalons ____ Sgalons swings _ ___,_ Less than 5 gallons ___ 5 gallons ___ 5 to 10 gallons More than 10gallons (lease speci} ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - PRT --p------ SomSowsr __ SantaySewer 6. In training, where does the spent foam go? ___ Storm Sewer __ Sanitary Sewer ____OnOSni-ScitSe eSpepitcic G XK rGorouunndd ter tosse dose -- RV, ___ Other (p!c3sc dc~cr:be): - - - - - - - - - - - - - - - - - - - - - - - - 7. Wher doosidd he raining ako lace? Pease nce address, intersocion or ihr spocii locaton 7. Where does/did the training take place? Please include address, intersection or other specific location or forcera e aHncopavstreangproeasews H information for current and past training areas. CU'!!:;/!'' AVI'i.t./5 HoXIgnoge~n "" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00602 STSTAATTEE0_208282211555599 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. WWrehhsaaptot ntpysepeleas(sn))daannddibbnrirannadg(ns()1doopfifpfflosoaca)mmaabralreeeo?orPrwlweaersreee uucssreeedccnknooawlw haanntdd 3iinnptth.hee pst past by by the the Department, Department, both both for for fre: fire response and in training (if applicable)? Please check all that apply. TrUUassieendiininng? AAmmUosouudnntt CuontUsoor Training? Used Current Use or CCFlolaarTssmTssiyynBpBgpeAeAFoqqoofuuafeeFmFoooou(aassFmmFFFiFilm)m- BBrraannddooffFFooaamm |------------------ YYeessoorr NNoo AnAnnunaulalllyy HiHsitsotoririccUUssee?? ---------- -------- ---------- CRCFleolaasrsssmsstinaB8ngtAAFcl(ocooanRmhoolAl-(-AFFFFF) ~~~ ---------- Class 8Protein Resistant (AR)-AFFF Class B Protein emer | -------- CC#llaassss 8B FFulucorroopprrootteeinn een en. C(CFFlulaPasss)rssopBBroFFliillemrn--F(FooFrrFmmPiinn)gg CossaReFR Fluoroprotein (FFFP) CECClllaaaasssnssssAABo-BABnRHHF-IiFoFaFmP ---------- ---------- ---------- Trang Foam Cass A Expansion Foam Class A --m A 3MM r ---- | YES EANs ScAL -------- oer Training Foam 0 Other ojTToirhrhmamansnonrtoiskodhcyynikooiinnuungggff@@aoordr@doyysetootlauatuartereentm.niymvem.eccuoaasmnno)dd)oomccroroioYoJ)poipmemurearhSStaaitttioovooncecn.kk.aiinnPnPgylgeleeeeraasaisstteetithcceoeoonnnMMtstiaaincrnctnentgeeNNassaraoondtnticaacnyygPPRRhoooollsluddltnriaaoiiunnneggsCaCatooontntnDDrtnereoaotllrtlaaAeA.gCCgeoeonnnnccssyyuul((tla66na55t11rs--22((69965775-11-83--660696690767--oo55rr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `lPeleaassee cno:;uturms tthhiissqquueessttiioonnnnaairietrtoeo Dela Delta Consuants Consuli:ants bbyv MMaay y59,. 22000088 iInn thetlie senuciloosseedd sstaanmppeedd,. sseelf lf- aaddddrreesssseeddeennvveellooppee,. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: Name ana TileRAo.otb:> MAsvzoen Name and Title Fire DeparmeMntpver Fire Department Phone Narbe9r 52-657-2291 Phone Number Da4te/00/08 EE--MMaailil AAddddrreessss. Kinogen - . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 631.639.9985 | 800.003 TAL Fok: SEL 619 041) metetom Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00603 STSTAATTEE0_202882211556600 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trainingg Firefighting Foam Use in Fire Trainin 1. Doss your Department cano has your parm stray used Gass Ao Cis foam or 1. Does your Department currently or has your Department historically used Class A or Class B foams for Ferohingoreatons? firefighting operations? ~ fs YYeeso- PPrroocceeeedd ttoo QQuueessttioino2n2 TO Sine ackofthis orm and retu to ota Consultants No- Sign the back of this form and return to Delta Consultants 2. How olen Gass B.or Class Afoam used respons to fr cals? 2. How often is Class B or Class A foam used in response to fire calls? I oasis 25.500 tres 75.10% fees ~ 0-25% of fire~ ___ 25-50% of fires ___ 75-100% of fires 5. Doss the Deparment have compress ai foam system (CAFS) wh bli ak ons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Nn j.. No 4. Howotenis foam used n ring arenes? 4. How often is foam used in training exercises? woot -- owny Quarry ___ Weekly Semwuaty Aunty 3 orammunty ___ Semi-Annually ___ Monthly ___ Annually j - - - . - Quarterly Bi-Annually veneer Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam is usdpor Varin vent? 5. How much foam is used per training event? Kes than gatos goons __ swtoguns "?f.. Less than 5 gallons 5 gallons 5 to 10 gallons [PU -- J ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraianinign, 'lwwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? YL more Sentry Sover onsie Sept Ground Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Gtr (ease dscror -- ___ Other (please describe):----,------------------- 7. Where cosh ining take lce? Please include adoss nerscotr aoine secficlocaon 7. Where does/did the training take place? Please include address, intersection or other specific location Formation ot on a past ving 16s information for current and past training areas. Mrnable Sr aud Showman _ abL-e S 0{1\..,\.., ~ h-{Y---me '1 HKinogen enone e31 ame ven Ho AT STETk 31 6199473 mab dsltaan. cam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00604 stare 0282156611 STATE_028215 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88. WsWhphaoatnt ttsyypepee(a(ssc)) aannnddabbirnarnnadg(nsf)dooafifpffpoosiaacm)mabaairr)e?oorlrwowrsesreeo uucssreecdcknnooafww naanand aninpthhtee astpast bby the the Departmen, Department, bthboth fos for refire response and in training (if applicable)? Please check all that apply. s, TweotFoam Band of Foam YTTUoUraassoieennrddifgniilgnn?e? AAAmUmUmossoueueauddnlntyt CCHuiusmrtreeonrnitteuUUssseeeoo?rr CCFlalaarsmsTiss)n&Blg~AAeFqqoouuafeemFaoouu(assAmFFFiFlim)- | Brand of Foam Yes or No Annuall)l Historic Use? CRCFloolaarsssmsssinoB8gnAAFll(occRoaomhhyooAll(-AFFFFFF) cassoPOOn Resistant (AR)-AFFF G=lass Class Class 8B B Fuooprtein Protein Fluoroprotein -_-- C(GFFlulaPaess)rsso8BpoFFtiilommn-FF(ooFmrFmiFinn)gg --_-- LS Fluoroprotein (FFFP) CCCElllgaaasssmssssAABo-BBAnHRfH:-oiFaFFmP| CTCEaxlrapsasassnnAsgioFnoFaomam_ Sa\lvv- e~-n&' ON~ - Chm Ct.ttrt-<~ hoTraining Foam CC"h.eem~ GG:o.va"' r... s~ ~ g }W!a}gSt-to-6rHicc__. Other iTooTfhrmhranrsirntooockddcyyknhooiinnuungggffe@doorredGyyteooelautuatraresnttniimyvmn.eeccuoaaemnno)dd)oocmc0foroJooJp)0ipnemrearhSSataitttiovooonecnc,k.kaininPPgynlleegeQrauaaaesststeethtihcceooeonnnsMMttaaiicnrcetentsgeNNeasaarotnnitseacnyygPPRRnooolsluodotniQoindunnegasCCiaiofoatnDnnnDrtenroeatogllrtlaaeAA.CCggoaeonnnnsccsuyuyltl((taa66nn55tt1ss1-2-((693657591-178---66039606776--6o5o56f1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. FPPlleeaao ssee rreettuurrr nn tthiiss qquueessttiioonnnnaaiirree to to Data Delta Consultants Consultants by by Hay May ,9. 2008 2008 in in the the onclosed enclosed stamped, stamped, sseoflf:-: addressed envelope. QQuueestsitioonnnnaaiirree ccoommpplleetteedd bbyy:: NNSaamm:ete<aavnndc-eTTihhtlee L,h.J'6o\S>1 Maynard E= Fire Department 20.367- 3 'd--o ~ b7- Phos Number Phone Number me ~3I0J4tO0 aDagte Date E-Mail Es Address Kwogen rane: 51.630.T308R15 E050 CS3r7 Ap T FokFSOA 63TO8U003SE3 mToaWEStTIEaUSE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00605 sStTaAtTeE__o0z2s82211556622 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11.. DeDootoesnsyynoougurr DDoepeppeaarrrotmmneesnn?tt ccuurrreennttlylooyrr hhaass yyoouurr Department stoicaty istorically used used CClasls AAaoorCCsalasssssBB ars foams fofor Department h X_ firefighting X opvYNeroeasstoi-onpPsr-?ortcehSeodbtaitooccQkQugoueefeststnitisiosonnf22orm and return t Doli Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How ofenis Class 8Boorr CCalasssAfAofoaamm usei used in espns responseftooffrirae ccaallsls?? 2. How often is Class _---XLX_-"_-- 00--2255%%of foif frireess ___ 2255--5500%%ooffffiirreess. ___ 7755--110000%%ooffffiirreess 2. Dos the Department havea compressed ai foam syst (CAS) wilh a bitin ark on s angino(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yor ___ Yes X_N )( No 4. Howoftenis foam used in ning xercses? 4. How often is foam used in training exercises? Weeky -- vowny _ouneny ___ Weekly ___ Monthly ___ Quarterly SomiAmnuay X_ Aomaty BAmualy ___ Semi-Annually X Annually ___ Bi-Annually T overosospesty ___ Other (please specify):----------------------- 5. Howmuch foam i used per airing even" 5. How much foam is used per training event? XX__ LLeessss tthanh55gga alallloonnnss. 55ggalallloonnss. Moro than 10 gallons (ease speci): More than 10 gallons (please specify): ___ 551to01100 ggaalllloonnss. 66. Inoiing. In training, wwhheerree ddoouess tthhee Som Sawer ssppeenntt __ ffooaamm Ggoo?? santary Sower ___ Oar Storm Seeawsere donor __ Sanitary Sewer __ onsteseptc On-Site Septic --_Xt_ - GGorouunnad 77.. WfWhhooerreemddaooestef/odrsiicd ttonhhentttraaiianniinnnggptaaaskkteealpnalaccgee??rPPellseesaa.ssee iinnccluldude aadddreressss,, innetresrseeccttiioonn oofr aottheerr speciclocaon specific location Isr information for )l'fdr Tost current and past 7i'44U/A/6 sets back training areas. .?VA-:5 ~ so/.V /sJp JJ'ukn,ve~ YYdtZiQ o NKinoger: Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: _-- Suite 100 St. 651.639.9473 eer Paul, MN 55126 USA www.deltaenv.com 22222..00606 sSTTaAeT_E0_206282211556633 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WrWehhsapatotnttysypepeea(ssn))daainnddrabbirnaainndgn(s()1doopffpsffoloaa)cmmaeaar)ree?ooPr wwaeesrrsee uucssreeoddcknnooalwwtaahnnaddt aiinppttlhyhe ppaassttbbyytthhee Daten, Department, bbotthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. TypeofFoam Brand of Foam YTTrUeUraasssiienoandiirinniNgngno?? AAAmUmUmossuoeueauddnlntyt CCHiuusrtrneortniteUUUsssoeooo?rr CFCollaaamsiTssnys8BgpeAAFqqoouuaefeoFmouous(asFmFFFiiFmlm.)- Brand of Foam Yes or No | ~~ Annually ------ Historic Use? ---------- CCRFieolaasrssmessainBBngtAAF(llcocAooaRhmhoVolAl(:-AFFFFFF} ET CRleassissta8nPt r(oAtRe)n-AFFF - Class C#lass Class 8B B Fuoroprotein Protein Fluoroprotein --. st---- -- GC(FFaulaPsrs)osspB8rFtFieilmimn-FF(ooFrrmFmiFinn)gg casseareER Fluoroprotein (FFFP) cECCalglaasasssssiAaBo-nsBARFhH-oiFaFFmP Gass A Expansion Foam ee CTlaanssnAgRoam o_o yts omer Training Other Ffjo;goacmau"mlldSlhrec.pkPf'yflteJ oCo1m11 TpS; TTu1rAfsf3o0 foam Shee Pre Com 75 20 es s lan W Culr'trt vevnft Tan FT 0 TEECan nt ota conta 65575 {7JCifil 5'hck- fctrP C&m 7S co r,e.5 C!urr-uv! ooroTrmharntrnooodkcdrkynioiinnungggf@@eodrrd@ayesloltituaaarteeteninmv..eccooa4mmn3)d))oocrroYoJdoipmmuerhSSaatttiovooecnck.kainiyPgnlegearaaiestteothhcneeonsMMtiainrncnetnegeNsasaorontitaacnygPPRoNololsluuditnQiooinunngeCCaSootnLntDotrreoMolltlIaAAegCgeeonnnccsyyul((ta63n55t1s1-2-(6925791-78--66896766-6o5o0r1r 52 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please roturm tis uestonnsre to Deta Consultants byMay 5. 2008 ithsnciosed stamped, self: Please return this questionnaire to Delta Consultants bv MayS. 2GOfNn-theenclosedstamped. self- aaddddrreesssseeddeennvveellooppee.. QQuueesstitioonnnnaaiirree ccoommspiletteedd bbyy.: amaSarndETviee Name and Title LiFR [ire CHEF Fire D/eM1po4arrztzm,eeenrpt;e:;As 6F1i2ree D:Vedr~rr Fire Department Phone5Nu0mb7er-843-7095 Phone Number Ta5e 508 Date EE--MMaallil AAddddrreessss - oT Xinogen' Prone: 651.620.9S40S5T1 850.037 41p1eTrok: 91.619809435 mFaounMLWHAASISLTAAUAASLA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00607 SSTTAATTEE__0022882211556644 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 5. 8. TVWoihsnapato nttyyuppeee(n(ss)c) aannddvbbararnnda(s1c)ootaffpffspooiaa)cmmaabareryeasoPrwlwoaegrree uucssheeddc knanooawnnadnad 3iinnphth.oe pasty past te by the DDeeppaarrttmmeennt,,bbooth ffoorr frefire response and in training (if applicable)? Please check all that apply. TUosendgin? AmUsoeudnt CurentUseor Tyyppeeooff FFoaamm Glass BAqueous Fim Class B Aqueous FilmForming fom Rep) Forming Foam (AFFF) Glass Alcano Class B AlcoholRosson (RyAg Resistant (AR)-AFFF eS Class B Protein Class 8 Fuaroproon _ #P)Class (FP) B Fluoroprotein Cass Fim Forming Class B Film-Forming Facoproton grey Fluoroprotein (FFFP) cosomreRr Class B AR-FFFP Class ash Class A-B Hi Fe -- Expansion Foam Class A EO, Class A Training Foam TT ---- Training Foam oer ee TF ------ Other B BrarndoaoffFnFooad amm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HiHsitsotorriiccUUssee?? Thaiyou for your ime nd cooperation. PIeaso contact Nancy Rodin st Data Consulanis (651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oFrong atac com)or on Sock: athe Minosots Polio Gono Agancy (651-297-386 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or cing Beat me) You hav any Questions rogaring is cuesionnaie. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerroettuurrnntthhiissqqueusetsit ioonnnnaairi reettooDDeellttaa CCoonnsuslutl taannttss bbyyMMaayv99,,22000068Iintthheeeencnlcol osseeddssttammppeedd,,sseelflf.- sotassod saseiope. addressed envelope. Questionnaire completed ty: Questionnaire completed by: NNaammee aanndd TTiittllee Feb Fire Department Fowles Phone Number E-Mail Eanes Address Xinogen mmDate Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 222222..0608 STSTAATTEE0_208228211556655 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg A Rem 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? -v- onYes - Proceed to Question 2 --KA.- - Smon tt ir it os ets No- Sign the back of this form and return to Delta Consultants 2. HT ------------ 2. How often is Class B or Class A foam used in response to fire calls? casts wot fn 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% offires or op cra fos CAP tts rs 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes "No + Wevmm------ 4. How often is foam used in training exercises? or wy i ___ Weekly Monthly ___ Quarterly nn -- Tan ___ Semi-Annually ___ Annually Bi-Annually ovmpemet TM ___ Other (please specify):----------------------- 1. Hert gang 5. How much foam is used per training event? I ar go swoon Less than 5 gallons ___ 5 gallons 5 to 10 gallons EA--s More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - nr nes enon 7 6. In training, where does the spent foam go? oo oy eo I or ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground a ee, ____ Other (please describe):--------------------------------- __________ ---- Em -- 7. Where does/did the training take place? Please include address, intersection or other specific location it si eio information for current and past training areas. Inogen' dinky Dek FeeDR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006609 snore sass STATE_02821566 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm Ussee iinn FFiirree TTrraaiinniinngg 1 Onur og cotaty rye Oop ora sd Gs Ar Cos cms 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for firefighting operations? CE n-psraesetktooGtmitonosm nd etn tel Constr v --+\-;~- Yes- Proceed to Question 2 _ _ _ No -Sign the back of this form and return to Delta Consultants 2 vawotens Cos ie A hamuse rsp vc? 2. How often is Class 8 or Class A foam used in response to fire calls? Commate soa mroneais ___ 0-25% of fires _ _ _ 25-50% offires [ ../ 75-100%offires . Done Cepemn a comes oun por CAFS wih i vk nds rp? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? f/ YYeess CwNo PR -- Weekly Monty 4. How often is foam used in training exercises? ___ Weekly ___ Monthly _-_-i-/-Q_Quuaarrteertlyy TZ Sion soar ry ___ Semi-Annually ___ Annually Bi-Annually orm TT ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - FR ---- 5. How much foam is used per training event? _.._1I '__,.,_ Lteessss tthhaann 55 ggaalllloonnss. ___ 55 ggaalllloonnss. ___ 551to01100 ggaalllloonnss. ve" ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - opm? J 6. In training, where does the spent foam go? an eemysont__onstsonse YVana ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground pose ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - EO ---- 7. Where does/did the training take place? Please include address, intersection or other specific location Se information for current and past training areas. Buy$55 foy .TiIr Kinogen on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mone: 651.639.9045 1850.340115Tk7: 691635m.as2del4ias7nv.3com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006610 STATE_02821567 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training hTeattotnyspeas)nannmberaicnts1) faosapmcaaobrlweeasucsecd naowoantdion ptn pastbyth Deparment,bot oc re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUosomdminy Amsoeudnt Gurentuseor TTyyppeeooffFFooaamm iss Aqueous im Class B Aqueous FilmForming Foam (FR) | ------------------ ------ Forming Foam (AFFF) Clase B conor Class B AlcoholJ -- Resistant (AR)-AFFF oassmPwon Class B Protein PR -- Class B Fluoroprotein Eo) _--_-- (FP) ClaseFim Faming Class B Film-Forming Fuoproen (rrr | ------------------ ------ -------- Fluoroprotein (FFFP) casearerR Class B AR-FFFP Cass ABH Class A-B Hi Eaton Foam pr ------------ ------ Expansion Foam Cash Oileeay ug gal hsdpa class A Tanngroan + P v; TT Training Foam ater OO Other BrBarannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? I!J 6' Thank youfo your tine and cooperation. Peas conact Nancy Roding a Dla Gonsulants (51.007.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 cronGtaenycam sn Socio oto Monten Fok Conv oer (68-597 0000o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ingen taa A) 4104 hav any asso regailnsstom jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaitroe Dlt Consultants by Mav0, 2008 ithe enclosedstamped, sell Please return this questionnaire to Delta Consl!_ltants bv Mav 9. 2008 in the enc!csed stamped, self- `addddrresssseeddeennvveellooppee.. sone ces \ . __Questionnaire completed by: \ : s D; uc cChhie c c \ V< . \ kvJ Nahle and Title I -1 q__n.S,. 3CU _ _S CYI \\e - F/r1e7Deepart nd - esdqoc/eocr,)l/aq nd <FirI rr.ver Ot _ 77 Fire Department ' / ! f_go _ poca sps J ora " n ,?);/;/:0 y Evia NKinogerr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..061111 stare 02821568 STATE_02821568 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DDroeoefesos hyyioonuugrr DaDpeeappraaarrbtmmoenensnt?t ccusrretntelyonorrhthayass yyoouurrDDeeppaarrmtmeenntt strc historically used used GassClass Aof A or Class Class foams B foams for for firefigih'Xit[_i{ng oYpYNeeroesas.ti--oSPnPirsgr?ooncctseheeeddBtatoockQQouufeetsshttiiiosonnf?2orm and return to lta Consultants No - Sign the back of this form and return to Delta Consultants 2. Ho woten's Cass B orClas s Af o am u sed i n res ponseto e to refire cas?calls? ns 2. How often is Class B or Class A foam used in respo X -+x+--- 00-2255%% oofffiireess ___ 2255-.5500%%ooff ffirreess 7__ 5_1705-1000%% oofffiifrreess 3 Docs the Department av compre essed a foam system CAFS) wih bolitakons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? LX Yevresos ___ No 4 Howaften's foam used in rain exercises? 4. How often is foam used in training exercises? eaky oun ___ Weekly Monthly cue ___ Quarterly ___ SSemeim-iA-Annnunaulalllyy ~Auznngunamlally ___ `BBii--AAnnnnuuaallllyy ___OtOhethrer((pplleeaassee ssppeceifcy)if:y):__1_t:'_rf'_~___-_________________ 5. Howmuchioan i used per airing event? Neds Less tr5gaatinons 5gallons. 5. How much foam is used per training event? ~~~ Less than 5 gallons 5 gallons ___ MMoorreetthhaann 1100ggaalllloonnss((ppeleaassee ssppeecciiffyy:): ___ 551to01100 ggaalllloonnss. . Intalio, hare docsth spet foam 0? 6. In training, where does the spent foam go? De somsewer Yo SantaySewsr IE OnStesenrc Eros ~A Storm Sewer ~Sanitary Sewer if; On-Site Septic JE -- _ J iJ{ Othe-r (please desc~ibe}: ---'------'------------- -l._Ground 7. Wha cos th raring ake lace? leas include adoss, narsecton of othr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location craton of curent and pas kang ress. information for current and past training areas. Ho Toms//:i3 song Thus Bag~ _ cl N I o .-1--:-/-ZAJ.N L /"'.1 ili~ Jh t/ 5 !.--/10 ~ Ninogerr rene 651.67S3o3re EE0 CTERSreFyR SLeebOh 9S0) W TR AR o R T mam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00612 STSATTAETE0_202882211556699 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. What yet) ar rand)of foam rear wre user and in he as:by the Derm,bo for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tenors at ri f ape' leo heck of bot apy response and in training (if applicable)? Please check all that apply. Tupeot Foam Brand of Foam VTUeasoonrdgiSn?e Aam"mGououssnslty CsuiroonmouUssoeosr Type of Foam Brand of Foam Clas uc Fin Class B Aqueous Filmee -- -- ~orming Foam (,li..FFF) ClBaAlscso Class B AlcoholRovaan (AcE --_ -- ---- ---- Resistant (AR)-AFFF CosBPeEn Class B Protein Gass 8 Fucroprtein Class B Fluoroprotein ww --_-------- (FP) Gass 8Fim Foming Class B Film-Forming Fowapoon ory, -------- ------ -------- Fluoroprotein (FFFP) Cossbaneree Class B AR-FFFP Gases Class A-B Hi Drmfoam || mmm me ee Expansion Foam J cass wee falesheile fehulgl, l ClassA TTrraaiinniinngg FFooaamm ------------ Over J Other Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? LF/>> -f;) :JtJ /01 /1):- ----------------/:J hak you for oe tm and cooperation. Plas cotct Nay Rodring af Dela Corsa (051.007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rade com or J Soin to Mona Poh Col Poors (51 S97.3000o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sr SockmatearemA) 4 you hav any queso orn sino jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Piensa rot ie ayssonntoiDvee Consults 5.038in he ancioed stamped, sl: Ple~se r'tum tf>!s !J!!est!onn~frs to D~!tc:; Con~u:ta;;t;; tv i.:.'av ii, 2008 in the enclosed stamped, self- `addddrressseddeennvveellooppee.. Questa compels by Neoume. Loe Fort rex (use Fre Cher Questionnaire completed by: ~q;; ('1i\flJ-fJJ~ NNaammee aanndd TTiitllee 0 h1r ~ (Ju?_;; - f/} yp)j(!;Jt,_ LA~ hJ( y / Few esminan -- Fire DJpartment J67- 542-970 85" of /(;?J- (L/2 ~ 97() i Fane Nor Bae Phone Number :/J//~ //{/? I Date' EEM-Maialil AAddddrreessss - rn en TET TT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00613 sStTaAreTE0_208282211557700 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 11.. DtDoooeenssiyynooguurr DoDpeeeppraaarrtttimmooennsnt?t urrnty currently oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassssA oAorr CClalssBaBffsooaamsmss ffoorr Ee cstto firefigh~ operations? smn Question 2 YNeos-SPigroncteheedbtaock of of this this ffoorrmm aanndd rreettuurnn ttoo DDeellttaa CCoonnssuullttaannttss ___ No- Sign the back 2. How oofftteenn is ClaBsosr Class B or ClaAfsoasm Class A foam used used inresponse in response ofrto fire cal? calls? 2. How -_--XJX_'-ci..o- s0w-2o5%tiovf feiress ______zs25S-t50k%oiofffieress ____7_51705-01%00o%lfofifieress KX__ ve 33.. DDooeess tthhee DDeeppaarrttmmeenntt ahavvee aa ccoommpprreesssseedd srair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiilthh aa bbuuiiltt-iinn ttaanrk oonn isits eennggiinnee((ss))?? No -~X Yes No 4. HowoftXen is foam used in training exercises? _X_ever Weekly 4. How often is foam used in training exercises? Never Weekly MoMnotnhtlhyl.y ____ QQuuaartrteerrtlyy -- Annual Samal ___ Semi-Annually Annually Bi-Annually Over essespocty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How muh foam is used pr raining ovo? 5. How much foam is used per training event? Less than 5 gaons 5 gallons Sto 10 gatons. ___ Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons (lease seciy): a ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. Intainng, where does te span foam go? 6. In training, where does the spent foam go? Som Sewer ___ Senary Sewer Onsite Septic Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Tomerpessecescwex ___ Other (please describe):----------------------- d(/L. 77.. WVInvhf'heoerrrmeeatddioooenossfidoiriadcutthrh-eeenrttraaiainnniindnggpatoaskktsevppailaaicceen??aPPrleleeaasa.ssee iinncclluuddee aadddrressss,,iinntterrsseeccttioonn oorr ootthheer ssppeeccififiicc llooccaattioonn FD doce aut usefoun fo information for current and past training areas. F D dn-t--'7 /U9 f: v s r 6r1cvr-. ttuo.tmr~i;;t.. 6 ddve.e- tfvrCcoors;?rr--- Xinogen: OV VE ER R~ -- Prone: 651.639.5S045e1 e800 C3re74p11errFoyk: SFU53.61365 0S47E) MdFaaiausnlWiN aSsIEaUroS.mK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00661144 SSTTAATTEE__0022882211557711 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wht yet) ard brand) foam areawre us rw an nh as byth Daprimen, both for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Teiponss nd rang (1 spa" loass chock ah tat ap. response and in training (if applicable)? Please check all that apply. TUrsaoidinn? AmUoseudnt Cumanty Historically TTy~p~eeooff FFooaamm ci8Asqueos Class B Aqueous Ct AA Film-Forming Foam ern, (AFFF) Cl8ocsoreer C!ass !3 Alcoho!Reem A /1/A- Resistant (AR)- pe A/J_ Cossopen AFFF Class B Protein cass 4 Class B Fimoprotan () --_-------- Fluoroprotein (FP) Ga8sFism Class B FilmForming uA Forming Fagot A/A --_ -- Fluoroprotein we c(FoFmFPo)arerre Class B AR-FFFP Gass WA Class A-B Hi oi -- -- on CassA Expansion Foam Class A mgren A Training Foam oer TT = Other BBrraannddooffFFooaamm /1)/{- AA /1//f A A/d_ A /t/4 AAAwJ2(s.)L el d/4 Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallll~y Currently UUsseedd?? Historically UUsseedd?? .1g/oo wwes Zc-$0~/h-t-S F 1 Y y_ Than youfo your ime and coapraon. las coia Noncy Ri3nDgel Constants (051.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 o rdnnoGhdohaomcom) or Sackingr a ho Miohosts PORor Gorkl Agere (36-497 3666 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or stocking Gta mi) You ho ay avons roping te poston jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pless rsturn tis cussionnairto Dols Gosullants by June 6, 2098 nthe clos stung, at: `addressedenvelope. Please return this questionnaire addressed envelope. to Delta Consultants bv June 6, 2008 in the enciosed :;;tamp;;;d, self- Questonnaecompleted by: Questionnaire completed by: JEREny KRAcmer File hice J~fZEffl t kR;fEA?EIZ. eneand The Name and Title MHetRose EiR PT FoeCommi Fire Department 320-7/ 1g? .32-o ?tl -IIRz Frans im Phone Number 52Ba7ie-08 Date _ECHklreieo@n HeLposeemeone = E-Mail Address Kinogen PPhhoonne:e: 651.639.9/454005.477.3411Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639.9475 Suite 100 St. 651.639.9473 mani Paul, www deliasns.om MN 55126 USA deltaenv.com 22222..00615 sStTaArTeE0_02228121557722 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1 . DDfrooegefssigyyhooiuunrgr DDopeeeppraaarrttmmoerensnt?t curoarhnastyoyur currently or has your Department Department Hisaricaly historically usdused Class Class A or or CassB Class B fooaamrss ffoo r __X__ Yes Procto Qeueestidon firefighting operations? ,l<' Yes- Proceed to Question 2 No-Sign the baocfthkis form and rettouarltna Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howl is iass B o CiaAfsoasm used n response re clk? 2. How often is Class B or Class A foam used in response to fire calls? _ oaswottres 25.50% of res ___ 0-25% of fires _ _ _ 25-50% of fires K__7755:-110000%%ooff resfires )( 5. Dos ie Deparment hacomvpprreesossseedd aiair aafoam syst system ((CCAAFFSS)) wwiiththa bli built-in ttaannkkoonn isits eennggiinnee((ss)?? m 3. Does the Department have a co ___ Yveess --)X< NNoo 4. How often s foam used in rnin exercises? 4. How often is foam used in training exercises? Nove Weekly Monty Quarry ___ Never ___ Weekly ___ Monthly ___ Quarterly Semamualy _K_ Aualy BrAmuaty ___ Semi-Annually _ __.X........._ Annually ___ Bi-Annually -- __--_OtOhtheerr((pplleeaasseess pecp ifye y: c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam s used por vanig even? 5. How much foam is used per training event? i LossmanSgaions _ Sgalons 51010galons _ __,v..,._ Less than 5 gallons 5 gallons 5 to 10 gallons Mor than 10 gals (ease spec ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In raiing, wher does tho spent foam 997 6. In training, where does the spent foam go? SomSewer __SantaySewr __OnSteSepie _K_ Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic __,K_Ground ther (ease doscrve) -- ___ Other (please describe):----------------------- 7. Where dosidd he ining ako plac? Plea include adres, nersecorioohenr speciiclocalon 7. -Where does/did.the training take place? Please include address, intersection or other specific location imation or cut; an put ang areas information for current and past training areas. XXiInnooggeenn ,"" OOVVEERR--~ Prone: 651.630.9108450.5037 1411Fak: 53 639.9473 asiiaeny.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00661166 STSATTAETE0_208282211557733 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 8 What pets) and ranofsfoa)m a orwere usd now and th past he Deparment, both rf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response i in and 1 appicabo) Pease check os app response and in training (if applicable)? Please check all that apply. TUrsaemdnign? AmUosuednt Curent istorically TyTyppeeooffFFooaamm Cl8aAquseosus Class B Aqueous Fmfompgfom -- o_o Film-Forming Foam FFD, (AFFF) Gl8oAcsotsor Class 8 AlcoholReam taRy Resistant (AR)Jr AFFF ClssBPoon Class B Protein css Class B Faoropotin (7) -- Fluoroprotein (FP) Class aim: Class B Filmfit Forming Fugen -- -- -- Fluoroprotein [E(FFFP) CossoARsR o_o Class B AR-FFFP Cssag Class A-B Hi ExpansionFoam _-- Expansion Foam Class - Class A Tamngrom -- ___ __ ___ Training Foam oer - _-- -- = Other BBrarannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? Thank you or you tie and cooperation. Pleas conc Nancy Roding at Dolla Consulans 851-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rachng@deacrycom) or J Siocon a hg Mincecta Plu Control Agen (691497.60o00 or nrodning@deltaenv.com} or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i Sockingersa ns) 100 hav any GuesLons rogaing i Cuesionna jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseererettuurrnnththiiss qquueesstitioonnnnaairireettooDDeellttaaCCoonsnuslutltaannttssbbyv JJuunnee66,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseeilff-`addddrresssseeddenenvveellooppe,. Quesionnate completed Questionnaire completed by: _ptp2/rft/eflre:at-fee/ .1!!- Wark hate Name and Title Fro epWanHimeennt eper &[fr-ree LosrsTiren? #f~/ler~ Fire Department ~2Go--SF-7Y'-ICf- "WV5fB5-77 Phone arse Be Phone Number zz Date Ege E-Mail Address Kinogen 5910 Rice Creek Parkway Phone: 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00617 sSTTaAeT_E0_202882211557744 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. . DfDrooceetssigyyhooiuunrgr DoDpeeeppraaarrttmimoenensnt?t ccuurrrenetlynootrrlhhaays yyoouurr DDeeppaarrttmmeenntthhiissttoorriiccaalllyuusseedd CClalsasAAsosorr CGilassss 8B ffoaomasmffoosr firefighting "\--- Yes - Proceed operations? - Yes - Proceed ttoo QQuueessttiioonn 2 2 No Sign the backofthis form and return to Datta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwoofftteenntiss CCllaassss BB oorr lClaassAAsffoosaamm uusseedd iin rreesspponosnestteoo ffirree ccaalllss?? _ ___ oamwemes 0-25% of fires ______z2s5s-5o0%wooif fieress X__'{.,.____ 775s-t10000%oiotffvireess 3. Does he Deparrtmmeenntt hhaavvee a ccoommpprreesssseedd aiair aafoam ssyysstteemm ((CCAAFFSS)) wwiitthh ain a built-in ttaannkkoonnfitss eennggiinnee((ss)?? epa 3. Does the D ___ veYes a f:Xc No 4. Howoften's foam used in ining xerises? 4. How often is foam used in training exercises? Never wey towny _ cuaneny ___ Never Weekly ___ Monthly ___ Quarterly SembAnnuly Annually VAR ___ Semi-Annually Annually Bi-Annually ter easespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmueh foam is used pr raining event? 5. X/_X_tesstanSgaons How much foam is used per training Less than 5 gallons _ event? s5 ggaallloonnss ___ 551t0o1100ggaalllloonnss [I -- - More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. Intaning, In training, wwhheerree ddooeess tthheo ssppeenntt ffooaamm ggoo?? _0t{i__ stom Sewer __ Santary Sewer onstoseptc _Y_Grouns TT SotonremrpSeeswserece_so_ beSranitary Sewer __ On-Site Septic 1_Ground ---- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - 77.. WWohhreertreeoddoonoessif/cdolrrddctiahnreeotimraniainninndggptaaaktkoeapplnlaaccgee?? aPlrelseaeasssee inclu include aadddrreess,s, innetresrseeccttiioonn oofr octlheerr speci specific ocaon location 2 drat oH de pyle Ries 2. A~ sl~ k informtion for current and past training areas. <1- lht! vic) I (f;r}X,/ f..Je L p'I,A/ r XKIinnoogg~enn: ,,.., O OV VE ER R~ -- rs Cr ST 100 SE SPER SEG Us 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: eon FG TE Tak: EPL mARIan R Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006618 STSTAATTEE0_208282211557755 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. response sn raning (f ap3kcable" lease heck a it WWhhaatt ttyyppee((s) aanndd bbrraanndd((ss))ooffffooaamm aarree oorr wweerree uusseedd nnooww aanndd response and in training (if applicable)? Please check all that 355.iinn tthhee apply. ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, bbootthh ffoorr ffiirree Tweotfom BandofFoam YTTUoUrrasssiioeenrnddintigiglnn??e AAAmmUUmmosusoaeueuldndnltyt CCuUursrrreeensnt?tllyy |HHiissUttsooreriidcc?aallllyy ClCFoliasTsm~sf~BBeaAAomqqfmuuFeegooofauumoss m -- Brand of Foam Yes or No Annuall~ o_o Used? Used? Film-Forming Foam FCrly8aAcso s (AFFF) RreEw OR, Class B AlcoholResistant (AR)- ACFaFsFsBPoon CcFCulluaasssssssooBBptPerontei(nfp) -------------- ---- ---- ---- ---- Fluoroprotein ClFaorsmsingFim- Class B Film- (FP) Fuoopoen Forming Fluoroprotein | ---- ---- ---- ---- ((CFFoFFFFsPP)e) ARFER CCCElxllaaapsassnssssAABio-ABnHRFH-oiFaFmFP Tomegfon Class A Expansion Foam Class A oT uusc. L::(o7,ga_t_mYl Ys 2J,:-:5i~2af V""" y~~~s Turv"3Ts oer Training Foam - _-- _-- _-- Other TTorhhawannokkdyynooguuGffoodrreyyooauuerrmttiemmceeoaamnn)dd occoorooppmeerarSattitioconkn.i.ngPPelleeraaasseefcchooennMttaaiccttnNNeaannsccyyPRRoolidlnnaingng CaaattrDDreollltaaACCgooennssnutla(ta5nn5t1tss2(6965151-1-5-666069767--55or11 5 5 2 2 fi Sockinger ite) 1700 or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you ave any ostons rogarding hs uestomare Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297 -8666 or PPlleeaasseerreettuurrnn tthhiissqquueestsitioonnnnaaiirree ttooDDeellttaaCConosnuslutltaannttssbbyvJJuunnee 66,, 22000088iinntthheeeenncciioossoe::ddssttaammppeedd,,sse0l!ff..-. `aaddddrresssseeddeennvveellope.. Questonaigcompleted by: d Questionnaire completed by: C~otHu!) f~akls' e th'leett $ct1d Namand to Name and Title Fee Deparment Patol Lusch Fire Department P5in2e2m2b-ar5 706 Phone Number Eire. Lop! saTare 0% Date Ela datse Lfkecl/i.e1/le {&, LtJ/o,bltgekl ( o"- C ~ O E-Mail Address Kinogen Prone: Phone: 651.639.9045 1 800.744117F3ok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 853.639.3473wavadsliadnv. on Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00619 STSATATTEE0_208282211557766 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEirree TTrraaiinniinngg Firefighting Foam Use in F 1. Dos your Department ctlor has your Departmen historical sed Class Aor Class 8 foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for Trarhingoperations? firefighting operations? YesProcesdto Question? ___ 7~ 2 Yes - Proceed to Question 2 NNo.o-SSiiggnn tthheo bbacakoofctf thhkiiss ffoorrmm aanndd rreettuurrnnttooDDelelttaa CCoonnssuullttaannttss 2. How oftenis lass Bor Cass lass Afoar A foam sedused in in respons orocall? response to fire calls? _ omueifes 2. How often is Class B or C ___ zssowoies 25-50% of fires ______7s75i-01000o%lfofifieress _ _ _ 0-25% of fires ___ 5. Dos ine Departmentt hhaavvee accoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bitin built-in ttaannkkoonn sits aennggiinee((ss))?? 3. Does the Departmen ___ Yveess --No 4. Howoften is foam used in vaning exercises? 4. How often is foam used in training exercises? -- Wieeky vow ---- ___ Weekly ___ Monthly ___ Quarterly Tommy Ama BrAnmualy ___ Semi-Annually ___ Annually ___ Bi-Annually JE -- ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam sused por vaiing oven? 5. How much foam is used per training event? Loss han Sgatons Soatons 51010 gars ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gators (pase specty): ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. 6. In In ring, training, wwhheerrse ddooeess tthhee Sto Sawer ssppeenntt _ ffooaamm San gg5o?? kary Sewer Onsite Septic Ground ___ SOtvoremr Sleewsesre deserve __ Sanitary Sewer A _ _ On-Site Septic --- Ground . Other (please describe):-----'-------- 77.. WIWnhfhoeerrrmeatddioooenosfso/diiidcutthrheenvtraaniinniinnggpaataskktee ppiliaancceeg??aPlreeleaaass.see iinncclluuddee aaddrderessss,, ersocion intersection oorr ootthherr speci specific llooccaattioonn information for current and past training areas. Kinogen: RC pS 10e 0 SE rPae e SEGseevRe 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA [EOP ES A FHA SS dry Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00662200 STSATTAETE0_208228211557777 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. Wehnatopnsi) ndtraagnofoafdfo)cam aaraowesrssurseeednk w tand she pasty h Deparment 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUasdning AmOosau.nt Gumomusoor TyTyppeeooffFFooaamm `BraBndroofafFFnooaadmm Gos 8 Aqunas Fin- Class B FoForrmmiinng~ Aqueous Film- FFooaamm ((AAFFFFF)) --~ -- ~ Ga8 cosn Class B AlcoholRess pr ------ -------------- Resistant (AR)-AFFF Cosoroen Class B Protein Glass Foret Class B Fluoroprotein _ (FP) Gls 8 Fin Foming Class B Film-Forming Fiopeton (FFF) AEEAUbk Fluoroprotein (FFFP) CesoaveR Class B AR-FFFP Gass AB 1 Class A-B Hi Stan -- -- --_-- Expansion Foam Guso - Class A Tango Training Foam oer - Other Used in Training? YYeessoorr NNoo -- Amount Used AnAnnunaulalllyy Current Use or HHisisttoorriiccUUssee?? Tharicyo or your me and coaperatn. lease coro Ney Ring atDolly Constants (551.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 omen saan como im Stainerse mesos Poo Conl Agere (651 37.3690 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mn Gor ro) ou ov ary esr roping os oem jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plas tum this questionntoaDioreeCansubtyaMteys3, 008 nthe encased stamped, st Please. r~turn this questionnaire to ne!ta Consultants bv lliJav 9. 200e in tl;e enclosed stamped, seifal compote, aaddddrreesssseeddenenvveellooppe.. Fareha Te NFeawmOeoapa(d7r?Timi27tlre,t CC-lLee_"n' vv~ LL Fire Department Fr2mo2e0 3 2.-o --(B)\\SS-o faLf!L Phone Number T a 2508 Date Ea E-Mail Address Kinogen: re 5910 Rice Creek Parkway Phone: 651.639.9449 f 800.477.7411 Fax: Suite 100 St. 651.639.9473 } Paul, MN 55126 USA a a www deltaenv.com 222222..062211 stare 02821578 STATE_02821578 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. TDDeootsegsshyyuoonuurgrDDoepepepasarirmtomennestn?tccuurrrerntyly o o r has has youyour DDeeppaarrttmmeenntt Hataicaly historically used used Glass Class Aof A or Clo Class s8 B foams foams for for firefighting operations? No- Sign th baocf thkis form and return to ala Consulants _ __,_:K..___ YYeess-- P ProrceeodttoocQQueuesetseitioond n22 _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoften Class Bor Class Afoam used in response to re cal? 2. How often is Class B or Class A foam used in response to fire calls? X oasottees sonetiies 140%tres ''--'/ !">-- 0-25% of f1.res _ _ _ 25-50% of fires ___ 75-100% offires 3. Doss tho Departmenthave a compresseda foam syste (CAFS) wiabtih ak on fs engne(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes 1 "Le _ ___,_i---..'.-.:==-- No 4. 4. Howaltens foam How Newr often is foam used used in in vaing training eexxeerrcciisseess?? Weoky ___ Never Weekly Moni ___ Monthly uneny Quarterly ___ Semmii--AAnnnnuuaallly AAnnnnuuaalllly 2I5 S BBii--AAnnnnuuaalllly ___ OOtthheerr ((pplleeaassee s specp ify)e : c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis sed pr aig event? 5. How much foam is used per training event? AC LessthanSgaions ___ Susons ___ swotogis 'f- Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Maro than 10 gallons (lease spec): ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - PRT ---------- 6. In training, where does the spent foam go? Storm Sows ___ Santry Sower onstoseptc Krona ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Oth lease descrbe) _ ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. Wheretoioensioirdchuerveiannnitdngpaaskteraplnaicneg?alreseas.s nude adres, intersection or ohr secclocaon 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Inogen" O OV VE ER~ -- Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: a Suite 100 St. 651.639.9473 _ Paul, MN 55126 USA www.deltaenv com 22222..00622 sStTaAreTE0_206228211557799 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. oWWhshapatotntyysppaeeta(ssn))daannddrbbarraamnndid((ss())1oofaffpfoopaaemamsaaerr)eeo?orPrwlweeearrseee uucssheeeddcnknooawlw and ahand nthepasty apy in the past by the the Department, Department, otboth or for refire response and in training (if applicable)? Please check all that apply. TTuyppoeooff FFooaamm BrBarannddooff FFooaamm FiCCmlaFslsoB8maAiAqqnusugeeooFsuuossam (FFF) Film-Forming (AFFF) Foam ReCCwlaslsas n8BaAtAlslc(cooRhhsYooll- FE Resistant AFFF (AR)- CCloassssBBPProotwenin cFClalasssossroeBpotan (7) CCFFolluarlosmsriao8nBpgFsroFitiselmmin- (FP) Forming FFFo)on Fluoroprotein || c(FaFFsPs) eaReR ExCCCpllaaaassnssssAiBo-aBAnRsHF-iFoFaFmP Cass A Expansion Foam TCleasnsgAFoam -- omer Training Foam ------ Other TUrUassieenddiininng? YosorNo Training? Yes or No AAmUmosoeuudnntt AAnnUnnusuaealdlllyy CCuUursrrreeendnt?tllyy Used? HHiissUttsooreriidcc?aallllyy Used? -_-- -- -- -- -- ---- o_o _-- -- -- -- LX gee o_o ------ "oToiTrsmrhhtaanoonnrdockkdykiynonoinnguugegfo@ro@r@rdseyyetoolatuuaarrteemtoninmvem.eccsoaamnno)dd)oocmcr0oroomoJp)uipemerarhSStaoaittioocvoncken.ki.ainnngPPgdelleeersraasaasstetettohcchoeoennnsMMttaaicfncitont geNNmasaarononitcacnyygPPRRtoohoolllsuddstniQrooinnuingeanCCasogotntntDDortereolmollttlaaaAAegCCgoeeonnnnsccsuyyull(t(ta66an53nt11ts--2(2(699657751-1-8--0666096907676--5oo5r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. adPPdlleeraaessseeserreedtteuunrrvnnettlhioisspeqq.uueessttioinonnaniariecttoeo DDeellttaa CCoonnssutlatannttssbbyy JJuunnee ,6, 22000088 inntthhee eenncclloosseeddstastmamppeedd,, sseitlf:- addressed envelope. QuQeuessttioomnnaariree ccoommpplleetteeddbbyy:: Owl Betsath Cher Naammee aanndd TTiitllee -- fulton FFibreoDpeapramrtamnentt PhonsepoN.umbe7r 3=d4ru TuTastcey of Phone Number Date EiCAtdyaraofssten Fairs diveer, per E-Mail Address XKIinnoogg~epn:- "" none: 51.620.915C$40E58 C45r3e51p11 yFok: S$9T1E03T8O.U247Si MoFwbaatStTaIstUumEm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00662233 SSTTAATTEE__0022882211558800 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1%. Doss your Departmant conthoas yor DepartmtHstorcal used Gass Aor Gass farms for 1. Does your Department currently or has your Department historically used Class A or Class B foams for fretoningopesions? firefighting operations? = ~ YYeess-- PPrroocceeeedd ttoo QQuueessttioino2n2 No-Sign th baocf tkis form an rettuo Drana Consults No- Sign the back of this form and return to Delta Consultants 2. Howe's ClaBsosr ClasAfoam used n espns ofr cals? 2. How often is Class B or Class A foam used in response to fire calls? 2 e oasis mst 7e1o0%ofiies 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% of fires 2. Doss the Department have a compress ai oom system (CAFS) wih bulltankon s engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? YooYes >~ = NNoo 4. Howftenis foam use naling exercises? 4. How often is foam used in training exercises? Nover Weekly Vert oun ___ Never Weekly Monthly _ _ _ Quarterly Semidnialy Sm oval akArualy SE Semi-Annually ~ ' Annually Bi-Annually Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmych foamisodpor ring event? 5. How much foam is used per training event? 5za2 Loss thsgallonns Sgatons 51010 gallons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ore ran 10gatos (ease spect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Intainng. wher doo th spent foam go? 6. In training, where does the spent foam go? Sto Sewer ___ SankarySower onstosepie 22 Crowd ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground Over leas descr: - Other (please describe):----------------------- 7. Were doe he vain ake piace? Please nud arse, ersecion or ter speci osalon 7. Whe;e does/did the training take piace? Please include address, intersection or other specific location fo2rsm-oartcurie:nrot onndpasvara areas J 8 information for current and past training areas. 25 ) AvL/'ef~ tr\Je~-- SE KXiInnogg~enn ,,, O OV VEERR--~ PPhhoonne:e: 66515.6139..6543459.9549419011 600 477.74F1o1k: Rice creek Parkway 800.477.7411 Fax: 231.639.947 Suite 100 St. 651.639.9473 whendaltasnv.am Paul, MN 55126 USA www.deltaenv.com 22222..00624 sStTaAreTE0_208228121558811 QQUUEESSTTIIOONNNAAIIRREE FFiireffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. WWrehhsaaptottntyysppeee(a(ssn))daainnnddtabbnrraainnnddgi(ss())1ooaffppffolaaicmmabaalrree)o?orlrweweaersreeeuucssheeeddcknnooawlw taahnnaddt piinpthlh.ee ppaassttbbyy tthee DDeeppaarrttmmeenntt,,bbaotthhffoorr rofire response and in training (if applicable)? Please check all that apply. TUUrsasomeiddniignn? AAmUmosoeuudnntt Gurently Historically GTaysTsyppeBeoAofqfFuFeoooaaumms `BBrraannddooffFFooaamm YYTeerassinooirrnNNg?oo crUsed AAnnnnuuaallllyy Currently UUsseedd?? ) Historically UUsseedd?? Fn FF)er Class B Aqueous Film-Forming Foam =m yes TED ~ ;::--~-- Ao MG Coen Gass B Aohol (AFFF) Class B Alcohol- Bese. Meo Hyra ARE Resistant AFFF (AR)- ChssBPotn ---- ---- -- ---- ---- GCCFaullaasosssossmBBBoPtraontei(nfp) ------------ ---- ---- -- CFCFolluarlosmrsioa8npBgrsFoFitielsmmin-- (FP) FFlouromrionpgreten _ = ---- (C(FFlFauFFosFPrsPo)pB) rAotReFinFFR oo ---- ---- EGxCClpllaaaasssnssssAABi-oBBAnHRHFi-iFoaFmFP = = -- Tanngron Class A Expansion Foam Class A Lg. Ser om IS -- Ml -- ---- Other Training Foam TT Dm mee ee ToTfOirhhtmharaSneantokrkdodicyynkonoinnuuggg@ffe@ooarrrdeyysetootlautuaarartentteniimyvnm.eeccooaammnns)dd) oocfcroro)yoJoJpoipemnuerarhSStaaitttioovonoecn.kc.ainknPPgylileeenqraaaugasseteesttthcchioeoeonnnMMtstaaiicnrcmtetnegeNNsasaoarondtnticacanyygPPRRoohlooilludusdttniiqioionunnneggsaCCaloiootnntnDDrtnereolaolltrtlaaeAA.CCggeoeonnnnccssyyuul(t(la65an51tn1-s-22((06697557-11-88--666696067766--o5o5r1r15522 or nr jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by June o, 2008 in the enciosed stampf:d. self- addressed envelope. addressed envelope. Questionairecompleted by: Questionnaire completed by: 3 /[ WatLeo - I' _ --1[ ECEaan -- [-- F vJni SER ---- City of Minneapolis onc rer om = -F Fire in an sen E protech a - E HKinogen ne oreo PE TS TL CSE Mn eesm XInogfn' ,, Walt Lee Captain Engineering Officer 350 South 5th Street - Room 230 Minneapolis, MN 55415 www.ci.minneapolis.mn.us office [612] 673-2059 cell [612] 718-1859 fax [612] 673-2828 pager [612] 650-4273 walter.lee@ci.minneapolis.mn.us Date 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222222..00662255 SSTTAATTEE__0022882211556822 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. eDDaootceasshyyuoonuugrr DcDpeeeppaaarirtmomenensnt?t curt currently oorr hahas yyoouurr DDeeppaarrttmmeenntt historical historically uusseedd Gas Class A or lassClass 8B ffooaammss ffoorr 2XX firefighting oYpeersatio-nsP? rotoQcueestniodn NYoe-sS-iPgrnoctehedbtaockQoufeshtiiosnf2orm and returnto Dota Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Howalenis Gass Bor CaA esam usin espn1s0 cal? 2. How often is Class B or Class A foam used in response to fire calls? X oasnotms asso ories T5100 otros _ __...Y.___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntthhaavvee aaccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFSS)) wwiithh aab-ubiuliltt-iinnttaannkkoonn ittss eenggiinne((s)?? XK veYes vo ___ No 4. Howaftnis foam used in ring cree? 4. How often is foam used in training exercises? X New wey __ mowny J -- X Never Weekly SomiAvasly | ___ Aus ema Semi-Annually Annually Monthly ___ Quarterly ___ Bi-Annually Other lse spect) RE ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howe eam is eed po ring overt? 5. How much foam is used per training event? Los than gatons gators ___ Less than 5 gallons ___ 5gallons Nore hn 10gon (pase speci ___ More than 10 gallons (please specify): ___ 5Sttoo 10 10 goons gallons 6. In traring une doo th spot am go? 6. In training, where does the spent foam go? Som Sever __ Sandary Sewer __OnioSopte__ Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over as dor ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. FWohremratdioonsotfi trheovnaaindnpaoskmlsg?aPreeass nko dross, rset ovr spel ocaion 7. Where does/did the training take place? Please include a-ddress, intersection or other specific location information for current and past training areas. HKnogen OVVEERR---+ Pron: Phone: 651.630.94455910 651.639.9449 I 800.473.74F1ok1: Rice Creek Parkway 800.477.7411 Fax: 51.699.347) Suite 100 St. 651.639.9473 wnsdelinsnr.iam Paul, MN 55126 USA www.de!taenv com 22222..00626 stare 02821583 STATE_02821583 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wht ys) and tract) foam rec wore used nw and no pas ye Depart bon for fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response nd ining ( aepicaie' lease check al tat aly. response and in training (if applicable)? Please check all that apply. Tmeotfom Buneotfoam UvseesdoirnSe AAmmouanlt a User' -- sesh Ty~e of Foam ClasBs Aqueous Class B Aqueous EnroChurb bWonaoanrRoaw0 n 2 no Usylinited Film-Forming Foam fr(AFFF) CoBAsons Class B AlcoholReel Resistant (AR)REEAFFF CossePwen Class B Protein cess Class B Fumopaan (py -------------- ---- ---- ---- ---- Fluoroprotein (FP) GiBsFism- Class B Filmft Forming Fagot ------------ -- -- -- -- (FFP) Fluoroprotein (FFFP) cmsmARERR Class B AR-FFFP css nB1a Class A-B Hi Troy | ---- m-- ---- -- -- Class A Expansion Foam Class A rape 7 Training Foam aver -_ _ -- _-- Other Brand of Foam CWb AJ~~~Q"'-Al Used in Training? Yes or No h~A.M- AJ 0 Ss,iJul-ye.-x ex p/VDo Amount Used Annually 0 S~ g Currently Used? AJD Historically Used? ~'m/fecl YL{ee5s yt.jef.Ss Thankyou or yur te and cosperaton. Please conac Ny Rain a Dell Gansu 651.607 162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orn@dataemicom) i 4mSing: he roesta PalosCon Agony (851407350 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjiimm.ssttoocckkiinnggeerr@@ssttaattee..mmnn.uuss))ififyyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped self- Sar aan addressed envelope. Questonnaie competedby: Questionnaire completed by: Te Susspec Fice ChieE -:-\t>: {:9 Sv...ss rvu- ine araTie Name and Title Minneota Ekire Department Mt"rt/\ecAA r e Fre Depriment Fire Department Frama Names (507) 530-3997 Phone Number faek--S5--0069 Date ELxo e d it Eu usinr s @ghfee l. lovet E-Mail Address XNIinnoogg~enn ,, 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 551.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00627 stare 02821584 STATE_02821584 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. Docs you Deparment csteorthays your Deparment historical us Cass Aor Coes B foamosr 1. Does your Department currently or has your Department historically used Class A or Class B foams for earning opeatons? firefighting operations? SK NVoesi-gPrnoctehedbtcokQouefstthiionfo2rman tuto Dnota Constants ~ Yes- Proceed to Question 2 No- Sign the back of this form and return to Delta Consultants 2. How olen las 8o las A foam usd in sponse fo ro cals? 2. How often is Class B or Class A foam used in response to fire calls? oassottios 25505 otros Tstasories ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. Does the Departmen aav comperessa foam sysom (CAFS) wiabtulh takon s engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes NoNo 4. Howfos ftoamesned in vaining exes? 4. How often is foam used in training exercises? A une ___ Never ___ Weekly ___ Monthly SemiAualy Aovualy f-- ___ Semi-Annually ___ Annually ___ Quarterly Bi-Annually Otplease speci - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuchtoam i used por ang vent? 5. How much foam is used per training event? Los than gons Sgaors Sto 10 gators ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More tha 10 gars (ease spect ___ More than 10 gallons (please specify): __________________ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm go?? CL SomSewsr __ SeloySowr ___OnStoSeple __ Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground [I -- EE ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Wainmeradnofsr ctehnvtaanidnpaaksoaplnacge? rPcesa.s nl addres, nesseocrotvnr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. HmXIongoge~nnt_"" _ OVE ER R~ -- PPhhoonne:e: 651.639.95405910 651.639.9449 I 1 800.437.7411 Rice Creek Park 800.477.7411 Fok:way Fax: 831.635.9473 Suite 100 St. 651.639.9473 mardeliatne.com Paul, MN 55126 USA www.deltaenv.com 22222..00628 sStTaAreTE0_208282211558855 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 68. TWWohhsaaptot nttyayppnee(n(ss)d) aainnndabbrrairnnda(s1)onoaffpdffpooia)acmmataarieooyorrPwwaeaersreeeuucssheeoddcknnooaww naannsdd piinntythhee gaspast by by the the Depart, Department, bootr fhre both for fire response and in training (if applicable)? Please check all that apply. TUUossaoenddniginn? AAmUmosoueudnntt Curent Historically TTwyepoetorf Foomam BSarannddooff FFooaamm YororNo Training? Yes or No Amialy Used Annually User Currently Used? Uses Historically Used? CCFliaisms8rBnoAAmqqsumueegoosruusos m -- o_o Fry Film-Forming Foam CC(RAlleaaFsssFssFsB)aAAmclocoomnhoyoll- Rr Resistant (AR)- ACFaFsFsBPoon cFCCaullaaosssosssp8BBroPtraotnei(ngp) -------- ---- ---- ---- ---- Fluoroprotein cForlmian8gsFism. Class B Film- ( F P ) FFFFulouseroomrryooinppgrrootteeiinn (GFoFFsPs)maReER o_o CSaoswstAenHfom Class B AR-FFFP Class A-B Hi -------------- ---- -- -- -- GassA Expansion Foam - CTloasmsnAgFom otnar Training Foam - Other oTTrhhaarrnikcyyhoouu ffooerr yyoouuarr ttimnceeoaamnn)d occroooodppeherarSatitiioonn.o. CPPlnleeaagas1soe hccreoonnMttaanccottsNNoaatnnsccyyPRROooWddAniOinnNggaCaot DDneltltaaACgCeoonnnscsuyull(taan5nt5tss1((96657511---656906770o-556r115522 im stockingtaetr mu) yu or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you hve any estons regarding is uestomae Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297 -8666 or PPlleeaassee rtu return tthhiiss aquuaessttiioonnnnsaiirree ttoo Dlt Delta CCoonnssuullttaannttssbbyy JJuunnee 66.. 22000088 iinn tthhee eenncclloosseedd ssttaammppeedd.. ssoeflf:- Questo completed by: aaddddrreesssseeddeennvveellooppee.. Ti eyes ame andThe Name and Title cn FrOMeiDJenp;nta.r,s\m.sednit, k~.:a!- Cy 1 Fire Department Prone((N~-u'$m65b4e-~r 12999977 Phone Number hk Fie Deel ote S/eli% Date ES E-Mail Address HKwogen Prone: Phone: 651.639.51084605.477 5411 Fak: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: 551.6w3h9d.al9ka4ens7.c3om Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaeny.com 22222..00629 sSTTaAeT_E0_202682211558866 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1 Doe Dnpmncuity chao Ongar ory se Ae Cl fans for 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for Refirefighting operations? a mocanto Gustin ----;/Yes- Proceed to Question 2 XC sign nck io nd tr tt ons ~ No - Sign the back of this form and return to Delta Consultants 2 Hoots Clos 00x his Arm atin sevct 2. How often is Class B or Class A foam used in response to fire calls? oamare __muotm __reiomoe ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. DoneDep onyara CAFS i r bikinit s rg? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes " ___ No +. Howton a ati ng cs? 4. How often is foam used in training exercises? os TT ny cuety Weekly Monthly ___ Quarterly Somat sonar sony Semi-Annually ___ Annually Bi-Annually omer ges ec: _ -- Other (please specify): _______________________ 5. Howes fos ede rg mor? 5. How much foam is used per training event? en onsrs ae So 0gstors Less than 5 gallons 5 gallons 5 to 10 gallons evan 0 atrs oss chs -- More than 10 gallons (please specify): _________________ [T -------- 6. In training, where does the spent foam go? Somer _suaysov__onstesee owns ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground " omermedm -- ______ Other (please describe): ______ ---------- - - - - - - - - - - - - - - - - - 7. Werdnt tor uk sc? Bess cto ans racine er scl 7. Where does/did the training take place? Please include address, intersection or other specific location a es information for current and past training areas. Xinogen: reve ET A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00630 stare ose STATE_02821587 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. Whot tps) and rants eam are wer sadrw an i tpt by the Dpriment, bt for fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire einen i vag aes Poss crack ot so response and in training (if applicable)? Please check all that apply. TUaeendginy AmOomugnt Curent usoor TyTyppeeooffFFoaamm Gl8Agsus Fin: FoCFrolarmsmisinnBggFAFoqouaaemmou((AsAFFFFiFlFm))Ga8 cosh: Class B AlcoholRossen pe ---------- ------ --_-- Resistant (AR)-AFFF CmsoPOOn Class B Protein G8i Fuoprs oton Class B Fluoroprotein & _-- (FP) Gl8FoimFsomisng Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFFPP)) Cassarere Class B AR-FFFP Gass A810 Class A-B Hi Carer Foam _ Expansion Foam Cama - Class A Tegra Training Foam oner TT Other B BrarndoaoffFnFooadmm ---------------- Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulallly ~~ a Current Use or HiHsitsotorriicc UUse? Thnkyou fo your in a conpraton. Pleas ona Nancy Fodring at Dl Conan (051.607.6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aaa ony 5 so Sosingor to Homes Pote Co Fery So7So00 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Gato) 00 hav ay nso roping i queso jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Psst return this auestonntaoitre Gomantnts hay8. 008 nthe srctose tama, cot. P!'i!!~e return this auestionnaire to Delta Consultant':: lw May 9. 2008 !n the 9r!closed f:tamped, t:eff. `adddrressedeennvveellooppee., Assis QuGCestoriomnenaeirnsecomFlanby:ders Assis fant (hit FraernGeaa{iMndvm1iTa1itlnen()n(\ee..t+ool\n, lk<.a~ F~i~e~ S2-93% Fron ng Fire gSL.~ Department 0f:)Dt 8r-3~333L{ Sez2g%--A&prri;lf 2~ 006" Phone Number Ew -"Fllaan.l\d..ce(}rUsS @ ee._m;yn-,,'nIJe!Jodon/1/bc.aa... comDate Coi'Vl noses 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA EAN. LL RR Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..063311 sate_o2s21588 STATE_02821588 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training -X- 4. 1. DeDooasests yyeoounurr oDDpeeappmaatrrtommneensnt?tccuurrreennttlyy ohasor has your your Department Department Hstacally historically used used CiAosrClsass Class A or Class B oarfoam s for for f i r e f ighting o _S_X ___ p Ves- Protco Qeueestidon2 erations? Yes- Proceed to Question 2 No. Sign hebackof hs for m and re tu rn to Dota Gonsulants No - Sign the back of this form and return to Delta Consultants 2. Howofenis Gass Bo laA asm usin espns fr clk? 2. How often is Class B or Class A foam used in response to fire calls? oamettes ssw Totumottmes ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5 Does he Deparment have a compress i foam system (CAFS) wih a bin akonis engine? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes I ___ No 4. Howaln's eam use in rang eres? 4. How often is foam used in training exercises? weeny hoy une ___ Weekly ___ Monthly ___ Quarterly Sem veut psn Aout ___ Semi-Annually ___ Annually ___ Bi-Annually Overs speci ER Other (please specify): _______________________ 5. How muchfoami sed pr ring vent? 5. How much foam is used per training event? LessthanSalons ___ sgalons stops Less than 5 gallons 5 gallons ___ 5 to 10 gallons TT Meron t0gotons Gemeecty More than 10 gallons (please specify): __________________ 6. Intainin, wher dos th pent foam go? 6. In training, where does the spent foam go? Som Sever __ Sandary Sever onsie Sep Gow ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Over peas dere ------ ---'--~ Other (please describe): -~~~-~~~---'-~~ Ground 7. Vino does he usin ak lace? Plo nce adress, ners ihr speci cation 7. Where does/did the training take place? Please include address, intersection or other specific location Hiomsoftcaomenr and pac ang ron information for current and past training areas. Knog: PPhhoonne:e: 66551.163.96.934495 . 9 1 5910 449 I 800.473.34F1a1k: Rice Creek Parkway 800.477.7411 Fax: 631.6w3ar5id.al9ia4snY7.c5om Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00632 stare 02821569 STATE~02821589 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg hat yes) ndbracts) foam aor wre used ow ann h pabysttho Departmen, ot for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire respons smn arin spcaey lease heck a ot ap response and in training (if applicable)? Please check all that apply. TUosiemdngy AmUosudnt CumontUsoor TTyyppeeooffFFooaamm Clas Aqueous Fim Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) Glass B cone Class B AlcoholRevsan (RAFF Resistant (AR)-AFFF cosswPwen Class B Protein Glass B Forpraten Class B Fluoroprotein ES eet (FP) c8i Fi. Fs orming Class B Film-Forming Fucapron (FeFRy | ---------------- -------- _-- Fluoroprotein (FFFP) Fe Class B AR-FFFP GasssH Class A-B Hi Eepanion Foam ~~ Expansion Foam Cas - Class A Temgfom TT Training Foam oer OO Other BBrraannddooffFFooaamm Used in Training? YYeess oorr NNoo Amount Used AnAnnunaulallly -- Current Use or HisHtiostroricicUUssee? Thankyou oyu time and coopesion. leas corac Nan RodaitDnelgla Consus (651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orrod Getaamy caomr1) Soci tr Mise Foti Conv Aare (31 507 8008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or or sockmger Asa mR) 0 hav any Guin og ang i store jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please atm tis questionnaiore Dt Constants by Mex 2008 he enclosed stamped, sot: Please return this questionnaire to Delta Consultants by Mav 9. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellooppee.. Quesiomai completed by: Questionnaire completed by: TamLeesoTne Veagen - ChiefR M/ssion Name and Title Fee Dopainirs Fire Department Township Fire r:L Ree.sscc uu. ee Fra Nirer 2/8- 765-352C Phone Number Baie 4~29-0% Date ER E-Mail Address NKinoger: se ET 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00633 staTe_ozs21590 STATE_02821590 QUUEESSTTIIOONNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doss yourDepartmen cutenyorhsyou Derment socal used Gs or Gis 8 foamsfor 1. Does your Department currently or has your Department historically used Class A or Class B foams for Berets oon firefighting operations? [Sa -- V Yes- Proceed to Question 2 NoxSign th baocf hkie fom arta t Daa Consultants ___ No- Sign the back of this form and return to Delta Consultants 2 Howallen i las B or Cos A loom used nesponse focal? 2. How often is Class B or Class A foam used in response to fire calls? Vv"" 00--2255%%ofofffiirreess. ___ 2255--5500%% ooff ffiirreess. ___ 7755--110000%%ooffffiirreess 33.. DDo?eess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eennggiinnee((ss))?? _ _ _ Yes v/ NNoo 4. Howfoaom usted einng xierises? 4. How often is foam used in training exercises? Neer Weak ___ Never Weekly WortMonthly Quarry Quarterly ____ SSeemmi-i-AAnnnnuualalllyy AAnnnnuuaallllyy _~ @_ BBir-AanmnaulaliiX //' OOttvheerr (pplleeaassee sspeeccifyy)): _wwhke"n\. we. !).)-_ hita~vv-ee. a~InI\ oo(lJd. ((o~b o~kf&rca;:m~ .. 5. Howmuehfoams used or rong even? 5. How much foam is used per training event? Wor an 10 gon (sesooo: ___LeLsessstthhaann 55gaglallolonns.s v / 55ggalallloonnss ___ S 5 to11t 00ggalao llloonnss. _ _ _ More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. In training, where does the spent foam go? Sto Sower __ Santary Sewer onstesepic oS oround ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic T orhmesesomey ___ Other {please describe): ______________________ 7. Whar doa he in ok lace?Plas cd acres, eset of ler pec oc 7. Where does/did the training take place? Please include address, intersection or other specific location rimihomrarbiipio hot cnt information for current and past training areas. . 1 Fie cialon <b 16% Canton Aeenve, Monlev deo, tt {:,re cs\......~ooA. ~ (03 &vt+ov\ Al/'evt....-e_, t{oVt.ktlld.eo )},fd Kinoger: OOVVEERR---+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00634 STATE_02821591 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wha type(s) and brandis) offoam ar a wero usd no an nthe pastby the Deparment,bth for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire TeSponsa an rang (f apc" Poses checkah nt apy: response and in training (if applicable)? Please check all that apply. TUsnendign AmUoseudnt Curent Hstoricall TyT~p(e!eooffFFooaamm ClBaAqsueosus Class B Aqueous E ET E pr ee TB ws ovveEr yvEeemss Film-Forming Foam w (AFFF) Class B Alcohol- Rossin (WR), AMSWUTE3ws deo ye te Resistant (AR)= AFFF CassBProon Class B Protein cassn Class B Fuoroprot(s7i)n Fluoroprotein (FP) Cla8sFism Class B FilmForming Forming Fagooen | ---------------- ---- -- -- ---- Fluoroprotein `BBrraannddooffFFooaamm ~ Ll"t k+-wc;k- #!;lr<! ~~'f.. ~.N\ 3?(ft:>?o ~\-lSvl..l""iE. 3~~ Used in YTYereassinooirrnNNgo?o yf!':. l"e.s. ~0 Amount AAnnUnnuusaaelldlly~ Used? Currently Used? Used? Historically Used? y-e? ve?, yc--5 y ~ C:. 0 )le~ "\..0 ((FFFFFFPP)) CossmArsER o_o Class B AR-FFFP cass ABH Class A-B Hi Bpmtonfoan | --_------------ ---- ---- ---- by Expansion Foam Class A TemegFom Training Foam omer - Other Sve S.t..tv-;i(:. ves y.e'::> gal 'c::fCi ( 4se7 wes ~ `Thank you fo your to and cooparaton. Peas contack Nancy Roding a Dolla Coals (851-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of odin Gdataei am) of im Socinger he Mimesci Polio ConvAgony (831-597-8008 a or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im stocking tate nv) ou have any Questions regaing ns Quesiannare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- addressed envelope. Questomoare completed by: R bb Gilkey Questionnaire completed by: bb G-t lk.e.y Fame andTho Name and Title FraDfepaermeent CeO Fire Department FramefHlNoo(o)aaPrlt-ke\rnd~oo F/=i,"n-ee kDe~pt+- Phone Number EadEFe= ius-ree~d~a@le, rmfo\osol'\ekvivd((iko.omMn.f\ . ooPr"g) E-Mail Address XKiInnooggefnn ,, GBD~d/tee41/os 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222..00635 sSTTaArTeE__o0z2s82211559922 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFiEirree TTrraaiinniinngg BE wom 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? )( Yes- Proceed to Question 2 _ _ _ No - Sign the back of this form and return to Delta Consultants 2. How often is Class B or Class A foam used in response to fire calls? _X__ o00-2255%%ooffffiirreess. ___ 2255--5500%% ooff ffiirreess. ___ 775-510-0%1oof0fffiirr%eess. 3. Does the Department have a compressed air foam system (CAFS) with a buiit-in tank on its engine(s)? X vYeess faNo + torent 4. How often is foam used in training exercises? o oun ___ Never ___ Weekly Monthly ___ Quarterly a wa Semi-Annually X Annually Bi-Annually Sn Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used per training event? )( Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - pi IT vss aos 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ____.'x~_ Storm Sewer _ _ Sanitary Sewer _ _ On-Site Septic Ground ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - Knegn OVER~ -- 5910 Rice Creek Parkway Suite 100 St. Paul, M N 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00636 STATE_02821593 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. VoWsihpnaoatntysyeop(eas(sn))daainnnddabbirriaannnddgi((ss)1)oo3ffpffloaacmambaaireee?oor lwweeearrseee uucssheeeddcknnaoolww aahanndd pnintlh tyh.e past past b b y hethe Department, Department, both both for for rofire response and in training (if applicable)? Please check all that apply. TUUasisenedidniignn? AAmmUosoueudnntt Curently Historically Training? Used Currently Historically CFCliaTTmslyysFp:rJBe8oaeoAmAqofnqufsuFegFeooofosuaaousmsmom BBrraannddooff FFooaamm ---- YYeessoorr NNoo AAnnnnuuaallllyy UUsseedd?? UUsseedd?? FF) Film-Forming (AFFF) Foam ClCRaolassssssaBAAcloOchoRho)oll- o_o EE Resistant AFFF (AR)- CassPown Class B Protein CCFillasasossr8psBraein (7) _-- -- -- -- Fluoroprotein CForlmi8angFsism Class B Film- ( F P ) Forming FFlFaPoo)proen Fluoroprotein -- _-- -- -- c(FaFsFPs)BARFFR o_o CCCElllpaaaussssssmsABAo-BABnRHfH-ioFFaFnP -------------- ---- ---- ---- ---- Cass Expansion Foam Class A Sc").,/iv~l)( vee ev~~lv kL~eI. t1e5d~ x )-- TTraaninvinggfFooaamm oer Other -- et er -- "oioTTrrhmhaanmrsnrootkdodyrcynoikoiniuunnggffg@o@oerrdrd@yoyesoolluituaarareettmnenimvvem.eccuooaasmmnn)d)d) ooccroroaYoJJpoiipomunrearSaStaitvttioooencon.k.acinnPPgkyleleieQraaunass1eteesgtthocchreooennnMMsttiaaicsnectantGeeNNassaraooninttcancayygPPRRioooluluodltniQaoidunnnegasCoitaonotDnnnDeatnlrealogtlrtlaaeAA.CgCgeoeonnnnccssyyuull((ta6a6n5n5t1ss1-2((-696257591-187--666-96967676--oo556rr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerreettuurrnntthhiissqquuesetsitioonnnnaaiirreettoo DDeellttaaCCoonnsuslutltaannttssbbyyJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseelflf-aaddddrreesssseeddeennvveellooppee.. Questonyare completed by: Questionnaire completed by: A~l/ooydd l\J,cchmennn~ y NaamniTeH Name and Title e_c,l, Mv, a 0 FieDepCar0 hmenet f000000000 Fire Department Photfo[VNlMuoorm~bn.eftr~oyr...nee.r.yvy Ef':irr-ee. Dept Te Phone Number Ed6R/a2re-s75/537 E-Mail Address $-27-0% Xinogen 0gfiv@e Fortneid einret. sever PPhhoonnee:: 651.639.95455910 651.639.9449 1f 800.477.7411 Rice Creek Par 800.477.7411 Fak: kway Fax : 651.630.2473 Suite 100 St. 651.639.9473 manridalinsnniam Paul, MN 55126 USA www.deltaenv.com 22222..00637 STSTAATTEE0_202882211559944 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. eDDogosenssiyynoouugrroDDpeeeppraaartrttimmoenensnt?t steonr htas currently or has youyour DDeeppaarrtmmeenntt hhiissttoorriciaclalyl useused CClalsasAAsosorr CCllaasssBBffooaamms fsoorr X_ firefighting opYeerastioPns?rotco Quaesstiodn2 7 )( No ign the acoftkhs form Yes- Proceed to Question 2 Sign the back of this form aanndd rreteurntttouoDDraellnta CCoonnssuulltaannttss No - 2. 2. Howoftn's How often is Cass Class B or B or CllasasAAsffoosaamm uusseedd iinn rreessppoonnssettoorfiree ccaalllsl?? )X<_oz0s-2w5o%rtofifieress ___ 2255-.5500%% ootf resfires ___ 7755-1-010%00of%frioreefss 33.. DosDoes tthheo DDeeppaarrtmmeenntt hhaavve ea ccoommpprreesssseedd aiair foofoam ssyysstteemm ((CCAAFFSS)) with with abun a built-in tank tank onson its angine(s}? engine(s)? ___ vYeess )0 nNoo 4. Howoten foam used n trang sercises? 4. How often is foam used in training exercises? Weak Marty Guarry Weekly semiSeamwi-uAnanulaylly _'4X Auaty Monthly Annually Bimal ___ Quarterly Bi-Annually Ove lease speci) Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam is used or raining event? 5. How K_much ?( tess foam is Less han 5 gatons used per training than 5 gallons event? 5 gators 5 gallons ___ 551to01100 atons gallons MMoorree tthhaann 1100ggaalllloonnss (pplleeaasseespsepceicfiyfy):): _________________ 6. Intaining where doss th spent foam go? 6. In training, where does the spent foam go? 25 _strm Sows _SantarySewer _OnStoSepte_Ground _Xi Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground I ---- _:____ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. 7. Wher Where Gdooesao/drdidotthhee rta raariniinnggittaakkeoolpalaccnee?? lPseleaassee iinncclhuuddeo aadddderessss,, iinntetrseerctsioenocortr ooittohheenrr spi specific llooccaattioonn 60 information for current "-.fo 0 and VJ. Qfupil!aJst gt training c;+ sewn areas. ~ Oc.v~ 0-1gmNo~nSb=e-se.:_ Xinogen' Phone: 651.630.0485 800.477.741F1o.k: 51.645.9473 masAEIiARY.COM. Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 TE Paul, M N 55126 USA www.deltaenv.com 22222..00638 sStTaAreTE0_206228211559955 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 What ype) and ran)foam a or wero uscnow and nh pastb he Depart, both or fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespone adn rang ( apmcaie Passe crock a hl ply. response and in training (if applicable)? Please check all that apply. TUUnsseenadgiinn? AAmUmosoeuudnntt Curentuseor GlTasaTBpypeeAqoouffeFFooouaasmmFim- BBarnanddootf FFooaamm YosorNo Training? Yes or No Amualy Used Annually HistorcUse? Current Use or Historic Use? CFolamsisnBe Glas 8 Forming Aqueous Film- AFootaeml-(NF) Foam (AFFF) | 5 Rositan (AR}AFFF Class B Alcohol- Resistant (AR)-AFFF SS L /VO o ooo cassopwon Class B Protein ICGellaa)ssss &B FFuluroorporporotteeiinn -- rr ee ee, CC(FFlloaPasp)ssrB8otFFiiilmmn--FF(ooFrrmFmiPinn)gg CospaReER Fluoroprotein (FFFP) CcSClpllaaaasssnssssaABi-oABnHRHF-iFoFaFmP -- ~~ can Expansion -Foam Aulus y-eess ess Yor Salles CTlraassnAg Foam rr ee eee eee other Training Foam - Other TofoTifrhmwanashnroodkdcyiynkaooniiunugggfefn@@oorrdr@dylyskeootalutuaaerrtentienimymv.aeccooaaommnns)dd))ooccroroo0o1Jpipem1merarhSSatiatti1ooovncn.0k.ain0nPPgyl"leeeQraauaasseteestthbccheoooonnnMMtstiaaincrnctnnteeeNNqssaaoaonnttncaacygyPPRR1oooolluddotnQiioinunnngesCCaaioottonnDDnttreTloalatlaaoAA.CCggooeonnnncscsyyuula((ta6n6n5t5t1ss1-22((0696577518-18--666639657667--o5o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. aPlPdeloeaassseseorreedttueunrmnvetthhliiosspqqeuu,eessttiioonnnnaaiirreettooDDeletltaCConosnuslutltaannttssbbyvMMaayv 9. 22000088iinn tthheeeennccolosseeddssttaammppeedd,.ssetlf:- - addressed envelope. QQuueessttioomnnnaatiree coommopllteteedd bbyy:: Namme ainckThee anrheto Fig cheep -- = Name and Title Fra Detparomeantbrose Lit Dep" Fire --4 3-675 Department Phone umber "37 a Sof Phone Number Date a E-Mail Address XXiInnooggrer-r .,, _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.635.91084050.477 7411 Fok: 841.635.9473 mrdalinans.son. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222..00663399 STSATTAETE0_208228211559966 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg XC ves ProtocQueesteiond 11.. DeDofoeiesgshyyioonuurgroDDpeeeprpaaartrtitmmoenensnt?t cuentoyr currently or hhaass yyoouurr DDeeppaarrttmmeenntt istrcaly historically uusseedd CCllaassss AoCass A or Class 8B ffooaammss ffoorr firefighting operations? No-Sign the back of ths form and return to Delta Consultants )<. Yes- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwootfetenniiss CCllaassss Bor B or CClalssaAAfsfooaasmm used used iin response response ofr to fire calls? calls? _ ( 00-2285%%ooff firreess _ _ _2255--5500%%ooffffrireess: ___ 7755-10-0%1o0offff0iirree%ss: 3. 3. Doss Does the the Department Department have have acompressed a compressed aiair foam foam system system ((CCAAFFSS)) wwiitthh aa bultin built-in ttaannkkoonn fsits eennggiinnee((ss)?? ___ YYeess a 'v No 4. Howoten s foam usedin raining exercises? 4. How often is foam used in training exercises? Weakly Monty Querety ___ Weekly Semi-Annually XK novualy Bramall ___ Semi-Annually ___ Monthly '"ji' Annually ___ Quarterly ___ Bi-Annually Over plessospectyy Other (please specify):------------------------ +ZX ss rns gts Sgatons Sto10galons 5. 5. Howmueh How much foam foam sis used used peper rtraaiinniinngg eevveenntt?? Mora han 10 gallons (leasospectyy Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intraning,where oes the spent foam 0? x 6. In training, where does the spent foam go? Storm Sewer ___Sanitary Sever onstesepte Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic / ( Ground CL Oberessedeserber ----'-- Other (pleBse describe): ------------------------------- 7. 7. WiWhnheferroeerddmooaeestsoi/idrdioddcnttuheenttrraaiainnniidnngpgattasakkefealpralaiccneeg??aPrPleleeaaasss.ee iinncclluuddee aaddddrreessss,, iinnteerrsseecctiioonn oofr ootthheerr speci specific locaon location information for cur ent and past training areas. freaoxchheec:e..d. YooJs~t Mocl,eey Acre~va.e Mooch in nN desk o&Hearlra Kinoger: Prone: Phone: 651.639.9545 1 808.477 411 Tok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 631.639947)murgaltasnY.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 2222222..00664400 STSATATTEE0_208282211559977 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WtWehhsapatot nttyysppsee(a(ssn))daainnnddrbbariarnndag(s(n)1oodafpffpfsooloai)mcmaabarleree)?oorPrvlweeerarseeeuucssheeeddcnknoaowlwahanntdd3iin9tth.hee ppaasstt the by the Daten, Department, bhbothffoorrffriroe response and in training (if applicable)? Please check all that apply. TUrUassieenddiininng? AAmmUosoauudnntt CurentUseor Training? Used Current Use or CTlyTBypapAeeqousofefFoFsouosaammFin Class B Aqueous Film- 33/YMl AE BBrarannddooffFFooaamm A-f=~ A YeYessoorr NNoo t-Jo AnAnnunaulalllyy HHiissttoorriicc UUssee?? Pd:st..Satp!-' fl,Hs~ J)-.;e-f)lrL Class B Alcona FFoorrmmiinngg FFooaamm ((AAFFFFFF)) Recs parry orl Fone No Lupe Class B Alcohol- Nahe! Ni/\~~1',;\r F~oWn l 2 No ~"& fs, 4 c~d- cassBPoOn 0 Resistant (AR)-AFFF o__0-t( Class B Protein C)l8Faoropsrotsein Class B Fluoroprotein -- ee CC(FFlulaPaoss)osspBBraFFliilommn--FF(ooFrrmFmiPinn)gg --_-- CesseaReER Fluoroprotein (F~FP) CECClxllaaaassssssndAABo-BABnRHfH-oiFFaFnP oo fy Expansion Foam ssi/ l/\J- e-exx Ves 20 [ TCrlaaisnsinAg Foam Training Foam --Unlewon NYe -e-ss & Hvxa=lewonn oer J Other iooTTfrmhhaannsnnortoidkodrcyonikoiuninungggff@@ooearrrdo@yyelsoolatutuaareretntteniyimvm..eeccooaammunne)dd))oocicyoroaooJmpipumeerrahSSatattoiovoonecn.kc.ainnPPkgylleeeGnraaauassegteesttthcahcooeoonnnMtMstaiaicnrnctenntgeeNNassaraoodnntticaacnyygPPRRoiooollsluddltniQiaoinunnngegsCCaaotoftnonDDvntroTeiolaltlaaeAA.gCCgeoeonnnncscsyyuull((ta6a6n5n9t1s1s--2((56960575711-8---666696097678--oo55r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. aPdPldleeraaessseesrereedtteuunrmvnettlhhoiispaeau.eessttiioonnnaniraeiftroo DDeelltAt Constants Consultants bhyv MMenvy Q ?2.000088 ii.n tthhee eennccl!oosste?dd s.ct:taammpneedd. setself- addressed envelope. QQuueessttiioonnnnaaitreeccoommplpeletteeddbbyy:: fhs r jae.n(a\=--TE ie~tE a \tLhiR "n',/ I1st~o~d-J C0~h,e-e eII-'o Name and Title rnc FiernDecp:acrQtm.e\n\t?AO \S?o\0x~ T~x~gzew rr-ezc- s Fire Department a Phhoonnee NNuummbg er -x- 000s 00000N Ge eo ber ocioAcddrebssent @ C0 Date mocoweAD. alm mi. 0S ail Address Kinoger: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..064411 STSTAATTEE0_202882211559988 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg +-- 1. 1. frDDaootsegsshyyioonuugrroDDpeeeprpaaartrtitmmoenensnt?t ccuurrrreennttllyy or o rhhaassyyoouurr DDeeppaarrtmmeenntt hhiissttoorriiccaallllyy uusseedd CClalssaAAosorr CCllaassss B 8 ffooaammss ffoorr firefigXYhting operat-ioPns?rotco Qeuesetiodn2 7 _ _ _ No- Sign the backof this form Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuultltaannttss 22.. HHoowwoofftteenn iiss CCalassss B B oor CCllaassss AAffooaamm used used in in response response [0frto fire cals? calls? ___ 00-2285%% ooff resfires X__ 2255-500%%ooffffrireess ___ T75-51010%o0of0fffrir%eess 34.. DDooeess tthhee DDeeppaarrttmmeenntthhaavvee accoommgpereesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa ull built-in ttaannkk ons on its eennggiinnee((ss)?? ves ___ Yes xe ---fr-No 4. Howolens foam used in traning exercises? 4. How often is foam used in training exercises? Wooly monty _oueny ___ Weekly Monthly Quarterly X' T sembamuaty Xow BLamnualy ___ Semi-Annually Annually Bi-Annually --$.---- 5 overRasespectyy D&_ddloont +rdar.ew iou iru Fern doe bo e. +- Other (please specify): \) 11\. I rJ i iII+ Fe PtM. ofv Q._ .f..o COS+ bot do Use (7 mavee DNCe SE1_ - C.OS-r--1 bvr d.o tJ5e i / ;ill'IY8~ ON(~ c~ + vowmmchtoams wats vag 5, REE SS TI EBS Hse 1 =+ 5. How much foam is used per training evln?? 1\A fo-Jc.e_ 3vt ~ 1re >\-\A-..-' ;c_.r.cu.J hcc:/ f<> /_so / T NC LessinSgakons Sigal 51010 galons '( Less than 5 gallons 5 gallons 5 to 10 gallons Moro han 10gallons (ase speci) ___ More than 10 gallons (please specify): _________________ FF ONEIG Lol 66.. IInnttrianiinningg,, whheerreeddoosess tthheessppaenntffooaamm 6g0o7? Storm Sewer ___ Sanitary Sever on-ste Septic Ground __ - 'f- _ SOttohrmerSefwpleoarso Other (please dd_ sesscc_ rribbeeS))a: PnitAfaPryTrrSE/Cew; "e'r(.,... _ _ On-Site Septic Ground Lto-orr TlHfltat;wJ WWhAs.'5HHec"d'cf7r0c E(;RIZODUVNilD 7. <9 Fl-:::_ 7. OWWInhAfheoe-rrfrmVeea-tddtiorooJeensGs/o/d-driiddct-utt-hr,hoeeenTrtrtaaiainnniindngpgaatsaktkeevlpaalaccgee??aPPreleeaasssoe iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortraoiitoheenrr ssppeecciififc llooccaaltiioonn information for current and past training areas_ LMootosstehd? L7A3re Fr ire HAY f./LOO E t--11-'i~e i/2e_ II/f II rJJootTrHih s_S1ifJ0uZ oOFf H1-+A4 JI J_FlonT OF BAY DookS jMVfvlOQO1OO? 5StE+-uJYLL-7IR3-F!CE?, 1m11 d/1 SE Ninogen: . mone: Phone: 651.639.5405 1 500 473411 Fin: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: G91 630.947] Suite 100 St. 651.639.9473 MubdAltaSRCYOM.. Paul, MN 55126 USA www.deltaenv.com 2222222..00664422 STSTAATTEE0_208282211559999 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What types) and braontfoa)m are orwa sed now and nh pay he Deparment, Sih for fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesporas ad in taOfpilense Please chock a at ap. response and in training (if applicable)? Please check all that apply. TUUassmeenddiginn? AAmUmosoueudnntt CurentUseor Training? Used Current Use or CFClolaarTssmyTssiynpBBpgAeeAqFoquoofueafeFoFmoouou(asasFmmFFFiDilm)m- | `BBrraannddooffFFooaamm YYeessoorr NNoo AnAnnunaulalllyy HiHsitsotorriiccUUssee?? Forming Foam (AFFF) GRloossssinA(oRlAFF Class B Alcohol- CassgPown Resistant (AR)-AFFF Class B Protein ICCllaassss 8B FFulucorroopprrootteeinn _-- C(GPFllcaParss)sospB8rFFtiiolFmno-F(roFmrRmiRnin)gg casparerr Fluoroprotein (FFFP) cEoamsiaasnfom Class B AR-FFFP Class A-B Hi 7 fn Class A Expansion Foam Slu--et xlod wr sent, TCrlaasnsinAg Foam --_-- Tm ra over Training Foam - Other os`TorTrhhoarnanrnookkcddyynniooinnuuggffo@oordr@dayyesooklutuaaarreetmtninmevec.encoonaummnd))d) ooccforooooJp9ipemnerarhStSailtvtioaooecncnk.ki.oinngyPPgelleartaeaesstehothccneoonnsMMttaaiicrnctnteseNNastdaoinyatancygPPRRioooolsluuddtnitieoinnnsnggtCC1aoootrnmDDteoareoltlltlaaAAegCCgeoeonnnncscsyyuult({ta6a1n5n-t1ss4-20((69675751-198--666699697867--oo55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pioscs Pleas~ rum return this this cussions questionnaire to to Dstt Delta Consultants Con:;u!tan:s byMay by ,''rlla;, 8, 9. 2000 2008 nthe in the enclosed enc!os.;d stmzed.sat stamped. self- `addddrresseddeennvveellooppee.. QQuueessitiaonnnnaaitree completed completed byby: , -r;zf:_ Fon5Ss"ta"n'-edt-Tv-ieelJZ.- TTReNN1H-tAAI1LLGE CHIE Name and Title Fre'MMDeOp0iOm0enS5tEE L[RAL~E A!1R-f-EERit ;FCi;i!l_ee_ PpRROoTrEECcTllioo;wu 0D1r5s/rIZe/sccr/ Fire Department 21s8--L4/0co5s--i4f :2z 42 42//J5D0)/,05 P:hJon.,e amber 4 2- E(imoAdodessLsAfiredlegt herriacom E-Mail Address I Bad ' Date Ninogenr Trane: 651.630.9T508 R50C7rSTTLRTYok S31a6318080653 bPoual FnSaInUaSE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00643 SSTTAATTEE__0022682211660000 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. rDDooeaefss iyyoouuorr pDDeeerppaaatrrittmomneesnn?tt cent currently o o r has has your your Department Department istoricaly historically used used las Class Aor A or Glass Class foams B foams orfor firefig)g Ves - ProtocQueesteiond2 operations? Yes- Proceed to Question 2 TTNo ign theback this form an returtno Delta Consutants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How often s lass Bor las A foam used in response to re cals? 2. How often is Class B or Class A foam used in response to fire calls? XI oasnottes 550%otros 75.0of0re%s 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Does ihe Deparment have acompressed ai foam system (CAFS) wiha bultin tankon s angine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Sno )</ No 7 4 Howoften foam used i ning exercises? 4. How often is foam used in training exercises? Weekly Mn Quateny ___ Weekly Semi-Annual 2 roaty BiAmualy ___ Semi-Annually Monthly )'<I Annually ___ Quarterly ___ Bi-Annually Or less spect) - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. 5. Howmuch How much foam foam iiss usaused ppoerr rtraaiinniinngg eovveerntt?? Noreth10agalnons peasespec): Af LLeesssstthhaannS5ggaatlloonnss ____ S5ggaalllloonnss _ -- __ 55 to1100ggaalllloonnss. _ _ _ More than 10 gallons (please specify}: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. In rining where dou tho spot foam go? 6. In training, where does the spent foam go? rrr et owes Mam ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic KXJ Ground _ovepessedesewer ______ Other (please ~~s<?.ri~eL------::-c~.....,.,------...,.------------- 7. Where does te iin ake lace? leas nude adres, inert or othr specie ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location fomatofor cent3 pas varung area. information for current a d past training areas. 2 g - aden \r Q~ 0 eek . Xinogen' Phone: 651.629.9445 1860.473.7F4a1k1: 651.615.5473 whrsideltasnv.com Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 cry Paul, MN 55126 USA www.deltaenv.com 22222..00644 sSTTaArTeE__00z2s82211660011 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 8. What ets) an branoef 0sa)m arorwere used now and i th pst he Departmen, both fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespansa arin tain appa loos coho ot 330 response and in training (if applicable)? Please check all that apply. TipeofFoam Brand of Foam VTUoesnelidnhigno? AAmUmosueuadnlty CuHrsetnodtsUUsseeosr Tvpe of Foam ClBAqaueosus Fsin- Class B Aqueous FilmFoming Fam (AFFF) ~~-------- -------- Forming Foam (AFFF) ClaAlcsons Class B AlcoholRear (Aree | ------------------------ Resistant (AR)-AFFF caswpwen Class B Protein P-- Class B Fluoroprotein i" ---_-- (FP) Clas 8 FimFoming Class B Film-Forming Fcroproton (FFFP) --_-- --_-- Fluoroprotein (FFFP) cmsearere Class B AR-FFFP Cos rs Class A-B Hi Srparaon Foam = -- Glass A Expansion Foam Class A Tring Foam - Training Foam over - Other Brand of Foam Dilu-ex Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? es 3 3 Comet Thank youfo you to and coopraton. Please contac ancy Rodinga Dla Consult (651.607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rod daaetw amof)in Songer t he mesa Fotos Corl Pony (65157-5008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or okaGeot rn o8 you nave ary stan rogading ie esto jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerroettuurmntthhiiss qquueesstitioonnnnaairiree otoDDeletltaaCGoQ.n.sllu~lIJt1ta?nf.tlst~bP.v_vMMaayv99,. 22000088iinn tthheeeennccllons!ieeddsstfaammpoeedd.. sf:!salf:faaddddrreesssseeddeennvveellooppee,. Questions compiled } Questionnaire completed by: HomePiandg FePyinas Fire Chief VA1~~ )4viru.& F1'r~ (1,~~ JuFleaoDeepdmaenrt Qe dap. FFijiSroeoorDe2leN--parbtZ2meer4:n\t49--2244-8S7l Phone Number Eir~YA"adlr~ens~sfee) rrar~ed-. CCDolw-0.. e4we-28-08 Date XNIinnoogg~enn "" PPhhoonne:e: 651.639.5045 1 800.477 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.639.9473 Suite 100 St. 651.639.9473 madliasnu.tam Paul, MN 55126 USA www.deltaenv.com 22222..00645 sStTaAreTE0_208282211660022 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. DrDoeosnesoshyyioonuugrr DDpeeeppraasrrotmmneesnn?tt carryor currently or hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly uusseedd lasClass Aoorr GCllaassssB ffooaammss orfor firefighting operations? No. Sign tho baocftiks form andreturn t Dela Consultants K?_:_. YYeess--PPrr oceo edtc tooQQe uueese sttiiood nn22 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howaltn's Class Bor Class foam used in csponse to fr cals? 2. How often is Class B or Class A foam used in response to fire calls? X__ oasworties 250%of res T510of0re%s ---1-)<'-'-<,,...-_ 0-25% of fires ___ 25-50% of fires _ _ _ 75-100% of fires 3. DooDoes tthhee DDeeppaarrttmmeenntt hhaveaaccoomvmpprreesessseedd aiair ffooaamm ssyysstetme ((CCAAFFSS)) wwiitthh abun a built-in takons tank on its aonnogiinnee((ss)?? 3. No XXR l vYeess _ _ _ No 4. Howottens foam use i sning xercses? 4. How often is foam used in training exercises? New Wey ony _ ovneny ___ Never ___ Weekly _ _ _SeSmeim-Ai-nAnnunalulaylly _KX_X _ AAnnonuuaallllyy Bi-Amually Monthly ___ Quarterly ___ Bi-Annually "over pease spect cere ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis used por raining overt? 5. How much foam is used per training event? r2 LLeessss tthhaann 55ggaalllloonnss 55ggalallloonnss _ ______ 55ttow1100ggaallloonnss --_--__MMoorree tthhaann1100ggaalllloonnss(p(plleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm go? _ SomSewsr ___SamianySower __OnStaSepro_X_ Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic .1_Ground J a---- ere ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. 7. vWfi-ohorereemddaooetseo/drsiidcthouheerntttraaiainnininnggpaataskkteeapplvlaaccnee?? rPPleleeaaasssee iinncclluuddee acess, address, iinntteerrsseeccttiioonn oor cerother spec specific ocaen location Base information (3o.5< Ot for current 6... t1 .L.Qidc and past training e I areas. 33 ,a_ sG+r- Sam .Soui'l-.. wer t.vcJ -r rors we XKiInnooggpe:nl' ,'" OVEERR---+ Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: _ Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00646 sSTTaAeT_E0_206282211660033 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. ToWWshhpaaottnttsyyppeee(a(ssn))daainndd ibbnrrainnadg(ns()1do3ofpiffpfoksocaa)ammtiraeryoe?ooPrlwwaeaersreee uuhsseeedcknnaoolww ahaanntdd aiinptythh.ee ppaassttbbyy tthhee Department, Department, both both or for refire response and in training (if applicable)? Please check all that apply. Typoof Foam Brandof Foam YTTUUeraasssieeinoddirgniiNgnn??o AAAmUUmnossoueeuddnuntt GCuUursrereenant?ltlyy HHiissUttsooreriidcc?aallllyy CCFliaTsln~sQr8BeaAoAoqmqufsuFeoeooofsauumoss n (AFF) Film-Forming Foam Brand of Foam Yes or No y~ e I Annual!~ ~ B~ U Used? ~ y Used? ~ af ReC(CAs!aFslsFasF8nB)atAAclsOcoobWhos)oll-- AEE Resistant AFFF (AR)- CassBPon Class B Protein FlCCollaoasssp8eoBten(rp) ------------ ---- ---- ---- ---- CCFFolluarlosmrsioo8nBpgFsroFitieelmmin- (FP) FFFFlolPuuromRorroi)napgproottesinn _-- ---- -- (CFeFFsPs)BARFFP CCCElxllaaapssasssnssAABi-oBBAnRHHF-iFoFaFmP -- -- Tongan Class A Expansion Foam Class A Er:DogR~JeC{s2_qPn)ans -- y\,e.rerf ltoog~ce.lI YIYeeSTs y7e 'f..e~- over Training Foam -------- -- -- ---- -- Other "JoToTfnrhhawnasnrnootkkcodcyynnokoinnuiuggnff@g@ooorrddryyoe@ootlsutuatrsreeetttniimnvmm.eoccnooaamm0nns)dd)) ooccrorooo0JJpiipem0merarhSSataitttivoooonecnc.k.kainniPPgynlelegecraaeaassisteettthcchooeoennnMMtstaanicnrcetentsgeNNaosaraolndntiacacnyygPPRRhoooolusldudltniQiaoinnunnggBSCCtaoLotnOnDDvMteroIelolSlttlaeAaA.gCCgeeoonnnnccssyyuul((tla66na55t11rs--22((699657751-1-83--666696607876--oo55xr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please Please totum return this this qquueestsiotninaoirnetntooaDiDeertlteaa CCoonnssuullttaannttssbbyy JJuunnee 66,. 22000088 inntthheeeenncclloosseedd ssttaammppeedd,. sseellff:- `aaddddrreesssseeddeennvveellooppee.. QQuueessttiioonnnnaairree ccoommpplleetteedd bbyy:: ame anTTaT1ri-o0eyy ODCo?bi 4lke Name and Title Word. un FiFrireeDDepeapratrtmmeenntt Phone N5um0be1r -338-924! Phone Number -BaIts-08 Date ERTAGDeashsle @ (evo .NeT E-Mail Address XKiInnooggepnr .., Re Cree ary SUT TOUS FaWuH Sn ETI US 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 451.620.9/534050.433 5411 Fri: $91.638 047) movABlALoA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00647 STSATATTEE0_202882211660044 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 1. 1. 2. 2. 35.. 44.. 55.. 6. 6. ~ 7.7. rDDoaoeetssiyynoouugrr DDoepepepararartttmmoerensnt?t csror currently or has has your your Deparment Department historical historically used used CCllaassss AAoorr Gas Class foamsor B foams for firefiX ghti)n(g; oY pYNeore.asti-oSnPPisgrr?onoccteeheseddbttooaQQouufceessthtktiioisno2fn2orm and retum0 Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants How often' Gasso CaAsfosam used in response oe cals? _X_omwoifes How often is Class B or Class X A foam ___ossoworfres used in response to fire calls? ___ _ 7755-110000%%ofofffrireess 0-25% of fires ___ 25-50% of fires _ Does the Department have a compressed ai ir foam foam system system (CAFS) (CAFS) with with abun a built-in tar ons tank on its engine(s? engine(s)? Does tt1e Department have a compressed a ___ veYes Xe )( No Howoften is foam used n ning exercises? How often is foam used in training exercises? Novr Weekly Writ _ umeny ___ Never ___ Weekly ___ Monthly ___ Quarterly SemiAnmualy KX aonualy aman ___ Semi-Annually X Annually ___ Bi-Annually _ _ _ OOtthheerr ((pplleeaassee sspecp ify)e : c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - How much foams used or raining ave? How much foam is used per training event? X_ Less than' gaons sgalons _ _,_)(""---_ Less than 5 gallons 5 gallons Marothan 10gallons (leasespeci) ___ More than 10 gallons (please specify): ___ 551to01100ggaatlloornss - In oiing wher docs th spent foam go? In training, where does the spent foam go? SomSows __SamaySewer __OnSteSepic _X_ Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ____x__ Ground T oveiomsedoseer ___ Other (please describe):---------------------- Where doosiid he taining ake piace?Pleaseinclud adress, nrseocraobenr speci ocaton Where does/did the training take place? Please include address, intersection or other specific location dormastonn atnd pot vagareas information for current and past training areas. Vbianr cor cry of mirif Mom /64L-&'1 n r 7 odlreit BF J Ejrorezs a f41/'~f ~- e F L.U r= - e;.,ry cJ~ 41aT LE7y< ./l!ff-rlf/Tll'lfl.''-C::.. Kinoger: OOVVEERR---+ Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 _ Paul, MN 55126 USA www.de!taenv com 22222..006648 STSTAATTEE0_206228211660055 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wht pols) and banofcoa) rowers usd nn an inh as ye parma ba for fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tessar ann vin 1 aca lease heck oot ap. response and in training (if applicable)? Please check all that apply. TUasiondign? AmGoeumnst Currently Historically TyTyppeeooffFFooaamm C8sAess Class B Aqueous Fintomegtom -- Film-Forming Foam fr (AFFF) i8sAosno Closs 8 AlcoholRen Resistant (AR)=AFFF CassPoWn Class B Protein Goss Class B Fuoproo7n) Fluoroprotein (FP) Gl8oFsism Class B FilmFate Forming Fran -- a -- Fluoroprotein fe (FFFP) CmssAREP Class B AR-FFFP Cass ASHi ; Class A-B Hi Erparion Foam Pri Class A Expansion Foam Class A Tenor o_o Training Foam omer -_ -- = = = Other BBrraannddooffFFooaamm _Sivry Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? Ye lw ----.1(-(h/oli\ ,.i t,li!1 }if j\IIVIV Thankyoufourtime and cooperation. lease contac Nancy Rina Del Corsa (051.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 cr rmataccom) 4 Siokinageher Mirossta Paluion Col Agony (851-497 300 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ingsare mo You hav ary Goto ring ms uncom jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questonnaecompeted by BPlloeaasseerreettuurrnntthhiissqquueesstitioonnnnaaiirreettooDDeellttaaCCoonsnuslutltaannttssbbyyJJuunnee66,.22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseelflf:- aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: RareTaRndeTyia _bpss fir FNiatmHeoopaanrdrimTei?trletFie por Fire Department ches Phon2e/a8mb-e3r51- 6172 ExT262 Phone Number BeYeo Date EHKEinogen E-Mail Address 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00649 state 02821606 STATE_02821606 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg veocntto auton 1. 1. eDDtooaeehssi nyygoouurr DDopeeeppraaarrttimmoenensnt?t crrendyor currently or has has your your Deparment Department torical historically used used CasAsor Class A or Clase Class foams B foams for for firefightinjl operations? No.Sign hebackofthis form and return fo Delta Constants ____,./'----- Yes- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howolenis Class B.r Class foam used response to re cas? _ o2sviotfies _ 2sS%offres ____ 75100%offres 2. How often is Class B or Class A foam used in response to fire calls? / 0-25% of fires _ _ _ 25-50% of fires ----,-- 75-100% of fires 3. Does the Deparment have a compressedd aair foam foam ssyysstetme ((CCAAFFSS)) wiabtihn with a built-in ttaannkk non 5its eennggiinnee(ss))?? se 3. Does the Department have a compres ___ YYeess / NNoo 4. 4. Howotienis How often is foam foam uusseeddiinnttrraaiiniinngg Never eexxeWerrocciosseekss?? ___ Never ___ Weekly Monty ___ Monthly urery ___ Quarterly ___ `SSeemmii--AAnnnnuuaallllyy Ah Re e&L % ____/,(.______OtOhtheerr ((pplleeaassee ssppeecicfiyfy):): / AnAnnunaulalllyy &USStUeAr:'e-'-11 Op,M.JE~ Lt vGT ta-u II2.AJ ___ 0ok~ -Trw~i,t~ -rT!-A:, N # ~ (;. BBii--AAnnnnuuaallllyy Y~% JD>uUl-#iJnAJ~ .exc&n.~ t 'c-r 5. Howmuch foam is used por varing event? Less than's gallons. 5gallons 5. How much foam is used per training event? / Less than 5 gallons 5 gallons ___ 551to01100 ggaallloonnss Wore tan 10 eters ease speci): _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaring, where dos the spent foam go? Storm Sewer __ Santry Sewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer __ Oonn-sStiteesSeeppticc /GrGoruounndd tne lea descr: - Other (please describe):---------------------- 7. Wher dosid he ing ke lace? Pleas includ adress, ersectoonr cine specie locaon 7. Where does/did the training take place? Please include address, intersection or other specific location maton fr cuenta pot Van rsa. information for current and past training areas. VonkDuioScimLoonckTooens ErAeTecmLuIeVeE, Bute TEdiiiis = depcunS 1/~0U..S Loc.A:nbUS I(C /.,IV_ f!,~ ~I..J~6 - )>GpC-ND~ Hwogen OV VE ER R~ -- mone 651.479.9045 1 80044131 F3ak: 91 639.9473 mndeliaene.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006650 SStTaAreTE0_202882211660077 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. sWWipnhoaattnttsyypepee(a(ssn))d aainnddr abbirrnainandng(s)()1oo2ff9ffpoohaacmambaiaere)?ororPr wlweeeearrseee uucssheeecdcknnooaww raaanrtdd aiinpttyh.he pastby past by the the Departmen, Department, boboth frfor fre fire response and in training (if applicable)? Please check all that apply. Typeof Foam `BrandofFoam YTTUeUrrasssaieenonddirnigNignn?o? AAAnmUUmmossoueaeudndlntyt CCuUursrrreeensntytllyy HHiissUttsooreriidcc?aallllyy CFClmaTslF~s[o!88aeAmAoqnqufsueFgeooofsauumoss m -- Brand of Foam Yes or No Annuall~ Used? o_o Used? ___ Film-Forming Foam ((AFFFFFF)) Class 8 Aol Rossrt (Ry. Class 8 AlcoholResistant (AR)RE AFFF Gessopwon Class 8 Protein cass Class 8 Fuoroprten (Fp) Fluoroprotein (FP) Cass Fim. Class 8 FilmForming Forming Flioroprotein Fluoroprotein (Fre) (FFFP) CossBARFE Class 8 AR-FFFP gasnom Class A-8 Hi arson Foam Cass A Expansion Foam Class A Acokorpsaor: r AArNJS~UULL-- AM~NISJIU.LtrieT.AEi?AtR::E... /v. t:OHol.- j!I!StS~ ---------- - ANs;iULn. "S5i/Liv.v--e;c p,.lJoo ---- N~e~e 1 lt ERMAT ~-to WJJ.U~ 1~ ---- ---- ---- ~~ U.'~ -n(.t\ ,.J psemuns so ~5~~5 10 omer _-- `TTrraaiinniinngg FFooaamm-- Other --_-- _---- -- iToTofmrhhaanosnrnotdkkdoyiyncooniknuuigff@@noodrgrdeeyyetrooltuaeuareraentttnimyvao.eccnoaaomunnmds)o))occorooYoJ4poipemmuerarhSSataittiotovoncen.ok.aincnPPgylkleeeqraaaiuassetnesettthhccgieoooonnnMMtstaanicrncetentsgeNNaasaarotnnitacacnyygPPRRIoooollluddutniiCooinunnneggsCCaaiootonnnDDvtnroeloallrtlaaeAA.CCggoeeonnnnsccsuyyull(t(aa6n6n5t5t1ss1--2((692557581-178---666896067670--o5156r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- aaddddrreesssseeddeennvveellope.. Questionnaire completed by: Questionnaire completed by: Goceony Ss. feverson Fee (nee btZEboi;;r ~. feD~ot.J Name and Tb Name and Title _Mouos Fee Deppeament FroDeparment Fire Department + Bro4qa>5sd2z_e-- r'4t 11z2.--3355'5~5 EPhfonicde\AN.hdu~amriebseesr 4l1.. @@_ hMooluA~nJd{f'i-cre. CcoomM E-Mail Address Ma,oad 30,2008 HwXoIngogernn '" Prone: Phone: 651.639.9045 1 5910 651.639.9449 I 800.744117F7ak: Rice Creek Parkway 800.477.7411 Fax: 51.639.9473 Suite 100 St. 651.639.9473 mamridaliaans.sam Paul, MN 55126 USA www deltaenv.com 222222..065511 STSATATTEE0_202882211660088 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 1. Dovs your Department cuenta your Deparment stray sed iss Ao Class B foams or 1. fifDrireoefefiisgghhyttoiinnuggroDoppeeerparaatrtitimoonnessn??t currently or has your Department historically used Class A or Class B foams for SK os ProtocQueesteiond ~Yes- Proceed to Question 2 NoxSign th backofthis form an reton to DeaConsultants ___ No - Sign the back of this form and return to Delta Consultants 2 Howton is Clas B or GaAlosam used espns oo cals? ..A$K__ oaswotmes _ossowortes ___rstoosoltees 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 5 Docs he Dopartmant have compress foam system (CAFS) ih ui ak ns engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Eve ..$---Yes NoNo 4 Howatanis oan sed in vining xaos? 4. How often is foam used in training exercises? woo ony -- ounery ___ Weekly 2 senkmoaty Arua BAmialy '{'9 Semi-Annually ___ Monthly ___ Annually _ _ _ Quarterly ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecciiffyy)): - - - - - - - - - - - - - - - - - - - - - - - - 5 Howmueh oom use pr vag oven? 5. How much foam is used per training event? 2X Lessimens alos ___ gallons sw 0gns ---"r"->-<-.'- Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons More ha 10 gon (ise spec) ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6 Iain,wheedoes to sort foamg57 6. In _ SomSower training, where does the ___ Storm Sewer ___santaySewer spent foam go? _ _ Sanitary Sewer Over lose dose) ___ Other (please des~ribe): _____ ER ____ _OOnsn-tSeiteSeSpepiticc XXX'GrGorouunndd . 7. Whore oust ho ing ok pce" Pls nce aes, erosionof ovr spc ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location maton of ron ar an van ros information for current and past training areas. EMPTY _toT _pcRes FROM cSoIusEin) SAfoTr)EPSTiEt.)) t--Mfry LoT AcRc:&S r=-~oM Xinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00665522 sSTaAtTeE0_206228211660099 QQUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Wohat pms) and beansHoaopamae Pwosr usadcreo aaon ipn t.he atby he Dp, bothfor 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUasenagins AmGoooudnt urentuseor TyTlpe~eooffFFooaamm `BBrraannddooffFFooaamm Gls B eos Fi NO Css Sto ANSULITE SoM Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) cC!HriEc~M<iB!tIdfR~IR!!D..Y'?L Af\),-n\-1"stOeJ4<..... Class B Alcohol- cL ANSULJk FnA'1 Renae SAMSUCITE TT Me Resistant (AR)-AFFF CessPOOR | Class B Protein Gas 8 Fortin Class B Fluoroprotein w ------------ (FP) GlBFoi sFarmsing Class B Film-Forming Flan Bree) --_-- Fluoroprotein (FFFP) cmmosmere Class B AR-FFFP cass ABH Class A-B Hi Saranfoam - wR Expansion Foam Gass _SWYV-EX Yes [foeon amad TCralaisnsinAg Foam Training Foam $lJI-!1#/Y --_-- con Ties Other Used in YYTeerassinooirrnNNgo?o p Amount AAnnUnnusuaealdlllly HiCHsuitsrorteornriitccUUUssseeeo??r o I 0o Ve-_s /c-2..0 64L lee -t01f~t.- l(~rchiJ~ d.- Fr v~ W/{c:y.) tf!tf.tv~A8 (" Thar you fr your meand coopraion. lea coat Nancy Ring a Dots Consular 05.097.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 race om otoo Soin oa meen oor Coes any O5S07 0008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rGvar te oo ou hove a moto oping os sears jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleasereturnthis Ple_i!!?~-r~turn thisqauueestsitioonnnnaaiirreeftoo DDeellttAr ConstantsbyMay2 Cnn..:;ult~!1fc; !:w Mav P 008 ?.00~iinntthheeeenrc.cl!oosseedds!t:taammppeedd,.ssaeltlf:- `aaddddrreesssseeddeennvveellooppee..- Questomarscompiedy Questionnaire completed by: rvnend. Noguzes pss Are cure Name and Title FreDepartMounrn) Ikon) FIRE. DEPT Fire Department IRoN ErRE OEPr Fons Nomar221r,S8 Phone Number 7250 -72( oe . - Date LE IRELELTS E-Mail Address wiRon cor. Kinogen: ron oe TTL TE Te 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00653 state_o2621610 STATE_02821610 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. TDDaooreegss pyyuoonuugrr DpDeeeprpaaarirtmomenensnt?t urenofthays currently or has youyour Deparment Department Htarcalyused historically used Glass Class Aor A or Glas Class B foams foams for for firefighting operations? No- Sign he baocf kis form and eurfo Dt Consults + / YYees-s- PProrceeodtc too QQeuueee ssttiidoonn 22 No- Sign the back of this form and return to Delta Consultants 2 How fen Cass BorClaAsfosam usin espns 040 cal? 2. How often is Class B or Class A foam used in response to fire calls? oases assomoies 751005ctfros / 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% of fires 5. Does he Deparmenthavea compress a am system (CAFS) wih alin arkon fs nga)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes "to V No 4 Howofienis foam usd in aig verses? 4. How often is foam used in training exercises? -- eay ony ___ Weekly ___ Monthly aura ___ Quarterly Over lease speci) - ___SeSmeim-Ai-nAnnunaulalllyy VAnnAunanluallyly ___ BBii--AAnnnnuuaallllyy _ _ _ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. Hoverueh oamis usedpr ring overt? 5. How much foam is used per training event? _ LestanSgalons __ Sqalons _ swtogs / Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Moro than 10gallons (lease spect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthheessppeenntt ffooaamm ggoo?? Stom Sovr__ Sadary Sever OnsieSopic Crowd ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Over lense cesar -- ___ Other (please describe):------'-------------------- 7. tVinero ndotseceorveanyoakVpacey?rloeaans nck dss rersetion ovr spe cain 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Atl talLd I Xinogen' PPhhoonne:e: 651.630.5985 1800.477 7411Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 851.635.9473 Suite 100 St. 651.639.9473 mudalRLA.CROT. Paul, MN 55126 USA www.deltaenv.com 22222..00654 sStTaAreTEo_z0s228211661111 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training mWhiameysets)iandvvoamtsofpoam srwePresatcohu aodn hpb he Copan, bot for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUaendag Ambooudnt Gumenttseor Tupeof Foam Type of Foam Ges AdsouFisn: Class B Aqueous Filma ---- -- Forrr.illg FCiUiil (AFFF) Coss te Class B AlcoholRy -------- ---- ---- -------- Resistant (AR)-AFFF Comopomn | Class B Protein las 8 Fharopoen Class B Fluoroprotein 5 _--_-- (FP) GoFisn Fosmag Class B Film-Forming freddie Fluoroprotein (FFFP) FE Class B AR-FFFP Gosnon Class A-B Hi Ca -------- ---- Expansion Foam Cas - Class A Tanta ToT Training Foam oer - Other BBrraannddooff FFooaamm Used in YosorNo Training? Yes or No Amount AAnnUnnusuaealdlllyy HistoricUse? Current Use or Historic Use? FE -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rad aaa do Saran ao Ween bs Comte ts rn or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency {651-297-8666 or ma no ae re et jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. EPlleeaasseerreetiuurtnT:itthhiissqquuets:Siiiiio..nJnnsniaci,s-ettoo DDeeiifl:asCConusnusliititaannttss bbyyMfwa1ayv 3S,, 2200008iintthheeeenncclloosseeddssttaanm1ppeedd,.sseelJff..: Sonees addressed envelope. Gunsomare ompledy Questionnaire completed by: oe Name and Title Fretl#arfLe Fire D artment a Phone Number Date GeE-Mail Address Inogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00655 sSaTrAeTEo_a02s8a2i1e6t12 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Y 1. 1. frDDaootcegssnyyioonuugrr DDpueerppaarbatomrnestn?t curenty currently o r has has youyour Department Department Hitorcalyused historically used CissClass Aor A or lassClass 8 foams foams for for firefight3ing opVeerastio-nsP? rotocQuaestsiodn 7NYoe sign s- ProctbeheadctokQuofeshtiiosnf2orm and return to Dota Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. How ote CasBosr ClAafsoaem used responseto re cals? 2. How often is Class B or Class A foam used in response to fire calls? X_Y 0o-a2s5w%otoif fiireess ___2255.-5500%%ooff ffirreess _____757150-100%0o%ffoif frireess 3. Docs the Doportment havo a compraefsoasm syst (CAFS)with abi arkansengine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves --~Yes XYnNo 4. Howaten s foam used naning exerses? 4. How often is foam used in training exercises? Way ony oun ___ Weekly ___ Monthly ___ Quarterly Somamualy Aovualy BhAmualy ___ Semi-Annually ___ Annually ___ Bi-Annually KAX OOttnheerr ((pplleeaassee ssppeecciiffyy:): -_--r/J:..p:j..Jii.ee""-'Uv"""_ ,e~~C_ C _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5. Howruch foam i used per rang event? 5. How much foam is used per training event? Loss han gators Sqatons sto 10gators ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ___ MMoorree tthhaann1100ggaalllloonnss((pplleeaassee ssppeecicfiyfy):): _________________ 6. Intaring wha docs th spent foam go? 6. In training, where does the spent foam go? Stom Somer __ Saniary Sewer onsite Septic Grauns ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground oer (ploasedoses ~--'-- Other (please describe):----------------------- 7. Whore dosid th ining ake place? Passe includ acess erscton father sechc locaton 7. Where does/did the training take place? Please include address, intersection or other specific location omfoa rcenn t an post vain reas. information for current and past training areas. Kinogen Phone: 651 5910 Rice Creek Parkway 639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www -- MN 55126 USA deltaenv.com 22222..00656 sStTaArTeE__0022882211661133 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 8. What pes) and bars foam are cr wor usd nw an i thatby he Depa,Sthfoc 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eapores nd msn apphctseyPease coach of ot apy response and in training (if applicable)? Please check all that apply. DipeotFoam BuandotFoam TTUasamodiienng aAm"mooemusndat GSurmenteusoeor Type of Foam Gloss Aqueous Fin Class B Aqueous FilmFai ry, ------------ ------ ---- Fanning Foarn (AFFF) Ga8 skorso Class B AlcoholRes Are _-- Resistant (AR)-AFFF CosbPoon Class B Protein GlBFalaosproston Class B Fluoroprotein _----_---- (FP) Glass Fim Foming Class B Film-Forming Peep remy ------------ ------ ------ ------ Fluoroprotein (FFFP) Cossongee Class B AR-FFFP Gus 81 Class A-B Hi Firm foon ee Expansion Foam Class Suey 22 seg cured Class A AA Training Foam Over TT Other Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? ,!10 eLLrrerd- Thank you for your ti and cooperation. Please coat Nancy Raining Del onsuats (051007.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 onan com i Soin ot Minas Polar Cont Agony (51 59.0000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rnGators Tou hove ay avers roping os esto jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rou ns qussgormair o Dos Gonculans byBay. 2005 he enced stamped, set. Please return this questionnaire to Delta Consultants by iviay 9. 2008 in iJ;e enclosed stamped, s~;;lf `addddrresssseeddeennvveelloope.. `Questionnairecompletedby: . . wetavs QColaguins Loo aby FEFire Department Frans 2(%e-r KXS--[oYI~ Phone Number -- 4 E2o6-08% Date ET E-Mail Address Kinogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: -- Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00657 stare ozs21614 STATE_02821614 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. eDDtoooaehss yyynooguur DDoepepepararartttmmoenensnt?t csto currently or has has your your Department Department historical historically used used ClaAsor Class A or GCalassss Bffooaamms fsoorr 2X firefigh~~ o Vosperation-s?PrtooQcueestoiodn2 /\ ___ No.Signthebackof tis form Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreteurntttouoDDroelnlta CCoonnssuullttaannttss 2. 2. Howoenis How often is Cass Class BBoorr CCllaasssAAffooaammuusseedd iinnrreessppoonnssee oto frefire ccaalllss?? -X-X_ ozstotties ___2255.-5500%% ootf resfires ___ 7755-10-0%1o0offf0friree%ss 0-25% of fires 33.. DosDoes ththe DDeeppaarrttmmeenntt hhaavvee accoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithhaa but built-in ttaannkkoonniitss aennggiinnel(ss)?? vos X no -.....---Yes No 4. Howofenis foam used in aning exces? 4. How often is foam used in training exercises? Weak von ------ ___ Weekly Semidnualy _X_ Anvualy BAmualy ___ Semi-Annually ___ Monthly >( Annually ___ Quarterly ___ Bi-Annually Other ease spac) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - K 5. 5. How How mmuucchh ffooaamm sis uusseedd ppeerr rtraaiinniinngg eevveenntt?? XC tess than alos 5 gations 51010 alors MLoersse tthhaann 510gaglalollnosns (please spe5cig)a:llons ___ -- 5 to 10 gallons ------ ___ More than 10 gallons (please specify): - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Som Sewer __ Sanitary Sewer __OnSte Sept X_X_ Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground J---- -- ___ (?ther (please describe):-..,..,..,---------------------- rJ 77.. WWfhhoaerrre dcmooeeassfi/todrdiddicthuhoeerntttrraaainniinnnggptaaaktkeealplaanccege??rPPeelseasas,see iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr oatbheerr spec specific llooccaattiioonn Stag information for SirJ gj mncurrent ih. .--ovd- and oy ff ~ past training areas. f/\'J. h~ t ol,e"' d2-0077 Yh She passe ~ sS> Q....I..A. Kinogerr . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Fone: 651.639.91080050 4373411 Tok: 95 639 9473 asdalasnceo.m Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00658 STSTAATTEE0_202882211661155 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. eWWshhpaaottntpysepsesa(rs)) aainnnddrbbarraannndgdi(ss())foaoffpffooaaammtaiareeovorPrwoweesersereeuucssheeeddcknnooalwwl naanntdd aninthpthye ppaassttbbyy tthhee DDeeppaarrttmmeenntt,,bbtothhffoorr ffirroe response and in training (if applicable)? Please check all that apply. TupootFoam Brandof Foam YTUeassenodrgiNneo AAmUmsomeuuadnlty CHuisrteornitcuUsseeosr T}!Qe of Foam Class Acueous Film: Class B Aqueous Film- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) Clas 5 Aono Class B AlcoholRestart (AR) AFF a Resistant (AR)-AFFF CassoPOWn Co Class B Protein Class 8 Fluoroeoten Class B Fluoroprotein i) _--_-- (FP) Cla8Fsism Forming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) CossoARFEFP Class B AR-FFFP gunon Class A-B Hi pansion Foam = Expansion Foam Class A Siluee es leaf Class A Training Foam - Training Foam oer SS Other Brand of Foam sn~JL Used in Training? Yes or No Amount Used Annual!}! -- Current Use or Historic Use? o -- oo ~L<L2 1 ( ~cJl hark you for your ime and cooperation. Please contact Nancy Roding at Dea Consular (651-667-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or wodhing@dstsemcotoimm) Slocinger ait Minnesota Poon Convo Agen (681-597-86o80r or nrodning@deltaenv.com) or ijimm..ssttoocckkiinnggeerr@@ssttaattee..mmnn..uuss)) iiff Jim yyoouu Stockinger at the Minnesota Pollution Control Agency hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. (651-297-8666 or PlPeleaasseerreettuurmnththiiss qquueessttiioonnnnaaiirreettoDDeellttaCCoonnsuslutltaannttssbbyyMMaayv99,. 22000088iintthheeeenncclloosseeddssttaammpoeedd.,sseellff-. aaddddrreesssseeddeennvveellope.. Quesiornate competed by Questionnaire completed by: Dredg Streic Fve (hich ~ru.c\\~ ameand To Name and Title FieNDeepasrmseantn Eve Fire Department Qeptathe I 390Fov-etom(borLF 9325 u> Phone Number 390-668-93o5w H Ea E-Mail Address 4-36-0% Xinogen ronson aon TR TE ECE en 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00659 STSTAATTEE0_208282211661166 QUUEESSTTIIOONNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. feDDsootgeassnyyioonuugrr oDDepepopaaarirttommneesnnt?t curt currently or or hasyour has your Deparment Department historically historically uusseedd CaAosr lsas Class A or Class B B ffooaammss orfor XA firefighting ovpeerastioPns?rotco Queesetiodn YNoe-s-SPirgocteheedbtoaQoucfetshktiiosnf2orm and rettouDerltna Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. How olen is Cis B.r ClAafsoasm used in response tora cals? _XX oaswottes ___sSstwotfres ___ 75100%offies 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% of fires 3. Does the Doariment hvea compress foam syste (CAFS) witha bulin arkon 5 angina)? 3. Docs the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ar Yes X: --,....-Yes No 4. Howotenisfoam used in raring oxercises? 4. How often is foam used in training exercises? Never Weekly Waay Quarry ___ Never Weekly Monthly Quarterly SomiAmualy Aovualy XX_ sinmaty ___ Semi-Annually Annually Bi-Annually Or pleasespeci: _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foamis used porvaining ove? 5. Less hansgaons__9XK_ How much foam is used per training event? _ _ _ Less than 5 gallons 5gallons 5 gallons ___s5ttoo t0gons 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecctiyfy):): - - - - - - - - - - - - - - - - - - 6. In ining, wher docs th spat foam 907 6. In training, where does the spent foam go? StormSewer __SontarySower onstesepic KX Grours ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic X-_ Ground Other (pease dscrey - ___ Other (please describe):----------------------- 77.".- WWhheerree ddooeess//ddiidc tthhee ttrraaiinniinngg ttaakkee ppilaaccee?? PPlleeaassee iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortrootithoheenrr ssppeeccififiicc llooccaattiioonn LnafcoeryomrcFaerltoaoannmd pfarfoaa.rc(nVeg"\ aoresn Hwy.S56 north Kenyon . Ke. information for current and past training areas. L~ F\om on Hwi' 5~ n~rb 'v"p:V' .. 3399"6;3).55 HHwwy,"f, 5S~e D1)e<nU\n.i~:ssoo<n' 55'550D1\88 'BBuu(c'oneec&d. &d.ocowwa,., old faces house Last used 4 years ago Ninogen: OVER~-- PPhhoonne:e; 651.629.91484050.474711Tok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax; 851.635.9473 Suite 100 St. 651.639.9473 whisidalinenv.can. Paul, MN 55126 USA www.deltaenv.com 22222..006660 SsTtAaeT_Eo_z02s82211661177 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What tats) and ranofsfo)am aor were us owand i re pastbyth Deparment, boarflre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tessonse and n rang f aspucabey Piase chock a nat ao; response and in training (if applicable)? Please check all that apply. TUnsendgin? AmUosuednt Curent Historically TyT:p'[[;e!eooffFFooaamm Cl8oqsuesue Class 8 Aqueous mara em mm -- Film-Forming Foam fires (AFFF) Gl8ocsonsc Class B ;ll~lcoho!Rese ow, Resistant (AR)RE AFFF CessBPown Class 8 Protein css Class 8 Faropten (7) _-- -- -- -- Fluoroprotein (FP) class im Class 8 FilmFoi Forming poe ---- ---- ---- -- Fluoroprotein BrBarannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallll:y'[ Currently UUssed? Historically UUsseedd?? chspams ((FFFFFFPP)) cSlpasms AaBnHfon Class 8 AR-FFFP Class A-8 Hi | ------------ ---- ---- ---- Case Expansion Foam Class A P4oa@ugs es N t:Lo. og - YY'ee.ss Twenge Training Foam o_o over Other Li~gie~fk:llUoloteWc AltTTCC YYEeSs Tg' TT --_g--_ ___ _ YYeGsiL. Tank yout you io pasion, Ps cont aneodiDnt Consuls(61.407.152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rod dane cam)of inStockingsat hs inneste Polo CorlAgency (651-497-8660 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sociav mu) You hav ay GueSlons regarding I Quesionnar jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Fleas rum nis questionnairloe ta Gonsutants by un6e 208I theenclosedstamped, ssl: Fiease return t;;is questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. selfadressodsnvelope. addressed envelope. Qutonnaecompleted: Qu~ionnaire comp}eted by: Pra Bnowers NorDio srnda i 6howe.r$ Name and Title NecetcandVol. Fice Dept. ~.ex=:sf-ra..aci Vc t, FiFriree DDeeppaarrttmmeenntt is F((o56n0en7N7)i)ra3333;3:;-t- 86ooooOo Phone Number Dat[e 3]08 Date Eas E-Mail Address XNiInnooggret;nl' ,,,, 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www de!taenv.com 222222..066611 sStTaAeT_Eo_0z2s82211661188 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DTDeooetssiiyyoonuugrr DDopeeeppraaarrttmmoerensnt?t curently currently oor ashas yyoouurr DDeeppaarrtmmeenntt isorical historically sedused CCllaassss AA oorr CCllaassss B ffooaammss ffoorr XC_ firefighting :X:: o Yesperatio- nPsr?oceed to Question 2 NYoesS- iPgrnocteheodbtaockQuofestthiiosnf2orm and rettuo Drotnt Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2 Howaltn's lass Bor CaAsfosam use nrespotnosfre cals? 2. How often is Class B or Class A foam used in response to fire calls? _ ___ oaswotses 0-25% of fires XX_ass25o-v50o%ttofefieress _______r7s50-100%0%ototfefireess .x_ 33.. DDoosess ththe Depart Department have have a compressed compressed aair foam foam system system CAFS) (CAFS) wiabuhl tank ans with a built-in tank on its engine)? engine(s)? X Yveess NNoo 44.. HHoowwoofftteenn'iss ffooaamm uusseedd in in taining training exercises? exercises? -- _ _ _ Weekly ___ MMoonntthhllyy _ Qu_a_ rtQeuarrtleryly XX__ Sseemmi-i-AAnnnnuualalllyy _ _ _AnAnnunaulalllyy BBii--AAnnnnuuaallllyy ___ OOtthheerr ((pplleeaassee ssppeecctiyfy)):: - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used par airing vet? 5. XCLessthan gators How much foam is used per training X. Less than 5 gallons event? 55ggaatlloonnss ___ swig 5 to 10 gallons __ __ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee sppeecicfifyy)):: _________________ 6.. ntaing, In training, whe where ddoocess ththe ssppeenntt ffooaamm ggoo?? -X- ___ SSttoorrmm SSeewweerr __ S`Saanniittaarryy SSeewweerr __ OOnn--SSiittee SSeeptpitcic. _X_GGrorouunndd, Over pase doscbor ___ Other (please describe): -~---------------- .. 7. Wfhooretdooeorscuhtoenatlaindnpaasktorpainceg?rPolesasse incud adress, intersection ocher speifc ocation J/ Fa ww Wt:6.J 5 XKIinnoogg~enn: '" . i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9900 1 300.177 7411 Fo: 691639.0473 mdoawnltasns.cam Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00662 sSTTaAeT_E0_206282211661199 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 68. WWTehhsaapttonttyysppsee(a(ssn))daainnnddrbbarranangdn(sd()1)opfpfflooacamambaairreew?orPr lweeearsee uuhsseecdernoaocwwhaaktnndd 3iinn .thhee past past byhe by the Deparment, Department, bbootthh orfor refire response and in training (if applicable)? Please check all that apply. TUUosisenedidniignn? AAmUmosoueudnntt GumentUseor Training? Used Current Use or CCFlaTolsyTspy8BrapeAeAFoqmqoosufuafeeFmiFooso(ouuasaFnsmFmFFFgailm)m-- BBrarannddooffFFooaamm YYeessoorr NNoo AAnnnnuuaallllyy HiHsitsotorriiccUUssee?? ------------------------ ---------------------------- Forming Foam (AFFF) CRleassstaAo(nRoAFF Class B Alcohol- --_-- FS Resistant (AR)-AFFF -- Class B Fuoroptein Class B Protein Class B Fluoroprotein --_-- CC(FFalaPos)rls8oBpFoFaitinlem-n-FsF(oouFrrFmsiFinn)gg ------------------------ -------- -- CassoaReEP Fluoroprotein (FFFP) CJ lass Ae BH Class B AR-FFFP Class A-B Hi -- al ClEaxspasnAsion Foam _Siluex jes. LS5Gal gfoal TCrlaaisnsinAg Foam = / rT omer Training Foam - Other ToToSifrhmhaonSnrhoakodcyndnokiniukggff@ eohyorrrGdoyyseooetliuutuaatrreatintinmnve.ecooraammgnn))dd)ooccryoro@oJoJpuipemeraraSSatitivtiooooencni.k.nainngPPgyelleeretraaaassoteethhncceeorstnMMatiacinnectnnteeNNssaaonontntacacyyPPoRRo1lololsuuditnnsiooingnngtCCaaoootnDntDtrnlreoollatlAeaAgCCgeoeonnnncsscyuyulat((a6n6n5t5t11ss--2((2693957571-1-8-.6660096907670--o5o5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionn~~;re to Delta C~n~!.!ltants bv Jl.1ay 9r 2008 in the enclosed stan1ped. :;sit- sdarossadonseiops addressed envelope. Questionaire completedby: Questionnaire completed by: Fekcfres J:Svo-eensen five Clie rv ar and The Nam~ and T~le 11 J "'11 FiFriree D4e/po?aurttmlsre,5nt Pho2 ne N- umbe6 r 5 Phone Number ley. E-Mail Address Xinogen - R33a fads 25/5 Da{e ' 1 EE - PPhhoonne:e: 651.639.5985 1 800.477.7415Toki 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: $31.638.9473when aliagnv.com. Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..006663 STSTAATTEE0_202882211662200 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. fDDrooseess oyyoonuurrcDDpeeeprpaasrrittommneesnn?tt raornhas currently or has yous your Deparment Department hora historically used used lasA s Class A or CiaB Class B foamsfo foams for \ firefighting ~ opveerastionsP? rotocQueestsiond YNoe.s-SPigroncheeedbtoaQoufcetshtkiiosnf2orm and return to Dota Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. How tn' Cass Bo CaAsfosam used in respons too cals? 2. How often is Class B or Class A foam used in response to fire calls? ozo soos 7st00%orfres 0-25% of fires _ _ _ 25-50% of fires ---''!..'-.-'--- 75-1 00% offires 3. Doss tho Deppaarrttmmeenntt nhaavveaea ccoommpprroessssoedd irair ffooaamm system system (CAFS) (CAFS) witha with a buntank built-in tank on on 5its engines)? engine(s)? 3. Does the De ___ YYeess "-..,L teNo 4. Howoften foam usedin rang exercises? 4. How often is foam used in training exercises? Nove Week ony Quaroty ----')(:.->..._ Never ___ Weekly ___ Monthly SemiAualy Amal srrnualy ___ Semi-Annually ___ Annually _ _ _ Quarterly Bi-Annually Ono pease speci): ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis used or raining oven? 5. How much foam is used per training event? Less thsgaarns. Sgalars 51010 gaons ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons [I ---- ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 5. In triing, where doos th spent foam go? 6. In training, where does the spent foam go? Sto Sauer _ Sankary Sewer onsite Septc Goma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT orwpemedmemer ___ Other (please describe):---------------------- 7. Wihoemraetioosnsifdoifdctuonrtaiannidnpgaaskoaplnacge? lrceaas include adres, nerscton o ther speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. ing hn WWee. ddoo c""a'b" pens cot .u...b~i,n,s~ fftJocn.- ffos.r, ac;n.,'gJ liuuoe.. f1i"n"e W~~o""us..n:~y2 , .o,s~ ri ,i.n, tbOo)) h.u~nvt -b/.o:, -_---- ce1~dJ ,aJhdd,ibb~,o.u_dl ffiknss Xinogen OOVVEERR---+ Se Crore pri ET 100 SCFaSSG US 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006664 SsTtAaeT_Eo_z0s282211662211 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58. WsWhpahoatnt tsypepeess()sn)aannddbabrriaanngdd(s)()1 oopffffpooaalmmeaar?eoorPrvlweeerarseeeucushseeeddcknrooalwul ahaanndd aiinptythh.ee past past bytho by the Dasaimart Department, bot forfro both for fire response and in training (if applicable)? Please check all that apply. TueotFomm Bndof Foam TrUUassieenadiininng? YTerasinoirnhgo? AAAmmUUmuossoueaeudndlntyt CCuUumsrereendnt?ltlyy HHiissUttosorrieiccsaallllyy T)l[!e of Foam Brand of Foam Yes or No Annuall)l Used? Used? ClCalassss BBAAqqueuoeuosu.s Cobras Film-Forming Foam Fen (AFFF) Coss 8 Aohel- Ressart(ary. Class B Alcohol- Resistant (AR)- BM"j),~ A~s~n.nh.-lts : el o.A/mo fl/o A ; i 2s dzg z;6 2 0 s p 2 ajl} AFFF Capron MA a Glass B Class B Protein Class B FFlluuoorroopprrootteeiinn ((FFPP)) Gl8aFsism Class B FilmForming "ht we Forming Fuooproen | -- Fluoroprotein ((FFFFFFPP)) caearerre tA ow Class B AR-FFFP ClCalassss AA-BBHHii Eomsonfoam -------- -- Expansion Foam Cass Bue a TrCaliansisnAg Foam Training Foam omer }h=---- Other .v/4 JwVA A ArA rvf.. wAth4 A VIse, I H1"h4 A/r, ")IG IV~ A/o "Alu }/<> tb 0~' ~ 2 2 }lJ 2 9 ifJd g -- fe 0a---- ;0 9 C 0 F 2~ s # 2.Ji} zp s .50 S--o--s Ppa EB EA So~j" I ~ ,/V4d _g ~- ~5...1 A_.# Thyao fonr yokur mo an cooperation. Pease contact Nancy Ring at Dela Consultants (6516075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rac @delse. com) o 4 Sockinger tt Mesa Pollen Corrl Agen (661.307.3668 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Srsiockiger sive mu) ou hv any ston eAing HE 0SlomnakS jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Quesionnatecompetes by: Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- `aadddreesseddeennvveellope.. Questionnaire completed by: TTvree.vvoo,.r. H~o.o..m.,Jiv,eJ- Fam and The Name and Title FiDVeeparmBernatin Fire Department css GS /. ;_ <(;'6-1.-tt.?<> Phone Number -- CCrhhuwn-. ors -- 53108 0 S ~ 1-o'b -- Date ElAdaress E-Mail Address Kinogen Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: Suite 100 St. 651.639.9473 . Paul, MN 55126 USA www.deltaenv.com 22222..00665 sStTaAeT_Eo_0z2s82211662222 FFiirreeffiigghhttiinn`QggQUFFUEooESaaSmTTmIIOUUONssNeeNNAiinnIIRRFFEiirree TTrraaiinniinngg 1. ous your oparmns cuentas your perms sora used Cis Acx Cia eas or 1. Does your Department currently or has your Department historically used Class A or Class B foams for fesiotngcpesions? firefighting operations? Ves Proceed t Questio2n -______,- Yes - Proceed to Question 2 YC No Sign th backof tis form and runto ota Cnsutants ~ No- Sign the back of this form and return to Delta Consultants 2. Howottenis Glass Bor GasAfoam used in esprit? 2. How often is Class B or Class A foam used in response to fire calls? oastoitres asso tires Ta00%offre ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% offires 5. Coss he Doporment rave a compres a foam ys (GAS) ith abun nk on fs angle? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes o ___ No 2. Howaan's foam use n ring oercses? 4. How often is foam used in training exercises? Wook ony -- ___ Weekly ___ Monthly TC Semisaly oat J ___ Semi-Annually ___ Annually _ _ _ Quarterly ___ Bi-Annually Over leas spc) - Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. ow muchfoamis sedpo ring ver? 5. How much foam is used per training event? Los than lors Salons Sto 10 gators Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Miro than 10galons (ease spec - More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ntaining, wher doothe spentfoamgo? 6. In training, where does the spent foam go? Som Sener __ Santry Sever __OnSioSepte Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over (nas dre ___ Other (pleas8 describe):----------------------- 7. Woirrme doteosetahesnaintegpkoseoplmacge? rPooes.e nc adres, ersctionor over specication 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Inogen" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..0666 sStTaAreTE0_20228126162233 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. W+Wehhsapatot nttysyppeee(a(ssn))daainnnddrbabriraainnnddg(ss())1 aoafpffsooiaacmmabaairee?o woPreweraesreee uucssheeedcknnooaww haannadd 3iinnprth.ie past past bby hethe Dapatman, Department, bthboth for for rofire response and in training (if applicable)? Please check all that apply. TUosneidnign? AmUosuednt CurentUseor TyTpypeeooff FFooaamm Class 8AqueousFim- Class B Aqueous FilmForming Foam (FFF) Forming Foam (AFFF) Clas BAon Class B AlcoholRes(tNRLoAFnFE --_-- Resistant (AR)-AFFF CossoPown Class B Protein Cisss 8 Fuoropten Class B Fluoroprotein & -- ------ (FP) Gin 8 im-Foming Class B Film-Forming Furoprtom (FFF) ---- Tas Fluoroprotein (FFFP) CossoareEe Class B AR-FFFP cassas Class A-B Hi Expantion Foam -- TT Expansion Foam Class A - Class A Trang Foam - Training Foam over - Other BrBarannddooffFFooaamm Used in Training? YYeess oorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HiHsitsotorriiccUUssee?? Thankyouforyour time and cooperation. Please contct Nancy RodaifDnega Consults (651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of odadatacny com)or Jn Stocking at he Minesots Polson Convo Agency (651-397 3608 of or nrodnirig@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im tckigor@stat nus) 00 have any Qoestors regaring 1 cuesionnare. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Floss atu his csssiotonGntsi Consbtyanatws,3008 tssnciosedstamp, sl: Pl~as~ return tfiis question;/alrii tv Ct:Jlta Con.siijiants by ,v:ay 9, 2GOU in tli~ i;:iiCiused stamped~ self- `aaddddrreesssseeddeennvveellooppee.. - Nanta1a2ntd .z~f\_J QuQesuteisotinonnaniariree ccoommppleletteeddbbyy:: MyFfce-e_ Sand Nahleand Title Fle chie$ FewFire DNepeawrment Department gal FroSn3N0ab7e0r 2957 Phone Number -- To4te-30-08 Date Evade E-Mail Address NKinogen hens: 651.6T95.|T#950548C75r7e4r 1 FokyB91 61T 9.0435 PdO au aFtES IaUsA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222..00667 STSATATTEE0_208282211662244 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg + Dnt galery BTR AROS ASCs SRE 1. Does your Department currently or has your Department historically used Class A or Class B foams for pr firefighting OP-erations? 1/ rests tion? Yes- Proceed to Question 2 ' mmr ___ No- Sign the back of this form and return to Delta Consultants 2 A CATH COATS 2. How often is Class B or Class A foam used in response to fire calls? orshortes J rset 0-25% of fires ___ 25-50% of fires _ _/_75-100% of fires A. 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes we _----11/_ No +. rv 4. How often is foam used in training exercises? pio ty a ___ Weekly TZ senany pov arama j/ Semi-Annually Monthly Annually ___ Quarterly ___ Bi-Annually ___OfOntheerr((pplleeaasseessppeceicfifyy)):: _ _ _ _ _ _ _ _--__-- _ _ _ _ _ _ _ _ _ _ _ _ __ 5. Norm 5. How much foam is used per training event? tat a 3718 Vswiogmons ___ Less than 5 gallons 5 gallons 5 to 10 gallons PA PH e e BE ___ More than 10 gallons (please specify): _________________ 5 tsST 6. In training, where does the spent foam go? Sor et SamSaovy ontteSote coms _ _,t~/_ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground SrTsoDtODreersA eT nns anI rcegCaua elwm)m ` 27rS=tetADR0 ___ Other (please describe): ______________________ Xinogen rr on TT TE Cn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00668 J STATE_02821625 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 86.. TeWWshohaoatntsttyeyppeen(ssi))iaannnddabbirarnnda(s1)nooaffdpffooia)acmmaaaereyoorPr ewwaeersreee uucssheeeddcknnoaolwwoaatnnddaiinppttlhyhe pas pas t by by the the Deparment, Department, both both fofor frafire response and in training (if applicable)? Please check all that apply. Tipoof Foam Brand of Foam YTTUUoraasssmieoenidrdinnifgignln??e AAAmUUmmossouemeuddnnatt CCHuusmrtreoenrntit sUUUsssoeeoo?rr FCCllaoassAiTsyeaBpeAovqoufneeFooouasmFuFiilsRnmy:- Brand of Foam -------------- Yes or No Annually ---------- Historic Use? Forming Fo::lm (AFFF) CRoslataocs(oRhVsoAFFE Class B Alcohol- Cassopoen Resistant (AR)-AFFF Class B Protein CEClolaa)sses BFFulcurooropprrootteeinn _--_---sM--_0- CFC(FrllaPaas)ossos8BmoFFiiilommn-FFFoorrpmmi,inngg ------------ -------- -------- ---------- cassoareEe Fluoroprotein (FFFP) CCBClllpaaassmsssssAABo-BnABHRFH:-oiFaFFnP| -------- -------- ---------- Gass A Expansion Foam Agus peCombat: Yve'ess fsa.Cuasestsrid CTlraassnAg Foam ec T I Z oer Training Foam 0 Other oTSoTrhrrhaaneSnnrookkdydynoooninuugagffe@oGcrrresdyyeoaotulkturaerteetnimmvm.eccasoanmno)dd)coomcorro7oopJ0)eipm0rearSatSaittvtoiooonecnc.k.kaiPnnilPgyneleegaGrasaaslttecthohcraeoisnMMataicinrcntentnNgeNeasasraodlnntiaacnygPPRRiooOolsldudRitnGioniNunngegsGCaiioootDnrmDotnireaotllrtlaaeAAC,gCgoeeonfn"ns)cscuyyull((taa66nr55t11s-(32(6969575711--38-666699667766--oo55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPlo~g~SsfUe5JrteUtruf]rJn!.Jlth.i._sqqy_fJufle9.!Js.!1t~lri.t~-o~oDQ_ePln~tItan aCCoaonsni uslutlrtaannettssbbyvMMaayv 99.. 22000088 iinntthheeeenncclloosseeddssttaammpoeedd,.sseellff-`addddrresssseeddeennvveellopee.. NQuaemsataonmsaTihg5 e caplFeteber (ue Chek Name and Title Fre Dosdiimlenetw Asoc ,F_o.e, _ I Fire Depcfrtment {k~u.e Phocs eRulger F52-250 = 2424 Bate57ifot Date ENT Rios = E-Mail Address Aor .com Kinogerr on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.629.31584005.477.7411 Fok: 641.639.3475 mown delinennicom Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00669 sSTTaArTeE__0022682211662266 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. Does your Darien conto has yourDarien isrcaly use isA or Glass B foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Having cpasians? firefighting operations? --X- eto ausions Yes - Proceed to Question 2 Nox Sign the back of tis form andreturn Dt Consultants ___ No - Sign the back of this form and return to Delta Consultants 2. How fens Cass BorCaAsfosam us i espns re cals? 2. How often is Class B or Class A foam used in response to fire calls? _X_ oats saoites ___7o00koffres J._ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 5. Does io Deparmenthavea compress a am syste (CAFS) wiha bain ark on 5 engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xo X No 4. How fens oa used in song xcrses? 4. How often is foam used in training exercises? Thor viooky Vriny J ___ Never Weekly Monthly ___ Quarterly Ju-- somal +_ seamuaty ___ Semi-Annually Annually Bi-Annually TT omtmsespeey ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is sedpo rang ven? 5. How much foam is used per training event? _ lestansgalons _X Soekns surgi X ___ Less than 5 gallons 5 gallons 5 to 10 gallons pe More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. Intrining, wher dos te spent cam 07 6. In training, where does the spent foam go? eyo onus Koons -A- ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT erm ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. Viner dos he ting aks ace? Poss nck adress rarsecion oar pec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location homaton ot ot anpgvag are 0 vor Fae hall vay open guass hat as As Eat ile ;"riififi;Jiiz;ea~~!i;cJt!:J ~~,rle Loc 303 Broadusy due 5 NewRichland mu Ninogen: OVER~ -- i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mone 651.639.91580905 33AL]Fuk: E31630947 MaARAILRASY cam Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00667700 stare_ozs21627 STATE_02821627 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 8. WWThehanatot tyryspsea()s)naamnnddrbrraaoncndk(s)) ofafofopaammpaarareeoalr ewraesreee uuhsseeecdd knooaww and and Siinn3thh0eapatst by by tho the Oepartmont, Department, botboth for for rifire response and Tupeot Foam in training (if applicable)? Please Bomgoifon check all that apply. Ueodin Amount Used in Tvaesnogrd?e AmGoaelsy Training? Amount Used GCuUurkrreeesnntttlyy HHiussareicsaly istorically T)l[!e of Foam Brand of Foam Yes or No Annuall) Used? Used? ca8Aqsueosus Class B Aqueous Finrammafon Film-Forming Foam er (AFFF) [-- Class B .A.!cohc!Rese, Resistant (AR)feAFFF Cossspoen Class B Protein css Class B FFlluuoorroopprrootteeiinn ((FFPP)). Ci8Fsin Class B FilmFaire Forming Frmamoen _-- Fluoroprotein fo; (FFFP) - CoseaRFR Class B AR-FFFP gassnan Class A-B Hi Eoin foam -- -- =, -- -- Expansion Foam Gassn Slee x Mgr x x Class A 5)11_-e~ ~_J.,IJ:N 2( ~~~~ )< X amgfn ---- _ _--, T~ oer Training Foam Other CchhBe~-m:g!JulLnAn(dd_ c)/!1j - -- -- -.- Tok you for your ime and copra Plas cota Nancy Ring 3 Dots Consultants (05.607 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aod oataems com sn Sosinge a nase Polo Corl oer (851 597.300o0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or an vate; ou ons ay esto opin econ jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerroettuurrnntthhiiss qquueessttiioonnnnaaiirreettooDDeletltaa CCoonnssuultltaannttssbbyvJJuunnee 66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseelllf.- i addressed envelope. Questacompetedby: Questionnaire completed by: RamBofr3mari/iAaeNnS~vVio>bhaa/dAs- Name and Title FNieNeeewwstRfi5c/chJ JANd &r~ de4& f3;wJohlft=A>c/ n1!w0 hS6oo7 J-Fire Department 50DHh5 320 Fore or Se Phone Number iAS:uobods 4 @ H/Jh-c,chJu<spyYte-kcrhl net ee ~vohacfA J./ ~ 539-08 Date .Nef ad woh Frehol og Boktome Ft Epnl pb Fre i PPhhoonne:e: 651.620.9585 / 800.977 7411 Fox: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 351.839.9473 Suite 100 St. 651.639.9473 wasaeitasnr.com Paul, MN 55126 USA www.deltaenv.com 222222..067711 stare 02821628 STATE_02821628 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeNeAAiinInIRFFEiirree TTrraaiinniinngg 1. Doss your Deparment cuted has you Deparinent trl sed Class Aor ClassB foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Reratmgresionst firefighting 9perations? Yes -Procsetto Question / Yes- Proceed to Question 2 Nox Sign he back oftohrmiansd retu to Dota Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Howolon is Clas or laA fsoam usd in sponse fe cals? 2. How often is Class B or Class A foam used in response to fire calls? o/ r 0a-2n5% ooffffiirreess. 2255--5500%%ooffffiirreess _ _ _7755--110000%%ofofffiirreess 5 Coss he Deparmenthav a comoresd ai foam system (CAS) itaulhin ark n 5 engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes "ve /,./No 4. Howoflenifoam usedi raring ners? 4. How often is foam used in training exercises? Wook ony uarey ___ Weekly ___ Monthly _ _ _ Quarterly Sem vvualy Aovuaty TT samaty ___ Semi-Annually ___ Annually ___ Bi-Annually ___ OOtthheerr ((pplleeaasseessppeceicfiyfy)):: ___u:\.e .,_D=-S ..:a <2-=k=---""cX~.:_,_~_,~"----'=--------------I --- 5. How mehfoamis sed per raining vent? 5. How much foam is used per training event? Loss han Solos ___ qatar __ swtogus ___ Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons Wore han 10getons (eas spi CO _ ~ ___ More than 10 gallons (please specify): -\,.'----------------- 6. ntoining, whe docs te spent fam 07 6. In training, where does the spent foam go? Stom Sewer __ SantrySower ontosee ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic overemsedesebor -------'-- Other (please describe): ______.._________________ _ Gouna Ground 17. WIherreadrofemosasatmtheniotannnpaois npalamgceg? alreoas.a nc aes, inerstion of atbr specie locaon 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. ino 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006672 sStTaAreTE0_022882211662299 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and rans) of foam a orwere used now and th past b he Dopasmen,bol fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Toshonts and n rani apne Pease check al ht apy. response and in training (if applicable)? Please check all that apply. TUosmendign? AmUosuednt CumentUseor TTyyppeeooffFFooaamm Glass 8 Aqueous Fin Class B Aqueous Filmsy | ---- -------- -------- Class B Alcohol. Forming Foam (/\FFF} _________ Class B Alcohol- Reaiant (AR AFFE ee Resistant (AR)-AFFF CossoPosn Class B Protein Class 8 Floroproton Class B Fluoroprotein I) --_-- (FP) Class 8 FimFoming Class B Film-Forming Firopolon (FFFpy ~~ Fluoroprotein (FFFP) Cosson Class B AR-FFFP Coss ret Class A-B Hi Sten To Class A Expansion Foam Class A Traing Foam - - Training Foam Ger - Other BrBarannddooffFFooaamm Asso [re Ssly-ek Used in YosorNo Training? Yes or No Me, we Amount AAnmUnnsuueaadllllyy CHuisrrteonrHiisttcoriUcUUssseeeo??r hark youfo your Un ar cooperation. Pees contact Nancy Roding a Dla Consults (51.097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Orochi Gdoaay co a Sockinger a tng Minnesota Poluion Gono Agency (691-497-6086 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing Gta nk) You hav any Questions regarding cuesionnaie jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `PaaPlddlsddaararseesessessrereoeddtteuuenrrnnnvvettehhllioiossppqqeeu.u.sessttiioonnnnaaiirrettooDDeellttaaCCoonrs;uslutltaannttssbbyyifirts1~yy 5S,. 22000088Iinntt,h'1ea earncclfoossssddssttaanm;ppeedd,,ssaelltf:- Ra-msquag-roinnaTk)lee\compl~et ~~lo = LC Nada Q~nnaire completed by: Name and Title AS <p 3sg-gaas FMe.Ao2Dee<pca_.r-o-m--e0ntgulIeW'n-.__ Mt-AWAl Fire Department FPhhoonnae HNaurmbboerr 5Bi/e 0 Date E-Mail BR Address HKmogew ~~ PPhhoonne:e: 651.639.9441 5910 651.639.9449 I 800.477 7411 Rice Creek Par 800.477.7411 Fak: kway Fax: $51.639.9473mdualiasnv.cam Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00673 STSTAATTEE0_208228211663300 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DfDoroseesfsgyyioonuugrr DoDpeeeppraaartrttimmoenensnt?t ccuurrerennttllyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CCllaassss AA oofr lCalassss BB ffooaammss ffoorr 3 Yes ProcasdtoQuestio2n firefighting operations? X Yes- Proceed to Question 2 No No- Sign Sign the the baocfthkis back of this foorrmm aanndd rreteurntttouoDDreelnltaa CCoonnssuullttaannttss 22.. HHoowwooffetenn'sisGCalassss B Boorr CClaissAnAfsfooaasmm uussedd iinn rreessppoonnssee ofr to fire cals? calls? ___ 025% 0-25% offs of fires ___ s25s-o5n0%ototfcfireess r7s5-t10000m%ototf feireess 33.. DDooeess tthhee DDeeppaarritmmeenntthhaavvee accoommpprreesssseedd aarir ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithtaha ulin built-in ttaannkk oonnfistseennggiinnee((ss})?? Yes ___ Yes X ne .){ No 44.. HHoowwoofflteenn'issffooaamm uusseedd iinn aning training eexxeerrccisseess?? ___ WWeeekelkyly ---==-- HMoonntthyly ___ QQuuaartrteerrtlyy Sombaroualy ___ Semi-Annually BB --- AAonvnuuaalllyy ___ BBii-AAanrnuuaalllyy K __'?')-'--o Other(t (pplleeaasseese sppoecciiyfy:): _---+'f'-0-v__U_ISA_L_~ _____,v.j!,__-t2:.u..;p_~i-Frf-e'-d/_/'<--"'-J"S--_HS~l-EvL--E'-(:--~_=-_{VIm_'-a'_.g~:..h..._ tP-t _-nt v-ytfj 5. How much oa is used per ining event? 5. How much foam is used per training event? X")1(_ . LLeesssstthaannS5ggaallolonnss ____ 55ggaallloonnss 3'1> 'y1 rrSs. -- ___ 551to1100ggaalllloonnss. More than 10gallons (pease speci): _ ___ More than 10 gallons (please specify): -------.,....----------- Other (ease dose) . -- pr ---- _X_SomSewer ___SaniarySewer 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ;,( Storm Sewer _ _ Sanitary Sewer _____OOnnS-iSieteSSeeppiticc $_-G K_rGoruounndd _ _ _ :Other (please describe): - - - - - - - - - - - - - - - - - - - - - - 77.. iWWnhfheoerrrmeeatcdioooeenssfio/ddiiddcuhthrereenatrtaiaiinninndggpataakskeealpanlaccgee?? aPPreleeaaasssee iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortrcoietohrenr ssppeecciififc llooccaattiioonn information for current and past training areas. Xinogen !II enone 651.639.5S0T05S1R8e00.C47r3a71p11 yFon: SG03T6309S94T7)MaFuaastiliWerHatSaS.TcUoSmA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00674 SSTTAATTEE__0022882211663311 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and branodffsoa)m ar ow us now and in he astby the Depart,bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns sn rain f appicale) Passe crack al ht apy response and in training (if applicable)? Please check all that apply. Read Sacobon, Chic Desatrem Brandof Foam VTTUUreoassoieenndrdignitignn?a? AAAmUUmmossomueeuaddnlntyt CuCtrusertrneontntsUUUssseeeoosrr ClFColasossTseyBApeAqrqoauufemFeogouaeosmnFFuyiilms,m- --5I 7 veAr LY Brand of Foam ),JU-t~- B YeswtzosS sr No 0Annually 0 CCaoreenst Historic Use? c C-1./J/'f_ ~ ReCCFvolaarlsmtsainBBnagAAF(oslocVnoaVmhosoAll(-FAFFFFF) ee CossBP0n Resistant (AR)-AFFF Class B Protein ICCla)sis8BFFsoluroorsporproostteeinn ------ ee ee eee CFC(FllPaosrs)s 8BoFFiinlmmF-Fo(orFrmFmiFinn)gg| CossoarerR Fluoroprotein (FFFP) cBupsssosnfhoam | Class B AR-FFFP Class A-8 Hi ------------ ClEaxpsasnAsion Foam Slee 6 3]o0 curent TCrlaaisnsinAg Foam - oer Training Foam TT Other TToSorhrrhaaanSnnroodkkdcgyynkooiin@uuggffee@oorrrldsyyeooaalutuanrerestnnimmve.cec4ooaammnn))dd) ooccoror1ooJ0pipem4eraraSSatiivttioookencni.k.aninglPngeleeerurasaeasstiettnhccogeoannrMMstiatiFnncanetnegeNNsasaoreontitaaycnygPPRR1oooollluddltniGiaoinunnngegsCCaDotontoontDmtrtrenoolaltalarAAeCCggoeoonnnncssyyuul((tla66na55t1rs1-2-((6936575911-78---66089697076o--05o56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ploasaetu this questionaire DoltConstantsbyMay0. 2008 inthe soelosed stomped. sot Please return this questiOf!fJ.~LfJJQ.Qf!fta Consultants bv Mav 9. 2008 in the el1f'!!osed stam!'ed, self- aaddddrreesssseeddeennvveellooppee.. QQuueessttoiomnmnaaiirseccoommppeletted byby: ~udFameatie -J~cob~o~ FNiaemrpDJee.-epea_anwdwrmTei'Yt/nl1eot1r1kl1e Mv11l~tsr) Fire epactmunt -- Fire Department Pro"2n2etgo-~ 663317 22772<Z77 m$e-2-py Date EEny fd fas pins. com Kinogen: rere orem 2FR ET Eels 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00675 sSTtaAeT_Eo_z02s82211663322 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trraaiinniinngg Firefighting Foam Use in Fire T 1. 1. DDaootseossnyyioonuugrr DDpeeeppraasrrotmmneesnnt?t arnhats yyou currently or has your DDeeppaarrttmmeenntt tora historically uusseedd CGalassss AAoorr CCllaassss Bffooaammss ffoorr XX_ firefighting os - Protco Queesteiond2 operations? Yes- Proceed to Question 2 No.Sign the backof tis form and tu o Dots Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoften' ften is Class Class Bor B or ClaAfsoasm Class A foam used used in in sponse response to to refire ccaalllss?? 2. How o :2X 00--252%o5 offfifir% reess. _ _ _2255--5500%%ooffffiirreess. ~ o 775-510.0%1o0offff0iirre%ess 5 Does the Department have ve aaccoommpprreesssseedd aiair ffooaamm ysysstteomm ((CCAAFFSS)) witwith bli a built-in ttaannkkoonnists aennggiinneo((ss)?? 3. Does the Department ha ___ vYeess XXoNo 4 Howaftn's foam usod in ining exercises? 4. How often is foam used in training exercises? Never Woody onmy Quarry ___ Never Weekly Monthly ___ Quarterly SomiAmualy X_ Amul BrAmualy Semi-Annually X Annually Bi-Annually Otho pase spac) Other (please specify):----------------------- 5. Howmuch foams usedpor aig oven? 5. How much foam is used per training event? JC Less ans galons 5gators S1010gaons _)c Less than 5 gallons 5 gallons 5 to 10 gallons More than 10 galons (lease speci): ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - In taning. where doos th spent foam go? 6. In training, where does the spent foam go? SomSower __SaniarySewer __OnStoSeptc_C_Ground __ )G_ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground CT orerpeasedescrver ___ Other (please describe):----------------------- 7. Whe does te alin ako loco? leas includ acres, interseocttihorn speccacaon 7. Where does/did the training take place? Please include address, intersection or other specific location informEaonaor cuonft anSd iparstovalnolre)as. acta _f,,--.c- Lc- I/ information for current and past training areas. 4../ Xinogen OOVVEERR~-- Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 _ Paul, MN 55126 USA www.deltaeny.com 22222..006676 SsTTAaeT_E0_202682211663333 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WWrhehsaapttonttysyppeee(a(ssn))daainnnddabbriarngda(s(n)1ool3ffpffsoocoaa)mmblaareree?oorPr wlweeearrseeeuucssheeecdcknnooalww 1aann3dd 3iinnptth.hee past past bythe by the Departmen, Department, both both orfor fre fire response and in training (if applicable)? Please check all that apply. TypeofFoam Brand of Foam YTTUrUeraasssimeenoiddirnniiNggnn??o AAAmmUUmossaoueeulddnntyt CCUuusrrreesln?tyly HHiissUttsooreriidcca?allllyy CGmlafTsl~so1828maeAAomqqfsuguFeeoafosuauesmsm -- Brand of Foam Yes or No Annual I~ Used? o_o Used? press Film-Forming Foam RCelaess aA(oRYr (AFFF) C!ass B .l\!coho!- AEE Resistant AFFF (AR)- GsssPoen Class 8 Protein CcFuulaosssosp8oin(fp) ------------ ---- ---- ---- ---- Fluoroprotein FCorlmi8angFsims- Class 8 Film- ( F P ) Forming FFumgen Fluoroprotein ---- ---- ---- ---- C(FaFFsPs) eARFEP cCCBalloaasssmssssaA8o-sBAnRfhH-oiFaFFnP ------------ ---- ---- ---- ---- Expansion Foam Class A s<i),l-!uv et' n>" NNet/ Fg ~ .-/c,l-:,:. TClaossnAgRo ;;> 1 Other Training Foam Other {O > \c (cx - ,--.?/2f ;?2.27-"(o wwe<t" thr y7g'm7--ed r-t,/ S5~..sz. e;f/ T`Thhaannkkyyoouuffoorryyoouurr ttiimmee aanndd ccooooppeerartaitioonn.. PPlleeaassee ccoonnttaacctt NNaannccyy RRooddnniinnggaatt DDeellttaa CCoonnssuullttaannttss ((665511--669977--55115522 or woding@datsenwcom)or im Stockinger ih Mnesola Pollan Control Agency (561-297-3668 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im stockinger@stat us) ou have any cuestons regaring th QUSSIOMS jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. audressed envelope: PlPeleaasseerreettuurrnntthhiiss qquueesstitioonnnnaaiirreettooDDeeilttaaCConosnuslutltaannttssbbyyJJuunnee66,.22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-: addressed envelope. QQuuemstiaontnasire ccoompmletoed by: Verdl Red Famke1can,-aTIhLs 12~r?J Name and Title "I Fi DeNpaerrmo~ent[Sco,tlJo~ n~ Fire Department For. lp <i-cC h.f L .I Fre D"sIIpplr s- LE 2:?1I~5--~272tr4--)2I 1) 5 Phone Number . Date EiraKKArdodVredIssJ @@) wwi;-kkt!(e->l!_ ccvo&m:J E-Mail Address ~5//.2272/0o 5~ Xinogen mone: Phone: 651.629.3045 1 550 433 TATA FoesSHLI039 9453 5910 Rice Creek Parkway Suite 100 St. 651.639.9449 1 800.477.7411 Fax: 651.639.9473 dahmi tAAnSAa. Paul, MN 55126 USA www deltaenv.com 22222..00677 STSTAATTEE0_202882211663344 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DfDrooasetss oyyioonuugrr sDDpeeeppraaarritmomenensnt?t curo htas currently or has your your Department Department historical historically sedused Class Class Aor A or Glass Class BBfofoaammss ffoorr firefight!ng Yerastio- nPsr?ocesd to Quostion 77 ~-- ___ No Sianthe baocthkis form Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreettuurrnn tto DDeellttaa CCoonnssuutltaannttss 2. Mowoltn's Cllaassss BB oorr CCllaassss A A foam foam used used iinnrreespsopnosnestteoo refire cals? calls? oases 2. How often is C 2ss0ottres 75--110000%%ooff resfires / 0-25% of fires 25-50% of fires _ _ _ 75 5. Does the Department aaveaav ccoommpprre eesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bitin built-in aktank ons on its eennggiinnee(s))?? 3. Does the Department h = - -- --~Ys es ~No 4. Howoten's foam used in raring exercises? 4. How often is foam used in training exercises? Weakly Monty J ___ Weekly ___ Monthly _ _ _ Quarterly TT comualy Amat _ enmay _ O_v_eSermi-Apnlenausaellyspectyy ecify): Annually ___ Bi-Annually ...,o,,...r,..&.=.t~gaa~LJ~"-"'e'~----------------- ,/Other (please sp 5. Howmuch How much foamis foam is used used prper raining training event? event? 5. LLoessss More trhaann' han tons 5 gallons 10 galas (pleas 55 ggaatlloornss spi More than 10 gallons (please specify): ___ 5sttoo 1t00 ggaatlloonrss 6. Intaining, wher doo the spent foam go? 6. In training, where does the spent foam go? SomSowsr ___SaniarySower __OnSleSepte Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground . Overploaso deserve af --=----'-- Other (please describe): -~t'~..!<:...__;,;;;-.t------------------- 7. Whore doosiid he iin ako lace? leas includ adres, intersectiorn ther specie lacaion 7. Where does/did the training take place? Please include address, intersection or other specific location cation or tert and past vin areas information for current and past training areas. JInogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..006678 SstTaAreTE0_206228211663355 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What pots) an rants) of foam a orwere uss owand no ast b the Daren, both rf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response ani ramng 299108010" Please creck al nt apy: response and in training (if applicable)? Please check all that apply. TwosofFoam BandofFoam YTTUUrooassonieennrddinigSignn?o? AAAmUUmmossouaeeudndnltt CCHuuirrsrtoeennrtteuUUssseoeoo?rr CFCollarasmsTsiynB8pgAeAFqqoouufaeeFmcoouu(assRmFFFiFilm)m- | Brand of Foam ------------------ Yes or No Annually Historic Use? ------------ -------- ---------- Forming Foam (AFFF) CCllaassss 8B AAllccoo'nhooli- Tf ASuLiTe AY. - -- Class 8Proton RReessiissttaanntt ((AARR))--AAFFFFFF e z is eo Ee E e ee CIlass Class Class 8B B Foraproton Protein Fluoroprotein FE ---- CFC(FllaPaoss)ss B8oFFiinmlm.-FF(oorFrmmFiinn)gg | ------------------ ---------- -------- ---------- CassomreER Fluoroprotein (FFFP) CCCSlllpaaamssssssiAABa-nBBARfHH-oiFaFFnP _-- ClEaxspasnAsion Foam A 7 A TCrlaaisnsinAg Foam - Otter Training Foam - Other TofoTrhrmhaanosnnrthokokdcnyynkgooiinunu@ggff@edoorradyyseaootlutucaarrtentteniymvom.eccuooaammnn))dd) ooccfroroo0oJdpipm0emerarhSStaaitttioovonecon.k.acinnPPgkyleeeiQraaaunastestegsthShccreooeonnnMMtstaaiicrncntentogeNNsasaoraodnlnticsacnyygPPRRioooolluddotniieoinnnsnggtaCCoaoomtnnntDDtrarelootlltaleaAA.gCCgeoeonnnnccssyyuul((tla65nt55t1ss1-2((-696757516-18--666069607667--o5o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return tis questonnai to Dott Constants by May 8, 2003 I he closedstamped, soll: Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveelloppee.. Questionaire Questionnaire ccoommpplleetteed~ bbyy:~ ~ Nal4aJa4nd6TtG'4#/hf.i> -Lt!// Name and Title / i Deparment Fire Q.epartment ProL/norFNla-m-o~erJGJ-J2"5?5'2t0!? A Gre p Phone Number Date E-Mail Ses Address NKinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00679 STSTAATTEE0_208282211663366 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in FFiirree TTrraaiinniinngg Firefighting Foam Use in 1 Don ou Dept cron ou OeprTr tly sd Go As Gas oss 1. Does your Department currently or has your Department historically used Class A or Class B foams for werghing operons? ---~- firefighting operations? es - Proceed to Question 2 No-Signthebackofthis form and return to olaConsultants ___ No- Sign the back of this form and return to Delta Consultants 2. How ofien's CassssBoCor CalasssAAffoosaamm uusseedd iinn rreessppoonnssee ore to fire cal? calls? oassot res 2. How often is Cla es ~~~s~s0o%aotftfireess ___ 7755-10-0%1o0off0frire%ess 0-25% of fir 5. Docs tn Department hacomvmprpreesessseedd aiair aafoam ssyysstteemm ((CCAAFFSS)) wwiitthhaa bitin built-in ttaannkkoonn sits eennggiinee((ss)?? co 3. Does the Department have a = - / e s ~No 4. How ten i foam used in training exercises? XT Never Week 4. How often is foam used in training exercises? YNever Weekly VMoonntthnlyy ___ QQuuaarrtteetrlyy -- Aorualy OrArmualy Semi-Annually Annually Bi-Annually T ovepessespeeth Other (please specify):----------------------- 5. Hop mmuucchh foam foam sis uusseeddppoerr ang training eevveenntt"? 5. HT trar;sm eyson | __ovis ese _-- 11\ ) PlTf1' Loersos tthhaann 510ggalloans teisseospno5ctgsya:llons _ ___ 5 to 10 gallons -------- 1'-' ' More than 10 gallons (please specify): - - - - - - - - - - 6. nraing wher does th spent foam 557 6. In where does the spent foam go? ~ Stthoremr S(pelweaesre d_ esc_ ribeS:anitary _ Sewer eres __ On-Site Septic Ground ---- _. Other (please describe): - - - - - - - - - - - - - - - - - - - 7. Weamraeodnofeoscotmheenat nandgpuksovlanaicneg?aPrleeasa.s include a1+ddress, ntersocton or ofhr pec locaton AL pissy Eire Del Pali, Lt 20 fom Osed ad" Tanning OVEERR~ -- nos 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00680 sSTTaAeT_E0_206282211663377 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. What tet) andbrats foam re wer sadrw an i hepa th Oaprmns, Sthforfr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire einen ed ag 4 aay Pn cheek sp response and in training {if applicable)? Please check all that apply. [Usedig n t Amount pT -- TTyvppeeooffFFooaamm [ry .::er- Class B Aqueous Arrqu'j. Film-Forming Foam ri (AFFF) Ci8 cson. Cl2ss 8 Alcohol- rite _fhaes mo 2 ooo Resistant (AR)- eat ; AFFF A Cass Class B Protein Class B Pooroontrey ----& TE Fluoroprotein (FP) Gass Fim. eeeeee Forming Class B Film- Forming pen J---- Fluoroprotein (FFFP) Comer 2 Class B AR-FFFP Glass ABH zg . Class A-B Hi Bonobo -- EE ---- -- -- -- Expansion Foam Css Amos. PoE fen 2 =O Tanngroam Class A Training Foam omer Na ee -- Other BBrraannddofof FFooaamm Used in Training? YYeessoorrNNoo Amount Used AAnnnnuuaallllyy &/!i~iv~ Currently UUsseedd?? _pr=- Historically UUsseedd?? C}-- r . I Jvo ~ A _ TT --~--------------------------- -------------------------~-------------- -===---=====-~-=----=----------------- P Nee -- Ny NT p --T ---- ---------~------------------------~------ Transfor yur tm and cuporaton, Pla cont Nay cing a Des Corl (151.007.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 osama ot So Singer Mpete Pas Coa Aor oo S07 0000 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Tr Gor moot ou ov ary trast ssa jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pluss return tis questionnaireDla Gonsultats by ume , 208i th enclosed stompe, set: Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- `addddrreesssseeddenenvveellooppee,. --. Questionnaire completed by: Staon 4L.u/tlfll;y Taping _elficon :;fVfJ-4)11 mate/Vs Name and TPitlie ;s'~s;;wuJaA FreGapmanet Fire Department 24-93-2z4yz;T (lo- 2rR~ 963-- og Ne Ss A- AJ Phone Number Ed E-Mail Address Zine ,...-. f'' i '!:"'l ~I' L- Dot ., '\ .;(_aJ-..-.-- PRPS: 38 ReRF 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..068811 sate_o2s21638 STATE_02821638 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DeDotoeesns ygyogousurr DoDepeppeaarrrotmmneesnn?tt curently currently oor ashas your your Department Department historical historically sedused Clas Aor Class A or Glass Class 8 B foams foams orfor firefigXChr ves-p operations?rotoQcuesetiosn2 No- Sign th backof thi orm Yes - Proceed to Question 2 the back of this form aanndd stu return ttoo DlaDelta CCoonnssuulltaannttss _ _ _ No -Sign 2. How olen Class B or Clas A foam usedin esse oecats? 2. How often is Class B or Class A foam used in response to fire calls? LX_ooswottes ___zssonories 75.1of0r%es 0-25% of fires ___ 25-50% of fires _ _ _ 75-100% of fires 5. Does he Deparment hav compairoem ssystse (CARS) wih atin arkon 5 engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ----=-- Yes Xn )( No 2. How olen foam usin ring exercises? 4. How often is foam used in training exercises? Weekly - Vonty Quareny Weekly Monthly IKX semaovuaty Aoouaty ohnualy Semi-Annually Annually ___ Quarterly ___ Bi-Annually TT ovecessaspecy ___ Other (please specify):----------------------- 5. How mugn foamis used por rang overt? 5. How much foam is used per training event? X Less ransgators ___ salons __ Swotogmn ________ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons TTMoreen 0calons (easospecith ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - o. ntaining, wheredos th spent foam go? 6. In train~';9 where does the spent foam go? RK cmon mys __onsispie Xoo _!\--"--Storm Sewer __ Sanitary Sewer _ _ On-Site Septic X._ Ground TT oreremedmmer ___ Other (please describe):----------------------- 77.. WhPeguralelmdioasnlfgodrdCunreenttrlianonitcngpaasktebpyleaacnehg?iaPrleneaasdse incluodeuardres, ner{siecetionoSttaerrispeencie ocPMa*edn a 33 Howard Drive, Nerth Manlaro Xinogen_ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006682 sStTaAreTE0_202882211663399 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg TWehstpyopree)sansd raannt)pfeoacmana)reaPweraceeucsreodckoawh oansdsnohy stby tho Department,bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TipsofFoam Bund otFoum VTUseoednsignt mAmwomdunt Gmumaontousueor Tl[!e of Foam Brand of Foam GlBAqoueosus Fsin Class B Aqueous FilmFormingFoam ep) ---------------- ------------ -------- Forming Foam (AFFF) ClBaAlcsons Class B AlcoholRecs apap | -------------- Resistant (AR)-AFFF Casewon | Class B Protein Gas 8 Feraprotn Class B Fluoroprotein wn _-- (FP) GlFiam Fsarmsing Class B Film-Forming Foon Frey ------------ ------------ -------- Fluoroprotein (FFFP) ClssarFr Class B AR-FFFP CTrsmssAanatoam gm--m em -- -- Class A-B Hi Expansion Foam Class A SS~illvv--~eXx it 77~SlH-fSS"]l Tongfon TT Training Foam Oter - Other Used in Training? Yes or No Amount Used Annualll _ XXSI~ _s;aql( Current Use or Historic Use? bd1oa-tt-h~ ark you fr your hn ancospraon. lea corac Nancy Roding Dl Conutans (616076152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ronan Colo, oncy (onS07 odo or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fram Tobae sySs etar eng secon jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiiss qquueessttiioonnnnaaiirreettooDDeellttaa CCoonnsuslutltaannttssbbyvMMaavv99,. 22000088iinntthheeeennclcolosseeddssttaammppeedd,.sseellff-: `adddrresseddeennvveellooppee.. Questomate comp by: Tron Bh nan FFaromB5eapna0driim1eert-645-5378 4-23-0 North Man ldaro [ire MN Chief c..r--13--0cf EW dasfsot h; {62 PhPhoonnee NNuummbbeerr - DDaattee fn\mYYi\ elcchi~e{@ npoorrftAhMmacnt /k\/a(qrieo . com~ E-Mail Address Ninoges: rT 5910 Rice Creek Parkway Phone: 651.639.9449 1 800.477.7411 Fax: } Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00683 stare 02821640 STATE_02821640 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DfDrooaeefssgyyhoiounurgoDDpeeeppraaarrtitmmoenensnt"t ccuurrrreenntlty oorr hhaass yyoouurr DDeeppsarrttmmeenntt historical historically used used lClasasAA osorr CClslaassss Bfoams B foams for for 2XX firefighting Yes- Proceed operations? Yes- Proceed ttoo QQuueessttioino2n2 No Sign tho baocfthks form and return to Dla Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants 22.. HHoowwooffetenniiss CCllaassssBBoorr GClalssaAAfsfooaasmm uusseedd iinn rreessppoonnssee toro to fire ccaalllss?? ___ 00--2255%% ooff ffiirreess. ~ X 2255--5500%%ooffffiirreess. ___ 7755--110000%% ooff ffiirreess. 3. DDoooess iethe DDeeppaarrtmmeenntthhaavvee a ccoommpprreessssoedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa btn built-in ttaannkk oonn sits aennggiinnel(ss)?? 3. ___ veYes Yo ) { No 4. How often foam used in ning exercises? 4. How often is foam used in training exercises? Woy very ---- ___ Weekly XC samba Aaruaty BrAmualy __.><':....:....~ Semi-Annually ___ Monthly ___ Annually _ _ _ Quarterly ___ Bi-Annually Over (please speciy: reer ---- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - Les than gars 5 goons Xs togaions 55.. HHooww mmuucchh ofoaamniiss uusseedd prper ining training eevveenntt?? ore than 10galons (easospecty ___ Less than 5 gallons 5 gallons ~ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Som sever __ sary Sewer __onstosepse .XX.._ Grom ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT overteasedoserber ____ Other (please describe): __ ----- _.------------------------- 77.. WWIifhnoerermreaddtoooeenssflo/ddiddcttrheenct:raaninidinngpaataskkteealplanaccgee??aPPrleleeaasa.ssee iinncclluuddee aaddddrreessss,, iintnertseecrtiosneoorcraiothaheenrr spac specific llooccaattioonn i formation for eal current and past \ training areas. SE 220%Tak sheeekNl. NoevaS00 wey Kinogen I 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rarer ser om Sn as TL Yok VEL 13 0453 wa e an Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00684 STSTAATTEE0_208282211664411 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg . What types and banc) foam aor wae usednow and nn past by th Deparment, bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponee sn San appa leas check ol ot ap response and in training (if applicable)? Please check all that apply. cen DLiMghtluditecTM Ves [pul boron Dsetrom BrandotFoam YTUaosenrdgtin?e AAmsmomeuudanlty tiCusrieonntsuUssoeosr T~[!e of Foam Brand of Foam Clas & Aqueous Fin : GCllaassss8B AAqsuseesouis Frilm-SSM M s1-i;3g-lh"A: Wdaeierr Forming Foam (.AFFF) Clas Aconok Class B AlcoholResin (RyAFF Resistant (AR)-AFFF CessbPo0n Class B Protein Class Fuprten Class B Fluoroprotein I) _------ (FP) Class Fim Forming Class B Film-Forming Pr, | ------ ------ -------- Fluoroprotein (FFFP) cmsomReRR Class B AR-FFFP Class A1 Class A-B Hi Torsinfomn | my -------- ---------- Expansion Foam Class A (s;=;:.i=) 5Jti L ifjb+-WoJe.r Temngbom TT Training Foam oer -_ Other Used in Training? Yes or No YYeess ~ Amount Used Annual!~ S5gp1&lL L6fjF4l Current Use or Historic Use? bbco?-t11h') b~ Thank yo for your meand cooperation. Pease contac Nancy Rodingat Della Consular (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of rod dase com)of Jn Stocking 1 he Mioneste Poon Contol Agen (651497.8606 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing tte mre) yo hve any Guesions rgarang he Quon jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this auestionn"!ir~ to .Delta Consultants by May 9, 2008 jr; the enclosed st;:;mped, sMf- ior ry addressed envelope. Questonnase completed: Questionnaire completed by: m-=e\ae-mwT,, tlMa"l' lII;i,o,)apu=e Depa Giee Caio Name and Title ,\\N,ro\vMa =&Ak 'CPeaWo)) Tice Depackmenk Fire Department g Phone NS umber lepdl-f2 Da2te 8 p0s 0 2 jSEhMiarl\olss,~or@ c...Lo\ch . 1\(:Lc~=-s sev\\1c \Jt=- PPa awdl.~ n M1MNV'J..t , OoSs E-Mail Address Ninogen ) 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ron ovr To Ts tn Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00685 sStTaAreTE_202882211660422 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. eDDoioeegsshiyyoonuugrr DDoepepepraaarrtttimmoenensnt?t ccururenrtlyoeorrhnhaasstyyooyuurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CClalsasAAsosorr CCalassss BB ffooamasmofsorr firefighting / opYYereeasts-i-onPPsr?orceeodttoocQQueeusetseitoiondn22 -- ___ NNoo--SSiiggnntthhee bbaacckkooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuultltaannttss 22.. HHoowwoftoeftneins CislCalassss BBoorr CCllaassss AAffooaamm uussaedd iin rreessppoonnssee oto ffirree ccaallllss?? _ o0-z2s5w%ototf fiireess _/ 2ss25%-5o0l%foif feiress ______T5751-01000%%ooffffiireess 3. Docs the Departmeenntt hhaavvee aa ccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a a bbuuiilltt-iinn tank tank on on ts its engine(s)? engine(s)? 3. Does the Departm ves -------, Yes Le / No 4. How often is foam used in raining exercises? 4. How often is foam used in training exercises? ---- vont _Ouartety ___ Weekly ___ Monthly ___ Quarterly -- Sem-Amualy 2 nAeonlvaily ed on mTBAnnuaelays ves --\/_ Other please specify)Y: om New dels _aC_Appachoveeyed _Duews ___ Semi-Annually .# Annually Bi-Annually 5. Howmuchfoamis usedpr ainingevent? 4 UE Jelloas during the Year. Class v' Other (please specify): U?oY> NeL<.> de..\,\/~v-4 o ~ A: Pf'""'+~v-;. ev~'{ 5 y~Ms \-to-'-'<: >"o+ -\-yo..~ ..e.~ OY\ ~c:>o...,....... \'"" \.o -lS" -t-eo..V5 5. we IMo..'{ use.. How much foam is used per training event? '5 ""'o..\loVJ-;. <J cJCo?Y.'"'7 +h.-c. ~'t~-eC)..y" C.{a.$5 6. 5 Less than' galons 5gators 51010 gatons. / Less than 5 gallons _ _ _ 5gallons _ _ _ 5 to 10 gallons More than 10 alos (pease speci): EE ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInnttaraininiinngg,,wwhehreereddoogess tthheessppenetffnooaatmm g6o0?7 /_Siom Sewer __ Sanitary Sewer _On-Site Septic Ground / SOttohremr S(peewaesre c_ osc_ rveS)anitary Sewer ------ eee __ On-Site Septic Ground ----- _ _ _ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - 77.. WiWnhfheoerrrmeeatddioooeonssf/dioidcutthrhreeenttrtaaiainnininnggptaaakskeeippniliaacnceeg?? aPPrlleeesaa.ssee iinnccluludde aaddddrreessss,, iinntteerrsseeccttiioonn oorr alr other spec specific llooccaattiioonn Cily Sheet information for current C: .\.." 5-'vc.e+- Shep and past S\.-or 1110 Riverview training areas. l "1 \Q (<,:,,rev \l~ev.:; DDvr-,Jee... XKiInnooggpe:nl' ,,, FTO RES Cree pari SU 160 SET vou T wa $51T 76 USK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mone: 651.639.9405 1 800.447131 Fok: 651.635.9475 wmadaliaanY.cam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00668866 SSTTAATTEE__0022882211664433 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WrWehhsaaptot nttyysppeee(a(ssn))daainnddrabbirrnainandg(ns()fdoo3fifpffospoaal)mmcaaabreeeooPrwlweereaerseeuucssheeedccnknooawlwahanandtd 3iinnptth.he ppaasstt bby tthhee DDeeppaarrttmmeenn,t, bbothtffoorrfhfriroe response and in training (if applicable)? Please check all that apply. cFRoenemhmtokamsyitay, ~----At--e --3%--b-- N N --MW0p o o __---_cO0o--= _c3-0-ogo0u--wes -- ema W080 quer Bog aatens a TrUasiendiinng? AmUoseudnt CurrentUseor TyT~p~eeooff FFooaamm Class 8 Aqueous Fim- an" mm . Class B Aqueous Film- Forming Foam (AFFF) GCllaassss BBAAllccoohhooll.- Class BProtein Resistant (AR)-AFFF Class B Protein CCllaassss BBFFlluuoorroopprrootteeiinn --_-- _ ~-- e =e G(FlPos)s 8FiFoming Class B Film-Forming coroprotoin (FFF, ------------------ -- Ll 2 OT Fluoroprotein (FFFP) Class B AR-FFFP CCllaassss AA-BB HHii Boasionfoan Tremor To To au eveass Expansion Foam Class A NO -a- TrangFoam == Me -O= o~ Training Foam over - WN Other BrBarannddooffFFooaamm | 33rYm1 A-rc.. 3/o --(a6<%J'o - G~evYi~'-''L~~"d S:l~e.v- E'l .....__o- Used in Amount YYTeerassinooirrnNNgo?o AAnnUnnuusaaelldll~y HCiHsuitsrorteornriitccUUUssseeeo??r NO -o- ~ s JJo ---O o-~- !...~~+- 2.C> 'lt:'Q.t:s _30 ja.Uo"5 NO 0 -o- NO -o~ -6- ;MJoo -~0O,..-.. ~-Oo-~ fVJoo ---(~)O~ - ---oo-- -a~ -o~ rJo -0- Wo -O- -OOo - rJo 8o ~a.llo"' 1-<> s+ to'/eo..-..s icY-bo ~d. I lo"' ~- "v -fD~ rJO Thai you foryou ime and cooperation. Please contact Nancy Roding a Deta Consultants (651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rcding@dolaeny com) or Jim Stockingor at the Misnesota Polar Conv Agency (551-497-86o60r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Jn stackinger@stat. mn us) you have any questions regaring is QuesLoMaIS. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaassee rreettuurrnntthhiissqquueestsitioonnnnaaiirreettooDDeellttaaCCoonsnuslutltaannttssbbyvMMaayy99,, 22000088iinnttfh!.ef!.eJJn[cl_lf!Qos$e..eddssttaammooeedd..sseelr!f.- stressed ooo, :Jddrsss~d ern!eif.;,pe. Questonnare completed by: Questionnaire completed by: FMaimedaenha eThtel Dewar Name and Title Captain / Taim ning g oFfis cer FNrooogvahrmCenet ld Fre Dept Fire Department P5ho0ne7Ru-me2r71-456 Phone Number EYrr'Vaal ddAeeccr.w.ovsaas.rv 0Dcc .NNoord-tfn.f..i~e'el...IdJ.. nw VV) IV v us::> E-Mail Address D4oe-38-05 Date XXIinnoogg~enr: "'"' hPohnoen:e: 651.620.01984000.473 7411Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 541.639.9475 Suite 100 St. 651.639.9473 mn daltasnntom Paul, MN 55126 USA www.deltaenv.com 22222..00687 STSTAATTEE0_208282211664444 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Trainingg Firefighting Foam Use in Fire Trainin 11. . TrDDaoonesgshyyioonuugrr DDpeeeppraasrrtommneesnnt?t ccuurrraennttlyy oo r ashas yyoouurr DDeeppaarrtmmeenntt hhiissttoorriciaclalyl used used Class Class Aor A or Class Class B foams foams for for firefighting operations? No-Sign the backof tis form and tuoDmota Consultants =v-~---YYeess-- PPrroocceeeeddttoo QQuueessttioino2n2 _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoften's Class B or ins A foam used in espansfeo re cals" = oso ies __ 25sowlives __T5100%offres 2. How often is Class B or Class A foam used in response to fire calls? ~ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS))wwitithh aabbuiuliilt--iinn ttaannkkoonnititsseennggiinnee((ss))?? ve t..---' Yes he ___ No 4. Howaftnis foam usedin ainng exercises? 4. How often is foam used in training exercises? Weakly Want Quarry ___ Weekly Monthly ___ Quarterly TT Somaru i Aonualy J Semi-Annually ~ Annually ___ Bi-Annually Other lease speci): S------ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. Howmuch How much foam foam iiss uusseedd peper aring training eevveenntt?? Ce,__.---LLoessss hansgatos than 5 gallons ___s5caglalalornss stots ___ 5 to 10 gallons MoMroeretthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - 6. 6. In In riing, training, where where ddooeess tthhee _ SomSowr ss ppeenntt ___ Sffooaaatmmaogrocy??Sewsr __OnSleSepie _e=Ground ___ OSttohrme Seewsesre d_ esc_ ribS)anitary Sewer __ On-Site Septic _ ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WnWhoheerrreemddaooneesf/sdoriidcutnhreeenttrtaaiiannniindnggptaaaskkteerppalaracicneeg?? rPPelleaeasas.see iinncclluuddee acres, address, innetersrseeccttiioonnoor ootthherr speccl specific ocaion location Fico information for llcurrent 727 Huy. 53 and past training areas. Canyon, 01 NKinogen rs Cr TRYST T00S p _SSTIUE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene: oot om Ss ose SL Fak: Soha 945)AAieaom Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00668888 STSATTAETE0_208228211664455 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What tps) andbracts) fom aor wre sed ow ard nn pst th Departmen, both or re 8. What type(s) and brand{s) of foam are or were used now and in the past by the Department, both for fire Tekponee and nein Picaor leas chock a at avy response and in training (if applicable)? Please check all that apply. TUasmeidnign? AmUoseudnt Curentuseor TTyyppeeooffFFooaamm Cl8Aqsueosus Fi Class B Aqueous FilmForms Ry ------ ---- ---------- Forming Foam (.A.FFF) Class Acct: Class B AlcoholRess Garey ------------------ ---------------------- Resistant (AR)-AFFF CossPOOn Class B Protein Clas 8 Fluoroeoten Class B Fluoroprotein ES | (FP) Class 8Fim Forming Class B Film-Forming Fooprolon Frey | -------------------- -------- ------------------ Fluoroprotein (FFFP) cwsoaRFER Class B AR-FFFP css ABH Class A-B Hi Laon fom Expansion Foam Clss A - Class A Tago TTT Training Foam Gtr = Other `BBrraanndd ooff FFooaamm Used in Training? YYeess oorr NNoo Amount Used AnAnnunaulalllyy Current Use or HHiissttoorriicc UsUsee?? Thank for your me and conpeation. Plea contact ancy Rodina Della Consus (851.6075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rodhntoaeG coy sn Stocing: io Miase Polo Conv Agency (51-507 3000o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sco@paet a) ou hav soy Queso ern automate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPq leleaasu seerreee ttuurrnns tthhiit ss qui estio onnan iretn too DDeea fltt~a_Ci Cocnsnr $u_l'-t-!ale tannttss bbyv MMaavv 99.. 22000088 ilnn ttl>hPa. eenn,ct:i;lon.sseedd ssttaammppeedd,. ssoeffl.f te addressed envelope. Questonate compid by Questionnaire completed by: ondiland FT o-<~l av..--cl "f.b - a0ani Tie Name and Title Fre Cupartrrs Fire Depart ent Pee he Phone Number Date E-Mail Ei Address Inogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00689 sStTaAreTE0_202882211664466 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 11. . DDooeess yyoouurr DDeeppaarrttmmeenntt ccuurrrerntelyonortrhlhaasys yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd C ClaslsAAaoorrs CCllaasssss 8Bffooaammss ffoorr ratingopeaions? firefighting operations? J vos procead to Questio2n ___)_____ Yes - Proceed to Question 2 No- Sign the boaf hcisfkorm and return to Dla Consultants No- Sign the back of this form and return to Delta Consultants -X-- 2. 2. How oflens How often is Class Class B B or or ClaAfsoasm Class A foam used used iin rreassppoannsseo ttoo refire ccaalllss?? XY oaswotives ___ 225s-c500m%ototf feireess ___ 7755-10-0%1o0off0frire%ess 0-25% of fires 5. Dos te Deparment hacovmpresesed ai oa systam (CAFS) wih a iin tk os angie(s? 3. Does the Department have a compressed air foam system (CAFS) with a bu{!i-in tar1k on its engine(s)? ves ___ Yes -X ---,t:n _ No PRT -------- 4. How often is foam used in training exercises? New wesy _Meniy cuneny ___ Never Weekly ___ Monthly ___ Quarterly Somiwualy | ____ Aorusly J oat ___ Semi-Annually Annually ---.{::.- Bi-Annually OOtthheerr ((pplleeaassee ssppeecciiffyy)): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por raring ave? 5. _X tessthansgaions How much foam is used per training j Less than 5 gallons event? ____ s5 aglalolonnss _ _ _S5wto1100ggaallolonnss Mor han10 gals (pease speci: EE ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - move Santry Sewer __onstosepic_t-_-4G-r--ound . 6. tntaiing In training, where where doadoes ththe spat spent ffooaamm ggoo?? ___ Storm Sewer _ _ Sanitary Sewer _ _ On-Site Septic Ground Cr pp ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. Where doosldd ne ting ako place Plase incu adres, resection ocler spec locaion 7. Where does/did the training take place? Please include address, intersection or other specific location maG toonrdcyt a) ndipea aBa2 areas.2 eofBilfurrrnn &~/Lc:i.R _L' information for ~::~t and ~ast training areas. 2// .~rL~~hca Kinogerr XInogp1" '"" OVVEERR-----+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..006690 sSTTAaeT_Eo_z0s282211664477 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and branodf fsoa)m aro were usednowand nth pastb the Degariment, both for fire 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns nii ann (fapsicatie) Passe check a ht 9p: response and in training (if applicable}? Please check all that apply. TUrsaondnign? AmUoseudnt Currently Historically TTyyppeeooff FFooaamm Gl8oAqsueosus Class B Aqueous Fimgomnafosn -- Film-Forming Foam BBrraannddooff FFooaamm Used in Training? YYeessoorrNNeo Amount Used AAnnnnuuaalllly Currently UUssed? Historically Ussed? ((AAFFFF)) Cl8aAosns. Class B AlcoholResa Resistant (AR)rE AFFF LS -- Class B Protein cass Class B Fuororotin (FP) ---- -- Fluoroprotein (FP) Cla8Fsase Class B FilmFoming Forming Floaprotein Fluoroprotein es (FFFP) casseareER o_o Class B AR-FFFP class ABH Class A-B Hi Sponfoam ---- ---- ---- ---- Expansion Foam Class A - Class A TanngRem Training Foam oer PU 27R 570kO yoo. LsHA 220k Other Thani you for your and cooperation. Please contact Nancy Ring at Dota Consular (6516075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodhng@aetaem com) o im S1ckinger at Mimosa Pollan Control Agency (351-397-86o08r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjiimm..ssttoocckkininggeerr@@ssttaattee..mmnn..uuss)) iiff yyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueessttiioonnnnaiariree.. Plosso rou this questionnaire to Delt Consuitantsby June 6. 2008 i thanclosedstamped, sof: Please return thisquestionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, selfaderetsedenvelope addressed envelope. rypy oy Q~ionnaire completed by: NlaOmegalnrdETi Aftlfdt;_,So-/ Name and Title S~ elAeh'in2:./el-,0)0 Fire Department ' Pr~5o?0nne7--Nu3?m5fb?5e-r-J3Z2J0I8I Phone Number (GDoat--e'7/--<0J88 Date Lthnde E-Mail Address HXKIwnooggfenr "'" phen. erPhone: no RE CT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..069911 sSTtaAeT_Eo_z0s282211664488 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. GTDotoeegsshyiyoonuugrr DDopeeeppraaartrtimmoenensnt?t ccuurrrreennttllyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AAoorr CCalassssBB ffooaammss oforr 3 firefighting Yes Proceed operations? es- Proceed ttoo QQuueessttioino2n2 )( ___ YNo- No - SSiiggnntthheebbaackoocfftthkhis ffoorrmm aanndd rretuerntttooDuDelemtltaa CCoonnssuullttaannttss 2. How ofln's Class Bor ClaAfsoasm used i response ofr cals? -- o2s%olfies 2A X 250% offres 75.100% of res 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 3. Does the Deparimantthhaavvee aa ccoommgprreesssseedd aaeir ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh aabbuulillt-iinn ttaannkk oonn 5its @ennggiin0e((ss})?? 3. Does the Departmen ___ YYeess Xv ~~/" No 4. How ofen's foam used in raining oxorcises? 4. How often is foam used in training exercises? ___ NNeevveerr -- Weekly bw Monthly _ Qu_a_ rtQeurarlteryly TO soma XC Amaly Banal ___ Semi-Annually ~ Annually Bi-Annually Other (pease speci: SL -- ___ Other (please specify):----------------------- 5. How muh foaLmesssuramss pgarteorasid.ring e_ve_nt_? gators XC sto t0gatons Y' 5. How much foam is used per training event? _ _ _ Less than 5 gallons 5 gallons 5 to 10 gallons 7 ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - 6. 6. Intcanng In training, where where odoeess tthhee ssppenetffnooaatmm g9o0?7 StomSewer ___ Sankary Sewer onsteseptc 2X" Ground ___ SOttohremr S(pelweears c_ es_ rveSranitary Sewer _ _ On-Site Septic 4-Ground ---------- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - 77.. WIWhnheferoreermddaoolessf/idordidcttuhtheetrrraaiainnininnggpaataskkteevapllnaaiccneeg??aPPrleleeaasa.sseeiinncclluuddee aaddddrreessss,, iinnteerrsseacctiioann oorootthherr saci specific llooccaatlioonn information for current and past training areas. 1}01 4S0000 (N:\d)itt~e'n-giu"l\ec 5SbO Ne }0v CCi:.tyy "h''a"l' \l) ?P"a('ck ,.k>atn5s LoD wales Con's jate Soccerfede Xinogen O OV VE ERR--~ rome: ost 070.9408 10 057 411 eke 93635.9475mdalasnE.can. Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: ETRF WTTTTEGER. Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 2222..00669922 SSTTAATTEE__0022882211664499 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WsWinhpaatot tyynppeea(s)n)daannnddaibbrmainrndg(sa()1oo3fnf9ffpooi)aacmamcaiareree)?oorPrwlweeerarseee uucssheeodccknnooalww naaanntdd isinnpthphe.e pst past by by the the Departmen, Department, bot both or for refire response and in training (if applicable)? Please check all that apply. TyTyp!;e!eooffFFooaamm B BrarndoaoffFnFooaadmm Cl8aAquseosus Class B Aqueous Fimfomegfomm -- Film-Forming Foam (FF) (AFFF) ClBaAosnes. Class B AlcoholResa Resistani (AR)Arr AFFF J-- Class B Protein Clas8s Class B Fisooprotein (FP) Fluoroprotein (FP) Cl8aFsims- Class B FilmForming Forming Foote Fluoroprotein FFP (FFFP) CosBARFFP Class B AR-FFFP Cass ABH ECExxlappsaasnnsAsii-ooBnn HFFiooaamm ClCalassss AA AAnnet:Ns'J ffi~ fe'e' p :\)wou- Tanegfoam Training Foam over - Other TrUasiendiinng? Used in Training? YYeessoorr NNoo Amount Amount Used Used AAnnnnuuaallllyy Currently Currently UUsseedd?? HHiissttoorriiccaallllyy UUsseedd?? o_o --- FE om ---- ---- -- VvE.~E~ B~ B e\~-ga a3~ll To SS"DoH~1.\\ @~e~BD o ~9'9-!)~ "iooTTfrmhhaanrsnnrootkkddoyynncooigknuu@igffo@ ndogradeyylerooilut@uararseettinimnamvte.ecceoaamnnnoudds))oomccoroJoooJ)pirpeumerarShSatatittioovoanecnc.k.kainniPPgynllegeeQraauatssettesetthhccieeooonnnMMtstaiaicfnnctentnegeNNsasaaoronntitcacanyygPPRRtoooholtildudstrtniQoioinunnnggeCaCsaoottnnotDDtrmereoonllltliaaAArgCCgeoeonnnnccssyyuul(t(la66na55t1rs1-2-((692657591-178---66669606767-5o-5o56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please Please return return this this qquueestsiotninaoirnetntooaDiDeelrtlteaa CCoonnssuullttaannttss bbyy JJuunnee 56. 22000088iinn ththeeeennclcloosseeddssttaammppeedd,, ssaelltf:- `aaddddrreesssseeddeennvveellooppee.. QQuueessttoionnnnaakireeccoommplpeletteeddbbyy:: NaDmbeaanCdoTgHin Coptain - _ ems Name ar:~d T1 e FireDOepAarimeGntave fice Fire Department Pho2neuN-umbeUrd-Cigs Ta=te of Phone Number Date EaResbAdCroepsem 8 Qe Com E-Mail Address XXIinnoogg~enn "'" een RP EE Co on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00693 SSTTAATTEE__0022882211665500 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DDfrooaefssghyyioonuugrr DDoepeeppraaarrtttimmoenensnt?t ccuurrreennttlylooyr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly uusseedd CClalsasAsAosor CGalassss Bffooaammssffoorr 'XX__ firefighting ves. protocqeuesetiodn2 operations? Yes- Proceed to Question 2 ' NNoo.- SSiiggnn tthheo bbacakoocffttihkissffoorrmm aanndd rreettuurrnn ttoo DDoetltaa CCoonnssuullttaannttss eames ossomoties -XA_-- totomarives 2. Howofenis Class BorClas Afoamused inresponsetorecals? 2. How often is Class B or Class A foam used in response to fire calls? ___ 0-25% of fires 25-50% of fires 75-100% of fires 5. Doss the Department have a compress air aa syst (CAFS) with tantank os engine(s? 3. Does the Department have a compressed air foam system (CAFS) with abuilt-in tank on its engine(s)? ---X- Yes "Xm --,---,---- Yes No 4. Howofstfeoanm used in raining exercises? 4. How often is foam used in training exercises? Ntew wey Mommy J. _X_ semiannually Annually BrAmualy ---=--Never ___ Weekly ___ Monthly ___ Quarterly Semi-Annually ___ Annually ___ Bi-Annually ___ OOtthheerr ((pplleeaassee sppeecciiffyy)): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 55.. HHoowwmmuucghofoaamm iiss uusseedd ppoerr rtraaiinniinngg eevveenntt?? ____X__X_ Lteessss tthraann'5ggaatlolonnss 5Sggaatlloonnss ___MaMroreetthhaann 1100 gatos gallons ((pplleeaassee speci: specify): ___ 551to01100ggaallloonnss i TR mee sunysons__onsuwsnte KXms . ning, wha does thespot foamgo? 6. In train& where does the spent foam go? Over Storm Other plesseceserbey Sewer __ Sa (please describe): nitary __ Sewer ___ _ __ On-Site Septic ________ _ _ _ _ Ground _ _ __ 77.. WWdhheoere ddaooeossto/ldfiiCddiethhereorttraianiinninnggattcaktkeUe apllaarcceee??aPPsllee.aasse iinncclluuddee adres, address, iinntteerrsseeccttiioonn oorr thr other pec specific acaon location 33 information for k'-3-J ~current and - )6'-jtA, cy. past training 6T ~. areas. Fi ; ie T5000 Hod --fiSehion. Xinogen- OOVVEERR---+ Phone: 651.629.9/084005.477.9411 Fak: 851.625.9473 wmwdaltasny.com eTSTEGER 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00694 sSTTaAeT_Eo_0z2s82211665511 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Wr a rye pg oss Co AT 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eons Sting apieay Poe resk o o. response and in training (if applicable)? Please check all that apply. TUrsadnign? Am"oOuotnt Gurenty itor TyTyp~eeooffFFooaamm Cl8ausouss Class B Aqueous Comte Film-Forming Foam fies (AFFF) ClBaAkss Class B Alcohol- E so i Lan fBnrtg,3us AD t0aSt os Resistant (AR)- AFFF CosobPwan Class B Protein Goss Class B ena) -------------- ---- --_ -- Fluoroprotein (FP) Ga0sFisn. Class B FilmFoi Forming pFregsten -- ---- Fluoroprotein B BrarndoaoffFn Fooaadmm <~ rl5 Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? klo 0-5@0t ~ ~e.s (FFFP) CmsoaRERR Class B AR-FFFP GlaAs1s Class A-B Hi Snort -- -- -- Class A Expansion Foam - Class A egrom oT TTT Training Foam Ober = = Other fGta j'~gs yes. p~a~ y~eejs gS Tr yoo your ri and compra. lsc Nery Hin ot Dol, Conus G54. 075452 Thank you for yourtime and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Ra oom too Saming he eee Pa Tens ooooo or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or bic oh A jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas rst ths questionairte Dale Consultant by Jun6e 200 the sncosed stamens Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- `aaddddrreesssseeddeennvveellooppee.. `QQuuesetsitioonnnnaairireeccoommplpeletteeddbbyy:: An&V\ 3elt NNaammee aanndd TTiittllee 1 _FreDoopamdon e DoJ:c\~e-Fire Department ' ! re. Ch l ef Bh sfbp51L-1EJ s1-~tfie~ fo Phone Number Date EjoReS\i,,oon.Mdfef.isooVn\@dcCok?odJi:clbe[fefiiree.. CcoWom'\ E-Mail Address 5/09/bs Inogen' wr ver RL TE LL 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00695 state_o2s21652 STATE_02821652 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Does your opartmnt cenhas tyour Department istrict used Gisor Gia aso 1. Does your Department currently or has your Department historically used Class A or Class B foams for Foorpesvoons? firefighting operations? 5 os - ProtcoQueestniodn X Yes- Proceed to Question 2 No-Sign he backof hs form and sur to Delta Consults 7 " No- Sign the back of this form and return to Delta Consultants 2. How fon Cas 3 lass A foam usd inrespto forncalss? 2XX ozswiies __ oSsioffes ___ 75100%offres 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 5 Does he Deparmenthav acomprosod ai oan syste (CAiFhaSb)i tank on fs Gre" 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes PaX: No 4. Howofen i foam used in ring axis? 4. How often is foam used in training exercises? oy any Quarry Weekly Monthly Sonim saly TX sim Semi-Annually Annually ___ Quarterly X Bi-Annually OOtthheerr ((pplleeaasseessppeecctifyyy): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foams use pr sing evn? 5. How much foam is used per training event? 3C_ Loss than gators Sgaions Sto 10galons X Less than 5 gallons 5 gallons 5 to 10 gallons Noro ton 10 ators (ome spocty More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In toiing wheredocs he spt am go? X- Sto Sewer ___SanitarySewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer __ Oonn-sStitoesSeepptticc JX Growd Ground oer (poasedueoor ___ Other. (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7 Vinrs coud h vain ok pace? los inc aes, ners or oer specication 7. Where does/did the training take place? Please include address, intersection or other specific location tomato acut and po vargo information for current and past training areas. c..+"\ ) \'N'.,.\-$ NXiInnoogge~rn: .,,, i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.9445 1 800.473.74Fo1k1: 631.630.0473 maiviadaliasns.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00696 sStTaAtTeE0_208282211665533 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. WTehkapton9s0s0n9)dandCbarians1 oafsoaam)ar'e lweearseucsheedcknaol hanad aipph: pas by he Departmen, both or fee 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Imsotren Brandorfoan YTUaaslmeodnrigtnre AAmUmosaeudnlty Ctuimsieonntcsbessosr Type of Foam Class B Aqueous Fin. Class B Aqueous FilmForming Foam (FF -------- ---------- Forming Foam (AFFF) Clase Acobol Class B AlcoholRossin ppg| ------ -------- Resistant (AR)-AFFF cassPoen Class B Protein Clas 8 Fuoropten Class B Fluoroprotein = R PHS P (FP) Glos 8 Fim.Foming Class B Film-Forming | ---- ------ ------ Fluoroprotein (FFFP) caseavFR Class B AR-FFFP Gass ABH Class A-B Hi Bamber ETVa vr ram Expansion Foam Cass olVex ye Fhe Class A Taaning Foam rc Training Foam oer -- Other Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Thankyoufor your me and cooperation. Pleas cota any Rodrig at Dota Consuais (651-607 6162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 oorr nnrrooddnniinngg@@ddeellttaaeennvv..ccoomm)) oorr JJiimm SSttoocckkiinnggeerr aatt tthhee MMiinnnneessoottaa PPoolllluuttiioonn CCoonnttrrooll AAggeennccyy ((665511--229977--88666666 oorr jjiimm..ssttoocckkiinnggeerr@@ssttaattee..mmnn..uuss)) iiff yyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariere. . .PPlleeaasseerreettuurrnntthhiissqauueestsitioonnnnaaiirree.ttoo DDeellttaaCConosnuslut!afannttssbbyvMlia!<y!Y_9~_,,_ 2 ?{!(0LBiJ0 rnJt..h8lelJegnenccloo~s.!eJd.dssttaammppe.efd!..~sseellff-: : `aaddddrreesssseeddeennvveellooppee.. Questonnars complet by Questionnaire completed by: coher "-~ Ramee Name and Title M()~ Odessy Foun Foo Dept 6 dcss 2 Fre Deparment 320 Fire Department 2723-2279 Phone Manber Te Phone Number S- (0-08 Date E-Mail EE Address HXw1ongoegpr1w' "" Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www ~ MN 55126 USA deltaenv.com 22222..00697 sStTaAreTE_202882211665544 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm Usee iinn FFiirree TTrraaiinniinngg 11. . fDDrooeeefsisgyyhooiunurgr DDeeppapaprertrtammteieonnnst?t ccuurrreenntltlyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllasasAsAosorr GCllaossss B8ffooaammssffoorr firefi_gh_ti_Vn,/_g_Vy_peVYreeastsio-- nPPsr?orceeodttcooQQeuueesssttiidoonn22 ___ NNo-o-SSiiggnn tthhee bbacakoocfftthhkiissffoorrmmaanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss _V omaites sso ___1sto0koties 22.. HHoowwofotfteenn sis CCllaassssBB oorr CCllaassss AA ffooaamm uusseedd iinn rreessppoonnssee ttoo frfire ccaalllss?? / 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavveeaa ccoommpprreesssseedd aaiitr lfooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaabubiuliltt-iinn ttaannkkoonn titsse.enngigninee((ss))?? Yes --~Yes V~V Nnoo 44.. HHoowwooftfentisfefooaanmmuiusseseddiinn ttrraaiinniinnggeexexercrciisseess?? _ _ _WeWeekelkyly Monthly ---:- Monthly _ ___Cu_aQrutaertreryly ___ SSeemmi-i-AAnnnnuuaallly V_ annually ----"-/- Annually ___ BBi-rAAnmnuuaalllyy ___ Other Other ((pplleeaassee sspep ct)e c i f y ) - : - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchhffooaammiiss suseedd ppeerr trraaiinniinngg eevveenn?t?/ TT cLeesssvthaanns5 ggoaollnosn.s V s5qgaaltloenss _ ____ s5ttoot1o0ggaallloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciifyyy): - - - - - - - - - - - - - - - - - I emsons savy som __onsiosapse cons 66.. IInnttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? . Other (please doscrbe): A ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic /Ground .:___;;__...:.::. Other (please describe): - - - - - - - - - - - - - - - - - - , - - - - - - 77.. WWinhhfeoerrrmeeatddioooeenssif/ddoriiddcutthrheeretrrnaaiiannniindnggptatasakkteeFappillaraciceneg??aPPrlleeeaaasss.ee iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr ootthheerr ssppeecciifiicc llooccaattiioonn information for current and past training areas. 1IlI (D)oo.. I15~~rS5craucee..rr .J uO"<'dXn.aI\ Mn Stiles 1 1 Kinogen: Fron: 651.639.5S04T9S1T8e9r0.C43r7e74F11aTraki U29e1.63150.094573 mpawunl.idWaAlt55a1e7v6.cUoSAm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00669988 SSTTAATTEE__0022882211665555 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 38.. WWrohhsaaptot nttyysppsee(a(ssn))daannddabbriraanngdd(ss())foo3ffpffiookaamambaoairree?woPrlweeearseeuucssheeecdcknooawlw anaanndd3iinnpthh.ee ppaasstt bby hethe DDaeppaarrttmmaenn,t, bbotthh ffoorr refire response and in training (if applicable)? Please check all that apply. TUUassneeiddniginn? AAmUmosoeuudnntt Gument Useor CFGollaraTsmsTsyinyp8BgpeeAAFoqqoofuufaoeFFmoooouu(aassFmmFFFiFilm)m- BBrarannddooffFFooaamm YYTeerassinooirrnNNgo?o AnAnnUunsaueladlllyy ~~ CHHuiissrtrteoornriitccUUUssseeeo??r CCFRleolaasrssmssstinaB8ngtAAFl(oocVoanhRmooVl(A-AFFFFFF) --_-- CRleassissta8nPtr(oAteRi)n-AFFF - Class Ci5a)ss Class 8B B Floroprotein Protein Fluoroprotein mrt ee C(CFFlulaPaoss)rssop8BFrFoililmman-FF(ooFrrmFmiPinn)gg -- - CassBARFEEP Fluoroprotein (FFFP) CCCElllpaaasssmssssAABo-An8RfHH-ioiFaFFnP Cass A Expansion Foam Siloew Yeh Spal. Minimac TCrlaassnAg Foam eee ler eee meet oer Training Foam - Other i`ooTrTrmhhanrSanroooikdcdyynknooniinuugggefo@@orrdr@deyyselootluztutarreeeint.nimmyvme.eccnooaammvnn8)dd))ooccrorooooJJpipemserarhSStaitvttiooooencnc.k.akinniPPg)nlleegeraaaassSteettthcchooeoennMtMteaiaicnnctnntaeeNNssaaooninttncaacgyyPPRRoioololtsluudittnniqooiinunnngogasCCahootonDDnnterentolaltlaarAAegCCgeoeonnnnccssyyull((taa66nn55t1t1s-22((969675751-618--066009697667--o5o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. aPPdlldeeraaessseesrreeodtetunurvnmettlhhoiispeqauueessttioinonnanirseitteoo att Dt:J!ta GCoonnssYt!atannttss bbvi ae. May 9. 22000H ii0nn tt8hhoe eennccl!oosseedd ssttaammppeedd,. seelt!f.- addressed envelope. QQuueesstitioonnnnaaiirree ccoommpplleetteedd bbyy:: fal 3. B See Name and Tilefou I ~. Name and Title Don Fee Depuetiments FFriroe DDeeppaarrtmmeenntt h e " Con FPhoonnee aNmumbeberr EE E-Mail Address So7- 73 -291 Bae ofar/od Date ' 14 ICd- (e/1s!.-LiIn:,s,S @Arant6i~e&)iIn? cc.-Cnl(lds ;; Slog Kinogen: rane: 651.639.9505 R0e8e0 C457e5411 Fok S G91 61399R 09453 FmnaodatSaSemtUaSm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00699 STSATTAETE0_208282211665566 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Doe yrDapatment cent a hs or Dron iacaly ed GAilss fos 1. Does your Department currently or has your Department historically used Class A or Class B foams for froin firefighting operations? Yo rocsedto ueston ___ Yes- Proceed to Question 2 No Sg the back fh fom and rear 0 Dl Consuars ___ No- Sign the back of this form and return to Delta Consultants 2 How[ten2isGvl=a orClas Alam ed reson en cals? j 2. How often is 9~~s1 B or Class A foam used in response to fire calls? -(Jt~ o 0-25% of fires 25-50% of fires ___ 75-100% offires 5. Dose th opin ve compres fos syst (GAFS) iha blink cognts 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? .Lv2voevse V No 4. wots com usd lng arcs? 4. How often is foam used in training exercises? poi Wonety aut ___ Weekly ___ Monthly somiavmanty oats = isovnty ___ Semi-Annually ___ Annually ___ Quarterly V Bi-Annually po ---- ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. vw tmisusotsar ingore? 5. How much foam is .used per training event? 7 evan etre osons Stot0gtons ;L Less than 5 gallons 5 gallons Wor wm 1 alors roms och More than 10 gallons (please specify): _ _ _ 5 to 10 gallons 6. nin, whore does he spr am 7 6. In training, where does the spent foam go? nt tyr __onstnsepte of crowd ___ Storm Sewer __ Sanitary Sewer __ On-Site Sepfic /Ground Toren TT ___ Other (please describe): ---,..,....,.,~,~""'~----o--:--==:::----:-----,-------- 1. Ware dono aio ake plac? less cod kos, arsenate cht 7. Where does/did the training take place? Please include address, intersection or other specific location ee oi information for current and past training areas. Kinoger: Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www i. MN 55126 USA de!taenv.com 22222..00700 stare ozs21657 STATE_02821657 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 6 What ype) and rnc) foam ar cr wre used ow and nh psb th Deparment, both for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response sn nan 1 2ppeaney les cecal ot2 response and in training (if applicable)? Please check all that apply. TipeotFom Brandof Foam VTUomsrenoagirnya AAmUmosaum.nat CbuimsoonntusUoseodr Type of Foam iss Aqueous Fim Class B Aqueous FilmForming Foam | | Fon-riing Foaii1 (AFFf':') Glass Act Class B AlcoholReston (RyAEF DN Resistant (AR)-AFFF J Class B Protein Glass B Fuoeoin Class B Fluoroprotein TM -_-- (FP) Gass 8 Fim arming Class B Film-Forming Fuceoprton (FF Fluoroprotein (FFFP) FEClass B AR-FFFP Css Ao Class A-B Hi Expansion Foam 7 Expansion Foam Caen Lilrey qu 7 Save Class A Tagron Training Foam oer - Other Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? ? {I Thank oufor our me and cooperation. less contact Nancy Roding ot Dela orsutans (651.607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 cdgGaerne com or sn Songaet0r Mines Foon Conv Agere (51207-060o6 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sockets 2) Jou hove on 06S ron 1 ESTA jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Fleas ctuhs cuestiontonatitn Constants be ay 200 nth elec tempest Please return this auest;onnaire t? Delta Cf.'n<;!'!tants b;t fl.liav 9, 2008 in th~ cnc!c=ed stam::;Gd, s>;ffS Questom nsais sa oA , addressed envelope. 5?137 a St~~~=sez NNaammee aanndd TTiittlee - Fire Department -- cttr ASgeB v H Phone Number lg-/7/08 ---- SE E-Mail Address Kwogen Phone: Phone: 651.629.9945 1 890.437.7F4a1k1: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 651.639.9473mdaltacnia.m Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 222222..070011 staTe_ozsz1658 STATE_02821658 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DaoDtgooesspyyoouurr DDopeeeppraaarrttmimoeennsnt?t cureantbays currently or has your your Deparment Department historia historically used used lass Class Aor A or CCllasas s8B ffooaammss ffoorr firefig~g o Vosperatio- Pns?rotco Qeuesetiodn2 _ _ No Sign the baocf hkisformand Yes- Proceed to Question 2 _ No- Sign the back of this form and rreteurntttouoDDroetlnata CCoonnssaulltaannttss $.- 2. Howoften s lass Bor iaAsfosam used in response to re alk? 2. How often is Class B or Class A foam used in response to fire calls? ooo JK ossonorwes _75100%ctfres ___ 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires 33.. DDooeess ttiilve: DDeeppaarritmmeenntt h havea aaccoomv mpprreese ssseedd aaiiri ffooaamm ssyysstieemm ((CCAAFFSS))wwitithh aabbuuililtt-iinn ttaannkk oonn iittss eennggiinnee((ss))?? ~XYevNseosNo 4. Howoften is foam used in raining anercses? 4. How often is foam used in training exercises? Nevo Wey Monty Quareny ___ Never >< somiAmualy Aovualy BiAnnualy ~ Semi-Annually Weekly Annually Monthly ___ Quarterly Bi-Annually Omer ploasospecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is use por varing vent? 5. H o w 2much (<. Less foam is LVeasrso tanused gatons per training event? 5 gators hanthan 150gaglalollnosns (leasespe5egtayllons _ _ _ More than 10 gallons (please specify): ___ 551to01100ggaallloonnss 6 Intaing, where doos the spot foam go" 6. In training, where does the spent foam go? SomSowr ___SonoySower __OnStoSepte Grong ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _AGround Over (plonse descr) ___ Other (please describe): ______________________ 7. Wahrarmdaosfotr ctahrnoianndgatsakkevlaacge? rlsoao.s nlc adress, erection or othr spec locaton 7. INhere does/did the training take place? Plaase indude address, intersection or other specific !ocation information for current and past training areas. NNC~orifn lt~n~tl:"bdi.d~eil io>r ' Z1ao/.PJ ---a/0L CoOtv-:1-Jr.eaa c::l-toaar /)4-ac~ Gui Joe Of Bup bnewa s rtli it {n ud g ails Lines Kinogen' OOVEERR---+ rane oor ore Se 05h A a SEL 94S Massa. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651 639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00702 STSTAATTEE0_206228211665599 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What types) and branofdfo)ama orvereuse now and i th past byhe Depart, both or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponie on ining df 205A' loose check al hat apy. response and in training (if applicable)? Please check all that apply. TUasmeidnign? AmUosuednt Curonty Historically TTy)p!QeeooffFFooaamm [ey-- Class B Aqueous Fimrommgpon Film-Forming Foam FFD, (AFFF) Cl8aAosnso Class B Alcohol- (!,J5u tte-) genie [ Awsallielo&ef) NE Sgr ys. N21 AFFF Resistant AFFF (AR)- CussBPown ST Class B Protein cass Class B Fusropacin (7) Fluoroprotein (FP) Class BFim- Class B FilmForming Forming Fugopotsn Fluoroprotein ren (FFFP) CosswARFEP Class B AR-FFFP Class AH Class A-B Hi Grsonfoan | ---- ---- ---- ---- Expansion Foam ClCalassss AA Tomngfoam o_o IT Training Foam oer - Other `BBrraannddooffFFooaamm ~PtJGGUL-SlJf ,-)e A~GiJ.7IJ-- ~ Used in YYTeerassinooirrnNNgo?o Amount AAnnUnnusuaealdlll)yl CUUusrsreeeddn??tly Used? Historically Used? \[6 5 ~/fq'j ':f.6 ~..@ N~-eB)o LIoofAg. h}tes;,; Y~ou y~es Thank you or your imo and cosperatan Peas contact any Roding at Dolla Consular (851-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of oda detac com)oim Stocking ath Minnosta Pluion Carrol Agen (551207 3668or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fr socknger site muf)ou hav any Quetons regarding 1 Quesionnare: jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rou ths questionnaire to Delt Constants by June 8.2008 i the enclosed stamped,sl Please return this auestionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped. selfSores anssione addressed envelope. Questomnaiecomposby: Questionnaire;cpmpleted by: Toe Heer Chel .N. JamOeeand T/e-1-f?M~ Name and Title OLuJi!J- /'/ttl FreDOeplarime,nt par) Uolnder fie a. ;d Phon2eN0u-mbSer23. - Phone"Nhu~Emetbmnnerr\s2o"En\ eCCRoupCCoat.nn'+t4ra:y1 L.(coJfmPt E-M ddress Gre 2508 Date Xinogen: rer enn PE ET a on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 551Z6 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00703 STSATATTEE0_208228121666600 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11. . aDDotoseossniyyoonuugrr DoDpeeeppraaartrtimmoenensnt?t stony currently oor hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly used used Clas Class A A or or Glass Class B foams foams orfor X_ firefighting X opYereasti-oPnrso?cosd to Question 2 YNoes. -SPigroncteheebd toaQoufektshtiiosnf2orm and return to Data Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. 2. owHow often often Glass is Class Bor B or ClaAfsoasm Class A foam uusseedd iin rreespsonpsoetntoosffrireee cas? calls? _.LXX..L_._o_ a0s-2w5%oioif feiress ______as25s-w50e%otofffieress ______77s50-1%00o%tfofrfieress 3. Docs the Department have compressed ressed aair foam foam system system (CAFS) (CAFS) with with a bultin built-in tank tank a1 on its engne(s)? engine(s)? 3. Does the Department have a comp ___ Yveess XX_ nNoo 4. How often s foam used in ining exercises? 4. How often is foam used in training exercises? -- vesy -- wowny J ___ Weekly Monthly ___ Quarterly X_ semvhnnualy Sava eam X Semi-Annually ___ Annually Bi-Annually Otho pease speci): ___ Other (please specify):----------------------- 5. Howmuch foam s used pr vaning event? 5. How much foam is used per training event? _)X(_ LLeesssstthhaannS5ggaallloonnss ____ S5ggaalllloonnss Mor than 10 gallos (ease spac ___ More than 10 gallons (please specify): ___ 5stto o10lgoalnlonss Other esse divert) I 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ___ SSttoorrmm SSeewweerr __ SSaanniittaarryy SSeewweerr ___ OOnn--SSiittee SSeeppttiicc _ _ _ Other (please describe): ---~---'-- __X_K__ -- GGrroouunndd 6/h 77.. WWfiohnreemrraeetddiooenosf/doeridcttahrheetrnraaiainnniindnggpataakskeerplalaancceeg??1PP0ll0eesaa.ssee nce include aaddrderessss,, iinntteerrsseeccttiioonn oofr ootthheerr speci specific llooccaattioonn O infoOrmcc ahttinovn.Ufoh .<r currADeo ~nict papnodJu a-pkast=tl rainEinEugl 0asd1ree1tanse o. 0n> php1U2. 57 U5 thy L Detects Pn" _sb222 KoXIgnoegfr:n' ,,, [ESP Cr FRSYEI EHTER10R 05 Pa iH SST UE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..007704 STSTAATTEE0_208282211666611 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. TWWehhsapatot nttysypopeea(ssn))daainnddrabbirnrainnadg(ns()1dooafiffpfoosaapm)mlaaerre?aoPr lwwoeearrseee uunsseeecddnknooawlwlahanantdd3iin9tth3hee past past bythe by the Departmen, bot Department, both forfre for fire response and in training (if applicable)? Please check all that apply. Tsiaemdiinng? AmUoseudnt CumentUseor TTy)p![e!eooffFFooaamm Clas8s Aqueous Fim- Class B Aqueous FilmForming Foam (MR) | | Fnrming Fo::'~m (AFFF) Class 8 Acohol Class B AlcoholRestart (RV AFF -------------------------- -------- Resistant (AR)-AFFF CassBPwon Class B Protein Class 8 Flaoroprtein Class B Fluoroprotein I _-- (FP) Class 8 FimForming Class B Film-Forming Fuoroprtein (FFP) ---------------------- ---------- -------- ---------- Fluoroprotein (FFFP) CossBARFEP Class B AR-FFFP Class ABH Class A-B Hi Egarson foam -------- ---------- Glass A Expansion Foam Class A Training Foam - - Training Foam oer - Other BBrraanndd ooff FFooaamm SSi/i.v-frt.K v-ex I Used in Training? YYeess oorrNNoo. Amount Used AnAnnnuuaalll:l~ty: Current Use or HHiissttoorriicc UUssee?? yes Sgel cused V.JZ 5 / 5 ,;;c;/ 'Z1" C{,tLI'-f.l!J- Thayonfkor your me and cooperation. Pease contact Nancy RoinaitDnlga Consultants 8516075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or woding@dolsenwcoofJmi)m Slockiantgtenr Mianesola Pollan Conol Agency (55-297.86o66f or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Jjiimm.ssttoocckkiinnggeerr@@ssttaattee..mmnn..uss)) iiff yyoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Pioace oturn ths qusstionrelr to Dota Conzultzats by Hay8, 2000 the enclosed stamped, self: Ploa~c rctur:: this gus~ticnnafrg to De!ta Con~ult~nts br ;"Aav ~t 2008 i:1 the enclosed starru:;;ed, selfsdoressed envelope: addressed envelope. Questionnaire completed by: Questionnaire completed by: &nJ~ t2c NNaammee aannd dd Tile La irl : ;/- CA/e FiWJreeDbkeo"pna"rocmlhe/nl/t-ee ~F/irve I1)Jeo;pztJ Fire Department Ph3on2e0N-umFbOerP- 320 Phone Number ST-e9-08 Date ErIvmamlcc/AlCcor/;omysts@@ twJaot.J..mJNiId;eJewo.~ nn.eetf- E-Mail Address Xinogen onan: 653.839.9005] 300.033TAT Fok:BOLIe19 047) maAAlAA A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00705 STSTAATTEE0_208282211666622 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . TDrDoeeofesosyhyoiounurgroDDpeeeppraaarrtttommreensnt?t ureanhtas currently or has yyoouurr DDeeppaarrttmmeenntt historical historically usod used Class Class A A or or Class Class 8 B foams foams fo fo r 7 Yes Procesdto firefighting operations? V Yes - Proceed to QQuueessttioinon2 ___ No. No- Sign Sign tthhee bbacakoocfftthkhiiss ffoorrmm aanndd rreettuurrnn ttoo DDletltaa CCoonnssuullttaannttss 2. 2. HowotenisClass How often is Class or Glass B or Class Afoamused A foam used inespanseto fecals? in response to fire calls? VLo ooswottves 0-25% of fires _ _ _ 550% 25-50% ooff resfires ___ 775-510.0%1o0offr0firee%ss 3. Doess tthhee DDeeppaarrttmmeenntt ahavveeaa ccoommpprreesssseedd aair ffooaamm ysysstteemm ((CCAAFFSS)) wwiitthh aa ulti bui!t--in ttaannkkoonn isits eennggninee((ss))?? 3. Doe ves ___ Yes ZaV No 4. Howoften's foam used in ning exercises? 4. How often is foam used in training exercises? J Weakly Monthy Cuan ___ Never ___ Weekly ___ Monthly SembAnnually Annually 7 simmuty ___ Semi-Annually ___ Annually V ___ Quarterly Bi-Annually ter (lease speci) SS---------- ___ Other (please specify):----------------------- 55.. HHoowwmmuucchh ffooaamm iiss uusseedd lesstanS prper trraaiinniinngg golons oevveerntt?? _&~_ Sgalons ___ LWeesrse tthhaann 510gaglalollnosns (pletas/e spe5cgia)llons _ _ _ More than 10 gallons (please specify): ___ 550to1100ggaatlloonnss ams 6. In waning, where does the spot foom 007 6. In training, where does the spent foam go? Storm Sewer _ Sanitary Sewer onstosepe Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ter (please doscrie) ___ Other (please describe):----------------------- informatn or cunt and pas taining arcas. 77.. WWhheerree ddooeess//adiidd hthee ttrraaiinniinngg ttaakkeo ppllaaccee?? PPlleaasse iinnccliuucdise~aaddddrreessss,, iintnet~seecrtiso~e-oco~rt-ooit"htoeh~rnr ssppeeccififiicc llooccaattiioonn information for current and past training areas. Ze dl_dlgpk = ottectii/2, Xinogen: OOVVEERR---+ rane: 431.635.916F300e50.C4r37ee54y 13 Fok:e$91 63T5OT24S7)wFwdWaliSanSas.oUSmK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222..00770066 SSTTAATETE0_202882211666633 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. Whats) and branofeoa) arr were used now andith past by he Departmen, both ofr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss and namin apples Peasecheck a ot 35h. response and in training (if applicable)? Please check all that apply. Tyee of Foam Bondortomn TUvrseaeondnrigSn?o AAmmUuoseaudnlty CUusrseanrt |HistoUrsiecadlly Type of Foam Cl8Aaquoscus Class B Aqueous Fimrommfom -- oo Film-Forming Foam Fe (AFFF) Cl8aAlscohsol Class B AlcoholRosamoRy Resistant (AR)a AFFF Cossspwen o_o Class B Protein Css Class B Famoenfp) -------------- ---- ---- ---- ---- Fluoroprotein (FP) Glo8 Fsims- Class B FilmForming Forming Fraropn --_-- Fluoroprotein fet (FFFP) Cossmarer Class B AR-FFFP cass ast Class A-B Hi Cemmenfoan | ------------ ---- ---- ---- ---- Expansion Foam Gassn 1clofose vw 0o--5s 0c r5 Class A Tagfom ------ Training Foam oer = = = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? FE ------ Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Prodi aac cam)of J Sickinga at heMinas FORNGR CortolAgen (651457 8586 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or om acknganGee ms) Tou have esbors vogmdng is dosent jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. seif- adirssedenisiope. addressed envelope. ---- Questionnaire completed by: lp A1V!'triJ bLLeaCeItCd'ceyh/s"5 / a<theid Name and Title _FroDOes{Ma2n/ee/ncrt->tr/rorr' // Fire Department Prone HR:?eIrrgE~ 336677~- :2Z//660o "Bapte ts Date Q oem. eaar rvg. tpost E-Mail Addfess Kinogen rane 451.0393 FT Tl Oe 9) meta XInogrn ,,, '-' 5910 Rice C~eek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00707 sStTaAreTE0_202882211666644 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. Docs your Department curentyor hsyour Deparment sora used lass AoClas foams for 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for soning oporatons? firefighting operations? YX__ YYeess-- PPrroocceeeedd ttoo QQuueessttiioonn 22 No- Sigthn backof his form and return to Dla Consulants ___ No- Sign the back of this form and return to Delta Consultants 2. How often' Glass Bor CaAsfosam used in respons of cl? 2. How often is Class B or Class A foam used in response to fire calls? X_ ozssottues ssowotiies ___TsA00% offres ......,..,-r-X..___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5 Doos ihe Department have compressed aiair foam foam systam system ((CCAAFFSS)) wwiitthh abitin a built-in ttaannkk os on its eannggiinnee((ss)?? 3. Does the Department have a compressed ___ Yveess X )( NNoo 4. Howofien's foam used in raining exercises? 4. How often is foam used in training exercises? Woakly ony Quarry ___ Weekly ___ Monthly ___ Quarterly XX_ Samuel pomaty Bramaly Semi-Annually ___ Annually ___ Bi-Annually Otter leas speci): _ ___ Other (please specify):------------------------ 5. How much foam is used pr rang event? 5. _X_ LessthanSoalons How much foam is used per training X Less than 5 gallons e_v_en_t?_ 5gaglalolonnss More than 10 gallos (ease spool: ___ More than 10 gallons (please specify): _ _____ 5sttoot1o0ggaallloonnss 5. 6. Intaiing, In training, whee where dosdoes ththe ssppeantt oafoam 7go? ove onswsote -aX-nd ___ SOtvoremriSeeawseorde_ scr_veSranitary Sewer __ On-Site Septic Ground --- _ _ _ Other (please describe): - - - - - - - - - - - - - - - - - - - - 77.. Wihcearteidoonsifoirdctueev;anainngpkasos vpalaicen?arleas nuda adres, intersectiono other speciclocaton Yo 2 furvie Ayioe Dw rtos Pals [Ndi Foirseos Ma CY6T PL Fe Ere pS TO-- SE Fa SE UE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA vores 631099700 10s SEL ToL: TIL) meaatianan. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00770088 STSTAATTEE0_206228211666655 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. TWWehhsapatot nttysypepeea(ss)n) aainndrabbirrnainandgn(s)()1 oaf pffooapammlaaere?oorPr lwwaeearrsees sueseeccdknrooalwwl haaannldd aiinnp ythh.ee past past by by hethe Daparmrt, Department, btorhfro both for fire response and in training (if applicable)? Please check all that apply. Typeof Foam Brandot Foam YTUerssieodnrigNn?e AAmUmosueuadnlty GHuismteonritcUsUosoerr Type of Foam Class 8 Aqueous Fim- Class B Aqueous FilmSaFom am (EiE) f l:'nl"rninn ~1"'\-:lm t..l=t:'l=\ j Vo 0 I I l l ':':J f ............ , . I \ I I j Class BAlot: Class B AlcoholResistant (ARVAFFF. -- Resistant (AR)-AFFF CassBPoOn Class B Protein Class B Fucroproten Class B Fluoroprotein IG) _ (FP) Class 8FimForming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) cassBARFFP Class B AR-FFFP Class a8 Hi Class A-B Hi Eon Foam Expansion Foam ch evoB ge. spb jloppkk. Class A TTrraaiinniinngg FFooaamm over - Other Brand of Foam -- Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? - To Thankfoyyoouur Ume and cooperaton. Please contact NancyRodingat Delta Consulans 851-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or odhing@dcsotm)aornJi.m Sockingr i the Minnesota Poon Convol Agency (451-297-566o6r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im stockinger@stte ms usy)o have ny cuestons regarding hs Quesonaie jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas rou this cussitooDntss Constants by Ms9,2008 i tho enstosed stamped, ast `aaPddleddarr.eet;ssessreePdd-teuenrnnvvetelhlooisppeqe..uest!onnaire to De!t.~ c,nsu!t::nts by !IJ!av 9, 2008 i.'? the enclosed $tarnped. ss!f- Questionnaie compltegy Lrescr Lesrusse ~beE K Questionnaire complete9,.l)Y: D i5T/./::70..-AJ am and The Name and Title eplrr Fre DFePpaarrmeintsans _ 2/8 pys2136 Fire Department "Z-; e--- Zt.y5-2 73-t:. Phone Nurer Dae Phone Number /f-:CoJol> /i id')?pi~ ~ a Crogrriee sir vit \='}- C> P TJ "~ .A/b :1;: _A/;;-"I- Eva Address E-Mail Address a5908 Date Kinogen: none: 431.638.9T00T8 1r8e9e5.C9r57eeATPE yFok: SS91e3T939G7) mFomotSatnIstotUaAm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 5512.6 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00709 STSTAATTEE0_202882211666666 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. a DDoosess yyoouurr DDeeppaarrttmmeenntt curorr hyas currently or has yyoouurr DDeeppaarrttmmeennt hhiissttoorriciaclalyl usdused CCllasasAsAosorr Gis Class 8B fosor foams for firefighting opYereats-ionPsr?oceed to Question 2 /'YeNos--SiPgroncteheedbtaockQuofetshtiiosnf2orm and return to Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoften' Cass Bor Glass Afoam used n respons to recals? 2. How often is Class B or Class A foam used in response to fire calls? oasw ares 250%ot res ___ 0-25% of fires _ _ _ 25-50% of fires 75100 otros 65-100% of fires 33.. DDoosess tthhee DDeeppaarrtmmeenntt hhaavvee aaccoommpprroessssoeddaair foam foam system system (CAFS) (CAFS) witha with a but built-in tank tank on on iits angnes)? engine(s)? ves ------, Yes Vv NNoo 44.. Howat How often sis ffooaamm uusseedd nin ttrsaiinniinngg eexxeerrcciisseess?? ___ WWeeekelkyly Marin Monthly ___ Quarry Quarterly Orr leasespeci: ___SSemeim-iA-Annnunaulalllyy _ _+ / _ A nAnnuaall lyy BBii--AAnnnnuuaallllyy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchh ffooaamm sis uusedsppoerrevtarainidniinngg eovveerntt?? More than 10 gallons (lease spits + ~LLeessss tt hanh5gga aallllon onnss 55 ggaalllloonnss. ___ 551to0 1100ggaalllloonnss. _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In vaiwhenre cioosnthgsp,ent foamgo? 6. In training, where does the spent foam go? Storm Sawer _ Santary Sower Oonstesepte 1Grom ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic har lass doscrba) - ___ Other (please describe):----------------------- 7. iWinneor dromsfaorctutihornenianndgptaatkerpairaicneg? alveeass incu adress, erst or othe speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. ' l.j $"1.{ ') l~<s 5b \ ~)(\A- 'I fY\ "\) Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007710 sSTTaArTeE__o0z2s82211666677 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. sWWipnhoaatnt ttsyypepee(a(ssn))daannnddabbnraangd(ns()1oosfsfpffpook)aacmmabaaerryee?oorlrweweaersreeeuuhsseeeccdknnooalwwiaaanntddi3inn9thh3ee ppaasstt bbyy tthhee DDeeppaarrttmmeennt,, bbootth orfor refire response and in training (if applicable)? Please check all that apply. Teof Foam Brandof Foam YTTUeUrrasssiieenonddirnigikgnn?o? AAAnmUUmnosusoeuaeuldndnltty ACCluusmrireeonnrttcuUUssseeeoorr CFColarslmTsiyn8BagpAeAqFquoosueafeFomoeuou(assNmFFFFiilFm.)- Brand of Foam Yes or No ~~ Annually Historic Use? CCRFeolsarislmsstinaB8agnAtAFols(ocAaonRmhs)oolA(-AFFFFFF) -- --_-- CRieassisst8anPtr(oAteRi)n-AFFF -- -------- eer C3lass Class Class 8B B Flsoroproten Protein Fluoroprotein -_ FuCC(oFlraPos)lspr&BoiFalmilem-nF-sF(ooFmrFmisFnin)gg CossoARFEP Fluoroprotein (FFFP) Class B AR-FFFP caCBslaassnsdaAo-gBnHHFioam ---------------------- rm ClEaxspasnAsion Foam _Slimex Ye <q nse Training Class A Training FFooaamm Ft oOvtheerr ere ere pee rrr FTToormrhhmnaSaortniooskdchyynkiooiinnuungggff@@eoorrddyyoeootluttuariraettaniimtvem.eecnsoaaymnn).dd)ococcoorodoYomJpoipmem)uerarhSSataitttioovooncecn.kk.ainnnPgPgyelleerQeraeaaassisteitthcochoeonennsMMttaiaicfnnctnteeeNNassoraaotintanacyygPPRRhooaiollluscdutniiqooinnunnggeasCCatootnonDDvmteroneotlaltlaahAAegCCgoeeonnnnsccsuyyultl((taa66nn55t1t1ss--22((969875751-188--066609697766--o5o5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnn histhis questionnaire questionnaire to to Dlts Delta Constants Consultants by bv MMaavy39. 2008 2008 in ths the eenncclloosseedd ssttaammppeedd,, saesllf.- aaddddrreesssseeddeennvveellope.. QQuueestsitioonnnnaaiirree ccoommppleetetdebbydy:: Fame a~ EnddTuiserf>n,-pe_l& R\oig~oelhu -- Name and Title ~ Fire T~ Depea~rlmen\ et (Ra~in~s ~ TFF~ :ouD)ep~t -- Fire Department Phone Number GUUf))""Z2..l8f:)--"2Z..2.L9"'\ Phone Number 2-cB8"'G0:,'] ((QQ)) "22L1~8-/-le1?8tJ0~-2_2G66'6d-5- TeS78 [200% Date t eh e @ es st imaos &2o ) ~~@) lC2oo.. Soft-1--.h..ooyuii::s>~,, .IJJA}.LUU S E-MaJlAddress Xinogen rare este 20FE To E_ s 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..071111 STSTAATTEE0_208228211666688 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DrDoaosetsshyiyoonuugrr DoDpeeeppraaartrttimomneesnn?t curentloyr currently or has has your your Department Department storiaty historically used used ClAao sasssB Class A or Class B foams foams for for firefighting operations? No. Sign hebackoftfhormiasnd return t Dota Consultants VV7 YYeess -- PPrroocceeeedd ttoo QQuueessttiioonn 22 _ _ _ No -Sign the back of this form and return to Delta Consultants 2. Howoftns Class Bor ClaAfsoasm used in response to re cal? 2. How often is Class B or Class A foam used in response to fire calls? V70- 0-252%o5 offffii% rreess ___ 2255--5500%%ooffffiirreess. ___ 775-51010%o0off0fifirr%eess. 3. Doos ithhee DDeeppaarrtmmeenntt hhaavvee accoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiiththaa bun built-in ttaannkkoonnists aennogiinnee((ss)?? 3. Does V ves Yes ___ NNoo 4. How often s foam used in taining exercises? 4. How often is foam used in training exercises? wey Moy ___ Weekly ___ Monthly Gunery ___ Quarterly v _ _ _`SSeemmi-i-AAnnnnuualalllyy AAnnnnuuaallllyy ___ BBii--AAnnnnuuaallllyy J---- FE -- ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis used por raining over? 5. How much foam is used per training event? v7 Less trans gators Spans $1010 gaons v Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mor than 10 galors (lease speci: a ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. tntaiing, where dos the spent oa go? 6. In training, where does the spent foam go? ___ SSttoorrmm SSeewweerr _ _ SSaanniittaarryy SSeewweerr _ _ OOnn--SSiittee SSeeptpitcic: V GGrroouunndd over essa domme, ___ Other (please describe):------,-.,...------------------- 7. WfhoermraetdiooneofsCtuthearirainngpaaskteaplnacge? rPeeaasse ice access, nterseocftaboenr specif locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Knog Prone: 651.639.51088050 497.711,Fok: 491.635.9473 msi daliatnt.com. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55125 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00712 STSTAATTEE0_206228211666699 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. sWWhphaoatntytspyeep(eas(sn))daannddabbirarngda(s(n)1oo3dffpffsiooaka)mambaalrreee?oorPrlwweeearrseee uucsresedcknnooalww haannldd 3iinnpthh.ee pst past by by the the Deparment, Department, bootr rhs both for fire response and in training (if applicable)? Please check all that apply. TUUossneeiddniginn? AAmUmosoueudnntt CumentUseor Training? Used Current Use or CGFlolaamsTsiTssynlBpBg(!eAeAFoqqooufuafeeFmooouu(aassAmmFFFFiilFmm)- `BraBndroofafFFnooaadmm YYeessoorrNNoo AnAnnunaulalllyll HiHsitsotorriiccUUssee?? ~~ ---------- GCFRleolaasrssmssstinaBBngtAAFcl(ocooaRnmhooArl(-AFFFFF) ---------------------- -------- NN Cassopo@n Resistant (AR)-AFFF Class B Protein ICe l8Fauosprtsen Class B Fluoroprotein -_-- Clas (FP) Class BB Fiinlmf-oFromrmiinngg CossBARFP FFlluuoorroopprrootteeiinn ((FFFFFPP)) Class B AR-FFFP CEagssaand Foam Class A-8 Hi -------- Sr Cassa Expansion Foam Class A SS-~iJlil- e-v'L -ex B~eess a ~~~llee r.s s TTrraaiinniinngg FFooaamm - otOhtheerr --- oiTTormhrhaeansnnrtoaikodcyynknooiinnuugggfo@odrrdyyaeootlutuaaarrtetieenimmvu.eeccsooaammnn))dd) ooccrorooooiJpipumeerrahSSaiaottoivoconeckn.ki.ainnngPPgyelleeerQraauaassetesettthcchioeooonnnMMtstaiaicrnnctenntgeeNNassaraoondntticaacnyygPPRRoioloolluuddtiniQiooinunnngegsCCaioiotronDDvmteroenlollattlataAAeCCggoeoernnrscseyuull(t(a6a6n5n6t1ts1-42((969675751-188--666609696767--5o151r15622 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plo Please rreottuurnm tthhiiss aquueessttiioonnnnsaiieresttoo Des nefta CCoonnssutlatannttss by May byfl!!ay 8, 9, 200i8n 2008 !n the the ancl enclosed stumped, stamped, self self- `aaddddrreesssseeddeennvveellooppee.. QQuueessttiioonnnaaiirree ccoommpplleetteedd bbyy.: Namo and To \N"'Ya'-C-\..v-K\<. SSi\)m..o...nosoSoano Name and Title FiPre oDelparemesnt Prairie Fire Department QSdoInI8e~-a-mb33er3388 -- H4II )J55 Phone Number CC.h.hiiee.+f' Minnask Eikycleck orm, YO:r3e008 Date eRrl stecm ticp Btll tonae it.r Com tor+""e..n~ Jc.,.- e.. I ec.-+...-i~ ec.- al Ha -1 rr.a i I A Co,...., E-Mail AddresiY t0 r~ SSiimmamnentsoaysBovdso tnadf. net XXIKniongo~gnen ,., rane: o51.020.9T50T8 R0e85 CeArEeTyo SSELU63130004S%i dFaweWHsSStI aUSE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00713 STSTAATTEE0_208282211667700 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DrDoeofesis nyyioonuurgr DDcepepepararartitmmoenensnt?t scurtrenatlytoorr has has your your Deparment Department historical used historically used Clas Class Aor A or Clalassss Bfofoaammss orfor firefighti3Xng opYYeNeroeass-t-io-SpnPirsgro?onccteehseeddbttooaQQuouefcsettsihktiioosnn2f2orm and retouDratna Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How How often often sis GasBos Class B or CaAsfosam Class A foam used used in in response response oreto fire call? calls? 2. )A'< 025% offres __ 2255-s500%%cotf resfires ___ 7755-10:0%1o0off0frire%ess 0-25% of fires _ 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseeddaiairr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn ittss eennggiinnee((ss))?? vos ___ Yes X no >( No 4 Howoften foam used in vaining exercises? 4. How often is foam used in training exercises? -- vieeky ony Cuaron _ SemiAmualy ___ Weekly ___ Semi-Annually ___ Amualy ___ Monthly ___ Annually _ 3 _X _ sianmualy Quarterly Bi-Annually Oth pease speci): ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis used por ining avn? 5. How much foam is used per training event? XCtess hansgaons Sgatons ___swiogions X Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mor tran 10 gallons (lease speci: ___ More than 10 gallons (please specify): __________________ 6. In ringwhere does th spent foam g57 Som Sewer ___Saniary Sewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer __ oOnns-StiteesSeeppiticc X_){K_GGrorouunndd Othe lease doscrbo) I Other (please describe):--~----------~--------- 7. Where dood te vain take piace? Please include adres, interseocttieorn specie ocaen 7. Where does/did the training take place? Please include address, intersection or other specific location ai at vainng areas inform tion for curren and past training areas. +- /~- Kinogen: enone: 51.639.5405 1 890 433 411 Fab: S91 639.947] MaudAILRARdaYm. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00714 STSATTAETE0_208282211667711 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training Wht pets) andaorffo)am acrwoere usd reans nh pabysite rime, ohfor ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire pisskin richie iting response and in training (if applicable)? Please check all that apply. TUasendgin? Amseodu.nt Curonusoor TTyyppeeooffFFooaamm BBrarannddooff FFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Current Use or HiHsitsotoririccUUssee?? Cl8aAqsouss Fim Class B Aqueous Film- he PL Gena LdheemmgJoqurn. Forming Foam (AFFF) Class B AlcoholResistant (AR)-AFFF u ~ n. l3 hr.3 %phd CasoPwen Class B Protein G8aFuosrprosten Class B Fluoroprotein wo i (FP) C5aFismFomsing Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFFPP)) -- CassARERR Class B AR-FFFP Cassi Class A-B Hi Sirona _-- Expansion Foam cass SilveyoerdoJo Class A Temegren Training Foam .);~x o,;/o ,/.6/o~----------- Over Pyeocom SECO Other FE -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rsa einan cao in Slinger he Minos Poon ComeAgony (651397 658 1 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sing Go ores Tou hovs ay deems vgrdng hs esto jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pissrtm is susstionfno Dsaites Consentby Ho 8, 2008 th anloset tamper sat P!;;ss return this au=sticnnairc to Delta Cons:~.!tants by Jll!av 9. 2008 !n theenclose-d ~tamiJed .s~!f `addddrressedeennvveellope.. Questomare compiedty Questionnaire completed by: Boperiille flee ,T--Jaate Jc. (W/lIiAt~'tfer ein ![ Napand Title ail! efu /[ w t""J r l Frebostin Fire Dartment Fire yt (Lick F3rRo-0de0oom--i;Je}LQfH34-3-3~272((LYj ~P_hi oJnEfe!rNi uAim-eb{se-rrs:r @@tl{aa a_tke~tcdJa?.lm .Je~l(i/evnt_lf<. pot In ._ -f a1l Address Si Y-08-08 Ninogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.007715 sStTaAreTE0_02228121667722 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training KL Yo Procentto Quesionz 1. Does your Deparment curenty has your Deparment Historical used iss Aor Ga3sfoasms for 1. Does your Department currently or has your Department historically used Class A or Class B foams for fretting operators? firefighting operations? -A-- Yes- Proceed to Question 2 7 No sian he back ofthis orm and return to Dota Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Mowaltens Class Bor Class A foam usedin rspontosres cals? 2. How often is Class B or Class A foam used in response to fire calls? LKX oasatnes ssnoies __7otoon tte 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires 5. Doss the Deparment ave compress a foa system (CAFS) wilh a ulin arkons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? we -X K,.....-::--- woYes No 2. Howarenis oom use n rang oxercies? 4. How often is foam used in training exercises? Wook Horm Quarry ___ Weekly ___ Monthly ----:-- Quarterly Tey ey -XA--en ___ Semi-Annually ___ Annually Bi-Annually Other lease soci) - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - -A-- 5. 5. Howipuch How X_much ffooaLamomssiisstuuasseneddsppaoertr ottraraisniinng veevenntt??___ gators Less than 5 gallons 5 gallons ___ 551to01100 ggaallloonnss _ ~ __ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfifyy)):: - - - - - - - - - - - - - - - - - - 6. Ini, where dogs he spn foam 7 6. In tra:z, where does the spent foam go? somo sonar __onstespie c2K ons Storm Sewer __ Sanitary Sewer _ _ On-Site Septic "&.._Ground TT ter lease descr FE --~ Other {please describe):----------------------- 7. Where doeid the ring ake lace? Pease include adrss ntersoton ae spc acaton 7. Where does/did the training take place? Please include address, intersection or other specific location RBmsAcareS r ragea+va4nenesR -a f) informaon for current and,.past training are~ -J- ~ fjfi__ W A( 0-.-yr Xinogen ~ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Thane: 651.639.5405 1 800 477 7411 Tok: 65163 9475pdwarlinsss.cam Phone: 651.639.9449 1 800.477.7411 Fax: 651.539.9473 www.deltaenv.com 2222222.00716 SstTaAreTE0_208228211667733 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What pets) ndbrands) of foam aorwere usd now and nh pastby he Dapimen no 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Bo AN AAAI response and in training (if applicable)? Please check all that apply. restr Sndatfoun FTUoosdnoingrAICAmGouonWt E ci umentk useor TltQe of Foam cus naonsrin (lS Fistapike. i Gre Class 8 Aqueous FilmFemi Foam GEER) tsbtie J Epes Forming Foam (AFFF) Gass cont I* Class 8 Alcohol- Ran err ------------ ---- Resistant (AR)-AFFF gmp Class 8 Protein Gis 8 Furoroon Class 8 Fluoroprotein & _-- (FP) ---- Class 8 Film-Forming Fea, -------- -------------- Fluoroprotein (FFFP) J Class 8 AR-FFFP Greens Class A-8 Hi Boron pe ------------ Expansion Foam Gn Slee pe spl u~ ed" Class A agro FTFmT Training Foam Over -- Other Brand of Foam fL-5 ol"sr~-stnk~ s~ I v.,~ ~ Used in Training? Yes or No ~!4- Amount Used Annuallll 7~ / Current Use or Historic U~e? ~- 5ti~ (/ Tart yoo srr a cong, Pesce Nr Fin at Bly CominGsS.5452 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ra Samco) oo Soin he Wesea oos oweoms t oSongo or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ramp sure Tou bv ay sera ring secs jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ly -- Please return this questionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. selfSars addressed .f;i1Vt::1ope. Guest comply --Treven Steers_s u Questionnaire completed by: ~ j ~' q+ee_u~ a F2bn Rapids fie 2) ied I FP2ia15lroamoa-niimo3ern63-524 Vfbetslos' Phone Number Date 2E; 1 #o' ~ ?fV 'lfJdi @?LioCJrje"d 'teelells~ N/)ee-tj- a E-Mail Address Hwogen POPPIN. i Ra Ab Kid 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007717 state o2s21674 STATE_02821674 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11. . DfDrooaeerssghyyioounurgr DoDpeeeppraaarritmmoenensnt?t ccuusrrrennttlyy oorr hhaass yyoouurr DDeeppaarrttmmeenntthhiissttoorriiccaallly suseeddGCllaassssAAoorr GCllaassssBBfofoaammss ffoorr . ZX Yea Proceed firefighting operations? X Yes- Proceed ttoo QQuueessttiioonn 2 2 77 " Ko- sign the backothis form and return to Data Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howofenis Class B or Class Afoam used respofnosree cals? 2. X_ How often is -~X-'--_ oases Class B or Class A ___zssokoifes foam used in response to fire calls? ______ 7755-i10000%%alofffrireess 0-25% of fires _ _ _ 25-50% of fires 5. DDoosess hethe aDpeapratrtmmeenntt hhaavvee aaccoommprpreesssseedd aair oafoam ssyysstetme ((CCAAFFSS)) wwiitthh a bitin built-in ttaannkk oson its aennggiinnee((ss)?? 3. ;x>X( vYeess ___ NNoo 4. Howoftn's foam used in airing exercises? 4. How often is foam used in training exercises? Weskdy Monty ume ___ Weekly __)X(<_>-_-_ SSeemmiiA-Annnunaulalllyy Monthly ___ AAnnnnuuaallllyy ___ Quarterly _____ eBri-AAmnnuuaalllyy Orr pease speci: FE ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchh ffooaamm iiss uusseedd ppoerr vaiing training sevveennt?? Maro than 10 gallos (lease speci _----'-XX_,____ LLeesssstthhaannS5gaglallloonnss _____ 5Sggaalliloonnss _ _ _ More than 10 gallons (please specify): - --______ 55ttoo1100gaglailloonnss 6. Intriing, wheedos th spent foam go? 6. In training, where does the spent foam go? Somsewer ___ SanfarySower __OnShoSeplc_X_Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ____2<;,._ Ground Oter (pase dscrbe J __":"7 Other (please describe):---------------------- 6 7. 7. WWdhoheeemrraeetddiooooenssoi/driiddchteheenittranaiinninndggpatcaktkeeippllnaaccgee?? aPlrleeeaaassse ninudeclude adres, address, iinntetrseerctsioenocotr toihtoheenrr spec specific aca location Blo pnb# ,/ information for current and past training areas. ~4z/;r da:.- h ~Ci /~t~ , ... Kinogerr _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.0045 1 800 497 TALL Fok: 841605.9473mun daliaene.com Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00718 SstTaAreTE0_202882211667755 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yo) an braonffea)m eryrFveoera tdnw ath pst yh Dima, bore 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TyT~p~eeooff FFooaamm Goss Aes in Class B Aqueous FilmSms Forming Foam (AFFF) Goma Class B Alcohol- Resistant (AR)-AFFF amore Class B Protein Ga8Pettoen Class B Fluoroprotein on(FP) Class B Film-Forming Bn Fluoroprotein (FFFP) BrBarannddooffFFooaamm -- --_-- vontin Used in Training? YeYessoorr Noo Amoun Amount Used AnAnnuuaalll!y~ :Current Use or HHisisttoorriiccUUssee?? Class B AR-FFFP Class A-B Hi Glin ------------ PL Expansion Foam Cassa guesloCl oda peo Fut E/;gliZle Class A Berm et Training Foam oe - -- Other /4'/.Cj''-'-:1:. ~L ~/:_a 1- }(:.t'~ --,%....-.. ~L. /-d~~-1/--s / EE ------ Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aa et Credits S107 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or oo eaa So jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerreettuurrnntthhiiss qquueessttiioonnnnaaiirreettooDle)ellttaa CCognnsuslutltaannttssbbyyMMaayy99,, 22000088iinntthheeeenncclloosseeddssttaammppeedd..sseellff-- foaddressed envelope. Qunsieateconan r Questionnaire completed by: AS gead Fre [Apt Name and Title ~LlrfcL Fire Department /);of mg 20-52 -4/39 Phone Number SwedMycz279 s-oeJ-of ---------------------------------------------- E-Mail Address Inogen" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007719 STATE_02821676 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Doss your parmacuronty has yurDeparment istorcal used iss A or Cis Boars for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Foren pastors? firefi:szg operations? er rcentto austin Yes- Proceed to Question 2 No ign th backof his form and return fo Data Consultants ___ No- Sign the back of this form and return to Delta Consultants 2 How atn's Glas or Glass A foam us i spore 0 cls? 2. How often is Class B or Class A foam used in response to fire calls? X, 100-2-255%% ooff ffiirreess. ___ 2255--5500%%ofoffifirreess. ___ 7755--110000%% ooff ffiirreess. 3 os tho Department have compress a foam systom (CAFS)ith ulin ark ns angie)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes A vo ---;..__ No 4 Howoles foam us i ain exercises? 4. How often is foam used in training exercises? Wook ony curry ___ Weekly Monthly ___ Quarterly Sonvmaly Aunty Tama SX _'....!,)(___ oOSmetehmerir-A((ppnllneeuaasaseellsysppeedcfy))W' Wee. ddoeAc,n,k;nu~a-lluy tst5e<-G:oP-rne, S~a~cBib-Af:on:,n;-ui.a;,lnly"i;~n\g] 5. Howe oamis vod po ing overt? O 5. XX How much )< Less foam is Less than galons used per training than 5 gallons event? 55ggaatlloonss ___ 5Sto11t00ggaalollloonnss TT ont topes omen More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intining, wher docs tho spent foam 0? 6. In training, where does the spent foam go? (\5 Sm Sov Santry Sever onsta Sept _-XX_X _ . Other Storm Other S(pelweaesr e (please dd_ eesc_ rsibeSc)a: rnNNitiaoorybLS~oeePcw)ue'pr:}n o61_ n1 _'t(O(>en~-JSsite aSepticddrriilrll<s !1'; Grown Ground 7. 7. WWohheemrree ddmoeosso/doficdththaeeovtnraaninsiinngptaaokksee ipplaanccgee??rPloelenaas.see nod include arose, address, ersocton intersection a' hr or other spc specific locaton location r:av inf~ie t{ ormation fohrIacm:uv;rer;enn.tt'a~n:d/p:aes.t toIdraNein\in.&g !ar~ea~s. -\or ffV; '" ~ j i ~naatf: lead lewf XIInnooggpenf ''" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00720 stare 02821677 STATE_02821677 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WWThehsaapttonttyysppeee(a(ssn))daainnddibbnriarnndga(s()1noo3ff0effoopaa)ImmcaaarbreeeooPrrwiwoaearrseee sucseheeddcnknooawlw aahanndd 3iinpthh.eeppaasstt bythe by the Departmen, Department, both both for for fre fire response and in training (if applicable)? Please check all that apply. GuseBpaeons rin TTyyppeeooffFFooaamm Class B Aqueous FilmForming Foarn (.A.FFF) Class 8 Alcohol Class B AlcoholRestart (RVAFFF Resistant (AR)-AFFF cassBPOOR Class B Protein Jr -- Class B Fluoroprotein Ic)(FP) Class 8Fim-Foming Class B Film-Forming Faooprtein (FFFP) Fluoroprotein (FFFP) CasseARFFP Class B AR-FFFP Cass ABH Class A-B Hi Expansion Foam CassA Expansion Foam Class A TTrraaiinniinngg FFooaamm OOththeerr /L.,Ji/ffee._._BrBarWannuodd.l:o+oef.efF.FcooaammsBtIV\. --_-- ------------------------ " Silvey ---- ------------ TUUassmeeiddniginn? Training? WO YYeess oorr NNoo IJO AAmUmosoeuudnntt Cumentuseor Used Current Use or AnAnnunaulallly H Hise toria c Us?e? w(u.ee. Ahoa.v-vewu..t'f pvesdd 2BS ff2r"oCn!fi.V i~-nn 1/D01!J665 ---------- ---------- -------- Mo depesds on bow braagy Pires ------ -- ---------- im stocinger@stae nusy)o have any estons regardihnigsquestonnaie "TThhaannkkyyoouffoorryyoouurr ttiimmee aanndd ccooooppeeraratitioonn.. PPlleeaassee ccoonnttaacctt NNaannccyy RRooddnniinngg aatt DDeellttaa CCoonnssuultltaannttss ((665511--669977--55115522 `oorr nnrrooddnniinngg@@ddeellttaaeenv..ccoomm)) oorr JJiimm SSttoocckkiinnggeerr aatt tthhee MMiinnnneessoottaa PPoolllluuttiioonn CCoonntrtrooll AAggeennccyy ((665511--229077--88666666 oorr jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlle!Ja..sle!!rSe~_t[u~trunrntthhiissaauueesstitioonnnnaaiirreettoo DDeeilttaa CCoonnssuul!tt::tannt.t">s bhvy MMea"'y9 ?8!_)2IJ00IJ8 fritn tthh~e esnncci!oosseedd ssttaammppeedd,. :c::eo!ft- Torn AMekllsstzol/n} `addddrresssseeddeennvveellope.. Questonnare completed by: Questionnaire completed by: Fame ana Toe ~ .f(i,;ee Cf:hh~ieeffJ Fire DDeepgpaarutmseennttt bakes Ge Ph((oc3n91e8iiN)iu)re55rt0.28-~ E~xJ0o/I Phone Number 1A1;D/rdae-~f!pJg Date R]}i;epir;pe,suseddJ@@ pcexg:gweuocdt/thohl_eklsees--sm=ma a.40g2o0e\fr E ail dress I XKIinnoogg~enn ,"" SRC CER pay SUT 100 Si aut, 6 53126 USA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv com 222222..072211 STSTAATTEE0_208282211667788 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 11. . DDCoocesseyyoouurr DDeeppaarrttmmeenntt ccuurrreennttllyy oorr hhaass yyoouurr DDoeppratrtmmeenntt hiissttoorriiccaallyl uusseedd CCllaassss AA oorr CCllaassss BB ffooaammss ffoorr _X_ firefightin.Q o \/" f\ Yes perati Yes o--PnPrsro?occeeeedd ttoo QQuueessttiioonn22 ___NNoo--SSiiggnn tthhee bbaacckkooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss L 22.. HHoowwoftoefnteins Cis lClaassssBBoorr CClalssaAAfsfooaasmm uusseedd iinn rreespsonpsoe fntoosffiree ccaallllss?? Ko o0-o2m5%maorfmfireess 2256-.5500%% ooff resfires ___ 7755-:140000%% ooff ffirreess 33.. DDoosess tthhee DDeeppaarrtmmeenntt ahavveeaa ccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa ulin built-in ttaannkkoonn iitss eennggiinnee((ss)?? ve --~Yes Kw ;>C: No 4. Howolen is foam used in raining exercises? 4. How often is foam used in training exercises? -- ooky bony Quart ___ Weekly ___ Monthly ___ Quarterly -- SemiAmnualy Yo Aaa Tsay ___ Semi-Annually ' ( Annually ___ Bi-Annually thar (please spect se ete ee ___ Other (please specify):----------------------- + 55.. HHooww mmuucchh oafoam iiss uusseedd ppoerr aning training veveenntt?? K_ Less than gals. Salons Sto 10gatons LMeosrsetthaann510gaglalollnosns (pease sp5egca)llons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInnrtrianiniinngg,, wwhheerree ddoocess tthhee ssppaenntt ffooaamm Gg0o7? Storm Sewer _ Sanitary Sewer onto Septic x Ground ___ thr Storm Spelwaesre d_ osc_ riv)S:anitary Sewer __ On-Site Septic LGround --:::- Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WWInhhfooerrrmeeatddiooosenss/f/dodriiddctuthhreretrnraaiiannniindnggptaaaktkeerappilaanccioeng?? aPPrlleeeaaasssee inch include aaddddrreessss,, iInntetrseerctsioenocortrooitthoheenrr ssppeeccififiicc llooccaattiioonn 2z. 77% information for 777 cu2s5rre/n;t Lake PY and past training areas. ~L ;z!;/ _ XXiInnoogg~enn ''" ..... _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mone: 651.639.5148905.473 411 Fok: 693 639.947) Muadsliasay.com Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00772222 SSTTAATTEE__0022882211667799 QQUUEESSTTIIONNNNAAIIREE FFiirreeffiigghhttiinngg Fooaamm Usse iinn FFiirre TTrraaiinniinngg 5 A TH TOL Be AS 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire og response and in training (if applicable)? Please check all that apply. owsi, lAygu TTy)pJ:e2eooffFFooaamm Goon Am Fin Class B Aqueous FilmFim room Ry ---------------- -------- Forming Foam (AFFF) CCllaassss BBAAllccoohhooll.- Cee M2 frevey Resistant (AR)-AFFF cesopo0n | Class B Protein Gia 8 Foroprten Class B Fluoroprotein & _-- (FP) -- Class B Film-Forming Poop fog, -------- ------ Fluoroprotein (FFFP) A Class B AR-FFFP Guero Class A-B Hi Co -- Expansion Foam by Siese ge a ~~~l tt le Class A Ta ------ gee Training Foam over - Other BBrraannddooffFFooaamm kd7 SIJ!L~~ Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulall I)y Current Use or HiHsitsotorriiccUUssee?? ;JtJ f?ftrr<" ~ue_yi> ~ Tokufo yur re and coupe, ls cot Norey in of Dol Comsat (05.07 6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 B fiber Ships bostB imonioghabat biSt tlonsy osetia or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPl!eea::osseerreettuurrnntthhiissqquueestsitioonnnnaiarireettooDDeellttaeCCoonnssuultltaannttssbbyvMMeayy 9,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-: `addddrreesssseeddeennvveelloppee., -- cSc;ae'v~toeL-- t[/PlpMn , cf!l/i~cck Questionnaire completed by: Biles fon Lefee Pire Department FsZ21alw8ker El?7o7--s-S7x/3I Phone Number ETAs5.Whra-tlJ]~~pce'e(!z; (CcrCe1oe/ E-Mail Address ae Fe ; Date Knog LTR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007723 sare ozs1680 STATE_02821680 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1. TDDooreesas yynooguurr DDpeeappraatrrtmomenenn?ttccuurerrnetnlytl ofy or has has youyour Department Department itorcaly historically used used Class Class A A or or Cl8afoasms Class B foams for for firefi_ _ghY:t_ :iCnf.g_ --opNYYeoreeastsii-ognPPsrrn?ooccteeheeddbtatoockQQuueeststtiiioosnnf2orm an return ots Constants No- Sign the back of this form and return to Delta Consultants 2. owoften Cass Bo Gs oan used in espns 0 cals? 2. How often is Class B or Class A foam used in response to fire calls? 02stotiios Beokates ___1st00moltiss ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 5 Dos he Deparment hav compress ai oa sys (CAFS) wiha bli tan n sangre? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes J ___ No 4. How fen foam used i ring execs? 4. How often is foam used in training exercises? Weakly own Quarey ___ Weekly Monthly ___ Quarterly TT Senvioaly __ somaly T eramuely ___ Semi-Annually ___ Annually ___ Bi-Annually thr (ase speci: - ___ Other (please specify):----------------------- 5. How uch foam is sodpo ring ever? 5. How much foam is used per training event? Los than gators Sgalons ___ Less than 5 gallons 5 gallons Moro than 10 galors (lessespecty ___ More than 10 gallons (please specify): ___ S5ttoo 1t0oggaatlloonnss ning, wher dos th sent foam 07 6. In training, where does the spent foam go? Storm Sever __ ondary Sever onste'septc Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site"Septic Ground Overioasodosciber ___ Other (please describe):----------------------- 7. WFheroe doreosmahmeearnaarnintgpoankitYlaoocno?rnlosoe.a nce addrss nest char spec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. XXiInnooggeenn- "' _ FPnhoonne:e: 66515.163.96.934495 . 9 1 5910 449 I 500.473 Rice Cree 800.477. 7411 k Park 7411 Fak: way Fax: S$631u5.i16t3e.96.93147903 www 0 St. .9473 isalasny.com Paul, MN 55126 USA www.deltaenv.com 222222.007724 sStTaAreTEo_z0s228121666811 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 58.. WWrehhsaaptot nttysyppeee(a(ss)n) aaanndd nbbrargnda(s()Fnooaffdfpfoopa)amcmaaarbreweoPrelweeearsee uuesseecddknrooahww taannntdd aiinpnpttlhyhe past past bby hethe Depatmrd, Department, both both fofor refire response and in training (if applicable)? Please check all that apply. Dmsotroum SandofFoam TTYUUrroassatiaennoddinrniigdgnn??e AAAmUmUmossuoueeauddnlntyt CCAuuirrsretenontnt sUUUsssoeeoorrr CFCloarslTseyBBnapAeAFqquoosueafeoFmousous(asmFFFFiilm)n- | Brand of Foam ---------- Yes or No Annually Historic Use? ------ -------- ---------- Cl8aAcsohosl- Forming Foam (AFFF) Class B Alcohol- -- GCCRllaeasassisssts3BaE\nrFPt or(AoortRoeep)b-rAoFtFiFn _-- EE - - - - - - I)Class (FP) B Fluoroprotein a-- FCCullaaossssmB8tFFaiilmnn--FF(ooFrmFmFiinngg | | -------- ---------- CossoRerr Fluoroprotein (FFFP) GSolwasso8snfHioam Class B AR-FFFP ,_, Class A-B Hi -------- -------- Cassn Expansion Foam -_ TCrlaaisnsinAg Foam --_-- oer Training Foam - Other TToorhrhsaarnnnroiokkddcyynhookinuunegaff@oro@rrdayyseooltluutaaarrteettnimmmvm.eecc8oaamno)nd)ooccmoor o3YoJ)poipemuerarhSSatai1ttioov0onca0n.ki.ninnPPgygloleeerQraauaasseteesitthccnoeoognnnsMMttaaiicrnctntneeNNagsaaakonnrtocacdyyPPiRRonooillgsudltnoCioienungeoCCisafottDonaDtgarrleonlatlaaAAtCCggoeoennnrscseyutla((ta6n8n55tt11ss-32((969675751-188-666609606767-55o11r 5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas ctu a this questotDoitCoonnsulntanatsibyMraey ,2008 the enclosed Please return this questionnaire to Delta Consultants bv Mav 9, 2008 in the enclosed stamped, stamped. sl:self- addte::.sed eavt:iupe. QQuueessttoionnnnaarireeccoommpplleettead by: WomeJsnearTee (oe - FRE _CHiEE Name and Title FoeDeparment PEREy - LEC ToussHp Fire Department [FIRE p10 ParomneNusEtoerm> Tol 7f::l -f- z38-z3cg-oT8Y78'/ Phone Number Etoa Afd@ee ub.Com E-Mail Address ReSu Tate _St[08 Date Xinogen' none: 651.629.5040 1 800.477.74F1a1k: $511639.9473 wndaliasinams 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 2222222.00725 SsTtAaeT_Eo_z02s82211668822 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 11. . nDDaoofeeissghyyioonuugrr cDDpeeoppraaarrtttmomneesnn?t ccuurrreenntltlyy oorr hhaass yyoouurr DDeeppaarrtmmeenntt isarialy historically uusseedd CClalssAAaoorrsCCllsaassssBB ffooaammss ffoorr firefi+ ~ 7ghtin"g opYYeNeroeassxtio--SPnPirsgr?onotccteeheeeddbttooaQQouuecfeststhktiiioosnnf22orm and return o Delta Consultants _-/__-'_ No- Sign the back of this form and return to Delta Consultants 2. Howoften's ClasBsoorr CClalssAaAfsfooaasmm used used iin response response ofr to fire cals? calls? B 2. How often is Class _ oashottes sonore XYr-s100%kotties ___ 0-25% of fires 25-50% of fires 75-100% of fires 3. Does the Department haavvee accoommpprreesssseedd aa1r ffooaamm ssyysstteemm ((CCAAFFSS)) ihwitil bin a buill-in aktank oonn ksits eennggiinnee((ss})?? t h 3. Does the Departmen +::s TKX ere 4. Howoften s foam used in rating exercises? 4. How often is foam used in training exercises? Newer Weeky ___ Wonny Quarry ---:--:-Never Weekly T_:x;X__ semiaaly ey Soamaty Semi-Annually Annually Monthly ___ Quarterly ___ Bi-Annually Ones (ease spect) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - terns sons swoon 5. 5. Howmugh How x : foam h foam iis sed used per per raining training eevveenntt?? Mors tan 10 gallons (please speci): _ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaining, wheredoes tespent foam go? 6. In training, where does the spent foam go? Teme eyo __onswsome XXS coma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Torpedo ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. Wheredoes th Vaining tke piace? Please inciude addres, intersecion o ths specific locaton 7. Where does/did the training take place? Please include address, intersection or other specific location io ae information for current nd past training areas. ~ ,/;~ ? . Hwwogene OVER~ -- rane: 651.639.5545)e800 C3S THpLE yFak TS51 63f5o.u94S7E3mPmasdaltsheinzcUasmk 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaeny.com 22222222..00772266 STSTAATTEE0_208282211668833 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yo(s) and rans) of foam arr wer us new and ne pastb th Deparment, bt orf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespone ant in arin f pleat Pease check a ot apy. response and in training (if applicable)? Please check all that apply. Ivesof Foam Bundoifoan TYUresaseodnrigwn?e AAmmUusoeaudnlty CUusreesntt |HisGtoereicsally T~~e of Foam Cl8aAquseosus Class 8 Aqueous Pompom ---- Film-Forming Foam Fen) (AFFF) Cl8aAksohsol Class 8 Alcoholevan Resistar1t (AR)re AFFF Chssbpoen Class 8 Protein Css Class 8 Roopoan(p) ---------- ---- ---- ---- -- Fluoroprotein (FP) Cl8aFism Class 8 FilmForming Forming Fiazogetein _---- -- Fluoroprotein Fee (FFFP) CmseaRFEER Class 8 AR-FFFP ciAes Class A-B Hi Sten | mmm X/fL --_---- Cassa Expansion Foam Class A Tengen o_io i1l Training Foam oer - -- = = = Other Brand of Foam 5 Sil~ver- Used in Training? Yes or No Amount Used Annuall~ Currently Used? Historically Used? XH #H p~e Thank you for your te and cooperation. leas contact Nancy Rongat etaConsults 651-897-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rodahaa) Stings at og Minnesta POR Corl Agency (651397 3608 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fr Sockmoer ase) 104 hav ay Guess rep ang i store jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiiss qquueessttiioonnnnaaiirreettoo DDeellttaaCConosnuslutltaannttssbbyyJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-- Se addressed envelope. Questomate completed by Questionnaire completed by: k-ev, /4><Li Ciz,~ h Sc-hoe; dtr NNaammeeaanndd TTiittllee - = Veklviek Cre Dest ~C-1{ v,ck -h/:f O.otl Fie Depart Fire Department SP7-45Y-- 2203 Prone Rarer Date Phone Number C 052430 Date Be E-Mail Address HwXoIngoegnfne .,, PPhhoonnee:: 651.639.9/484005.477.7411.Fos: 5910 Rice Creek Parkway 651.639.94491 800.477.7411 Fax: 93.39.9475 Suite 100 St. 651.639.9473 st dntiadnv.com Paul, MN 55126 USA www.deltaenv.com 222222.007727 sStTaAreTE_208228121668844 QQUUEESSTTIIOONNNAAIIREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. fDDrooeeetssghyyioonuugrr DDeeppaarrtgtammteieonnnst?t curenotrlhay currently or has your your Department Department historical historically useused ass Class Aor A or Coss Class B foams B foams orfor firefighting c. /o~tN.Yeaoet-siS-orinPogsr?cnoscteahetedtbotoaQuouacfemtstiktiosonnf2orm and rettourlnt Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants 2. Howtn's lass Class Bor or ClAafsoasm Class A foam useused inrespotno fsree in response to fire ccaalllss?? posi ttees 2. How often is B ~25% of fires soho 25-50% of fires 1s100%olties ___ 75-100% of fires 3. Doss he Department have comprreesssseedd aiair faafoam ssyysstetme ((CCAAFFSS)) wwiitthhaa uti built-inttaannkk os on its eennggiinnee((ss)?? comp e a 3. Does the Department hav ve ___ Yes ~NNo +. Howoten s foam used in raning exercises? 4. How often is foam used in training exercises? Never Weakly ___ Never ___ Weekly Jp -- Aovualy ___ Semi-Annually ___ Annually Monty Quarry ___ Quarterly Monthly e~eAnFnAumaulallyy ___ OOtthheerr ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuchgam used orang event? 5. How muchy.am is used per training event? Less han' tons sgalons V Less than 5 gallons 5 gallons Wooten fogalons Geasespety ___ More than 10 gallons (please specify): ___ 5sttoo 1t00ggaatlloonnss 6. nln, where does the spent am go? 6. In training, where does the spent foam go? cmos yon __onswsone ~ wd m ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic [I -- _ ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 17. 7. WWihhecerreaddooteseo/idrsidcuottrhrheennatrtaiainninndgaatsakkkeevppalaanccee?? PPreleeaaasssee cud include aadddrreessss,, innttersresctieoncoorkraobothenerr speci specific lrooccaattioonn -i2 n--f-o-r-m"ra9~tNio__n,S _f.oQ'r"c"'u~r.r.e._n_Lt__a.n_aId_~o_..sp..ao.s..t..tsr:a~-isn.oi.n..g.:'-a\-r,e__a_-s+.A.~~~=-~:..-'!~\("-"'c~"""f'uo""",~..__,~~""~~~--t1~M="""'.L.l--=-""o..t....-~-\-----f~~i~-~ --d.:.=....,...._I="le~~""""\(........,.k-..s__~LU')~!C\.~___,_u'-'F_ p'----l.a ..,.;c9:~<-.>S:~.&ni':..Z:.Ll.~A~.--<:O~~?~~fJ-\-",~~tz~M~\0.-l.L.-.Sk?AMl{_ Inogen' OOVVEERR---+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaeny com 2222222.00728 sStTaAreTE0_202882211668855 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yes) and rans)of am arr were used now and i th past the Departmen,both or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse an n vain ppleaie Please check al nt apt. response and in training (if applicable)? Please check all that apply. TUrasiendiinng? AmUoseudnt Curent Historically TyT~p1e2eooffFFooaamm BBrraannddooffFFooaamm Clas 8Aqueous -- = ji Firm oam (o hue mMusnasMg 56 Class B Aqueous Film-Forming Foam (h.~"'"" -\'!\""~~ M~ ((AAFFFFFF)) Cl8aAcsotsol Class B AlcoholResor Resistant (AR)AEE AFFF CossbPown o_o Class B Protein css Class B Fusooprotan (77) Fluoroprotein (FP) Cla8Fsims- Class B FilmForming Forming Flropten -- Fluoroprotein we (FFFP) CossmARFR o_o Class B AR-FFFP Cussrtgs Class A-B Hi Epson Foam -- -- Gass A Expansion Foam Class A A:<lS\~ehre>x< TemegFon o_o Training Foam oer ---- 3 Other Used in YYTeerassinooirrnNNgo?o fha~m~a Amount AAnnUnnuusaaelldll~y = CUuUrssreeeddn??tly HisUUtssoeeriddc??ally T= N!VAP:.- nV)o'CJ. 3@,5<) nrkJJt- atVkA- hark you fo your to and coapeaton. Pease contact Nancy Rodrig a Della Conslanis (51.097.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or mado@dakacin com) o im Sockingor oe Niesats Pollution Conte Agen(5515970068 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing tae) You hav any GUESLonS Togrdng I Questonnahe jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return tis questiotnonDalito Consultants by June6, 2008 nth enclosed stamped, sel. Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellope,. RaQuersttasgareaanndcToompSletfed,: R2:o5Pr.c Spm ed ~ifuM :S~i Qu~aire completed by: Name and Title FreDJD;3epe'ar.rmeee.n-t TFrltee ~+p-t FFio2ren8Ds0eNp-aartm4be0nt7- (LOR Phone Number 5250-07 Date ef~re.re2c..{2!j(fe. i@@cmefvJy\f ot.vtdho.., (CooMm Eat Aadioss E-Mail Address Kinogen XInogep: ,, 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.007729 stare 02821685 STATE_02821686 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 4. Does your Department curanty has your Depatmnt stray us Gass AorCis ors a 1. Does your Department currently or has your Department historically used Class A or Class B foams for eating operators? firefighting operations? X_ Yes- ProtcoQueesetidon 2 ..~ Yes- Proceed to Question 2 No- ign the backoftis form and ru to Dl Constants ___ No - Sign the back of this form and return to Delta Consultants X_ ozmhotiies 250% aves Tso tres 2. 2. Howoten's How often C is Clasa sBBooGls a~ssa As bma used used in in responofsree response to fire calls? calls? X 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves ___ Yes xX noNo How fens foam used in ving exercises? 4. How often is foam used in training exercises? Weakly Voniy Quart ___ Weekly ___ Monthly ___ Quarterly Tema omy seam ___ Semi-Annually ___ Annually ___ Bi-Annually HK Overemespecty 27a ffyuaes fZ Other (please specify): -~..3.z.___70LJ.L_ _,[__~)~L-/~z-AC!!I<~~--------- 5. How mach oamis used por ving vert? 5. How much foam is used per training event? X_ Les an atons Sgatons S010 gators ''}(' Less than 5 gallons 5 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy)):: ___ 5 to 10 gallons 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Som Sever __Sontary Sever onstosose _X_ Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ____)(_Ground over oso desir -- --::-:-- Other (please describe):---------------------- 7. Wiireodoreofscushenetva inpakkvplaacne? rlosse cde adress, inrseton othr speci oan 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. pr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00730 saTe_ozs21667 STATE_02821687 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WWThehsaapttonttyytppeee(a(ss)n)aannnddrbbaranrnida(s()fnoo3ffpfdfoopaac)mmabaairree"oorPrwlweeearrsoeeuucssheeecdcknnooawwnaanntddiSinnothphe ppasatbbsy tthhee apart, Department, bootr rha both for fire response and in training (if applicable)? Please check all that apply. TUUassneenddiginn? AAmmUosoeuudnntt CumentUsoor CTlyT8ypapeAeqoosufafFoFsouosaammFim: BrBarannddooffFFooaamm YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy HCiHsuitsrroteornriitccUUUssseeeo??r Class B Aqueous Film- FGaosrs m8AFooanmo(FF) Forminq Foam (AFFF) | ---------------- | CRelassssiBntAl(coRhyoAl-e ------------------ -------- -------- ---------- casopoon Resistant (AR)-AFFF CIlass Class Class BFlsoroprotein B Protein B Fluoroprotein -- CFC(FlalaPanss)ssorB8oFFtiilammnF-Fo(orFrmmiPnin)gg ------ ---------- -------- ---------- CossoARFEER Fluoroprotein (FFFP) CCcExallaapsssasssnsAABi-soBAnRHHF-iiFoFaFmP - ClEaxspasnAsion Foam s...s;l lv -ges Ws dlpalhs TCelaarsisnAg Fours TT oer Training Foam - Other So`TorrmhranTsanrocckdchyyn@iooinnuuadgfgfeo@ eorrnrytdsyoeokaulaturaarnettninmmvna.eccsooaammnn))dd) ooccforo7ooJ0pipem4rearaSStaiotvtioocoenckn.ki.ainnngPPgyelleerearaauaasseteeStLhccaoeoonnnMMtstaiaicFnmctnthaeNNesgasaoncnatctacnyyPFRRioaoollldudtinuuioinnnenggsCCtaoootnDnmDttlaroeorllatleaAA,gCCgeoeonnnnccssyyuul((tla64an56t1r1s--25((6996577511-88.-666696607676o-o65rr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ane completed by PPlleeaasseerreettuurrnntthhiissaqu_eysetsitoionnnaniariree ttooDDeellttaaCCoonnsuslutltaannttssbbyvMMaayv99.. 22000088iinntthheeeenncclloosseeddssttaammpoeedd,.sseellff:- aaddddrreesssseeddeennvveelloppee., Questionnaire completed by: &,.;cil- lz Name and Title t = 'A,) Blreaznt Husa Lich eson KeFsSeCwuEs Pro2s/Nu8rs7er46-3) 8 2 Bae Y-&9-0Y Phone Number ,nw'.J)_. la~erG\reA~be @ Date sci tC\.ble- . L.orr\. E E-Mlail AAddddhreossss 6 - NKinoger: Prone: 651.639.9445 1 800 4333311 Fak: 593639.0473 asi. Aaliaenv.A0m 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222.00773311 sSTTaArTeE__o0z2s82211668888 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. eDDroooaesstiyyoonuugrr DcDpeeeppaaatrrtommenensnt?t uray currently o has yourDeparment r has your Department itarcaly historically used used Class Class A A orClas or Class Boas B foams for for firefig1 h~tin~g~opYNYeoere-asstS-i-oiPnPgrsron?occtoehceddbttaoockQQuuoefesshttiiosinofn2orm and tuto alia Consulants No -Sign the back of this form and return to Delta Consultants 2. Howofn'sClass Bor Class A foamused inresponse rscals? 2. How often is Class B or Class A foam used in response to fire calls? 3. Does he Department have a compressed a foam stem (CAFS)with abun tank on fs engines)? o~2a5s%eoffsires ___ 2255-.5500%% ooffffrireess. ___ 7756-1.1000%%ooff ffirreess 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? "= he 4. Wwettonotas ust neg snercdons? 4. How often is foam used in training exercises? Weakly Veniry Quaery Semidmualy ___ Weekly ___ Semi-Annually ___ Monthly i ~uAamluallyy rama ___ Quarterly Bi-Annually tvs (lease speci): ___ Other (please specify):----------------------- 5. How muchosm is usd pr vaivennt? ns --__ Sgalons 5. How m~ is used per training even_t? _ _ _ Less than 5 gallons 5 gallons ______ s5tto1o10gagtalolonnss ___ MMoorree tthhaann1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): 6. Inoing,where doe he spent fam go? " 6. In training, where does the spent foam go? Som Sever Santry Sever Onstesente "Gna ~d ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic rn Other (please describe): ,, __ -- ~., ._2ther (please describe):----------------------- 7. Where doe th taining ako lace? Peas includ aos, nersecortaoen pectic ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location maton or cue an pat aig re. information for current and past training areas. HKwogew Prone: Phone: 651.639.90455910 651.639.9449 1I 800.477 7411 Rice Creek Par 800.477.7411 Toki kway Fax: 451.639.9473 Suite 100 St. 651.639.9473 mistdaliadnu.com Paul, MN 55126 USA www.deltaenv.com 22222.0077332 sStTaArTeE0_208228211668899 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. fWWehhsaaptot nttyysppaee(a(ssn))daannnddrabbirnarinnadg(ns()1doosfifpffpooscaaa)mmbalarereyeo?orPrwlweeearrseeeuucssheeedckrnooalwwl taahnnaddt aninptpthh.ee ppasatbbysythtthee DDeeppaarrttmmeenntt,bbootthhffoorr refire response and in training (if applicable)? Please check all that apply. TUrUassieenddiininng? AAmUmosoeuudnntt Training? Used GFClolaarTsmssiTsyn~pBBg~eeAAoFqqoofuuafeeFmFoooouu(aassAmmFFFiiFlmm)- BrBarannddooffFFooaamm YYeess oorr NNoo AnAnnnuuaalll!y~ ~~ CGRFelolsaarissmssstinaB8gnAtAFll(occWaooRmhh)ooll(A-AFFFFF) -------------------------- -------- ---------- GRleassisstBanPtr(oAtRei)n-AFFF - Class Class Class 8B B Fioroproten Protein Fluoroprotein rt et ee (CCFFllaPaiss)ssoB8rFFiilimm--FF(ooFrrrmmFiPinn)gg ~~ -------- FL Fluoroprotein (FFFP) aCCBllsoaassewssoAABn-BABfRHHo-iiFaFnFP Expansion Foam CCllaassss AA B[ ~ogwusMCl orbrwe v /ose ~ co,..vi) wlo#O_rffl d TTrraaiinniinngg FFooaamm E~S~~Eh;CLE ~~ PN &OFSE 7I ~,,g-t.--- over - Other Current Usaor Current Use or HiHsitsotorriicc UUssee?? ---------- ---------- et ---------- OO oTTfhhoaandikiyyonuogfouo@rrdyyooluutrr atiimmeeenaa.nnddcoccooomo4oppm)eerarSattitioooncn.k.inPPgloleeraaissteehcceoonnMttaiacnctnt eNNsaaonntccayyPRRooldunooinngCiaaoltnDtDrgeeollstaAgCCooonnncssyuula(tan6nt5tss1-((626559117---60999677o--655r5115522 fim stockinger@stale.m us) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if youJim you have any questions regarding ih Guestonnare Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or addressed envelope PlPeleaasseerreettuurrnntthhiissqquuesetsitioonnnnaaiirreeftooDDeellttaaCCoonnsuslutltaannttssbbyvMMaayy99,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellff:addressed envelope. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: ameT~aVnod VThie\XlVe~ like Name and Title Fre De?parTe~menCt C:o~ Fire Department Phon3e Nu2mb0er 629 7405" sOse-2005 Date Eva==Adress Fmiller @ Up ootuh tone XXIinnoogg~enn "" rere a a0 PO TT TE TS tm en 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007733 SSTTAATTEE__0022882211669900 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. DTDooosnesgs hyyioonuugrr DoDpeeeppraaartrtmimoenensnt"t curently currently oor has has your your Department Department Hisoricaty historically used used Class Class A Ao or Case Class B foams foams for for .XK firefighting -~ o Yesperationrso?casd to Question NoYes -SPigroncteheedbtoaQoucfetshktiiosnf2orm and return to Dott Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How oftenis Class B or ClaAfsoasm used ed iin response response fo to frfire cals? calls? _ooswormues X_ 25500 ot res 2. How often is Class B or Class A foam us X' _ _ _ 75.10%of 75-100% of eesfires ___ 0-25% of fires 25-50% of fires 5. Dos ihe Deparment hacomvpresesed a oa syst (CAFS) wia btuthin tank on is angine(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes ~-X:,( NNoo 2. Howaltn s foam used in aning exercises? 4. How often is foam used in training exercises? New Wey Moun J ___ Never ___ Weekly ___ Monthly ___ Quarterly SeomiArnualy poral sr Arualy x. Other (please specC i) anty Bennet _ _ _ ___.,>_ (,...,.... SOethmeir-A(pnlneuaaslelyspecify): ---~--.<)"""1"--A=--n-.!n 41.-~-'-D''f-loEb@:;<o.,""c"~ l----'fo/i1..1._"_B~-i---A<-~nJAnI'u..a.,ll.y.""'~=:._::_=-t----- 5. owmuch foamis ued pr aig event? 5. How much foam is used per training event? Loss than 5gatons sgalans 2 swt0gaons Less than 5 gallons ___ 5gallons / { 5 to 10 gallons Moro than10 galons lesa specity ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Inti, ers ere docs does ththe spent spent foam foam go? go? 6. In training, wh ___ Over SSttoorrmm SSoeeawwseeerrdescrber _ ____ _SaSnaintitaarryySSeewweerr ____ __ OOnn--SSiittee SSeeppltiicc ~=GX roGruonundd ___ Other (please describe):----------------------- 7. Where doesrldd hceale ing ako pg lace? lease include ads, intersectiono cer speci ocaten "or ls L- (Zs a Xinoger OVER--~ a_ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA [EOP tC I EE A AA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00773344 sTarTeE__0022682211669911 STA FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 5 Wht pes) and banof fsam acwre usd now and nh es y he Depa, Shorr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Temas sn om 1 appease lec ecko pot ah response and in training (if applicable)? Please check all that apply. Tipe Feam Bondotfem TUaYsmeeiodnrigSn?e AAmGmooaeusnlt Guemsendty Hisutosriecsally Ty~e of Foam Brand of Foam Ca0 suneos Class B Aqueous Pr--------n mm Film-Forming Foam prs (AFFF) Gass Aci Reman, Class 8 A!cohoi- Resistant (AR)- -f&-- AAFFFFFF "a PtPui-.1s_swfed-el, de I CesoPoon Class B Protein cisse Class B Fompoen (py) -------------- ---- ---- ---- ---- Fluoroprotein (FP) GlaFsi s Class B FilmJ Forming Fawgoen | ---------- -- -- -- ---- Fluoroprotein fe (FFFP) CassarE Class B AR-FFFP Gass 81 Class A-B Hi Elin oT Cash Expansion Foam Class A S-~di(/l" vq( -g Towgrem TV Training Foam oer = = Other Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? __ qeS e~s q~4-iu ~ Fo] pd$ B ~ gos y~~.e.e.sS Thank you for your tm and coporaton. lssecotat Nar RinfDaglla Consults 651.097.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 maaan do Songer Mews Palos Cot ary 09 S07 0008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or oan Ge) 1 ov ay Gohan ean hs ese jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas rou tis cussinntoaDite Gonsalant by dun 2008 i the enclosed stamped, sel. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- `aaddddrreesssseeddeennvveellooppee.. I Questionnaire compl~ by: a VY V4 f)-&7-rir- Rare TH P, 7 Name and Title Pine Livee INti Fret Fire Department Frans amie, Baio 2SI) 213/ ( hfs Date ' ewan plSi47s6 poker. com E-Mail Address HKwogew [IPR J V8 Rb Jb Ni 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.007735 sate_o2s21652 STATE_02821692 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1 ors or npr ry ro ou Cpt ittcsty idCs ox ie ar 1. Does your Department currently or has your Department historically used Class A or Class B foams for Rey von firefightina operations? _____"'_._Y"__ YYees-s-PPrroocceeeedd ttoo QQuueessttioino2n2 ne ecko fom an a Dl Cort ___ No- Sign the back of this form and return to Delta Consultants 2 owetens Gos rls A om ed pero roc? 2. How often is Class B or Class A foam used in response to fire calls? X X oo zssvmotivs 7510of0r8es 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires +. Donn eprint conpssd a se (CAFS ui kn go? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? - ---,--;r- Yes "Xe ;)( No 4. How often is foam used in training exercises? er -- ___ Weekly ___ Monthly `Somi-Annualy Annually ___ Semi-Annually ___ Annually owen ___ Quarterly OLX)( Bsii-aAnnnnuualalllyy ___OOththeerr ({pplleeaassee sspecp ifye ) c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - + bongo ssn on? 5. How ~ foam is used per training event? Cmts spas. Soros Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons pe r-- ___ More than 10 gallons {please specify): - - - - - - - - - - - - - - - - - 66. IInn rtarnaiin~,wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? coma saaysoms onsen oon ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground omer ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 1. Wer doc ne erik hc Pos coe ies, raion oer ec cn 7. Where does/did the training take place? Please include address, intersection or other specific location ra en information for current and past trainin Ger,?ace : Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00773366 STATE_02821693 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wehsatpntyspesan)i andrabrrianndgs)faopacamtaeyorPavsesree scehodckroalwhantd n9p h past b he Dparment, both or fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Tuof Fon Bond of Foam TVTUUeroassoieennrdditgnilignnee? AAAmUmUmosmsouueeuadndnltty CCuusmirrssetnnottruUisUseseeoosrr FCGolraslmTsy8BapAeAFqqouosuaefeomFosuous(asAmFFFiiFlmm):- | Brand of Foam Yes or No Annually ~~ Historic Use? ---------- CRovlsi8anAtso(RlsyAFFF Forming Foam (AFFF) Class B Alcohol- CossBPwon Resistant (AR)-AFFF Class CIlasClass 8B B Fucroprten Protein Fluoroprotein _-- GF(CFlulaPosss)rssoBpoFFtiiolmmn.-FF(oorFrmHmiPnin,gg ~~ CossoaRFER Fluoroprotein (FFFP) CBloasms rognfHiom Class B AR-FFFP Class A-B Hi gy, ClEaxspasnAsion Foam Si --ee X yes gould TIL TCrlaassnAg Foam zr oreTraining Foam - Other T`oSorTmrhhanwaSnrnoookkcddkyynooihnnuuggnffe@oorarrdslyyeooalautuatrreeetnimmmvoc.ecoaoamnmn8)d)d)5ooccoro0rooJp4ipmemeraraSSatitvt1ioooencno.k.ainiPPygnlleeaaraagysasetooesthccroeoonnnMMtstaaiecrnctntceeNNcsGaaonnaatcacyryPPnRRoohloligoluusddLtnsiooiinnngtnCCoagofootnnDDttmrelolltlaaaAACCggoeoennnscsnyuult((ta6a6n55rt11ss--248(699557711-.86-66660967766.-56o611r 5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnairtoe Delt Consultants by May5, 2008 intheenclosedstomped.so. Please return this questionnaire to Delta Consultants bv Mav 9. 2008_[1]_.f!J.'iU'!!JCiosed stamved. self- aaddddrreessssedeennvveellope.. - QQuueessttoiornnnaarireeccoommppeletteeddbbyy:: J< FnfWola1anCd{r~Thko 0 Atop ..... , ~ Looe Name and Title 64' FreFDurgiomanectot-.a~onnee Fie Fire Department FioSna N0mbe2~r 2/50561 of Phone Number Ohres SBa2e 08 Date dil pamatLusiet n t:(/1 J..r,p ".e-a b %a! c/t t?J // ,..<) a oQ..-~- } E-Mail Address-' KXiInnooggpe:nr ''" rere a an RO TE TS en 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007737 STSATATTEE0_206282211669944 QUUEESSTTIIOONNNNAAIIRREE FFiireffiigghhttiinngg Fooaamm UUssee iinn FFiirree TTrraaiinniinngg one optcrt oi oO ty od Gs or GsSoma 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? X ve ato anions Yes- Proceed to Question 2 ---- A S---- ___ No- Sign the back of this form and return to Delta Consultants 2 Hawtin ta oc is Aon eer roca? 2. How often is Class B or Class A foam used in response to fire calls? ccmattes A'-S -,2{.._ . 0-25% of fires _ _ _ 25-50% of fires 75-1 00% of fires ots eCopt coped rn CAF) 5 kn rT 3. Does the Department have a compressed air foam system (CAFS) 'vVith a built-in tank on its engine(s)? CXo ___ Yes No 4. How often is foam used in training exercises? ry nine X_X_ow ___ Never ___ Weekly ___ Monthly mr an samy ___ Semi-Annually ___ Annually ___ Bi-Annually Quarterly ___ OOtthheerr ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - - - - - - + Howtonprong oon? 5. How much foam is used per training event? X Less than 5 gallons 5 gallons _ _ _ ,5 to 10 gallons rn tre ___ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - - x 6. In training, where does the _X__somSeweerr spent foam go? _ ____SaSniantiatarryySSeewweerr Storm Sew ___ OnOSnt-SeiSteeSpeiptcic ___GGrorouunndd re i ___ Other (please d e s c r i b e } : - - - - - - - - - - - - - - - - - - - - - - - a -------- 7. Where does/did the training take place? Please include address, intersection or other specific location ese roe re information for current and past training areas. or VVagr/'i,bouu.s SSi/tlces a_taotuuJ-vJdd Tr#He COYFy ie Od r TC i Sey fet uso Corpor 7H 2 OF. &P4)a..i7tnJ,t~2i;'ntJ aur 7 Kinogen XInogrn .,, OOV VE ER R~ -- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00738 STATE_02821695 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg cass A Silex es ppg 8. 8. ToVWsihpnaoatntpyspoeesa(s)n)daanndabbirriaannndgd(is(s) oo2ffpffopoaiamcmaaaerrye?worleweaersree uucssheeddcknnooawwnaaalnndaninpythh.ee ppaasstt bbyy tethe DDoeppaarrmtmonetn,t, bbotthh ffoorr refire response and in training (if applicable)? Please check all that apply. TUUrsasenedidniignn? AAmUmosoueudnntt Currently Historically Training? Used Currently Historically CFCliTaTmsylyspfp8eBoeaAomAqofmqufsugeFeofoosauaoumsmsom -- BrBarannddooffFFooaamm YYeessoorr NNoo AAnnnnuuaallllyy UUsseedd?? UUsseedd?? fay Film-Forming (AFFF) Foam Cl8acsonsor Class B AlcoholrRoEwena, Resistant (AR)- CAFoFsFmepown FucCCrollaaossspsssroBBotPreontei(n77) -- ---- Fluoroprotein CFloa8iFsims. Class B Film- ( F P ) Forming FFuoRopoicn Fluoroprotein EEE -- C(FFoFPm) pare o_o CBCCllpsaasusssssAABo-BnABRfHH-oiFaFFnP| -- ---- ---- ---- Expansion Foam Class A S/t.Vtle t '/e5 Training Foam Sn OOvtheerr = oiTTormhrhaoansnrndiokkrodiycynokoniniuuggn@ff@gooaerrderyye@loolsautuaarerrentteniimyvmm.eeccnoaamunnosdd))oomccYrorooooJ)ipipumemerarhSSataitltioovoonecn.ck.aiknnPPigyllneeeQrgaaauaesseteesttthcchieooeonnnMMtstaaiicrncmtentageNNsasaaraodrtnticaacnyygPPRRooioolllsdudutniQiooinnnnuggeCCaaosottnntDDrterooeolllrtlaaAA.gCCgoeeonnnnsccsuyyullt((taa68nn58tt1ss1--2((695857591-178.--666696067676-.5o561r15522 ,iim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questionnaire completedby. PlPeleaasseerreettuurrnntthhiissqquuesetsitioonnnnaaiirreettooDDeellttaaCCoonnsuslutltaannttssbbyvJJuunnee66,.22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-: aaddddrreesssseeddenenvveellope.. Questionnaire completed by: NakmeJand T-pi1erBCotd~8s5 Tre irr Name and Title FiF1rJeIDl,ehp:oaVr;t)o;mie:;nrut./ Fire ;:::/'e ODeeHfr>irte: r Cell Fire Department c;.J.e~ ('eJJ Ph5on0eN7u-mb5e3r4 349% 5Soo1rdd$s?y---7z.3aFsIBe Phone Number S5oe97-8 Date Efr'Fat/l1iArdeeacrdolsees&fsB@ ~A;p;filvoivJ~i-cc-w~J r;onvw,nCc~JsYm\ E-Mail Address Kinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00739 STSATTAETE0_20622821166996 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. TDDoeoeetssoyynoouur DDoepepupaaarirtmomenensnt?t curently currently or or has has your your Department Department htorcal historically used used CassClass Aor A or CossClass B B foams foams orfor firefiXg_,r opYNeeroesa-stiS--opinPgsr?norcteheoedtbtacoocQkQueouefeststehtiiioosdnnfo2rm and return to Dla Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwoolfteonniis CClaassss8B (oGa~ssa Albma uusseedd in rreessppoonnssee ttoo rofire ccaallls?? ___ 00-2255%% ooff resfires 2s5e-o50n%atotf ifireess ~ XX _r7s5t-10000%n tofesfires 5. Doss the Deparment aav compre essed a foam syste (CAFS) wiabllhi ak on s engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves -----:::-- Yes vo $ - N o 4. Fawofenis foam used nang xerses? 4. How often is foam used in training exercises? J aun ___ Never ___ Weekly Monthly ___ Quarterly Somvomiaty Xa SrAmnaly ___ Semi-Annually )( Annually I ___ Bi-Annually Overieasospecty ___ Other (please specify):----------------------- 5. Howmush foum fs sed por ring ven? 5. Ko tessmansatons ~ How much foam is used per training Less than 5 gallons ____ event? 5sggaallloonnss swi0gaens ___ 5 to 10 gallons TT Metantogalons esse spoety ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. naling, where does thspent foam 0? 6. In training, where does the spent foam go? Som ower __ Sanitary Sowsr onsiesente XC Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _____Ground Ober lossodosciber ___ Other (please describe):---------------------- 7. Where dost h airing ake lace? Pleas includ address, narseocrtoothnr spec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location Eros io ont an pos vag res informati for current and past training areas. t Lets _ ~n...= Humogent O OV VE ER R--~ rPahnoen:e: 66 3511..663399 . 9005910 9449 I 000 Rice 800 G3TATEFak Creek Parkway .477.7411 Fax: 391 630947) Suite 100 St. 651.639.9473 man deliagni.cam Paul, MN 55126 USA www.deltaenv.com 22222..00740 SstTaAreTE0_202882211669977 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training What 610) and banc) foam re a reuse ra an in he ast byth Deparment, bot for rs 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eon i va 1 aca nn crack oh top response and in training (if applicable)? Please check all that apply. TUrsaendign? Am"Doouenst urenty Historica `TTyyppeeooffFFooaamm Ca8Asuns Class B Aqueous Firomngton o_o Film-Forming Foam rey (AFFF) Gl8ososl Class B Alcohol| -- Resistant (AR)psAFFF CassBPoen o_o Class B Protein cases Class B Aopen ------------ ---- ---- ---- ---- Fluoroprotein (FP) Go0sFisn Class B FilmFog Forming Toogoen | -------- -- -- -- -- Fluoroprotein re (FFFP) GesbmrE Class B AR-FFFP monorail Class A-B Hi Steam 2 Class A Expansion Foam Class A gto -- Training Foam over --_ -- -- = = Other BrBarannddooffFFooaamm PagerBrGomboot- Used in YYTeerassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy Used? Currently Used? Used? Historically Used? ges gles gry ame Thank you for ous tim ond cooperation. las contact taney ding f Della Constants (05.007.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 esmolol Pots Col any 69 S073008o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ragaavons os Fo hovs a woe ogra os awesome jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleaserou tis qusstionnai toDtsGonsutans by ue 6,208 i thanclosd stamped, sl. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellope.. F[ wraoy t-- necirslet- Fpra e Lot. ChA re, BN-- Fire Department FransGReSy E Ibs So coves Phone Number opel@ cc bubl-'b-lkoMc(e'r.'. con +k~Jc!f4i ;/!L6/IVJ Eat oss - E-Mail kress Date C:c-~ Kuogen ese 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA wes von OT TE wm Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 2222.00774411 sate_ozs21608 STATE_02821698 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. rDDoaoetessioyyoonuusrr DDcepepspaaartrttommneesnnt?t csrnorthys currently or has your your DDeeppaarrtmmeenntt historical historically used used ClaAsor Class A or Glass Class 5 B foams foams orfor firefighting Y opYNoeore.asstSi-oiPnPgrsr?nooccteehesoddbttooaQQouuefcesstthtikiioosnnf2orm and return to Deta Consultants No - Sign the back of this form and return to Delta Consultants 2. Howton How often is CCilassss BoB or CClasasAAsffooasarm sedused iinn rreessppoonnssee ofrto fire ccaalllss?? 2. _)<-X~--K'--,_ 002-255%%ooffffiirreess _ --__2_5255-050%%ooffffiirreess. _ --__7_57150-1000%% ooffffirreess 5. Does tho Deparment navao compressed ai foam system (CAFS) ih a Ui ak onfs O7Ge(s) 3. Does the Department have a compressea air foam system (Gf.\F;',) with a buiit-in tank on irs engine(s)? ve ___ Yes Xo j;( No 4. How often foam used in rainingexercises? 4. How often is foam used in training exercises? Never Weakly Varin Quarry ___ Never ___ Weekly Monthly ___ Quarterly Tap -- Ponty ema ,)( Semi-Annually ___ Annually ___ Bi-Annually her (peasespect Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam s usedpor ring over? 5. How much foam is used per training event? X_ Loss tan' gallons 5gatons swig Less than 5 gallons 5 gallons 5 to 10 gallons TT etn togaions emespecty More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - Gn 6. +7.7. reining, wher docs th spent foam go? In training, where does the spent foam go? XionSewer __ SantrySever onto Septic Ground Xt Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Oh leasedescr) ___ Other (please describe):----------------------- Wheredousd th ining tke laco? lease incu adress, nteorrosh scpecti loocanton Where does/did the training take place? Please include address, intersection or other specific location orationforcua and poy rangareas. Rakea Fme datl zo information for current and past training areas. f?,a-hA h ,y (I 6ol I lloonnee_ -trfu~e SCeJ~e..dJ- F?ce,~k/e<LtAtsJ XKIinnoogg~enn: OOVVEERR~-- [ESRI A RR ry 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.007742 STSTAATTEE0_206228211669999 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg &. What type(s) andbrant) otfoam re a wre sed now a nhpasty heDeparment,bth fos re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Takponsa ann vain pplcale' lense chock al tap. response and in training (if applicable)? Please check all that apply. Deotrom Bondoffoam TvUresiorndtigne? AAmUmosauednlt cuUrseednrt'ly HisUtsoreidcaslly Type of Foam CosspAmoos po FimFomngroom Class B Aqueous Film-Forming Foam fries (AFFF) CloAcsaer Fesonomy Class B Alcohol- Resistant \AR)- AEE AFFF ChsoPoon o_o Class B Protein Casse Class B Peptfop) -------------- ---- ---- ---- ---- Fluoroprotein (FP) Class Bin Class B FilmTog Forming Fiamopoten _ = -- -- -- Fluoroprotein Fe (FFFP) CessbarsER o_o Class B AR-FFFP Class aBi Class A-B Hi Brant | -------- mm ---- ---- -- Expansion Foam chase -- -- ot -- Class A Taongfom -- ___ ___ ___ ___ Training Foam over -_ = = -- Other Brand of Foam _Gilu=et Chemguasd Used in Training? Yes or No Su~ess g-eLs Amount Used Annually SS'eqQl\ S5'e~wll Currently Used? v / Historically Used? Thank you for your tn and cooperation. Pleas contact Nancy Rodng ofDot Consufants (651-697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or roanna aaa com)of Jon Soakinagt hg Memes Foon Comtel Agency (6514973608 o or nrodning@deltaenv.com) or Jim jjimim..sstotocckkininggeerr@@ssttaattee..mmnn..uuss))iiffyyoouu hhSaatovvecekaainnngyyeqqruuaeetsstthtiieoonnMssirrneenggeaasrroddtiiannggPtothhliilusstqiqouuneesCstitoioonnnntrnaoialrirAee.g. ency (651-297-8666 or PlPeleaasseerreettuurrnntthhiissqquueestsitioonnnnaaiirreettoo DDeeilttaaCConosnuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff -: aaddddrreesssseeddeennvveellooppee.. J---- Questionnaire completed by: dates Wenuaile chef 2-A-\..rs-.J.c_ \)~ (z \'1'1 \ >'~ ~k ide oni Tie Name and Title oFreDlepaerment Fe Deel Fire Department Pon Naber 5p7- O9Phone Number 4478 ae2708 Date a E-Mail Address KXi1nnooggep1n "" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.007743 sStTaAreTE0_208282211770000 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Does your Deparment cuenta has your Department strict usc lAors Gass foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Farcpaosionns? firefighting operations? XC os Prossedto Question 2 X Yes- Proceed to Question 2 No- Sign thebackofthis form and stun to Datta Consulants ___ No -Sign the back of this form and return to Delta Consultants Aomra __osmottes ___rstovectins 2. Howaltn'sClass BorClass Afoam used responseto recas? onse to fire calls? 2. How often is Class B or Class A foam used in resp --/.-- 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. Does the Deparment have a compreassfeoadm system (CAFS) wiabtuihn ark on fs engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Fa} No 4. Howoteni foam used in ring eres? 4. How often is foam used in training exercises? weary ony _ouneny ___ Weekly Monthly ___ Quarterly Somionialy pony Bray ___ Semi-Annually Annually ___ Bi-Annually X_ other lease speci) __j;,._ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam sed por vaiing event? 5. How much foam is used per training event? TTlesstans ators _X_ Sqatens __ swotogons ___ Less than 5 gallons X 5 gallons _ _ _ 5 to 10 gallons ore han 10gators (ease speci): _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. intoinig, heStroermdoSceswethre s_pent fSaamnt7rySomer onstosopic _X_roma ___ 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer __ On-Site Septic Ground 1. .= ::;;:{C_._ OOtthheerr ((pplleeaassee ddeesscrcirbibee):): __E.:C1)5') l ~ue~sT"wf1a,!t~! ,TI'ai-AoA:sVB fAe>mw~) Ai4 m)'Yi)&o"'"nYYb2.e&ig$Z EUS USED CURSES A, Trem TRATIEG, Tene RIES + CLAS B Lg TRATOTG u.':JEr\Je:S LAS~ ~k-A-SS A:J :1-n:cMe-rRI4X'~ -1-,,.:;;'""~ t=:..r.e.e- "'C..LA.S.S B .1.~"1"\.~ Tvcllla",vw&~ 7 Where dou1 rain oko pce? loa cu aes, inrsacton ahr specication 7. Where does/did the training take place? Please include address, intersection or other specific location peta or camer vot sang rom. Framers Covora Pazgahoodds information for current and past training areas. fous Sues Co Hisy 12 ~:r::u_ Mt>R_8 ou..10"l~ f-t:aRGR.bD.'!0~5 ResTond 17) SSIS Kinogen: J 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ane: 651.679.5045 1850.710115Fo7k: $41539.05] whadaltasnorm. Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007744 sStTaAreTE_208282211770011 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training WTheartmapnaso)randariannatpsa)pm araorPwoear ucedrnoow aond Sion hepa by he Deparment, ofr 8. What type(s) and brand{s) of foam are or were used now and in the past by the Department, both for fire response and in training {if applicable)? Please check all that apply. TTyyppeeooffFFooaamm BBrraannddooffFFooaamm Giaes B eos Fin Class 8 Aqueous FilmEE Class B Alcohol- am Fcr:111ng Fcc:rra {/\FFF) Class 8 Alcohol- RReessiissttaanntt ((AARR})--AAFFFFFF ~~ CasoPoOn Class 8 Protein GlFaorsesn Class 8 Fluoroprotein wn --_---------- (FP) Ga8 Fi sFarsing Class 8 Film-Forming Fuomrolon erry | -------------------- Fluoroprotein (FFFP) CasspArsE Class 8 AR-FFFP Gassrat Class A-8 Hi Coan fon || Expansion Foam GTraanng FoanCinshCeSttotylvCremsteSurxne Cc...-" Class A Training FoamL-/t-'11:-c'>c t\- o'-'>1..) ~ >noT_, r...C:L'K-..r::i:>' ~ JCT j-;.,~J<.c OOtthheerr ---------- Usodin Amount Used in Tangy "Cos cumentUseor Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? a adm ee SomfriiSe weds ee -- ee -------- ---------------- -------- wp EE ee yy Sn/BIwt pons ---------- -------- TThhaannkk yyoouu ffoorr yyoouurr ttiimmee aanndd ccooooppeeraratitioonn.. PPlleeaassee ccoonnttaacctt NNaannccyy RRooddnniinnggaatt DDeellttaa CCoonnssuultltaannttss ((665511--669977--55115522 rasan som toon Soci em mes oho Com Spon to or 40h or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ring Garo Fos vt a acho ering os eso jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pict rumhis questianels to Pate Gosuanis by Hay, 208ithe eons sl Pl~a3a return this questionnaire to Dslts CO;;su:tanis bt ,~1ay 9. 2008 in tlit: t:;nc:,tu~~u~ ~tartii.Jt::d, seiiErr addressed envelope. Questomnarecompigsby Jerry Een (Cres rPegraned sTite on Five Deer FFiirree DDeeppaarrttmmeenntt Ha S07- 25 BED fost scrus 3320 S-7-O% !-f-Pccc~ So 7- 7~S- 3 ~0} HOM~~ ~77t..S- 33;).7 S-/~Di? Fone Number Bae Phone Number Date 3olsendOAL certarute 1. net ~Dl.Su~()()J_~c_ef\-tLX Zjte {)e.+ Eva E-Mail Address Kinogen: Phone: . 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 _-- Paul, MN 55126 USA www.deltaenv.com 22222..00745 stare ozs21702 STATE_02821702 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training . $ . 1. 1 . DeDtooegsspyiyoonuugrrgDDoeewppsaartrttommneesnn?tt csrno thays currently or has your your Department Department istorcaly historically sedused CCllaasss AAoorr GCllaassss 8 ffoaomasmfoosrr > es Proceed firefighting operations? Yes- Proceed ttoo QQuueessttioinon2 7No- ignthe back othis form an ret to Dota Consutants No- Sign the back of this form and return to Delta Consultants 2. HowoflenisClass Bos Clas A foamused inrosporse of cals? 2. XK oasmotties 250% atfes 7510of0r%es How often is Class 8 or Class A foam used in response to fire calls? ~ of fires _ _ _ 75-1 00% of fires 0-25% of fires 25-50% av. Siphe SysTem 5. Does ihe Deparmenthave compressed aiair foam foam system system (CAFS) (CAFS) with with bin a built-in taktank onson its engines? engine(s)? a compressed 3. Does the Department have -Yes >_<X NNoo 4. 4. Howollenis How often is eamfoam uusseeddiinnvtraaiiniinngg eexxeerrcciisseess?? oor ao ___ Weekly Monthly Tet -3z_ rom ___ Semi-Annually Annually -@ oe, ..._Quarterly Tay ___ Bi-Annually _ _ _OtOhteherr ((pplleeaassee sspecp ify)e : c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmu>ch<gaLmosiss tuhsano' pgarllvoanising vent? sgatans 51010 gators ~ 5. How much foam is used per training event? Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than10gars Jeass speci: -- More than 10 gallons (please specify): _________________ 6. naling, wher dos the spt foam 0? 6. In training, where does the spent foam go? Som ovr_ Santry Sower ___ Storm Sewer __ Sanitary Sewer Other saase dere) OthP.r (please describe) onstesese _ - _ On-Site Septic > coma ;><:Ground 7. Wfhoermratdioonufot chuerotiainngptsaktea ple? aPrleaesa.s ince addr, rst athe spec acaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. VARs - LocaTies Mesily iw _ Couey = SGpf-w4ve~lI R{tepaa.)d;ssCoMl<.f. fFe~ ms6T TSt:S PFrhaonnce:: 651.639.01088050.0377111 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 841 635.9473 Suite 100 St. 651.639.9473 muri daltaane.com Paul, MN 55126 USA www.deltaenv com 22222..007746 SstTaAreTE0_208228211770033 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training What tpe() and raoffnoam asor)wer used no and nthe pas bythe Deparment,Sahfor ri 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tekponss sn ig (1 93a' laa choc ah at 3. response and in training (if applicable)? Please check all that apply. TUosendgine AmUoseudnt CumentUseor TTyyppeeooffFFooaamm ClAqaueouss Fisn: Class B Aqueous FilmForming Foam GFF, -------- -------- ---------- running ioEAnl (Alii) Cl8aAosns Class B AlcoholRess (apr | ---------------- ------ Resistant (AR)-AFFF Cesgpoon Class B Protein Clas B Fusroptein Class B Fluoroprotein I) _-- (FP) Cl8 FaimFsomisng Class B Film-Forming Fcoproton (Fp) mr Fluoroprotein (FFFP) CossoaRFER Class B AR-FFFP Casshern Class A-B Hi CommenFoan | gm ---------------- Class Expansion Foam Class A Trainng Foam ie mem smn eet Training Foam over - Other BBrarannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? SSii{lUv--eexx' yes fos /0 iA<.. ____ Thankyo for your to and coapraton. Peas cia Nac Roding a Dla Consuans (851-097-3152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rrodngGataancom) orm Slacking oth Minnesota PORN Carol Agency (31507306o6 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or tocaate ros) 1 Jou vs ay avesiansTogarang hs questormare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Piease return this questionnaire to Deiia Consuirants bv iitlay 9. 2008 in the enciosed stamped. seif- addressed envelope. Questo completed by Questionnaire completed by: Rasa BTBoeobbo SpocTel Name and Title Fre cher Fela Fire Department Pron{[eJRRNii;va#mssbeb.bruIrLy~ F;/iQ.r_ee_ Der PEhone R N33umo2beu0r --99188- 8Sootitfoo <E-Mail Address bSpetel @ [Rinsbusg Cop. ST5at-e 2-08 Date Com Kinogen ren oa SR TEL BASS Ao 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00747 sTare_02621704 STATE_02821704 QQUUEESSTTIIONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 4. 1. DrDoosaesstyyooouurr DaDepepepararartttmmoenensnt?t currenotr currently or hshas your your Department Department htorcal historically uusseedd laAsor Class A or GCalassss B ffooaammss orfor 1v-:- firefighting Yes-Procead operations? Yes- Proceed ttoo QQuueessttioino2n2 No ign th baocfthkis form and return to Datta Consultants No -Sign the back of this form and return to Delta Consultants 2. HowosCfasts Bnor Class Afoam used in sponse to re alk? 2. How often is Class B or Class A foam used in r!3sponse to fire calls? o2sw otros 1 as sottues Tat00%otfres ___ 0-25% of fires :5-50% of fires _ _ _ 75-100% of fires 5. Doss the Deparment avea compprreesssseedd aair foam foam syst system (CAFS) (CAFS) wihwith a a ulin built-in arktank an on 5its angina)? engine(s)? m 3. Does the Department have a co ___ veYes V: NNeo 4. Howotieni oom used in raiing exercises? 4. How often is foam used in training exercises? woo tony aun Semi-Annual ___ Weekly ___ Semi-Annually _ Aonaly ___ Monthly ___ Annually 1 L Bimal ___ Quarterly Bi-Annually TC ovepemespenty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foamis used por aing ove? L 5. Less than' gallons How much foam is used per training event? Less than 5 gallons 55 ggaallloonnss i 5swtot1o0gguaollonnss ro thon 10 galors (leasespecty More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In vaning, where doosth spent foam go? 6. In training, V stom Sawer where does the Storm Sewer 1 Sanitary spent foam go? V Sanitary SSoewweerr Other (ease descroy ------- Other (please describe):. ER __ Oonns-StieteseSpetpeticc _GLr_Goruonundd )0;24/N'Gc 77.. WWfhohreemrraeetddioooenseo/drsidchtuheenttaranaiinninndggaatcaktkeeaplnloaccge??rPPoeleaaa,ssee iinncclluuddee addss address, ersocton intersection oofr oatthheer spoke specific acaon location iEnnfoiirmvae~tioC{nofloare~crud,rre4ntivaened@paAs~ it tcramine4 inngnareAAasvv. ee ((/ivl'vl/a&vierecr)Spon 2224:0277 XXinInooggernn ,.. STE CER rE SU TE~E Pa RSE_T. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 551.079 Se Fe TL Tok Ce er wate. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00774488 sSTTaArTeE__0022682211770055 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 8. What ype) and brands) foam ar were usednw and i th stby he Depaiment, bth ox fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse and n rang 1 appicatey Pease chock al nat py response and in training (if applicable)? Please check all that apply. TUnsondgin? AmUosuednt CurentUseor `TypTeoyoffFpFooaaemm Gisss B Aqueous Fim- Class B Aqueous FilmSEE F~rming Fo3rr; (l\FFF) CCllaassss BB AAllccoohhooll-- Rovatan (AR) FFF 3M Ne O-Sen nds Resistant (AR)-AFFF CessbPown Class B Protein Class 8 Foraprten Class B Fluoroprotein I) _-- (FP) Class 8 Fim Foming Class B Film-Forming Fcoprtan (FFF | ee Fluoroprotein (FFFP) Coser Class B AR-FFFP Class ABH: Class A-B Hi Dna || mm me me re, Cassa Expansion Foam Class A TrangFoam J Training Foam over - Other BBrarndoaoffFnFooaadmm 3 Cmenven Used in YesorNo Training? Yes or No Alfot/ Amount AAnnUnnusuaealdlllyy HCiHusitsrroteornriitccUUUssseee?o?r 69--556,r{ ~~~PSiatu!~ / See Bolms Spevelmy Thank yo for your i and cooperation. Pass contact Nancy Rdrin a Dla Conslants (E51.097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or ohnadeRaany com) of m Sockinger at ho Miosots Polio Contol Agency (651-507 686 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Jijimm.ssttockiinnger@@ssttaattee..mmnn..uuss)) iif yoouu hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Piease return this questionnaire to Delta Consuitanrs by May 9. 2008 in i"he enciosed :sialflfJ!i:d. seit- es addressed envelope. uestomaire completed by: Questionnaire completed by: "-D:Dhatu.JAe,theme,pre per 1-/n-Ra-4/fA/ . M~ t2dr- re aT Name and Title 1 o eDhepfa6rmep nt~ Fire Department P9ho5n2e-Numo ber / - 34b 73 5B-at/e -of Phone Number Date a~tErfta1mHAdZarVesLnsIiAI@ C (};re-rot!F>T~~AmL/fld]tizn-,s_ (C}oerAtq E-Mail Address NKinogen rn EE TEeee 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007749 sStTaAreTE0_206282211770066 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DTDorosresgsyhyonouguror pDDeeerppsaairrtommneesnn?tt curentoyr currently or has has your your Department Department Historiaty historically used used CaAosCasssB Class A or Class B foams foams frfor 70. es Protco Quoesatiodn2 firefighting operations? ~ Yes - Proceed to Question 2 --_ NNoo--SSiiggnn tthheebbaacckkoofftthhiissffoorrmm aanndd rreettuurrnn ttoo DDeelltaa Consultants Consultants 2. Howottens ClaBsosr Class Afoam used in respotno sre cals? 2. How often is Class B or Class A foam used in response to fire calls? PP oassotives sonore 7si00% aires 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 3. Doss he Department havea compressead oa syst (CAFS) wiabtuithin tank on s anges? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? 2{a ves Yes ___ NNoo 4. Howoftenfo'ams used i ning exercises? 4. How often is foam used in training exercises? _ weawy ony J -- somiAmaly ___ Weekly ___ Semi-Annually Amal ___ Monthly ___ Annually _p2 siamnualy ___ Quarterly c::? Bi-Annually I _oteasespeaty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How mun oa i used par aring sent? 5. How much foam is used per training event? >= Lesstansalons ___ saalons stots \.,.:? Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons ( Mare than 10 gaan lease spac: ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ntrining,wheedoss thaspot foam go? 6. In training, where does the spent foam go? Sto Sauer __ Santary Sewer Onstesepte Seton ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Oteasedesciboy ___ Other (please describe):----------------------- 7. fWhcomraetidooneorsctenrrtaianinngpatsatkerpaiancge? rPeeaasse ic adress, nesecton raver spc locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogen: Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 _ Paul, MN 55126 USA www.deltaenv.com 22222..00750 sStTaArTeE__o0z2s82211770077 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and rando(f fsoa)m ar or wo use nowand nh ast tho Deparman, bth for fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse niin rami (1 appicaie Passo creck a ht 9p response and in training (if applicable)? Please check all that apply. TUasmeidnign? AmUosuednt Curent User TyTpypeeooffFFooaamm CCllaassss BBAAqquueeoouuss FFiilmm- Forming Foam (FFF) deh fet bs Forming Foam .(AFFF) Class 8Acotol- Class B AlcoholRestart (Ry aFFE ---------------------- ------------------ ---------- Resistant (AR)-AFFF oesepoon Class B Protein Class B Floroprotein Class B Fluoroprotein Fo) --_-- (FP) ClaBFsism Foming Class B Film-Forming Fnromoton (FFF -------- ---------- Fluoroprotein (FFFP) FE Class B AR-FFFP class ABH Class A-B Hi Epnanfoan | Class A Expansion Foam Class A Training Foam oT Training Foam oer - Other BrBarannddooffFFooaamm J~}<&i" =~ x> Silver Used in fo Training? YeYessoorrNNoo Amount jo iol Cpe Foes Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? -s;o t~h (J!1L A~s a seals FJles A/J J-5 6111 j ;tli;Jr r&.s -------------------- -------~ `Thank you for your mo and cooperation. Please contac Nancy RiningatDota Consultants 651607152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodhno@aeaemcom) or 4m Sockinger a tho Mosca Polulon Control Agency (651-397-8608 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i siocinge@tse nu) #300 have any Questions regarding i CuesionTaLe. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleasertum this questionnairefoDelta ConsultantsbyMay 3, 2008 in he enclosedstamped.sel: Please return this_guestionnaire to Delta Co_nsultants..Q.'!_Mi!.Y~._lQQflJIJliJ~.Jm~Q~d s..f.g_11J.P.~.~!,_.f!_l.f.:. aaddddrreesssseeddeennvveellooppee.. Questor completed by Questionnaire completed by: Rare "5Joho De--wson Fae elif J0 ~..._ Pe..usoiJ RoCfun Fire Department rt:-_kt. a '(,(e -- Prone NumOberF _9% 6237 Phone Number Gate /r- dood" Date ET E-Mail Address Dinogen' ero errr TL CT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222.00775511 sSTTaArTeE__0022682211770088 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Dogs you Department curator has your Department hiro us ClaA osr Gas foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Frat pesto? firefighx operations? Xe proces to Quesionz Yes- Proceed to Question 2 7 No Sign the baocf thkis form an rettouDrotna Constants ___ No - Sign the back of this form and return to Delta Consultants 2 How ofens Gass 3 laA fsoam uXs in espns call? oz%oftres _X ossonotes 751005 ofres 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires 25-50% of fires _ _ _ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eennggiinnee((ss))?? CwYes X_ to >( No 4. Howotn seam used in raining cers? 4. How often is foam used in training exercises? ea oy ure ___ Weekly Monthly ___ Quarterly Samal J Sina Semi-Annually knu~ Bi-Annually _XX__ OOtthheerr ((pplleeaassee ssppeecicfifyy)):: ___.t.LL'~~~1--~X~h:u'rte..!:DJ1...!..L...___ _ _ _ _ _ _ __ [Rr ---- 5. How much foam is used per training event? X__ Loss rans gon goers Sto 105ml X Less than 5 gallons 5 gallons 5 to 10 gallons More tan 0 gatos esse spect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. in vainin, where dos th spent foam 07 Storm Sewer SanitarySewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer Omer (eas descrbor _ -- -- ___ Other (please describe): __ Oonn-sSiiteesSeeppiticc __..K.}{G_Grorouunndd 17. Where Gooch ining ake piace? lease nce adress, inerscton chs spc ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location ea dtpeeheumber Yhe futSamearsy 't ~ inf ation .fJr current and past training areas. Kinogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 . Paul, MN 55126 USA www.de!taenv com 2222222.00752 stare 0221709 STATE_02821709 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 5. Wht yo) anfstsr rmor ee c nw o ain the ptby Dpcnen,otfi 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. aUnuntdeins Amour ont neon TTyyppeeooffFFooaamm Glos Ae ne Class B Aqueous FilmEn For!'Y!h:;; !=o-:;m (.A.FFF) comeners f/o1scUu5sT-Iinddeo) Wo Miawiat Mine! CCllaassss BB AAllccoohholo-l- Resistant (AR)-AFFF cmap -- Class B Protein Gos 8 Frorootn Class B Fluoroprotein = --_----------_-- (FP) Goss 8 FiForming Class B Film-Forming kbc ------ Fluoroprotein (FFFP) Commie Class B AR-FFFP Cons Class A-B Hi ita a A Expansion Foam Gass Hish (ottAfiggvs) Mo 5051. Conant Class A i. A A Training Foam over EE Other `BBrraannddooffFFooaamm -- I Used in Training? YeYessoorrNNoo Amount Used AAnnnnuuaalllly Current Use or HiHsitsotorriic UUsse? Oo ie ot Thnkyoure and oppor, Pasco Nar Rodin ul Comat WL SRT S152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a eaan a ore eam arSo?mea 51.8751 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ees tn 1s cuneate onsutnt ce5. tn hens seme, st addressed envelope. Please ret11m this nu~>fi(ll1.11flire cMopomo areconpigadty r.e Ch.et addressed envelope. t() Delta Consultants !:w !!i'lav ~. " ?()f)B in th., enc!aed st?.mryerl, s~!f- rica w7h0e3ns-433 = 92 55% o4ad/28/08 Phone Number Dat~ EdnA/kdidaaraeJsp~Jl!ee.rr@@ Cyt~. traammsfeUy!.. mmn11.. Jus5 E-Mail SKinoger: ee rn RT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00753 sare.02821710 STATE_02821710 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg x 1. 1. TrDDoooreosshiyyonougurr DDpeeeppraasrrotmmneesnn?tt cureornhats ylouyr currently or has your Department Department Hisoriaty historically uusseedd CCllaassss A A oorr CClaasss sBB ffooaammss ffoorr X_ firefighting ovpeersati-oPnsr?oceadto Question 2 ' YNoe. sS-iPgrnocteheodbtoaQoucfetshtkiiosnf2orm and tur to Dota Consultants ___ No -Sign the back of this form and return to Delta Consultants 2. Howolen isClass B.or Class Afoam use inresponseto rscals? 2. How often is Class B or Class A foam used in response to fire calls? ___ oan 0-25% of fires ___K_;t;_ 2550 25-50%tees of fires ___ 7T5o-1t0000%% ares offires 3. DDoosesstthhee DDeeppaarrttmmeenntt hhaavve eaa compressa compressed air foam foam syst (CAFS) with system (CAFS) with a bitin ark ani engine)? a built-in tank on its engine(s)? 3. ___ Yveess Xo )( No 4. How oftenis foam usin training exercisos? 4. How often is foam used in training exercises? -- Weey oan awe ___ Weekly ___ Monthly _ _ _ Quarterly -- Somiaamaty Aovualy tama ___ Semi-Annually ___ Annually ___ Bi-Annually X_ over (leaso spect: _Ocagy Lote -~'-'X.__ Other (please specify): ----"~'""""'~~J.:""'""-'~'-P"- '"'---------------- 5. Howmuch foams sed per vainng event? 5. _X_Lessthan gations How much foam is used per training event? i>( Less than 5 gallons 55 ggaalllloonnss _ ______ 5sttoot1o0ggaallleonnss Moro than 10 gllons (fase spi: _ ___ More than 10 gallons (please specify): __________________ . naling. wherdosth spent foam ga? 6. In training, where does the spent foam go? 7 comsower ___ Santary Sewer ___ Storm Sewer __ Sanitary Sewer over esse describe ____ Other (please describe): ______________ onstoseste __ On-Site Septic XKX Gcorouurnsd -- 7. Wnchremraldoonsifodrdctuhnvtaanidnpatatkevalnaicneg?rPelsesas include acess, nersecton of ahs pecicocaton pire Slafuw y Set neeosc af Kinogerr _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 631.630.9049 1 800.433.7411 Fok: 651.630.9473 wi deliaenv.cam Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.007754 SstTaAtTeE__o0z2882211771111 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Wit p01) and branodffsoa)m aor were used nw and nh ost he Deparment ihor re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse svi sain appease lease ch a ota response and in training (if applicable)? Please check all that apply. Tipe of Foam BrandotFoam TvUesaadmniegnr mAm"aGoouondyt ceureen unser Type of Foam cl8aAosouss Fi Class B Aqueous FilmGempweowerr Forming F0am (.A.FFF) Gl8oAcsars: Class B AlcoholReson A AFEE Resistant (AR)-AFFF CasbPoGn Class B Protein Gl8Faopsrostn Class B Fluoroprotein 5 _ (FP) Gl8 Foi.sFarmsing Class B Film-Forming Fone ern ---- Fluoroprotein (FFFP) Geos Class B AR-FFFP Css ABH Class A-B Hi Erion foun --_-- Class A Expansion Foam Class A Tangboam _ Training Foam omer Per1e98nCats its) uo [BLA aac biastills Other Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? S.StiLuleKvex A AJOo 330057aef/;e S$t~u(cke fY/LfJ14on /1-t:M(Siriis) _.M>~:.__- ;~4a.:.,q e"&Lf,u.s rt,.;/k/LIIfrlc~ Tha you or your tr and coopraion. Plea cota Nancy Haring Del Consults 651-607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aoca omooo Goan ora WPuo besCoes res (B51 0008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or roam oma) Tou vet aboard a echo jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ace tu his gussetsto Dos sont cay, 008 ntheenclosedstamped, sett P!c:::!:c return th!s g:.:!)st!or:na!rc to Deft:: Ccn5u!tant= b;r !:.:~.;:\.' Oi 2008 !n the cnc!o~sd stamped. ss.ff. Een addressed envelope. Questopgars complied Questionnaire completed by: T Ra~sroreR a&AJnIec F F6Me d~Lp Name and Title ?/{~ FFiirree DDeeppaarrttmmeenntt = 5'0a - 32c22o0--60 -- ~S-DL)m Fran Soe Phone Number S r~oR 27-P oe Date E~ail A Address J1..1 tteEt pen Ino 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00755 state o2s1712 STATE_02821712 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. frDDoaosefsshiyyoonuugrr DDpeeeppraasrrotmmneesnn"tt cunt currently oor has has your your Department Department historical historically sedused Clas Class Aor A or Glass Class B foams foams orfor No. Sign hobackofthis form firefi_ghtXiXng_opYYereeasts-i-onPPsrr?oocceeeedd ttoo QQuueessttioino2n2 and return to Dota Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. How How ofenis often is Class Class Bor B or laA fosam Class A foam used used in in resonsa response oo to fire ccaalllss?? 2. ___X_i__ oaswortues 0-25% of fires _ _ _ 25.50%of 25-50% of resfires ___ 775-510.0%1oof0fefier%ess 3. Doss the Deeppaarrttmmeenntt haavveeacaocmopmrperesssseedd aaiirr ffooaamm ssyysstteemm (CCAAFFSS)) wihwith aa ulti built-in anktank oonn 5its nines)? engine(s)? 3. Does the D -- _ _ _ Yveess vo WE pave Foam Toown)Enkiosd Bet MF CompCrOTiEsSed ;i No 44.. HHoowwafotfteenn'iss ffooaamm uusseedd iinn raring training exercises? exercises? --_--_--_ WWeeekelkyly. CT somaomiaty 1XC Aaty eran ___ Semi-Annually _ MMoontnhtlhyly. Annually _ Qu_a_ rtQeuarrtleryly ___ Bi-Annually Tormey ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foamis usedpor vaiing vent? 5. How much foam is used per training event? TX wen squtons stops _____2(__ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons orothan 10 gatos(easespac ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 66.. IInnttrraaiinniinngg,, wwhheerreeddooeesstthheessppeenntt ffooaammggoo??- Sto Sewer __ Sanitary Sower ontoSeptic Gouna --- Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Gxr,ound over please descrber _ ___ Other (please describe):------------------~------ 7. Wmhaotreidoonsifodrdctueratir3i0ndgpaakt rplaanceg? rloesass include adress, lersecton or thr soci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. T'ZhLer-r- atud/stlseEsdcDss& 2s/ 05 Di7ermut Eos ,At;vi/eG /Bfuu~s&.wP Z?;eelnf-/1i1g)/:.(j , .It- .diaz. Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..007756 SstTaAtTeE__0022882211771133 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WeWishhpaaotnttysyppeee(a(ssn))daainnddibbnriarnndga(s(n)1ood3ffpffslookaa)ammsiaaerrye?oorPrwlweaearrseeeuucssheeecdcnknooawlwl ahaanndd 3innpthh.e pastby past by the the Dapartman, Department, both both for for refire response and in training (if applicable)? Please check all that apply. TUosneidnign? AmUoseudnt CumentUseor Tyyppeeooff Fooaamm Cinss BAqueous Fim Class B Aqueous FilmFoming Foam (FFF) Forming Foam (AFFF) GassBAcono 2 3% ~L% Class B AlcoholRevstan (VRVAFFF ---- Resistant (AR)-AFFF Class 8Protein a Class B Protein Ginss 8 Foroprotein Class B Fluoroprotein & _-- (FP) Class 8Fim Forming Class B Film-Forming Fuiroproton (FF) Fluoroprotein (FFFP) LS Class B AR-FFFP Cass Ag Hi Class A-B Hi Expuson Foam Expansion Foam Cason EE Class A Teaving Foon -_ Training Foam omer EE ---- Other B BrarndoaoffFnFooaadmm Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? oiTTormhrhaarnsnnrtokakodcyynckoiinuohngffgou@oearrdy@yeeosoluttulararettt.eniimvnm.eeccsooaammnn))dd) ooccoroyooJopipemuerarhSSataitttioovoincen.nk.aignnPPgeylelreecraaeaasssteenlthcc,oeoonnnMMtstaaicfnectentgeNNsasaraoncanticacnyygPPRRoHoololSlduudltinQiooinunnngegsCaCaoLotrDoniDmtrerIeooallatlaIAASCgCgoeeonnnncscsyuyull({taa64nr51ts1s.-32((96967557-11-58.-666609696776--o155r116522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiiss qquueesstitioonnnnaaiirreettoo DDeellttaaCConosnuslutltaannttssbbyy MMaayv99,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseelflf:- aaddddrreesssseeddeennvveellooppee.. QNuoesmftganalaeneacieoempFlsaipgsbdyolfe Fics L2ap Eps, ffaie Name and Title Fi~FeaABon/pad2rioJnelont/2FhJ Hampton Fire Department Ph,o5cn)0eco7? a7r 2014~633--33779977 Phone Number Fisee TDoatee 4-5 --208. E-Mail Es Address Xinogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00757 sSTTaAtTeE__0022882211771144 QQUUEESSTTIIOONNNAAIIRRE FFiireffiigghhttiinngg Fooaamm UUsse iinn FFiirre Traiinniinngg me 1. Does your Department currently or has your Department historically used Class A or Class B foams for REfirefightingyperations? vp __v__ Yes- Proceed to Question 2 rT ___ No - Sign the back of this form and return to Delta Consultants 2 owotin' Gis or Cit am ssn soract? 2. How often is Class B or Class A foam used in response to fire calls? ---- soma rere ___ 0-25% of fires _ _ _ 25-50% of fires /75-100% of fires 5 Com sm TR RT CAS I nS a? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Ce ___ Yes Zh ~ No + Huss 4. How often is foam used in training exercises? [re ory cv ___ Weekly ___ Monthly ___ Quarterly Sonny ny amy ___ Semi-Annually -.,....-- Annually Bi-Annually -~V-OtOhtehrer(p(plleeaasseessppeceicyi)fy:):...-..i!J.~lal1J~_;te::.e:ts_::.u.::s.e:e::.d;d~-#:.__::_r/_~_o:..r..:._...a:.Lc<J.di.:.n...a.:.l_-=..fli.i.:.crA_;e:e-=s--s_ _eoJn-nt.:....:...._;,+V---- / 5. HoT -- 5. How much foam is used per training event? ies sar gwinsmn ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Wn ___ MMoorreetthhaann1100 ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): - - - - - - - - - - - - - - - - - tan sons 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? _ _ _ Storm Sewer _ _ Sanitary Sewer ons __ On-Site Septic ar Ground OSEaR sA a Pte ER mrSrl Nl `OOtthheerr ((pplleeaassee ddesceribse):cribe):--------..,--------r ---p ----- --- 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. wv -- ~\.t(--------------- XInJIongogfnen ,., 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651 639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00758 somos STATE_02821715 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WtWehhsaaptot nttyysppeee(o(ssn))daainnddrabbiraninrndg(as()1oo3fnfpffioo)kaamamdaalrreee?oorlrweweaersreeeuucssreedcknnooalwwl haannadd3nin9t3thh.ee ppaasstt bbyy tthhee DDeeppaarrmtmenetn,t, bbootth ofor refire response and in training (if applicable)? Please check all that apply. TUUrssaeenddiginn? AAmUmosoeuudnntt CumontUsoor ClasTsyTypBpeAeqouofefFoFuoosaamFmim- `BBrraannddooffFFooaamm YYTeerassionoirrnNNgo?o AAnnUnnusuaealdlllyy HCHiusistrroteornriitccUUUssseeeo??r FormingFoam (AFF) Class B Aqueous Film- Forming Foam (AFFF) ------------------------ ---------- ---------------- ReCCslatslas8rBatAA(clscoRonhoYsloA.l-FFF ~~ ---------- -------- CRleassisst8aPnrt o(tAeRi)n-AFFF - CIlass Class Class 8B B Furopeotein Protein Fluoroprotein --_-- FuCC(oFlraPos)lsprBBoFtFaeiilimmnF-sF(ooFmrFmisPnin)gg |------------------------ -------- ------ ---------- CossBARFEP Fluoroprotein (FFFP) CcBCapllaasasssssnasABo-sABnRhHF-iFoFaFmP ---------- ---------- ---------- Cassa Expansion Foam - CTrlaaisnsinAgFoam - TOtrahienring Foam olt-ex[hmus AN jog Cugent Other oTTfhhaaonndkkriyyonouugf@foodreyytooiuuarrettnimi.necoaamnn)dd occrooooIppmerearStaiotioocnn.k.nPPglleeeaa3sseehcceoonnMttaaiccttsNNtaannaccyyPRRoootcdiinoiinnnggCaaDotnDeroealltaAgCCeoonnncssyutla(tan6nt3tss1-((626559117---60899077--0o556115522 Jism tockinger@sust)at4e or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any ceslons rogaring ths QuesboAS Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please rstt!rn this questionnaire tc De!ta Cons:1!t:1nts bt' Jl./!ev 9, 200B in the enc!osed starnped. se!f- aaddddrreesssseeddeennvveellope.. QuQeusetsitoionnnnaaiirreeccoommplpoletteeddbbyy:: Try Sebperter .-/tJM ~hnf?r'/t"/ DE Name and Title . Interim Chet F Led Wing frre dep?R Fire Department :;; Phone Nt?u~msb;e]rI 3/1P9?7---77114/-/ D7atJe 5oi Phone Number Date Es E-Mail Address XKinogen _ . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.91530050 473 411 Fak: 93 03.9473 asiunaliaene.tom Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00759 SSTTAATTEE0_202882211771166 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. fDDeoossetss oyynoouugrr DDpeaeprpaaarirttommneesnn?tt csrany currently hasor has youyour Deparment Department Wstorcaly historically sedused GassClass Aof A or Class Class Bfoams B foams for for firefighting operations? No-Sign the back ofthis form and tu to Datta Consultants ~ "YeYses-- P ProrceeodtctooQQeuueseetsitidoonn 22 No- Sign the back of this form and return to Delta Consultants 2. Howottenis Clas Br CaAsfosam use in resp oo cats? 2. How often is Class B or Class A foam used in response to fire calls? 2 oamomes *__assovotties 75.1of0rs%s 0-25% of fires _,_--_ _ 25-50% of fires _ _ _ 75-100% of fires 4. Docs th Depart have compraesfoasm sytem (CAES) vitha bitin tankon s engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Low ~ No 4. Houten foam use ntraing xercaes? 4. How often is foam used in training exercises? wey Moniy ---'-7r_ auaany ___ Weekly Monthly Tomboy Away Team ___ Semi-Annually Annually Quarterly ___ Bi-Annually ___ OOttvheerr ((pplleeaassee ssppeecciiyfy):): - - - - - - - - - - - - - - - - - - - - - - - - . Howmosum cushed or vaiing event? 5. -- tesstansgatons How much foam is used per training _ _ _ Less than 5 gallons D5 event? )(. g5 agtalolornss _ ____ 5swtoio10gagallolonnss ore than 0galors (easospectyy ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In tiin, where docs tho spot foam 7 6. In _SomSewer training, where does the _ _ _ Storm Sewer __SavarySewsr spent foam go? _ _ Sanitary Sewer oreemecemmer _:_-_-_-~- Ofher (please describe): ___ 7 ___ __OOn-nSSitetSeepStioc pte_;&XG)rGorouunndd 17. Whore dost th uaing tke lace? Pleas includ adres, inarseocfttohrn speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location formation of curt a10 ast vag reas information for current and past training areas. p-(d&L(4;(~ {( 11 ,;>< XXIinnoogg~ne-n "" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00776600 sStTaArTeE__0022882211771177 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WsWhphaoatnt ttsyyeppee(a(ssn))daannnddambbrirannagd(ns()1dooafif5ffosomaac)mmaaiarree)aoPrwawesersreeeuucssheeoddcknnoaowwahanntdn5in9hth.e ppaassttbbyy tthhee DDeeppaarrttmmeennt,, thboth ffoorr refire response and in training (if applicable)? Please check all that apply. Tueof foam Band of Foam TVUoosnoeirdntigln?e AAmUnosmaueldnlty CsuimseinottiUUsseeorr Type of foam Gins8s Aqueous Fim Class B Aqueous FilmForming Foam (REAR) -------- -------- Forming Fc2rn (.4FFF) Class Aono Class B AlcoholRestart (RyAFF ---------- Resistant (AR)-AFFF CossBPown Class B Protein Class B Fuoroprotn Class B Fluoroprotein Ie TE (FP) Class BFim Foming Class B Film-Forming Fusooprotan (FFF) Fluoroprotein (FFFP) Goswami o_o. Class B AR-FFFP Class ABH: Class A-B Hi Bomtanfoan | Class A Expansion Foam Class A Trang Foom - Training Foam omer - Other Brand of Foam S,t::;ii" I vw--- 'Ye Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? x Spel Thankyufor your moand cooperation. Ploase contact Nancy Rodrig tDota Consuants (851.607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or dhnadctacy com) or J Stocking at he Minnsota Poon Con Agancy (851-2078656 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Jjimim.s.tsotcokicnkgienr@gesrta@tset.matne.u.sm)nii.ffyuyosou) hhave aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Please tur this qussionnaisto Dts Consents by Hay 2098 I the ensiosed stamped, sic Please .return this guest!cnn3ire to Delta Co-.-;su!tant:s b)l.fv1'ay 9, 2008 "in tl:e enciosed starr1pedT seii- Questionaire completed by: aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: FanMe aEnL18Ks Name and Title ma bees (HEF FieFOtpcaweed Fares [Fire Fire Department Phone NumbSero7- 527-7417 Phone Number ZelF BaeDate S-w-oF Ee E-Mail Address XK1HnKowgo~g1e1w "" renee 208 PE SEL Fo PSs ot 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..076611 sStTaAtTeE__00z2882211771188 QQUUEESSTTIIOONNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. ousyou Deparmentcron or as your Deparment istrcaly uso Class Ax Cas foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for fronted firefi~g operations? Ves Protco Qauesstiodn? ~ Yes - Proceed to Question 2 No- ign th backof his for an return fo Dat Consultants No- Sign the back of this form and return to Delta Consultants 2 owas Glass Bor Glass Afoam sod response torcals? 2. How often is Class B or Class A foam used in response to fire calls? XX___ oosnortes soos ts100%ortees 0-25% of fires 25-50% of fires ___ 75-100% of fires 5 Dos ho Departmenthave copressd a foam sytem (CAFS)wih a uti arkon s engine? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes EV; - N o JR -- 4. How often is foam used in training exercises? Woot Worty Quarry ___ Weekly Monthly ___ Quarterly somamusly +YX-- Amal TT ay ___ Semi-Annually Annually ___ Bi-Annually Over pss spi I ___ Other (please specify):----------------------- 5. Howigueh oom sused por Vaan eve? 5. How)(ch foam is used per training event? rire ss strom Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Moro hn 1 als glass spc) _ ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInnttrraaiinniinngg,, wwhheerree ddooeesstthhee ssppeennttffooaammggoo?? SomSover Santor Sewer __ OntoSot .X Gow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic X Ground Other pose dese) EE Other (please describe):---...,..,.,..------------------- 7 Wheto dos he vaintakepce? lcs eka adress, erecta thr specocatan 7. Where does/did the training take place? Please include address, intersection or other specific location R3i,sko amenawonn osgt.oss. RRempel mn. ro&\N st.:_ information for current and past training areas. 0 ~Q_~e\.-- mN Sinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone; 651.639.9449 1 800.477.7411 Fax; 651.639.9473 www.deltaenv.com 2222222.00762 sSTtaAtTeE_o022s82211771199 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. WTehsamtoonssa)nandtbornanodaffsop)m aeoroeorecuSsrdhnoowoanadpyh. as yh Deparment bh rv 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TUrsasndign? Am"oowuendt Cums usoor TyTyppeeooffFFoaamm Gloss 8Aquos Fi Class B Aqueous FilmFo, ---------- ---- Forming Foam (l\FFF} Class 8Aono Class B AlcoholRosia (AR) AEF Resistant (AR)-AFFF CasoPoen Class B Protein Glass 8 Fiooproton Class B Fluoroprotein ES --_-- ee ee (FP) Glas8sFi roming Class B Film-Forming Peon poy | ------ ------ -------- Fluoroprotein (FFFP) CosARFR Class B AR-FFFP Goss Aa Class A-B Hi Sm Foam = Expansion Foam on SIWV-Ex Yes Soppl Tatel Class A "TTrraaiinniinngg FFooaamm oer - Other BBrraannddooffFFooaamm S4LV- Sjc Used in Training? YYeess oorr NNoo Amount Used AnAnnunaulalllyy Current Use or HHiissttoorriicc UUssee?? TT ENC.Flres Thankyou or your ime and cospraion. lease conac Norey Ring at Dela Constants (6516975152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ona Geta com) on Staking oe Minne Paulo Conrl Agency (851-497-358 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Tranmere shove passa rena chon jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please utun is cussionnarto tla Constants by ey5, 2003 theenclosed stamped si: Please return t/Jis questionnaire to Delia Consuitants by iviay 9. 2008 in the enclosed stamped, self- s P---- aaddddrreesssseeddeennvveellooppee.. - RamoBagaartel Suentkelske CA Name and Title _ FroDRop~bifm"nR tV\~.rewmof = - Fire Department Prove o\mgRer SSb6.bb 2~6G0o0O S)=i1/08 Phone Number Ee E-Mail Address NKinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00763 sStTaAreTE0_022882211772200 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. DeoaetsonyionurgoDpeepsairmoennst? currenotr has you Deparment tocally sod Cass A or ClassBfoams ox 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? No Sign th back of this form and eur o Dla Consultants ;".Le --Ys es-- PPrroocceeeedd ttoo QQuueessttiioonn 22 No- Sign the back of this form and return to Delta Consultants 2. HowGoasfsBerClnas iA fosam usedin espoencasl? 2. How often is Class B or Class A foam used in response to fire calls? oammoimes _X assowores ___retomeorties ___ 0-25% of fires )< 25-50% of fires _ _ _ 75-1 00% of fires 5. Dons he Darin hava compress a foam ssf (GAES)wi abl arkon sangre? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes > ho >z- No 2 Howalen's eam usd in ving verses? 4. How often is foam used in training exercises? wea oan ony ___ Weekly Monthly Som aly pony 2 seaomat7y? ___ Semi-Annually Annually ~ _ _ _ Quarterly Bi-Annually ___ OOtthheerr ((pplleeaassee s specp ifye : c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch ami ued or vainng oven? 5. How much foam is used per training event? _ Lesstansgaions DE sao ___swiogaions Less than 5 gallons x:_ 5 gallons _ _ _ 5 to 10 gallons More than 10 gatos leas spi): ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. niin, wher dos to spent fam go? 6. In training, where does the spent foam go? 52SomSows __ Suan Sowsr__onStoSepic__Gruna x_ _torm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Oter leasdose) ___ Other (please describe):----------------------- 7. Viners does h ann ako place? loo cud adres, inersection ctor spi ation 7. Where does/did the training take place? Please include address, intersection or other specific location roo------ a---- information for current and past training areas. XNi1nnooggepr1: ,,, 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00764 stare_ozs21721 STATE_02821721 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. e What eolo) andarsadsHaofpoom ar oPrvesrs uhdacnkwoaknd oinyh,o at th partment, bthfor 8. What type(s) and brand{s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Toonng "beet curntuseor TyT~p[e!eooffFFooaamm BrBarannddooffFFooaamm Used in YesorNo Training? Yes or No CSheomonhi usousnFin 11%9 3Sn LLiphhr wf" HEpeEs > I7I CassBAcohs: 3-4 3m 3fi1 Class B Aqueous Film- 19c Forming Foam (AFFF) Gorn --ZC 5a II 3- Class B Alcohol- RReessiissttaanntt ((AARR))--AAFFFFFF 3.., L :r~l wfT-c I IL_'f?.S I LLi,g'h$i; wwaqrree!-"( ]/cye_. 5 ire Q7 e Class B Protei!") Fn Class B Fluoroprot~in = -_ (FP) A---- Class B Film-Forming R---- -- ------ Fluoroprotein (FFFP) HR ee Class B AR-FFFP Garona Class A-B Hi on - -- ee Expansion Foam -- We eaWetions] yes Saal C c Class A nt ee ---- Training Foam aver - Other Amount o Used ric Use? Current Use or Historic Use? Se/ 4 Tak you for your me and conpraton, less cont Nancy Firing at Dot Gonslan 051375152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 masro oSingn soo Meso los Comet os 65 SorSoe or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Tm oe en roo jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. P.fl'e.!a~sE.e.r~~e[tgutryrnntthhiiss_qauuesltji_o~nmnnaaiire to Delta CCoorsnusltaunltsthhayvMnMatayv8s92. 0?0fl088inin tht-hee eonce.nfcolosseed d ssttt!moed. s16elf- Fn CL addressed envelope. ---- 7 ,7 ( FLesaenrfap ilbnone seidd e Sef Fire Department 22 dt)Bs.robbins Be ns ad!c# 7T6533 '.$5 _}/5-&c?C? _5_5., /2P.0CJ80 Fotis ) / 5 Phone Number _ /J Date Ea /22 ~c! ~alhJJ)$C/~k mn' tl 5 E-Mail Address XXIinnoogfg~e:nr ,"' Phone: Phone: 651.639.00855910 651.639.9449 I 1 800.977 Rice Cree 800.477. 7111 k Par 7411 k Fok:way Fax : $91639.9475munidalinsnu.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00765 [Ep-- STATE_02821722 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. fDDtoogsehss iyynooguurr oDDpeeeppraaartrttimmoenensnt?t curenty currently oorrhhaassyyoouurr DDeeppaarrtmmeenntt hhiissttoorriiccaallllyy uusseedd CClalssAAaoorrsClolassssBBf ofoaammss ffoorr f i r e f KC ves - ighting operatio _J_ Yes- Proce ns? Proce e d ttoo QQuueessttioino2n2 No. Sign tho back ofthis form andreturn to Delta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants l 22.. HHoowwoofftteenniiss CCllaassss8BoorrCCllasasAAsffooaasmm uusseedd iinn rreespsonpsoefntoosrfieroe ccaallllss?? X_ ozs0-25% aorf ftireess Skotos 25-50% of fires 7__5_175-1000%0ooffff%irreess 3. 3. DDoosess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprpreesssseedd siair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a bit a built-in ttaannkkoonnists eennggiinnee((ss))?? ___ YYeess ne +No 4. Howolen is foam used in raining cxercises? 4. How often is foam used in training exercises? Newer Wey Monty Quarry ___ Never ___ Weekly Monthly ___ Quarterly Semiannualy _AX_ Annual __ eiAmualy ___ Semi-Annually Annually ___ Bi-Annually Over (please speci ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppeerr rtraaiinniinngg eevveenntt?? ---Xl'_f_'-"---tLeessss than than ators 5 gallons Sgalons 5 gallons ___ MMoorrae tthhaann 1100 ggaallloonnss ((plleeaasscessppeecciifyyy): ___ 55to11100 ggaal0lloonnss 6. Intaning, where does the spent foam 007 6. In training, where does the spent foam go? XX__ sSttoormmsSeewweerr __`SSaanniittaarryySSeewweerr __ Oonn-SsietesSeepptiticc __LXG_Grorouunndg Over please describe: SE ___ Other (please describe):---------------------- 77.. WWfhhoeerrmreaetddiooosnessoi/ddfiddcutthhrreetnriaaninniinnggpataaskkteerlpaalacnceeg??aPPrlcleeaaas.ssee|iinncclluugo(adCdSreSss nKorsgFcotonneornoth0ersbpefc location information for :current and past :training areas. & Tec Mas 7 NT ve . ec MA oI"I nn \.\ 3 2%65 gud SL Dw. ,S, H i Rockesiee mS JeSTec MAS II XKIinnoogg~enn: "" OOVVEERR---+ mane 651.63S9.T5108E0050.C47r7eeARi yFok: SSonUe3090045% pePausl,sWdNiSa5tTEacsUoS.Am 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www de!taeny.com 22222..00776666 STSATATTEE0_202882211772233 QQUUEESSTTIIONNNNAAIIRE FFiireffiigghhttiinngg Fooaamm UUsse iinn FFiirre Trraiinniinngg SWNT a ead Sey Dea, Sor 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Sr ts response and in training (if applicable)? Please check all that apply. gVantnin, AmSountir TyTyppeeooffFFooaamm rpnonn Class B Aqueous Et Film-Forming Foam ms -- (AFFF) Corto. PSY) . Class B Alcohol- Gmpae T -S-r oen AD. 0D es wo (Rempg. Resistant (AR)- bsAFFF Comgpaen Class B Protein gBaEsny -- -- ---- Class B B BrarndoaoffFnFooad amm \P\)s.)$i~\ : : 5-\()"'{" ~ Used in Training? Yessorr No Amount Used AAnnnnuuaalllly Currently UUsseed? Historically UUssed? ) Fluoroprotein (FP) omar Class B Filmfd Forming | -------- -- -- -- -- Fluoroprotein 5g (FFFP) Coup Class B AR-FFFP Gran - : Class A-B Hi ne . -- Expansion Foam omen FtpBy pales. S<109) ND UYos Class A een CTT pee Training Foam poy TgE ma eSD ho. -2sr0o.6)U5 d(e Remy) Other [= E5C[)\T-r\eeAcC~.h?.\bv..Co.odl\oo~~\ite-'~ d5 W~I\cll.{.b.JD 1100~0~0)) NY; Ct-. Pt"K ~\ Q6 Tor rt an coop et Nay Rin Cots Conant (81007552 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651 c697-5152 Bhd A ofA Et HINA or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or sear pom jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. only ai SR fe Te Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- `addddrresssseeddeennvveellooppee.. cupping ants t'NJcV a k Eh Coil in oy Questionnaire completed by: i)nls~ Choc Dplselh | Teedvug Cablows Name and Title a Ro t\-',51e . r Fire Department \ < SR0r1Fae-@n SaUsaley Phone Number C206@6 (ockesTer Mr), GGoo)v c~\s~@_ Qoc~~e_r ({)~, Sans E-Mail Address , I Da e 1 Kinogen - 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA ro TT TT Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00767 J-- STATE_02821724 QQUUEESSTTIIONNNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Does yourDeparment sonohas yor Dprimen istrcal used Cis Aor Gass 8 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for atari pesto? _XX_ Yes. proceed firefighting operations? Yes- Proceed ttoo QQuueessttiioonn 22 7No Sign hebackofthis orm anruto Dota Constants ___ No- Sign the back of this form and return to Delta Consultants 2. How fons Gass Bo las A foam usin espns 040 cal? 2. How often is Class B or Class A foam used in response to fire calls? X_ozssotives assole Tstacts X' 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 5 Docs he Deparment havea compress a foam stom (CAFS) wit alinark on 5 engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? I ___ Yes X xo ,)( No . Howfooam ushed nerinng irerse? 4. How often is foam used in training exercises? Weeky Voriy aun ___ Weekly Monthly _ _ _ Quarterly SoA ---4ra-y- 5 Amal ___ Semi-Annually Annually ___ Bi-Annually Other leas spc - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch Loaomissutsaendspegruvnisng overXt.?_ 5 ators __ siotogmon -----X-- 5. How much foam is used per training event? _ _ _ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More han 10 gals (ose pect - ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - -X- 66.. IInn ttrraaiinniinngg,, Storm Sewer __ wwhheerree ddooeess tthhee ssppeenntt ffooSaaammntgaor?ySewer onstesepic _X Ground Ger (caso dor ___ Storm Sewer __ Sanitary Sewer Other (please describe): _ _ On-Site Septic TT Ground ___ Zor UE UN Rochester 7. ifrihedtoeerribemhbiyradin oak ilacen? loaso cud adrss,ionfartvsrsspetciiososn r [LLeL OCuvr,or<enit{ly ulsAe~ A-ppr'oNdJekti- c~(a/l:l.dJ #.(F{5s-71100 vwJh,iI1e.,jh.. I1S3 am CFL ..A-v.. v,}f: 'f, ~ IV\ pf(l~e t5f6 fraa~m WW-oA- ihttoCvs'lle-- hFr~on inII\ SH 0b\Autt wVleCeL /7f (flaiisf od(ff--t-eeAn\. -tHh-tlva'-n"- ww=- ,4A,d~~ SSyyt"ss atXgJOo.. Xinogen: en A LITE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222..007768 sStTaArTeE__o0z2s82211772255 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm Usse iinn FFiirree Trraiiniinng 5. Wphrostcktiynes) andrbraitsscsom areviobresadrw ar ea: th Dorm, bt fos 10 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. GTaons8 iAqueeous nim. TH TTyyppeeooffFFooaamm Class B Aqueous FilmFormiflg Foc>m (AFFF) BBrraannddooffFFooaamm Usetin Amoun Used in Toamngs Gost' ument user Training? pe F YYeessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotoriricUUssee?? CCllaassssBB AAllccoohhooll- ey Resistant (AR)-AFFF aera Class B Protein Clee 8 Foren Class B Fluoroprotein &(FP) ------g--en------ ---------------- - ------_ -- -- CCllaassss BB FFiillmm--FFoorrmmiinngg a-- -------- Fluoroprotein (FFFP) Io -- Class B AR-FFFP - eee CCllaassss AA--BB HHili ,| -------- -------- ---- ---- Expansion Foam _ Glass 3M pes 5 Class A / Teng Foam Co Training Foam omer om loli EU pa TT Other harkyoutoroe tm an coperton. lass contact any Ring of Only Conslants (05.007-$152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants {651-697-5152 esa os Siero WonastsPaoos Coil fon 65-597 5908o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or re oo) os ov ry srs ear os awstats jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Fags lonsalats Tocs eS JONS1 ERE RAE S Plp~sP return fhis ouee:tionnairfi? to Deft~ Consu!~ents h;r l'Aav 9 20~B !n the enclosed $tamped. self.:. adadrderesssseeddenenvveellooppe.. -- Questionnaire completed by: Dena, 3 Dopty Uhl :D~~=:;z~xv 1 J Fra Name and Title R~JoJclchde;Jr- Fi Basa Fire Department #1). Fr Tr SS0o9J 32 2413 Phone NumbdJerreflaavn,@~G.L r,rood\c~fh-Ge.I mMn"'.1goov/' ET E-Mail Address - sl yi 51 Date Kinogen: Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: i Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00769 state 0221726 STATE_02821726 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . iDDeoofseissghyyioonuugrr oDDepepepararartttmmoerensnt?t ccuurrreennttlylooyrr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriciaclalyl uusseedd CCllasasAAsosorr CCllaassss BBfofoaammss ffoorr firefighting operations? _XX_ YYeess-- PPrroocceeeedd ttoo No- Sign the bac QQuueessttiioonn 22 of this form and retto Dualnta Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. HHooww ootfteenniiss CClaasssBsB or or CClasasAAsffoosaamm used used in in respotnosfe response to fire calls? calls? 2. XXK ommotres 0-25% of fires ______ 2255-5500%%ofoif fiireess ___ 775-510-0%1oof0frfire%ess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd saiier oafoam ssyysstteemm ((CCAAFFSS)) wwiitthh aa bull built-in ttaannkk oonn isits eennggninee((ss})?? ___ veYes --XX_ NNoo 4. How ofen's foam used in raining exercises? 4. How often is foam used in training exercises? eek bony Cuan ___ Weekly Monthly . Semi-Annual X_ Aly BiAmnualy ___ Semi-Annually ?( Annually ___ Quarterly ___ Bi-Annually ter (pease speci): i _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchhffooaammiiss uusseedd prper rtraaiinniinngg eevveenntt?? ___ LLeesssstthhaanns5ggaallloonnss '_)X(_ 55 ggaallloonnss ___ 551to01100 ggaatlloonnss ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - 6. 6. IInn trraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm 6g0o7? ___ SSttoorrmm SSeewweerr ____ SSaanntitaarryy SSeewweerr __ Oonns-SiitoesSeeppiticc Oher(Oethsers(peledaesesdcersbceryibe):---------- ___________ _)_{X__ GGrroouunndd _ 77.. WWiihnneefrreoddoomeefssai/rdtdiddciuthhroeeenntttrraaaiinnniindnggpataaskkteeilpnalaiccee??aPPrlleeeaaasssee iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortr oittohhenrr paci specific llooccaattiioonn information INI lf for current and 8fRhce?.vdJetvrti1 past YY training P!?oa areas. Ili/ol~nt t(Sfl(h)o'v-"'eL- m /W w1!/ S ~- sS-r-tE' '1 ~ 7 XKiInnooggefPn-:" .'"' = 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA momar 51.639.9045 1 800 473 5411 Fok: S91.039.947) MmHMAILRSRY. Com Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00770 sSTTAATTEE__0022882211772277 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What pols)andband(o)ofoam ar orwr us owand nhpast b he Department, bth for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in aining (fapphcabie lease check al nt 395. response and in training (if applicable)? Please check all that apply. TUnsendgin? AmUosuednt Curent Ussor TyTvppeeooffFFooaamm Class 8 AqueoFuims- CFFoolarrsmmsiinnBggAFFqoou~aemmou((.sAAFFFFFilFFm))Cl8aAcsonsol Class B AlcoholRest(AaR)ArEtF -------- ---------- Resistant (AR)-AFFF cossopoen Class B Protein Clas & Fuoroprotein Class B Fluoroprotein E sens sm. se (FP) Cl8Faim sFormsing Class B Film-Forming Feroproton (FFFP) Fluoroprotein (FFFP) CassoarF Class B AR-FFFP class ABH Class A-B Hi Bpmionfoan | - Glass A Expansion Foam Class A Training Foam TT Training Foam omer - Other BBrraannddooffFFooaamm ARGOS Used in YYTeerassinooirrnNNg?oo Amount AAnnUnnusuaealdlllyy HCiHsuitrsroteornriitccUUUssseeeo??r PS s-fogel TT Thank you for your tine a cooperation, Pleas contact Nancy Rodinga Dla Consulnts (61.607 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or wadng@daaany com) or m SIockinor a ha MAnosota POLAGN Conta Agency (551-075606o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im stockinge@state nue4 o)u have any Questons regarding a quesionnare jim.stockinger@sta-te.mn.us) if you have any questions regarding this questionnaire. Pine coum this questionnaire to Dats Consultants by Maw 9.2008is the enclosed stamped, cll .P!ea!!e return th!s questionne!re fc Delta Ccn~u!tt:nts bv JI/Jay 9. 2008 in the :;nclcsed stanipcd. seff... aaddddrreesssseeddeennvveellooppee.. Questo completed by: Questionnaire completed by: NameS5han/a)dfn'1TeeiosS. ~ShYeJer d<J)~ ,' Name and Title FiDBepoalrhm~enetS we pi Fire Department PhSonpe )Numb4erS5-048) Phone Number chief Bio4-25 0% Date E-Mail Ee Address Kinogen . i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone 651.630.95401 860 433741Fa3k: 4510109473 Mdaasnea Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222.00777711 sStTaAeT_Eo_0z2s82211772288 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg a 1. 1. rDDoiooegsshyyioouunrrgDDeeppaaoprrmtmrmaeteonnnts?t cuort has yn ourDteaimyent currently or has your Department istorialyused historically used ClAao GsasssB Class A or Class B ffooaammss ffoorr firefighting ~ations? No.Sign thobackoftisform and turn toDottConsultants / Yes- Proceed to Question 2 _ _ _ No -Sign the back of this form and return to Delta Consultants 22.. HHoowwooeftenniissCCllaassss BBoorr CClalssAaAfsfooaasmm used used inresponse in response ofrto fire cals? calls? 1 1 / 00-225s% ooftfrireess ___2255--5500%% ooffffrireess ___ 7755-:110000%% ooffffirreess 3. 3. Doss Does tthhee DDeeppaarrttmmeenntt hhaavvee a ccoommpprreesssseedd akair oafoam ssyysstteemm ((CCAAFFSS)) vwiitthh a a ulin built-in ttaannkkoonnists eennggiinnee((ss)?? vesNo ___ Yes z./ No 4. How ofen's foam used in ining exercises? 4. How often is foam used in training exercises? Weaky vou cuateny ___ Weekly Monthly ___ Quarterly A Sem-Annually Aor Bama 4 + ___ SOtehmeri-A(pnlneuaasellsypecify); / Other (please specify):3'v.>-\ rfA'ne~nfc.uiae!ll.y.~~ ~,p,_u.r._chh:~a'suseed~ oa...n ~Beei-wAwnnuPa"ll'y""'f-llt' wWi~ll~l ce.l.\aos.SsS. 5 Howrah sms worn? RN 9 V't<onu.-..~.- H\-a-\v0-uee~ 4 eIaMd~ oofRrO/I~~~ -Y\-oou~s\(e_ \d;h\ ~~y-\a-- 5. How much foam is used per training event? U Less han gars 5gators 51010gators ~ Less than 5 gallons 5 gallons 5 to 10 gallons Maro than 10 gallons (sso spect ___ More than 10 gallons (please specify): __________________ 6. ntaiing.wheredoes th spot foam go? 6. In Storm Sewer training, where does the ___ Storm Sewer Sontary spent foam go? _ _ Sanitary SSeewweerr TC omeiessecescrver --~-_Other (please describe): ____OOnSn-iStiete SSeeppttiicc G~rroouunndd 77.. WmWhaheetrreeiddoooneessf/odcriidcthuhteeettrrraaainnniindnggpataaktkeerppallaanccege?? aPPrllseeeaasssee iinncclluuddee aaddddrreessss,, nintterrsseeccttioonn oorr theother spec specific llooccaattioonn Ue..G::J informaVtioen rfoyr curreSsnte~ana\d l\pastaat.r.a-mi-noi~no.g.._an_r_e\as.wa~s lA u..Haa\d)) FtDo(r' \AJ's(Aa_~t'-i-'~t! ca..A.-\ ~ A Ree Stadion, inbhe yaed Hwogerwe PPhhoonne:e: 651.630.51084005.437.7431Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 241.630.9471 Suite 100 St. 651.639.9473 warn dAIAGRY. Om. Paul, MN 55126 USA www.deltaenv.com 22222..00772 STSTAATTEE0_202882211772299 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. What tps) an ancoflfa)m reversee now and ih past by he Department, blo fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponas sd naming ( 5PIGaeY leasecreckal ok apy response and in training (if applicable)? Please check all that apply. TUrsnendigne AmUoseudnt CurentUseor TyT~p[:o!eooffFFooaamm BrBarannddooffFFooaamm Clas 8Aqueous Fim- Class B Aqueous FilmFarmiga (FF -------- -------- -------- Forming Foam (AFFF) Cl8aAcsoteol Class B AlcoholReswant (RAF -------------------------- Resistant (AR)-AFFF CassoPoOn Class B Protein Cis 8 Fuoropten Class B Fluoroprotein I) _--_-- (FP) Class Fim Foming Class B Film-Forming Fucapoton ory | -------------------- ------ -------- ---------- Fluoroprotein (FFFP) cspmrsre Class B AR-FFFP Class Class A-B Hi Bopanna Se -------- Class A Expansion Foam Class A D~sIll~l~~ S~f\ov~ TamngFem > TT Training Foam oer -_ Other Used in Training? YYeess oorr NNoo Amount Used AnAnnuuaalllly~ Current Use or HiHsitsotorriiccUUssee?? o~~.$. s Thyaoufnor ykour me and operat, Pleas contact Narcy Roding at Det Consullans (651-657-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 o rodnngGdlaon.com)ors Sacingr 3th Mirnsots Pollan Gorwol Agency(351-397 386 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ack Gls as) 9 hve og desi egg i osbonmate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rotur this questiotonDnotasire Consultants byHay , 2008 in theenclosed stomped. sll: Please return this questionnaire to Delta Consultants by May 9, 2008 in the enclosed stamped. self- `adddrresseddeennvveellope.. AL Quesiqanaescompetedby: AL Mdleded, - Ast cud M~\\~~ Questionnaire completed by: arms and ie Name and Title Qose Creel Ududeer Ree Dept Fre hes Sd ept a _s/ EFiEre Departm5e0nt7. 437-4283 s/e,/losg Phone Number Date Eire E-Mail Address NKinoger: oranes 31.439, TTOETEEESRTTete SSSTOM US ERi uRAt CERSeSUSnA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007773 sStTaAreTE0_208228211773300 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DrDeootsegsshyyioonuugrrpDDpeoeprpaaarirtmomenensnt?t csteonhtays currently or has your your Department Department historical historically sedused Clas Class A or A or Glass Class B foams foams for for firefig(Vzops eraPtiorns?octoeQueestiodn No-Sign the boaf tchi korm Yes- Proceed to Question 2 Sign the back of this form aanndd rreettuurrnnttooDDlelataCCoonnsuslutltaannttss ___ No- 2. Howes often is Cass Class Bor B or Class Class foam A foam used used in in respotnosree response to fire ccaalllss?? 2. How XXX o0-a2s5h%ofoff rfireess _ _ _252.55-500%%ooffffirreess _____ 7755-110000%%ofoff frireess 5. Doss the Deparment have compress a foam syst (CAFS) witha bin arkon ks engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes Xo Y No 4. How often s foam used in aiing exercises? 4. How often is foam used in training exercises? New weedy Ment J --. ___ Never "Semanal Aooualy "Xsan ___ Semi-Annually Weekly ___ Monthly Annually K ___ Quarterly Bi-Annually Othe lease speci): . ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How muchfoams usedpr raining event? 5. How much foam is used per training event? Losstonsgatons K_X_ Salons 51010 alors ___ Less than 5 gallons 5 gallons 5 to 10 gallons Morethan togolons leasespecy ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 5. In raining, where doos th spent foam 7 Storm Sewer Santary Sewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer __ OOnn-sStiteeSSeepptticc _G2Xkr_oGuronundd Other plesse desert) _ ___ Other (please describe):---------------------- lJ rt; 77.. VoWihrberrgoe addoneoso/dsiduthhteeetwraanainiinnnggaatsakkkeeYppallaanccege??ePPallesea.asse inch include aves, address, nerston intersection oorr ootthherr speci specific llooccaattioonn information for current and past training areas. ~0~"ie -<A>v"e'Yl Dartonifr \\ Jo~~,JIJ> FH~IPdJ Xinogen: OVE ER R~ -- Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 P.aul, www TF MN 55126 USA de!taenv.com 2222222.00774 SstTaAtTeE__0022882211773311 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg ~ 8. WWrhehsaapttonttysyppeee(s(ss)n) aanndrbbamraianndg(snf)ooafcfpffooo)aanmmcaaabree"ooPrlwweeearrseeeuucssheeedcknooawlwraanntddainnpptlhhye ppasatbbsy tthhee DDeeppaarrttmmeenn,t, bbootthh ffoorr refire response and in training (if applicable)? Please check all that apply. IwsotFoam Bondotforn UTTsYUrraeesnisendondinrigighnn??e AAAmUUmmossoeaueuddnnltt CCuUumrsorenatn?ltlyy HHiissUttoosrreiiccdaallllyy CCFlmaTsl~ps[o!8BaeAmAqomqufsueFgeoootsauuomss m -- Brand of Foam Yes or No Annuall~ o_o Used? Used? o_o Fr Film-Forming Foam (AFFF) Cl8aAlsots Class B AlcoholReemrsen RY Resistant (AR)- ACFaFsFsoPoen cPaiseosla (fp) Class B Protein Class B ---- ---- ---- ---- CForlmi8nagFism Fluoroprotein Class B Film- ( F P ) Forming Ffusgen Fluoroprotein ---------- ---- ---- ---- ---- c(FoFFsPo) aReER o_o CEapsssAoonHFoam Class B AR-FFFP Class A-B Hi : -- Class A Expansion Foam Class A C( hhee~0m~ns.e.radrd A i. 8610-0s0\ \ al -- ~ Tamngoom Training Foam _ __ __ omer Other me -- oiTTormrharnhsnrotokaccdykynnooniignun@fgkgfo@ dorrredyylseootalutuaaerrtenttniyimvms.eoccuooaaemmnn))dd) ooccrorooYJoJpoipemureaSrhStaiiattcoioovnkcn.ik.aninngPPgyelleereQraaaoussteeiethccrsoeonnoMMttaaiicrncetetngsNeNaesaraotdnnticsacnyygPPRRiooolslluodtnaiCoicrnongeCCisoaoifotnDonntDntrlrenooglloatlAatAgeCCegoreoennnscsyuu(la(t8a6n9n5t1t1ss.-32((96957557.11-85--666690687766--oo551r15522 jiPml.esatosecksintguer@tshtiasteq.umenst.uiso)ninfayioruehtaovDeelatnayCqounessutliotnasntresgbayrdinJgutnhei6s.q2u0e8stioinnntahiree.nclosed stamped, set: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped. self- `addddrresssseddeennvveellooppee., ons Questi~ire rsa completed by: Nar-epn'TA i~~2 ~AD I~ FNraemDH/ee{eopanassdercamTe.ait.nleut Fire Department CC/HJ.E;E~ 2 Phor1a a7b-erYb3-0750 PE"thtoaaneAsNdiurmiebsnesre @ yahoo con covv-- TaCdlufeoy Kinogen een PT, 5910 Rice Creek Parkway ELS Suite 100 St. Be- Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.007775 sStTaAtTeE__o0z2s82211773322 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. DeDoofsessiyynoouugrroDDpeeeprpaaatrritmmoenensnt?t uranty currently oor hhaass yyoouurr DDeeppaarrttmmeenntt hisisttoorriccaalllyy uusseedd CClalsasAsAosorr Cass Class B fBofaomamss ffoorr firefi_gh>.tinXXg_opNYYeeoreasstiS-oPinPrgsr?nooccteheeedetbtdaoockQQuuoeeftsshttiioisnof2n2orm andreturnto Delta Consulants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. HowolenisClass B or ClaA fsoasm used inresopfancaslse? ied. 30 wig pin pean a1 hace 2. How often is Class B or Class A foam used in response to fire calls? Used. :So .,..,:,..,~ p w- 'I e-cv- oA 6 tl'vc..-f.J/(_ 7f-,:..e.s. 025 offres 25.50%of res 75-100% of fres ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires a 3. Does he Depariment haavvee accoommpprreesssseedd akair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa bbuuiiltt-iinn ttaannkkoonnistseennggiinnee((ss})?? t h 3. Does the Departmen Yes ---=-Yes YNo 4. 4. Howotlen's How often is ffooaamm uusseedd iinn ttrraaiinniinngg eexxeerrcciisseess?? ___ esky Weekly ___ Monty Monthly _ _ _ SSeemmbAi-nAnnunaulalllyy AAonnnuuaatllyy OtOttheerr ((pplleeaassee spect) specify): tdsdor del vie fre vf>-e ..- We /lo-t" ----- ___ Quarterly soriy mBaiAmualy ___ Bi-Annually 5. 5. How How much much ffooaamm iiss uusseedd prper trraaiinniinngg _ lesstanSgalons eevveenntt?? ____ Scallons 5110gat0ions MoLerses tthhaann 510ggaallloonsns (l_ea_se_sp5egcatllons _ _ _ 5 to 10 gallons --------- More than 10 gallons (please specify): - - - - - - - - - 6. 6. Invaing, In training, hero where cdooeesstthheessppeentntffooaamm 0g0o7? _SomSewer ___SaaySewer ___OnSieSopc Ground ___ ter Storm S(pelweaesre d_ esc_ ribeS)anitary Sewer __ meee On-Site Septic Ground ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 77.. WWInhfheoerrrmeeatddioooeenssfol/ddiddcuhthrereenttrrtaaaiinnniindnggpaataskkteeUaplnlaaiccneeg??aPPrleleeasaa.ssee ncude include aaddddrreessss,, iinnteerrsseecctiioann oorr aotthhoerr sppaceicfifiicc llooccaattiioonn information for current and past training areas. We bmpob uuse Foon dor Fmiiasy aly reel Fle ircderts XKiInnooggpe:nf '"' [ESRI SATE Cr pyA TUTOTEOU Foa sRHSvS us 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00777766 SSTTAATETE0_208282211773333 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WTWehhsapatotnttysyppoee(a(ssn))daannnddrabbirrnaainnnddg(ss())foosffpffpooiaacmmabaaerr)ee?oorPrlwweeearrseeeuucssheecdcknnooawlwiaaanntddpiinptthh.ee ppaasstt bbyytthhee DDoeppaarrttmmeennt,, bbootthh frfor ffirreo response and in training (if applicable)? Please check all that apply. TrUUassieandiininng? AAmUmosoeuudnntt CurrentUsoor Training? Used Current Use or CFColarTslmyTsiypnBBapgAeeAqFoqusoofuefaFeoFmosououa(sasAmmFFFiiFlmm)-- BBrraannddooffFFooaamm YYeessoorr NNoo AnAnnunaulalllyy HiHsitsotorriicc UUssee?? CCRFolaerslmssin8BaigAF(slscocAooatRnmhsaooArl(-AnFFtFFF) ~~ -- CRleassissta8Pnrto(AteRi)n-AFFF ------ ------ Class IClass Class Flaoroprotain B Protein B Fluoroprotein sm---- CFC(FlllPaasss)ossopBBroFFtiilimmn--FF(ooFrmmFiFinn)gg CesseaRFER Fluoroprotein (FFFP) Class B AR-FFFP ClCEaxlapssassnsAAi-oBBnHHFioam cass A Expansion Foam ear se sees een TCrlaaisnsinAg Foam - omer Training Foam ees eee sees ere Other 1TToormrhhwansaorntoiokddcynynkoioiinunungggof@@orard@eyyesotolautuaartreeettnniimyvin.eeccooaa)mmnn)dd)oocicooroooJmpuipemrearhSStaaitttioovooncenc.k.kainnnPPgyglleeeceraeaaasstsethohcceeoonnnMsMttaiaicrnnctentegeNNsasaoarontnitcaacnyygPPRRatoolhollsuudditniiCoainnUnnggGCaCSaoHotnOnDDvMtroIeeolBltlaaHAASCCggoeeonnnnsccsuyyultl((taa66nn55t1t1ss--22((8696757581-186--66609606767o--o5x5r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. lPe/fa:sJet_~rfe!!tIu~rtnwlltJ.ibsi~a.uCel.s!t!~i$o._nfn(Qa(iIr1JeJ!t.o~r.D~eJlQ_tQa~fCto~_nCs.QuflltYa!ntatns~b.bvv_fMJ!a/avv9...J!2._0g0go8Biinntthheeeenncclloosseeddssttaammpoeedd.. sseellff:- adaressed anvelope addressed envelope. Questionnaire completed by: Questionnaire completed by: RoN/Vmee~llana T~iSJl-p~'$t+N' Name and Title FrBAeasfDee~p1a1at/rfskmentiF,nft D_peearr.. Fire Department Fin Syhte Pi6an5o~))Rmb~-er17t9tz2- /J0ecJoenr Phone Number YBaelos Date E;vMtae/lelA:d./d.re,iSsJjs'qucctiJr'oofnrl @(ciG./. r/'oosseevv:li/et-.e_/'1m/J., vuss,.. E-Mail Address Kinogen: er Cre ry Se TOU _--Fa SSrI UrS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Thane: 631.639.1 89055.04353 5111 Fok: S91 030.047) MmobalaLRA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00777 STSTAATTEE0_208282211773344 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 11.. fDDrooesehsashyyionoguurr oDDpeeeppraaartrttimmoenensnt?t ccuurrerennttllyy oorr hhaassyyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uussedd CClaslsAAaoorCsClalasssss B8 ffooaammss ffoor XX_ firefighting oVpeersatio- Pns?rotco Qeuesteiond2 NYoesS-iPgrnocteheedbtaockQuofestthiiosnf2arm and return to Delta Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants LKozan 250kotfes 75100 tes 22.. HHoowwoofftteenn iiss CCllaassssBBoror CClalssaAAfsfooaasmm uusseedd iinn rreespsonpsoetntoofsfirree ccaallss?? 0-25% of fires 25-50% of fires ___ 75-100% offires 3. DDoosess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprpreesssseedd asiir oafoam ssyysstteamm ((CCAAFFSS)) wwiithh aa but built-in ttaannkkoonn iitss eennggiinnee((ss))?? 3. ~YevNseos ___ No 4. Howotens foam used in raining exercises? 4. How often is foam used in training exercises? week -- wonty cure ___ Weekly ___ Monthly _ _ _ Quarterly SembAnnually XC Annual sine ___ Semi-Annually ---~-X~ Annually ___ Bi-Annually Over please speci: = ___ Other (please specify):----------------------- X 5. 5. How How mmuucnh ffooaamm iis uusseedd ppeer rang training eevvaenntt?? WY LLeessss tthanh55ggaalallloonnnss 55ggaallloonnss ___ 5 Si0aens to 10 gallons ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfifyy)):: - - - - - - - - - - - - - - - - - ----4- 6. 6. Intaning, In training, wwhheerree ddooeess tthhee ssppeenntt ffooaamm 6go0?7 'i_ storm sever _____:i,_santarySewer On-Ste Septic X_ crowns OSvtoermr SpleewsesrecoserneSyanitary Sewer __ On-Site Septic Ground _ _ _ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WWinhfhooerrrmeeatGdioooeensslf/dodiriddcutthhreereitrnanaiinninndggpataaskkteeFappirlaayccneeg?? aPPrlleeeaaasssee incu include aaddddrressss,, iinntteerrsseeccttiioonn oofr air other speci specific llooccaattiioonn information for/1c'u11rr77e0n0t{a0)nd Son past~~ing areas. ~#)?YJJ~ Pley Kinogen rome: 651.639.910R345e50 Cr3onTApTarrFayke SE3T1103T9OT24S7)MduFaniliWaNcSnvS.cUoSmE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00777788 SSTTAATTEE__0022882211773355 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. What pos) and branofdfa)m aor ere usd now an nh as yh Departs or ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesoro rain appease lee check oo sh response and in training (if applicable)? Please check all that apply. TUasemdminy Amwodunt Curent usoor TTyyppeeooffFFoaamm GlBoAqsuoss Fin Class B Aqueous FilmFomor ty, -------- ------ -------- Forming Foam (AFFF) Ga8 cosol Class B AlcoholRossin ayer | ------------------ -------------- Resistant (AR)-AFFF omsoPown | -- Class B Protein G8aForsoproston Class B Fluoroprotein wn _--_---- (FP) Glass Fim Foming Class B Film-Forming Fan (py -------------------- ------ ------ ------ Fluoroprotein (FFFP) CosbARFR Class B AR-FFFP Gass AH Class A-B Hi Saran Foam Expansion Foam Coss - Class A Tang Foam _ Training Foam over F500 M0 575K [amen Other BBrraannddooffFFooaamm F-SCJO Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? Thankyoufor your imo and coapraian Plas cota Nancy Rcringa Dota Corsa 651.6575152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aoa my 3 Soins Mans Pols Col Agony 5 S97 3008 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Tran avate ott Fo hove ay vento oped os avon jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerroettuurmntthhiiss qquueessttiioonnnnaaiirreettooDDeletltaaCCoonsnuslutltaannttssbbyyMMaayy99,.22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff:- `adddrresseddeennvveellope.. `QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: Re :/1/Ct?t _ (e :2cc0T 7/ We,_- Name and Title LSerranT Fire Department !\6 Fire Department /??tJ~/Y)) Fr E5)-- 222-2064 Phone Number ( Yh of Sa 7/24 or/ioF Date E -- T E-Mail Address Ninogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.coin 222222.007779 stare_ozs21736 STATE_02821736 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. DDroeosfesgs ryyioonuugrr DcDepepepaaarirttommneesnnt?t cura heas currently or has your your Deparment Department hisoray historically used used lasA os Class A or Clas Class 8 B foams foams ffoorr firefi7 ~ ghJtiKn.g oYpYNeeroesas-tioP-snPisgr?ronctehoeadtbctaoocQkQueoeutsehestitiiosodnnf22orm andretuntoDatta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How often is CassBo lass Afoam used inresponse oe call? 2. How often is Class B or Class A foam used in response to fire calls? X_ozsoties ___252s5o-m50e%ototfefireess ___ 7755--110000%%ooff resfires _____}(_ 0-25% of fires 3. Dos the opartmenntt hhaavvee aa ccoommpprreesssseedd irair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa butbuilt-in arktank oonn 5its eennggnineet(ss))?? 3. Does the Departme ___ Yveess 'Ki;, rNoo 4. How often foam uscd in traning sxercisos? 4. How often is foam used in training exercises? New Wesky Wonty Gunny ___ Never ___ Weekly Somamaly Ko Annual BAmualy Semi-Annually "?< Annually Monthly ___ Quarterly ___ Bi-Annually ovepemespeoty Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foams used por raining vent? 5. How much foam is used per training event? X_ osstransgalons ____ Sgalons _ sutoguens X Less than 5 gallons 5 gallons 5 to 10 gallons Mor than 10 gallons (ease specs More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. In ring, where docs th spent foam go? _ SomSensr ___ SantarySewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer _____OOnnS-StieteSSeeppiticc _LX_K_ GGrroouunndd Oho pleasedoscrbel: ___ Other (please describe):---------------------- 7. WfhoremraetGioonsoitacutteeitnainndgaacke iplnacge?alreeasa,s include adres, inerscocrttohnr specclocaion 7. Where does/did the training take place? Please-include address, intersection or other specific location information for current and past training areas. Kinogen: OOVVEERR---+ Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www EE MN 55126 USA deltaenv.com 22222..007780 sSTtAaeT_E0_208282211773377 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WeWhshapatot ytnyespesa(s)n) aainnnddrbbarrmaanidng(ds()s1oo)sffpffpooalamcmaaaerr)ee?oowPreewraesreeeuucssheeeddcknnooiww aahannddainptthyhee ppaassttbbyy tthhee DDeeppaarrttmmeennt,, boboth fforr ffirreo response and in training (if applicable)? Please check all that apply. CloTsTysyppeeAoqofufFeFoooaaumms e (FF) o Class B Aqueous Film-Forming Foam CRC(AlaFeslFsFsBB)aAsAlcslecoohh:sooll- EE Resistant AFFF (AR)- CassBPOn Class B Protein FiCCullaoasossp8sBroten (FP) CFCFolluarlosmsriaon8BpgsrFoFitiselmmin- (FP) Forming FFruegy en Fluoroprotein c(FaFFsPs) ameFR ExCCCplllaaaasssnssssAABi-oBBAnHRFH:-oiFaFFmP CElxapsasnAsion Foam TCalamsseAgFoam over Training Foam Other BBrraannddooff FFooaamm TrUUassieenddiiningn? YYTeerassinooirrnNNgo?o ANGos -- 0 AAmUmosoeuudnntt AAnnUnnusuaealdlllyy CCuurrrreennttllyy UUsseedd?? HHiissttoorriiccaallllyy UUsseedd?? --_-- ---- ---- --_-- -- -- -- ---- o_o HTToormhrhaawnSnnratoikoddcoyinkoiuninungggff@@eoodrrd@oyyselootluztuaarlereenitn.imymve.eccooaammunn)dds)of)o4ccorooooJmpipmueerarhSSataitttiovooonecnc.k.akinniPPgynlleegeqraauasse1tesettthccinoeoonnnMMtstaiaicrnnctenntgeeNNassaraoodnntticacanyygPPRRotoholliloudsltniaccoinunngeiaCCsatiootoDnnDnntoerenollgatalalAAegCCgeoeonnnnccssyyull((taa66nn55t1ss1--2((6926575911-78---66039696776--6o5o56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseereretuturrnntthhiiss qquueestsiotninaoinrenttooaDiDelertlteaa CCoonsnuslutaltnatnstsbbyy Juno June 6, 6, 2008 2008 In in the the encose stamped, enciosed stamped. sel: seif- `aaddddrreesssseeddeennvveellooppee.. QQueusetsitoionnnnaaiirreeccoompmlpelteeteddbbyy:: R -r \ "Toro\m''"- \.DA)E"C lW'VA~N~DD NNaammeeoannddTTlitlee ---TrooYm"\-.- WUJtE::' All\1R\i'--S>'D Ro0y'Ia?v.. 't- To6nw\V Fle(C.e(::. FFiirree DDeeppaarrttmmeenntt ChtHeew\--E DQF-pT-1 oT PhPohonnoe NNuummbbeerr S1D6at]e ok Date ees E-Mail Address Xinogen PPhhoonnee:: 651.620.9085910 651.639.9449 I 800.477 7411 Fak: Rice Creek Parkway 800.477.7411 Fax: 691.639.9475 Suite 100 St. 651.639.9473 mmnidalinscnonm. Paul, MN 55126 USA www.deltaenv.com 222222..078811 SSTTAATTEE0_208282211773388 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DfDeooceehssonyyioonuugrr DDopeeeppraaartrttimmoenensnt?t curently currently or or hahas your your Department Department historical historically sed used ClAaor issss8 Class A or Class B foams foams fofor Yves Proceed firefighting operations? Yes- Proceed ttoo QQuueessttioino2n2 7No "[._ ___ No -SSiiggnntthhoebbaacckkoofftthhiiss ffoorrmm aannddrerettuurrnn ttooDDaetltaa CCoonnsuslutlatanntsts. 2. 2. How oftenis How often is Class Class Bor B or Gass Class Afoam A foam uusseedd iin espnto sra response to fire ccaalllss?? _X'/..... o0-z2s5u%atoif frireess ___ s25s-o50n%orotfifireess ______ 1755-a10000%%aoffrfireess 3. DDooeess tthhee DDeeppaarritmmeenntt hhaavveeaa ccoommpprreesssseedd akair ffooaamm ssyysstteemm ((CCAAFFSS))wwiitthhaabbuuiltn-in taarnkk oonn 5its eennggiinnee(s))?? 3. ___ YYeess 'f..-. nNoo 44.. HHoowwoltoeftneins is ffooaamm uusseedd iinn trraariniinngg exercises? exercises? ___ WWeeeeklkyly Monty ___ Monthly _ _ _ SSeemmbAi-nAnnunaulalllyy Aovuly ___ Annually _ Guanery ___ Quarterly bam ___ Bi-Annually Y'XX. oOttheerr((ppoleaasseespsecptye y c i f y8 ) : - - - - " " " - - - - - - - - - - - - - - - - - - - 5. HHooww mmuucchh foam foam is is use used por per vaining training event? event? 5. "Xf._.___ LeLessssththaann55ggaalllloonnss 55ggalallloonnss. _ _ _ 5 5 to111 00ggala0 llloonnss. ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): 6. 6. In In aining, training, where where does does the the ssppeenntt ffooaamm ggoc?? Stom Sauer __ Santary Sower Onsite Septic Gone _ _ _ SOtvoremr leasodosebey Sewer __ Sanitary ase describe}: __ Sewer _ _& _ _ -- _ On-Site Septic --------- - - - - - - Ground ---- - ___ Other (ple 77.. WWInhhfeoemrreatddioooeenssif/ddoiiddcthuheertterraaniinndiinnggptaaaskkteevlpalaaiccneeg?? aPPreleeasas.see iinncclluuddee aadddderessss,, nintteersseeccttioonnoorr oatbheerr speci specific llooccaattioonn i Fite nformat r:./.2. i ossnft~fro~tr;uc;yu.rrve n t 325 1) 57 54 w s+ and past training areas. 3;2.s- s-r_ii ;Lfuussh~ CC/-yly mmirnJ $ss5o0(o071 Xinogen Phone: 651.639.91084005.477.7411 Fak: 041 639.9473 wsk.deltasav.com Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: Suite 100 St. 651.639.9473 TER Paul, MN 55126 USA www.de!taeny com 22222..007782 STSTAATTEE0_202882211773399 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 8. 8. WWrehhsaapttonttyysppeee(a(ssn))daainnnddrbbirraannngd((ss())1ooaffpffpoolaacmmabaalrree?oorPrwlweeearrseeesucseheeddcknnooahwwnaanntdd3iin99tth.re ppaassttbbyytthhee patent,bo Department, bothffoorr ffirree response and in training (if applicable)? Please check all that apply. ES Usain Amount Used in Amount Timing? Used Cuentuseor Class8 Aqueous Fin- 785 Avec TTyyppeeooffFFooaamm BBrraannddooffFFooaamm class 8 Aque.ous Film-e"/ltllct' s +;Joo Training? YYeessoorr NNoo Used AnAnnunaulallyly 'Q_ Current Use or HiHsitsotorriicc UUssee?? Forming Foam (AFFF) -- Class 8 Alcohol. Formino Foam IAFFF) - . . . Resistant (ARV AFFF ---- CRleassissta8nAt l(cAoRh)o-lA- FFF Class 8 Protein SN Class 8 Protein --~~=.b =r="=::::=:--::r :::::::::::::e ::====-======e -==::::::===-. & Clase 8 Flsoroprolin -- Class 8 Fluoroprotein ks _-- (FP) Class 8Fim-Foming 5 ----- Class 8 Film-Forming Flsoopeotoin (FFP) -- Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAABi-oBA8nRHHF-iFoFaFmP NE a ---- -- Class A Expansion Foam Ades Mo So TCrlaaisnsinAg Foam DekLao)Seap Yes -- oer Training Foam EE Other iToohrmrhannarsrrnitookodaycynnokoiinuiungngff@go@oorradryeye@oollsutauaarerteniteniymmvm.e.eccnooaa0mmnn)dd))oo4 ccorooooJpipemuerarhSSataittiioovoncen.ok.aincnPPgylkleeeQraa3nuassetgeesfctthhceoieeoonnntMMstaanicfncetentsgeNNeasaarotnnitacacnyygPPRRohoololslcuudiitniQioGinunnngegCaCsaOLotnonDDvmteroenoltlatlaarAAeCCggoeeonnnnsccsuyyull((tta66an55nt11ts--22((699651751-188--666696696767o--5or51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerroettuurrnntthhiis:jqqu_elJs.t!Ji1o!n9ln!a!1i!r!iert.~oJgD[e)_letftaaCCoonsnuslutltaannttssbbyyHJall!avv 99,. 22000088iinntfhheAeen"cwi-:o!os-;e;eddssttaammppeedd,.ssglff:- `aaddddrreesssseeddeennvveellooppee.. Ohns pletion) AST Chis.p Fame and TAiliee&rJ `QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: {%,, ~ ;fJsT (~ .\~ . Name and Title FiSeaDsephar(mehnty1 foeeDoT Fire Department Fone Number 320-35%- 4743 Phone Numper adrAess E-Mail Address Tot0oo55'//o4"l /o[0r%; Date I HKwogew Prone: Phone: 651.639.94455910 651.639.9449 I 1 800 Rice 800 477.74Fa1k: Creek Parkway .477.7411 Fax: 251.645.9473 Suite 100 St. 651.639.9473 dapar liaansso.m. Paul, MN 55126 USA www deltaenv.com 22222..00783 STSTAATTEE0_208282211774400 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 1. 1. fDDroooefssoiyynooguurr DoDpeeeppraaartrtmimoenensnt?t caroer byas currently or has your your Department Department historical historically used used laAsor Class A or Gass Class B foams foams for for X_ firefighti'29 X opYeerastipons?rotocQueestison2 YNeos- ign- Procteheedato Qouc fetshtiiosk nfo2rm and rettuoDrlna Constants No - Sign the back of this form and return to Delta Consultants 2. Howoftnis ass B or CiaAfsoasm used n esponseore calk? 2. How often is Class B or Class A foam used in response to fire calls? XC 0zsotfres sonore 75100%offres >(' 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. Does the Department have compresssseedd aiair ffooaamm system system (CAFS) (CAFS) with with abn a built-in tank tank onson its engine(s? engine(s)? compre e a 3. Does the Department hav he X>C( vYeess _ _ _ No 4. How ofts feoanm used in aning exercses? 4. How often is foam used in training exercises? Never Weakly Monty _ cumeny Semi-Annual _X__ Annually _ eiAmualy ___ Never ___ Weekly ___ Monthly ___ Quarterly ___ Semi-Annually .')( Annually ___ Bi-Annually Other ' (poaso spec: Ss S ss ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 How much foam s usedpor ining oven? 5. How much foam is used per training event? Xess thS gaatonrs 5 galons swig Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons I MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): _________________ 6 Intraining, where docs th spent foam go? 6. In training, where does the spent foam go? Sto Sewer _ santa Sewer onstesepic Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic __'f{.__ Ground Other (ploase deserve) _ - A ___ Other (please describe):---------------------- 7. Where does the raining tke place? Please include adress, ersetonor thr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location fomafotrcirtoanndpst rang reas. i nformat c~o~p.e.s1 i o n for cu Lb.ec.d\- r r e 1nt and oppz.a.s;dJt utoraJdirn,iotn.gal-alr\e a s . fPAacc-kk 1..1 CC.oJ UMuvsstua..e.. ovo,.;' <tzo-d.Luppna"sec..- Soe 1)r,.J L XXIinnoogg~enn ,,, OOVVEERR---+ nana: s51.630.99S85 R4E50 C37eApyTo I$81 0300G04S%GM pa, b Wh S_ EatUaSE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222..00778844 STSTAATTEE_0022882211774411 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 58.. WrWehhsapatottntysyppeeea((ssn))daninnddibbirarnnda(s(n)1oodaffpffspooaia)mcmaaarbreleoeorPrweweaersreee uucssheeecdcknnooawhw iaannntdd ni9nptthhee pastbythe past by the Degartmen, Department, both both frfor fre fire response and in training (if applicable)? Please check all that apply. CCFliTaTsmylyspF~BBeoeaAomAoqfmqufsuFegFeooofosuaaousmmssn BBrraannddooffFFooaamm ---- (BFF) Film-Forming (AFFF) Foam RCAeCRlesaEslssissata8BanAnAtlsl(BcAoRoR)hts).o-.l- ACFoFsFsBPuEn ClCFCalllaaisssrsssopBB8roPtreontei(nFP) Fluoroprotein CFolmi8angFsims- Class B Film- ( F P ) Forming FFlaeooproen Fluoroprotein C(FaFsFPs)eARFFR CECCllglaaassassssnABAo-BnABHRfHI-oiFaFmFP TT Class A Expansion Foam Ssd.eII}-- ee.-f Class A TTrraaiinniinngg FFooaamm _SSd,vlvo- ee.f.f oer --| Other TUrasiendiinng? Used in Training? YYeessoorr NNoo Amount Amount Used Used AAnnnnuuaallllyy Curent Currently UUsseedd?? Historically Historically UUsseedd?? -- FE -- -- ------ L'iX xX | ---- ase) l.'f" 6;.\ -- sSe{,,a.\ ---- Se _o~&t>.l --0 u--s--es) year j(;p, \ "( .._.:...r .S.>e(;.lo.l yer y~ 'lr "iooTTfrmhhaanrsnnrootkkdodynycnookiinuuingfnfg@gor@aryddryoe@sosulltutarratetteeinimnmvev.ecaioauncmendo)d)omcoco)rooypoJioeipmurearhtSSailtvtoioooneccn.kk.aiiPnnnylPggqeeleeuraraesaasisetecLtthcohoeoennntMMstaiacirnnctenntgeNeNassaraoodntrtiaacnyygPPRRhoooiolcllsudhltniiaGoinunnngegsCCaatootot nnnDDtenorelaoltlrtlaaAeA.gCCgeoeonnnnsccsuyyulla((tan66tn56s(t1s18-2(75691-57-51-86-66696967676--5oo5r11r 5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questionnaire competed by: PPleleaasseerreettuurrnththiiss qquueessttiioonnnnaaiirreettooDDeeltltaaCConosnuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellff-- aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: NamMe abnaaTi)o tog --Rollo 2c oll Name and Title Fre(R<DoeJpssa.lrLme.on,rtsl~ +Z~r-e>t. Deph Fire Department FoSne2N7u-meYreu-P206 Mame Phone Number EraiEAdadrweesst fee Group.ce E-Mail Address Baciela]ov Date XKiInnooggefnn- """ none: 651.6S2T91.A980T55.4E435r3eS4F1e1 rrFLyL: UGEe1.011980.2457 mPaouw det$i5a1s7i6stUoEm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00785 SSTTAATTEE0_208282211774422 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. eDDotoeegsshyyioonuugrr DoDpeeeppraaarrtttimmoenensnt?t curently currently or or has has your your Deparment Department historical historically used used Class Class A A or or lass Class 8 8 foams foams for for X_ firefighting opYerea-tsionPsr?oceed to Questio2n /( ___ No-Sign tho ack of this form Yes- Proceed to Question 2 No- Sign the back of this form aanndd retu return tto DDeellttaa CCoonnssuullttaannttss 22.. HHoowwoofftteenn'isCCllaassss B8oorr Clalassss AAffooaammuusseedd iinn rreseposnseptooofrfireneccsaallless?? f -X_ ozs otties 0-25% of, fires ___ 550% 25-50% ooffffirreess ___ 7755-110000%%ooff resfires 33.. DDooeess tthhee DDeeppaarritmmeenntt hhaavvee aaccoommprpreesssseesd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa buitan built-in ttaannkk oonn isits eennggiinnee((ss})?? ves Xe ---=--Yes __$_No 4. Howoflen's foam used in raining exercises? 4. How often is foam used in training exercises? Weak mony J ___ Weekly ___ Monthly ___ Quarterly semiannually Annual Bramaly Semi-Annually ___ Annually Bi-Annually Over (please speci: - ___ Other (please specify): _______________________ 55.. HHooww mmuucchh ffooaammiiss uusseedd ppeerr trraaiinniinngg eevveenntt?? -"H'-KM--- otLeerssesstthhhaaannnS51g0gaagllaloolnlnossns (l_ea_se_spe55ciggya)al:lleonnss _ _ _ More than 10 gallons (please specify): --__ -- 5sttoo1100ggaallloonnss 5. In Vaiing, where oes the spent foar go? 6. In training, where does the spent foam go? SomSewer ___SentaySower ___OnSteSeple Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ---j.- Ground Otner (please descr: -- ___ Other (please describe):-----,-----,-------------------- tZiy 7. Where doestdd he airing ake lace? Please include address, interseocrtithoenr specif locaton 7. Where does/did the training take place? Please include address, intersection or other specific location omar cre aps rg as information for current a7d past training areas. & chon p Xinogen , een 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.620.2441800.477 7411. Fak: 851.635.9473 mas daliaGRY. om. Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00778866 SSTTAATETE0_208282211774433 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) and banafdoo)m ar o wo used now and ne pastb he Department, both for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss an n rang f pauGab)s ioaso check a ra ap. response and in training (if applicable)? Please check all that apply. TUnsendgin? AmUosuednt Curent Useor TTylp~eeooffFFooaamm Class8 Aqueous Fin Class B Aqueous FilmFo -- Forming Foam (AFFF) Class 8 Aconol Class B AlcoholRostsant (A)AFFF --_-- Resistant (AR)-AFFF CosswprO0n Class B Protein Class 8 Fuoroproion Class B Fluoroprotein IE) _-- (FP) Glos 8Fim Forming Class B Film-Forming Foropoten (FFP Fluoroprotein (FFFP) Cosseamir Class B AR-FFFP Class ABH: Class A-8 Hi Expansion Foam -- Class A Expansion Foam Class A BrBarannddooffFFooaamm S 5 j hit-<l -l vey Tring Foam SS Training Foam over - Other Used in Training? YYeess oorrNNoo. Amount Used AnAnnunaulalllly Current Use or HiHsitsotroircic UUssee?? N'j.eh j)e~catbb Thank you for your te and cooperation. Pease contac Nancy RoditDnotga Consulani (65107-8152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rod dahaenecam) on locking t ha Mines. Poko Gonrl Agency (651597 8606 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i ocinger sat m8) you have anyGuesLans regarding IS Guesionnas jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Planes ctu this questitoDoelnt Cnoansiennts by Vay 82008 i ths anclosed taped. cot .P!~f'.C::fl return thi.s nut:1.st.ionnaire to De!f:! Consr...'!tants b.v Mav 9 2008 in the er:c!nsed $tamped. se!~. `aaddddrreesssseeddeennvveellooppee.. 7 P-- Lamy | Lapltes Named Name d Title Rush more Fire. Dept" R11 .s h mor-e...-Feo Deparment Fire Department chieE P5ho0n7e-Nrm4b7er8-4339 Da5te 7-4337 Phone Number Date E-Mail SE Address Prone: 651.639.9445 1 800.477.7411Fok: 51.630.9473 mount galtssn.sam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00787 sSTTaAeT_E0_022882211774444 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Dos your Departmentcurenty has your Deparment Hstricaly use iss Aor Gass fas for 1. Does your Department currently or has your Department historically used Class A or Class B foams for feligs operators? firefighting operations? LXe procendto austin Yes- Proceed to Question 2 No- Sign thobcofkis form an return t Data Constants ___ No- Sign the back of this form and return to Delta Consultants 2 Howoflen i iss 8a lass A foam usd n esonse fo fro cals? oassores RK 2ssonoities 75-1of0ro%s 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires ___,'J,.o....=...._ 25-50% of fires _ _ _ 75-1 00% of fires 2 Docs te Department have congress a foam system (GAS) ith bitin ark nfs engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes 4 HowaIteNnLiorafeoam sod in rang exces? 4. How often is foam used in training exercises? Rowe Weak Wont cuarery f(. Never Weekly Sem Aust Aart Er ___ Semi-Annually Annually Monthly ___ Quarterly ___ Bi-Annually Toveemespery ___ Other (please specify):----------------------- 5 How muchfoam is sedpor ring vent? 5. How much foam is used per training event? XL tosransguions 5 ons surges __)i__ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons TT Werth totons emsaspecty ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sewer ___ Sanday Sor OntoSeplc Grund Storm Sewer __ Sanita7 S~wer __ _ On-Site Septic Other (oase descr)[: ON Ae T ___ Other (please describe): ~ y,u ~ J.ql~ Ground 7. Wier couiih using ke pace? lose incodo adrss, nersctona ahr spcicloaton 7. Where does/did the training take place? Please include address, intersection or other specific location Ciomfaotcuonnt and pot rang 100. information for current and past training areas. Kinogen OOVVEERR---+ Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 . Paul, MN 55126 USA www.deltaenv.com 22222..00788 sStTaAtTeE0_208282211774455 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What type(s) and bran) of foam awr rues now and in he past by he Department, both for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire respores nd rong U1 spLcabe" lease chock al at aly. } response and in training (if applicable)? Please check all that apply. TUosandgin? AmUoseudnt Curent Historically TyTpypeeooff FFooaamm ClaAquseosus Class B Aqueous Fimfomgfon -- Film-Forming Foam Fy (AFFF) Cl8ascohso Class B AlcoholRevs OR, Resistant (AR)re AFFF CossBPoen Class B Protein cuasss Class B FFiluuoorroopprrootteeiinn ((FFPP)) Class 8Fim: . Class B FilmForming Forming Furooten Fluoroprotein re (FFFP) Cassemer Class B AR-FFFP Class roth Class A-B Hi ExpansionFoam -- - Expansion Foam CassA - = Class A TamngFom o_o ___ Training Foam over - -- -- Other BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? . -- , ' oTfhamnokhynougGodrayotuaretinmaye andocoropmeraStiioonc.kiyPileeaos1ehcaontactnNaasnicypRliutnogn CaotnDvloaAgCeonncsusl(t6a5nt1s-3(967561-065067-o5152 ?rThank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 nrodni_ng@deltaenx~~):~rJir:n Stoc~~.r~ at tll~i~jnnesc$t?..~PII_ution Controi_Agency (651-297-8666 or ofboth Ani A eH ley Jlm.stockmger@state.mn.usj 1f you ha~'8ny questions regardmg th1s quest1onna~re. Please rou this questionnaireto Dlt Consultonts by Jun6 2008In th enclosedstamped, sol. Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellooppee.. Guestonnarecompetedby Questionnaire completed by: NNaammee aannddTTilitlee. - (Russell,mn 56167) ( 72 u s-s e...LL1 rn W' 5U,J&>9) FreDeparment Fire Department Pome Phone Number meDate ees E-Mail Address (inogen _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00789 sSTTaAeT_E0_202882211774466 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. 1. DDfrooesefssgnyyuoonuusrr DDcepepopaaarbrttommneesnnt?t ccuurrrenatlynoyrohhaarss yyoouusr DDeeppaarrtmmeenntt hhiissttoorriiccaallluysuseedd CClalsasAAsasor CCilaasss BB ffooaammss ffoorr XX_ firefighting Yes- Proceed operations? Yes- Proceed ttoo QQuueessttiioonn 2 No.Sign the back of thisform and tur t Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How often is Class Bo Cass A oar used n respons ore cls? A ozswoities 25.50%of res 75-1of0fr%es 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires ___ 25-50% of fires _ _ _ 75-100% of fires 3. ous tho Deparment have a comprossed ir foam am stam system (CAFS) (CAFS) wihwith a a but built-in tank tank on on 5ils nines)? engine(s)? fo 3. Does the Department have a compressed air No _X>( YYeess No 4. Howoften foam used in tainingexercises? 4. How often is foam used in training exercises? X Never Weakly Van _ cunery Never Weekly SemAnmualy Aoaty BrAmuaty Semi-Annually ___ Annually Monthly ___ Quarterly Bi-Annually Omer paasespectyy Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foams used per raning event? 5. How much foam is used per training event? Loss than' gals Salons $1010 gatons Less than 5 gallons 5 gallons 5 to 10 gallons Mere than 10 gallos ease spac: _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ntainig. where does he spent foam go? 6. In training, where does the spent foam go? Storm Sewer _ Sankary Sower onto Soc Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over peasedoscrboy ___ Other (please describe):---------------------- 7. Where dosicd he aig ake lace? Pleas include across, erection of ah speciclacaton 7. Where does/did the training take place? Please include address, intersection or other specific location maton or ue and pos vaning oan information for current and past training areas. > Foti 5 T10ao pens ine To tee Gor team HXiImnooggepln' ,... OVVEERR----+ Prone. 651.639.91484050 497741F1ok: 51635.947) masdaliasny.con 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00779900 SsTtAaeT_Eo_z02s82211774477 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. reWWshhpaatotnttysyppeeea((ssn))daainnddrabbirnairnndg(as()1oaofnpffpfool)aacmmabaalrreee?oorPrwlweaerarseeecuuhsseeedcknnaoolww anaanntdd 3iinnpthh.ee ppasstt bbyy tthhee DDaeppaarrttmmeennt,, boor tre both for fire response and in training (if applicable)? Please check all that apply. TrUUassieenddiininng? AAmUmosoeuudnntt Currently Historically Training? Used Currently Historically ClPCaTlmasTysfsysppoeBeoAmAoqfeqfuFuFegeoooobaauumosms m -- BBrarannddooffFFooaamm YYeessoorr NNoo AAnnnnuuaallllyy UUsseedd?? UUsseedd?? FC(FAilFFmlF-)FF8)oaArmcsoinngoslF-oam Class B Alcohol- RAeRwEsamoRy Resistant (AR)- ACFaFsFsopown CCcFullaaassssossspBBrPoeroiteni(np) -------------- ---- ---- ---- ---- CForlmiBangFsims- Fluoroprotein Class B Film- (FP) Forming FFFuFego Fluoroprotein | ---- ---- ---- ---- c(FaFFsPs) earerR o_o Class B AR-FFFP cEapsssAosnftoan Class A-B Hi ------ ---- ---- ---- ---- Cis A Expansion Foam _Olvey NO Spb I .? DD.eepre~n.dJss omdY? Class A ofhol Back Chr oer `TTrraaiinniinngg FFooaamm - mere. --_-- ree ---- D F Other TToTormrhhaanwsnnrotokkoddcyiynioninnuogggff@aou@ordr@doyysetootlustuaarertettmeniimyvmm.eeccnooaamm1nns)dd)) ooccforoyJaoJiopipmeuerrahSSatattotivooneccn.k.akinnPPgiylleenecraaaugassteteetesthctceroeoonnnMMtstiaaircnncetnntgeeNNassraaodonntitcacanyygPPRRioonollluodutniuooidnenngsaCiGiaoootDnnnDnntlreaooglartlaeAAC,Cggoeeonnnncscsyyuull(t(a6a6n5n5t1ss1-2-((692657591-178---66089697667o--6o556r1r15522 Pjilma.astsoecrkeintgurenr@thsitasteq.mun.ues) isf yotu htioavDeeolatnnayCqonunesasutliotinasnrtresgbeayrdinJgutnh6ies, questionnaire. 2008Inthe nclosed stamped, sel: Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellooppee.. QQuueessttioonnnnaiiree ccoommpplleetteedd bbyy:: Nad faAnd-uTiLe i3...Qc_ ~ NamJand Title FreD-eS5paAarcct.mcren-e-ter;t;;~ fader /l-44r 1 Fire Department Fics BFo2n0e N-umobeer c2292 feeleee Phone Number 6B5oe 2080 Date aa""m'"oa._,.r..,, FA"rre-{t$e, Ean Aas grrr A cr------------ E-Mail Address XInog~n .., rane e070 0 SELTRL C0 rns te 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..00779911 STSTAATTEE0_202882211774488 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Dossyour Deparment urdo has your Deparment tact used ClAaorsClasss foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for eating cpesions? firefighting operations? _)X( _ YYeess- PPrroocceeeedd ttoo QQuueessttioino2n2. 7 No ign the baocf thkis form an return to Dota Consultants ___ No - Sign the back of this form and return to Delta Consultants 2. Howie's lass Bor ClAafsoasm used in rsponseto re cas? 2. How often is Class B or Class A foam used in response to fire calls? eames _X 250holties ___7stoovottes ___ 0-25% of fires );;: 25-50% of fires _ _ _ 75-100% of fires 3. Doss the Deparment have a compressa ai foam syst (CAFS) with a bin ark ons engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xe ~No 4. Howofenisfoam used in ig exercises? 4. How often is foam used in training exercises? New wesy wou cure ___ Never Somat XC honualy asm ___ Semi-Annually Weekly ~Annually Monthly ___ Quarterly ___ Bi-Annually overiessospeaty ___ Other (please specify):------------------------ 5. Howmychoam i used por vaining event? 5. How m_x-roam is used per training event? X_ Loss ran' tons Sgalons Sto t0gatons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 galons lease spac) oo ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. nang whehere dosdoes ththe spatspent foam foam go? go? 6. In comsewsr training, w __SaotaySewss ___OnStoSepte _~Y_erGoruonnda ___ Gtr Storm S(leewaesre d_ osr_beSlanitary Sewer __ On-Site Septic _ ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. Where donde aig take placea? Pease include adress, arsectono aber spec locaion SAulfors,12E Vine -- No Mon ST She re,Pee HwXoIngoegnpl'' '"" O OV VE ER R~ -- ene oe SE ET TE ne 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.007792 SstTaAreTE0_208282211774499 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type) nd rant) foam acr war used nw and in ha si by ho Deparmen, bo for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espera ond Vang tf pica Poses chack a ot ap response and in training (if applicable)? Please check all that apply. Usedin Amount Used in tw -- Training? Amount Used Currently Historically Fci rloBAmeqiugsofsoam TTyyppeeooffFFooaamm Class B Aqueous Film-Forming Foam BrBarandndooff FFooaamm YYeessoorr NNoo AAnnnnuuaallllyy Ussed? J UUssed?? ((AAFFFFFF)) ClBocsonet C!ass 8 AlcoholRosson (Ry J Resistant (AR)ae AFFF Gloss Proton _ Class B Protein Cases Class B Fcroprtan (7) Fluoroprotein (FP) Gl5asils Class B FilmFog Forming Fuorgprten ---- Fluoroprotein ft (FFFP) Glass AREF - Class B AR-FFFP Cassa Class A-B Hi Sion Foam Expansion Foam Cass Steve LX pew -- -- Class A TTraraiinniinnggFFooaamm -- FE Over = = = = = Other -- "Thank you for your in and-c-on-pe-aton. Pleasecortct any Rodinag Dla Consults (51.097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or orodnmaakacw com) So Stckinger th imeset Pollo ContiolAgeney (361-357-8688 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acne os 1 Tou have ar stars rogrdin s Guesonnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas rtur tis auestonair oDla Consultan June5, 2008 nth oncosed stamped sl: Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellope.. Questonnaecomplet by: Questionnaire completed by: A~t /4;~_!2tU( Name and Title Snotnns = Te AJereplar oo 77%Depart Fire Department 2]U2J0----.)Ft/A(~IrllTfT Phe Norio oe Phone Number EtFnipespiens @pg#a/mce.-Lon Safes {(t;t~~;;eev.gI~ E-Mail Ad ress ~ Kinogen i PPhhoonne:e: 651.630.5485 1 800.977.7411 Tok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 451.635.9473 Suite 100 St. 651.639.9473 whirdsliadnoym.. Paul, MN 55126 USA www.deltaenv.com 222222.007793 stareozs21750 STATE_02821750 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Dogs your Deparment ureny has yor Deparment tail usd Gass Aor Class foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for atop oporstans? firefi;z:inoperations? Ves- Proceed to Question ' Yes- Proceed to Question 2 No- Sign th backof his orm and return to Datta Consulants -"------ No - Sign the back of this form and return to Delta Consultants 2. Howl i Cass BorClass foam used inrsponseto rscals? used in response to fire calls? 2. Ho""l' is Class B or Class A foam 0-25% of fires 25-50% of fires ___ 75-100% of fires 5. Doss the Department havo a compressed aiair foam foam syste system (CAFS) (CAFS) with with a a boll built-in aktank anson its engines)? engine(s)? ed 3. Does the Department have a compress -Ky -wvYeess ~No 4. Mowotfeoanmu'sesd nang xercseess?? 4. How often is Weekly foam used in training exercis ony Quay ___ SWeemeikAlyually SOtehmeri-A(npnausaollyspot) somal ___ Monthly t./) "ina. ___ Quarterly Bi-Annu~- -----lroc-+-\""""Ao.n..yn~u'datlldl-y!__,____,_~f'f"-~;:,:x_--""',1-')~'""'f~-.-___._'0~-r--'--- -~-++...=.....01".'.:}- ._- ___ Other (please specify): _t:S-'--_._t 5. Howmganioamis ued ervaring event? 5. Howj-~Lfo-LaoLMmosersseisstttuhhhsaaaennnd51gp0geaargtlatlorolarnoisnsnisng(_eevaes_nt_?spe5Scagla:lolonnss More than 10 gallons (please specify): -- sto. n ___ 5 to 10 gallons 66.. IInntrtraaiinniinngg,, wwhheerreeddooeess tthhee ssppeennttffooaammggoo?? com Sewer ___Santa Sawer onsosere Noone ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic -- Omer(plessodescoor ________ Zr _____ Other (please describe): ____________ - XGround 7. Where dosiid th ain ake piace? leas includ adress, aseor octhr speci location 7. Where does/did the training take place? Please include address, intersection or other specific location HEE ang rs i \ information for current and ast training areas. \. Inogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00794 starTeE_0022882211775511 STA QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. WTWohhsaptot nttyyappsee(a(ssn))naarnnddabbrnarngda(s()1nooaffpdffpooia)akmmaatarrieeo?orPrwiwraesreeesucseheeddcrknooawwhaanntdd 3iinn th.hee ppaasstt bb y hethe DDaeppaarrtmmnetn,t, bbootthh orfor refire response and in training (if applicable)? Please check all that apply. TUUossneeiddniginn? Training? AAmUmosoeuudnntt Used CGuumrreenntt UUsseeoorr `TTyyppeeooffFFooaamm BrBarannddooffFFooaamm YYeessoorr Noo AAnnnnuuaalllly Cine BAqueous Fim Class 8 Aqueous FilmRomo Emons) casspacora Forming l=o8m (.1\F!=F) Class 8 Alcohol- RReessiissttaanntt ((AARR))--AAFFFFFF Bog ody T NEBG at Tel Do ee Aes FO -- Class 8 Protein Class B Foroprotein Class 8 Fluoroprotein _-- (FP) Clas 8 Fim Forming Class 8 Film-Forming Foasopoton (Fry ---------------------- ---- Fluoroprotein (FFFP) CassmaRFER -- 2yA Class 8 AR-FFFP mir Nats fo wh Tost ol ClassA-B Hi pansion Foam Expansion Foam class - Class A \\ lv1 0Jt~:tvv" l.: ( > \'! -i )' I!'\\c--. TeiningFoam - Training Foam over EE -- Other HiHsisttoorriicUUssee?? I Thyao nor yokur ime and cogporatan. Peas contact Nan Roding t Dla Consulta (6516975152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of roche como) im Sorkinger a he Mimneste. Folton Conrl Agency (51. 797:3608of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rm sickinge@ite rf ou have any avestons regarding i quesionnare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plosce rou hz cusstionniv to Dats Constant bu Hay 02008 nthe enclosed stsped, sat Please return thl$ r:uestionna!:wc tc Da-!ta Consu!t~nts bt~ ;~-1av !J. 2008 in the enc!ased stai-nped, self- aaddddrreesssseeddeennvveellooppee.. ram 3 Que nije compiefedby: 0 cl LHL Ea) Flee Deot a FFoireeDDeeppsarrtnmeenntt W '= 3Pr'idn~ sQNu-mbeACr JSsK~-.JI'R'7B27/f Ze /"3 .Jbo PhoneNumber B3ae2Se%-- 6E.5s-366-/[V66'D7 g Datefl.?/' , (!) EE--MMaaililAAddddrreessss } & HwXIongoge~rrnr ., 1 ree er RE CE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00795 STSTAATTEE0_202882211775522 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Does your Deparment cutoerhds yo Dprtment acaly usd Ga of Gis 8foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Reg firefightij'operations? Ves ProtcoQeusseiodn ___ Yes- Proceed to Question 2 No Sign the ecko his form ad return to Dla Consultants ___ No- Sign the back of this form and return to Delta Consultants 2 How fens Gilanss a8 tGleoss foammusee in smpeonsse cols? ___rerovsattes ~ 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires 25-50% of fires ___ 75-100% of fires 3 os th Department hav compress a foam ystom (CAFS wih butin akon fs angin)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve /Yes No 4. Howotieys foam od nang exer? 4. How ofte~is foam used in training exercises? eT en oun uy V Never Weekly TT seminal Aral Leaman ___ Semi-Annually Annually Monthly ___ Quarterly ___ Bi-Annually pI ---- I ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 How much foam issed pr vain vert? 5. How much foam is used per training event? Ces han glons sotons __ siorogmon ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Wor thn 0 aos(Joose spc): - ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. in abi, wher does h spnfotam 05? 6. In training, where does the spent foam go? Sm Sovr ___ Saiory Sever Onsite Sapte __ Grund ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground J -- Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Where doo he vinin tke pace? loa nod adrss, mersoton cvs spac oaton 7. Where does/did the training take place? Please include address, intersection or other specific location prices ht ocdbvon information for current and past training areas. HKwnogens OVVEERR-----+ eu 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.3425 1 890.437 7411 Fok: 841.639.9471mduenlinans.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00796 sStTaAtTeE__o022s82211775533 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What ype(s) and brand) of foam are orvera used now and inh pabystthe Deparment, both or ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss and in aiing (1 applcatie? lease cock a nat app. response and in training (if applicable)? Please check all that apply. TUrsiendign? AmUsoeudnt Curently Historically TyTyppeeooff FFooaamm Cl8aAquseosus Class B Aqueous Fmpommgoam -- Film-Forming Foam (FF) (AFFF) Cl8aAosns Class B Alcoholewan Ry Resistant (AR)AEE AFFF CossBPoen Class B Protein class Class B Fhiooproten (FP) Fluoroprotein (FP) Cl8aFsims. Class B FilmFoming Forming Fuoopoien = ---------------- ---- ---- ---- ---- Fluoroprotein Free (FFFP) CassBARFFP Class B AR-FFFP Class AB Hi Class A-B Hi Expansion Foam Class A Expansion Foam Class A TanngFoam Training Foam oer - Other BBrraannddooffFFooaamm lvoe Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? opp A15StcLtt Tha you or your time and cooperation. Please contact Nancy Roding at Dea Consuants (651-097-6152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of woing@aelaeny.com) om Slocknger tthe Minnesota Paluon Control gone (651-297-86o66r or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjiimm.ssttoocckiknignegr@ers@tasttea.mtne..umsn)i.iffuyyosou)u hhaavvee aannyy qquueessttiioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. - PPlleeaasseerreettuurrnntthhiissqquuesetsitioonnnnaairireettooDDeellttaaCCoonsnuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseleflf:- aaddddrreesssseeddeennvveellooppee.. Guestionnaiecompletedby: Questionnaire completed by: Kot Plipnote tho& Kt/fb PuLl 01l1\:v\C Fame andThe Name and Title I Soul Lenti F6<i-In'L gasith ~4''' \( Len-fl'c..FieDeparment Fire Department z__,~,~{~ Ph3on2e0Nu-mb3er52-2203 Phone Number Tat6e -209 Date F KKeer-t.'fhT (, MPrllo~ap,a1,slctl. ~ce..lt s~tatvkte.-'CCecvnttfrrLdaYlmlft'. J075 _ E-Mail AddresJ XXiInnooggefnn: '"' rane: 631.639.3085 | 800.033 S411 FOL: $31,639,047) Mn ARILARAAAR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00797 STSTAATTEE0_208282211775544 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. rDDaootoeissonyyioonuugrr DDpeeeppraarsrtotmmneesnn?tt cutenorthays currently or has your your Department Department istoricaty historically used used GlaAsosr Class A or Gass Class Bfoams B foams fofor firefightiVn1g opYYeNeroeas.sti-o-SnPPisgrr?onoccteeheeeddbttaoockQQuuoefeststhtiiiosonnf?2orm and returon Dota Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoflenis Glass Bor laAsfosam used i esptno rse cal? 4oasottres __ 2580olfies ____75-100%affies 2. How often is Class B or Class A foam used in response to fire calls? V 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavveeaa ccoommpprreesssseedd akair ffooaamm ssyysstteemm ((CCAAFFSS)) wviitthh aa ulin built-in ttaannkk oonn 5its eennggiinnee((ss))?? ___ Yveess vVNeo 4. Howoften foam used in ining exercises? 4. How often is foam used in training exercises? Woaldy Monty Guarry ___ Weekly ___ Monthly SemiAualy Aorualy = dnunty ___ Semi-Annually ___ Annually ___ Quarterly ~Bi-Annually Over easespectyy ___ Other (please specify):----------------------- 5. 5. How How mmuucchh ffooaamm iiss uusseedd ppoerr vaiing training eovveerntt?? _ _1 ;_V_ LLeessss tthhaan n5 ggaalllloonnss 55 ggaalllloonnss ___ 551to0 1100 ggaalllloonnss. i_ . __ MMoorree t than1h100ga gaalllln oonnss ((pplleeaassee ssppeecciiffyy)): - - - - - - - - - - - - - - - - - 5. In raining, where doas th spent foam Go? Storm Sewer Sanitary Sewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer __ OOnns-Sititee Sseeppttiicc ~4 GroGruounndd. Othe please dscrbe) i -----'--~ Other (please describe):----------------------.":,. 7. Where does th taining ake pace? Please includ adress, nersectono ter specif ocaon . 7. Where does/did the training take place? Please include address, intersection or other specific location Informaton or cures andpast angares information for current and past training areas. Sagck fOapde, Ka Il.Rd 56377 ------ -- Wwee dr;/oo p)JotJt/ Vvsee atc?tcu~a4lf f/co;aaMm -Hfoorr dj/e7Am_:i~nu'irrn.9g. Four of Budget ZSsues, wre vse @ Dan pish JSJCcU:/..T.._ tJf /J(/djel- Z55vf5, &~ u~-e rof!B Octt..vY~ .o~~~ --"""~.''' SoSoo..a..rP. Gfcr,r .Ff,ro.c..i.;tn'Vgtift'n11gt:f. '4/~ /prca-rs5 8L.e-ne?n/1 cartf ~e:.aecrt+ .f,?uwea frce-'ac(rtrs5 XKiInnooggefpn '"" S5nm1eeee_ (;, Kure wCAbfpJ(lJif/sedd .L[;"'Jo(d ulAA eoMn At\ f{iJrree..-c-'~=-=-c-=-:--:--- :-=--:- Phone: 651.639.54401800 433.7411 Fok: s~no Rice Creek Park'way I 800.477.7411 Fax: 541.630.9473 Suite 100 st. 651.639.9473 mundEliaRR0L. Paul, MN 55126 USA www.de!taenv com Phone: 651.639.9449 22222..007798 stSaTtAeTE0_202882211775555 FFiirreeffiigghhtt',iinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 5 rWheastpopnestas)dandVbariannc1(saofpoiamcarle"orPwoesrsucshoncoawh eatd snpel pasby te Deparnen. bah for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Twonroun UGL h orp. Yree(, s_[- Bolle [upcant: J&lz Tipeof Foam Brandof Foam TVTUUoorassrnieenoiddirnnikgignno?? AAAmUmUmossuoueeaunddlntyt CCHuuimrsreetnnottnuUssUoesoeo?rr CCFlolaarssmTssi~nBBg~hAeFqoaoufaveFmoeous(asAmFFFiFilm,n- Brand of Foam Yes or No Annuall~ -- Historic Use? -- CRelsaissstaBntAl(cAo)holAFTE For!'ning Foam (.A.FFF) Class B Alcohol- cosopown Resistant (AR)-AFFF Class B Protein CGIlla)assss 8 B Frac Fluoroprotein _-- (CCFFllaPaas)ssrBoFFiilnmm-FF(ooFrrRmmiRinn,gg ~~ ---------- cospamep Fluoroprotein (FFFP) CEapsmsian8foam Class B AR-FFFP Class A-B Hi ---------- -------- -------- -------- Cassa Expansion Foam _ J Class A oer Training Foam P---fi!n G013P i;, !{dl/-e Cvtrrutl Other TafToirhhnaanvsnnrookkcdcyynkroiionung@gff@oorrrddyyetooluttusarreettn.imhvec.ecaoaaammnn5)dd))eooccrorooYnoJporipemmerahrSStavittuioooenccn.k.akinPyPigleeeneraagastsstethohcceeaosndiMtaaocirncnttnaeeNNrssaaiotnntncaacygyPPRRoiooolsluddotniieoinnnnsggCCtaaoottonnoDntrreloliltlaaAaAgCCgeoeonnnnccssyyuul(t(la66nt55t1s1s-12(656957571.1--88-066699607760--5oo51r15522 jim.stockinger@state.mn.us) if you adEdlroeasseseredtaurnnvetlhiospsqu.estionnaire Please return this questionnaire toDelt ConsublyMtaayn0.t20s08 have any questions regarding this ques to Delta Co_!J.~plt~.tJJ by_fYlt:Jv !J_. 2008 intio in thennai the enclose re. enclosed stamn stamn ederl . seit:.-;elf- addressed envelope. -;;;:r QNQ--uaueme_ZssetioioaonnnnndgpaTaireeiccooffmlm:ppolueetlmensdmmbbyy:e: ervddiy;ng~ Ch. ief, <seRfroo ~ ) Name an Title D.e5t<tJk R c:tt?/d ~ 'r-e Fire Department Prone3N2u0mb- GRO- B08 - LhiefS Phone Number oll Be 29-2008 Date sfAl oMm&l rdle rt~p E~Clfhm ?uarr/e kerraan 6l/:l . ing E-Mail Address () Xinogen: PPrhoonne:e: 651.639.0405 1650.477 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 51.639.9473 Suite 100 St. 651.639.9473 mmmdeltasns.com Paul, MN 55126 USA www.deltaenv.com 22222222..00779999 STSATTAETE0_208282211775566 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. . DrDaoogeienssg yyoouurr DDopeeeppraaarrtttimmoeennsnt?t ccuurrerntrlyeoorrnhhatas yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CClaasssAAsoorr CCllasass8B ffooaammss ffoor firef"iA 'g"h"{~i-n-~=-o-peNYeroe-a-striS-oincPgsre?notcshedoedbttooauQoucsfestikhtiionsnf2orm and rettouDerltna Consultants No - Sign the back of this form and return to Delta Consultants XX ozs aotives ___Tiovorties 22.. HHoowwotoefnteins C is Clal ssBBoa orrCCllaasssssAAfs fooaamm uusseedd in rreessppoonnssee ofr to fire ccaalllss?? 0-25% of fires 25-50% of fires _ _ _ 75-1 00% of fires 3. DDooeess tthhee DDeeppaarrttmmeenntt haavvee aaccoommpprreesssseedd asirr ffooaamm ssyysstteemm ((CCAAFFSS)) wih with a abut built-in ttaannkkoonn iitss eennggiinnee((ss))?? 3. ___ Yveess =?X< NNoo 4. How ten i foam used in training exercises? 4. How often is foam used in training exercises? Co Weaky -- Monitly Cuanery, ___ Weekly ---.:--- Monthly _ _ _ Quarterly E-- XXC nnualy BiAmnualy ___ Semi-Annually Annually ___ Bi-Annually Other (pease spociy: ___ Other (please specify):----------------------- 5. 5. How How mmuucchh ffooaamm 5is uusseeddppeerr trraaiinniinngg eventov?ert? Less then'gars ----x-2C- 5 alons 510 10gatos. MoLersestthhaann 510ggaalllolnosns (please spa5cg)a:llons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. II n traninint g, wwr hheerra eecdooi eesstn thheessi ppeennn ttffoog aammg, goo?? SomSevr __ SotaySonsr__onstoseme 2X rome ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground overpessedeserber _._._ Other (please describe}:-------,------------------- 7. 7. WWchhoerriee ddooreess/iddiddrtthreettraaiionniinnggetaakkeea lplaaccee?? aPPlleesaassee iinnclcuhdse aaddddoressss,, iinntteerrsseeccttiioonn oofr alr other speci specific llooccaattioonn information for /;'z .\0- curHtr-e\aQnlvt !\a_~\d past training areas. 313 Cully ja0th SX. ok Y3 Xinogen mane 631.639.9S505 e00.1C33r74F13a. rrFoyk TS9U1T63T5O9F 45S3mFn WsNhiSnSaI.cUoSmK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651 639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00880000 SSTTAATTEE__0022882211775577 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. {eWWshhpaaottnttsyyapeaes(ns)d) aainnndd bibrnaainndng((sd1)oo(0fflffsocoaaa)mmbaiarere?oorPrwawesersreeeuucssheeeddcknnooawlwhaanntdd3in91tth.he ppaassttbbyytthhee DDeeppaarrttmmeenntt,, Sohbothffoorr frefire response and in training (if applicable)? Please check all that apply. Cass e-------x - es No 2Sgel eddjure t TUUassmeeiddniginn? AAmmUosoeuudnntt CurrentUseor Training? Used Current Use or GFCloalarsTsmTysiBynpABpgeqeASouqoofeufFeoeFoouou(asasEmmFFEiFilm)n- Yen BrBarannddooffFFooaamm A NoE YeYessoorrNNoo cs AnAnnunaulallyly 0 HiHsitsotorriiccUUssee?? RCelsasstsa8ntco(hRoVAlFFE Farming !=oa!T' (AI=FF') Class B Alcohol- --------------------------- ------------------------ Clas8s Proton Resistant (AR)-AFFF = CIl)ass Class Class 8B B Fluoroprotain Protein Fluoroprotein _-- -- Fu(CCFsllaParss)osspBBoFtFiiolmmn-FF(ooFrrmmFiin)ngg --- Fluoroprotein (FFFP) ee CCCElxllaaapsssasssnsAABi-BoABnRHHF-iiFoFaFmP -- Expansion Foam )'~ J ;A~ l o-.1 e- r JJ U'f ~ lrJ-t-e Class A = - - - - ----'----'::::K<-eer oTmrearng Foam Training Foam --_-- - L a -~--- TTT y<-,N" Other oTTfhhmaanoikdo hyonugff@oodu royyotouaurer tntiimymeecaannoddomccfooiao)ppmoerraSatltoiooncn.k.inPPgllereaaassteetcchooennMttaiacnctnt eNNsaaonntccayyPRRooouddlrniainnnggCaatot DDneevllttaaAgCCoeonnnscsuyull(tla6ann5tss1-((626559117---668996776--o550r115522 im shockinger@sate mus) You or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any Quesions regarding is Questonare Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Pleasereturn(hs auestiotoneintaie ConeutnhtsyMay 2008intheapclased stomped, self Please return this cmestionnaire to Deft"! Conc::ltft~ntc:; hv Ma11 !l. 2008 in the enc!0sed stampf!d. self- sS hve 2ollew uestonnare completed by: aaddddrreesssseeddeennvveellooppee;. Questionnaire completed by: Name andTitevt Name and Title FieD5Sepc(aorom-cve-ndCt1i{ \e~ Fire Department '2~k\.~ v Valley Clef cp cteve 2 @ bbropecd nt f PAroIne%-Number75 210 Phone Number Ev>i"a A~dr"'e~ss-z_ e2_ E-Mail Address r ~{h ~ \}'")_ , v---\- t S--0fOe Date XKIinnoogg~enn ,"' vane: 431.0R39E.5Eo0o0C5reTPATFYoes SSOTLEeTrOUe W Va A SIRE UA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..080011 STSTAATTEE0_202882211775588 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg + te oteo ry t Gs Cor 1. Does your Department currently or has your Department historically used Class A or Class B foams for TC You procesdto Quesonz firefighting operations? KJ Yes - Proceed to Question 2 I + nr Cos or Gin sss ___ No- Sign the back of this form and return to Delta Consultants 2. How often is Class B or Class A foam used in response to fire calls? o P- st fp 6e 5 a o FSH 00-2255%%oofffifirreess _ 2_5_0 25-5% 0% ooff ffiirreess. _ _ _ 775-510-0%o0of0fffiirr%eess 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? 2/'S5 vYeess I ___ No torespss 4. How often is foam used in training exercises? pre ue ___ Weekly ___ Monthly ___ Quarterly Ce a, ___ Semi-Annually ___ Annually Bi-Annually /2C(_ OOtthheerr ((pplleeaassee ssppeecicfiyfy):): -_-_--o-"w~'e-'--y =---'w j_,----'--~-=------------------ 5. H o w _ rn much foam is used per training event? 71"'-);::?=- Less than 5 gallons 5 gallons tpn ___ 5 to 10 gallons ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In training, where does the spent foam go? ATT ors cond ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ____p_ Ground Ste Seton rte joo ___ Other (please describe): -------------------------:-- Acroess eater ee en tt 7. Where does/did the training take place? Please include address, intersection or other specific location ots er es ~ information for current and bebla '!.!&PA past .- ;:~LJJ training areas. ~ ~ Knog 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008802 STATE_02821759 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. What types) and brand) foam arrweore usednw and th pst he Dparimen, both ox fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponse nd n rang 1 aopicabey Pease chock a hat py response and in training (if applicable)? Please check all that apply. TUUnsseenddgin? AAmUmosoueudnntt GurentUseor CFClolaarTssmTyesivnpB8pgeAeAhqoqooufufoeeFFmcooouutasashmmFFiieilm)n- BrBarannddooffFFooaamm -------------------- YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy HCiHsuitsrroteornriitccUUUssseeeo??r ------ -------- ------ CCRFloloaarsssmsssi&niBAgncAFol(cohoaRhmyooAll(-ArFpFF) -------- ---------- esPown Resistant (AR)-AFFF CI)l8Faorasprosten Class B Protein Class B Fluoroprotein --_-- CC(PFlclaPras)pssrs8BotFFaiilimmn-FF(ooFrmmFiFinn,gg | Cossonmerre Fluoroprotein (FFFP) GHlosas A8t10o || Class B AR-FFFP Class A-B Hi mmm ee ee eee -- Expansion Foam Silvmx No 2 Sal Both CTlraassnAg Foam - oer Training Foam ---- ------ Other ToJTorhrhaanosnnroikkhodycynoiinnnuggfgofo@oordrdyGeyueooulatturarerettniimvmm.eeccoaammnnodd))oocmcrorooYoJop)oipemnuerarhSSataitttioovooncecn.kk.niinPnPygglleerderaoaaasettsesthhicceeooonnnNMtstaiaicmnrcthentgoeNNassaareondntticacsnyygPPRRohooollsuddotniiqoinnnunggesCCaatototonnDDntnreeoatldtlaaeAA.gCCgoeeonnnnsccsuyyutl(t(aa68rn55tt11ss--52((069675751-168--66869696767--oo55r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped. self- addressed envelope. QQuueessttiioonnnnaaiirree ccoommpplleetteedd bbyy:: -- tP?oossss Z ZetgJe~r -- Name and Title FeCbspearomemn ton S c_OJ.-J...l .,.,..___ TF.B'b.. . el NabeMronit Dieot -08 Date E-Mail Es Address Xinogen' PPhhoonnee:: 651.639.90855910 651.639.9449 I 1 800.477 Rice Cree 800.477. 7411 k Par 7411 Fak: kway Fax: 851.630.9473 Suite 100 St. 651.639.9473 Wedelasncsa.m Paul, MN 55126 USA www.deltaenv.com 22222..008803 sTae_02821760 STATE_02821760 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiirree TTrraaiinniinngg coer Dosmtmnt rey rhs ye opt rch od Gs Cis ns 1. Does your Department currently or has your Department historically used Class A or Class B foams for ___:t;_ rom tare Crstans firefighting operations? Yes- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How often is Class B or Class A foam used in response to fire calls? A -- ___ 00-.2255%% ooff ffiirreess. _X)_C2ss205%-5o0f%forfefisre.s _ ____ 7755-110000%%ooff ffiirreess. 3. Does the Department have a compressed air foam system (CAFS) with a built-in lank on its engine(s)? Yes x ?( No I 4. How often is foam used in training exercises? pA ___ Never Weekly ny Monthly ery ___ Quarterly Semi-Annually X Annually ___ Bi-Annually or poner oo Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - roar 5. How much foam is used per training event? mm sgn RR 1\: Less than 5 gallons 5 gallons 5 to 10 gallons as" " More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - ker oamersstans 6. In training, where does the spent foam go? ____ ___StSotrormmSeSweweerr _ ____ SSeanniitaarryySSeewweerr _____ OOnn--SSiittee SSeeppttiicc _XX_ GGrroouunndd. Te ee ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - FE TC m pA ppay -- 7;;' 7. Where does/did the training take place? Please include address, intersection or other specific location information for curr nt and past training areas. e. ~zh- oL OOVVEERR---+ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00804 STATE_02821761 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88. reWWshhpaaottnttysypepeea((nss)d) aainnndd bibraannngdc(se() ofafopfopaaammtlaaorre'oolr ewwaeesreecuuhsseedcdknnooalws haaanntd aninptehye paspast y thby the DDeeppaarrttmmeennt,, bnboth for for refire response and in training (if applicable)? Please check all that apply. Teatro Bandof Foam YTTUoUrravssiioeenndrdintigiglnn??e AAAmUUmmossoueueuddnnltt CCUuusrrreeesnn?tlty |HHiissUttsooreriidcc:aallllyy CFCliaTslmysf~8BoeaAAmoqqsfueuFeegooostauumsos m -- Brand of Foam Yes or No Annually Used? Used? Fer Film-Forming (AFFF) Foam Cl8oAcostr Class B AlcoholRepmesen Ro Resistant (AR)- ACFoFsFsoPwen cCCFalluaaesssrssosBBpoPtriontei(n77) --_-- CFloasrs sFim Fluoroprotein Class B Film- (FP) Forming FFuaeoopotan Fluoroprotein -- C(FoFFsPe) aReER o_o CCCErallaavsssasssnsAABi-oBAnHRFH-oiFFaFmP - -- Expansion Foam CF lass AE Class A cc"h'ee\Nv\.n8~g.&p!<u=~h Ytfee?s pLle2sGtat... N"Ye-es-s S'ieess omer Training Foam er" en wee oe Other TiToofmrhheansrnaatokocdcyynkhooiinnuungggff@o@orddyyesootlututaarreaamtninmtvec.eecooaa.mmnn)dd)) oocc#orooooJipipuemmerarhSStaitattioooovnccn.kk.aiinnnPPgygleeesQraaoausstetethccoseoonnoMMtaaicirncetetnsgeNNaosaraotndntiacacnyygPPRRnooooltsludditniQiooinnunnggoaCsGatootonDDrntrenloolatalatAAegCCgeeoonnnnccsysyulu((ta6ln56tt1s-2((5696575311-85--6660909696767o7--5o5r1r15522 jiPml.esatosceksintguer@tshtiasteq.mun.ues)sif ytouithoaoveelnatnnyCqoanuseusiltiotrnansetrsegbayrdiJnuneg6th2is0q0ue8sitionnnthaoireen. closed stamped, set: Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, self- `addddrressseeddeennvveellooppee,. -- i Cn - au NNaammee aanndd TTiitllee: FSacDepuarRmenot sEr Fiwr DEPT. Fire Department 2 Fiona Nu-mbCerCF8 7532 WD) 65-T7oe756 fal Phone Number Date ES~a'tTFAIdrd7iRcZesE~rG:Si5B&ovreeaAlL,LDo<g'j E-Mail Address Kinogen &-2-0% 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00805 sSTtaAeT_Eo_z02s82211776622 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Docs yor Depart arty hyo ep trated oss Aor Gls ams 1. Does your Department currently or has your Department historically used Class A or Class B foams for Sages firefighting ~erations? en recotio uamion2 __V~_ Yes- Proceed to Question 2 oS a for ndet anoD Cones No- Sign the back of this form and return to Delta Consultants 2 owotunisGis or Cis Moan sinrespon oats? 2. How often is Class B or Class A foam used in response to fire calls? AL omarion ores Ts100% ottes _____L_ 0-25% of fires 25-50% of fires ___ 75-100% of fires 5. ous th Capa ev comes se CAFS link ons grt? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes va =No . Hovotenisommusstin ang ries? 4. How often is foam used in training exercises? ar sony cry ___ Weekly Monthly ___ Quarterly commit 7ots ony ___ Semi-Annually -----\1'./......_ Annually ___ Bi-Annually Ta -- ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - + rms wo grt 5. How muchJoam is used per training event? 7 amma suns sng __J~- Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons re an toalns mes ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - In tas coreat, om 9 6. In training, where does the spent foam go? ote amysoves__onstosote Lom ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic or Gamimter ___ Other (please describe):----------------------- 1. Wire dose ig ke pe? Psa kt abs, raion a her son 7. Where does/did the training take place? Please include address, intersection or other sp.ecific location i information for current and ast tr Kinogen ee TEL 5910 Rice Creek Parkway Phone: 651.639.9449 I 800.477.7411 Fax: i Suite 100 St. 651.639.9473 Paul, MN 55126 www.deltaenv } USA com 22222..008806 stare oas21763 STATE_02821763 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. Wht typisttantomfoanvyravemre tSoatnnatt otthot yh Ean, ote 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TTaEy ontisest TyTpypeeooffFFoaamm BrBarannddooffFFoaamm Glos Aq Fin Class B Aqueous Filma ------------ Forming Foam (AFFF) mad ato Class B Alcoholse ---------- -- Resistant (AR)-AFFF cmap | -- Class B Protein ae8 Furor Class B Fluoroprotein or | (FP) A-- Class B Film-Forming an Fluoroprotein (FFFP) amenee | -- Class B AR-FFFP ganin Class A-B Hi en -- Expansion Foam Cassa Towle laUn Class A TTrraaiinniinngg FFooaamm Teawel oe TT se Other Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulallly Current Use or HistorHisitocric UUssee?? Hes Lent Thr jouta your tne and operon, Poss conat Nay Resin ek Conant (051.007.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Corsets tar or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ee oo a Soomro hs nos jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. sls See RO .PIP~s~ ref!.!rn thJ-5 questlonna!.re to De!ta Ccn.su!tant bv !t-1.;!}' 9. 2008 i:; the onc!oscd $t:tn1ped, ~elf oh addressed envelope. Cunstorate compet Questionnaire completed by: s--:em:adL Tplodson --:b:.Pb \ 0\\so (\ Seasocth. Name and Title Aa Fire Department SD064-5957 -5nl- 9~Y -S967; Phone Number ulsslos EEM-Maialil AAddddrreessss Xinoger TT TT po SE ------_---- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00807 stare_o2s2176 STATE_02821764 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Does you Department curentloyr has your Department historical used Cass Aor ClBafosamss or 1. Does your Department currently or has your Department historically used Class A or Class B foams for ratghungoperations? firefighting operations? Vos - ProtocQouesatiodn --=---=-- Yes - Proceed to Question 2 I X - re r--S A Cn No- Sign the back of this form and return to Delta Consultants 2. How often Class Bor laAsfosam used responseto re cal? 2. How often is Class B or Class A foam used in response to fire calls? 025% ofres 25.50% orfees 75.1of0ee%s ___ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 3. Doas the Deeppaarrtmmeenntt hhaveaaccoommvpprreesessseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wviiththaa bitintar ons built-in tank on its aennggiinnee((ss)?? 3. Does the D ___ Yveess ___ NNoo 4. Howoflen's foam used in raining exercises? 4. How often is foam used in training exercises? J vow outer ___ Weekly Monthly _ _ _ Quarterly ombamnuaty Soaty BrAmualy ___ Semi-Annually ___ Annually ___ Bi-Annually Other ease speci ___ Other (please specify):----------------------- 5. How much foam i used por airing oven? 5. How much foam is used per training event? Less than' gallos. Sgalons S010 gators Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 Gallons (lease spect More than 10 gallons (please specify): _________________ 6. naling, where does the spot oa go? 6. In training, where does the spent foam go? SomSewer __savaySewer ___OnSteSepic Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Ober(oasodescrber ~-_._.~ _Other (please describe):--------------------------------- 7. Wohermdoafeotscatnheriiannpatatkevpaiianceg? rPleesa.se incu adress, nrseckon ober speci location 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinoger u!dl'iJ SE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 651.679.9005 1 500.477 7411 Fak: 691-639.9471rgomaniliasncvo.m Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008808 SsTTAaeT_E0_202882211776655 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What yes) and ranofsfo)am arorwere use ow and th ast by he Depertmen, btarfhre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and nang i SpPIGSSIOY leas check a bot a0 response and in training (if applicable)? Please check all that apply. TUsoodnign AmUoseudnt Curent useor T Typy eoofp fFFooe aamm Gloss Aguoous Fin Class 8 Aqueous FilmFarming Foam (a) Forming Foam (AFFF) GlBacsoosl Class 8 AlcoholRosson (RAFF | Resistant (AR)-AFFF cassoPwen Class 8 Protein Class Furapoton Class 8 Fluoroprotein wo _--_-- (FP) Cl8Faim sFomsing Class 8 Film-Forming Fuoprt(FoPFn -------------------- -------- ------ -------- Fluoroprotein (FFFP) csommer Class 8 AR-FFFP cuss ABH Class A-8 Hi Epona -------------- ------ Expansion Foam Cass --- Class A Tengo TT Training Foam Over - Other B BrarndoaoffFn Fooaadmm Used in Training? YYeess oorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? Thank yu for our me and cooperation. leas contac ancy Racing at Dla Conauans (51,697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orodetae como 1m Siosingr or Minas Polo Col Pours (651 597.0000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or sackmaatn ou hav any aves repding is sostonnate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plossaretum is auestononalrt ConsultbayMnetys9,200 ntheanclosed stapd. sa Please retum this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped. self- `addddrresssseeddeennvveellooppee.. QNuae(ns3tsge,mn_rattre tcompltsbyd: Larry Bovwrnan Questionnaire completed by: Name and Titl 130!/WMt>-Yl |,,FRirr-eecchbi;eeff I + FreBo5Spaerem-dadtta""nn FEi/ rree & Rescue Fire Department Pons33N~2umob0er--4tt3a4'I----- 0o11714 S/az/oz Phone Number Dafe EvalAdbbdtaeArs-srryri. bbcovwvVw'mf)att-nn @(d) co. pope.mn.vs E-Mail Address NKinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00809 sStTaArTeE0_02228121776666 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. rDDooseass yyooiuurr DDoeeppaanrrttmm'eenntt ccuurrreennttllyy oor hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCla:sasAAsosorr CCalassssBBfofoaammss orfor Yas- Proceetdo firefigh!i~ operations? _2_5 _ Yes- Proceed to QQuueessttioino2n2 ___ NNoo - SSiiggnn tthhee bbaacckkoof tthhiiss ffoorrmm aanndd rreettuurrnnttoo DDietltaa CCoonnssuullttaannttss 22.. HHooww ates often is CCllaassss BBoorr CCllaassss Afofoaamm uusseedd ninersepspoonnssee ttoo refire ccaallllss?? _X2{_ o0-a2s5n%ototf frireess ____z255s-5o0m%ootfifieress ___ 775-51 0.0%1o0offf0firree%ss 33.. DDoosess tthheo DDeeppaarrtimmenntt have have aa compressed compressed aiair foam foam system system (CAFS) (CAFS) waibuhlin with a built-in tank tank on 1 on its engine)? engine(s)? Yes ---7 Yes a ____2S._ No 44.. HHoowwooftfteenn iiss ffooaamm uusseedd iinn rtrsaiinniinngg eexxeerrcciisseess?? Newer --~Never ___ weey Weekly XXC: SSeemmii-dAonnuuaalllyy ______ AAonmnuuaalllyy Monty J Monthly ___ Quarterly Glam ___ Bi-Annually OOtthheerr ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - --- - - - - - - 55.. HHoowmwuh~ oamoamiisuusseeddppeerr trraaiinniinnggoevveennt?? LeLessss hthaann S5aglalolonnss ____ 55ggaalllaonnss ___ Stoica 5 to 10 gallons ' MMoorree tthhaann 1100 ggaalllloonnss (leasN e speci): OA-- (please specify): __________________ 66.. IInnttraaizigwghuhearreo ddooeos tthhea spopnetntffooaammggoo?? SSttoorrmm SSeewweerr ____ SSaanniittaarryy SSeewweerr __ Oonn--sSiittee SSeeppttiicc GGrroouunndd Over (peasedeseabey ___ Other (please describe):----------------------- 77.. WiVnifhhoearrm&ratddioooeenssf//oddricdd uthhere rUtraaiainnniidnnggpaiaaskkteeappiniaaccgee?? aPPreleeasas.see inncCuluddee aaddaireessss,, iinntresrsoeccttioonnoorrooetherr speci specific llooccaattioonn information for current and past training areas. Jay25Zor /1-S--o~fTI~o/nJFyi/!cf lWet-e7R11-~ I Kinogen OOVVEERR-----+ _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.3005 1 308.477 7411 Fok: G51 639.9475 masidsliasaonn. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00810 SSTTAATTEE__0022882211776677 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5. Whot p00) ond ranks) offoam re wer us nw and the pas by he Deparment. fo fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tenants and Soin f appeaie' loce check o ot ap response and in training (if applicable)? Please check all that apply. T[ rang -- Goes urenty Historica Ty~p~eeooff FFooaamm Gl8Auss Class B Aqueous Poonam o_o Film-Forming Foam ery (AFFF) Ga8 scsol Class B AlcoholRoel Resistant (AR)aAFFF Gombpwn Class B Protein cise Class B Fletroin FF) _-- -- -- Fluoroprotein (FP) Gloss Fim. Class B FilmFemi Forming Frergmeten ne Fluoroprotein fe (FFFP) CasoARFR Class B AR-FFFP caso ABH Class A-B Hi Cut | -- -- s--t4Z--- -- Class A Expansion Foam Class A A Training Foam over OO -- -- -- Other BBrraannddooffFFooaamm SSv eVPt?.ve Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallll~y Currently UUsseedd?? Historically UUsseedd?? y'ft~s $GG-1ee- Ske $s-:tn~ Thank ouorour me ond cooperation. Plas contact Nay Ring f Oats Coralia (651.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rnin como i Slinger he Minos Polos Co Agency(651407 3666 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or TrsscignGoe ooo You ov ay ase roping os tse jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Deita Consuitants i:JV Ju11e 6. 2008 iii the enclosed stamp~d. s"'Jf~ Sametite addressed envelope. Questorpags compete Questi~e~. . ~ To~ tBRa ~ H~e~B'r ly Name and Title FraBeSpampante,Fre Me M~~ Fire Department ~~ Frans N0o2r for &So 2557 Phone Number Date e?.pucL sSfcJN@pfansee rchh?r!elee,ys;re_ ser AYA'C Earns E-Mail Address Ninogen ) XInogpl" .,"' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..081111 stare 0221768 STATE_02821768 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. frDDaootaeisshyyioonuugrroDDpeeeppraasrrittmomneesnn?tt curently currently oor has has your your Department Department historical historically used used ClAoraClasss 8 Class A or Class B foams foams for for 2. Ves ProtocQueesteiodn2 firefighting operations? -----"V'-- Yes- Proceed to Question 2 NNoo--SSiiggnn the the back back ofthis of this form form and and atu return toDota to Delta Consultants Consultants 2. Howolten is Ciss or CaAsfosam used in respons ore cols? 2. How often is Class B or Class A foam used in response to fire calls? Vvo ooh ofties 0-25% of fires 25.50% fees ___ 25-50% of fires 75.10%of res ___ 75-100% of fires 3. Dos the Department have compressed i foam system (CAFS) wih a bul tar ons engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes vo -~V_ No 4. Howe sfoam used in traning xercises? 4. How often is foam used in training exercises? Woy Varin ___ Weekly Monthly emmy Amar ___ Semi-Annually ___ Annually Quarry ___ Quarterly sama ___ Bi-Annually ___OtOhteherr ((pplleeaassee ssppeecicfifyy):): -----'A -A-o"'l/_,.O""'A""I._..I-~~E-E--------------- 55.. HHoowwmmuucchh ffooaamm used is used ppoerr aig training eevveenntt?? ___ LLeesssstthhaann'5ggaallson.s S5ggaatlloonnss ___ 551to01100 ggaallloonnss MoMroeretthhaann1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): _________________ 6. ntainig, wher doa he spt foam go? 6. In training, where does the spent foam go? SomSows ___SamtaySower __OnSieSoic ___Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Overessedescaber -----'-- Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. Wohmeadnoeofsceueaanm atckteopiagce?rPolemaese incuce adres, intersecortoilohnr pec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Xinogen- Phone: Phone: 651.639.9/084550.433 7411 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: E31 639M.ei9dal4insn7v.c)om Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00812 sStTaAreTE0_206228211776699 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. fWWohhsaapttottnyypseeas(s)n) aainnddrabbirranainnnddg(ss())1oopffpffoioacamamiaacr)e?ororerwwaeeerseree uucssheeoddcknnooalwwhaaanntdd ainppttlhyhe. ppaasstt bby tthhee DDeeppaartrtmmenetn,t, bboathh ffoorr ffirree response and in training (if applicable)? Please check all that apply. TrUUassieenddiininng? AAmUmosoueudnntt Current Usoor Training? Used Current Use or GasTsTyByppeeAoqofufeFFooouaasmmFim BBrraannddooff FFooaamm YYeessoorrNNoo. AnAnnunaulalllyy HiHsitsotorriiccUUssee? Forming Foam (FPF) Class B Aqueous Film- Forming Foam (AFFF) ---------------------- -------- ---------- -------- GCRelaslsssta8aBntAAsll(cAooRnshoAl-FF ---------------------- -------- CRleassisstaPnrto(AteRi)n-AFFF ee sem---------- ICCCclllaaa)ssssss Flaoraprtein B Protein B Fluoroprotein m----------------r= e-- ee CF(CFlllaPasssc)ssrpB8roFFtiilommn--FF(ooFrFmmFiPinn)gg CossBARFEP Fluoroprotein (FFFP) CECClllaaagssssssaAAB-nBABRHHF-iiFoFaFmP ~~ ---------- ---------- Expansion Foam CCllaassss AA Siveex seevlite Trang Training FFooaamm - oOvtheerr - TTofhhaaonnxkyhyoonuugfof@ordyyoooulurratlieminmevaann.ddcoccofooomoippe)merarStaittiooonn.c.kPPillneegaassreeacciootnnMttiaancctnteNNsaaonntcacyyPRRoouodlnacinngiaCaitDoDenlnetlgtaaACCgoeonnnscsuyull(taan6nt5tss-((266559117--6.6998776o--556r115522 fim stockinger@stte nus) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if YouJim you ave any Questions regercing hs Guestomna Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or PaPldleedaarses_seesrreeedttuuerrnnnvt..eathhlio_us~p_e'e!..ls!.~t._lij_qo_r]n.[Janitroea_.!DQle_Dletrltaa GCo_nosnuslutltaannttss bbyv May Mav 9. 8_2008 2008 in in the the enclosed stampad. enclosed stamped" self:. :;elf- addressed envelope. QQuueesstitioonnnnaaiirree ccoommpplleetteedd bbyy:: NameLa'ndedoT.wAliJerrssgpaecess Name and Title 00000000 Fire Departmene t se Fire Department Stl I c 4: PPhhoonnee NNuummbebre'r heat Evan2Ad/res0s 433 E-Mail Address -- wove 1//0!i.!d" XXiInnooggefnn' '"' Phone. Phone: . DDaattee MMiAs-t 2..1 t2Jo0o098 651.639.9545 1 450.437 411 Fak: 91635.9433 uni.dRILasncso.m ay oeTEperTeI 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00813 STSTAATTEE0_208228127177070 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. aDDtooseossniyyoonuugrr DaDepepepararsrtitmmoenensnt?t urtanorthays currently or has your your Department Department storia historica l l used y used CasAos Class A or Cass Class B foams B foams for for 2% Yes. Proceed firefighting operations? ~ Yes- Proceed ttoo Question Question 2 2 ___ NNoo--SSiiggnn tthhee bbaacckk ooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. Howoflenis Class BorClaAsfosam used in response fo fr cals? 2. How often is Class B or Class A foam used in response to fire calls? __'3A_._ ooswoties 0-25% of fires 25.50 offre ___ 25-50% of fires Tatoo ares ___ 75-1 00% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn ittss ennggiinnee((ss))?? X ves X Yes No ___ No 4. Howoftens foam used in sing exercises? 4. How often is foam used in training exercises? Wes vow ___ Weekly _ _ _ Monthly SemiAmnualy Aonuaty ___ Semi-Annually Annually oun ___ Quarterly BrAmualy ___ Bi-Annually XX__ OOtthheerr ((pplleeaassee ssppeecciilfyy)): AAlIMmoIJ sStf AAsKcAar/en~ 5. Howmuen fami usedpar raining oven? 5. How SXmuch :X Loss foam is Less tran' gaons. used per training than 5 gallons event? ___ 55 ggaallloonnss ___ MMoorroe tthhaann 1100 gars gallons leasespesiy (please specify): ___ 551to01100 gaons gallons 6. In taining, wher doas to spot foam go? 6. In training, where does the spent foam go? SC Stom Sewer _ Santary Sewsr onsite Sep Grow X Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Other (lease dosrbe) ____ Other (please describe):-----'-------------------- 71.. WWfohhreemrraeetdcioooenasf/sodritdcttuhnetrt:raaiainnniindnggpatcaktkoevppllaaaccgee?? rPPelleeaaasssee iinnccluldued aacdcderessss,, nterseocfotboenr intersection or other specific specific location location prema information A.Jepc,a. foo~rcf~urren'TtTauvnsdJftptai4stoDtrnaJindting areas. ~off bEiAnAe JMia~l/l1 Xinogen PPrhoonnee:: 651.639.9305 1 809.473 7411 Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: $31-639.947)MduAILASAYLo.m Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..008814 SstTaAtTeE__0022882211777711 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training oi sca Ps Soak so 88.. WWhhaatt ttyyppee((ss)) aanndd bbrraanndd(ss))ooff ffooaamm aarree oorr wweerree uusseedd nnoowwaanndd iinn tthhee ppaasstt bbyy tthhee DDeeppaarrttmmeentn,t, bbootthh ffoorr ffiirree response and in training (if applicable)? Please check all that apply. TUeoendign Am"Doeuendt cumamusoor TyT)pl!;e!eooffFFooaamm Glos Aqwsous Fin Class B Aqueous Filmee a FonTilng roam (AFrF) Gloss 8 earl Class B Alcoholnner -------- -------------- Resistant (AR)-AFFF rr sme ert ese ie Class B Protein Clase 8Froproton Class B Fluoroprotein & | rr ms (FP) Clss 8 Fim.Faming Class B Film-Forming -------- -------- Fluoroprotein (FFFP) ee Class B AR-FFFP clss A814 Class A-B Hi Sn ; a Expansion Foam Cass Ssii.l, uex 4,Co~r~p1 Mo zoad Fou Sando, Class A Tamron LT Qua Training Foam ober TT TTTTT pun Other BrBarannddooffFFooaamm u-f/1, t II/ Used in YosorNo Training? Yes or No Amount AAnnUnnusuaealdlll)y Historic Use? Current Use or Historic Use? VD 7_0 ~~~ ~.p,.\S J.-0 ~\otJ> 30 5 ~(\. ~~~.Q'AU'I>~ hark yo for your ie and cooperation. lea ona ancy Hodsing al Del Conutans (151.687.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rato) ooo Sci oo Wino uta Covel Agony (51 37 068 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sara omar vou hve sy ao opto is ats jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPllaeaasseerre.t~ururrnn ttlh]i!$s qauueessttiioonnnnaaiirree ttoo DDaelletasCCoonsnuslutltaannttssbtywHMaay" 89,, 22000088I!n:1 tthhe eocnnccl!oosss~ddssttaammppeedd,.sseleflf:- `addddrresssseeddeennvveellooppee.. P-- Questionnaire completed by: JobLAo- FF;.r.R-o-0pitess Clk ;jD /?1~6~ i)-i:) Ramen Name and Title S : k Sttnrf;hg~ FF2irrea1rDee2paam-rttme2ernt26-0059 Phone Number =s/ 2-07 Date Eres sS:r'/ /(vv~evr-biJnJy"l(j dCiInLe!J @@ L~akk:m.~ed? | Con. E-Mail Address Kinogen oo 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.630.5045 1 850.937 7011 Fak: S93639.0473mawAAlARRY.AAR. Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00815 sare oas1772 STATE_02821772 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. rDDeooreegsshyyioonuugrr DoDepepepararartttmmoenensnt?t ccuurrreennttlyy oorr hhaass yyoouurr DDeeppaarrtmmeenntt hHiissttoorriiccaallllyy uusseedd CCalassss AAoorr CCllaasss BB ffooaammss ffoorr firefighting operations? No-Sign the baocfthkis form and retum to Dita Consultants .=~~ YYeess-- PPrroocceeeeddttoo QQuueessttiioonn 22 No - Sign the back of this form and return to Delta Consultants 2. owoften'sGisBor CiaAfsoasm used iresponosfree cals? 2. How often is Class B or Class A foam used in response to fire calls? Vefite fire v~lt,;_ I.-e- ..{) ;.-<- / 00-2255%% ooff ffiirreess 2255--5600%% ooff ffiirreess. ___ 7755-110000%% ooff ffiirreess. 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiitlt--iinn ttaannkk oonn titss eennggiinnee((ss))?? Yes ___ Yes =o -----"'c~ No 4. Howotens foam used in aning exercises? 4. How often is foam used in training exercises? News __ Weey __ Mouny -- Cuareny ___ Never ___ Weekly ___ Monthly ___ Quarterly -- Semiamualy Rorually siamualy ___ Semi-Annually _ _./_ Annually ___ Bi-Annually Over Gleasespoety ___ Other (please specify):----------------------- 55.. HHooww mmuucchh ffooaamm iis uusseedd ppeerr trraaiinniinngg eevveenntt?? =___- LLeessss tthhaann' g5aglalolonnss 55 ggaalllloonnss ___ MMoorree tthhaann 1100 ggaallloonnss G(plleeaassoespsepceictifyy)): ___ S5ttoo 1100ggaatlloornss 66.. IInnttraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm g65o7? ___ SSttoorrmmSSeewweerr ___ SSaanntitaarryy SSeewweerr __ OOnns-StiteesSeespttiec <rt..-/ GGrroouunndd ter Other ((pplleeaassee ddeessccrriibbee)): ________ A ______________ 7. 7. WWinehfreomreeatddioooenesfso/dtiddcutthrhreenVtrtaaiainnniindnggpttaaaskkeeeplnlaaiccneeg??aPPrleleeaasa.ssee iinncc-lluuddee aaddddrreessss,, iinntetrseerctsioenocortrooittohhenrr pocic specific llooccaattioonn information for current and past training areas. t330oo5r5agEe487CPHiLno STL= ovmoFmF sillprb werdoktSst _magpdei rccess XKIinnoogg~enn ,,, O OV VE ER R~ -- Shane: 451.639.S394e51 r$00 C47r3eTApTrFyake S051T63T9O.U94S7)FmoRmsdtliSnt5a1n3.cUoSmK Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: i. Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv com 22222..00881166 SSTTAATTEE_0022882211777733 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. eWWhshapatotnttyysppoee(os()sn)daannddaibbrrarinndag(s(n)oo3dffpffsioocaa)mmosaairreee?oorPrwlweeerarseeeuuscsheeeddcknnooalwwl naannadd 3nin93tthh.eepapsatstbbyytthheeDDegeapratrtmmenetn,t, bbootthhffoorr ffirree response and in training (if applicable)? Please check all that apply. TTyyppeeooffFFooaamm Class 8Aqueous FimFomna foun Class B Aqueous Film-Forming Foam (wer) (AFFF) GlBaAlcsohosl. Class B Alcohol- Ross GR). Resistant (AR)AFFE AFFF CessBPrown Class B Protein Class Class B FFiuluoorroopprrootteeiinn ((FFPP)) Class Fim Class B FilmForming Forming Fugomoen Fluoroprotein FR) (FFFP) CossBARSFFP Class B AR-FFFP Clase ABHi Class A-B Hi Boonsonfoam Expansion Foam ClassA Class A Tango Training Foam Other Other `BraBndroofafFFnooaadmm A,InJ1g7!uju sS :~ Thides -r: . ; I /'t cle >Z Usedin Used in Training? Training? YYeessoorr NNoo 4y2-.!' S5 Amount Amount Used Used AAnnnnuuaallllyy Cuently Currently UUsseedd?? 3-Spuls pes 3-.59ffZ/<; ;11~ s I HHiissttoorriiccaallllyy UUsseedd?? ue ../..0 o_o -- ---------- ---- -_-- o_o ------------ ------ ---- ---- ---- ---- -- er -- rr mm -- "oioTrrmhwansTnrotokoddhcnyyniooiinunuanggfgefo@or@rnrysddyoesaokulttturaaereett.niimmvmm.eeccioonaammnns)dd))ooccfrorooyoJJpoiipmeumerrahSSattttiiovcoocknnk.i.ainnngPPgyelleerearaaaeasstteesttohcceeoonnnsMMttiaaicnnrctnentgeeNNassaraoondntticaacnyygPPRRioooolusludcltnQhiaoiuninnegnsaCCagLototnontDMDrteIreoloallttlraaAAe.gCCgeoeonrnnccusyyutla((t6an6n55tt11ss--22((699657751--188--666696697607--oo55r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiiss qquueessttiioonnnnaaiirreettooDDeellttaaCCoonnsuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,.sseellff-: `aaddddrreesssseeddeennvveellooppee.. Questionaire competed by: Questionnaire completed by: Vale Koset ame ana Ts ji;(ame and Title A285 on cb fF FiSsraD[iep-la/rotomeeenptr LlrkE Fire Department Lee Leer Phone N0umb2e2r 7 Ryr2 Phone Number 5 io & e Ed(ailanItfa#oi.re/sK("es,Ne' tdf & dmlCe)d5s, .~.~ c c 0 o --m -- E-Mail Address XXiInnooggepnf '"' none 651.629S.T915e340r56.E433eSApTE rFuk: CSHLI61196.024S7C) mPsaoubatlaSsSmiIctUaEm Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00817 SSTTAATTEE__0022882211777744 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. Does your Department cure has your Department istry usd Gigs Ar Css Boars or 1. Does your Department currently or has your Department historically used Class A or Class B foams for acing opesions? firefighting operations? Ves -ProtocQueesteiond2 --.,-- Yes- Proceed to Question 2 XCto ionthe bcoftkis form an tum ot Constants ~ No- Sign the back of this form and return to Delta Consultants 2. Howoflenis Gass 3.GlaAsfosam usin espns ro cals? 2. How often is Class B or Class A foam used in response to fire calls? oanatiies 2saaies T5005 offre ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 3. Does the Deparment aav compre essed foam system (CAFS) witha bulin arkon fs engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes No ___ No 4. Howoltensfoam used oii exercises? 4. How often is foam used in training exercises? Week Monty a ___ Weekly ___ Monthly TT comamanty ama seman ___ Semi-Annually ___ Annually ___ Quarterly ___ Bi-Annually Othe (pase speci: ~ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam is used por varing vent? 5. How much foam is used per training event? Lessthan gators Sans Less than 5 gallons 5 gallons ___ S5ttoo 1t00ggaaklloonnss MMoorree tthhaann 1100 ggaalllloonnss ((pplle~aassee sppeecicfifyy)):: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ . Intaining. where doa he sptfamgo? 6. In training, where does the spent foam go? Storm Sewer __ Sandary Saver onste Sopic Gow ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Or (ease scribe) ~~"'""'". Other (please describe):---------------------- 7. itorromdoeesnt Shunvtiangpkasoalamcge? rleesas.se ce aes, ners or ihr speci octon 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Phone: Phone: 651.639.50855910 651.639.9449 I 1 800.977.741F1o.k: Rice Creek Parkway 800.477.7411 Fax: 851.630.9473wdhear liagneo.m Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00818 stare 02821775 STATE_02821775 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WVreihshapaottnytysmpeee(a(ssn))daainnnddabbiriarnndga(s()1nooaffpdffpoola)aimmcaaabrrleeeoorlrweweaersreee uucssheeeddcnknooaww (aaanntdd aiinnpthyhe.e past past by by the the Deparment, Department, both both oxfor refire response and in training (if applicable)? Please check all that apply. --w_eFeog7iR ter MpdSor wpe of Foam Bond of Foam TYTUUeraasssieennoddirgniihgnn?o? AAAmUUmnosmsouueeuaddnnltyt CCuusrrtrooemrnitteUUUsssoeeoo?rr CCFlolaarssmTssiynBpgeAAFqqoouufaeeFmooouu(assmNFFFiilmm)--|---- Brand of Foam Yes or No Annually Historic Use? CCFReolasrilsmssti8naBagnAtAFcsl(ocoAoanRmhs)oollA(-AFFEFFF) a CossBPon Resistant (AR)-AFFF I=CCClll)aaassssss Floroprotain B Protein B Fluoroprotein m-- rr re FuC(CFrllPaaos)sspBo8 tFieimlm-nF-Fo(orFrmFmiFinn)gg ---------- CosseARFER Fluoroprotein (FFFP) CCGBillpaansssmssssAABo-BAnHRHf-iFoFaFmP ---------- Cassa Expansion Foam re + emi st ee TCrlaassnAg Foam rere. eis eee eee over Training Foam - Other iTToofmrhhanaosnrtoidkodiycynookninuuignof@@goraaredryyle@ooilstuaaauretetnt.niimyvmn..eeccsooaammn)n)d)ooccororoYoJpomipemuerarhSSatatittiooovonccen.kk.niinnPyPggleleeerqraaauasseteestthhccioeooonnnMMstaaciirnctentsgeNNatsaraondnaticacnyygPPRRoioololsluudditniiQooinunnneggsCCaatootonnnDDtnoereoalllrtlaaeAA.CCggoeeonnnncscsyyuula((ta6n6n5t3t1ss1-2-((692857591-178---66069696767-0-o5o56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PslPaeldearaessseesrreeedtteuunrmnvetlhtoiispsaeu questtoiDoatnaCnoansierntes estionnaire to Delta Consu!t;:mts by by May May 9, 9. 2008 2008 1ii1 th th snclosedstampsd, e enclosed stamp.ad, sel: seif- addressed envelope. Questonogig completedby: FFrireeDDeeppaarrmtmeenntt -- Phone Number 5S56017 3IF IIS Phone Number SOr=e 3-0 Date Err E-Mail Address XKinogen + Jihue i<n AA TL TNAAF a irever 22222222..00881199 STSTAATTEE0_202882211777766 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg L 1. 1 . frDDooofsegsshyyioonuugrr DaDpeeeppraaarrttmmoenensnt?t cenor thas currently or has yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaal lly uusseedd CClaasssAosorr CCllaassss BBffooaammsffsoor 3 Yes Proceedto firefighting operations? Yes - Proceed to QQuueessttiioonn 22 No- No - SSiiggnn tthhee bbaacckk oofftthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. 2. Howoflen's How often is Gass Class Bor B or ClaAfsoasm Class A foam used used iinnrreessppoonnssee ofrto fire ccaalllss?? HK oasmotties / 0-25% of fires ___252.5-5500%%ooff resfires ___ 7755-10:0%1o0offf0friree%ss 33.. DDoocess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wiatbhut with a built-in tankon tank on its engine(s)? engine(s)? A _ ~_YXK_evNseos 4. Howofens foam used in aning exercises? 4. How often is foam used in training exercises? AL Never Weekly Monty Quarry _;:__Never Weekly ~--Monthly ___ Quarterly 7 somimualy _ Aeualy JE T-- Semi-Annually Annually ___ Bi-Annually thr (please spect): tee Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppeerr trraaiinniinngg Less than gatons eevveenntt?? /!5'XI;gtalAAlo+"ns $10 10gatons Morena Less than More than t0galons 5 gallons 10 gallons (pessespecty 5 gallons (please specify): _ _ _ _ _ _ _ _ 5 to 10 gallons _________ _ _ _ 6 Intaiin, wher oes he spent oan 7 J)A.y 6. In training, where does the spent foam go? fV./1 1 Storm Sewer _ Sanitary Sewer On-Site Septic Ground ___ Storm Sewer ~~ Sanitary Sewer _ _ On-Site Septic Ground Ober plaase describe) ~-- Other (please describe):---------------------- Ne= 77.. WiWnhfheoerrrmeeatddiooosenssfio/ddiiddcutththteenrtrtaaiainnniindnggpaataskkteenppialacnceeg?? aPPrlleeeaaasssoe iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortrooitthoheenrr spec specific lloocc-aattiioonn tNyooe information for current and past training area/Ts6.ooo eE'Xle~teznlsv5I.vtJV/EE Tjoo WWAAS5ITEc Kinogen OOVVEER R~ -- ST re Cree pry ST _TE SF. WR SSI_U--S 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA nana: 631.030.9545 1 800.477 7411 Fok: $93 015.0475 Wm.Aelnacnom. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00882200 SSTTAATTEE__0022882211777777 DELTA FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 5. Wiha es) and and) foam aorwre usednw an ho pastbyth Deparment,bot for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tekan sn tain appease les heck of pot spy response and in training (if applicable)? Please check all that apply. TUrsaendinny AmGoeustnt Curent Historically TTyyp~eeooffFFooaamm BBrraannddooff FFooaamm Used in YTYereassinooirrnNNgo?o Amount AAnnUnnusuaealdlllyy CUUusrsreeeddn??tly HisUUtssoeeriddc??ally tomtom Class B Aqueous Film-Forming Foam fre (AFFF) Class B Alcohol- msi S 3MM No joer YES YES Resistant (AR)- peAFFF Comoros Me OQ pe po Class B Protein ooey -------- ACO Ho NZ Class B Fluoroprotein (FP) Css Fim Class B Film- Forming Ae O 0 N M fe Fluoroprotein Fe (FFFP) cmon [MNo O po po Class ABH: Class B AR-FFFP Class A-B Hi Toten a HAF classn Expansion Foam TCraliansisngA Foam Training Foam over J Other SS iLLpv--eex. tfYeD _0O h/'{6e W,oto lvo [o 6/fL Yi=-:s YE.S 1JtQ_ 0 (YD ;y_o _jJ_Q_ _{]_ IY!J fVlJ jJQ_ 0 hfYeO C) f/Voc Qog 1J ()hit{, !H ftQ_NO C) L]/0 nfYeO YYEESS N('{o0 ~ _ikQ !pYoO Y~-E_Ss pNoo arco fo our me andcospeatn. lease ona Ney Ring a Dla onsuans (51697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 onoae como im Sion ot innate Po Col owner (51 597309o8 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fring Gots oe) Tou avs ay avers roping ms ussite jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas retum is questiotonDnotatire Consults by un 6. 2003 in th enclosedstamped, sl. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- `aaddddrreesssseeddeennvveellooppee.. P---- Questionnaire completed by: aTmetosnma hTiss 112% ppsctEl Name and Title CHIEF Fre DSeptaremenet py epYyeE FF5iore0nDe7ep-maro0tmo1ern9t 6652 Phone Number PIES TA Se-29-08 Date ER E-Mail Address HXwInoog~ernr "" wR ER IT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..082211 stareozs21778 STATE_02821778 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. feDDcooieesgshyyioonuugrroDDpeeeppraaarrtttommneesnn?tt current currently oor has has your your Department Department historical historically uusseod CClalssAAaoorrsCCllaassss B 8 ffooaammss ffoorr _X_ Yes Proceod firefighting operations? X Yes- Proceed ttoo QQuueessttiioonn22 No- Signthebackofthsform and return to Delta Consulants No- Sign the back of this form and return to Delta Consultants 22.. HHoowwofotfnteins Class is Class BBoorr CCllaassss AAffooaamm uusseedd nin rreespsonpsoelntoofsfriree ccaalllss?? XX_ o0-a2s5w%ototf fiireess ___ 2255-5500%%ooff ffirreess ___ 775-510-0%1o0offf0firree%ss 3. DDoosess tthhee DDoeppaarritmmeenntthhaavvee aaccoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS))wwiithh aa ultn built-in ttaanik oonn fsits oennggiinnoe((ss))?? 3. ___ YYeess X2< Nneo 4. How oftenis foam used in traning exercises? 4. How often is foam used in training exercises? Never Weakly Monty -- XC Oter (pleasespeci) otspony gang ___ Never ___ Weekly _ _ _SeSmeim-Ai-nAnnunaulallyly B~ e pAnonunalyly BiAmualy Monthly _ _ _ Quarterly ___ Bi-Annually X Other (please specify): -~""-'-':....:::....:::......<::.~--+--'l--~A--.::..::..._=------------ 5. How much foam is used pe raining evant? 5. How much foam is used per training event? XX LLeesssstthhaanns5gaglallloonnss ____ S5ggaalliloonnss ___ 5Sttoo 1100ggaallloonnss Mors han 10 gaons (lease speci) ee More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. Intaining, In training, where where does does tthhee ssppeenntt ffooaamm g0o0?7 ___ SSttoorrmm SSeewweerr __ ___SSaanintitaarryySSeewweerr __ oOnns-StiteesSeepptticc __LXG_rGoruounndd ___ OOtthheerr ({pplleeaasseedd esce rives): c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. WWinhhfeoerrrmeeatddioooenssf/odrtidcutthrherettrnaaiiannniindnggptataskkteerlJa:a)lanccege??aPPrleleeaasa.ssee nce include aadddrreesss,, iinntteerrsseeccttiioonn oor ootthherr spec specific llooccaattioonn thn information for cDu])rri;e+nttdha.n.d pab~ysttJtrainiFFn~gir-are.r.ee.as.,H1-aM.lI\l.,- w~Ls Ssfpr~aAy J l-leossse- 1t{h7a)nh 37 2nd st Solway, Ma. 5.NN6W6w78 XKIinnoog~gne.n ,, OOVVEERR---+ TRE Cree pay SUT TOU FR WSSoeUSrK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none 31630.951 30050.457 5411 Fok: $4) 033.047)Mmdeltaan.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00882222 STSTAATTEE0_208282211777799 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg cFasas o (7) 5 [ST EN E -- 8. Vihat yes) and brandof(fosam)ave or were used now andi th ast bythe Dessert, bh frfre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in aining (1 applicable)? Pease check a hat 301. response and in training (if applicable)? Please check all that apply. . TUrasiendiingn? AmUosuendt Curent Historically TyTyppeeooffFFooaamm y-- Class B Aqueous FmFomng roan (Re --= ---- (aFFF) Film-Forming (AFFF) Foam Glass B cohol. AFFE ReCRsleiasssitssataBnntAt l((cAAoRRh)o)-lAFFF = Case 8Protein Class B Protein BBrraannddooff FFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? WES po . Ly OS XP r0esB W = " m a C~ AReIs S -- -- Class B Fluoroprotein (FP) Gass Fin XV x ea?\s Class B Film- Forming Paretoun --y ey So XL Fluoroprotein FH) o \ (FFFP) _ Sete TORT TTT TT Class A i Class B AR-FFFP Class A-B Hi 50S Class Expansion Foam - TCelawsseAgFoan omer Training Foam --- Other ToiTorhrmhaanwsnnrtookkodcsyynkooihinuuniggff@onor@dgyyseoo@tluautadrtreeottniimvlmcm.eecaouoaamesmnn)n)dd)ooyccorooiyoJpoipemnurearhSStaaiottioovconcekn.ki.ainnnyPgPgQleleeuerraeaaasssiteetttihcchooeoennnMMtstaiaicfnnctnent weaNNssraaoonitntcnaacyygPPRRooioollsluddltniiaeoinnnsnggtaCCaooot nnnDDtorieeollatlaaAA.CCggeooennncsnsyule((ta66nn55ts11s--2((26969575711-8---666696697760--51o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. . ( s'Ck-, Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- sdoressed snveiope, addressed envelope. Questonnaecompleted: Questionnaire completed by: KKeevi-ln~ LL.. 4LahrWsokn. ((7tr<r-eets.ss"e<~sr) .., ,.. chli~ef NNoo!t- tatvVittlia{bQtl(e~ TeTime es Name and Title FreGoSpparlofmveewyrd~. M((fuArrat~l VUool(ufAn.".ti<e:<e-rr Frti'Yv<e- Dep1ts/ Fire Departme "Tfyr<et<a.sSu~trr-<e-vr- LDJoorvkI( dp' hkoovn-e.~s: 22.11~..5--{,6ll'4f--(, 22--2C( '2L Phone Number Phone Number Er -- 0 E-Mail Address Bate S-2t08 Date XKiInnooggeprf '"" _ PPhhoonnee:: 665511..66 29.94055910 39.9449 1f 800.477.94F1a1k: Rice Creek Parkway 800.477.7411 Fax: 651Suit 651 839.9475wdarailtasn e 100 St. Paul, MN 55126 .639.9473 www.deltaenv. ecoUoS.mmA 22222..00823 STSATATTEE0_208282211778800 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 11. . DH Doosess yyoouuA rrDpeapratrtmmeenntt stator currently or hhaass yuryourDDeeppaarrttmmeenntt hhiissttoorriiccaalllyuusseedd CCllaassss AA oorr GCllaassssBBffooaammss orfor fire-f-i-gh'tVi~n-~eYYNreoaest-si--oSPPnisrgr?oonccteaheaeddbttoo QQcouuefestskthtiiioosnnf22orm and rettouDratna Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How ftnis CBaorCls assAs foam sed in respons to re alk? 2. How often is Class B or Class A foam used in response to fire calls? ~5-1 _0_2_S0o-25f%forf efiress _ 25_._5250-50%% ooffffirrees re0n0%ofofffiirreess wer gprs nn (CAFS) wih abuntak on fs enginls? 3. Does t7artment have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes ke ___ No Wook Woniny 44.. HHoowwofotfteenn sis ffooaamm uusseedd iinn ning training xexeerricsiseess?? SemAnnualy ___ Weekly ___ Semi-Annually Aonuaty Monthly Annually ~uarnsteearylmyan Bi-Annually ___ OOtthheerr ((pplleeaasseess pecp tyy.e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. 5. HHoowwmm uc~ tyfmfLomssiiss usad tuhsane'd or vaining gallons per training oven? event? 5gators 51010 gallons LMeasrsotthhaann 50ggaalloonnss(leasespec):5 gallons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - ~ound 5. In riing where does tho spent foam go? . 6. In training, where does the spent foam go? Sto Sewer _ Sankary Sower onsteswic _ Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Over Glessodescrboy Other (please describe):---------------------- '/f#Z ,...,~r 't&J ~ t'f,a #PSS??-C 7. Vfionremraldoon fuorscuerenit nangd ptaktenlacge? rPelosassa incudo adres, erst or tne speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. JyORT MvegerShaw A=/]g (l/ ogueTy? MN SS770 NKinogen TEpE e eeST ve 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008824 SsTtAaeT_Eo_z0s282211778811 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. response nd nang f aopicater Pease WWhhaatt ttyyppee((ss)) aanndd bbrarnad{ns)odof(fffoosaa)mm aarreeoorrwweerree response and in training (if applicable)? Please chock a hat iy uusseedd nnooww aanndd iinn tthhee check all that apply. ppaasstt bbyy tthhee DDeeppaarrttmmeenntt.: bbootthhffoorr ffiirree l DTympseootf ffooamm CCllaassss BB AAqquueeoouuss FFiillmm-- Forming Foam (NFR) | Forming Foam (AFFF) Gl8oAlscohsol Class B AlcoholRes(tAR)oAFnF Resistant (AR)-AFFF CCllaassss BB PPrrootteeiinn JE -- Class B Fluoroprotein #(FP) ClBFaim Fsomisng Class B Film-Forming Franromoton (rvs, Fluoroprotein (FFFP) cessearerr Class B AR-FFFP Class ABH: Class A-B Hi aa Expansion Foam Brandof Foam Brand of Foam $ YTTUoUrnasosieennrddilgniilgnn?e? Yes or No AAAmUUmmossoeumeudndnatt Annually CCsuutmrroeernnett UUUssseeeoo?rr Historic Use? ---------- ---------- --_--_-- -s ------- ----f-------- ., ----a-------- ---------------- ---------- -- atm? TCrlaaisnsinAg Foam ---e oer Training Foam - i Other ToTrhhaaonndkknyyooou@u dffooerr lyyooauuerrnttiiymmeecaaonnmdd o)ccrooooJppeerarSatittioooncn.k. inPPlglee:aa=sseefcchooennMttiaacnctnt eNNsaaenntcscyyPRRoooddoniinnnggaCaot nDDtellltaaACCgeoonnncssyuult(aa6nn5tts12{(96575116--666809767--515115522 imSiocigor sag us) #00 or nrodning@deltaenv.com) or Jim jim.stockinger@statEtmn.us) if you have any Gostonsrogaring ns quessomnale. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Plasse return tis questionnairteo Data Consultants byMay , 2008 i the onclosed stamped sof: Please return this questionnaire to Delta Consultants bv Mav 9, 2008 in the enclosed stamped, self- aaddddrreesssseeddeennvveellope.. uestgaice completaby =7 ap . 117 A BREE Sb FitePDlepaayrt Township VoYontel qFire.Apa-c-S-.a~iEv~FeH~rco.:n-r,~eeeea-n.-1l + cl Serbs Brome amber Toe Date secs (Frepme. [corm Etat E-Mail Ad radios ress Hwogene rane: 451.630.9S005 r1040 7 SCELr E 0453 dametnuae 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00825 sStTaAeT_Eo_0z2s82211778822 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. rDDeooisegss nyyioonuugrr DDpeeeppraasrrotmmneesnnt?t cant currently o o hasyour r has your Deparment Department istorcal historically sedused ClaAsosr Class A or CaBfasamssfor Class B foams for firefiXgXht_ing_oNpYYeoreeastsSi-oiPnPrgsro?noccteeheeaddbtatoockQQuouefeststhtiiioosnnf2orm and return to Dott Consultants No - Sign the back of this form and return to Delta Consultants 2. Howoften Class B or ClaAfsoasm used in spatno ise cal? 2. How often is Class B or Class A foam used in response to fire calls? A ozsuoties 25.50% of res 75:100%offres ....:"~-- 0-25% of fires ___ 25-50% of fires _ _ _ 75-1 00% offires 3. Dogs the Deparment havea compressed a foam systom (CAS) with abitin tank on s anginal? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes --.---:--- Yes Xn _,_X....:....__ No 4. owofsifonam ueod in traning oxoriso? 4. How often is foam used in training exercises? Weakly Meaty Quarry ___ Weekly ___ Monthly ___ Quarterly sommualy Amal sama ___ Semi-Annually ___ Annually ___ Bi-Annually Other ease secs __ ven \L.Ged ___ Other (please specify): _ 1 __.NL.'.1C-f:).._.w .O....J.....=.Q.""-"-,__,.\,J.::.1-,_S"-"<e_:::...:J"""--._ _ _ _ _ _ _ _ _ __ 5. Howmuch foam is used por ring overt? tesstansgalons gallons. 5. How much foam is used per training event? 0 Less than 5 gallons 5 gallons _ _____ s5wto1010gaglalolonnss Hore than 10 galas (ease speci) ___ More than 10 gallons (please specify): __________________ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Stom Sawer __ Sanitary Sower Onto Septic Grouns ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground mer lease describe Ot aSed __ Other (please describe): ___._Q-~-'~~-\=~__,\..._l_S...,.e"""~"'--------------- 7. rWhcorrmeatdaonosflodrdchuetweanaindngpaasktealnacge? alceeass includ addres, inarosotchrtspoecn acaon 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222..00826 stae_02821783 STATE_02821783 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. 8. eWWshhpaaottnttysyppeeesa(s)n)daannddvbbanrrainnadg(sn()1odo3ffpffs3ooiaa)cmmasaalrreee?ooPr lwwoeesrrseee uucssreeeddcknnooalwwl haaannldd inth 3in92th.e past past b b y the the Degartmen, Department, both both for for fre fire response and in training (if applicable)? Please check all that apply. ms > He Spal f)n{Su__L b TUsmesenddiginn? AAmUmosoeuudnntt CumentUsoor Training? Used Current Use or ClaTsysT:lp(A;e!eqouofefFoFouoasammFim. EIN re `BraBndroofafFFnooaadmm YYeessoorrNNoo AnAnnunaulalll:yll HistoHrisitocricUUssee?? Class B Aqueous Filmrorming Foarn (AFFF} cst flD hj<d gospmens. AwS\ullde No --_-- CCllaassss BB AAllccoohhooll:- A 1\J Ssi~ Lrt--ee._._ JN\jfo() <Sj&( CassBPoen Resistant (AR)-AFFF j IGCCClll}aaassssss 8B B Fuooprten Protein Fluoroprotein mr -- C(CFFlllaPausos)srsoB8grFFoiitlmomn-FF(ooFrmFmiFinn)gg CosBARFFP Fluoroprotein (FFFP) ClCCEaxllaapsssasssnsAABi-oBABnRHHF-iFoFaFmP er ee Expansion Foam Class ave No omgel Class A ~) Jv ,_ .((_,~ \\[\) ~'C~C1l TTrraaiinniinngg FFooaamm eet rere sete -- oer A Other oTfToifrhmwanshonrtodkodyrcynaoiokinunuiggnfno@g@oredrdyreyoe@ilousltaurtaretetinenimymvu e.eccooaammnn)dd)e o1occrorooYJoJpoiipemumeraraSlatitvtoioooecncn.kk.ainnnPPggylleeecerauaaaseistestthlcchooeoennnMtMstaiaicnnrctnetngeeNNassaraoonctnticaacnyygPPRRhooiolllsudoltnQiaoiudnnnegsaCCiatoootnDnnnDvtenroeaotgllrltaaeAA.gCCgeoeonnnnccssyyuul(t(la66na59t1r1s--2((26959575711--8--3666696907760--oo55r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. SPleleaazsee coum this :-9t!!m this cussto questionnaire nfteo:nDDaest!taiaCCroonnesstuaftn:otnsts hyMey by M?.y 8 9 200i8nthaenclosed stomped,sot. ?QOB in the enclosed stamnerl. self- aaddddrreesssseeddeennvveellooppee.. Quegtonnatecompeted by: B f BNaemebanad TcHisk Mm. S Ah Fire ( hie Name and Title Fie,SgDeobpauuritmohbn BeQnr)dA uTlo1w>nosshhi\p Volunteeee FD Fire Department SFsr~oe)m,e).K.ir3 3oe~rs4:-5Lf-23 '4-3 5s-9~7J--3~72-7--994~33Ga33te.- cQJeLJ 1 Phone Number Date EnSsAgBcrRo'GssE="vD\GiL l_\uunf)o(<e)~ CCo:omt'\ 4Ylf&ag9l(s6 ek E-Mail Address Xinogen: Prone: 651.625.915R840e5.C4r37eeS4R11 yFok: SSELU638.2T47)OUS MdFoaweWtH SeSnT UtE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00827 STSTAATTEE0_202882211778844 QUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg Fooaamm UUsse iinn FFiirree Traiinniinngg 1. Dogs our Deparment credo has your Deparment sro used laAorsGas foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for Perego firefighyerations? r 2 to rcsetto wnnion Yes- Proceed to Question 2 7No ign the back of this form an return to Dll Cosulants ___ No -Sign the back of this form and return to Delta Consultants 2 How ofen's Glass BrGlass Alam used response or cols? 2. How often is Class B or Class A foam used in response to fire calls? _ oomatims woonortes XK rss ores ___ 0-25% of fires 25-50% of fires ____2{_75-100% of fires 5 ons ho Deparmenthave a compress a foam system (CAFS) ih bin an on ks ange)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? X ver )( Yes No ___ No 4. Howton stam sot in aig avrcies? 4. How often is foam used in training exercises? Wasa Noniy Quarry ___ Weekly _ ___ SSeemmii-AAnnnnuuaalllyy Aenualy ___ Monthly ___ Annually Quarterly ---X-.--X--:;-. Bsii-Aanmnuuaalllyy Otero pci) - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 Bumps X 5. How much foam is used per training event? X_ LLeesssstthhaannS5ggaatlloonnss ____ 55ggaallolonnss. _____ s5ttoot100ggaallloonnss Wor ton 10gllesos snpcs: EE ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5 MiaI \ 6. In training, where does the spent foam go? i TO onstosepie_oround ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic oer omer) eee ----..,.,..,...- gther (please describe):--~------..,.-,.---- BU AIT A Ss ts Srp, 7. Where does/did the training take place? Please include address, intersection or other specific location TD/bgy Wtorcotphrhtioim viLgiswte frrcinni.:nge wire wit: h Ch}}elc.m- information ~l: for current ~and past "'! training areas. . 1-z.sl z 0 c fLIIr(.. e-J(f~ Knog 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00828 sate_o2s21785 STATE_02821785 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What yes) ard banc) foam aawre us rwan nh pst btyh Drier, both for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaatt aappppllyy.. Tupsot Foam BuandatFoan TTUhasonedndea aAmmUsomeuadn.t Gaurtmoomunsoeor Type of Foam ci8Aeqwosus Fim Class B Aqueous FilmFem Foun apy ------------ ------ ---------------- Forming Foam (AFFF) Ga8Aosno: Class B AlcoholReson Are re rn rn Resistant (AR)-AFFF CosoPwen Class B Protein Gl8Fouorsoprsten Class B Fluoroprotein ES mn set et eee (FP) G8oFimsForsming CassBARFFFP Class B Film-Forming FlFuluorooropprorotteeiinn ((FFFFFPP)) Class B AR-FFFP gassnans Wits Class A-B Hi Siento Tp Expansion Foam ama lus Maher Yes Class A Tn Training Foam oer rr = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? -- nds on 4> Thankyfoou yout ime and cospraion. Please cota Nancy Rin a Det Consults (051.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rhea como in Stinag ha MinmecolsPalulon Col Noone (6514973690 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or oneGs ou hav ary mre rept aves jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Floss stn is aussilsaar o Ds Cosas biMa 2008 i the anced samped, st Fiease r~iurn this questfvnnair~ to Dii:lta Consultants by j\-1~y 9, 2008 in the cnc!csed stamped, selfCt addressed envelope. spose compo Questionnaire completed by: tp~ 5 e(/(jlrJa") LLtteh,m{iLcLe -- CL hi\ ec F( t Rae ni Tie " Name and Title South thon o~vfft ~Ja~1 Fiabe Fire Department 390-72?C0Jt4-0335 9-30-0% 3(}(]- ~ D 33 Frae iier oa Phone Number Eatnaa &/\;; ~F,i;Jz~1ittg'n's5 Ahtm'fV\)~\ ),,t eoJm1N\ E-Mail Addre ~ Date NKinogen: Phone: IL 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: -- Suite 100 St. Paul, MN 55126 USA TT 651.639.9473 www.deltaenv.com 22222..00829 stare 0221786 STATE_02821786 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDoroasetsos hyyionougurr DDopeeeppraaarrttmmoerensnt?t cunt currently oor has has your your Deparment Department isoricaty used historically used Class Class Aor A or Glass Class foams for B foams for Ber firefigh ~ rocentto operations? Yes - Proceed to QGuuensttioonn ?2 NoSignthebaocfthkis form and tur to Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants fo ooswatees 25.50%of free 75:4o0f0re%s 22.. Howoften' How often is lass Class BorGlass B or Class A foam A foam used used iinn response response 0 ve cal? to fire calls? 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 3. Does the Department haacomvpresesed a foam system (CAFS) wiaulhin tak ons arin)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vee --fJ-ves ___ NNoo 4. Howofeni foam used in raining exeroses? 4. How often is foam used in training exercises? Weekly Meniy Quarter ___ Weekly SomiAmnaly Enos ahAmualy ___ Semi-Annually Monthly --'(;-~--- Annually ___ Quarterly Bi-Annually Overieasospeoty ___ Other (please specify): _______________________ 5. Howmuisucedhporfaioingaovemr? 5. How much foam is used per training event? Maro than 10 gallon (ease spect _ \,z*.-I-.'.. LeLsessstthhaann 55ggaalllloonnss 55 ggaalllloonnss. ___551t0o 1100ggaalllloonnss More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. Intraning, wheedootho spot foam go? 6. In training, StomSomer where does the s_p_enSt faoanmagroy? Somer onsite Sot arama i Oer (oasedoscrbe) AEA ~~(\... ___ Storm Sewer __ Sanitary Sewer '/, . :Other (please describe): __ 'X:':N_~~O--nT1-S-.itS2e:S>e_p_N_ti:c3A_!~w~-cw..~a;;ts~_h!!_GroC[u"n'dI'&Sl-t>ovZ 7. nWohremraetconooerdctuhntaaingd paaktealnacne?arPelaesas include adress, nersecton or ahs speci ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. NKinogen: Shanes 431.439.910B050 SAL Fike EN CASS wma. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00830 sStTaArTeE__o0z2s82211778877 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. Wot tyes) and brand)of oa are a wero use now andinnpastbyih Dspmen, bot for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tempores main someone Posse crock a) ot Sp. response and in training (if applicable)? Please check all that apply. TUasendginy AmUosudnt Curent Usoor TTyyppeeooffFFooaamm Glos Aguoous Fin Class B Aqueous FilmPoni rom pay -------- r:vrnlir~g Foa~ (AFFF) GlasBs Alcott Class B Alcoholema |mm Resistant (AR)-AFFF J Class B Protein PO -- Class B Fluoroprotein wo rr. ems em (FP) Gass 8Fim Forming Class B Film-Forming Fcoproten erry ------------------ ---------------------- Fluoroprotein (FFFP) FEClass B AR-FFFP Class ABH Class A-B Hi Coston Expansion Foam rh S\oey kes) Class A Treen TT Training Foam oer - Other BrBarannddooffFFooaamm Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? Thankyour your te and ogpeatn. Pls contact Narey Roding at Dla Consulans (651,007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants {651-697-5152 orrodhnoGaeny como J Soir 31 v0 Mies FORE Cont Aokney (691-207 5000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or TrinaGeertTou ons ay Seer Ton Gosia jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. P------ Piease reium this questionnaire to Delta Consuiicwis by May 9. 2008 in the t::ncfos&d stamped. self- aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: Spcon Coe Thy eT Ft"am:Teh;neic. TiSSe oLk~ek coin) NFraemBeSoappnadriiTnciotlneet s Cac edt FPrireanDae~5Rpamd0rbtDme-e~rnt5{C6j6-- c21~4(k Phone Number ET E-Mail Address Sokfp Dcfte 1 Ninogen: PPhhoonnee:: 651.620.0045 1 800.477.7411 Fa: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 651.639.9473 Suite 100 St. 651.639.9473 wandltasncvam. Paul, MN 55126 USA www.deltaenv.com 222222..083311 stare_ozsza7s STATE_02821788 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Does your Department cure has your Department istrict usd Cass Aor Cass 8 oa or 1. Does your Department currently or has your Department historically used Class A or Class B foams for ets anions? firefigh~erations? 1 es-Procesd to Question Yes- Proceed to Question 2 No- Sign the backof this form and return to Dla Consultants ___ No - Sign the back of this form and return to Delta Consultants 2. How olen Cass Bor ClaA fsoasm usd in osponse fr coll? 2. How often is Class B or Class A foam used in response to fire calls? 4V" 00--2255%%ooffffiirreess _ ___25255-050%%ooffffiirreess --______775-15001%o0offf0fiirr%eess. 5. Does he Deparmenthave a compres i am system CAFS)wih abi tankon sangre? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? pat/'Yes oNo 4. Howat sfoam used nang exercees? 4. How often is foam used in training exercises? Mover eeky Monty ___ Never ___ Weekly ___ Monthly Somat hans ___ Semi-Annually VAnnually Quatery ___ Quarterly [os Bi-Annually ___ OOtthheerr ((pplleeaassees spep ctye y c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam s sed por ring overt? 5. How much foam is used per training event? Los than ators Sgators , / Less than 5 gallons 5 gallons Sto 10gators ___ 5 to 10 gallons MMoorree tthhaann 1100 ggaalllloonnss ((ppleeaassee ssppeecicfifyy)).: _________________ 6 Intainig, where docs te spent foam 507 6. In _ SomSewsr training, where does the ___ Storm Sewer ___SentaySewer spent foam go? _ _ Sanitary Sewer _____OOnnS-tSioteSSoeppitcic _GBrroauunndd Toners ___ Other (please describe): ______________________ 7. Wher doe he ani take place? Pleas nude adress, ersosaths specication 7. Where does/did the training take place? Please include address, intersection or other specific location romgion to avon an vot Vain roe r - f?v, ~ information for current and past training areas. ,-.:::I S)'Je.r Ua y Knogen OVER--~ re vor TT TA A 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00832 sStTaAreTE0_208282211778899 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNNeeAAiinInIRRFFEEiirree TTrraaiinniinngg 5 Wate and art) oom se wr so an no patby heparan so fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire St a response and in training (if applicable)? Please check all that apply. TUonemdeinr Am5ount Curt ioral TyTyppeeooffFFooaamm Gis As Class B Aqueous ee ---- -- -- -- Film-Forming Foam ares (AFFF) Gis ro Class B Alcoholmew Resistant (AR)aAFFF Comspoen Class B Protein dost Class B Epon 691 Fluoroprotein (FP) Goin Class B FilmFo Forming mets | ------------ -- Fluoroprotein js (FFFP) TE oe ee Class B AR-FFFP Geno Class A-B Hi hit ---- = mE Expansion Foam Glo Prgus Yor FR TCilansisnAgFoam Training Foam ove ---- C= -- Other `BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? (foie -- Thnkyoufor your ro and cooperation, ls coraet None ing Daa Conus (510075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 an sam so Sir in wine os Come oy G8 S008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or oo a Soom oan jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `Plsss ru tis austento Dt Consulta b June 5 200 te anlosed stamped so. Please return this questionnaire to Delta Consultants by June 6. 2008 in the enclosed stamped. self- Sele, Ellingsen)Shieh cunmieage mins aaddddrreessssedeennvveellope.. Tasos Name and Title . Fret S~pve;irrss CC-vooVv<e> hFirree FFrireoDenpatrtms!S::>0'U77--44S5'C0J-- 7//d2-17 Phone Number Depo 52 -5%-ar Date Kinogen EE--MMaaililAAddddrreessss. - 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00833 stare0282179 STATE_02821790 0055//G002i2/2/vQ24eO0Bn0 s0088::11w33ilTIFeFAAXY ODEETLLoTTsAATFFeAAsXKsO@eRlDEtELLTTAAEEMNYV.CCOOMU 0J/01/2008 20:16 7637869617 seSBMrFIeRE prt -> DELTAFAX Pr@1e4o1eo00i1o0/0100/2202 PAGE 01/02 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training L 1. 1. fDrDoeohesosnyyioonuurgrDoDeppeeaprrastrtammennestn?t c u ortrrent l y or or ha ha s your your Department Department sara historicall y usaused losClass A or A or issClass B foams B foams for for X__ firefighting opvereast-iopns?rotoQcuesetiosn 2 NYoesv-iPgrnocteheedBtoaQoucfesthktiiosnf2orm and return t0 Dea Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. How lenis iss B or Glass Afoamusedin respons rocas? 2. How often is Class B or Class A foam used in response to fire calls? cast ol res sotto XK 75100%offs ___ 0-25% of fires _ _ _ 25-50% of fires _)(_ _ 75-100% offires 33.. DDoosess thheeDDeeppaarrmtmeenntt haavvee a ccoommpprreesssseedd saeirffooaamm ssyyssteerms ((CCAAFFSS))wwiithh blinkon a built-in tank on sangre? its engine(s)? Xho ___ Yes _.)(_No 4 How ote soem used nang oxorcies? 4. How often is foam used in tr:.:linirig exercises? Weakly ---- ------ ___ Weekly ___ Monthly _ _ _ Quarterly X_ SoonvieArrpniuoassleysoocty ccaSioaaallty wirh efegwuiSimfnaplyent r ___ Semi-Annually Annually ___ Bi-Annually ~ .Ott1er (please specify): - ...I..J."-'-C..,l_~AS'- "'"'I,&i!...(A-'r -"a"'-.J/1-l..l(f-;..____,we:-:__:+"--'h'-".____Jf1CJ.<LW"""""::...__e_'""9'q-'-'i1'-'--lirf='LlM.eL.-><0...t_.]-"-.J.=----~ Homgptem ser song er? 5. How mugn foam is used per training event? LessthonSgalons __5_ga_tos S110gators ~X__ Less than 5 gallons 5 gallons ___ 5 to 10 gallons _~-WoMroeretthhaann 1100ggaalllloonnss((pplleeaassee ssppeecciify)):: ------------~---- a Intraing,wher dooth spent foam go? 6. In training, where does the spent foam go? Storm Sewer __SoritrySewer onstesee XC Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _LGround B Cverpemessbor :. ' : _____:_, _~- q_t~ler_(pl~a:se -~~S?!i~e): _-:__._-_-__-_::_:_--_______-...-_-__~___-__- - - - - - - - - - - - - - 7. Whoro const tho raining ako sac? las noo ares, ersectano tes spc ocaton 7. Where does/did the training take place? Please include address, intersection or other specific location Inaionocure: 3nd pact TOG reas. information for current and past training areas. Mearciodtlley11%flAimsaped F3iv5e52Tienisy Col &lor+ L.. 1'113tro 1-u-e_ Tra..'n.'?l.-9' &II k'C HKinogenr Phone: Phon.:: 651.629.51584050.475 5411 Fa: 5910 Rice Creek P3rkway 651.639.9449 I 800.477.7411 Fax; 631.639.9473 SUite 100 St. 651.639.941'3 wri deltas Paul, MN 55125 www.dv.ltaeny camUSA C.IW!J. 22222..00883344 sStTaAtTeE0_208282211779911 anaes Tote "remem 05/02/200R 08:13 IFAX DELTAFAX@DELTAENV.COM 05/01/2008 20:16 7637869617 a ree SBM FIRE -* DELTAFAX a 141002/002 PAGE 02/02 QQUUEESSTTIIOONNNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6 TWesttipesota rinaf ofmena0 waers Suadckrn aantd9. i Dnprn,bt oc 8. What type(s) and brand(s) of foatn are or were used now and in the pas! by the Department, both for fire response and in trainin.g (rr applicable)? Please check all that apply. Ty_pvj:eiaooffFFooaa~m1. Gish Aveo Fi Clal'lsJ3 Atn..1eoLis Film~ Er---- .Fonn.it~g Foam:{AFFF) GiReal Clas~niAicot:iol~ Pein Ree . Resistant (AR)-AFFF Gabboon Clri~s B Pr.ot~in Gl rip Glass .B Flu6r6pr.ote.ir'l bo(FP)" . Guo Fin Fiming ..ciass B.Fllm~F.6rming Fr a Fluptoprotelil {FFFP) omen Ci!i:IS\l B" AH~FFFP ansnas Cliil~s;AcB Hi Sala E\q)arision iol:!n1 Gass Plas?A ir3raanndi:looff FFoo~smm i _Anspoe r vGuistion Used in YYTeerassinooirrnNNgoo? Am"oDoutnt Amount AAnnUnnuusaaelldll~y cunt sear HCiHsuitsrroteornriitccUUUssseeeo??r _ ~~~-- - - - - - - - - - - RE y.tejest7.. Ogos .. TTrraaiinniinngg Fooaa.mm... -- emp------. seit mite mere omer a m= Other . . - ..-.,.,....-'--,.--~---- 0a p rn e Ui ro dccSnSrh,n c Pon ch) ont Nay odin of Oot Cons0ta0n76t16s2 yoL~ f~.t..your tiri1~ D~lta ~697~5152 Thank and cboperati6n; Please oontact Nancy Rodning at Cot:tsultarits (651 e oman Cont Aon (51 S57S068 o or nrpdni;~g@deltae6y.cm~) or.Jirn Stockinger atthe Minmisota Pollution :Control Agency (651-297-8666 or Tm sro Tosa moto ay i ssa jhi1,st?~kil)@er@sta.te~mn.us) if yowJiaveany questions rE!garding this questiornaire.. `.PaaPlddleddiarrJ-ese~se:ssersreoe~dtdtueuerninivye.te~lh/i1ioo}s$ppqgau.,ueesst.tiioonnin.Jaai;rree'ftoo.DDe.etlt.ea.Ci.co. onassu~llttan.t.sbbyyMM.aa.y1.,.;99,, 2.20.00t:8i8 hi~n:tthhees.dnncclio6sseeddss.ttacmimppe~d,..ssee.l!ffc: . ,.,,; Questiits comio . QuMtio.nnafre completed b.y; . . . Ti m7~~.~~/\~~.t~h:t~~tk"d.02..:~.&::.o..:._nf\--:- ~_F:__i{-r~.,{'e;_e.:C_o_.(o.I ..h::i..r:.:e.h~fe._.L.,.-c.--'-------,.-,....----,------~- Nam~Tile :-; -.'--'-;;:i . . ', . -+.Yz.. (j D FrSeBie e p Fira e crpent . ~gj11) b~r~e~-~~~.~D=a~Gf~M4~~~~~--~~------~ Fite biJartment' 23 - 786 4%3C sfealis: PPhhoonriae NNuum:rbnbeerr DDaatt~ - EastJde ddoan. defCsoaAn.: 6GPo Ssbh.!MuCrree..com E-Mail Ad(jress )S{iinnoogge~nu: '!If (. oo Shene: Phone: 651.639.0645 1899.477.7411 Fok. 5910 Rice Creek P~i"l<wC~y 651.639.94491800.477,7411 Faxc 31.639.947% Suite 100 St. 651.639.9473 madalianasiom. P<lul, ~~-N~ss126iJSA www qa~ 22222..00835 sStTaAreTEo_z0s228211775922 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DfDoaoiesgsyhyoiounurgroDDpeeeppraaarrtttommreensnt?t cuteorshays currently or has your your Department Department istoraly historically used used ClAaorsGasss Class A or Class foams for B foams for XK. Yes.ProtcoQueesteiodn2 firefighting operations? ~Yes- Proceed to Question 2 No-Sign the back of this orm and retur to Delta Consultants No - Sign the back of this form and return to Delta Consultants 2. Howallen'sClass Bor GlassA foam used inospansefo frecalls? 2. How often is Class B or Class A foam used in response to fire calls? ~ A o2stotties 0-25% of fires ___ 2255:-5500%%oofffrefires _ _ _ 75-1o0ff0re%s 75-1 00% of fires 33.. DDoosess the the DCoeppaarritmmeenntt have have aaccoommpprreesssseedd foam air foam systems system (GAFS) (Ct'\FS) with with bul a built in taktank on on iits engine(s)? engine(s)? Yes we ---,--Yes ~No 4 Howotlen is foam used in raining exercises? 4. How often is foam used in training exercises? Never Weakly Monthy Quarry ___ Never Weekly ___ Monthly ___ Quarterly SemiAnnualy Analy ---A-A BrAmaty ___ Semi-Annually Annually Bi-Annually Over loasespecty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch canis used er raining avant? 5. How much foam is used per training event? SA Lossthan gaons Sgalons 5110 gat0ons ~ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Morethan 0 gators (essespect) More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In taining, hero does the spot foam 07 6. In training, where does the spent foam go? SA Storm Sewer __Sanary Sewer onstesopte _Y_ Growa ~ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic -+Ground ter (lease describe) ___ Other (please describe):----------------------- 77.. VWIinnhfoeerrrmeatddiooosenssf//oddiddcttuheerrt:raaiainnniindnggpataaskkteeapplnlaaccgee??aPPrleleeasaa.ssee iinncclluuddee adress, address, nersccorttahenr intersection or other speci specific location location information for current and past training areas. $00 blo = # rion C fl7i'i IR NKinogen: O OV VE ER R~ -- Prone: 31.039 9514F8e50r0.E413rTAFTaA riFosk: SS911e039.0417057 SWFndWiasSin.cUamS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222.00883366 SSTTAATETE0_208282211779933 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. Wat pe(s)anc brand(s) of foam ar o wr use now and n he past b he Departmen, bot or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns ni in tain apphcalo Paes creck a rt apply response and in training (if applicable)? Please check all that apply. TUrsiendign? AmUosuendt Currently Misorcally TTyyp(;e!eooffFFooam Ci8nAqsueosus Class B Aqueous Fimpommgfom -- Film-Forming Foam Fry (AFFF) Cl8aAosnso Gusset Class B Alcohol- Resistant (AR)- pr AFFF ClssBPOn Class B Protein caso Class B Furoproten (77) ls Fluoroprotein (FP) ClaBFsims: Class B FilmForming Forming Fusopown -------- ---- ---- ---- ---- (FFFP) Fluoroprotein (FFFP) CosswARFR o_o Class B AR-FFFP Class ABH Class A-B Hi Expansion Foam --_-- -- -- = Glass A Expansion Foam Class A TmegFom o_o __ ~ Training Foam Otrar - Other BBrraannddooffFFooaamm _AAni1o-?uu lJ1i--,r-ee_. S5i';1lVv--K ee Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? nYo\0. y'fee!:sz S.se-Gdk}. yvec~s 23d :J..-3~/. ytje_-ee'f2 3~0M64J. Tri you for your tine anc cooperation. Pleas contact Nancy Rodinga Dafa Consultants (651-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or ohnocetasncom)or m Stockings: at he Minnesota PORN Conta Agency (55107-5006 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sm Sio0kmGe Gtate rob #50 have ary doeStans regarding os Gucshomate. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questionaire conpletadby PPleleaasseerreetuurrn.nt!tJhL~i.s9f!q_urei!s.t!itof.nonnna_iairreettoo DDeellttaa CCoonnsusltuanltstbbayyJnJuutnnsee 66,, 22000088iinn tthhee eenncclloosseedd ssttaammppeedd,, sseellff- `adddrressseeddeennvveellooppee.. Questionnaire completed by:. NamSJoOaonldiuNTorMYeJAdleerv~i~cc-kk Fie cpref Name and Title FFeeiDe~pparamern~KA f Fr-rcz Pro(ne13Ne-v7er62 = 3400. Phone Number HDDaaayte 29, ace ' Evan Adon swadessch cS. can ~act tdhJo.v.noayy.. mmmn.uub.S E-Mail Address XXIinnoogg~enn ,, vanes 51.439.9005 Bos ST Toke SILLS emis tn Phone: . 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 -z _ a Paul, MN 55126 USA www deltaenv.com 22222..00837 stSaTtAeTE_0022882211779944 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Does your Deparment curentlory has your Deparment torical sod asAsor Class foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for retohing operators" firefighting operations? YX_ YYeess-- PProrceeodtctooQQeuueseesttiidoonn 22 No. Sign he baocfhks form and rettouDrelna Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. How olen is Gass 3 CasAfoam use in sso 0 cal? 2. How often is Class B or Class A foam used in response to fire calls? ozsw ties asso otives ___ 0-25% of fires _ _ _ 25-50% of fires YXs 75 toon -100% ties of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommprepsrseedasairisrffoeoaadmm ssyysstteemm ((CCAAFFSS))wwiitthh aa bbuuiilltt-iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves )C Yes o ___ No 4. Howlin' foam used in raining nercses? 4. How often is foam used in training exercises? Wook -- onny Quarry ___ Weekly ___ Monthly ___ Quarterly XC semiaualy ___ Aovualy ----- X Semi-Annually ___ Annually ___ Bi-Annually overpesespecry ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam i sodpo rag vent? 5. How much foam is used per training event? Wore than 10 gaons (lease spect _ _ __;X_X__ LLeessss tthhaann 55 ggaalllloonnss. 55 ggaalllloonnss ___ 551to0 1100 ggaalllloonnss. _ _ _ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? CT Gomsover _santorySowr__onSiosepic_X_Grouns ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ____'f{;__ Ground Overpemsedeseroor Other (please describe):---------------------- 7. Whore doi he ining ae place? Pease include addiss, rsectofoathne pectic locaton 7. Where does/did the training take place? Please include address, intersection or other specific location maton for curt ond pas ang res. information for current and past training areas. Hiwogen RE ee 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA emer ne A TT Toe TEV Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008838 SstTaAreTE0_208282211779955 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WrWehhsaaptot nptysopeeta(s)n)daannddrabbnrraiannndgt(s())1 oo3ff9ffoo9aa<mma ba arieoolrrwewoaersreec uucssheeeddcknnooalww haaanntd ainnptyhh.e pabysttho past by the Depar Depa tment, rtment, both both fofor frefire response and in training (if applicable)? Please check all that apply. osotrom Brandof Foam YTTUUreaasslmieenndodinigNignnso? AAAmUUmmossomueeauddnlntyt CCsuuirrsreetnnettmUUssUoesoeosrr GTlll182AeaquoefosFuosamFim Brand of Foam Yes or No Annuallll Historic Use? CRleasssto8Ano(nAeR:AEF | ------------ ---------- Class 8 FFoorrmmiinngg Aqueo FFooaamm us Film- ((AAFFFFFFY) -- Class B Alcohol- ~~ -------- -------- cassepoen Resistant (AR)-AFFF GIla)ss Class Class 8B B Fucroproten Protein Fluoroprotein ---_-- C(CFFullaPras)sosps8BoFFiiiolmmn-FF(ooFrrmFmiPinn)gg mn meee eee CaseaReRR Fluoroprotein (FFFP) CSlraossanAonHfoam Class B AR-FFFP Class A-B Hi ~ --_-- Class 4 Expansion Foam agdur cs asp:r4 /tf..)y.u.s .~ tl.t:- ~Cc:rrl:b/fl &. VyY s!0oGc,4ck_ B~eIrl TCrlaaisnsinAg Foam - oer Training Foam - Other "oioTfrhawnsTnrcookcdyhynknouiinugangffgG@oonerdrd@yeyeosoktluatuaratreeatmnmimvon.eccuooaaemmnn))dd) ooccororooJpipdem0erarhSSatiitvtiooooenccn.ki.ainnPgPgloeleerGraaaaussteeethchcsoeoonnsMMttaaicrnectont geNNsasaaronondtcacnyygPPRRhooollsludltnioiaoinnnsgCCntatooteDnDarotgrtelolmltlaaAaAgCCgeoeonnnnccssyyuul((taa64in55t1ss1-2-((694657501-178-.-66639606767-0.5o581r15522 j im.stoc Please atm kinger@ stat this e . mn.us) if you ha vestionnsirfos ve any Delt questions regarding this ques Consultants by May92008 ntio thennai re. enclosed stamp ed.sat Please return this auestionnaire to Delta Consultants bv M<w 9. 2008 in the enclosed stemoed. self- adadddrreesssseeddeennvveellooppee.. Questomare Questionnaire ccoammpplleetoesd byby: SaSem:.ee. ..a.rrn-TriMo/tekggv~s9o~0n siceryoemmee2 Name and Title FSrerDopBariamernt Fme Derr Fire Department Phone Rumber dod } Phone Number Bsae /c Date Ee SBFIRE @ FRoNTIERNET. NET E-Mail Address NKinogen =. > =c SE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.629.91084000.477.7411Fak: 891.635.9473 ri daliannu.som Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00839 sStTaAreTE0_208282211779966 .:< RIJ S80a/60/i022/e/22n0000n88 00077::%5522 HI1FAAX EDDERLLTTAYFAABXK@TDIEDLTEALETNAV.RCCOYOM.bBuncisey suseonst ,06/02/2008 09: Ny 08 FAX 6512978321 !,: .. - i EMERGENCY -_.. p =RESPONSE {{ ~:' Ch eE o AE ONE E -- e F.i: re--fi.gh-..t-QiQFUnUgEeE!~ :Fiiefighfitig o DELTA Fl |I ..... :~ -- .:'' .,,_. I :.. .;-~1)\; B~'oo-g9s~~-y:oy~lGrr.Dbeepparrt;m~~e~n~t-c~uirr~f~e-~nttJyYo6~hhaa.s~~yyoduJrrD.beepap~rrttm~e-~nntt h11iisstto~r~~i.cba~llliyy u! ; rion 1 YesProtocGeestieon2d. . .r;~"!r~~;~~~~~c~~;;~,~..~ r~ur~t~Oelci.~ % 7 Na Signthebick ofthisform and retto Dualmia p 52. HoHow~-Ea-nb;tsi~:n isCepCclIit~ak~ch~~RoorCdoan;s~;A~ef~nbo~m~ uso~G dd~.iin!L 1srpi~opr~~seto,fireca4ll7s?' _X_ ozsshotrves ___ 550 or 25-50% of tfirreess + barmarax | gBuanriseent -> DELTAFAX 141 001/001 W)fJattnr/fc~y'! R/{oodMos~141001/001 ret an Gl- tds A eCig n Shcy, 75.10%of res 75~100%offires ' TT "7 . 33. DDooess ithheeD-Deeppaarrmtmeenntt hhaavvee-a-aCcoommpprreesssseedcra=iaidooaarms ssyysstteemm((CCAAFFSST)WWAtIfhN8a BbUuItlt-tnGtaknkoofiliRtsE-G-'enngtrgie(sh)T.e(s)7 ____K:fo;_ veYes roNo 4. Howoften fom usd in boring cxrces? 4. How often is foam used in training exercises? heer wey ony --~----" ___ Never ___ Weekly Monthly _ _ _ Quarterly oor toy TX wy ___ Semi-Annually _ _ _ Annually Bi-Annually Over msespecty -4--- ___ Other (please specify):---------------------- 5. How much foams usedpr airing eve" 5. How mUI;;h foam is used per training event? Less rans goons Sqn stots }: Less than 5 gallons 5 gallons ____ 5 to 10 gallons J _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 0. Inti, hers dos he spat oom 37 6. In training, where does the spent foam go? somSower __ SamrySousr __OnSteSepic JS Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic __'f:_ Ground TT onressedesber ___ Other (please describe):----------------------- Toke REET, Sn UT PRCA GE -~-------r--wnare aoes/rncl Lhcftn::llnu ,g take (]lace r Please mctucte'aaaress,ln1ersec11oii ororher spectfic l5'Ca1i5h rman or aaron and pa Faring eas information for current and past training areas. R ~_p ,. LWit.sI<rI'o.::hJ!il//nJ CCoOuUnViJvI'-y( FrAAtRll G6lrl.OoUw.U0s) , SSir. CCohrul~ac.c.E.s) o~ h 5 Chaacks Cer Shop| To Cnapoks [vd XInooggen OOVVEERR--~ Rice Cre Fregsy Sune 130 SU VaUL WR TIIS USA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Pnone: 651.639.9449 I 800.477.7411 Fax; 652.639.9473 www.deltaenv.com 22222..00884400 sStTaArTeE__0022882211779977 aSs/0aa/2:008 0871:a5)4 M1 Y IpmEUTAAPMGDELTAENcYo.Snuncancy srovss 06/02/2008 07:54 IFAX DELTAFAXDELTAENV. CODI 0~/0!;!/2008 09:09 FAX__ 6512978321.. EMERGENCY RESPONS_E + pam -> DELTAFAX gaositaa 141001/001. 141001/001 MMAAYY a30a 220o0oF0si..refightinaQguUFEEoSSaTtmJIoOUNNsNNeAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 8. Whi andbat nc)ftfsy are o) wre used no an nh pastbyte Dapartboreosnr,o 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire e8ponS ond in rain (1 oppabeYT Pease eck3 at39 : response and in training (if applicable)? Please check all !hat apply. rUseRdin Amount ------ Tyn~p~eeooffFFooaamm Gloss Aqueous Class BAqueous Famfomporoan Film-Forming Foam rey (AFFF) Clase 8 lool. - Class B AlcoholRosny Resistant (AR)EE AFFF CasBoon o_o Class B Protein cassd Class B Floopan (ep) -- om ---- ---- Fluoroprotein (FP) Clos in Class B FilmFog Forming Fopaey | ------------ -- -- -- ---- Fluoropro!ein =o (FF~P) CasARFER Class B AR-FFFP ClAos ClassA-B Hi Sorin Foam -------------- - - -- -- Expansion Foam Cass pages NE 2YfSueL a Class A Tongro ___ Training Foam over LE 2 Other BBrraanndd ooffFFooaamm PM. t;u s Used in Training? YYeessoorr NNoo Amount Used AAnnnnuaula!l:~l~y: Currently UUsseedd?? Historically UUsseedd?? --- --- ----- -----~E"J --- _k_ ----- --- --- Than foryour toancoporstion. Passcontact NancyRongaf Daa Con(s651u.80l761s62 Thank you for your time .and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 o rod @ehac com) o JnSoins he solsPO CooAgere (61.50 3686 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mock @oiom 4) 0 have any auesions egming iscuesbomnas jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Deita Consulianfs by June 6. 2008 in iii~ imc/oserJ-stamped, self. `addddrressedeennvveellooppee.. Questor completed by: Questionnaire completed by: Tectiy dpupann asst Fiechek -- ~:'kr!iny AlefiJ/hfiiP7'1 tar Name and Title q%1. 6rf iCwfbCophaattilmeenstFre sReseve Fire Department Phone urban S07-972~ 09D. Phone Number Tow5-28-08 Date oflGe n nt E-Mail Address 1 XHiInnoggfep:.' ,, PThhaonne:e: 66515.163.96.330491 . 5910 9449 500 Rice 1 800 433.74F1a1k: Creek Parkway .477.7411 Fax: $91 639.947)MrdAIAARL Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 222222..084411 STSTAATTEE0_202882211779988 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Docs your Department rent ha your Oepaimentiorcly sad iss Ac Class B foams fo 1. Does your Department currently or has your Department historically used Class A or Class B foams for eronnganetonst firefigh_tin~perations? 2 canst usin _'r_;__ Yes- Proceed to Question 2 No-Sign tho bac of his form and return to Det Consultants No- Sign the back of this form and return to Delta Consultants # tort C oa ores r25o 0%otties 17 Ts10o0t r%es ~ 2. How often is Class B or Class A foam used in response to fire calls? 0-25% of fires 25-50% of fires ___ 75-100% of fires 5 Dosth Daprtmnt hav a compress a foam system (CAFS) ih a ui ark on sone)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ~ ves ~No ---t'-' Yes 4. Howfoaomusted necarinng eixesr? 4. How often is foam used in training exercises? week voy aurary ----J- Weekly ___ Monthly Semualy ___ pomaly JE--T-- ___sb_ Semi-Annually ___ Annually _ _ _ Quarterly ___ Bi-Annually Over lease pach: ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - . Howmuch oan usd or ring even 5. How much foam is used per training event? Los tan atoms soslons A storogmon ___ Less than 5 gallons 5 gallons ~ 5 to 10 gallons Mors han 10 goons (lea pec: ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 66.. IInn ttrraai.n:i;nrg-,.whweherree ddooeesstthhee s spepntffeooaamn mggtoo?? 2 cme swtarysovr | __OnSwsens Gran Storm Sewer __ Sanitary Sewer _ _ On-Site Septic TT oreemesenmer - Other (please describe):------------------------- Ground 7. Wier dosh vinkgs place? less ince des, ersctan thr spc locaton 7. Where does/did the training take place? Please include address, intersection or other specific location Paton for eGr1.}na pot van res ~6fc ~ information for current and past training areas. Ino Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: . Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00884422 SsTaAteT_E0_202682211779999 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WVTeihsnapaot nttysypopeoa(ss)n) aainnndrbbararnngda(s(n) oo3dff9ffioo9aaasmmbiaarr)eo?aorFrwlweeoaresuucsrsheedcknnoo1wwaaanntdd 3innpthh.e ppaasstt bbyy hethe DDaeppaarrtmmaetn,t, bthboth fofor vefire response and in training (if applicable)? Please check all that apply. TUUassmeeiddniignn? AAmUmosoeuudnntt CumentUsoor ClaTsTsyyp8pAeeoqoffuFFeooaaomFmuisn BrBarannddooffFFooaamm YYTereassinooirrnNNg?oo AAnnUnnusuaealdlllyy HiCHsuitrsroteornriitccUUUssseeeo??r FColarsmsin8gFAoquaemo (FFF) us Film- | Forming Foam (AFFF) GlRaessst8Aao(Rny:AFFE Class 8 Alcohol- _ cussspown Resistant (AR)-AFFF CClasls88FPauraorteosipnrtsoin Class 8 Fluoroprotein (CFC(FFilPanP)os)lrs8o8prFFaoiitlmma-n-FsF(oorFrmmFsiFinn)gg CasoareER Fluoroprotein (FFFP) CECCxallapasasssnsssAAiBo-oAn8RFH-oiFFaFmP Class Expansion Foam --- TCleasns gA Foam TT oer Training Foam - Other iTToomrhhanoasnrixoktdynynoogoiuncuGgfkf@aoorirddyyenaotultaugararteeattninmve.eccooaaummnns)dd)) ooccororo0oJpipm0emerarhSSatatittoivooornecn.kk.iainnnPPggyleleeGrarausaaseetesthihccoaoeonnnMMtstaaicrncettneeNNsgsaaaonontrcacydyPFRRo1ololiluuditnnCiooiungnnegsCGaaioototrnnDDrtnroelaollHtalAaoAg.CCgeoeonnnnccsysyuul({tla66na56t11rs--246(699557711--88-666690667667-15oor1r5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. "Pleaserou Please return thisussionnaieto this questfonnai;e to Dlts Delta Consultants by5.2000 Consultants bij' J\.1a;,r 9. 2008 I hethe eennccllovsseedds:t;taamrnppeedd,. cslerlf.- J!n Questomnatacompleted by: aaddddrreesssseeddeennvveellope.. Questionnaire completed by: Famowmaie Name and Title FreDaparimnt Sh. Cade Fire Department PPhhoonnee NNuummbbeerr Ea E-Mail Address XKinogen DDaattee Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: EE Suite 100 St. Paul, MN 55126 USA 651.639.9473 www deltaenv.com 22222..00843 SSTTaATTeE__0022682211880000 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 11.. DrDoaochesashyyioonuugrroDDpeeeprpaaatrritmmoenensnt?t ccuurrrreennttlyyoorr hhaassyyoouurr DDeeppaarrtmmeenntt hisistotoririccaallllyy uusseedd CCalassss AAoorr CCllaassss BBffooaammss orfor SC Yos- Proceed firefighting operations? '0- Yes- Proceed ttoo QQuueessttiioonn22 ___ NNoo-SSiiggnn tthhee bbaacckkooftthhiissffoorrmmaanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. Howtofotenn sClass is Class B or B or Class Class Afoam A foam usad used In in response response 0to fra fire cals? calls? 2. How X_ oasis sssonores 750%oles ___ 75-100% of fires .)\ 0-25% of fires ___ 25-50% of fires 3. Docste Department have a coommipvreesssseedd aair foam foam system system (CAFS) (CAFS) witha with a bultin built-in tank tank on on fsits engine(s}? engine(s)? a c 3. Does the Department have ___ YYeess \Xt oNo ~ 4. How ofen is foam used in tiring exercises? 4. How often is foam used in training exercises? Westy ony _ouneny ___ Weekly TT Sehmusty Uk Amaty ama ___ Semi-Annually Monthly ~ Annually ___ Quarterly ___ Bi-Annually Other (ease spect) _ ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - aalnt] fio: 5. Hmo uchffoow aammsisum usseedd eu perr trraaic inniinnggeevh veenntt?? 5. __ How ___ tLeesssstthhaanns5ggaallloonnss _ ______ S5ggaallloonnss 510 10gators (D)C( MMororeetthhaann 1100ggaalllloonnss ((pplleeaasseespsepceicfiyfy)):: __25 PSwo fons 4 66.. IInn ttrraaiinniinngg,, wwhheerreeddooeesstthheessppeenntt ffooaammggoo?? een SomSewsr ___SaniaySemer ___OnSloSepic Hoon ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic -.t!Ground Jr-- _ RE ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - en Ci ore" en. 2,700 lish Ao1 77.. WWInhhfeoerrrmeeatddioooecnsso/difiidcttahherttnraaiiannniindnggattsaktkeeappllnaaccgee?? aPPcllaeesaa.ssee innccluuddee aaddddrreessss,, iinntetersrescetcioinn sJ. oorr ootthheerr ssppeecciiffiicc r/ llooccaattioonn information for current and past training areas. A D~ ~~at ~ ~~. L, 700 '-II . jtV od t1'555500 AS AvsE- Aecert Sn > J 5A Cree pe SUT 100 SFR SS US 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane 651.99 300Oo 5TS Fok SL 309453 sedated com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00884444 SSTTAATTEE0_202882211880011 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg a. What pets) and banc) foam re areuse and nh astbyBh Deparment, bot for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire sponseand n vain 1 aptPaassae chiockeal hyt 35. response and in training (if applicable)? Please check all that apply. TUasondgin? Am"Goousntt GuromUsoor TTyyppeeooffFFooaamm Cl8aAqsuosus Fin- Class B Aqueous Film- Fo Fou (FPF) cJ zo RCeCFlsolaiarsssmstsianBBngAtAlFlc(ocoAaohRmho)olAl.(-AFFFFFF) r Resistant (AR)-AFFF Cesspoen Class B Protein G8aFissroprsoten Class B Fluoroprotein ES _-- (FP) Ga8 Fisnomisng Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) cmsmaRE Class B AR-FFFP Cassi Class A-B Hi Eeparoion Foam -- Expansion Foam Cassa oT oO Te Class A Tongro Obaguond "glo io Training Foam omer ETE Other BBrarannddooffFFooaamm 0 Lfiojim\~qczu~t'aeunJdJ Used in Training? YeYessoorr NNoo Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriic UUssee? --fe-- 20 CCeun;un)t~ -- (~ Thank you for your im an coopera, Please coat ancy Fin a Dot Consult (05.6575152 Thank you for your time and cooperation. Please contact Na(lcy Rodning at Delta Consultants (651-697-5152 crondataamcom) on Stocingor os irae Poon ColAone (051 57.900o0 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ing Gate oo) Youho ary doors rng i tsar jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerreettuurrnntthhiiss qquueesstitioonnnnaairireettoDDeellttaCCoonsnuslutltaannttsbbyyMMaayy99,. 22008iintthheeeenncclfoqsegdqssttaammpoeedd,. ssePliff.- Dosen tie addressed en~.;$efopc. [---- Questionnaire completed by: SRonmm-uea.A Ti(e Onder=bepudpcdlway/s 11 )o.oe 15 cLName and Title - ~f'u, FSreTG_ocrlionugy Fire Department sige 3?o - Phone Number bsbe50m~a3z5>ae [1 a70ol EtdJ~eA~adVn\i.cs wuJi{ooh\Jbb.lJ @ oc ,L'.. CS:.+rc)oc~h.o, v1d/l 1\DunatueSs' E-Mail Address Ninogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00845 sStTaAreTEo_z0s282211880022 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . IDDroooeerssgnyyioonuurgr oDDepepepararartttmmoerensnt?t ccuurrrreenntlty oorr hhaass yyoouurr DDeeppaarritmmaenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AAoorr CCllaassss8B ffooaammss ffoorr X___ firefighting 'X. opVeerast.ioPns?rotcoQueesteiond2 NoYe-sS- iPgrnocteheedbtoaQoucfetshktiiosnf2orm and return to Dela Consulants + _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. Howotens How often Cass is Class 8B oorr GClalssaAAfsfooaasmm uusseedd iinnrreessppoonnssee ofrto fire ccaalllss?? -_-'-XX_--'o-_z0s-2w5o%iotf feiress ______z2s5s-5v0%oioif feiress ______ 7755-110000%%olofffrireess 3. Docs the DOoen"pla'qrytmen(ltiLahYravOOeFar cS~o1mwpWreeGsd~a foam system (CAFS) with a ulin nkonsengine()? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes --:--Yes Xow )( No 4. Howoifs feoanm used in raining exercises? 4. How often is foam used in training exercises? Never Weoky mony uarery ___ Never ___ Weekly ___ Monthly ___ Quarterly Semi Anualy X Annual BAnnualy ___ Semi-Annually ~Annually ___ Bi-Annually Other please spect): Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmueuhc h ffooaammiiss uusseedd prper anitrain nging event? event? - XXK _ Less Less than than gatons 5 gallons 55 ggaalllloonnss _ _ _ 551t0o1100ggaallolonnss. MoMroere tthhaann 1100ggaalllloonnss((pplleeaasseespsepceicfifyy)):: - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? _ SomSewsr ___SantaySewer ___OnSteSepte -GXr-ound ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground ET p---- EE _ ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. WVinifhboeerrrmeeatddiooocenssfoi/ddiddcutthhreretrnraanainniidnnggpataaktkeeilpnlaiaccneeg??aPPrileeaaasssee iinncclluuddee aaddddrreessss,, iinntteersrescctiioann oor therspi other specific llooccaattioonn Gy pking sk information for current and past C~v~ =\>llXK\~ \fu training areas. E Kinoger OVVEERR-----+ ST Ree Cent Ferny EU _190 ST FRG WW STI USK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9855004307 413 Fak 451.635 3473wmadsltaan.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00846 SSTTAATTEE__0022882211880033 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. Whattypes) an ranofsfo)am arorvere used wandin th astby he Deparimens,bth rf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iff aapppplliiccaabbllee})?? PPlleeaassee cchheecckk aallll tthhaatt aapppplyly.. msctrom Bundoffoam VTUoesnteiednirgne? AAmUmosauednlt Ceureesnrty|Hatuosreidaslly Type of Foam Cl8aAquseoeus Class B Aqueous Fimrompgrom -- - Film-Forming Foam rn, (AFFF) Foy-- Class B AlcoholSee haw yy Mae yo Y Resistant (AR)AREAFFF Cosssposn o_o Class B Protein Css Class B Popa (fy ------------ ---- ---- ---- ---- Fluoroprotein (FP) ClassBFin- Class B FilmForming Forming Fuga ---- ---- ---- ---- Fluoroprotein ((FFFFFFPP)) Cessbarg o_o Class B AR-FFFP Css asi Class A-B Hi Smtr Foam ---- ph-- -- -- Expansion Foam Cosa ngs wR TDR Xv Xv Class A TofS TT TV TC Training Foam oer = Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? Thankyou or your te and cooperion. lea ontct Narcy Roding a Dla Corsa (51.07.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a roam dahaet am)of Son Stocking t he Momese Folios orl Agency (651397.3608 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mackie ro) 1104 have ary osebons ror is questonabe jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Piease return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- fiQauompr estyoannTaiety ecomplete by"G . R addressed envelope. oi - mo 10 Phone Number p\_?a(ltCeL )1Y> ~ 00(}.)D\., cC~oWm\ Err E-Mail Address plow XXIinnoogg~enn ,''" Phone: 5910 Rice Creek Parkway 23Wd-\ 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www MN 55126 USA deltaenv.com sStTaAreTE0_202882211880044 22222..00847 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg - 11. . frDDooofseissghyyioonuugrroDDpeeeprpaaatrritmmoenensnt?t ccuurrrreenntltyaorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly uussedd CCllasasAsAosor CCalassss 88 ffooaammss fofor NE firefighting opYeorautiPonsr? otcoQueestsiond NYoes- Sign the baofcthkis form - Proceed to Question 2 Sign the back of this form aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss ___ No- 22.. HHoowwoofftteonniiss CCalassssB8 oorr CClalssaAAfsfooaasmm uusseodd iinn rreesspponosnes1teo rofire ca? calls? F -YK oasstres 0-25% of fires ___ skoies 25-50% of fires __ ___ 7755-110000%%oioff fvireess 3.. DDoosess tthhee DDeeppaarrttmmoenntt hhaavvee aaccoommpprroesssseedd aiair ffooaamm ssyysstteomm ((CCAAFFSS))wwiilthh abut a built-in ttaannkk oonn isits eennggiinnee((ss))?? 3 Kove . _LveNos ___ No 4. Howoften s foam used n raining exercises? 4. How often is foam used in training exercises? te We Wey cue ___ Never SembAnnualy Ponuely 7 sinnnuaty ___ Semi-Annually Weekly ___ Monthly / Annually V ___ Quarterly Bi-Annually Other (please speciy: ___ Other (please specify):----------------------- 5. Hom mugh oanis usedper ang overt? 5. How much foam is used per training event? L2 ean girs Sgallons sions Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Moro than 10 galons (lease spec) --- ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - Storm Sewer __ Sanitary Sewer On-site Septic Ground 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? F:f:.----_ Otver please descrve): afet5c Thr eePon ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Other (please describe):.;:........ H-~vs<... TH-.. I 1-v-e.. FvfZ-'--1.. 27.. WWInhhfeoerrrmoeatddiooooensslf/dodriiddcutthrhreeenrtrtaaiainnniindnggpftaaaskkeeappilnaaccgee?? aPP1ll6eeaaasssee Inncculuddoe aaddddrreessss,, iinntetrseerctsioenocortr aoiltohheenrr ssppeeccififiicc llooccaattiioonn Jinl[fotTrmIHta5tsior7n-for sSc-uo*r'orvetnrthHaen-d those past training H v $-e.. bee areas. b.r -e__ 1u"rtz..n. ~-te..epo IPJec wwn""- FF"eIr'- TTRJZu-".n. ViI ,e "s'? C' Kinogen OOVVEERR----+ STS Cree pry SU 160 SC PRTsWWeSvTIeUrSK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.639.91584550 I HTT Fok: S41 615.043 Madslinan.cam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00884488 SSTTAATTEE__0022882211880055 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 5. Wot pets) and ranofdfoa)m are were usd no and i ho ast by te Orman bo for fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponee nn von (appa leo cock a ot a response and in training (if applicable)? Please check all that apply. TUrsaemdnign? AmGoeusnt Curent Historically T T~[:!y eoofp fFFooe aamm ClBaAquseosus Class B Aqueous Fitommereon ---- o_o Film-Forming Foam ary (AFFF) ClBaAosnso Class B AlcoholRosman OR) Resistant (AR)peAFFF CaspRwen o_o Class B Protein Css Class B FFlluuoorroopprrootteeiinn ((FFPP)) Gloss Fi. Class B FilmFo Forming man" Fluoroprotein fo (FFFP) CoseaREER Class B AR-FFFP Class As , Class A-B Hi Cpmontom | ---------- ---- -- rer The Expansion Foam ama Severex VT yo FAGLLG Class A Tanngron o_o Training Foam Oter = = -- Other BrBarannddooffFFooaamm 5 /. . v-e-p.... ~y. Used in Training? Yeessorr NNoo Amount Used Annuuaallll~y Currently UUsseedd?? Historically UUsseedd?? --- oT I v 3_1~(.., '/-C-5 +vsrgerr r.Jt.e- ~<IC.. /c. '1'/..e-.('-<:t t) tJ Tan oor our me nd compen. leas cote Nancy odin a Delta onsutans (51697-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 For arordnknaOGGaottaeerrmrcoomm)) Fsons hSoacvitg atovrsioHsirneesninPoioe ShoosCtoonrvmlateeres (95 S07 3000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Quesiomato comsiotd by: PPlleeaasseerreettuurrnntthhiissqquueesstitioonnnnaaiirree ttooDDeletltaaCCoonnssuultltaannttssbbyvJJuunnee 66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseelllf-: adadddrreesssseeddeennvveellooppee.. Questionnaire completed by: Name wa Te JT.atti5~se"'n- PJ1-il,ln"\~n-e.e. ....y....7 Name and Title Cheep SFoxTDomiTniares Fe Fire Department P:$o?e6 s77-e- r127'15)-- rJz2.'z2-ea SEPhTionFieiNaunmsebiser Fie Chive @ E-Mail Address vDomtten Deporie~s 5-o2eieg Rontashat Com Date HXwInooggr:e~rn .... rene e510 T TO T TTT Tote TTSTT TUTnTe oIn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00849 state 02821806 STATE_02821806 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 11. . DTDoeoelesgshyyioonuurgr cDDepepepararartttmmoenensnt?t ccuurrrreenntlty oorr hhaass yyoouurr DDeeppaarrtmmeenntt hisisttoorriiccaalllyy uusseedd CCalassss AAoorr CCllaasss B8 ffooaammss ffoorr _X__ Yes Proceed firefighting operations? X Yes- Proceed ttoo QQuueessttiioonn 22 ~ No-Sign the back of this form and return to Delta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwofotfteenn'iss CCllaassss BBoorr CCllaassss AAffooaamm uusseedd iinn rreossppoonnssee 0to ffirree ccaalllss?? XX_oa0s-2w5u%ooif feiress _____ _ 2255-5s0o%ifofifieress ___ 7755--10100%0 ooff ffirreess 3. Does the Deeppaarrttmmeenntt hhaavvee accoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa bitin built-in ttaannkk oonn 5its eennggninoe((ss})?? the D 3. Does ___ YYeess XX_ nNoo 4. How often s foam used in ining exercises? 4. How often is foam used in training exercises? Weakly Monty uanery -- semenonuaty ___ Weekly ___ Semi-Annually __XX_ AMnonnuathlllyy Annually -- Aenualy ___ Quarterly Bi-Annually TT overpemespeoty ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. HHooww mmuucchh ffooaamm iis uusseedd prper rtraaiinniinngg eevveenntt?? 5. X__ Loss than 5galons 5gallons _ st010gatons 7 _L..X~_ Moron Less than 510gaglalotnosrs (pessespe5ctgya:llons _ _ _ 5 to 10 gallons ------------ _ _ _ More than 10 gallons (please specify): - - - - - 6. In raining,wheredoesthe santfoam go? 6. --XX_storm Sewer In training, where does the Storm Sewer Sanitary spent foam go? _ _ Sanitary SSeewweerr __ OOnn-SStitee SSeeppttiicc GGrroouunndd Othe poase describe) - - - Other (please describe):----------------------- 77.. WWinhhfeoerrrmeeatddioooensfo/odidscuthhriereetdnatrtiainianinindndggptaaakskoerppallraaiccneeg??aPPrleleeaasa.ssae iinncclluuddee aaddddrreessss,, innttoerrsseeccttioonn oor the other ssppeecciiificc llooccaattioonn information for current and past training areas. PARKING LOT gv EAST sr oF coins (Scie w0rr2) HXwIonogge~nn ,, mone 070 9A 2 1455 CG5ETIE Fok: T691I635 2087) Mmba atanaasm. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651 639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00885500 SSTTAATTEE__0022882211880077 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. TVeWisnhpaaotnytsyepaleas(ns))daannddabbkrriaannng(ds(s())1ooafffpfooaapmmlaaceree?oorlweweaersereeuushseoeddcknnaoolwwl ahaannddaiinptthhyeeppaassttbbyytthhee DDeegpaarrttmmeentn,t,bbohth orfor ffirreo response and in training (if applicable)? Please check all that apply. TrUUassieenddiininng? AAmUmosoeuudnntt CurentUsaor ClaTsyTspy8peeAooqffFuFooeaaommFuims- 3m`BBrraannddooffFFooaamm NO YYTeerassinooirrnNNgo?o pts 100ge oy 2omins AAnnUnnusuaealdlllyy HiCHsuitsrorteornriitccUUUssseeeo??r Cl8aAcsonosl. FoCFrolamrsmisninBggAFFqoouaaemmou((sAAFFFFiFlFm))- -- 3M -- ~~ fm Class B Alcohol- Resistant (AR)-AFFF cassepown Class B Protein 0-- C5Cla)sls BBFuFacluroorsporporotseteiinn -- Class (FP) Class BBFFiilmm-FFoorrmmIiinngg -- CesBARFFP Fluoroprotein (FFFP) CECCagllaasassssns sAABo-BABnRHHF-iFoFaFmP ---------------------------- -- Expansion Foam Yes jar I C;;f' pao TCrlaaisnsinAg Foam A over Training Foam mtr | +------ Other oioTTrrmhhaanwsnnrohokkdodyrcynoiokiununigngff@go@oerrddroyye@oollsutuaatrretemtnenimyve.eccooaaummnns)dd))ooccrooyooaJopipmmeerravSSatlttoiooeonccn.kk.aiinnnyPPggQleleeuerraeatassstteetthihcceooeonnnMtMstaiaicnrnctnentgeeNNassaraoondntticaacnyygPFRRhoaoolslluddtnuiiqoinunnneggsCCataotootnnnDDvtnroeeaollrtlaaeAA.CCggoeoennnscsnyaull((ta6a6n5n5t1ss1-2-((692657501-118---66639696767--65o561r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. adcressed envelope. PPlleeaasseerreettuurrnntthhils.qquueessttiioonnnnaaiirreettooDDaellttaaCConosnuslutltaannttssbboy,MMeayy 89,. 22000028iizntthheeeenncclloosseeddssttaammppesdd,.sseelflf:- addressed envelope. NasmndTiete QQuueesstitioonnnnaaiirreeccoommplpeletteeddbyb:y: .. MAY BBoJo.)~iP~J- FFilRke( ccJhJiJc["rF/[1{A~1s0-ts:JuI\r/f Name and Title FroboarmeSnTt Jen's uwivErsiY Fire Department Fons Nombe((r532200))5~3&653--2277L4f?2. Phone Number Bees JBoire CsBsuv.EpU. E-Mail Address 5saErJ-ar ~o~E~Eeeln#!r\ [4-D1at/e-){)lf Date Kinogen rane: 651.63S9.T310R4ee5 C00.r473e74p11aFyok: SSILTI03f0ou04S55mFeSTnEtUSA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..085511 STSATTAETE0_208282211880088 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DDeoeoeefssgyymoonuugrr DoDpeeuppaaartrtmomenensnt?t csrentoyr currently or has has your your Deparment Department hitrical historically used used CCalassss A A oorr issB Class B ffooaammss orfor firefighting operations? No Sign the baocftiks form and return to Dela Consultants '7>./ YYeess-- PPrroocceeeedd ttoo QQuueessttioino2n2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoten's Class Bor Clss A foam used response fr cals? 2. How often is Class B or Class A foam used in response to fire calls? _ ooswortes ---K-Pa-ssonattves Totoo at fres ___ 0-25% of fires 25-50% of fires _ _ _ 75-100% offires 3. Does the Deparment haacovmpreessa ai foam system (CAFS) wilh a lin ark ons angina)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes >< te (>C No 4. Howalton s foam used i raining exercises? 4. How often is foam used in training exercises? eany vou ue ___ Weekly ___ Monthly Soman 7S ovat eam ___ Semi-Annually fS Annually _ _ _ Quarterly ___ Bi-Annually ___ OOttvheerr ((pplleeaasseessppeecctifyy:): - - - - - - - - - - - - - - - - - - - - - - - How much foa am i utsd potning oorv.ert? Sass ..$..- 5. How much foam is used per training event? Less than 5 gallons 5 gallons Mor han 10 galas (Jas speci ___ More than 10 gallons (please specify): Stomgm ___ 5 to 10 gallons 6. ring, here dos the spent foam g57 6. In training, where does the spent foam go? Tomson sontoysowor__onstesopte ___ Storm Sewer __ Sanitary Sewer Ota lease deserve) _ ~....,..-- Other(please describe): ____ _ _ On-Site Septic oro $Ground oTJI!J:j!{ tJZ; fvkr&; ~Jv~'te/ 7. 7. WWfohhroemrraeetddioooenesso/diriidctheheentrtraaiainnniidnnggptaaakskoeappllnaaccgee?? aPPrlleeeaaasssee includ include adress, address, nersecatiotohenr intersection or other speci specific ocaton location _Typeally information for current and past training areas. fer if ont [p-/f o-U 12 Kinoger PPhhoonne:e: 651.639.9545 1500.744117. F7ok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 631.635.3473wdaSrlARAY.Com. Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..008852 STSTAATTEE0_206228211880099 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Whatyet) and ant) foam at. Pvor Saudkntavonadtyio opin, 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. P---- T)!Qe of Foam GorsoseFi Class B Aqueous Filmey Forming roam (AFFF) Goren Class B Alcoholfer Resistant (AR)-AFFF Copan Class B Protein G8aPatoapteon Class B Fluoroprotein =(FP) Gore Pg Class B Film-Forming serra Fluoroprotein (FFFP) Conon Class B AR-FFFP gEralnte Class A-B Hi SR: Brand of Foam voogin Amour Used in aT oramunecr Training? J.Wl Yes or No Amount Used Annualll! Current Use or Historic Use? ee eee -------------------------- Expansion Foam ama Ay LJoo-tLsrt-fa4l_l o-io C{;pRr;jvr~ Class A Togo TREE Training Foam oer - Other /);U~.!_J (Jd_~ Ia -do mm -------- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ou Sie ar: or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or as jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. RE ee et RA STAR Piease return tflis quesiiunnaite to Deita Consultants bv ,'1,1ay S. 2008 in the enclosed stamped, selfFr addressed envelope. appmrersosy Q~tionnaire completed by: Nic~foi.n ldJy TMoGtboerCd-t--e prehel. Y Name and Title r STsS7p0he-ghhFeppt ST Fire Department ~ (Gr), ie29-5;s2f0d Y=agos 22:=; one Number 5V'L d) 5+::toe__.f.rre, EE--MMaaiillAAddddrreessss. hcd!W!rarl ,.Cp/10 < Inogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00853 sours canes STATE_02821810 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. fDDiooreeefssigyyhotoiuunrgr DoDpeepepararartttmmoenensnt?tccuurrrreennttlyyoorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AA oorr CCllaassss BB ffooaammss ffoorr firefighting operations? ___ YYees-s- PPrroocceeeedd ttoo QQuueessttiioonn 22 X>< NNo-o-SSiiggnn tthhee bbacakoocfftthhkiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss / 22.. HHoowwofotfteenn iiss CCllaassss BB oorr CCllaassss AAffooaamm uusseedd iinn rreessppoonnssee ttoo ffiirree ccaallllss?? ___ 00:-22555%% ooff ffiirreess ___ 2255--5500%% ooff ffiirreess ___ 7755--110000%% ooff ffiirreess: 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavveaea ccoompmrepsrseedasaiisrffooeaadmm ssyysstteemm ((CCAAFFSS)) wwiitthh aabubiuliltt-iinn ttaannkk oonn iitss eennggiinnee((ss))?? ___ YYeess 2XX NNoo 44.. HHooww oofftteenn iiss ffooaamm uusseedd iinn ttrraaiinniinngg eexxeerrcciisseess?? _ _ _WWesekelklyy _ _ _MoMnotnhtlhyly ___ QQuuaartrteerrtlyy _ _ _SeSmeim-iA-nAnnunaulalllyy ___ AAnnnaualllyy _ _____ Bsii-AAnmnuuaalllyy ___ OOtthheerr (pplleeaassee sspecp ify)e : cify):--------------------------------------------------- 55.. HHooww mmuucchh ffooaamm iiss uusseeddppaerrttrraaiinniinngg eevveenntt?? ___ LLeessss tthhaann 55ggaalllloonnss ___ 55 ggaalllloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): ___ 551to01100 ggaalllloonnss. 66.. IInn trraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ___ SSttoorrmm SSeewweerr __ SSaanniittaarryy SSeewweerr __ OOnn--SSiittee SSeeppttiicc GGrroouunndd ___ OOtthheerr ((pplleeaassee ddesce ribes): crib---e):----------------------- 77.. WWinhhfeoerrrmeeatddioooeenss/o/ddriiddcuttrhhreeentrrtaaiainnniidnnggpattasaktkeerappillanaciceneg?? aPPrleleeaasa.ssee iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortrooitthoheenrr ssppeecciiffiicc llooccaattiioonn information for current and past training areas. Xinogen Phone: 651.639.9S5494T19G0/wR8eic0ee0.CC4rr7e7oe.sk74PP1ao1rrkwkFaayky: SS6u3ul1it.ee63110300.094SS7Ct3.mPPwaauul.l,, dMAeNlt55a55e11n23v66.cUUoSSmAA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00885544 STSATTAETE0_208228211881111 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WrWheahsaptot tntyysppeee(a(ssn) aaidnnnddrabbirnarinndag(s(n)foodafpffpfsoloaia)cmmabaalreree)?oorlrweweaersreeo uucssheeeddcnknoolwlwhaaanntd ainppttlhyh.ee ppaasstt bbyytthhe DDeeppaarrtmmeenntt,,bbohthffoorr ffirree response and in training (if applicable)? Please check all that apply. ClaTsyTs yp8peeAoqouffeFFooouaasmmFilm Forming Foam (FFF) Class B Aqueous Film- Forming Foam (AFFF) CCRellsaaisssssta8BntAAll(ccooRhhVoolAl.-FFF Class 8 Protein Resistant (AR)-AFFF Class B Protein IeCCil)asssss B8 FFolurooropprrootteeinn (CFCFlulaPaoss)sos p8BrFFoiialmmn-FF(ooFrrFmmiPinn,gg CasseARFEP Fluoroprotein (FFFP) Ciass B AR-FFFP CLasseABH Class A-B Hi CElxapsasnAsion Foam TCrlaaisnsinAg Foan Other Training Foam Other BrBarnadndooff FFooaamm ------------------------ -- ----r-- ---------------------- FE --- - TrUasiendiinng? Used in Training? YYeess oorr NNoo AmUoseudnt Amount Used AnAnnunaulallyly Current Usoor CHHiuissrtrtoeornriitccUUsUseseeo??r -------- -------- -------- ST -------- A-- -------------------- ---------- -- -- ToTrhhawannokkhyyioonuugff@oordyysootuursr ettimnneecoaamnn)dd occrooooJpipemerarStatitioooncn.k.inPPgleleeraaassieetcceoonnMttiaacnctnteNNsaaonntccayyPRRoooddoniinnnggCaatot DDneetlltaaACCgoeonnncssyuallt(aa6nn5tss1-((662559117---60095677-6-o550r115522 im Socknger@state mn u)1you or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any questions regarding this Quosionnaro. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or PPlleeaassee rreettuurrnn tthhiiss qquueessttiioonnnnaaiirree ttoo DDatetaltaCoCnosnuslutlatannttss bbyv MMaay9y9,, 22000088 iinnthe theeenncclloosseeddssttaammpoeedd,,s~e~llff:: `aaddddrreesssseeddeennvveeliooppee.. QQuuoessttioonnnnaairie ccoommpplleetteedd bbyy:: NOomae arnd.Tilo Nome Name and Title ---- Sve ClleS FrSe Dve,parmbeneten Fire Department Soo --anane=sS PPhhoonnoe NNoummpbeerr DToateeSo ce Ewen E-Mail Address Kinogen hone: 651.629.9405 1 R8e50.E43e3 411 Fike S91e611057943S3 mFandSeliE asn IUE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00855 SSTTAATTEE__0022882211881122 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 11. . rDDeooteegsshyyioonuugrroDDoeemppaaatrrtommneesnn?tt curat currently or hhaass yyoouurr DDeeppaarrtmmeenntt torical historically usdused Class Class Aor A or Clas8 Class B foams foams for for f i r e f i g XChtin K g oNYpYoeeres-astiS--oPinPgsr?ortceheeodbttcooaQQeuoucefeshsetktisioodnnf2orm and return to Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. Howofens Gass B.or Clase A foamused i rsponsoto ro cas? 2. How often is Class B or Class A foam used in response to fire calls? 025%of res 25.50%of res X._ 75-1o0f0ve0s ___ 0-25% of fires _ _ _ 25-50% of fires )<.. 75-100% of fires 5. Doss the Deparment haacovmpreess foam system (CAFS) wih alin akons engine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes 2K no ?<... No 4. How often' foam used in aig exercises? 4. How often is foam used in training exercises? Weoky Monty Quarry ___ Weekly Monthly ___ Quarterly SomAnnasly Aonualy BiAmal 7 ___ SOtehmei-A(pnlneuaaslelsypecciif)p y):~ -~"-=-o -V'I.V'I._{...A.:.n/.n_-"uOata;~>ls"l-y'=~e~~.:.....d:..o-'-fri..~-'-6buL.=,'e-.'-'.r-r-.:m-:..~f.?i-..r.z.B..ie:-.A;,n_n..u.-a=lly....;;9'-------:(; Other (please spe 5. How much foam is usd por airing oven? 5. XC Less How much foam is X Less hans gatons used per training than 5 gallons event? 5Sggaatlloonnss _ ___ swi0gaons 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeeccififyy)):: -- 6. Inwaining. wher dos he spat foam go? 6. oSoomSewr __ SeterySews In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer _____OOnnS-SiioteSSeeppiticc 12h_ GGrroounwd | L Overiposodoscber __ N/A SS h Other (please describe): _.....,_rJ;'7-'/;-"-A-...l.- - - - - - - - - - - - - - - - - 1. Where dosicdthvaring ake place? less includ adress, iarsecton or thr speci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location TT rr po information for currentv~aining areas. I XNnInooggefnn ,,, none: 631.620.9345 1 808.473 5415 Fok: 651 039.047) WmdaltmcaLm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00885566 STSATTAETE0_208282211881133 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 8. What pots) and braofsoe)m aor were used now anid th stb he Deparment, bootr fhr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tego and in ang 1 apphcabe) Feats nec al in 9p response and in training (if applicable)? Please check all that apply. Dusetram Type of Foam BrandofFoam Brand of Foam ETUesenodgibn? aAnmUuosueadnlt CfuomentUseeso?r /dvl CCllaassss B8 AAqquueeoouuss FFiillmm-- FFoorrmmiinngg FFooaamm ((AAFFFFFF)) Clas8s canal Class 8 AlcoholResort (RLF -------- ------ -------- Resistant (AR)-AFFF Cossbpoon Class 8 Protein Glass 8 Fuoropatein Class 8 Fluoroprotein IE) STE ---- (FP) Chss 8FimFoming Class 8 Film-Forming Funropoton (FFP) Fluoroprotein (FFFP) Cesseamere Class 8 AR-FFFP Class rst CassA CEExxlappsaasnnsAsii-oo8nnHFFiooaamm Class A TrangFoam - Training Foam oer - Other Anss tL- k /L_e.L~ e J Use Si es 0 -- ERE M ho e E EEgSe Thankyou for your to and cooperstan. Peas contact Nancy Roning of Della Consultants (651.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rod lao com) or Stocking a he MnosctaPolubon Cortl gone (851-397-5088 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing staat) You hav any Guesion regarding quechommare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please stun thiusastionnaietoDott Consultantsby ay 2008 the enclosed stampa. set. Please retu.mJ.!Jis q~estionnaire to Delta Consultants by May 9. 2008 in the enclosed stamped. selfadiessed avelope. addressed envelope. Waeie Windscheb AssyslontChel Questomare complted by: ~~ CJt~ds~~-.f=( Questionnaire completed by: Homo avails Name and Title SFelo D.elpaormuenits Donec Fee Fire Department 9Pho55no'0NLa-~b9eC?r224Lf 2-20l60C9Z 05E-D14-08 Phone Number Date mtf\1\iWEnIi~drcellsscJc, -:hM.JH.-1 @e2_ s-stl-lloovuiLsS ptoeparrrd/k.oe0 rtr g7 E-Mail Address XInogpl' ,, Prone: Phone: 651.639.9445 1 800.473 3411 Fak: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 451.635247) Suite 100 St. 651.639.9473 siatalinens.iom Paul, MN 55126 USA www.deltaenv.com 22222..00857 sSTTaAeT_E0_202682211881144 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. rDDooofseoss nyyioonuugrr DDpeeeppraasrrtotmmneesnn?tt curetoyr currently or has has your your Deparment Department historical historically sedused Clas Class Aor A or Class Class 8 foams foam s for for You -Protco Qeuesetiodn firefighting operations? 'f.: Yes- Proceed to Question 2 ___ NNoo--SSiiggnn tthhee bbacak focftthhkiiss ffoorrmm aanndd atu return oto DDeellttaa CCoonnssuullttaannttss 2. Howoften Class B orCisss Afoamused inosponso to fracas? 2. How often is Class 8 or Class A foam used in response to fire calls? LY ozswartres Bsokotfies 750%offres _ Y ___;c:...._ 0-25% of fires ___ 25-50% of fires _ _ _ 75-100% of fires 5. 3. Doss Does tethe Department Department ave have a compressed compressed aiair foam foam syste system (CAFS) (CAFS) wiabtithin with a built-in ttaannkk oonn isits aennggninoe((ss))?? Y _ _ _ Yveess no Y- No 4. Howoftenis foam used in raining exercises? 4. How often is foam used in training exercises? Wally Want ___ Weekly ___ Monthly Somimay Ary ___ Semi-Annually ___ Annually Quarry ___ Quarterly Binal ___ Bi-Annually ___ OOftnheerr ((pplleeaassee ssppeecicfifyy)):: -----~-"'?"'"r-A 1~j<_I--=::L::L/L.!.Iff'-L...Ce=:....__ _ _ _ _ _ _-- _ _ _ _ _ __ 5. How me foan is used par raining oven? 5. How much foam is used per training event? SC Loss than' gallons 5 gators 5110gskons y Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons Mor han 10 galons (lease speci ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. Intriing, In training, ner where does does tho the spent spent foam foam gg5o7? Over ease deserve) - _ S_ t_ oSrtomrm SSeewweerr __SaSnaintitaarryySSeewweerr _____OOnn-S-Siittee SSeeppttiicc _JCGGrorouunndd ,.,.......-- Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. 7. WrWhehmerreeaddonosessfi/oddriddcthuheentrtraaiainnniindnggptaaaktkoerpapirlaaiccneeg?? aPPrllseeeaasssee iinncclluuddee aaddddrreessss,, nrsectono intersection or oattheerr speci specific llooccaattioonn fire Dir fark Lor /;;vr information for current and past training fi rc:_ -ore t- J-. L.or areas. Xinogen ST Gre pF fon SE Feu SSGoeUk 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA hanes 651.639.9005 1805 057 TATE Fok: GOL039 303)mAmRiaAAoR Phone: 651.639.9449 J 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00858 STSATTAETE0_208228211881155 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WrViehnsaapttonttyysppeee(a(ssn))daainnnddabbiarannncgd((ss1)) ooaffpffpoohaocmmabaalrreee"aorPrlwweeearrseeesucsereecdcknnoaolwwhaantnd3d7in9tth1he ppasatbbsyyttthhe DDeeppaarrttmmeennt,, boboth ffoorr ffirree response and in training (if applicable)? Please check all that apply. TrUUassieenddiininng? AAmUmosoeuudnntt Current Usoor ClaTsyTsypBpeeAoqofufeFFooouaasmmFim- BBrraannddooff FFooaamm Training? YYeessoorrNNoo. Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? Forming Foam (FFF) Class B Aqueous Film- Forming Foam IAFFF) ---------------------- -------- -------- -------- CRClelaassssstoB8nAAl(ocAolhR.oylA- FFF CRleassisst8aPnrt o(tAeRi)n-AFFF - Class Class Class 8B B Fuoroprten Protein Fluoroprotein _-- (CFCFillaPsaoss)rsso8BprFFoliilmomn-FF(ooFrrFmmFiRinn)gg -------------------------- ---------- -------- -------- LEFluoroprotein (FFFP) -- CCCElxllaaapsssasssnsAABi-oABnHRHF-iFoFaFmP -- pron Classs A Expansion Foam Class A Slex W11/oo [l?g&al/lr/l!1en Low.jor 4h 2, TTrraaiinniinngg FFooaamm - El Oter - Other "oiTofTrmhhanarsnrnotokkodcycynnokoinnuiuggnfo@g@orerdryye@oolsautuatrrceatttniyimvmr.eeccnooaam3mnn)dd))oocc1oroo0oJ4pipe4mmerarhSStaittvtiooooenccn.kk.ainnnPgPgyleleeerGraaauasseteestthlccheoooennnMMtstaiaicrnnctentogeNNsasaaraondtnticaacnyygPPRRioooolleluddltniiQaoinnunnggeCsCaaotottnontDDmtrereaoolllitlaarAAeCgCgooeonnnnsccsuyyull((taa66nn55tt11ss--22((699657751--188--666696697667--oo55fr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pfl!.Le'fa!.!sJ.e.Ir}.e_[tflul,urrn!J tthhiiss qquueessttiioonnnnaaiirree ttoo DDeellttaa CCoonnssuullttaannttss bbyv MMaayv 89_22000088 iinn tthhee eenncdloosseedd s<=ttaEm!mpepedd,. sseellff.aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: Questionnaire completed by: --F 7m Schaef er Secretary ~n 5c aefe~ Naha and Til Name and Title FireSDeTparAmenCt I Fire Department ((33P2hzo0no)e)Nam$)o'1ieBr8--- 33550671 Phone Number 55D-5aSte--O08B Date E-Mail Ewes Address XKIinnoogg~enn '"' PPhhoonne:e: 651.620.5045 1 800.477.7411 Fok: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: 651.639.2471 Suite 100 St. 651.639.9473 wdoan liasniasm Paul, MN 55126 USA www.deltaenv.com 22222..00859 STSTAATTEE0_202882211881166 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 1. 1. DfDeooasetssoyyhooiuunrrgDDceepppeaaarrttmomenensntst curany currently oor has has your your Deparment Department itaicaly historically usdused CaAosrClsass Class A or Class foams B foams for for XX.Y firefighting op-eratPionsr? octo Qsuesetiond NoYe-sS-iPgrnocheeedbtaockQuofesitisonf2orm and str Delta Consulate _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howofen is Clss Bor ClAafosam used in response oe cals? 2. How often is Class B or Class A foam used in response to fire calls? LX oweites ___ossowerties ___Tetumeotiies ~XLIr--- 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-1 00% of fires 3. DocstheDepartment hav acompressa foamsystem (CAFS)with abulin arkon fsangie)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ YYeess XX oNo 4 Howofensfoam used in ving exercises? 4. How often is foam used in training exercises? west ony cuter ___ Weekly ___ Monthly ___ Quarterly Somat Aomualy Sh onaly XX oter leasespeci ___ Semi-Annually X Other(pleasespecify): when ie Annually Wh.(\ Lcle.. hb~'a-'1y-..e_., a0\._ . _lr'ee_cCrBvnil-lA)ln;'rnua/AlllycctAa.Jdee.fm(l'y:} ( Borox, cory 18 months { ~p 'fOX., <i: uUY 1'3 il'v"-OY\ ]-')...~ 5. Howmuch foamis ud pr sang event? 5. How much foam is used per training event? -- LetmnSgaions ___ Sgalons _X_ swi0gators ___ Less than 5 gallons ___ 5 gallons >( 5 to 10 gallons ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? _ SomSewr ___SwlaySowr __onsleSople _X_Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _){_Ground _ ovwiesesesemer _____._. Otber (please describe):---'--------- .. __________ ---------~--.-------~.,.,-,...~ 7. Wihro dood h vain ok pce? lose cud adress, rrseton of othr spi ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location Trantor nn ow information for current and past training areas. /b R3' 'i..ne~cty') fe---d< 1\r,,r-e. <--t P""-\l) M(l S5J6q KXiInnooggfenn' ,,, rove err oC AL TTTT TTR SEVER 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00860 sStTaAreTE0_202882211881177 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. WoWshhpaaottntpyspeaesa(s)n)daainnnddabbnriarnndag(s(n)1oodaffpffspoolaa)cmmaiaaer)e?orolrwaweeaersreee uucssheeaddcnknooawlwaiannntdd aiinpnptthlhye. past past by by the the Department, Department, bath both for for fro fire response and in training (if applicable)? Please check all that apply. A. TUUasseenddgiinn? AAmmUosoeuudnntt Curent Useor Training? Used Current Use or FCCllaTosayTsnyBpsBpAeeeAqroquoofueafFeomFoouiousnaasmrFmFtiinlmmy-- --L S i BBrraannLddigohp toffFFooaamms uwnattererffiiYYceeessoyorreNNoos AAnnnnu5uaallllayy.gallonsHistoHipsrtoiircicsUUtssreei??c Class 8 Alcohol Forminq Foam (AFFF) Class B Alcohol- ____,]>IL._M_-m---'=L--'-:71'l>>-IIi'It:,'gl---~a----t____u,w=rc--.r ve- AAt-Ctycel. yes_J_P__T_// Hirer Class 8 Proton ReRseissisttaanntt((AARR})--AAFFFFFF eee. A 2 mem eres eee CCC5lllaaa)ssssss BB B Floroprotein Protein Fluoroprotein | ee ee CFC(FlllaPsaoss)wsspB8roFFiioilmnm--F(FoForFrmmFiPinn)gg Smee Fluoroprotein (FFFP) Class B AR-FFFP c v f" f'.t'l=t Class A-B Hi 1:;2. o 2. IJ /s torfc CElxapsasnAsion Foam Im gst sare NNoo J2-... 9g!atAl)l) oOnYls$ CCuUYr'fc'f2e.()nj)- TCrlaasnsinAg Foam - OtThraeinring Foam Ansulite Xn N !VOo_Ssels curved) Other ToTrhhawannoikdynyooiuunfgfoo@rdyysoouturar etiimnneecoaamnn)dd occroooJopipemerarSatittioooncn.i.nPgPleleeraaisseetccvoonnMttiaancctnteNNsaaonntcacyyPRRoooucdlrniainnnggaCaotntDDreeolllttaaAgCCeoonnncssyuull(taa6n5nt1ss-((266055711---8666996776--5o5r115522 im sockinger@state. mus) you or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you havo any questions regarding Us questionnaire Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or `lasso P!e!:se stun :--et:.:rr: tthhiis~ questionaire c;uestion;;aire to to Data Delta ConstabnyHtasy Consultants bt fv1ay- 5, 9. 2008 2008 Ine it1 ih~ sulesed stamped, enclo;;,eo siarnped, self seif- aaddddrreesssseeddeennvveellooppee.. [ep Questionnaire -- completed by: Name CcanldJaTt:r%oe{'ne/c] ec .0 Hswking _ Name and Title FrDespatrtpmeanyt] Rie. Dept: Fire Department FoneCN5u)rnoebr un-9133 ou/o3n 0/0g Phone Number Datell Ena RCcdarocnsence . hoaikinS @ Ci. Seas). oma US E-Mail Address XXiInnooggernn' '"' none: 651.639.9505 | 356.44117Fr7i: S91 613.047) Mi AAIARAACA 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..086611 STSTAATTEE0_202882211881188 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 11. . rDDeooisegssnyyioonuugrroDDpeeoppraaarrtttommneesnn?tt ccuurrreennttlylooyrr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciacallyl uusseed GCalassss AAoorrCCllaasssB8 ffoaomasmffoosr firefighting operations? _XX__ YYNeeos-s-SPPigrronoccteeheeeddbttaoockQQuuoefesstttiioisnof2n2orm and rettoDuokmta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoften' Class BorClass Afoam used in response ofr cas? 2. How often is Class 8 or Class A foam used in response to fire calls? X__ozswoires mses 7si00%otfves _.X,__,____ 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% offires 33.. DDoocess tthhee DDeeppaarrttmmeenntthhaavvee aaccoommprpreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa bbuulillt-iinn ttaannkk oonn 5its eennggiinnee((ss))?? ___ Yveess XX'_NNo 4. Howoftn's foam used in raining exercises? 4. How often is foam used in training exercises? Weekly Monthy Quarey ___ Weekly _ _ _ MoJ1thly ___ Quarterly -- Semanaly X__ anvualy Bama ___ Semi-Annually _..L.X.o....__ Annually ___ Bi-Annually tor (please speci: ~~ ___ Other (please specify): _______________________ 55.. HHoowwmmuucchh ffooaamm iiss uusseedd prper raring training event? event? LeLsesss tthhaann 55ggaatlloonss 55ggaallloonnss Moro han 10 gallons (lease speci: XX__ s5ttoo1100ggaatlloonnss -- _ _ _ More than 10 gallons (please specify}: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 66.. IInn trraaiinniinngg,, wwhheerree dooeess tthhee ssppeenntt ffooaamm ggoo?? SomSewer ___ Storm Sewer __ _S_a_nSiatnatrayrSySeowweerr XX_OnOSnt-SeitSeeSpepttcic __ GGrroouunndd ; Over (plessedoserwey ___ Other (please describe):-----------,.....------------ 1 . 77.. WWinhhfeeormreeatddiooocenssfi/dodiddctuthrreenattraiaiinnindnggpataakskeeilpnlaiaccneeg?? aPPollseesaa.ssee ince include aaddddrreessss,, iinntteerrsseeccttiioonn o o r othr other specific specific locaton location information for current and past training areas. mMmaacuracttrtT/i.5Oo0nir2t 1 ?so 2 PPeelTvr-oolle-Tvez;h.v;-i.x~ma:.aiLaLfy~iCc Groohnt:do;soo :3 st:d AAvvee- sSTrouo?asvtl PPuuckk rn /I/ I /t1 &Y't.'i.htds NKinogen ET TT SII 5 DL }Hse ve 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 1.629.91 85005.037 5113 Fok: $01 019.24) MebAlAAAL Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222.00886622 SSTTAATETE0_208282211881199 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training What pe) and rankof fsa)r ar wer us ou nd nthe past by he Department bo fo fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespores nn asin (soca Posse check al on Soy. response and in training (if applicable)? Please check all that apply. TUaemodnign? AmUoseudnt CumentUsoor TTyyppeeooffFFooaamm CEiomsbataae rFin Sa2mmaeuailgrhr iwaicte les STsie <B<"2M300 Class B Aqueous Film- Forming Foam (AFFF) Gl8aAcsonsol Class B AlcoholRevs Ap | -------- -------- ---------- Resistant (AR)-AFFF CossbPown Class B Protein PEClass B Fluoroprotein ES rrr ce es ee (FP) Gl8FoimsFormsing Class B Film-Forming FFuluoorroopprrootteeiinn ((FFFFFPP)) ComreE Class B AR-FFFP Css r81 Class A-B Hi Fed a tt Expansion Foam Gass a Class A Togo Training Foam oer --- Other BrBarannddooffFFooaamm ..5 !Yt L I 7h T t.,U'<' ;-; c -------- Used in Training? YYeessoorrNNoo. ~~ Amount Used AnAnnunaulallly !tr:.ltJc:.:-ls: ../ Current Use or HiHsitsotorriicUUssee?? .'5l)<!~~s ;; Thankyoufo you te and cooperation. Peas canact Nancy Roding Della Consult (851-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a oda Gtac com sn Slocing: io Monks oko Convl Agere (51-497 6060 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or vst Gtsa i) ou hou ay G06 Ford i soa jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ploaso retum hs auestionnaie toDota Consultants by ay3, 2008 nthe enclosed stamped, sa: Please return this questionnaire to Delta Consultants bv May 9, 2008 in the enclosed stamped, selfDomenie addressed envelope. Questomarecompiledby: Questionnaire completed by: INICHAEL NNIENAs _ AosT Chick ill /L-"JIAEL Nar an he Name and Title e FeesDerrimReonott Peck Fire Depaili7ma I se vss Fire Department Find amb 77991/8~" 4B2o9e -2008" Phone Number Date ETAT SsppDpffddaasss5i"tT~ibdniLdbriecta-e- @ iy(eotde,oo,o. com u-:>M rr E-Mail Address J Hwogene Prone: Phone: 651.630.9445 / 800.473.7411 Tok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 451.609.9471 Suite 100 St. 651.639.9473 daarliiasne.ion. Paul, MN 55126 USA www.deltaenv.com 22222..00863 sStTaArTeE0_208282211882200 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. aDDtooeeossn iyyoonuugrr DDpeeeppraasrrotmmneesnn?tt ccuurrreennttlylooyrr has has your your Department Department stort historically sedused CClaasssAAosorr Class Class foams B foams for for firefighting opVeroats-ionPsr?ocoad to Question ___ YNoe-s-SPigroncteheedbtaockQoufetshtiiosnfo2rm and retum to Dela Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. HowofenisClass B.or las Afoam used in respofonfrsa cals? 2. How often is Class B or Class A foam used in response to fire calls? omar 25.50%otras 75-1o0fr0e%s ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CC/A\FFSS))wwitithh aa bbuuiilltt-iinn ttaannkk oonn ittss eenggiinne((ss))?? J ___ Yes J ___ No 4. Howofien foam used in ining exercises? 4. How often is foam used in training exercises? Never Weakly Waniy auartny ___ Never ___ Weekly ___ Monthly ___ Quarterly a -- Aavusly semua ___ Semi-Annually ___ Annually ___ Bi-Annually _ oteressespeety ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much osm i usedpar airing oven? 5. How much foam is used per training event? LesstanSgatons ____ Salons ___ Swotogmns Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons Warethan 10 gas (ease speci) More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. Intrinng, whee dos tho spot foam go? 6. In training, where does the spent foam go? Sto Sewer _ Sankory Sower onsite Sopc Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Other pease desrive ___ Other (please describe):----------------------- 7. fWhecremcaoestoifiidcuroeernttaianinngpaasktoapinacge?rPloeease includ addres, inersecion or oter specclocaon 7. Where ~does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. NKinogen OOVVEERR-----+ Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 - St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00864 sStTaAeT_Eo_z02s82211882211 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 88.. WrWehhsaapttottnyypspee(a(ssn))daainnddabbnrriaannnddg((ss())1 ooaffpffoloacammaeaar)ree?oorPrlwweeearrseee uucssheeadcknnoaolww taahnntdd ainnpytth:he ppaasstt bbyy tthhee Dopartment, Department, bbootthh ffoorr ffirree response and in training (if applicable)? Please check all that apply. Type ofFoam Brand of Foam TUUrassieenddiininng? AAmUmosoueudnntt Gumently Historically YTreasinoirnNg?o AnUnusaeldly Used? Currently Used? Historically GCFliaTslm~s(F!BBoaeAmAoqqpufsueFgeooousfausmosam -- Brand of Foam Yes or No Annual!~ Used? Used? Film-Forming Foam (GFFaF)B sAlosha (AFFF) RAeFsRort (AR Class B Alcohol- Resistant (AR)- ACFoFsFsPown o_o CFahCCosllaarsssosspBBBrPorgonte(infp) -------------- ---- ---- ---- ---- Fluoroprotein CForlmian8gFsims: Class B Film- ( F P ) (FFFFloluroeomreroio)nppgrrooteeinn TT ---- ---- ------ ---- C(FaFFsP)BARFP CCCElllgaaasasssssmsAABo-BABnRfHH-ioiFFaFmP can Expansion Foam fins f)rv&IA S FFri!eG.eE hope /Jo;Jf!L, / 5SDOUGfic.., '_UzJ6o1bJLw ?_sg-SbMALL-- TCalanssnAgfoan Other Training Foam - Other TTohfhaaonnckkniyyonouugf@fyoodreoyloauuerntviimm.eecaoanmnd)d occrooaoJppiomerraSatttoiooncn.k.inPPgloleeraaassteethccoonnMttaaicctmt NNoaasnnaccyyPRRoooldldnaiinngnaCgaottntDDraeotlltaaAgCCeoonnncssyuula(tan6n5tt1ss.2((696575115--666969767--55115522 im Stockinger@statemn.us) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you have any questions regarding Us questionnaire Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or PalPdeldearasesesersreeetdtuuerrnnnvetthhlioissp-eqquueestsiotninaoirnenftooaDiDeerlltteaa Consultants Consultants bbyy JJuunne e66,. 22000088iinntthhee eenncclloosseedd ssttaammppeedd,, seelflf:- addressed envelope. cme Name 3N10iTitne Obi -- Free Goer Name and Title ) Fire_SDs-erTpaf~rtim;8e1zn(_t_ Fp0D Fire Department a SS662-79- 93s9t-/1~!1I2Z0O e F2g8nMe90e8e Phone Number E-sSMr-aPiTPAid~d<or2e-sQsih,yece;s<Cso,~ ~ tec,h. opee-tf. E-Mail Address XXIinnoogge~nn: ,,, _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.629.9540 1 860 433 TATE Fak S01-615.453 mk delAs RL Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00886655 SSTTAATTEE__0022882211882222 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1 oes your Deparment curenty has your Deparment isorcaly used iss Aor Ci8 fosams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for rangcman Yes - ProtocQueesteiodn2 firefighting operations? / '-,/- Yes- Proceed to Question 2 No-Sign he backof ns form and returnt0 Dota Consulants ___ No- Sign the back of this form and return to Delta Consultants 2. Howollen's iss B or Cass Afoam used inesponss oo cals? 2. How often is Class B or Class A foam used in response to fire calls? oanatties ssonattes Xy15' 00m aes ___ 0-25% of fires ___ 25-50% of fires 75-100% of fires 5. Does he Dparimenthave a compress oam syst (CAFS) wih alin ak on 5 gine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xe X No I 4. Howftn's foam used in ving oercses? 4. How often is foam used in training exercises? New wey Moun Quarey ___ Never ___ Weekly ___ Monthly ___ Quarterly SomiAmualy 3 onal Shay ___ Semi-Annually / Annually ___ Bi-Annually Tovereasespestn ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How5muXch oaLnessis rsaendspgoartrorasng avert? 5gators sto 10galons 5. How much foam is X/ --'---'"".- Less used per training than 5 gallons event? 5 gallons _ _ _ 5 to 10 gallons Nore thn 10 gallons (ease spec __ ___ More than 10 gallons (please specify): _________________ 5. Intraining, wher dos the penta go? \ 6. In training, where does the spent foam go? Somsever sant sewer __onstosopic -XG-round ~-- Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over (easedescribe _ ___ Other (please describe):---------------------- d 7. Winer docs te ain ake pac? Peas includ ack, erectaiootne specication 7. Where does/did the training take place? Please include address, intersection or other specific location jettreriidin information for cu;. _ 2 oN Nae SE SE=Shphen Mio ~/111 4d e .r5&_ ~itpkvt rfl.f)_J XXiInnoogg~enn .., OVER--~ rome er BT i 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv com 22222..00866 sStTaAreTE0_02228121882233 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What yes) and banc) foam re wore uscnow and nh past by tho Departmen, bot or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponss sn aein (Spay Pease croca rs apy response and in training (if applicable)? Please check all that apply. TupeatFoam Badotrom T[ vreasonrgb?s -- AGmoesy Gubmeestn'ty Hisetosriscsally Ty(!e of Foam Brand of Foam Gass Aquos Class B Aqueous Bmromron -- o_o Film-Forming Foam fies (AFFF) Ci8 cosol Class B AlcoholReedy Resistant (AR)ReAFFF CassbPoOn Class B Protein Gass Class B Focopto(n7) Fluoroprotein (FP) Gass Fin Class B FilmFomin Forming Foggoen --_ --_ Fluoroprotein fe (FFFP) caparee Class B AR-FFFP Gass ABH Class A-B Hi Ci Foan _--a-- -- -- Expansion Foam Coss PrdlgLooutshd 2 Dgl te tuo Class A At~crs di( ~h.~IIJ- Tagrom ---- _ ~ T 9 TTT Training Foam oer = Other Used in Training? Yes or No JI F - J Amount Used Annually Currently Used? Historically Used? 'tt-0 r-~ Thank you or our te and coopraion. las cotoct Nancy Hin a ek onal (051-097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 JielnidnoGaraemiraonoo rSorsr inr oh Wspetesk Polos Coes Fore 051101 o08o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseererettuurrntthhiissqquueesstitioonnnnaaiirreettooDDeeilttaCCoonsnuslutltaannttssbbyvJJuunnee66,, 2000088iintthheeeenncclloosseeddssttammppeedd,,sseellff:`aaddddrresssseeddeennvveellooppee.. P-- Questionnaire ~(Dfleted by: NomJC-e6E~ DOrre~ _ pest chief _ * re + FisBoparinent 20 IE(-0744 Frans ier Bae Phone Number EeFiFraesshediodCndJ 5500 fR2L& Fe r-e ~~+~ ~P-D 0 E-Mail Address Rose (20% Date Kinogerr roe oe TR TE A-- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00867 stateo2s21824 STATE_02821824 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 11. F. aDDoorsessoyyoonuurroDDpeeappsaairrtommneensntst cureonfdhays currently or has your your Deparment Department istocal historically used used CasAsor Class A or ClasBs Class B foams foams for for f i r e f i g X_htin >< g o pYeerastioPns?rotcoQueesteiodn YNoe-s-SPigroncteheedbtaockQuofeshtiiosnf2orm and return fo Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. HowotisClass or Glass foam usd in resptoofoncaslse? 2. How often is Class B or Class A foam used in response to fire calls? ___ 00-2255%%ooff ffirreess XX a25s-5s0%o oofffrireess ___ 775-510.0%1oof0ffrire%ess. 5. oe he Deparment have a compressa foam system (CAFS) wih bli tr ns engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Lo '/- No 2. Howotienis foam used inning evercioes? 4. How often is foam used in training exercises? woos Moni Quarry ___ Weekly Somvomialy IC. Analy Amal ___ Semi-Annually ___ Monthly X Annually ___ Quarterly ___ Bi-Annually Or (pease speci) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam suse pr airing ven? 5. 2XX Less than 5 gallons How much foam is used per training event? Less than 5 gallons 55gaglallloonnss swoon ___ 5 to 10 gallons Nore han 10 gallons (please sect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. tntaiing wher dos tha spat foam go? 6. In training, where does the spent foam go? omen ___SontoySewsr __OnStoSepte 3 Grund ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _____.k_ Ground Over (ease ces) - ,....---- Other (please describe): - - - - - - - - - - - - - - - - - - - - - - 7. Wher dosii th ining ake place? leas nc adres, inrsecton or othr spec cation 7. Where does/did the training take place? Please include address, intersection or other specific location damatonfocunt ond pos ing area. information for current and past training areas. 32o0178855 rFoepe-eFs<tiT Bl lIvudd Staci 55277 HwXoIngoegnfne ,'" CEFR TIO TR eTRe IER 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA RA Tn TE Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008868 sStTaAreTE0_202882211882255 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 8. What tyes) and braofsfoa)m ar orwere usd nw andi th pst the Dearimen, bth or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaasseecchheecckkaallll tthhaatt aapppplyly.. TUnsendg? AmUoseudnt CuontUseor Tlyp~eeooff FFooaamm Glass 5 Aqueous Fim Class B Aqueous FilmForme Foam (NF) | ---------------- -------- -------- ---------- Forming Foam (AFFF) Gloss 8 Aono: Class B AlcoholRosstan (AR) AFFF Resistant (AR)-AFFF CossoPwen Class B Protein Class 8 Furaproton Class B Fluoroprotein I) _-- (FP) Gloss 8 Fim Foming Class B Film-Forming Foon (FFFp) |---- Fluoroprotein (FFFP) Cobar Class B AR-FFFP Gloss AB1 Class A-B Hi Eoaraion Foam - -- Clore A Expansion Foam Class A Training Foam J Training Foam oer - Other BrBarannddooffFFooamm AAnngguu.ss HHi'1--CCoommbbnrdt Used in Training? YeYessoorrNNoo Amount Used AnAnnunauallllly Current Use or HiHsitsotorriicc UUssee?? Yy_E6S6 3,:]0_0fg:ra1.l/_ ce.u--ur/~rbiet.d/t Thank yo fo your te and cooperation. Peas conact Nancy Rodin a Dla Consult (851-097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of wodhng eae com) or 1h SioGinGor oho MToscls PORAGR Control Agency (551-076636o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or sackitnatg mu) 0 hve anyQuestions rogang mS Questonnare. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire toDelta ConsulantsbyMa 5.2008 In he enclosed stampact so. Please return this questionnaire to Delta C.9.!!_f.!.[t~!'JS bv Mav 9. 2008 in the enclosed stam,~tJ. s~!f aaddddrreesssseeddeennvveellooppee.. Questonnare completed Questionnaire completed by: JA<Eif-pf-e.'7y/ OOlbsoon;)J Name ana ie Name and Title Free Chief 45/- 462-3389 REI Fire Department EN PPrhoonnee Nom Number EStaTtAAdCdresLs EX] FILA Frontlin pct. E-Mail Address he sBoe gof Date WET Hwogew SPhhaonne:e: 651.629.5445 1 800.473.74F1a1k: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: $51 639.047 Suite 100 St. 651.639.9473 mawwdaltaanv.cam Paul, MN 55126 USA www deltaenv.com 22222..00869 sSTTaArTeE__0022682211882266 `QQUUEESSTTIIOONNNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DDforooaesfsayynooiuunrrgDDoeepppaaaarrtttommneesnn?tt cuntos currently or has has your your Department Department storia historically used used CasAas Class A or Cass Class B ffooaammss ffoorr AX_ firefighting opYeraotiosns-? PrtooQucesetioond2 YNoe. sS-iPgrnocteheodbatockQoufetshtiiosnf2orm and atu to Dott Consultants _ _ _ No - Sign the back of this form and return to Delta Consultants -_AX-_- oasortees 250 tties To100% tes 22.. HHoowwololfteenn'iss Class Class B.or B or ClAafsoasm Class A foam used used inesponsteo in response to frfire cals? calls? 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3 DDooeess tthhee DDeeppaarrttmmeenntt haacovmpreess have a compressed aair famfoam syste system (CAFS) (CAFS) wihwith alintak a built-in tank ons on its engines)? engine(s)? 3. ___ Yveess KotNeo 4. Howolenis foam used in raining xercses? 4. How often is foam used in training exercises? wes voy J ___ Weekly TT comwaaly Ye Amaly BrAmnualy ___ Semi-Annually ___ Monthly 'f. Annually ___ Quarterly ___ Bi-Annually Ober Glasespecty ___ Other (please specify): --------------~-------- 5. Hove uh foam is used por Varig vet? 5. How much foam is used per training event? HC Less hans gators 5 gators $1010 gators 'fo, Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons TT ore thn t0gatons Gloasespecty ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intaining, wheedoa the spent oar go7 6. In training, where does the spent foam go? _ comsewsr __santanysewer ___Onstosepc JK Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground vr leasedese) ee ___ Other (please describe):-------'------------------ 1. 7. WWfoihrehmraaet iddooonessif/oddriddcuthhreeevtraaarinniidnnggptaaaskktoealpvlaacncee?? rPPelleaeasasse ncludo include adress, address, erection intersection oorr ootthher r speci specific ocaon location _ Sadly information for current and u.s~~ aed) past training \.J.&-<-D in areas. \ ~ aa_ ~ RA1:-\Y~ wR 610 Ninogen: rene 51.439.900 Te Foes CELI mitten 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008870 SstTaArTeE0_208282211882277 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What 56) ard brand) foam aorwero usednow ain th st ho Departmen, oth for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesora sn nT 1 Spay Pons croc okay. response and in training (if applicable)? Please check all that apply. TUasendgy Am"oGoudnt Curent usoor TyT)pl(e!eooffFFoaamm Gloss BAquos Fin Class B Aqueous FilmFam Foam apy ------------------------ ---------------- -------- Forming Foam (AFFF) Gloss 8 Aono Class B AlcoholRosson ey -------- -------------- ---------- Resistant (AR)-AFFF cmsoPoen Class B Protein P--, Class B Fluoroprotein wn -- es es eee (FP) Glass 8Fin Forming Class B Film-Forming Foaming) ------------------ -------------- -------- Fluoroprotein (FFFP) FS Class B AR-FFFP Gass ABH Class A-B Hi tam | mg me mn ee Cass Expansion Foam Class A T------ -- Training Foam Otver - Other BBrraannddooff FFooaamm A-rts W~\LaI}To(VS~\Wl"Necw4 Used in Training? YYeess oorrNNoo. Amount Used AnAnnunuaalll!)y Current Use or HHiissttoorriicc UUssee?? NYe--ses 5y5,_0ed)) ftu,<p~ Cnl'nc..tw~r hark youfor ou mo nd conperaion. lea conto ancy FodraifDnatga Consus (51.6975152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 mastcoam) ot in Stamina ines Paulos Convl Agar (851-407 358 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Tora Gators Tou evs tg ques ropa i gorse jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rotun ths usstionnaieto Dela Consultants be Ma 5. 2008 th ancosed stamped, i. Please return this questionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamoed. self- ,IJrc.t-:/4 Questonnai competed by aaddddrreesssseeddeennvveellope.. Questionnaire completed by: ms STe(5sc[:-oT7l7 B4 rei il FQinrr_e e cd.l,_l~~ eee Name and Title Fre Deparment Ssh=g~le~s5 hRehe.- \D)e~,p-rt- Fire Department Phone Number 218-894-2550 or Sug Phone Number Date ErrNNAfffCt+A&Sfvo.t<p.le5e (Q!Yyoh~ou Lont E-Mail Address Ninoger: rene e513. TI TTL Toke CLS mabe 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..087711 stare 0221828 STATE_02821828 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg Oe rcssto sions 11.. fDDrooeeefsisgyyhooiunurgr DDeeppaagrprtetrmmaeieonnnst?t ccuurrrreennttlyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AAoor CCllaassssBB ffooaammss ffoorr firefighting;werations? V YNoes- -SPigroncteheedbatockQoufetshtiiosnf2orm and rettoDuelnta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHooww oofftteenn sis CClalssaBBosorrGCllaasssAA ffooaamm uusseodidinn rreespsonpsoetntoosffirreeo ccaalllss?? oof ___ 0-25% of fires ___ 2256-5S0o%ifofrfieress KA 775-51010%0oof0ffirr%eess 3. 3. Does Does the the Department Department hFaavvee aa ccoommpprreesssseodd aair ffooaamm ssyysstteomm ((CCAAFFSS)) wwiithh abun a built-in ttaannkk oonn iitss eennggiinnee((ss))?? ___ Yveess. XK nNo 4. How tens foam used in raring exercises? 4. How often is foam used in training exercises? Weekly Wont Quarterty ___ Weekly ___ Monthly ___ Quarterly TT somidonualy Avant -- siammualy ___ Semi-Annually ___ Annually ___ Bi-Annually -At1C-- OOttwheerr ((pplleeaassee ssppeecictiyfy):): 2__,l=----_3_.2.;C;_-it._.n_;~..c..:.-s-=s'[---.L-,yJ--Ly--e'''--.a..:.q..r:_ :..y- ___________ 55.. HHooww mmuucchh ffooaamm iiss uusseedd pperr trraaiinniinngg eevveenntt?? _t_es_stLhesasnthsanga5 lgaollnonss ~ A" S5ggaallloomnss _s_w_i05 gtoa10lgoalnlonss ___ Moot More than fOgatons (leasespecty 10 gallons (please specify): ------------------ r 66.. IInnttrraaiinniinngg,,wwhheerree ddooeess tthhee ssppeennttffooaamm 6g0o7? AT Ssttoorrmm SSeevweerr __ SSaanniittaarryy SSeewweerr _____OnOSnt-SeiSteeSpetpiticc __YGrGoruounndd Other Other (plas desero): (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 7. 7. WWinhhfaeormroeatddiooooensso/idiiddcuhthrereenttrtraaiannniindnggpataaskkteerppailaancceog?? aPPrlleeeaaasssee iInncclluuddee aaddddrreessss,, inntterrsseeccttioonn oorr otthheerr ssppeeccififiicc llooccaattioonn ring toagtra information for current f'.-.v~ 1- fVI-.rt"';, 50 Smit men and past training areas. ~/ s-t.-..... c,...-1- Hall Slo inel00%n 50 Strvact f/1/!V'J = Xinogen none: 651.639.5505 1 300.473 411 Fok: 691.639947 wm.daliacny.com. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00887722 SSTTAATTEE__0022882211882299 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What tote) and bracoffeoa)m aor were us now and i astby the Departmen, both or fe 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Toxaon ann varie f apices Pease check a ok apy. response and in training (if applicable)? Please check all that apply. Usedin Amount Used in Tong? "Used. GumomUsoor TyT~p~oeooffFFooaamm BBruannddooffFFooamm _ YesorNo Training? Yes or No Gossicomt Shngy lile MRE /f3J b NTLoteasi MA 4ns c y ( !lrcr t/r- -1 C ClaslsBBaAAqqs uueeoos uuss FFiillmm--2 W1A.u1.1/ v,~v,o.,.c,..a,.,l b(L}olff;{ vo_No O" FFoorrmmiinngg FFooaamm ((AAFFFFF)) i 2 - CCllaassss BB AAllccoohhooll- 0 ;, tec: JJ-A~RC v- 2 fo Resistant (AR)-AFFF Amount Amualy Used Annualll! HistoicUse? Current Use or Historic Use? fl/1/- LeL.t--r;s/~vvrusS--72-4k ( teats H/F Lr'5511h~efni ;-1c,r !f//fL cespPoOn Class B Protein Glass 8 Furoprten Class B Fluoroprotein i" rr se es (FP) Cis 8 Fi-Foming Class B Film-Forming Foon (HHP) ---------- Fluoroprotein (FFFP) Cossormree Class B AR-FFFP CossasH Class A-B Hi En fo | ---------------- ---------- ------ Class A Expansion Class A Foam S5/llve ~eyepy pY-erS s jose jO- ~Ot:trf gH Trang Foam TT Training Foam over -_ Other Thankyoufor your te and coapraton. Please contact Nancy Roding a Dela Consular 651-607 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rorataas comsn losing: on ines Poh Corl Agere (51 S97.3008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or stoking Gate i You hove ay doers roaring i este jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnntthhiissqSIuJe!.s~t~tiioOInJn.!aJiE.rier~..JfogDj}_eel_t((af!.C.9o..Qns!Ju.l.Utiati!n_ft!tSsbbyvMMaayv99,. 2200008fliinntthheeeenncclloosseeddssttaammoepde_ds. asletlf:- Sm addressed envelope. Questomare competed by Questionnaire completed by: NanJ()o-.eo'raqd uTt-1i 1rV#eells;~oPn? Fire chic FraSBuoparimenn s? fire Weportimm Fire Department Pome N2am7be0r-562-2500 ? .? o - :;-cz - 2.'i?C> o Phone Number Ea. P 5-&--c..e--er,-c _Y F>-- ~ .C /tocuo -w,. /. c:.e> ~ IN E-Mail Address ow vssos Date Kot XInInooggfenn' .,, snes vor ae a ET STT TR OO VSa R TEUER 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00873 sStTaAreTE0_208282211883300 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Done Dap cra oe or ep rity d Ca A c Cas fs o 1. Does your Department currently or has your Department historically used Class A or Class B foams for Rg a firefighting operations? er prcendsttto ~s - Proceed to Question 2 Ne Sntn back hi for amd to Sts Constr ___ No- Sign the back of this form and return to Delta Consultants 2 Hoots Cl or Gs Af sat spore ct? 2. How often is Class B or Class A foam used in response to fire calls? anaes stots eons ~ ~0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 2. Donte Deprimer av comps por (GAES ith in knit rg? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes -- I /----Kio [A ---- 4. How often is foam used in training exercises? TT wen TT ey uy ___ Weekly ___ Monthly _ _ _ Quarterly To eidmaty sma hay V ----: Semi-Annually ___ Annually =----, Bi-Annually i" OtOhtheerr((pplleeaassee ssppeecicfiyfy):): -~IJY-{.sO.oL,ff,___=uu...s,:.es=d--:e.,:l-o=-r___f,.&r_ra_-+ip_"nl-g'4_g,'-'-n~(7~--- 5. Howat ter ageven? 5. How much foam is used per training event? nso sure sitogens ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons [Pt ---- ___ More than 10 gallons (please specify): _________________ . nts aor com sperm? 6. In training, where does the spent foam go? SomSens SwaySon __ontasete oun ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground overlords i ---- ~-., ..9ther(please describe):-----,--------------------- 7. Wisdovimn sc? Pestrs, icier ncleot 7. Where does/did the training take place? Please include address, intersection or other specific location a information for current and past training areas. Kinoger POPPY: 03rRA . 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00874 sae azezien STATE_02821831 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiirree TTrraaiinniinngg 5. What poe) and ranof fodam aorvere usd now and he as yh Dapariman bh rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eipanss on sang apes Pans coho oy oy. response and in training (if applicable)? Please check all that apply. aUnsagin? Amoooud'nt curentuseor TyTyppeeooffFFooaamm SseBans a E3rU 11 jb weet _ne sled _ CCllaassss BBAAqquueeoouuss FFiillmm-- Forming Foam (AFFF) Used in BrBarannddooffFFooaamm 1_ YesorNo Training? Yes or No /jiG;Af [,A/~ _____Ln...e.:...._e_ Amount AAnnUnnusuaealdlllyy HCiHsuitsrroteornriitccUUUssseeeo??r 55"/-!00vs~ ----------- CCllaassss BB AAllccoohhooll- mpm, 2M N0 suiogd Resistant (AR)-AFFF CesPOOn | Class B Protein G8i Parrs ot Class B Fluoroprotein & ------------ (FP) J -- Class B Film-Forming Foe frog, ------ ---------- -------- Fluoroprotein (FFFP) osoaReR Class B AR-FFFP Guero Class A-B Hi Sim foam Expansion Foam Class a Class A Tongro Training Foam Over - Other 3/t( J10 s5--1tO0.v_j4----------- Thar youfo your i and soepraon, lea contact Nancy Roding at ols Consuls (516075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 at como goohna evs esn os Coes ney O808008o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rsa seman 1 You vt doers eng ecto jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. A ---- Ple~$e retum th.i!S t:J!fl:"~t!Clnne!ire tn n~!ta Consultants bv f!l!ay 9, 2()013 in the enc.!~sed st::m-wed, self- `addddrresssseeddeennvveelloope.. QuestomCategSangloEedby wolj.f/2 -- Frr'reree- Ch/Ge.i..-f+' Sz:=:~ Questionnaire c?:eted by.: . i J& L -- /r fl j1 l41 l Fame aniTad : : Seva] v/ Je Fire Ver FFrraemeerp529- 533 -87// oa7/30/28 Seven . wolf Eaves E-Mail Address shh an aS Hwogew rn RL ETT 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00875 state_o2s21832 STATE_02821832 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DeDeootesgshyyioonuugrroDDpeeeprpaaartrtitmmoenensnt?t ccuurrerntrlyoeorrnhhaatss yyoouurr DDeeppaarrtmmeenntt hhiissttoorriciacallly uuseedd CllaasssAAosor CCllaassss 8B ffooaammss ffoorr firefighting operations? 2l'5NYoYee.ss-S-iPPgrrnooccteeheeeddbttaoockQQuouefesstthtiiioosnno22rm and return to Delta Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. 2. Howoften How often is is Class Class Bor B or ClaAfsoasm Class A foam uusseedd iinn rreessppoonnssee ofr to fire ccaallllss?? ___ 00--2255%% ooff ffirreess ___ 2255-.5500%% ooff ffiirreess. _X"_-75715-10000%% ooff ffirieess 33.. DDoocess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aairr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithh aa ulti built-in ttaannkkoonnfitsseennggiinnee((ss)?? No KXesYes _ _ _ No 4. How often is foam used in raining exercises? Weekly Monthly 4. How often is foam used in training exercises? ___ Weekly ___ Monthly _XX___ _ QQuuaartrteerrllyy _ Somihenualy ___ Awualy samy ___ Semi-Annually Annually ___ Bi-Annually Other pias speci) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. How How much much foam foam iis uusseedd ppeerr rtraaiinniinngg eevveenntt?? -{. LLeessss tthhaann 55ggalallloonnss. 55 ggaalllloonnss _ ___ s5ttoot100agallolonnss More than ___ More than 10gaons(ease spac) 10 gallons (please specify}: ----------------- thor (pease describe) e--r-- 'h. 66.. I In trn ainit ng,r wwhhea erreedidooeesnstthhieesspnpeenng ttffoo, aamm ggoo?? _K_SStotorrmmSSeewweerr ____SaSnaintitaarryySSeewweerr __ _OOn-nS-SititeeSSepetpiticc ~GX_rGoruounndg _ _ _.Other (please de~cribe): - - - - - - - - - - - - - - - - - , . - - - - - - - 77.. WWInifhnoeerrmreatddioooensfeo/dsidcuttrhhteenvtrtaaiainnniindnggpttaakskeealplaiaccgee??aPPrlleeeaaasssee innccluuddoe aaddddrreesss,, iintnetrseerctsioenocortrcoitthoheenrr speci specific llooccaattioonn Thame UELD AT~ information for current and past training areas. Struma Gms 210 mo "/f2-AFr-J;prJL td -L l'J E_4oFoLLlS.QizvoJ:wr:r::S-ntrVr6iwC(smmta:i1;gn[(u.)(e2..r-xmr:;wre(.)\ S500 )r~~ f?::n...~ "2./C, tJ- '-(tb:.. -5-r; tZr:J:lL-c...tA-17&. rn-N- 5"S'oerz... Now OoLwI:) PMC PRuul\z.e~ works WwcofUrCk<s) 33S '2Z1.lkb NIRJ-o, vr~ 2 wil sS-rT.,=D. 1Ll d' rn Iot( *I< I L I\ Xinogen none: 651.639.9951 800.477 TAL Fak: 691639.9473 Masn.dALASRL.SOm EEFe SEIUE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaeny.com 2222..00887766 SSTTAATTEE__0022882211883333 QQUUEESSTTIIOONNNNAAIIRREE FFiirrefiigghttiinngg Fooaamm UUsse iinn FFiirree Trraaiinniinngg 8 What types) anbraonf fo)am aorveroused rowand i th pastby tha Dapaiman, bofor fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns anid ain 3ppicate) Posse check a nt 9p: response and in training (if applicable)? Please check all that apply. TUosiemdnigns AmUosuednt CurentUseor TyTpypeeooffFFooaamm ClBaAqueeouss Fim Class B Aqueous FilmFoming Foam (FF) | Class 8Alcohol. Forming Foam (AFFF) Class B Alcohol- Rossin(Rape ote 0 om Cool Resistant (AR)-AFFF cassepowen Class B Protein Glas 8Furopoton Class B Fluoroprotein ka) --_-- (FP) Clas 8FinForming Class B Film-Forming Foropoii (FFF) | | Fluoroprotein (FFFP) CossmARFEP Class B AR-FFFP Cass Aa Class A-B Hi Somnfonm | ---------------- -- pg -------- ---- Expansion Foam Gass A _Sseu-ex _MsSQos kisCument Class A Trainng Foam - Training Foam otra - Other BrBarannddooffFFooaamm A~<n)suocL LL~i&te.e. Used in YYTeerassinooirrnNNgo?o (nIJo0 Amount AAnnUnnusuaealdlllyy HCiHsuitsrroteornriitccUUUssseee?o?r O(),.-IIb:-.G\\..rJ CCovnfn'tNnNt"( Thank yor your time an cooperation. Please contact Nancy Rodrig Data Consultants (6516075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of wongGadetaem com) orm Siockinger a 1h Mies Folulan Cont Agency (451-497 5608or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or fim sockiger@siote 2)Y0u ave a) Sto aGarang is estonas, jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. J `aaPdd!dderreeesssessreeeddteuenrnrv:vetehllooisppeqe.u.e.et!onnaire tc Dclt:: Con=u!tant~ bv ~~1~v 9. 2008 in the cnc!oEt;d rit:::."npedz :;~If~ Questonrare completed: _ Questionnaire completed by: Namewatle Oras Fmsed Crores Name and Title CHAD FroDeparment STR waren Fras Deen Fire Department PhareNumber 651-351-As50 5B/a2/08 Phone Number a E-Mail Address CCJida.-n1s"\eSn~ st: Date Q@ g{!i.(.. Stillllwwa~t~e,r., /mVln!l.~uuss Kinoger rane: 651.039 900 Rr ATL Toe eS Ran 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00877 sSTTaAeT_E0_202682211883344 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1 Doss your Deparment urn has you Deparment strat sed GasAsor Class foams for 1. Does your Department currently or has your Department historically used Class A or Class 8 foams for fesabing cpeatons? firefighting operations? Vea Proceetdo Questio2n ___ Yes- Proceed to Question 2 SC No. Sign he baocf hkis form and rtu t0 Dota Consuliants X No- Sign the back of this form and return to Delta Consultants 2 How ofenis Gass BoClas A foam usd in sponse fo fr cals? 2. How often is Class 8 or Class A foam used in response to fire calls? _ oamwetmes associ T5008 tres ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 5 Coes ie Depriment Fave a compress ai foam syst (CAFS) wih ain ak on 5 gine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine{s)? veYes --No 4. Howatinis eam used n ring crercses? 4. How often is foam used in training exercises? New Weak ony Quarter ___ Never ___ Weekly ___ Monthly ___ Quarterly SomsAreuaty Aovuaty Bm ___ Semi-Annually ___ Annually ___ Bi-Annually OOtthheerr ((pplleeaassee s specp ify)e : c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5 How much amis sed pe ing ven? 5. How much foam is used per training event? Los than' gators 5 gators Sto 10 Galo Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mor an 10 ators ease speci More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Som Sewer __ Sankar Sever onto sepic Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Other peas dor) - ___ Other (please describe):----------------------- 7. Vier doesid he waning ake lace? Plas include adress, nrsechon of thes pecicocason 7. Whe.re does/did the training take place? Please include address, intersection or other specific location termation fo ura. and as Yang ares. information for current and past training areas. XInJIongogpetn' "" OVER--~ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008878 SstTaAreTE0_202882211883355 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58. WeWshhpaaottnttysyppeee(a(ssn))daannnddrabbirnrainnadg(ns{)dooaf(fpffposoiaac)mmanaaer)eo?oPrwiwareaersee uucssheoddcrknooawlwahanandtd ainnpthyhe.e past past b b y hethe Depart, Department, bthboth for for frefire response and in training (if applicable)? Please check all that apply. Twpoof Foam Bandof Foam YTTUUrerassoaieenrdndinihgignne?? AAAmUUmmossoaueeuddnnltt CCUuusrrreeesnn?tlty HHiissUttosorreiiccdaallllyy CFli8aAqumseousos Type of Foam Class B Aqueous -- Brand of Foam Yes or No Annually Used? Used? Film-Forming Foam ECln5aAosns (AFFF) Rremeon OR), Class B AlcoholResistant (AR)- ACFaFsF gpoen cfaasnspop) Class B Protein Class B ---- ---- ---- ---- Fluoroprotein Cass aFim- Class B FilmPFaoggot Forming ( F P ) -- ---- -- Fluoroprotein CFasesBARFEP (FFFP) cCCSalloaasssmssssAaBo-sABnhRfiH-oiFaFFmP| ---- ---- ---- ---- Cassa Expansion Foam oo TCalanssnAgRoan omer Training Foam - _-- _-- __ Other iTooTrrhhaanosnnroocikcydhyknooiinuunggffoeG@orrldyyseaootlutuaearrteteniimvm.eeccooaa0mmnn5)dd)) ooccforoo0ooJpipe0mhrearShStaaiottioovconeckn.ki.ainnngPPgyelleeredraaoaasstshteesthiccoeoonnnMMtstiaaicrrnctehntgeeNNassaraoondntticacanyygPPR Roiololudtnincoiunnego saCCaootaDnnDntetnreotalli tlaraAAeCgC.goeeonnnnsccsug yyullt((ta6a6n5n6t11s--2(4(6969575711--8--6666696987766--oo55rr115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants bv June 6. 2008 in the enclosed stamped. self- addressed envelope. QQuueessttiaonnnnaaitreeccoommppeletteedd bbyy:: C:SO.. & I cJ Name Tie n-nteesS e-nrt1 ac-oer- Name and Title & Icl FreDepSaratmvenat eS Felmdma_-ar---- Fo (RL Fire Department 0< L l?ept Ph5Soneu~N-urnmJberbbuu_rt-yUq Co0l, bFi'| r~e Depts Bae ~ Phone . Date 220 6b 3578 527-0o8r" KE A o[ge er nnoO ene: 631.639.9545 1 805.473E 7411 Fak: SY90c-6?35-.904'7-)-Maal aaRe.AAm E-Mail Address 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222..00887799 sStTaArTeE0_206282211883366 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trainiinngg Firefighting Foam Use in Fire Train 1. 1. f eDDeootsegsshyyioonuugrroDDpeeeprpaaatrritmmoenensnt?t ccuurrreennttllyy oo rhhaassyyoouurr DDeeppaarrttmmeenntt sora historically uusseedd CCllaassss AAoorr CCalassss B ams foams ffoorr X_ firefighting :>( opeersati-onPs?rotco Queesteiodn2 NYoe.sS- iPgrnotcehedbatockQoufestthiiosnf2orm and rettuo Drelnta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoftenis Clas8s or lass Afoam used in espns to fre cals? _X(_ oastoffies osS%offres ____T5100%offres 2. How often is Class B or Class A foam used in response to fire calls? >( 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 5. Dos ie Deparment have a compressed ai fam syste (CAFS) with ain tankon sengie(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xo ;( No 4. Howoften s foam used in rining exercises? 4. How often is foam used in training exercises? Weak jr ___ Weekly Monthly SemiAmusly Pap Semi-Annually )(' Annually -- _ _ _ Quarterly -- oamualy Bi-Annually OOtthheerr ({pplleeaassee sspecp ify)e . c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. How mush foam is used pa vaing avent? 5. X How much foam is used per training event? _X__ LLeesssstthhaanns5ggaallloonnss ____ S5ggaallloonnss _______ s5ttoot100ggaallloonnss MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): - - - - - - - - - - - - - - - - - 6. nan, In training, wwhheerree ddooeess tthhee ssppeenntt fanfoam 6g5o7? 6. _ SomSewsr ___SanlaySower ___OnSieSepic X_x__ Growd ___ Orr Storm Sleewaesre d_ ese_ rveS)anitary _ Sewer _ _ On-Site emmee Septic Ground --------- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - 7. 7. WnWhheeroree ddoorsessfi/odmiriddcuthhraeeenttrtaaniainnniinnpggatasaktkoerppallaiaccen?? rPPellaeesaa.ssee iinnccluldude aaddddrreessss,, ninetresrsceccttiioonn ocler or other specif specific llooccaatiioonn information for current and past training areas. Liniscidhe.poovifcefioret_tLiogttnTgouarsri //'JJ./~ a>/ -hre- 4,r4//....-z~ dret.v AArr S//rec: dfoopaCt Ninogen: JESSUP E SEACSpITFRRTO A SG pau SST UR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00888800 STSATTAETE0_208282211883377 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What pels) and banc) offoam ar a were use now and ino past by to Deparment, bhfor re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire osponse and n rang 1 apmcabey Plas check a1 no 3p; response and in training (if applicable)? Please check all that apply. Tuneof Foam Bnd of Foam TVTUUrerassarieennoddinrniigdgnn??o AAAUmmUmossoueaeuddnnltt CCAuusrrireeonndttcUUUssseeeoo?rr FoCClrlaamssiTssny8BgpFeAAqoqouuafeemFooouu(assRmFFFiil)mm- | Brand of Foam Yes or No Annually Historic Use? CGRFeaolarsssmtssianB8rgtAAFll(occoaRomhynoaAl(-AFFFFFF) CossBPOWn Resistant (AR)-AFFF CIlass Class Class 8B B Fuoroprotin Protein Fluoroprotein _-- CF(CFlulaPasssr)ssop8BrFoFitilammn-FF(ooFmrFmiFnRinYgg | CosemreER Fluoroprotein (FFFP) CSlpasmssAonFHoi an Class B AR-FFFP Class A-B Hi rT Class A Expansion Foam SSiIIlPv'.eeyx ET ~ ~ll"'J S'f}4//<7n .J ZN TCelaasisnAg Foam - v omer Training Foam - Other TooTfrhhanosarntdnookdncyykngoioinnGuuggiff@oocrrdayyeoottlutuoaarrtectteniymivu.neccFooaammnn))dd) ooccrroo0oJmoipp0mheerhaSSatiattionoovc.nck.aiinnnPPgyglleereQraaaaassetteesthihcceaeoonnrMMstaciinrctonteseNNqcsaaaotnrntcaancyygPPRRmoOolsludoRtnQioiNunndegsaCCaiooiotnDnnDtanvrenaotolrtlaaeAA.gCCgeeoonnnnccssyyuul(t(la66nt55t11ss--2(8(6906577511-58--666689657667--o5o5r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please etur this questionnaireto Delta Consultants by ay 5.2008itheenclosed stamped, so: Please return this questionnaire to Delta Consultants by May 9, 2008 in the enclosed stamped, self- Questiomaic completed by: addressed envelope. Terry fflormann Questionnaire completed by: J-ev~ry Jh/~.!t/Jn [irre Chis NNaammee aanndd TTiittllee S~vaa-nn Va'/t/b AB'rva//t~ fhrr~i" Fra Deparment S50 SY7 APF Fire Department :3~0 --~-"V7 ~.;?9'/f ProreNmer Phone Number roc oo ewweooly Date Es E-Mail Address Kinoger: -- ET TT_-- TrTee 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..088811 sSTTaAeT_E0_0z2682211883388 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11..feDDioogeeshs iyyoonuugrroDDpeeeppraaarrtttommneensnt?tccuurrrreennttlyoorr hhaass yyoouurr DDeeppaarrtmmeenntthhiissttoorriiccaallllyy uusseeddCClaasssAsA oorr CCllaasss 8Bffooaammssfoforr firefi2ghAtinAg opYYeereasstio-- nPPsr?orceeod tctooQQeuueesesttiidoonn 22. No- Sign the back of this form and return to Delta Consultants _ _ _ No -Sign the back of this form and return to Delta Consultants 22.. HHoowwooffetenn'iss CCilassss B8oorr CCllaassss AAffooaamm uusseedd iin rreessppoonnssee tfoo ffirree ccaalllss?? >KX\ o0s-25s%oolfffrireess ___25255-5005%ooffffrireess ___ 7755-10:0%4o0offf0firree%es 5. Docs tho DDeeppaarrttmmeenntt hhaavvee aaccoommprperesssseedd aaiir ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithlhaa bulbuilt-in ttaannkk oonniitss eennggiinnee((ss))?? 3. Does the ___ Yveess X:X NNo 4. 4. Howollen's How often is foam foam uusseedd iin atriariniinngg eexxeerrcciisseess?? J-- Monty Counter ___SeWme-eAkmlnyually Annually Monthly Annually BiAnnualy Quarterly Bi-Annually ___ Semi-Annually x _ _.,v"""O""tOvtehrer((pplleeaasseessppeeccifys):_oon0a.'>L1y;, ~H~rhu:.n0) nNe[z-<n:gD~D D T ;! i1ssTToo 5. HowTfmaouch,JfTno.a.m.aA5er-uJsedwwpi,rlTHrRainiGnwgTte.veng~t?o oussGc DOAmwwie\J DDi;ss;fd./ SsOoFalpP Al/s~T1 5. How mu5XcKh. Loss foam is Less th5gaallonns used per training than 5 gallons event? S5ggaallolonnss ___ 551t0o.1100ggaatlloonss, ___ More than More than 10 gallons 10 gallons (lease (please spect) specify): ----------------- 6. IIn traninintg,wwhrheerraeeddonocesstithheesnsppeengnttffoo,aamm 0g0o?? 6. Storm Sawer _ SantorySewer OnstoSepic _X_ Ground _ ___ SotvoermrpSleewsesroc_ esc_beSyanitary Sewer _ _ On-Site Septic __2\_ Ground --------- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - r 77.. inWWfhoherermreaetddioooeenssfi/oddicdduttrhheeentttrraaaiinnniindngpgattsaatkkeerappilaanciceneg??aPPrlleeeaaasssee nce include aaddddoressss,,iinntterrssoeccttioonn oorr ihr other spec specific llooccaattioonn information for current and past training areas. NNe0 Ss Pp&f:.IC fI ietc LLooccAal(,ec.,_) ccs c~a.ssTTl/ry Kinogen: i. oe 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA erone: 651.639.5005 1800.A4TL7F3ak: $E11639.047) dmmlsiacav.com Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00888822 SSTTAATTEE__0022882211883399 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training eWhmtayenta) tandibnrga(nofafdoa)pm reo woorc e ucsodrhonandisptyh. as byte Depart, bh fo fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TpeofFoam BrandofFoam VTUeeaioondriSgne AAm"mGoemuentat GeuimoonnsUessesr T~12e of Foam Cl8oAqsueoeus Fi: Class B Aqueous FilmFam om ay ---------- ------------ Forming Foam (AFFF) Gl8Aeonee: Class B AlcoholReta (RAFF re men Resistant (AR)-AFFF CwssoPOWn Class B Protein Cl8Falorosproston Class B Fluoroprotein & --_---- ee ---- (FP) Gl8FoimFsormsing Class B Film-Forming Rocomroen Free) Fluoroprotein (FFFP) cmeomE Class B AR-FFFP Gass ABH Class A-B Hi Drvomton || mm ------ ------ yy Expansion Foam Class A agfoam Training Foam oer EE Other Brand of Foam D1 Diamons 12\ fY\Or'-"> b Used in Training? Yes or No Amount Used Annuall~ Current Use or Historic Use? Nf\.J o0 Thankyou for your im an coopera, Pleas cota Nancy Rcringa Det Consultants 6516575162 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 amo som a ooo Socios o 5 Monet Polos Conv Ager (65397000o8 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or nave you avs ay mosis op os socom jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Plone rou ths questionnaire to Dla Gonsulantsbe Moy5, 008i he ancosed stamped sl. Please return this questionnaire to Delta Consultants bv May 9. 2008 in the enclosed stamped, self- Questonnaecompetedby: addressed envelope. Questionnaire completed by: aro and Tile DDeo-s...J Hasgao Name and Title FreDot Fire Department CHigf -Lele Phone Number I Reo~-~ c DL D3ate Ren _____ 24% 3994or 24% 264A Home SE-Maalil Aadddresss :lc_-i S 3] '-J j C)R cc eGl. IlI da.._iIe~ 1a..'-1u~( dL} iI ad-g.~ Inogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00883 stare 02821840 STATE_02821840 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. DrDoeoshesosmyyioonuurgroDDpoeeppreasrriitommneesnn?tt ctr currently or or has has your your Department Department historical historically used used ClasClass AorGlass A or Class 8 B foams foams orfor firefighting Ves Proto cQueestaiond2 operations? Proceed to Question 2 TX No- igntho ___ Yes)( No- Sign the baof hks back of this ffoorrmm aanndd rreettuurrnn ttoo DDoetltaa CCoonnssutlatannttss 2. How often Cass Bor GlaAfsoasm used n respons tore cal? 2. How often is Class B or Class A foam used in response to fire calls? _ oaswoises moots 7500 olties ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 5. Dos the Deparment have compressed i foam system (CAFS) witha bitin ark on 5 ongne(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ___ Yes No ___ No 4. Howoftnfo'oms used in sing exercises? 4. How often is foam used in training exercises? Weekly Monty J ___ Weekly ___ Monthly ___ Quarterly SomiAmualy Aoouaty may ___ Semi-Annually ___ Annually ___ Bi-Annually thor oase speci ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foams usedpor raining event? 5. How much foam is used per training event? Loss than' gators gators 51010 gators ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ro than 10gallos (lease speci - ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Inning, hers does th spent foam 00? 6. In training, where does the spent foam go? StomSewer __ Santary Sover onsieSeptic Grune ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Ove lease deserve) -- ___ Other (please describe):---------------------- 7. Whe dood io ining ake lace? Pleas includ ade, inerscton o thr soci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location format for cuentand past vag reas, information for current and past training areas. Kinogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 coer Paul, MN 55126 USA www.de!taeny com 22222..008884 sTae_ozs21841 STATE_02821841 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 Wha type(s) andbrandis) offoam ar weeusa now an nh stb heDepartment, bth for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response nd vaifaipscaneyPageso chock ol nt 9p response and in training (if applicable)? Please check all that apply. TUUossneeiddniginn? AAmUmosoeuudnntt CumentUseor ClaTsyTsyppeAeoqoffuFFeooaaommFuis- `BBrraannddooffFFooaamm YYTeerassinooirrnNNgo?o AAnnUnnusuaealdlllyy HCHiusisrtrtoeornriitccUUUssseeeo??r Foming Class B Forming Foam Aqueo Foam (AF7) us Film- (AFFF) ---- CCRlealsssi8BanAAlsl(ccRoohhYsooAll-FF ------ ---------- -------- FS Resistant (AR)-AFFF Class B Furoprtein Class B Protein Class B Fluoroprotein _-- G(CFiFulaPsss)rsoBpFrFitilmommF-Fo(orFrmFmiFinn)gg CassmareEe Fluoroprotein (FFFP) o_o. Class B AR-FFFP CEaxspsaAonHFoam Class A-B Hi | ------ ------------------ ---------- Class Expansion Foam - TCrlaaisnsinAg Foam - omer Training Foam - Other oTTrhhraanonkkdyyonouuoff@oorrdyyooauurr ettimicmeoaamnn)d occroooodppemrearStaittoioonn.c.kiPPnllegeaa=sseetcchooentMatiacnctnteNNsaaonntcscyyPRRoooddoniinnnggaCaotnDDtellltaaAgCCeoonnncssyutl(taa6nn5tt1s-5((696575118--666980776--o55r115522 Fm atockiner@sate. mu) you or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any Queslons fogaring i QUESLOMBNS Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Jie[ov] ee-!lqly_ PlPeleaasseererettuurrnntthhiissqquueestsitioonnnnaaiirreettooDDeeltltaaCCoonnsuslutltaannttssbbyvMMaayv99,. 22000088iinntthheeeenncclloosseeddssttaammpoeedd.sseellff-: adiressodenvelope. addressed envelope. Questono completed by: Questionn'Y!;e completed b~: Nam,e~a-nd~Tisel FirTe DewparmYeonrts Fe Dap Fire Dep~rtment Phone Number I 5-6)-767--5.53)(91 -SlfCR)9E8 f- wmk t-,.fo I Phone Number EEa-srvl~iil AdQareo@L Mov fryitens Address $278 SY/C tome DeHams Date for KXIinnoogg~enr ,, , 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00885 STSTAATTEE0_202882211884422 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1. DfDrooaesfs hyyioonuugrr DDopeeeppraaartrtimmoenensnt?t uranty currently or or hasyour has your pDaerpatrmtmeenntt hiissttoorriccaalllyy usseedd CClaslsAAaoorsCCalasssss BBfofoaammss fofor XXC firefighting o ves peratio-nPsr?oceodto Question2 NYoe-sS-iPgrnocteheedbtaockQuofestthiiosnf2orm and return to Dela Consulanis _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwoofftteenn iiss CCllaassss BBoorr CClaassAAsffoosaamm uussoedd nin rreessppoonnsseettoo friroecaclalllss?? ___ O0-2255 of% of fesires __X){_ 2255-.5500%%ooff esfires ___ 7755-10-0%1o0offf0friree%s 33.. DDoosess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd iairffooaamm ssyysstteemm ((CCAAFFSS)) wih with a bulbuilt-in ttaannk oonn fsits eennggiinnee((ss))?? ___ veYes Xe - * N o 4. How olen is foam used in taining exercises? 4. How often is foam used in training exercises? -- Weaky Monthy Quarry ___ Weekly ___ Monthly ___ Quarterly -- XC Amvualy SrAmualy ___ Semi-Annually X Annually I '- Bi-Annually T Overlessespeciy ___ Other (please specify):------------------------ 55.. HHoowwmmuucchh fooaamn sis uusseedd prper trraaiinniinngg eevveenntt?? _ ___ LLeessssththaanns 5gaglalolonnss 55 ggaatllioonnss _Xk s5tto01100ggaailloonnss -- ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - -X 6. In waning, where coes the spent foam 997 6. In training, where does the spent foam go? em tower SamaySovee__onstosoots_X Grund ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground _ Oberlessecesebey ___ Other (please describe):----------------------- 7. 7. WWfhohreemrraeetddioooenssif/oddriidcuthhteeonttrtraaaiinnniindnggpttaaaskkeeapplnlaaccgee?? rPPelleeaaasssee iinncclluuddee aadddrreesss,, itnteersreacticontooriroohotehnrer ssppeeccififiicc llooccaattioonn &4,1tC! ? information_for ve 4a) current and past training t;~ ~!; areas. J G2Pre 00000000 _ ZAYRORS FALLS,Mm I NKinogen: rene: 631.639.9545]R8e05.C03r3 S4F11ahFLyL: SCHhe01190704S7E)WFmR dWelSatSa aUmS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone; 651.639.9449 I 800.477.7411 Fax; 651.639.9473 www.deltaenv.com 22222..00888866 STSTAATTEE0_202882211884433 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. What type(s) and ranofdfo)am ar owe usnow and in the past b he Depart, both or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire espns anh rami (fappcabe} Pease crockal nt 355: response and in training (if applicable)? Please check all that apply. [I _ambus XC [ptspd cures? TUusmendign? AmUosuednt Curent Useor T Typy eoofp fFFooe aamm Cine BAqueous Fim Class B Aqueous FilmFR TT me Forming Foam (AFFF) Class 8Aon. ANOYS wo 28 LE cura Class B Alcohol- RReessiissttaanntt ((AARR))--AAFFFFFF CossBPOOn Class B Protein Class 8 Furoprtein Class B Fluoroprotein ea) ---- ~~ (FP) Close 8Fim-foming Class B Film-Forming Front (FF7P) Fluoroprotein (FFFP) CossmameEe Class B AR-FFFP Gloss ABH Class A-B Hi msn Foam ---------------------- Expansion Foam Class A Training Foam A -- Training Foam otrer - Other `BBrraannddooff FFooaamm Used in Training? YYeessoorrNNoo. Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriiccUUssee?? ,IJO = X Thankyou for your timo and cooperation. Please contact Nancy RoigaDla Consultant (551.607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 of ochnaGdaaam, om) of oh Slockinger a 1h Minnesota Poluton Control Agency (591-297-6666or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Stocking tats ue) 300 have any questons rogadng i Quesiannare. jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleasereturn his auastionnsive to Delt Consultants by May5 2008 nthe enclosed stamped. so: Please return this auestionnaire to Delta Consultants bv Mav 9. 2008 in the enclosed stamJJed. selfSGueersteonnaaiaescaomipnle:ted by: addressed envelope. a1 s5 Rnd - Five Chief Name ;Title Foo BeTpaariLmenotRS FALLS Fire Department P(i(neeaoNGiamJi) 44t6G5~ -~s5)J33%3 Phone Num5er OweS [i/o ExareAddpress E-Mail Address Xinogen Phone: 651.620.9045 1 860.477.7411 Fak: 691.639.9473wdaranltasns.com Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: Suite 100 St. 651.639.9473 n CETTE Paul, MN 55126 USA www.deltaenv.com 22222..008887 SsTTaAeT_E0_022682211884444 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 11.. DfDrooeeefssghyyioonuugrr DoDpeeeppraaartrttimmoenensnt?t ccuurrrenetlynoortrhlhaayss yyooourr DDeeppaarrttmmeenntt hhisitosrictalloyuursseeiddCcClaalasslssAlAoyorr CCllaassss 8Bfofoaammss ffoorr F< firefighting ~ Ves- Proceed operations? Yes- Proceed ttoo QQuueessttiioonn 2 2 No-Sign No - Sign tthhee bbaacckk ooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeelltaa CCoonnsuslutlatanntsts. 0Fors ction 25.50% ofr 75100%atros 22.. HHooww oofftteenn'iss CCllaassssBB oor CCllaassss A A ffooaamm uusseedd iinn rreessppoonnsseeltoo fre fire calls? calls? j) / 0 j foo-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 33.. DDoosess tthhee DDeeppaarrtmmeenntthhaavvee aaccoommpprreesssseedd aaiir ffooaamm ssyysstteemm ((CCAAFFSS))wwiitthh aa bbuuilltt-inn ttaannkk oonn iitss eennggiinnee((ss))?? Yes ___ Yes > ~No 4. Howolen s foam used in traning exercises? 4. How often is foam used in training exercises? Weekly Monthy Quarry ___ Weekly ___ Monthly ___ Quarterly Sem Analy Annual -- biamualy ___ Semi-Annually ___ Annually ___ Bi-Annually _ ___ OOtthheerr ((ppleeaassee ssppeecctifyyy): _..AL/;;d]-=~oo----'~A~'--'o'"'-?~/L__--+--O=.ro.._,a'a--<-1t___U,"s'--s-_.h~iJL.Jthl<-=4"l.__'"_F,,.c...a.~...Jro..>t:a4-..z..ftt_.__ 55.. HHooww mmuucchh ffooaamm iiss uusseed ppeerr trraaiinniinngg eevveenntt?? _ LLesessthasnt55ghgaalallloonnnss 55 ggaalllloonnss ___ Stiga 5 to 10 gallons ___ More than More than 10gan 10 gallons ((ppleeaassee ssppeecciify:): _ EEL - - - - - - - - - - - - - - - - - 66.. IInn ttraaiinniinngg,,wwhheerreeddooeess tthhee ssppeenntt ffooaamm Ggoo?? _ ___ SStoomrmSeSweweerr ____ _SSwaknaitayrSy eSweweerr _____OOnnS-SlieteSSeeppiticc __GGrorouunndd ___ er Other ((ppleeaassee d dese ervse):cribe):------------------ rr ----.,...-- 77.. WWinhfheoerrrmoeatddiooosenssfl/oddriddctuthheeentrtraaiainnniindnggpteaakskeevpapinlaaiccneeg??aPPrlleeaaaasssee ince include aadddrreessss,, iinntferrsseeccttiioonn oofr aotthheer ssppeeccififiicc looccaaitioonn information for current and past training areas. Xinogen: Prone: 651.639.9S 045 1e850.C43r3e74p11 oFak: S55R1.63193.054S7E3wPsa dWenlaSseinzYe.cUosmk 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00888888 SSTTAATTEE__0022882211884455 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 5. Wt) artt r sSdeaadh ct opr st 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. avanty m0ous uniter TTyyppeeooffFFooaamm CClalassss B8 AAqquueeoouuss FFiilmm-- Femara = Fci":Tliilg Foam (/\FFF) Ce cl Class 8 AlcoholRoary ------------ --_-- Resistant (AR)-AFFF Cobpeon Class 8 Protein lee Foi Class 8 Fluoroprotein & _--_-- (FP) Cl FimFrm Class 8 Film-Forming Resear ereRy -------------- -- Fluoroprotein (FFFP) i Class 8 AR-FFFP Gama Class A-8 Hi an - - Expansion Foam Goss Biteey Ade L5pel pes Class A i Training Foam over er ------. Other BrBarannddooffFFooaamm __3 7 Used in Training? YYeessoorr NNoo ~o Amount Used AnAnnunaulalllyy Current Use or HistoHrisitocricUUssee?? ea ---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 acon Sot naan a orGoy Son or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or a aosa er nat jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. P`alaPddeleddaarrssee!esls_ssrereeedtdtueuernrnnnv_tvetehlhilooissppoeaeu.u,eestsitioonnnnaaiirreettooDDeeltltaaCCoonnsuslutltaannttssbbyvMMaayv99.22000088iinntthheeeenncclloosseeddssttaommpoeedd,.sseellff-: ---- Questionnaire completed by: Zo Et ((?;,.Jse,a a Name and Title ;T7;i,i?d Biss $41 #0 Loy? jJ Av~ r FeGesmirt Fire Department ~ Jt:~tJ (?A~{? Fanarii 2/8 5/ Phone Number X99 oeFP OE Date e A -e.-b:Bp2b 7h7lehje ~~q/6~Tif'. ~J.e? E-Mail Address Kinoger er eran . _-- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA PE, TL Se Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00889 sare osanats STATE_02821846 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1 Donner carat os ouDerm sed Css Aa Gass ms or 1. Does your Department currently or has your Department historically used Class A or Class B foams for gat firefightinp operations? os roctoocusstosn ~ Yes - Proceed to Question 2 Yo Sign cf for 0 rn 0 Dots Consus No- Sign the back of this form and return to Delta Consultants 2. Hostoni ie. hs Af id nese7 2. How often is Class B or Class A foam used in response to fire calls? camo IS mona rsio0uatees 0-25% of fires ~ 25-50% of fires _ _ _ 75-100% of fires 5. ouopa on stor (CAFm S) aii kp n nn 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? 4. HowNtooswaevmosadin ann css? 4. How often is foam used in training exercises? Was et cuety ___ Weekly TT somamiaty K amany ------ ___ Semi-Annually Monthly ~Annually _ _ _ Quarterly Bi-Annually omer so sects -- Other (please specify):----------------------- [ YS Less a-- nsgaan 5gators 51010 galons ~ 5. How much foam is used per training event? Less than 5 gallons 5 gallons 5 to 10 gallons Vr hn 10 ars se oc More than 10 gallons (please specify): _________________ 6. Intvain wher done pnt cam 7 6. In training, where does the spent foam go? Samos Samaysons onsite _Kooroms ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~Ground orem TU - ____ Other (please describe):------------------------ 71 Whrdot inn ko ce Ps ct seein ver sc ocatin 7. Where does/did the training take place? Please include address, intersection or other specific location nr vo information for current and past training areas. Knog: - 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA cer SEEE CA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00890 stare ozsase7 STATE_02821847 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Wi at tpl transfor ere va p ins in at toCopter, or 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TupeatFoum gman TTGooondlign mAm"obuyonnt cSummemmusioeyor Ty:12e of Foam Glas Aesir Class 8 Aqueous Filma a -- Foinling Foar.1 {AFFf-') Gore coh Class 8 AlcoholRonse sry | -------- Resistant (AR)-AFFF Cusp Class 8 Protein -- Class 8 Fluoroprotein oo _------ (FP) A -- Class 8 Film-Forming -- Fluoroprotein (FFFP) amen Class 8 AR-FFFP menos Class A-8 Hi Urvemtean || mm Gr---------- Expansion Foam pi weesS JE Laem Class A A Training Foam over -- Other Brand of Foam LJ'AR1fS Used in Training? Yes or No Amount Used Annually: Current Use or Historic Use? ~tS " L.. J..o ~ i4-ll/46 Toatperiynsmegeuonptagiyo, Boss net Nery lingat Dl Corsham SAL 152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aan so Samia eno a otSpy to or oo or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or es jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. ER al Pleas~'> retum thi<; nu~stionnaire to ne!ta Consultants bv r,.1av 9. 201)8 in the enc.'osed sta.mp~d. self Sma addressed envelope. - =SI =e-stff Sodoy an, CHI_ET \A,~wtl\J Questionnaire.-:Jie$d by: Name andTitle L _N _ FroSEardrin,e FIRE & RESCUE depnrer Fire Departmen Hy $249- 93 "4-39-0% ~\k LS - = Phone Number Eva Ce_H-Ef) -frim (f? oC n, on --~ E-Mail Address ~~q- f~J "n ~31 Date ~ ~ rJ ' COW\. HKinogen hPohnoen:e: 665 15.163.96.934495 . 9 1 5910 449 I 800.473.74F1a1k: Rice Creek Parkway 800.477.7411 Fax: 91.639.043)maimdeliaens.cam Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 222222..089911 [p-- STATE_02821848 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Trraaiinniinngg Firefighting Foam Use in Fire T 1. Docsyour Department cto or has your Department historical sed Clas Aor Glass 8 foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for ratoing perstons? firefighting operations? --_ Yes-ProcesdtoQuestion ___ Yes- Proceed to Question 2 4=:N-Noo~- SSiiggnn tthhee bbacakoocfftthhkiiss ffoorrmm aanndd rreteurntttouo DDreellnttaa CCoonnsuslutlatanntsts. v= 2. How often' Cass o Cass Afoam used in response toro cals? 2. How often is Class B or Class A foam used in response to fire calls? o2ssot res 250motfies 7510o0f r%es ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 5. Docs ihe Department havea ccoommpprreesssseedd aair ffooaamm syst system ((CACFS)AwwiitthFh aaSbbuutil)ti-inn ttaannkk oonn fsits eennggiinnee((ss)?? a 3. Does the Department have ___ veYes ___ hNeo 4. Howoften s foam used i ining xerciss? 4. How often is foam used in training exercises? -- Weeky Wonty une ___ Weekly ___ Monthly ___ Quarterly Tommy Amal Srmualy ___ Semi-Annually ___ Annually ___ Bi-Annually Omer essospecty ___ Other (please specify):------------------------ 5. How much foam suse por varing vent? 5. How much foam is used per training event? __ lessthanSoalons ____ Sgalons ___ Less than 5 gallons ___ 5 gallons [I -- ___ More than 10 gallons (please specify): ___ 551to01100ggeatlloonnss I _ 5. Intaining, where coss th spt foam G57 6. In training, where does the spent foam go? CSLomSewr __SolaySowsr ___OnSteSepic Grand ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT oteremecesaber .______ Other (please describe):-~- __. ---------------___ ------------------- 7. Whore ocsid ne iin ako place? Plase inclu adres, nerscction of clerspecic locaton 7. Where does/did the training take place? Please include address, intersection or other specific location orm forcure an pan rang reas. information for current and past training areas. XInIongog~enn' ,"' rane: est 099 300 000 LS AN Tok EPL mina Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 EE Paul, MN 55126 USA www.deltaenv.com 22222..00892 sSTTaAeT_E0_206282211884499 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 5 What tps) a offa rrvere td mt inntehe gt yh Spina, bot ov 8. What type(s) and brand{s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. [TI angri Gummtusoor TTypyeoofpfFFoooaamm Glos AqoouFisn Class B Aqueous FilmCe-- -- forming i=oam (Ai=FF) Goon cel Class B AlcoholCn -------------- ------ Resistant (AR)-AFFF Geoponn | -- Class B Protein Gas 8 Frerootn Class B Fluoroprotein = EE ---- (FP) Goes Fim Fomang Class B Film-Forming A --------, -------------- -------- Fluoroprotein {FFFP) a em------ m------ Class B AR-FFFP pnp Class A-B Hi Cy ------------ ------ Expansion Foam a JE Class A Tagen Training Foam or - Other BrBarannddooffFFooaamm Used in YesorNo Training? Yes or No Amount AAnmUnnsuueaadllllyy HistoricUse? Current Use or Historic Use? yy en Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 SY or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jjimim..ssttoocckkininggeerr@@sttattee..mmnn..us)) iiff yyoouu hhaavvee aannyyqquuesetsitioonnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. Le J A-- wee' Fri a Get ROFa-t39- dso 7 4Es2508 EE--MMaaiill AAddddrreessss Xinogen Phone: Phone: 651.639.5485 1 800.473 7411 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 851.633.3475 Suite 100 St. 651.639.9473 maimi.dAlinanv.dom Paul, MN 55126 USA www.deltaenv.com 22222..00893 sare ozs21850 STATE_02821850 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 1. 1. rDDeoohseossmyyioonuugrroDDpoeeapsratirtommneesnn?tt cstntoyr currently or has has your your Department Department historical historically sedused GlaAsor Class A or Gass Class 8 B foams foams orfor 2X firefighting >( Yes -Procodto operations? Yes - Proceed to QQuueessttiioonn 2 No.Signthebaocftkhis form and return to Dlta Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howolen is Cass B or Glass Afoam used in respons orecal? 2. How often is Class B or Class A foam used in response to fire calls? '1- omnes Kassonottess 75-1o0f0re%s ___ 0-25% of fires 25-50% of fires ___ 75-100% of fires 5. Doas the Department have compressed ai foam system (CAFS) ) witha with a bun built-in tartank on on 5its ongine(s? engine(s)? am system (CAFS 3. Does the Department have a compressed air fo vX ves I NoYes No 4. Howton foam used in raining oxercises? 4. How often is foam used in training exercises? es -- vouny _ umery ___ Weekly Monthly SomtAmualy Hovuaty X_ gional ___ Semi-Annually ___ Annually Quarterly --~--=-- Bi-Annually Otho pase speci): ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. 5. Howmush How X__much foams foam used is used por per trraaiinniinngg Loss tansgators oevveennt?? Sgatans ( Less than 5 gallons 5 gallons St 10gatons ___ 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfifyy}:): - - - - - - - - - - - - - - - - - . tn aig. where does he spent foam go? 6. In training, where does the spent foam go? Storm Saver _ Saniary Sower ___ Storm Sewer __ Sanitary Sewer Tomertessedeember --~~--- Qther (PI.E:flsedescribe); ____. ______ __ onsiosape On-Site Septic Xr >( Ground 7. Vweip be Goud to iin ako place? leas ncudo acres, intersection or othr spoicocaton Pree il 720 WL Rk 2d XKiInnooggfepr: '"' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..008894 SsTTaArTeE__0022s82211885511 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What type(s) an rans) offoam aorwere us now and i th pabsythe Darien, bot rf 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg(i(iff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaatt aapppplyly.. Type offoam Sandot Foam YTUaosomednrigtnre AAmmUosweuadnty CtuimsetnontsuUsseeosr Type of Foam Class 8 Acueous Fin Class B Aqueous FilmFormingFoam (FF, = ---------- Forming Foam (AFFF) ClAoonso. Class B AlcoholFevsirt (ARs AEE | ------ -------- -------- Resistant (AR)-AFFF CosBPown SE Class B Protein Glass Fuoropetein Class B Fluoroprotein Eo) _-- (FP) Class 8 FinFoming Class B Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFFPP)) CossoARFEP Class B AR-FFFP Cass re Class A-B Hi Trantor e 5{;e ( ee Cass A Expansion Foam Class A -- - --- Training Foam oer TT Other Brand of Foam Sex Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Ys Sal "Thank you fo your in and cooperation. Pleas contact Nancy RianDgla Gonslants (51.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or each datacom) o 4m Sockinger at the Minescta Polio Conia Ageny (081076006or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or acing tae ma) You hav any Guesons regarding NS Guesonnaie jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `PPlleeaasseerroettuurrnn tthhiiss qquueesstitioonnnnaaiirreettooDDeellttaaCConosnuslutitaannttssbbyv syi'viav 99,. 22000088iinntthheeeenncclioosseeddssttaammppeedd,sseeliff:- Stes addressed envelope. P-- Questionnaire completed by: i HALar:rt?aawnrradJTeMfUeelf'9oJVn\ -= (F;irer_e C{hhite'el(. Name and Title GFbtpJea.p~afi6nev-le lfJfe.( 2PF2hir!1ae'g6D3e-eN--pua6mr6tbm66ee5r3n-t--77f0l 41 EPhiAho?inJeMAfNVudomedbofse~rrn E-Mail Address 4-Da2te40% Date Xinogen: _ PPhhoonne:e: 651.639.9/964005.477.7411. For: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 853.639.9475 Suite 100 St. 651.639.9473 morn elinenv.som Paul, MN 55126 USA www.deltaenv.com 22222..00895 sStTaAreTE_208282211885522 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1 Roerse rc soe tty 5 Gas Gs fms 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? Sepecestoausinz ___ Yes- Proceed to Question 2 rs ___ No- Sign the back of this form and return to Delta Consultants A 2. How often is Class B or Class A foam used in response to fire calls? ~ 0-25% of fires 25-50% of fires ___ 75-100% of fires om7 Dsamrarescones ar om en GAY lr 3. Does the Department have a compressed air foam system (CAFS) with a buiit-in tank on its engine(s)? ----;-Yes " --)L_No ram 4. How ;x:is foam used in training exercises? EL tony wen Never Weekly ___ Monthly ___ Quarterly Semi-Annually Annually ___ Bi-Annually Teter 5 ___ Other (please specify): --l,LP/!....<.......:u=_-Vv_<,_________________ A 5. How much foam is used per training event? X- Less than 5 gallons 5 gallons oa osen y ___ More than 10 gallons (please specify): _ _ _ 5 to 10 gallons rs riosreaseaoyn?e _onswscn * 6. In training, where does the spent foam go? Y cons ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ' Ground rn amy fe ___ Other (please describe): --t/!<..;...(...OL.v--<.__..-=---==---------------- E ee U -- 7. Where does/did the training take place? Please include address, intersection or other specific location inform io for cu rent and past training areas. (e 1C?a1i, 'n4 t'"' tJ a i. NKinogen OOVVERE--R-+ _ none: 651.639.9045 1 850.057 7111 Tak: 631639.9473 asiataliasnv.con 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008896 STATE_02821853 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. TWWehhsapatot nttysyppeee(a(ssn))iaainnndVdabbirraiannndgd(s(()1)oo3fpffopoahamcmaaaexr)eeo?orrlwewraesreeeuuhssaeecddnknooalwwl haaanndd aiinnpytthh.e ppaasttdbyytthhee DDeeppaarrtmmeenntt,, bbootthh orrs for fire response and in training (if applicable)? Please check all that apply. TUUrsasemedidniignn? AAmUmosoueudnntt Currently Historically Training? Used Currently Historically r CFCTilamyTsl.ypspBeoBeamoAAoiqfqnfsuFugFeeoooosFaauuommssam r BBrraannddooffFFooaamm YYeessoorr NNoo --- AAnnnnuuaallllyy UUsseedd?? UUsseedd?? WEF, Film-Forming Foam ] I CCR(AlaFolsFsFs8)BasAcslocoorhnsool- NL I oN hr Resistant AFFF (AR)- \ ClassBpoon NL --\-- Class B Protein Clases \ \ \ FuCrloapssroBtein (FP) \ \ \ -- Nf --A Fluoroprotein (FP) CFCFFloolaaarrssommssiwinnBBpggoFFiielmmn-- \\\ |---- \ ---- \/[---- ---- Fluoroprotein FCaFssBARERR (FFFP) Class B AR-FFFP cEmassonafsoan Class A-8 Hi -------------- ---- ---- ---- Cassa Expansion Foam --_-- \ TCloasnsgAFoam over Training Foam EE Other TTofhhanonadknyyioonuug@ofodrreyylooiuuarrsttniimymeecoaamnn)ddoccoooioppemerarSatittiooonnc..kiPPnllegeaaasisetcchooennMttaaiccntteNNsaoantncacyyPRRooolddlniainnnggaCaDotneDvkoellataAgCCeoonnncssyullat(an6nt5t1ss-((266955711---3606990770--5o5f115522 J siockingor@siale ns) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you have an Questions fogaring is quesiomnai. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. {651-297-8666 or PalPdeldearasesseesrreeedtteuunrmvnetlthhoiisspqequeustieonnsaitreftiooDDeoletltnaaCConnosnauslutiltaannrttssbebyy JJuunnee66.,22000088iinntthheeeenncclloosseeddssttaammppeedd,, se:self- addressed envelope. Questionnaire completed by Famed v/an oJ Fre DepartLe Choe >> l {,t;_ FFiorenDeeNpamrbtmebrO nt ~v l le w Phone N6mber I (E 753-5-5)), =r Br 7 PY is E-Mail Address [(P)la Xinogen: XInogfn .,/e--..>/C1'1 fJ I NMey=s a +m Cor 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Thane: 631.639.9545 / 30 .43 411 Fok: $91,039,047 Moi ASULARALAAA. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00897 STSTAATTEE0_202882211885544 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 11. . DDaooetessiyynooguurr DDpeeeppraasrrotmmneesnn?tt cured currently or has has yo y o u r Deparment Department italy historically used used Glass Class Aor A or Clafsoamss Class B foams for for firefighting opeVroastionsr?ocoatdo Questio2n XCNo- Sign the back of his form Yes - Proceed to Question 2 No -Sign the back of this form aanndd rreettuurnm ttoo DDaetltaa CGoonnssuulltaannttss 2 Howlin' Class B.oxClss foam used in response to re cas? 2. How often is Class B or Class A foam used in response to fire calls? __ oasottes sokories 75400 alfies ___ 0-25% of fires ___ 25-50% of fires ___ 75-100% of fires 5. Doos ihe Deparment have a commpprreesssseedd iair faafoam systom system (CAFS) (CAFS) vith with atin a built-in tank tank onson its angine(s? engine(s)? co 3. Does the Department have a ___ Yveess hNeo 4. Howofienis foam used in ining exercises? 4. How often is foam used in training exercises? News Wey Many cunery ___ Never ___ Weekly ___ Monthly ___ Quarterly Tommy Amal svat ___ Semi-Annually ___ Annually ___ Bi-Annually TT overessespectr Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmich foam is usedpr alg event? 5. How much foam is used per training event? _ LosstnSgotons ____ salons swig ___ Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons Mor han 10 gals (pease speci: ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - . Intaningwhere Goes th spent foamgo? 6. In training, where does the spent foam go? Storm Sewer Santory Sewer onste Sete Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TZ oveemsedeserwer ___ Other (please describe):----------------------- 7. 7. WWfohhroemrraeetddioooeenssf/iodrdiddctnrheeortriaaninniindnggpataaskkoevlpalaaccge?? rPPelleseaasss.ee iinncclluuddee adres, address, iinntteerrsseeccttiioonn ooroolthheerr ssppeecciifiiccllooccaatlioonn information for current and past training areas. OOVVEERR---+ nog _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rere 551.579 30 FT Tobe FELIS mndatnedm Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..008898 SsTTAaeT_E0_202682211885555 FFiirreeffiigghhttiinn`QggQUFFUEooESaaSmTTmIIOUUONssNeeNNAAiinnIIRRFFiEEirree TTrraaiinniinngg 88. TWWohhsaahtot ntyysppseea(s))naainndrarbiraaninrndg()s()1 ooaffpffpooiaacmma iaaeryeo?orPrvlweaearrsoee uucssheeeddcrknooalwwl aahanndd 3iin53tth.he past pas t by by the the Dpartnart Department, bthboth orfor frofire response and in training (if applicable)? Please check all that apply. TUUrssueemddniignn? AAmUmosoeuudnntt Currently Historically TuTyppeeooffFFooaamm BBarannddoofffFeoaamn YesorMo Training? Yes or No Away Used Annually Used? Currently Used? Used? Historically Used? CCFliasnlsfBBoaAmAqmqusugeeofosuoussam -- o_o ___ pss Film-Forming (AFFF) Foam Cl8aeotss C!ass 8 Alcoholo re t Resistant (AR)- ACFaFsFsspwon FuCCcrllaaaossssspsBBotPorontei(n7) Sa -- Fluoroprotein CForamin8sgFasm: Class B Film- ( F P ) Forming Feusoomon Fluoroprotein mn Sn C(FoFsFPs)oareER Class B AR-FFFP CSasosansah m Class A-B Hi -------------- ---- ---- ---- ---- Class A Expansion Foam - TCalamssnAgFonm o_o over Training Foam - Other T`orhToanhhknyaygooun@dfkoorertyyooauuerrnmtiymeecaaamnn)dd occfooooJppiemerarStaittioooncn.i.ngPPelle:eaaassieetcchoonnMttiaaacctnteNNsaaonnlcacyyPRRooudlniainngaCnatotDnDgvleolataAgCCeoonnncssyuult(taa4nr5t1ss-(5(6965731-1-6666900707-5o5r115522 im stocking @stte. muf)00 or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any Qosions regarding hs Quesiomnare Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped, self- adaressed envelope addressed envelope. Questionnaire competed by: Questionnaire completed by: D X1kk, SheZnZ Fire Cher EarnJ~~~SC!l_?.iZ Name and Title Tog BoeOpp FFrireoDDoepphrrmtmeenntt Fon0eN7um6be2r6- S54 Phone Number LDeae roy EvfalAdda inet E-Mail Addres XXinInooggefnn '"" _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA hone: 651.639.5065 1 300.077 7011 Fok: 851.639.3473 mm.dallasReAR Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00889999 STSTAATTEE0_208282211885566 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 11. . DfDroooests hyyioonuugrr DoDpeeeppraaartrttimmoenensnt?t ccuurrreennttllyy o o r has has yyoouurr DDeeppaarrtmmeenntt istrict historically sedused Class Class Aor A or Glass Class 8 B foams foams for for firefi~ gXh_ti_ng opNYeYoereasstiS-oniPPsgr?onrcteheoedbtctooaQQeuoucefeeststiktiidsoonnf2orm and turto Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. Howoften' Cass B or ClaAfsoasm used n response to re alk? 2. How often is Class B or Class A foam used in response to fire calls? 4DC oasmottues 2550% of res Ts100% otros 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. Doss the Department have compressad i foam system (CAFS) wih abun tankons engie(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes XD<:eNo 4 Howoten i foam used in raining exercises? 4. How often is foam used in training exercises? CL Wedky Nonny _ouanery ___ Weekly -- ___ SSeemmii--AAmnunaulalllyy ___ Monthly O0C( AAnnnnuuaallllyy _ erAmaly ___ Quarterly ___ Bi-Annually Over essespeay ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam suse por vaning oven? 5. How much foam is used per training event? XC Lesiansoalors gallons 5010 akons k Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Maro than 10 gallons (sease speci: ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6 In raining where coes to spent foam go? Som Sewer Sanitary Sewer 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer __ Oonns-SiiteesSeeppitiec -L*GlroGruonunds Other (lease describe) -~- Other (please describe):----------------------- 7. Whore dos te ining ako lace? Please include address, nrsectno ater specficlocalon 7. Where does/did the training take place? Please include address, intersection or other specific location informaton for cute and past aing areas information for current and past training areas. tiAits XKinogen: eer TE FaE h 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222..00990000 SSTTAATTEE0_208228211885577 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 5. WTheantoyet)randrgants)pofeona naercPwoesr sracek oankd oyheat bh Depa, bohfore 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Tpestfoan BrandotFoam TTUoaesundrigne aAmbmoounyt GHuereesnteusoor Type of Foam GisAqueoFuisn: Class B Aqueous FilmAr--ry, ------ -- Forming Foam (/\FFF) Gi8Acso Class B Alcoholfrost ve Resistant (AR)-AFFF GesbPOON | Class B Protein Gas 8 Foren Class B Fluoroprotein & -------- (FP) GoFisFarsming Class B Film-Forming Porat, ------------ ---------------- Fluoroprotein (FFFP) wobmrFRe Class B AR-FFFP GassasH Class A-B Hi Smo oam --_-- Expansion Foam Gash - Class A anngron Faceted dos JJ0Opf'/f Training Foam oer oT TTT Other Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Thank ou or our meancooperation, las cotoct Nancy RinfDgl Corsa (051-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ead taa con of om Ssingr r Monest Polobos Col Foon 653970008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Troaema eros Tos hovt ayRoshan oor shane jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleaserau tis questitooDnts onci:Heor 2008 int old stermae sct. P!e3se rgtu.rn this questionn.3.fre to !Jelt3 Conc:.:!t::nt~ bv A1.:7V !:. 20C8 in the cnclc~ad stampsd. ~elf frre addressed envelope. Qusstomarecompibyt CiW Q~/l&i&llpv- Questionnaire completed by: iteCie Name and Title Fh7iWewbl\unpeaLikv~ae~nsrVtel Fr'')y Fire Department Q Fi~mol~ntnlte !a f-~oSGes e>s Sf -7,T.ooe( es Ph e m er Date B Evanaby ess -- E-Mail A ress Inogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222..090011 sSTaArTeEo_a0s28a211s8s5s8 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training SL prcentto auton 1. 1. DeDtoogeehssiyynooguurr DoDpeeeppraaartrtmimoenensnt?t ucurrrentelyoonrhhsatsyyoyouurr DDeeppaarrttmmeenntt hhiissttoorriciacallly uusseedd CClalsasAAsosorr iss Class B8 ffooaammss fofor firefightin]J operations? No Sign the back of this form and return to Delta Consultants -~-- Yes - Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 22.. HHoowwoofftteenn sis Clalassss BBoorrGClalasssAAffooaammuusseedd iin espns fo fre response to fire ccaalllss?? ___ oso res 0-25% of fires s25s-o50n%ototfifireess ~ D_rs75a-01000%%aoifrfireess 3. Dos fe Deparment haavveea ccoommpprreesssseedd aiair ofoeamm ssyysstetme ((CCAAFFSS)) wwiitthh abun a built-in ttaannkk os on its eannggiinnee((ss)?? 3. Does the Department h ___ veYes a -_No 4. Howoftn s foam used in ining exercises? 4. How often is foam used in training exercises? Weekly Marin Quarry ___ Weekly _ _ _ Monthly _ _ _ Quarterly -- somvomuaty Annuaty pe Omer (posse spook __Lawelyy ___ Semi-Annually _ _ _ Annually ___ Bi-Annually ~ther (please specify): ----'---"--'""---'---'-l--'+---------------- 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppaerr tvraaniniinngg vent? event? = Less than sgatons 5gatos 51010gaons \:I- LMeasrso tthhaann510gaglalolnlsos (please sp5ecga)llons r----e 5 to 10 gallons - - _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - 5 In vaining,whodoo the spot foam gc? 6. In training, where does the spent foam go? _ somsewer ___santoySewsr ___Onsteseprc DL Growma ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~round Other (lease descr) - .......:.....::....:....:.....:. .Other (please describe): - - - - - - - - - - - : - - - - - - - - - - - - - - - - a; 717.. WWIhhemerreeaddooteesfs/oidicdorthheeen:trainainininndggpaataskktoerplalaancceeg?? PaPrlleeesaa.ssee incu include aaddrderessss,, inntteerrsseeccttiioonnoorr aoltheerrspec specific looccaaitoionn inT~ftBo\ir\om.v(ae_td0i_on0foVnr oc\uokrirrDenoot\-a~ -ln-d= p aeststpraien2Vin1mg'00aVere'ea-esYe-.kr\:ea~v-n~i~}Uey-gs7 ~ he~Sy~ ro-r- oolong dove ib weg. yileiorny D {'e V-J XKiInnooggepn:l:' ""' nore: eon 099 3140s TTL Fok: EPR 3090%) mea ins 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..009902 STSTAATTEE0_208282211885599 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. Tesponse and in vaing f apsicatiey Please check a no 9p WWhhaatt ttyyppee((ss)) aanndd bbrraanndd((ss))ooff ffooaamm aarree oorr wweerree uusseedd nnooww aanndd iinn tthhee response and in training (if applicable)? Please check all that apply. ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, bbootthh ffoorr ffiirree TUosneidnign? AmUosuednt CumentUssor TTylpt~eeooffFFooaamm FT -- == Class 8 Aqueous Film- Forming Foam (FPF) ::7f7Si& ~~ Forming Foam (.A.FFF) Class 8Acobol Class 8 AlcoholRevstan (NR AFF -_-- Resistant (AR)-AFFF casswPo0n Class 8 Protein Cl8Fauorsoposein Class 8 Fluoroprotein & -_ (FP) Clas 8 im Forming Class 8 Film-Forming Furoprtan (FFF _-- ---- Fluoroprotein (FFFP) GesseARSEP Class 8 AR-FFFP Class ABH: Class A-B Hi Erosion foam ru A Cass A Expansion Foam Class A Trang Foam 7 Training Foam Other - Other BBrarannddooff FFooaamm S~ii ) llff:\v-=:epe Used in Training? YYeessoorr NNoo. ..--- --z t' :v~ Amount Used AnAnnunaulalllylt Current Use or HiHsitsotorriiccUUssee?? t1f> F j iJ f!p q/4z l / Thri you for your ine and cooperation. Pies contact Nancy RodainDegt Consults (651-667-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants {651-697-5152 of rong@dataenw com) odin Slockinger he Minesot Polluion Convo Agony (85157-6608or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or im stockinmgreu8t) footu have any Quesions regarding i Questonnai jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. `addressedenvelope. PPleleaasseererettuurrnntthhiissqquueesstitioonnnnaaiirreettooDDeellttaaCConosnuslutltaannttssbbyyMMaayy99,, 22000088iintthheeeenncclloosseeddssttammppeedd,,sseellff:- addressed envelope. Questions completbeyd: Questionnaire completed by: -Nara a&Bna Trvitoeee barbers The Ohio Name and Title Few Dwepairmevnt Uelley Fre Deport met Fire Department Ueevhec9 v~J/ev Phon2e /NuEm-b Phone Number Err E-Mail Address SEY-Sgoe gfoeds @ arvig. pet 15/05/08 liate / Xinogen' ~ PPhhoonne:e: 651.635.51484050.4777411. Fok: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: 851.635.9473mon delincnu.com Suite 100 St. Paul, MN 55126 USA 651.639.9473 www.deltaenv.com 22222..00903 SSTTaATTEE__0022682211886600 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Docsyour Deparment curanty hsyour epertmnt stray usd Cass AoCis ears or 1. Does your Department currently or has your Department historically used Class A or Class B foams for orang cpeatons? pve firefixoraYYteeioss--nPPsr?orceeodtctooQQeuueesststidioonn 2 ~~ No. Sign he baocf hkis form and ret{0uDrelna Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. Howofenis Gass 3. Cia A foam usin spon 1 cals? 4 oases ossomattres OX 75-100%fosf 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires _ _ _ 25-50% of fires 75-100% of fires 3 Coes heDprtnent ave compress ai foam syste (CAFS) wih a bin ark on engl? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ -Yes Sa X' No 4. Howfooamtusediinreanng eiress? 4. How often is foam used in training exercises? Weakly oriy XX_auaray ___ Weekly ___ Monthly Quarterly Somat Honuaty Sint ___ Semi-Annually ___ Annually ___ Bi-Annually oveomesoity ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5 Howmuchfoam is used or ining vert? 5. How much foam is used per training event? X3X . toss rangations Sgatons Sto t0gatons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons MMoorreetthhaann1100ggalallolonns s((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - 6 Intinng, wher dos thespent foam 907 6. In training, where does the spent foam go? 20% stom Sower_ Santry Sover onstesape 0%roms ~-~(26 Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ~round TT onsen ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. ine does he rong ak ace? Pass td cts, section ara speci locaton 7. Wher.e does/did the training take place? P!e8.se include adllrt::ss, imersection or other specific location eamComoerromaandaBeag dlew,om + Applbee o-6 l-p information for current and past training areas. 7 - CorV\-e-.r 2:>.,..~ ~ NKinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00904 sStTaAreTEo_z0s228121886611 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58. WWTohhsaaptot ntyyspeeesa(s)n)daanndabrriaanndn(s()ftooaffspffoo9aa)mcmaaabreeoorPre wlwoeearrseeeuuasseecdd nnoaowhw naanntdd aninpthhpe ppaasstt bbyy tthhee DDeeppaarrttmmenetn,t, bbootthhffoorr ffirreo response and in training (if applicable)? Please check all that apply. TueofFoam Brandof Foam TTYUoUroatssioeennrddignNiiglnn??e AAmmUosoeuudnntt AUmmsueadlly CCHuuimrsretenonrtt cUUussseeeoorrr FoCGrlamsliTsny6BgapAeAqFquoosueafeomFosuous(asAmiFFiFmlm):- Brand of Foam Yes or No Annually Historic Use? ~~---------- ---------- CCFRloolaasrssmsssiinaB8ngAtAFlo(ocaoVnmhOoel(A-AFFFFFF) ANGUS CassBPoOn Resistant (AR)-AFFF Class B Protein =Cl8Fauorosprotsein Class B Fluoroprotein oe. FuC(GFolaPrs)oslpBoFtFaiiilmmn-sFF(ooFrrFmmsPiin)ngg CossmarFER Fluoroprotein (FFFP) Class B AR-FFFP CEClxlaapssassnsAAi-BoBn HHFiioam - Expansion Class A Foam --Sla--te 000 CTrlaaisnsinAg Foam ---- a oer Training Foam --- Other iTToofmhrhaawnsnnrtookokdcyydnkooiinuuhnggff@onoerrrdg@yyesool@tutuaarrdetmtenimsvmo.cectonoaammin)n)d)sooccyroroeoJJopoiimpemmerarhSSataiIttioovooncenc.k.aiinnnPPgygleleresraaaassoiteethhncceoeonsnMMttaiaicnnrctnnteeeNnssgaoontcatacaiyPPRRnoooollsludditniiuooinnennggsCCaatoitoonDDmtarneaollitllaaAAegCCgeoeonnnnccssyyuult((ta6a3n5n5t1ss1-52((699657751-618-.666669606767-.o5o5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. pe PPlleeaasseerreettuurrnntthhiissqquueestsitioonnnnaaiirreettooDDeellttaaCCoonnsuslutltaannttssbbyyMMaayy99,, 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellft-::.. `aaddadrree:ss:s:.eedd eennvveellooppee,, NNaammae aanndd TonGr Title Ves en. c= heb "Tie Fire Opt. Fie Defiant Phone Numbe2r _BYp- 555% Da' 38/04 Phone Number Eta(C't"i;. ddJ.rio~saCs\n.~ee ~ .L..ri;_po nf\b+1e-renrneet.i. lnf\e.er+ E-Mail Address Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00905 sStTaAeT_Eo_0z2s82211886622 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doss your Doparmentcurentyo has yor Dormant istrcly used iss A or ClaB fsoamss fox 1. Does your Department currently or has your Department historically used Class A or Class B foams for [otitis firefighting operations? Ves -proceed to Question ___ Yes - Proceed to Question 2 Yo.Sign he back of nis form nd returtno Data Consular \( No- Sign the back of this form and return to Delta Consultants 2 How fens Cas BrClas A foam usdin spofonfroscaels? 2. How often is Class B or Class A foam used in response to fire calls? casas 25.50% offres T5100 ots ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves ___ Yes No ___ No 4. Howofienis foam usd n vig exercises? 4. How often is foam used in training exercises? wee J cue ___ Weekly ___ Monthly ___ Quarterly TT senha doy I ___ Semi-Annually ___ Annually Bi-Annually Other le sect ~ I Other (please specify): _______________________ 5. Howmich foams used por ining overt? 5. How much foam is used per training event? _ LesstmSgakons ___ Sgalons _ swrogons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mors than 10galons (pase pec ~ More than 10 gallons (please specify): _________________ CL SomSowr ___SmiaySews 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ___ Storm Sewer __ Sanitary Sewer __onSioSepic __ On-Site Septic __Gownd Ground _ _ _ OOtthheerr ((pplleeaassee ddeessccrriibbee): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 7. Worhaeteioonefosf chuenrtaarinngpaaskalancge?rPolse.as nce dress, nsec ihr spec location 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogen -- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 651.635.5005 1 350.037 3411 Fak 53 639.0473 mae.dalisane.tam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00906 stare 02821863 STATE_02821863 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 86.. rWWhehasatpt ttoyynppee(a(ssn)) aainnnddrbbrraaanngdd(ss())1oo3ffpffpooiaacmmaatarere)e?Poorrlwwaeaersreeecsuhseeecdcknnooalwwhaannaddaiinpnpttlhhyee ppaassttbbyy tthhee DDeeppaarrtmmeenntt,, bbootthh ffocr ffirree response and in training (if applicable)? Please check all that apply. CCFlolaamTssiTssynypBgpeFeAAoqoqofuaufeeFmFoooouua(assmmFFFFiilmm)-- CCFRleolaasrissmssstina8BgntAAFl(oocaoAnmhRool(A-AFFFFFF) CiRsesseistaBPnrt o(tAeRin)-AFFF C)isse Class Class BB B Floroproten Protein Fluoroprotein CFC(FlalaPaoss)osspB8olFFeiilimmn--FF(ooFurFmmiPinn)gg CasspARFER Fluoroprotein (FFFP) CCllaassss ABH B AR-FFFP Class A-B Hi Expansion Foam Class A Class A Training Foam Training Foam other Other BrBarannddooffFFooaamm -------------------------- Tsoiemdnig? Used in Training? YeYessoorrNNoo. AmUosuendt Amount Used AAnnnunaulalllyy GumentUseor Current Use or HiHsitsotoririccUUssee?? --- a - -- -- ee - TTofhhananorkdyynoouuirfnfoogrr y@yooduuor tliimmseeeaannn.ddcoccroooaomippm)eerrSaatttiooonnc. kPPlileenaaastsgeeetcchrooennMttiaancctnteNNsaaontncacyyPRRlolocudkinioinnnggCaaottntDarleotlltaaACgCeoonnncssyutla(tan6n5tt1ss.2((6945751.19--660969767--o55r115522 Fm siockinger@stets i) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if ouJim you have any dueslons rogaring ths quesionnas Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Questionnaire completed by: PPleleaasseerreettuurrnntthhiissqquueestsitioonnnnaaiirreeftooDDeellttca,CConosnuslutltaanl]ttssbbyvMM<a!yY.9~..2ZO0Q0IJnj8iJ tthh~e_e~nfJcQlIoQ.s$e_de9s__tatmamp{e2edd.,sseel/ff.- `aadc/dcr/reesssseecd/eennvveellooppee.. Questionnaire completed by: NamNoe~aavvnvde:Tie "B~>.te?.ec, Name and Title cure FreUlDIeEepaYrn\m.ent Fire Department Pe Bex lI2Zil wlMn an shsES Phone2N/u8mbersp- 55209 Phone Number 5G4at-e 08 Date E-Mail Er Address Xinogen- Phone: 651.639.9445 1 800.477 7411 Fak: 851.639.9473ma. dsliasnv.cam Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 : Paul, MN 55126 USA www.deltaenv.com 22222..00907 SSTTAATTEE__0022882211886644 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. fDDrooeoefssghyytooiunurgr DDopeeeppraaartrttimmoenensnt?t ccuurrrreennttllyy oorr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriiccaallllyy uusseedd CCllaassss AA oorr CCllaassssBB ffooaammss ffoorr firefighting operations? XX_ YYeess -- PProrceeodttcoo QQeuueeessttiidoonn 22. ___ NNoo. - SSiiggnn tthhee bbaacckk oofftthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 22.. HHooww oofftteenn sis CCllaassss B8 oorr CCllaassss AA ffooaamm uusseedd iinn rreessppoonnssee oto ffiriee ccaallllss?? ___00.-2255%%ooff frireess X)_(zs2s5o-5m0o%lotfrfieress _______77551-0100%0o%ffoifrfieress 33.. DDoocess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aalirr ffooaamm ssyysstteomm ((CCAAFFSS))wwiitthh aa bull built-in ttaannkkoonniitsseennggiinnee((ss))?? x:___ YYeess XoNo 44.. HHoowwolotfteenn iiss ffooaamm uusseedd iinn trraaiinniinngg eexxeerrcciisseess?? ___ WWeeeekkllyy ___ MMoonntthlyy J-- ___ Quarterly X1_f sSoemmii--AAnnnnuuaalllyy X/K( AAannnuuaallllyy ___ BBii-AAnnnnuualalllyy ___ OOtthheerr ((pplleeaassee speci): --ie specify):------------------------ 55.. HHoowwmmuucchh ffooaammsis uusseedd ppeerr ttrraainniinngg aevveerntt?? _X_ tLeesssstthhaannS5ggaallloonnss ____ S5ggaallloonnss --______ S5ttoo1100ggaallloonnss ___ MMoorree tthhaann 1100 ggaallloonnss ((plleeaassee ssppeecciiyf)y:): -- - - - - - - - - - - - - - - - - - - 66.. IInnatrianiinningg,, wwhheerreeddoocesstthheessppeennttffooaamm ggoo?? ___ SSttoorrmm SSoevweerr __ `SSaanniittaarryy SSeewweerr __ OOnn-SStitee SSeeppttiicc _2X_{_ Ggrroouunndd ___ Other Other ((pslleoaasseo desorboy d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 77.. WWinhfheoerrrmeeatddiooocenssif/dodriicddurtthrheeentrrtaaaiinnniidnnggpattasaktkeerappillanaiccneeg?? aPPrleleeaasa.ssee iinncclluuddee aaddddrreessss,, iInntetrseerctsioencootrooiftohrenr ssppeeccififiicc llooccaattiioonn FREDPT PANG information for current and past FtQ...Dv>r- .flA-BV.:,IlG twr(aOinrFing Li areas. Wt-n:t inII"\. -T.nHJEL C_C1i.T:rYi OorF- UUIN\OQ&IQRwWoOaU.DD Xinogen ST Tce Cra Farka Sue 1_60 SC PR 55136 eUSrK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Prone: 631.635/.85009.48779.7411" Fok: 851.636.9473mAuRs liARRYOm.. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.delta~nv.com 22222222..00990088 SSTTAATTEE__0022882211886655 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. oWWhshasatotntysyppsoe(a(ss)d) aannndrbbarsainrndg(saf)ooafnfpffpoo)iaamcmaaatrreeeyoorPrwiworeareseouuhsseeecddnknooawwhaannlddi9inn pthhee past past by the by the Deparment, Department, bol both orfor refire response and in training (if applicable)? Please check all that apply. Goin Si =2 Yo do]s TypeofFoam Bandof Foam YTTUUoroasmsnienoiadinrinigNgnn??o AAAmUmUmossouueeudndnltt CCHuuirrsreteennittcUUUssseeeoorrr CCFlolaarssmTssiyn8pgeAAFqqoouuafeemFooouu(assRmFFFFiilFmm)-- | Brand of Foam Yes or No Annually Historic Use? ~~ Forming Foam (AFFF) ReCstlar8ats(oRnsaAlFF Class B Alcohol- CassePoon Resistant (AR)-AFFF Class 8 Protein CI)lBFaurosproston Class 8 Fluoroprotein _-- ClCF(FaulaPasos)rso88priFoillmmom-FF(ooFmrFmiFRnin)gg ------------------------ ---------- -------- ---------- cesses Fluoroprotein (FFFP) CCCElxllaaapsssasssnsAA8i-aoBAnRHHF-iiFoFaFmP 0 rr Expansion Foam Class A SILV -~)C I0-JG'-&91.-_ ____:_1_ _ TTrraaiinniinngg FFooaamm - other - Other ooTTormhrhaanrntrnoookkadcyryknoioiiunnungggff@@eoodrrrde@yyelsooliiutuaacrrettntenyiimv.no.eccsooaammnn))dd)oocicorooooJmpipemurearhSStaailttioovooneccn.kk.aiinnnPPgyglleeeGerauaaasetseshtihccooeoonnnMMtstaanicfncetotnsgeNNcasaarotnndtacacnyygPPRRIooooluluddltniiCaoinnUnnggEaCCSaoHotnOnDDvMtroelAollNtlaaSAAC.gCgoeeonnnnsccsuyyultl((taa6nn53tt1ss5-2((6196575-1-188--36666096096767o--7o55f1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaassee rreettuurrnn tisthis aauusesstitoionnnaniaeirettoo DataConsultants Delta Consultants by bv May,2008 Mav 9. 2008 Iin ththe onclosed enclosed stamped stamoed. sl:self- `addddrreesssseeddeennvveellope.. QQueuessttoiomnaniariree ccoommppeletteeddbbyy:: _FBameevanedsToposer owee Name and Title Fire DNepaOrmeLnt O (IRE BERT Fire Department Phon2o Nu1rb8er 82E6B blob Phone Number OYe-2-0% Date ElbAlddhryessseth prrel. com E-Mail Address Xinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00909 STSATATTEE0_206282211886666 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Does ye Depart enya ha yx Dnprmont holy sed Gs Ace Gls fosfo 1. Does your Department currently or has your Department historically used Class A or Class B foams for frctitaatie firefighting operations? "X'.- YYeess-- PProrceeodttoco QQueueesstetiioodnn22 No Sig th back of hi om and eur 0 DlConsults No -Sign the back of this form and return to Delta Consultants 2 RA A E oY 2. How often is Class B or Class A foam used in response to fire calls? cma XK smaveaties 7100s ___ 0-25% of fires 'f..- 25-50% of fires ___ 75-100% of fires 5. Docs ha Deprimat have compress a fam ssa (GAFS) ith a lina o's enn? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? % veYes Te ___ No 4 SSS 4. How often is foam used in training exercises? esr went Gurety ___ Weekly SE Somvarmunty oy sy ~ Semi-Annually Monthly ___ Annually ___ Quarterly ___ Bi-Annually ee eee ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. How foumi uso po ang oven? 5. How much foam is used per training event? YC Los om eons soutoms shes 'f.-. Less than 5 gallons 5 gallons ___ 5 to 10 gallons Moro thn 0galons sees ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. ntarin, whore ons he spont5a? 6. In training, where does the spent foam go? Smo Sway Ser __ On teSept --_-- )S.. Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over (poms dormer = Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. Wit pain srs ace saat srs, rsonor he spe rion 7. Where does/did the training take place? Please include address, intersection or other specific location priitie6ritWpeisbtEompihrei CD poala my We6 information for current and pas!_!.~Jlining areas. l ta~k-tL ------ XKIinnoogg~enn , ., ELITE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..009910 [p-- STATE_02821867 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg WTheastpy0onuatn)dandabnan1oca5ef5s)CaIroorrwPeraseucsheodcknoaof ont 9n hBi pasyt Daparnnt, bh for re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TTyyppeeooffFFooaamm Class 8 Aqueous Fim Class B Aqueous FilmForFmoami(FnFDg) |---------------- Forming Foam (AFFF) Class coho :bass B AlcoholReva (RAFF | Resistant (AR)-AFFF cesepoon Class B Protein Clase Fuooproten Class B Fluoroprotein Eo) TEE (FP) Class FimFoming Class B Film-Forming Pcoproon (Fp) Fluoroprotein (FFFP) Cosparser Class B AR-FFFP BBrraannddooffFFooaamm TUasmednignr Used in Training? YYeessoorrNNo o AmUosuednt Amount Used AnAnnunaulalllyy CumentUseor Current Use or HiHsitsotorriiccUUssee?? -------- -------- ---------- -------- --_-- Lage A S-fogll Cosh - Class A Trang Foam --_-- Training Foam oer - Other Thankyou or your ti and cooperation. Please contact Nancy Ring at Dota Consulta (651-637-152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or rodnna@oaomicam orm Stinger at os Minhesla POR Corl Agency (651-307 3686 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or i sockiger sate us) 104 ave any GLOSS rogaing is GuoStonnate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ploasereturn ts cusstionnarfeo Delt ConsultantsbyMay 6 2008 i the closed siampad._sst E!~.!!!l retyrn__this auestio_nnaire to Delta Consultants bv Mav 9. 2008 in thE> enr.lo<>erl st::,mn~d. splf- adadddrreesssseeddeennvveellooppee.. Questor campeag by Say Bagaoustoss Questionnaire completed by: .~.-aJ.{ A--r1 Q(:Jcl.U~$1'~-u,._.:,:.:~;.-_:;, Nama and Tie Name and Title Fire ~~~~- 111 - Cfh1,i'ec_ik!- FreFire CDoeppaarritmmaenntt Upsala PPhhoonnee Name Number 320-573-4l0( 5Da-te12.08 Date E-Mail Ee Address HwXoIngoegnfnr' ,, Phone: Phone: 651.639.94455910 651.639.9449 1I 800.473.7411Fak: Rice Creek Parkway 800.477.7411 Fax : $51.639.9475 Suite 100 St. 651.639.9473 wav. Paul, www daliasnv. com MN 55126 USA deltaenv.com 222222..091111 sSTTaArTeE__00z2682211886688 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Doss your Department csrntoyr hs your Deparment historical us ClAaorsClass Bfoams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for fron cpersbons? firefighting operations? OXrv _.:::V':___YYeess--PPrroocceeeeddttoo QQuueessttiioonn 22. No. Sign the baofcthkis form and tum 0Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. Howl is GlaBsos CaAsfosam us in respons oe cal? 2. How often is Class B or Class A foam used in response to fire calls? ___ 00-2255%%ooff rfireess ___ 2255.-5500%%ooff frireess [0X)( 7755--11000%%ooffffrireess 3. Doss the Department Have a compprreesssseedd aiair ffooaamm ssyysstteamm ((CCAAFFSS)) wihwith a a but built-in taktank on on 5its ongn(s)? engine(s)? com 3. Does the Department have a ___ Yveess XfX oNo 4. Howtonisfoam used in trang xorcises? 4. How often is foam used in training exercises? esky Cay _ouneny Weekly Monthly ___ Quarterly Semi-Annual 2X oraty T einomany Semi-Annually ()( Annually Bi-Annually Other ease speci: Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam suse por raining oven? 5. How much foam is used per training event? Loss than' galons 5gatons S010 atone Q< Less than 5 gallons 5 gallons 5 to 10 gallons Moro than 10gaons (ease spec) More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Intaiing, In training, where where dosdoes ththe spat spent ffooaamm ggoo?? 6. TT LX()( ovepeme Ssttoorrmm SSeewwere.r c_ me_ne`SSaanniittaarryy SSeewweerr __ OOnn--SSiittee SSeeppttiicc __XDG(_r_oGurnoudn,d -~____,_ Other (please describe): . . , . . . . - - - - - . , . - - - . . , - - - - - - - - - - - - - - - - - - 7. Wnhoerrmdanofoar ctuhraeirainngpatsatkerpaianceg?aPrleeaasse include adress, nters"eocrtihoen sec location S45 5 Me 5ST) Inogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.00912 STSTAATTEE0_206282211886699 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WTWehhsaaptot nttytyppeeea((ssn))daainnnddvbbarsanrnndga(sf)aonopfpdffiooca)aammbiaaerr)ee?oorPrveweaersreee uucssheeeddcknnooaww 1aann1d 9nin9teh.e psby tthe past by the Deparment, Department, otboth orfor refire response and in training (if applicable)? Please check all that apply. TUUrssieenddiginn? AAmmUosoeuudnntt CumentUseor TyTpypeeooff FFooaamm BrBarannddooffFFooaamm YYTereassinooirrnNNg?oo AAnnUnnusuaealdlllyy HCiHusitrsroteornriitccUUUssseeeo??r no CClaslsBBaAAqqusueeoosuuss FFiilimm-- 3=V) VI <<SSyCa!cltl ~bb+YY)o FFoorrmmiinngg FFooaamm ((AAFFFFFF)) CRoslat8oaAc(soRnoyslA.FFF Class B Alcohol- RSEp \1 carb FS Resistant (AR)-AFFF Class CIl)ass Class BB B Furoproien Protein Fluoroprotein mm iret rrr FCu(ClFrlaaPoss)pssrB8oFFliimelm-nF-F(oouFrmFmiFinn)gg ~~ ------------------ CussmARFEP Fluoroprotein (FFFP) GpaasnsrioonmFoam Class B AR-FFFP Class A-B Hi --_-- $\-Ue~J~~! Class A Expansion Foam Sites[oma SntSSehBeobb a TCrlaaisnsinAg Fo- am - I C oer Training Foam cee seer se---- Other oTTrhhoaandnkrkyioyunofgfoou@rr dyyooeuulrr titimaeenaann.ddcoccroooomoIppm)eerraSattitiooonn..ckPPlileenaaasgsetehccreoonnMttiaacmctet sNNcaantnccayy.PRRoooldudnoiinnngCoaantttDDraeotlltaaAgCCeoonnncssuyull(taa6nnt5tss1-((626559117---66099767--60550115522 stocking @sat rs) You or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you have any questions regarding is Ques, Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or aPPldlaaenrasossecmroetdtuaunrnvtetliho;sspecm.u~ustninnsn:t;~iirlo'!tntoon!1a1t5t'/it.sa Consultbsy CC>nsu!t<Jnts .l:w br M::w 9. 2008 2008 iin theenclosedstamped the enc!o~ed stamped. sot. se!f addressed envelope. QQuueessttioonmnaariree ccoommpplleetteed bbyy:: FameManad tite Saher = Fire Echniean Name and Title FeaUDenpsanrmaeints Heights Five. Deh. Fire Department Phone umb5e1r50m- for Phone Number 4doFwees Date EatwAmdress vvisciabyvt advahisheaigchts com E-Mail Address XXIinnoogg~enn' '"" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00913 STSATTAETE0_208282211887700 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. 1. frDDeoohesoshyyioonuugrr aDDpeeeppraaarritmmoenensnt?t curently currently o hasyous or has your Department Department isoricat used historically used CClasls AaoorrsGCalasssss Bffooaammssffoorr \__ firefightin~ oYpeersat-ioPns?rotocQeuesetiodn2 "}., No Sign tho backof this form Yes- Proceed to Question 2 Sign the back of this form and and rreteurntttuooDDroelnltia CCoonnssuultltaannttss _ _ _ No - combos seaman X_ retomeaes 2. HowoflenisClass Bor ins Afoamused nresponsefofrecalls? 2. How often is Class B or Class A foam used in response to fire calls? ___ 0-25% of fires ___ 25-50% of fires 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntthhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwithiaabut biulitlht--iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves ___ Yes X_ to )( No \ 4. Howoften is foam used in rang exercises? 4. How often is foam used in training exercises? Never Weekly Wontly Quarry ___ Never ___ Weekly ___ Monthly ___ Quarterly Samay Anaty BrAmualy ___ Semi-Annually Annually ___ Bi-Annually XC ter (ease speci yery_carel X Other (please specify): -~,o\JIC.l.p.r..:..rJ&t-J.r_"'..,_r..:~:..:l7a1 f------------------- 5. HoweRE foeanviseusnesdpoor ranring oven? Sgatons $1010galons ~ 5. How much foam is used per training event? Less than 5 gallons ___ 5 gallons _ _ _ 5to 10 gallons Moro han 10galons lessespecty ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. ning, where doo he spot oan go" stom Sewer SantarySewer 6. In training, where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer ____ _OnOSnt-SeitSe eSpepttcic ___X}(__GGrroouunndd thor (poaso describe) _ ___ Other (please describe):---------------------- 77.. WWfhohroemrraeetdidoooenesso/drridetthnhetitraiainninngaatsaktkeerappiilanacicneeg?? rPPoeleaaa.ssee cdo include adress address, iinntetrseerctsioenocoftraoibtoheenrr speci specific llooccaattioonn Jari 6 information for \jctf:.ec.,- drat fakes place current and past training areas. orc,,"'-t~'(j i-0lceS el~(e {ihnu\)aCrW'o,r'Ds"-tS-ofowwin/JsS~hIfi'5p''s1r locations XKinogen OOVVEERR---+ orene: 651.63S9.T510C30908r7e3 TAT TE Fak:ESOR 830T90) OWS hpat, a5a5136tUK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www de!taenv com 22222..00991144 STSATTAETE0_208228211887711 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. What yes) and branodf fsoa)m areowere used now and inth past b the Degarimers, both for fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire essonse and i ain (fappcable? Passe creck a nt 9p response and in training (if applicable)? Please check all that apply. TrUasiendiinng? AmUosuednt Currently Historically T T:Jl!;y !eoofp fFFooe aamm BBrraannddooffFFooaamm Cl8aAquseosus Class B Aqueous Fimpomnofom Aosulre Nes pel yoo es Film-Forming Foam ((AAFFFFFF)) Ll""s~.~~l--r-e. Class B Aco ReCRsleaisss<its:ataBnntAt (l(cAAoRRh))o:-l-~~ NVO lbnNE REAFFF Casopoen one ___ ___ Class B Protein lOO!Ci cassn none. Class B Fuaoopeoton (FP) _-- Fluoroprotein (FP) in On Gl8aFsims- Class B FilmForming nne Forming Fuoapraein -- Fluoroprotein Fe (FFFP) Cassarsre Aone Class B AR-FFFP \'\6ne... V\0\r\E':..- Used in Training? YYeessoorr NNoo \{-e7 Amount Used AAnnnnuuaalii:lJyl :2[7 61 ( Currently UUsseedd?? yes Historically UUsseedd?? ye.S -- -- ---- CClalassss AA--BB HHii Eoansonfoom Expansion Foam Class A Class A oer `TTrraaiinniinngg FFooaamm Other --hho--oVn--1ee--_ ---- AAV)n~c.-tg2 es - JE.V.JD.L'Ie_ vv-e--ess-- HoLofogP--a1l/ y--e--s y--e--s \le$ yes I -- --_-- -- ToTrhhaarnnkkyyooouu ffoonrr yyoouaugrraltiimmeecoaamnn)dd occooodoppemerarSatoitioconkn.i.ngPPolleeraaasseethccoonnMttaiacnctnteNNsaaonntcacyyPRRooldlniainngaCnaottDrDrlgaellataAgCCeoonnncssyutlat(an6nt5tss13((968755116-.666900767--o55r115522 im stockingor@siat nu) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if 00Jim you have any Questions regaring 1 Quesiannare. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Please Please rotu return this this aquuesetisontnoairne nttooaDDeielltnta CCoonnsstualtnatntsbbyyJJuunnee 66., 22000088 iinn tthhee eenncclloosseedd ssttaammppeedd,, sl:self- aaddddrreesssseeddeennvveellooppee.. QQueusetsitoionnnaniarireeccoommplpeletteeddbbyy:: FajmK.(eaEw\a>n1d11T)ZiLli,ttLz.co:>wwlv =-EC~oaVgglti'"ns"'-e-eee?rr Name and Title FiDCcrepO0aHrit-+maV-n\te).eg'kee<s> ~ Fire Department Ph2o1neg-Nu3m4be2r-2444 EVvearpnaoodefsice @ bevy oat E-Mai Address Goite2%/of Date .J.XX~.:i:.: Inn: .oo:.Jgg: :Leif"nn" ''"""--""''-----------;:T-r:o::n-e-:::-6::3--1::.-:6--2--0T5::9.:T1-9-01:4-C-R80:0i:Ec5:0e-.-4C-C:3rr-e7-e-ee-k5-,1PP;:1a:-rrk-:wF-yocak,y:---SS,$;3u-1e:it:e6:-;1T;O30--a0--S:uS::t-.:tm-P-o:a,:mu-l-m,-;aM--Na-;m:55~a53=11t_32_u66_on_UUn_SmStAA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00915 STSTAATTEE0_202882211887722 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg ----X- 1. 1. fDDroofsegsshyyioonuugrroDDpeeeprpaaatrrtimmoenensnt?t curentlyo currently o r has has your your Department Department hhisitorsicatllyuousseerddCiCllaacssssaAAolorr CGalassss BB ffooaammss ffoorr X__ firefighting ovpeersati-opns?rotcoQueesteiodn2 -- _ _ _ No- Sign the baocfthkis form Yes- Proceed to Question 2 No- Sign the back of this form aanndd rreettuurmn ttoo DDaetltaa CCoonnssuullttaannttss 2. 2. How How oftenfs Gasser often is Gja 13-or CClalssAAaffoosaamm uusseedd iinn rreessppoonnssee ttooffriree ccaalllss?? !! _X?\_ 00-225%%ooffffrireess 5__5_025-5%0% of ffiirreess _____7s7150-100%0o%f offifrireess 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprpreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithhaa bbuuiilltt-iinnttaarnikoonn sits eennggiinnee((ss))?? ___ YYeess %X, _NNo 4. How often is foam usedin raining exercises? 4. How often is foam used in training exercises? Weekly Wonty Quarey ___ Weekly Monthly ___ Quarterly Sem Annually Anvualy Banal XC oer (pease speciy;_Olrce evens 2Hgees ___ Semi-Annually ___ Annually ___ Bi-Annually Other (please specify): __,O::......:...Vi..:....ll-=-"C:...~-=~=-=...=._-::..v----'2.=---L(......__---tl'--4?-~_...:::...__ _ _ _ __ 55.. HHooww mmuucchhffooaamm iisuusseeddppeerr trraaiinniinngg eevveenntt?? _)X\_ tLeessssithnaannS5ggaallloonnss __ S5ggaallloonnss ___ MMoroeretthhaann 1100 ggaalllloonnss((lpeleaasseessppeecciifyy):: ___ swig 5 to 10 gallons _ 66.. IInn ining, training, wwhhoerree ddooeess tthhee ssppeenntt ffooaamm go? go? ___ SSttoorrmm SSeewweerr ____ _ SSaannkitaarryy SSeewweerr _ _ Oonn-sStitee Soptc_X_ Septic ____(:__ GGrroouunndd ___ OOtthheerr ((pplleeaassee d desce ribes): c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Were doesidd th raining ake place? Please include acres, intersectioofn ther soci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location informatifonr caanrdpaes nniXn-g areas. Stade Heo Re tah TTuctf of Shetibung ibd ,;.j. /0 q H information for current and past training areas. "lf( 5t~ t.--- ~ V'-''-'-~ {,_.) i.J S/c~- ti~ ~~-n~~ee-~a-.~--fF-o 7~~~r-.o1~n-(.2~-0~--~---.~~.-~~~~------~---'-~'--~~~'--~--~-.l~~-'-~ dct of Heyl & 167 K SrlowzCold 26 justucst of NW. IMdsinoo fO Hwogew none: 651.639.91480050.3377111 Fak: 551 639.9473 ms deliasne.cam 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00991166 STSTAATTEE0_208282211887733 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. rWWehshapatot nttysyppeee(s(ssn))daannaddibbnriarnndag(s(n1) ood2ffpffspoohaa)cmmaabaerr)e?oorPrwlweeearrseee uuhsseeeccdkrnaoolwwl ahaanndd ainphthyee past past b b y hethe Depart, Department, both both orfor refire response and in training (if applicable)? Please check all that apply. TrUUassieenddiininng? AAmmUosoeuudnntt CuentUseor Training? Used Current Use or CCFlolaarTssmTssiyyn8pBgpAeeAFoqqoofuaufeFmFoeoou(asoAmFFFuiiFlmms)- BBrarannddooff Fooaamm YYeessoorr NNoo AnAnnunaulalllyy HiHsitsotorriiccUUssee?? ee CRCFoloarlsmssBisnBagaAAcFlso(ochoaRohmLsloA.l(-ARFEFF) CossBPown Resistant (AR)-AFFF G=la)sClas Clas s s 8B B Foroprotein Protein Fluoroprotein eee. et sn. een FuC(CFloaPsp)lso8BFlFiaoillmnm-sFF(oorFrmmspiin)ngg ---- a casseaReFR Fluoroprotein (FFFP) Class B AR-FFFP CEapsssAonBHFoam Class A-B Hi CExapsasnhsion Foam Brser Siw -ix Y tees MunnCucnnent TCrlaaisnsinAg Foam - oer Training Foam - Other TiooTrrmhhanwasnraitokoddcyynnkooiinugung@ffg@oeodrrde@yyesoolluituaararteetienimmvemc.ecouoaammnns)dd) )ooccrorooydoJpoipemmurearhiStaiotvtioocoenckn.ki.ainnnyPgPgdleleeeurraaeaasssteetLMthhccoeooninnMtstaanicgnctant eerNNsdaaosnintcnacygyPPRRooololelcuudrsLtniiootinnnnoggaCCnaonot nDDaitreerloletlaAaA.gCCgeoeonnnncscsyyuull((ta6t8n65a1t1ns--42((9695757116--8-666696967676--1o551r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerreettuurrnnththiiss qquueessttiioonnnnaaiirreettooDDeeltltaa CCoonsnuslutaltnatnsts bbyyMMaayv99,, 22000088iinntthhee eenncclloosseeddssttaammpoeedd,.sseellff:aaddddrreesssseeddeennvveellope.. Questonnarecompeted by: Questionnaire completed by: Steven LLoorr2.a... cull s.Tt3VJ.?N' Namaand Tie Name and Title FreDeparmelJnte g. h"ll I/ eN 2% 242 Fire Department 7017 &----7 Sse PPhhoonnee NNoummbbeerr Tate Ulchief@localuet com Foe wee oy Ths FE-aMaiil AAddddrreessss X:;,::,.._nIno_o~g...,~n"" ""'"'=--------.tJ-/_s-=7:-:::/\D-:S~-7ru~;l-..:-r:vho:v;--:ze-.~.i_-y:,e::_d-/----,oo-r(-'-=p"nr'\._p-L;'ri4-'~s-_s/_se_de-_=-d.,.,.oo-"pj"VLn.-:":-f':::t-:--I-o~-::-r:ff-rv2o_--:::f-_Ir-;;d-~m-J--;tee-;-e,."'>dA.-:i;--v;:;~~~-R~k_pf._s~r?so, t: .... ..... ..z.C 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00917 STSTAATTEE0_208282211887744 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. rDDeooteegss hyyuoonuurgr DDoepeppuaasrritmmoeemnnt?t cutenty currently o r has has youyour Deparment Department atarcaly historically used used Glass Class AofClas A or Class B foamfsor foams for f i r e f i g h R_ting X o Vos- perationPsr?oceed to Questio2n NoYes -iPgrnocteheedbtoaQoufcetshtkiiosnf2orm and return t Delta Consultants No- Sign the back of this form and return to Delta Consultants 2. Howe's Cass Bor ClAafsoasm used in response to fro cals? _X_ ooswoffres ___2sSooffres ___75100%offres 2. How often is Class B or Class A foam used in response to fire calls? --'-"''----- 0-25% of fires _ _ _ 25-50% of fires _ _ _ 75-100% of fires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa bbuuiilltt--iinn ttaannkk oonn iittss eennggiinnee((ss))?? ves ___ Yes X woNo 4. Howofenis foam used in raining cxeroses? 4. How often is foam used in training exercises? Weekly Monty Quarter ___ Weekly Sembnnualy X_ sovualy ohAnnualy ___ Semi-Annually 'f. Monthly Annually _ _ _ Quarterly ___ Bi-Annually Overseer ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch founi sed er aking event? 5. How much foam is used per training event? +{-L--ess hans gators Salons Sta 0gators Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mocothan 10 gals (emsespecty More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. ntaiing hee docs the spent foam go? 6. In training, where does the spent foam go? CX stom Sever ___ Santary Sower onsieSepic gf Gro _X!_L__ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _Jt;__ Ground Or (pasedescrbe) _ ___ Other (please describe):---------------------- 7. Wher dosid th vain ake place? Pleas includ adres, inersectonor oh spec locaton 7. Where does/did the training take place? Please include address, intersection or other specific location farm for cent an Jaggi ress. _ Boson inform~on for /)0W0 dh = cur.rent and )!., r 2 AdIc{_ P,~raining areas. r i',b, n. Vv~errrdJ~e. tmtvan)l Ninogen _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Tone 651.679.9045 18307.1013F7ak 691839.9471 Was.deliaRRY.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.de!taenv com 22222..00991188 SstTaArTeE__0022882211887755 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WrWehhsapatot nttysyppeee(a(ssn))daainnnddaibbnrarinnadg(ns()1doopfifpffiosoaca)mamatarire)eo?orPrwlweeerareseeuucssheeeddcknnoolwwhaaanntdd 3iinppthyhe.e ppaasstt bbyy tthheo DDaeppaarritmmeenntt,, bboathh frfor ffirreo response and in training (if applicable)? Please check all that apply. TUrUassiedndiininng? AAmUmosoeuudnntt GumontUseor TyTyppeeooffFFooaamm BBrraannddooff FFooaamm YesorMo Training? Yes or No Annually Used Annually HistorieUse? Current Use or Historic Use? GCFlolaarssmssinBBgAAFqoquaeumoeu(soFFFFiuiFnlms)-- ReCCFsolliarassmtssian8sBngtAAFl(oclAoaoRhmo}tlA(-AFFFFFF) --_-- -- CRleassissta8nPtr(oAtRei)n-AFFF ee. en---- -- Class C)lass Class 8B B Fluoroproiein Protein Fluoroprotein EE (CCFFlilaPasssr)ssopB8rFoFtiialmmin-FFo(oFrrFmmFiiPnn)gg CasseARFRFR Fluoroprotein (FFFP) cCCapllaasasssssnsAaBo-AsBnRifH-ioFFaFnP ~~------ Cass Expansion Foam Freee fe [ops Curtis TCrlaaisnsinAg Foam - Cc Or Training Foam e-- -------- Other o"ioTrTrmhharnasornntokdkodncyynikooininuugngfgo@@oedrrred@yylesooiltutuaaarreetttnenimnyvmo.eccooaammnns)dd)oofccroro)oJooJpipuemerarhSSatatittiovoaonecnc.k.kainiyPPgnlleegeuraaaeasssteettthcchooeaonnnsMMttiafaicnnoctnntgeeNNassaraooninttcaacnyygPPRRtooholliloudsatniGodoinnungreaCCasotionttDntDnotrereomollgltlSaaAAegCCgaoeonnnncsscyuyall(t(a6a3n5n6t1ts1-2-((6962575911-78---66609606776o--65o56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. aPcPlaleeraaessseeserreedtteuurnrnnvtetilhsoispeqqu.ueessttiioonnnnaaiirreettooDDeeltltaaCCoonnssuultlatntasn)t~.s'b:ly..MM~a'Ly.99.,,__22_0Q0Q8I}i!nTJt.Jh!eJ~eennccl[oqsseeddssttaammpoeedd..sseellff:- addressed envelope. QQuueessttioonnnnaarireccoommplpeletteedd bbyy:: FafBm2eonanr.dlt1Tite Name and Title FreJoDtonpadrliemloert Fire Department iy ,_,La , y 7 Eres Leica Ttuining Ober Dut Ph2on1e N8um-ber4- S4C5o bukniser a 2icable. eo EMail Addons 22GB8ato fn] OB Date Xinogen: Prone: 651.630S.T9/0R845o0Cr43e3 F4p11rFyak: S$9T103T9 O94S)MdtbbLESAEaAUS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222.00091199 SSTTAATTEE__0022882211887766 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 1. Dou rr Dpeer cen a yrDprimr ral iadCl eC fs 1. Does your Department currently or has your Department historically used Class A or Class B foams for brrtibnant firefighting operations? Vo Possodto Question ___ Yes- Proceed to Question 2 KC No Sanh fifo and ta to bot Constants X No - Sign the back of this form and return to Delta Consultants 2 Howton Cs 0 Gos Af sed sgn fe cl? 2. How often is Class B or Class A foam used in response to fire calls? orm ssonatins svete ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. Don bo opr ave cms i fon tr (CAFS) lito nts ge? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes toNo 4 Hofomeotnitg s cis? 4. How often is foam used in training exercises? Te Vey wrt cy ___ Never ___ Weekly ___ Monthly ___ Quarterly TT semiseniy sony ny ___ Semi-Annually ___ Annually ___ Bi-Annually er Gann och _..:....__ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmeh aun spor ng ovr? 5. How much foam is used per training event? evansomors gars ry. ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mee an 1 gles lr sc . ___ More than 10 gallons (please specify): _________________ . Inrain or hs pest came? 6. In training, where does the spent foam go? mov arySon__onsinsorie crn ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Tonto TT Other (please describe):---------------------- 7. Win dnb inn scene con abs, asain ott cht "1. Where does/did the training take place? Please include address, intersection or other specific location a egwon information for current and past training areas. Kinogen OOVVEERR---+ --ET TS LL 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00992200 stare oasaierr STATE_02821877 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. Whats) and bran) of foam ar were usednwand in th pst by he pian, both or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesporas rd ir Tang ( spcabY" Please check ah hat apy. response and in training (if applicable)? Please check all that apply. TUrasiendiinng? AUmsaeudnt Currently Historically TTyyppeeooffFFooaamm ClBaAsas Class B Aqueous Flrommgrom --o_o Film-Forming Foam piss (AFFF) Cl8oAasne Class B A!coho!Reser, -- Resistant (AR)AEAFFF Cossgpoon -- Class B Protein cass Class B Foopaan (fp) ------------ ---- ---- ---- ---- Fluoroprotein (FP) Class Fim: Class B FilmForming Forming mp | ---- -- ---- ---- Fluoroprotein ren (FFFP) Cassave Class B AR-FFFP Coss BH Class A-B Hi Comsonfoan ---------- ---- ---- -- ---- Expansion Foam Class - Class A Tomngfam o_o Training Foam Or - -- _-- __-- Other BBrraannddooffFFooaamm Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallllyy Currently UUsseedd?? Historically UUsseedd?? `Thank yo fo your the and cooperation. Please contact Nancy Rodinag Dla Cosalnts (151.097.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or adh@dakaene cam) on Slockinger i he Mimesot Plton ContaAgen (651-507-0608 or or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Sock Gates) You hav ang aueSions rogrdng hs quesromate jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please rourn tis questionnaieto Dlt Consultants by June 6, 2008 nth enclosed stamped, sl. Please return this questionnaire to Delta Consultants by June 6, 2008 in the enclosed stamped. self- `aaddddrreesssseeddeennvveellooppee.. Guestonnarecompleted Questionnaire completed by: ima iris Name and Title FiVe/DeKprionn g Sire , DDee~p:>t.f. Fire Departm t (Reyrberazdeys-- os /29/s> Eta Adress we hl QL [kFe/ com E-Mail Address XXiInnooggfenn" .. , N 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA vanes 31.039.5005 Bor TL Tek: SETS man Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..092211 stare_02821878 STATE_02821878 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. DfDorooests yhyoiounurgr DDpeeeprpaaartrttommneesnn?tt carrorohtas currently or has your your Departmen Department histrcal historically sedused Clas Ac Class A or Class Class foams B foams orfor No-Signthebaocf tkhis form _X_ Yes- Proceed firefighting operations? X Yes- Proceed ttoo QQuueessttiioonn 22 and rattouDenta Consulants _ _ _ No - Sign the back of this form and return to Delta Consultants 2. Howoftn i Gass or GaAsfosam used n rospo0nsre alk? 2. How often is Class B or Class A foam used in response to fire calls? 02st otros X_z5s0%ot ees 75:1o0f0re%s ___ 0-25% of fires >( 25-50% of fires _ _ _ 75-100% of fires 3. DDoosess tthhee DDoeppaarritmmeenntt avehave aa ccoommpprreesssseedd air ffooaamm stom system ((CCAAFFSS)) wwiiththaa bun built-inttaannkkoonnists eennggiinnee((ss))?? 3. Yveess -- '-/._ No 4. Howoften is foam used n ring exercises? 4. How often is foam used in training exercises? at K_Nover Weekly Wary cue rW.oOo we/, somiaomaty Annuity BkAnnually \ \\ft.. Bt oven t~:-V-f&~ Never Weekly Monthly _ _ _ Quarterly ___ Semi-Annually Annually ___ Bi-Annually Other (please . spec1fy): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam s used poring evi? 5. How much foam is used per training event? lesstnSoalons ___ Salons 51010 ators Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Mero han 10 gallons (easespeci): - ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. In riing whero docs tho spent foam go? 6. In training, where does the spent foam go? Storm Sewer __ Sankary Sever onsite sopic Gouna ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Othe lease describe): teen ___ Other (please describe):----------------------- 7. Wh:eredosidid to sing tako pace? leas include adres, nerscottohenr speciclacaon 7. Where does/did the training take place? Please include address, intersection or other specific location norman for cute 37 pat Fang aces information for current and past training areas. Xinogen O OV VE ER R~-- roe eo SEE TS Ce 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00902222 SSTTAATETE0_208282211887799 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 Whatyet) and branes fo ar wor sed andi he pat te Doparim,bl for 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire eons vag omy oes roto ho response and in training (if applicable)? Please check all that apply. r Usedin t Amount -- `TTyyppeeooffFFooaamm GasAes Class B Aqueous Bromma o_o Film-Forming Foam fe (AFFF) -- Class B Alcoholoe Resistant (AR)hoAFFF CmsbPoen Class B Protein Gust Class B FFlluuoorroopprrootteeiinn ((FFPP)) GussoFin- Class B FilmEn Forming Frrggoton -- Fluoroprotein fs (FFFP) CmsemREe Class B AR-FFFP cusnsi - Sad) Bad Class A-B Hi Eoprionfoam Bosal Glewiea ph Expansion Foam Case ~__ ZT _ = Class A Tanta Training Foam over _ = = = = Other BBrraannddooffFFooaamm Used in Training? YYeessorr Noo Amount Used AAnnnnuuaalllly Currently Ussed?? Historically UUssed? To Trango for your tne ad oration. Plas ona Nar Ring a Dea orslns (61667-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Plo ifs mitlaeriof win Ue Aoi bodentritea a4 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rena vote os Fo ons ay esi orang ares jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas eu his questiontnoaDirte Gongutnts by Ju6,208 inthe anosstamped, sl. Please return this questionnaire to Delta Consultants bv June 6, 2008 in the enclosed stamped, selfSirsa addressed envelope. Quesipmate comple Ques7tinnaire completed by: h~aag~ SG<>l-+f'onn~r::;y Fntlak Name and Ti FraDe{p!a-rjm/aen.utzl !fre T ReSUt-eFire Department ASS J_;2<_0C-)., S.&5'JY'rf--- 18:2~78-75-" Phone Number nb-d 3-0 EL E-Mail Address XIn[Iongofgnen "'" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00923 sare ozs21580 STATE_02821880 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DrDoeostesoshyyuoonuurgroDDpeeeppaaatrrtommneensnt?t ctnty currently or or has has your your Department Department istoricat historically used used Class Class Aor A or Class Class B ffooaammss ffoorr X_ firefighting X opYersatio- nPsr?oceedto Questio2n YNoe.s -SPigroncteheodbtaockQuoeftshtiiosnf2orm and return to Dota Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. Howoften How often is is Gass o Class B or CaAsfosam Class A foam used used nresponse in response ore to fire cals? calls? _ ___ oaswories 0-25% of fires XX_zs2s5-o5n0%ototfifireess ___ 7T55-110000%% ooff ffirreess 3. 3. Does Does the the Department Department have have a a compressed compressed aair foam foam system system ((CCAAFFSS)) wwiiththaa bin built-in arktank oonn iits eennggiinnee(s))?? )X< Yveess wNeo 44.. Howton How often is ffooaamm uusseedd iinn raring training oercises? exercises? ___ WWeeekelklyy _ _ _MoMnotnhtlhlyy ,X)__( QQuuaarrtteerdlyy Semi-Annual soncaty BrAmualy Semi-Annually ___ Annually Bi-Annually thor asso soci Other (please specify): - - - - - - - - - - - - - - - - - - - - - - 55.. HHoowwmmuucchh foam foam sis used used por per raining training even? event? _X_ tLeesssstmhaanns5ogaatlolonnss ____ Soakns 5 gallons _ 5Sttoot10oggaalolonnss Mero than More than 10 10 gallons (lease spect gallons (please specify): ----------------- 66.. IInn riing training, wwhheerree ddoosess tthhee ssppeenntt ffooaamm ggoo?? Other ease dose): I _XY_SSttoorrmm SSeewweerr __ Sa_ niStaanirtayry SSeewweerr O_n_-SOin-tSiete SSeeppttiicc --GGrorouunndd _ _ _ Other (please de~cribe): - - - - - - - - - - - - - - - - - - - - - - - - r: ,. "- ;-/:. ( 7. Wheto does he raining take lace? Please ics adress rseo atter spe acaon 7. Where does/did the training take place? Please include address, intersection or other specific location noFremaetontfohroctute and past ang arses, information for current and past training areas. LE 47 fee 0000000000000 Kinogen SE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9540 1830 4337411 Fok: 451.630.9473winks Aelia nY.om. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00924 sSTTaArTeE__o0z2s82211888811 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8. 8. WrVWehhsaaptot nttysyppeee(a(ssn))daainnddabbriarngda(s(n)oo3lffpffsiooaka)mambaairreee?oorlrveweaersreeeuucssheeedcknnooa ww ahaanndd 3iinnpthh.ee ppaasstt bbyy tthhee DDeeppaarrttmmeennt,, bbootth orfor refire response and in training (if applicable)? Please check all that apply. weotFeam Type of Foam ClBaAquseoeus Fin CFFoolarrsmmsiinnBggAFFqoouaaemmou((sAAFFFFFilFFm))- Brandof Foam Fm Brand 3m o f Foam YTTsUerraessiiendondinrinigNngn?o? Wo Yes or No rJl) AAAnmUUmnosusoeaueulddnnltty HCCiuusrtrroenrntiteuUUsssaeooo?rr A Annually /Vfl _rhazsiie Historic Use? !.-(, 7o c.. HE are!3 n{t"j ClCalassss BB AAllccoohhoollReRseissitstaanntt ((AARR))--AAFFFFFF Class 8Protein - Class B Protein Class 8 Flaoroproten Class B Fluoroprotein IG} ---- (FP) Class 8 Fim-Foming Class B Film-Forming Fuiooprolan (FFP) Fluoroprotein (FFFP) CosBAREFFR Class B AR-FFFP Class ABH Class A-B Hi Expansion Foam Expansion Foam CCllaassss AA Trang Foam - Training Foam oer mt. Other '-5Zo/Yn1 A --Sdvex f tt/r0Je A/1d /,1 n)/;p ~~'rr ' eL. -------- TTT Yes| Laat corre? <r Cc et ee en iooTTfrmhhaannsnnrroitkodoodyncoriunukiginof@ongrrgd@yyeeeoolrtutua@raretcitniamnmvt.eeccsoaamrnnosdd))amoccrorooooJ)IpipmuemerarhSSattaittioovoocnecn.kk.aiinnnPPggyleleeecrraauaasseteesthlhcceooeonnnMtMstaiaicfnnctennt egeNNsasaaoronntitcacanyygPPRRNooolslludtniQiooinoungeaCCaoSdotnDnUDrterooeotlliMtlaaAAeCgCgoeeonnnnncscsyyullat(g(a66nn53tt1s1--2((692857591-178---66669690776--60o556r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaassee rreottuurnn tthhiiss cuestiontnDsaitns oue!>tionnairA tr:- Deft~ Constants Con<::u!t~nts hy.l:>v May0, Mav 9. 2008 2008 iin tho the arctoced enclosed stamped, stamped. solself `aaddddrreesssseeddeennvveellooppee.. cvscng: Questionnaire completed by: NamLRe{lajcned,v.T/ir'leee.- tI l( ;L:;._e_ c,pnpp e~ ~r Chl Name and Title 1 7 Fi2e DepaUriiginie frie 4DipeiTmen Fire Departm PhonI e NuGmber TY 7 7 55-.ASO oBa-e 25-08 Phone Number Date EbvaassoonAdena cel Licginiamnieils E-Mail A d ess X1nogp1 "" onc: 631.6T29.1e89085.04C5r53ee54i15 yFok: TS91e01[80.024S7)MFmoRbatiaSsTmIeItUuSm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00925 STSTAATTEE0_202882211888822 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DrDoaostesos tyyuoonuugrr oDDepepepararartttmmoerensnt?t cureonrthays currently or has your your Department Department strat historically uusseedd Cas Aor Class A or CCllaassssBB ffooaammss orfor Ves firefighting -Procootdo operations? Yes - Proceed to QQuueessttioino2n2 ./' ___ NNoo ign -Sign tthhee bbaacckkooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDoekltaa Consus Consultants 2. How often Class Bor ClaAfsoasm used in respotno sre cals? 2. How often is Class B or Class A foam used in response to fire calls? 2%of res 250% of res 15100 artes ___ 0-25% of fires ___ 25-50% of fires / 75-100% of fires 3. 3. Doos Does ihe the Deparment Department hhaveaaccoomvmpprreesessseedd iair ffooaamm ssyysstteemm ((CCAAFFSS)) wihwith aa btn built-in ttaannkkoonn isits aennggiinnee((ss)?? _ _,v~ YYeess No ___ No 4. How ofenis foam used in ring exercises? 4. How often is foam used in training exercises? week Voit __ ouneny ___ Weekly Monthly ___ Quarterly Som Annuaty /_ hovualy aramuly ___ Semi-Annually / Annually Bi-Annually Other (asespi: SE ___ Other (please specify):----------------------- 5. How much foam is used por aiing vent? 5. How much foam is used per training event? Loss th5gaatonrs sgalons sto 10gatons Less than 5 gallons 5 gallons V' 5 to 10 gallons Mors than 10 galons leasespect): i -- More than 10 gallons (please specify): _________________ 5. ntaiing. wherecos th spent foam ga? 6. In training, where does the spent foam go? _ SomSowsr __SamtaySewer ___ Storm Sewer __ Sanitary Sewer TC overessedosoer --- Other (please describe):_ ___ _OnOSnt-SeitSeeSpepttcic GroGuronundd 7. cWhmortaodonoeoitddCnuetteaiannidngpaaktoilancge? rPelsse.a include adres, interseoctithoenr specie acaion 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. 12555500 _p,A,i~erp<o-r.tf 'R&al1. .; 2?(0D775S ?Rau;uoJ.JdUiJIi;_e_ k~ameJ. Kinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00926 sSTTaArTeE__0022682211888833 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WWrehhsaaptot ntyysppeee(a(ssn))daainnnddabbiriarnnadg(ns()1dooaf(fpffposolaai)mcmabaalree)oroPrwlweaeerarseeecuuhsseeecdknnooawwhaaanntdd 3iinn91tthh.ee past past by by the the Departmen, Department, both both for for fre: fire response and in training (if applicable)? Please check all that apply. Qospraeostin `TTyyppeeooffFFooaamm CCllaassss BB AAqquueeoouuss FFiilmm-- Form!r:g Fcsm {~A.FFF) BrBarannddooffFFooaamm Bugus yes sSodhPT s TrUUassieenddiininng? YYTeerassinooirrnNNg?oo >' es Amount Amount Used Current Uso or AAnnUnnusuaealdlllyy HiCHsuitsrorteorniritccUUUssseeeo??r < < s qell~tJ z? Resta parr CCllaassss BB AAllccoohhooll-- Resistant (AR)-AFFF Class 8 Protein Class B Protein GlassB Fluoroprotain Class B Fluoroprotein 3(FP) Clase 8 Fim-Foming Class B Film-Forming Faooprotem (FFP) Fluoroprotein (FFFP) cassBameFR Class B AR-FFFP Cass AB Hi Class A-B Hi Buon Foam Expansion Foam --HMpuS y~e e_s s =S<<<s_Sq.qelaf<l>/bI..wISs p 4 enEE. ts eeesee men e--s. a -- e_--e ee--e ~ -- ~ -- ---------- -- T= ---- m= _ --= -- CCllaassss AA Trang Foam Training Foam omer Other --Ougas yve es s >Sogals Emer EeeeeEeeeEe == hoTfhawaronidknyyioonuugff@oodroyytooauurernttivim.meecoaamnn)dd occrooooJpipemerarSattitiooocnn.k.inPPgleleeraaassteetcchooennMttaaiccntteNNcaoanincacyyPoRRlooldudtniiinonnggCaaottrDDreaelllttaAagCCeoonnncssuyull(tta6an5nt1ts-((266955711---8666996776--55115522 fim stockinger@state mn us) or nrodning@deltaenv.com) or jim.stockinger@state.mn.us) if YouJim you ave anyQuestions regarding hi questonnare. Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or aPPdl!deeraa.esssees!ce'edo~.ru.elrnr!1vttehhifoeepqqeuu:~essttlioonnnnaairievettc Dots Deft~ Consultants Cor::J:.:!tant:3 bbyv Hay ,11,/la;z ~. 009 2008 ifn the the enclosed ancfoseo stapes, stanipsd. sf~cJf... addressed envelope. J -- Questionnaire completed by: CQNuAorLdeCaaincldLTlIH/e..!n>. SSoote:bslwSsEernJ Name and Title Fine Chief Fitt Le1D)eMpe aramennn tui , a, 953- uta Fire Department az FPhhoonnse NNaummbbeerr Qeuilfo 7,09 EE E-Mail Aacddrroessss Xinogen- ""'~"~/;1:'"'' Phone: 651.625.5$0055 1C8r00.r473e54p5a1rrFayk: SS91U611060943S$1. MAPaaul,RANI351AA3L6 SLUASAR 5910 Rice Creek Parkway Suite 100 St-. Pa~i, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00927 SSTTAATTEE__0022882211888844 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. 1. DTDroonesgshyyioonuurgr DDeeppaagrrpatmmrseteonnnst?t ccuurtreennttlyy oorr hhaass yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl sedused CCllaassssAAoror CGllaassss8B ffooaammss orfor Ar firefight/,erations? -- No Sign tho baoftcis fkorm Yes- Proceed to Question 2 back of this form and and retur return to to Dolla Delta CCoonnssuullttaannttss _ _ _ No - Sign the 2. 2. How How olen oz l Gass ass 8 B or or Class Class foam A foam used used in In responseto response to refire cals? calls? 025% fees 25.50% 0% ooff resfires ___ 75-1o0f 75-100% of0friree%ss 0-25% of fires 25-5 5. Ges the Dopaiment have a compressa a foam syste (CAFS) wih a buitin arkons engines)? 3. Dues the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes ~Yes Lr ---tL- No 4. How otn i foam used in ining exercises? 4. How often is foam used in training exercises? Never vr Wnty Quartty ___ Never Semaomuaty_/ Aomaly Sesrnualy Semi-Annually W7ekl Annually Monthly _ _ _ Quarterly Bi-Annually Other(pease speci): Other (please specify):----------------------- 5. Howmucngaa is usedpor raining oven? 5. How muc~~am is used per training event? Less hanSgors Salons swig ----tL-- Less than 5 gallons 5 gallons 5 to 10 gallons Moe tran 10 gallons (seas spect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. In In tining. X._ training, where doos th som Sewer where does the spent spent ffooaamm 0?go? __ Santary Sowor )C onstosopie __)X.t__G_rounds SOttohrmer S(peawsesre descr) __ Sanitary Sewer __ On-Site Septic Ground Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 77.. WWrhhemerreeaddnoesf/oodridc1trhseeortnriasianninnggpotaaskktoeappllnaaccgee??rPPeelesaasssee iinncclluuddee adios, address, rset intersection oa! ~r other speci specific ocaion location information for current and past training areas. 1g9E 1o3n%AweN+ 0dF Ae I'1 l 3~ Av~ N Terre X1nInooggpen1" ""' O OV VE ER R~ -- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..00992288 SstTaArTeE__0022882211888855 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Finromiron Cf:hb.ee mGawd 0 yes yrs & What type) and brand(s) foam a or wero usd now and inh pas by tho Dopatment,both fo fro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespones and in rang fappucaboy Posse chock al nt apply response and in training (if applicable)? Please check all that apply. TUrasiendiinng? AmUosuednt Currently Historically TyT~p!;e!eooffFFooaamm Class8 Aqueous ; . Class B Aqueous FF) fS '-"'> Filrp-Forming Foam `BBrraannddooffFFooaamm ~ C!}ou/J Used in YYTeerassinooirrnNNgo?o ,1\)0 Amount AAnnUnnuusaaelldll~y ,.~J CUUusrsreeeddn??tly Used? Historically Used? f (AFFF) RoGssaa8AsOonRs Class B Alcohol- er Resistant AFFF (AR)- assepwen Class B Protein o_o cCulasssssB CFloorsmiBngFim- FFlluuoorroopprrootteeiinn Class B Film- ((FFPP)) oo -- Forming Fu=or=opoten Fluoroprotein --- C(FsFFsPo) aRFER o_o Class B AR-FFFP CElpasss AonHFoam Class A-B Hi ---- ---- ---- ---- + ' Tanngfoan Class A Expansion Foam Class A SSii)vlev~ er y'fe-t's~ Gel Ty~ets'~ 7 ye~ss oer Training Foam --_---- Other oTooTmrhhaarnSnnrookkoddyyncoodinuukgof@oirlrdnyyeooglutuaarorettnriimmvomc@.eeucosoaamsmnnmt))cd)oaoccroorst0oJoJpipeemrearhSStaaitttioovoonecnc.k.akinniPPgyneleegearaasassetetthhccoeeoonnsMMttaiaicrnmctenthgeNNoasasraondcnticaacnyygPPRRhoooolsluddltnrQioioiunngogsCCoahafotonrDDmtvornelolalltlaraAAeCgCgeoeonnnnccssyyuul((tla65an55t1rs1-2-((694657591-178---666396067760--&o5581r15522 jim.stockinger@state.mn.us) if y~u have any questions regarding this questionnaire. Pa lPolesasseerreettuurrnn tthhissqquueessttiioonnnairettoo DDeellttaa CCoonnssuultltaannttss bbvy JuJnuen6e6,. 22000088iinntthhee eenncclloosseedd ssttaammppeedd.. sseellff.- addressed envelope. Questomarecompleted by Cary Cottis Fechi NoSgh ie Name an T1tle Wrr. \ WFeeaDekpa~, remeen.t P~o~reK Ee. Vepr Fire Department P3ho2ne0r.r2<Cp-YT 2 Phone Number F-EfirqseeAcdcrho~st~t ef'@ wee.:dke Ovpto1r<k.-. ord S53--d2-7-7--0o%y Date Xinogen Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Co Paul, MN 55126 USA www.deltaenv.com 22222..00929 sSTTaArTeE__0022682211888866 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg X cesta casio 1. 1. DaDotoeoesns iyynooguurr DDopeeeppraaarrttmimoenensnt?t curroernhats currently or has your your DDeeppaarrttmmeennt hhiissttoorriciacallly usseedd CClalsasAAsosor CCllaassss BB ffooaammss ffoorr firefightil(g operations? No-Signthebackof thi form and return to Dela Consulants Yes - Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants --X- 2. Howoflen's lass Bor Class Afoamused iresponse of cals? 2. How often is Class B or Class A foam used in response to fire calls? X_ 00-2255%% fies of fires ___ 2255.-5500%% oorf resfires ___ 7T5-51010%0oof0fffirr%eess 33.. DDoocess tthhee DDeeppaarrtmmeenntt hhaavvee a ccoommpprreesssseedd aiair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh a buiin built-in ttaannkkoonn 5its eennggninee((ss))?? ves X_ no ----::-Yes )( No 4. Howotten foam used in traning exercise? 4. How often is foam used in training exercises? Weaky voy J ___ Weekly ___ Monthly _ _ _ Quarterly X_ soveormleaaslespecity BT pAlmuoalny#hy samy ly ___ Semi-Annually Annually _ _ _ Bi-Annually p\/l Other (please specify): ..f.l...J~iL....~ ....:......j,/1__-=fJ-I--1-{_[_[}_<....:....;;v:...'..:__'---j-+--------------- TN osmnsouons sons stages 5. Howmueh foam is used pr traning event? 5. How much foam is used per training event? --$- Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons (esse spect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - -X.- -,Xi 6. In aging,wher docs the pont foam go? XC somsaver santa sever 6. In training, where does the spent foam go? Storm Sewer _ _ Sanitary Sewer ___o_nsOtne-SsiteenSiepotXic Ground Ground Otrer (lease describe A ___ Other (please describe):----------------------- 7. 7. WWIhnhfeeorrreemddaoooenesfso/diiddchtuheertteraaiainnniindnggpttaaaskkeerappillanacicneeg??alPreeleaaass.see iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocoftr oihtoheenrr specication specific location information for current and past training areas. CCr-y-\-..1 OOFl= LW1I1A16Nuf-EE fmrJaJ'/n-l.)N gs,~me:-e-oe.,s...--,- I NKinogen onan: 631.630.9S50T5)Ri8c0e0.C073eTAaT1rFyok: SS911U039.9417037 5wFnR ReliSasnIn.tUaEm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00930 STSTAATTEE0_208282211888877 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. What tet) as braofnfoiam aor werusenow and in astbythe Deparment, bol fe 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tessar naif pphcaniey Pease check all ot Sp. response and in training (if applicable)? Please check all that apply. TUasondgine AmUosuendt CurentUsoor TTyyppeeooffFfooaamm lCalassss 8B AAqquueeoouussFFiimlm.- Forming Foam (AFFF) Giss 8 Aono Class B AlcoholRona AER| re -------- Resistant (AR)-AFFF CessbPown | Class B Protein Glas 8 Fisroprsten Class B Fluoroprotein " --_-- (FP) Class Fim Forming Class B Film-Forming Fico (FFF) | | Fluoroprotein (FFFP) CesspARFRR Class B AR-FFFP Css Ag Class A-B Hi Crpoon Foam Expansion Foam Cassa a Class A Trang Foam - Training Foam aver - Other BBrraannddooffFFooaamm IR<oMyrav1l( C {hyetmylcsctA (z~lelC Used in YesorNo Training? Yes or No yP5~5 Amount AAnnUnnusuaealdlllyy ~St0etM'l(llolw~s HistoricUse? Current Use or Historic Use? f~s~ Thankyo fo your to and cooperation. Peas cansact Nancy Rog f Dla Consul 651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or roan danse) on loki f the in Sc. Poon Conrl Agency (651-497-8066 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or aceite oo1tTou ave or stare rogrdi a uestamare jim .stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pfl'leeaasseerreettuurrnntthhiiss qauueessttiioonnnnaaiirreettoDDeellttaaCCoonnssuultltaannttssbbyvMMaavv99.. 22000088iinttheeeenncclloosseeddssttaammpoeedd..sseellff-: aaddddrreesssseeddeennvveellooppee., P------ Questionnaire completed by: nam Gueweeaiz cChhleerr A~AM bP.uS.\fR..&u1Z one and Tile Name and Title ?[JAILJ dL~uuef<rF ff!ire<.e.E C9l Kl:re=.sscc~aGr" Fre Depart, oar ory Aome puis Fire Department507_ Z.?/1- Orz'i lh/YK_ /Jtu<~ _S57-7308Zev Fisch Mumine 5;67~ 7~'1- erZ?Y'Y f-e 1-1-Alf ft(}.ny~6elProne Nomar Phone Number Segor ~ Z<;r-o ~ BoDate EcaiuadlfaaAnd,dy.r.e,Bs@s) hmyHcClk&et.nJfcVee,ll!v~e.ft- hone: 651.620.5045 1 860.477 7411 Fak: 653.635.9471 wdaarnliasns.com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..093311 stare 02821888 STATE_02821888 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Trainiinngg Firefighting Foam Use in Fire Train -+-- 1. 1. DrDoeoetesgshyyioonuurgr oDDpeeeppraaartrtitmomneesnn"t urenty currently oorr hhaass yyoouurr DDeeppaarrtmmeenntt tcl historically uusseedd CClaasssAAosorr CCllaassss Bofoaammssffoorr f i r e f igh _ ting o __ Yasperat Yes i -o - Proceed ns? Proceed ttoo QQuueessttiioonn No Sign thbackof this 2 2 orm and return to Dla Consultants No- Sign the back of this form and return to Delta Consultants 2. Howes Cass B or Clas A foam usedin response to fecal? 2. How often is Class B or Class A foam used in response to fire calls? mele ___ossowories __75i00%olfres ___ 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% offires 5. Dos ihe Department hacomvpreseseedd aiair oafoam syst system ((CCAAFFSS)) wwiitthh abitin a built-in ttaannkkoonnists eennggiinnee{(ss)?? s 3. Does the Department have a compres ___ Yveess Te ___ No 4. Howoftens foam used in training exercises? 4. How often is foam used in training exercises? Woeky Monty Quarty ___ Weekly ___ Monthly _ _ _-Quarterly Som aly pouty BiAmualy ___ Semi-Annually ___ Annually Bi-Annually Other easespeci ___ Other (please specify):----------------------- 5. How much foam is used pr aig vent? 5. How much foam is used per training event? _ Lessansgaons ___ sgalans Stetson ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Moro than 10 galons (lease specs ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. In riing ners does th spent foam gc? 6. In training, where does the spent foam go? Storm Sewer __ Sanitary Sewer onsite Septic ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Oar olessedeseroer -- _________ Other (please describe): ___________ _ rGorouunndd 7. Wfhoemraetidonesoricrhen:lainnpasktovlianceo?alreeaasse include adres, nersecotothnerspesiclacaien 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Kinogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..009932 SsTTaArTeE__0022682211888899 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm Use iinn Fiirree Trraiinniinngg E ------------ 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire vo pao Poe ao to response and in training (if applicable)? Please check all that apply. Stn Svein oTwalnnryle pATuEyn smmeei Type of Foam Gore Avounin- Class B Aqueous FilmTanta: Forming Foam (AFFF) Gos Acar Class B Alcoholee ---------------- -- Resistant (AR)-AFFF Gtr -- Class B Protein apSFr Class B Fluoroprotein os _-- (FP) Goes iaming Class B Film-Forming FlFoluroorporportoeteiinn ((FFFFFPP)) Cesornrre Class B AR-FFFP Gases Class A-B Hi Bam - re ee Expansion Foam ama - Class A Tongan Training Foam over - Other Brand of Foam ---------------------------- Used in Training? Yes or No -- Amount Used Annually Current Use or Historic Use? Tryout yetrea onptation. lose ona Maney ding at ok onal (1.007 0152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 Bas mn or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Asan ef Ree a A EAE Please return thi..~ q!!gst!onn.~ire to Delta Consultants bv A"!av !t 2008 in thG sncliised stan1ped, saff.. aaddddrreesssseeddeennvveellooppee.. aufpmare compteby: nnaire completed by: lars: 302 29-342) 28 pee of flp Los lL r TipeE DepR And S Fire Department Tt SE 5V2 -?--..C[Cf- '3~:2../ Phone Number EE--MMaailil AAddddrreessss. Xinogen - T_T TTR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00933 sare ozs1890 STATE_02821890 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. rDDooofseoss hyyioonuugrr DoDpoeeppraaaitrtmimoonensnt?t curt currently or or has has your your Deparment Department historically historically usdused CClalssaAAsoorr GCllaassss Boasor B foams for V-aProcseed firefighting operations? _ _ _ Yes- Proceed ttoo QQuueessttiioonn 2 2 3)X< No- No - ignSign the the baocf hkis back of this form form and and rettouDrotna return to Delta CCoonnssuullttaannttss 2. 2. Howofenis How often is lass Class Bor Class B or Class AAffooaammuusseedd iinn rreessppoonnsseettooffirreccaalllls?? _ ___ oamwomes 0-25% of fires ___assowotes ___ 25-50% of fires ______757150-100%0o%foffrfieress 34.. Does Does the the Department Department have have a compressed compressed iair foam foam stom system ((CCAAFFSS)) wihwith aa busin built-in tartank onson its eennggiinee((ss)?? ___ veYes ___ Nheo 4. Howolftoaemunseidsin vaiingexercises? 4. How often is foam used in training exercises? Never Weakly ___ Never ___ Weekly Jp -- Povualy ___ Semi-Annually ___ Annually arin J Monthly _ _ _ Quarterly aman ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecciiffyy)): - - - - - - - - - - - - - - - - - - - - - - - 5. Howimuch foam is used pr raining event? 5. How much foam is used per training event? Loss S gators Sgalons swims Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons More tran 10 gals (pease spect) -- More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 5. In taining, where doos th spent foam go? 6. In training, where does the spent foam go? Somme __SantaySower ___OnSioSepic Gro ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground ter lasso descr) _ ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 7. mWhearetdoofenoscheoninainndgpkasotpaiancge?aPrieosa.sa include adres, inerscton or othr soci locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. XXiInnooggefnn "'" OVVEERR-----+ Phone: 651.639.5045 1800.477.74To1k1: 51835.9473 muridaliacni.com _ _ SEX 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00934 sSTTaArTeE__0022682211889911 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFiEEirree TTrraaiinniinngg 5. What pets) and branodffsoa)m ar orwere uss ow and in th stb he Departmen,bot fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tasponas ann van {f plcale" leas chock a ht 45. response and in training (if applicable)? Please check all that apply. Tupeot Foam Bundotfem TYUeesaromaidnrigtn?e AAmm"Osoouaendlty cuUereednst'y sobreeesly Type of Foam Cl8Aoavesous Class B Aqueous Firommgron Film-Forming Foam fi (AFFF) Ga8Asonso Class B AlcoholoiResistant (AR)ph AFFF Cason Class B Protein case Class B FFlluuoorroopprrootteeiinn ((FFPP)) Gass Fim. Class B Film[ Forming Fogo Fluoroprotein [ts (FFFP) CosBARFEP Class B AR-FFFP Cass AB Class A-B Hi Severin Foam Expansion Foam Gass - Class A Temngbosm Training Foam oer JE T= Other Brand of Foam Used in Training? Yes or No Amount Used Annually Currently Used? Historically Used? a Thankyou or your ime and cooperation. leas contac NarRoringsDla Corsuats (651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 CoroamnaCcoam)aoteSomn Slinger tg nese Polos Cortel Agency (551197 3666 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Taner Gta mo 1 Tou ava tog aoesiore reed ha questoare jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPleleaasseerreettuurrnntthhiissqquueestsitioonnnnaaiirreettooDDeeltitaaCCoonnsuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,ssoefl.f- aaddddrreessssedeennvveellope.. [---- Questionnaire completed by: SScaattt/-e Condes Fre Chet ~[oe and Title G(r(JJ~-ntt~ LFhaosD)enpaaVraImae.nVth. mr'rr-en Fire Department FranSsth7er 2s) Phone Number FFitrrec 533.533// dor 2f/e08" Date EE E-Mail Address XHIKnmoogg~enwe '"" PPrhoonne:e: 651.639.9345 1 800.477 3011 Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: S91 639.9473 Suite 100 St. 651.639.9473 ma.AAlLASAV.ARR Paul, MN 55126 USA www.deltaenv.com 22222..00935 sStTaAreTEo_z0s282211880922 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. Doo or Deprtment cot hn your Depa rca sed Cas AceCs Baus 1. Does your Department currently or has your Department historically used Class A or Class B foams for Neosho) firefighting operations? Xen proce to aunton '/.. Yes- Proceed to Question 2 Ro -Signth bck fis form and tr to Dota Constants No -Sign the back of this form and return to Delta Consultants 2 Hawctionis Casor GAafam su psec? 2. How often is Class B or Class A foam used in response to fire calls? ---'X-._1_ _( _ 0 0-252%o6offffii%rreess. ___ 2255--5500%% ooff ffiirreess. ___ 7755-1-0100%0oo%ff ffiirreess 3 Cons te Depmnt ave camps fa stor (CAFS iha li arn fs engin? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes FIX No 4. Hotafeoam se inning eres? 4. How often is foam used in training exercises? eo wenn I ___ Weekly sonia KC pony omaty ___ Semi-Annually Monthly t\ Annually _ _ _ Quarterly ___ Bi-Annually _ _ _ Oi ther (please specify): _ _ _ _ _ _-- _ _ _ _ _ _-- _ _ _ _ _-- _ _ _ _ __ 5. Howmet sr vaio vr? 5. How much foam is used per training event? Los ans irs sans sto10 ions ;( Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ___ MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecicfiyfy):): _________________ 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Som Sows sunny Son__onstosote Kcr ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _}{_Ground Over (ss dro ___ Other (please describe):----------------------- Oe ------ 7. Where does/did the training take place? Please include address, intersection or other specific location manic and par wo information for current and past training areas. Xinogen eres ee FO TT CR etm en 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00993366 SstTaArTeE.0_202082211889933 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. rWWohh5aaptot nttysyppoee(a(ssn))daainnddrabbiranrinnadg(ns()1doopf(fpffloosaca)mambaaoro)e?aorPrwlweoearrseeeuucssheedonncookwiw taahnnadtd aiinnpytthh:ee ppaasstt bbyy tthhea Department, Department, both both orfor rofire response and in training (if applicable)? Please check all that apply. TUrUassieenddiininng? AAmmUosoueudnntt Curent Useor ClaTsuTsyn8peAeoqouffeFFooouaasmmFim BBrraannddooffFFooaamm Yesorto Training? Yes or No Aunaly Used Annually Histor Use? Current Use or Historic Use? FormingFoam (\FFF) Class B Aqueous Film- Forming Foam (AFFF) ~~ ---------- CCRlelaasssssstaBBntAAlo(coRnhyooA:l-FFF ~~ ---------- Gass 8 Proton Resistant (AR)-AFFF --- CelyassB Class B Class B Flsoroprolon Protein Fluoroprotein s-- ---------------------- CCF(FillaPiaoss)rssoBprFFoiitlmami--FF(ooFrFmmFiRinn)gg ~~ ---------- -------- CossBarFER Fluoroprotein (FFFP) CCCElxllaaapsssasssnsA8Bi-oABnRHHF-iiFoFaFmP -- EClxapsasnsAion Foam Silveex yss 2gd TCrlaaisnsinAg Foam EE I Other Training Foam a Other JToTornrhhranaSrnotorkoddcyynnkooiignuun@ggff@dooorrard@yytseooiilutauaortreenit.nim.mvm.eeccuooaasmmnn))dd) ooccfforooooJ4pipuemmerarhSSatatittiooovonccen.kk.iainnnPPggyloleeercraauaasseitesettthcchieoooonnnMMtstaiaicrnmctetnegeNNsasaoraondtnticaacnyygPPRRahololsolludutnitiCoiongnungeCCaaosottnnttDDtroroeootllntlaaAAsCCggooeonnnnsccsuyyull((taa65nn55tt11ss--22((690657751--183--665696607667--o5o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PaldPoeleraaessseesrereedttueurnrntnvietslhoisqpequ,ueestsiontniairoetntooDnDeelalttaia Croens Consultants ultants by bv May9, Mav 9, 2008 2008 intheenclosedstamped, in the enclosed stamped, salt: self- addressed envelope. Quostomao Questionnaire ccoommpplleettedd bbyy:: arma~anZd TatlneI'\y\J Tf-eenf1s5 o~ nif\ Name and Title } hie iE Fira Depmk-a-rt1d~menetd"' VVet-l1 Fire Department Phone Number S)-430 1572 Phone Number _HLDf-a-tz2e _77--0oY Date EWA E-Mail Address Kwogew mone: 651.629.91594600 433 ATH Fak S0163ak0i d.ali4asn7e.t3m 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222..00903377 SSTTAATTEE__0022882211889944 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fiirree TTrraaiinniinngg Firefighting Foam Use in F 1. 1. rDDooofeeossnyiyoonuugrr DDopeeeppraaarrtttimmoeennsnt?t ccuurrrernetlynootrr hahas yyoouurr DDeeppaarrttmmeenntt isoical historicall usd y used CCllaassss AA oorr CClalssa8Bffsooaammsss ffoorr firefighting lL Ves - Protco Queesteiodn 2 operations? Yes- Proceed to Question 2 No-Sign thebackofthis form an rettouDritna Consultants ___ No- Sign the back of this form and return to Delta Consultants 2. How How often' often is Gasso Class B or CClaassAAsffoosaamm uusseedd iinn asponsroe response to fire ccaalllss?? 2. ___ 00-2255%% ooff resfires ___ 2255-500%%ooffffirreess Ts 00% of ees l./75-100% of fires 3. Does the Deeppaarritmmeenntt hhaavvee aa ccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthhaa butbuilt-in taarnkkoonn sits eennggiinnee(s))?? 3. Does the D Yes To = ~ --- 4. Howton s foam usedin raning exercises? ever Weoky 4. How often is foam used in training exercises? VNever Weekly SemvAmualy __ Annually B-Amualy ___ Semi-Annually Annually Mow Monthly ------ ___ Quarterly ___ Bi-Annually Tonepesseseety ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam 5 used per airing event? 5. How much foam is used per training event? _ Lessmansgalons ____ Sgalons surg ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons T Morothan togatons (Reasespeotyy ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. InIntrtraaiinniinngg,, wwhheerreeddooeess tthhee ssppeenntt ffooaamm ggoo?? Storm Sewer __ SantarySewer one Septic Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Other lease doscrbo) ree ___ Other (please describe):----------------------- 77.. inWWfiohnmeearreticdoooneessfi/oddricddutthrheetrraaiainnniindnpggaatsaktkeerplalaancceeg??arPPeelesaa.ssee iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr aoit2heerr speci specific llooccaattioonn wwe -e_ andy information for current and past G rvJy use training areas. lJ S e_ Fofo-aAmm oOnN F/i~1rr r-ee-s5 (Inogen' OVVEERR-----+ Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: } Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00938 STSTAATTEE0_202882211889955 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 8 What yes) and ranosffo)om re or were used nao nd inth pastbythe Department. both or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tosponis odin vain (1 65IcaI0" loss creck ah at ap. response and in training (if applicable)? Please check all that apply. TUisendgins AmUosuednt Curent Historically T T~~y eoofp fFFooe aamm Clas 8Aqueous Class B Aqueous finoamngfoan -- o_o Film-Forming Foam er) (AFFF) ClaAlscoena Class B Alcoholoc Resistant (AR)pe AFFF CossgPoOn Class B Protein Cis Class B Faeroe (77) ~-- -- -- -- Fluoroprotein (FP) Clas Fim Class B FilmForming Forming Flraproten -- Fluoroprotein FS (FFFP) Cosparer Class B AR-FFFP CossnpH Class A-B Hi Bpmianfom ------------ ---- ---- ---- ---- Clase A Expansion Foam Class A Twmgfon -- ___ _~ __ ___ Training Foam over --- Other B Brarnda ooffFnFooaadmm SSid ul-ue-~ ex Used in Training? YYeessoorr NNoo Amount Used AAnnnnuuaallll~y Currently UUsseedd?? Historically UUsseedd?? n0o0. lol 0ga9~l1 Yte.fs~s YYe~ss Tankyou foryour me an cooperation. Pease contact Nancy Ring t Data Consular (051-007-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or roching@daaencom) or Im Stockings th Minnesota Pot Conrol Agency (31.297 3606 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rm stockinger@stte mn 08) yo have any vests regaring 1s questonnars jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnntthhiissqqueusetsitoionnnaniarierettooDDeellttaaCCoonsnuslutltaannttssbbyvJJuunnee66,. 22000088iinntthheeeenncclloosseeddssttaammppeedd,,sseellff-: ataegsad snisiope addressed envelope. Quesomate competed by: Questionnaire completed by: Tait = Fre Depn arment a = Feelp ey=Ss ao Fire Department Fion(aN2~u1m18b3)er) 4~q925j--44339d- Phone Number EE E-Mail Address Fire Dept. ~e: / o XXiInnooggefnn' '"" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00939 STSATTAETE0_208228211889966 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Dossyour Deparment cured or has your Depart trl us ClAaorsClasss foams for 1. Does your Department currently or has your Department historically used Class A or Class B foams for ear AorVsessiopns?rotco Qeuesetiodn. 0 firefighting operations? Yes - Proceed to Question 2 No- ign hebackof his form and eur to Dt Consults No -Sign the back of this form and return to Delta Consultants 2. Howoftenis Cass 8. Clos A foam used in espns 016 clk? 2. How often is Class B or Class A foam used in response to fire calls? _X_ o0-22s5m%otoif fiireess ___ 2256-.5500%% ooff ffirreess ___ 7755-10:0%1o0off0ffirre%ess 3. Doss ihe Deparment have a compress ai foam system (CAFS) ih abi ok on is nine)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Yes --.-.--Yes vo ____)(_No 4. Howofenis foam used in ving verses? 4. How often is foam used in training exercises? wees Noni Query ___ Weekly Monthly _ _ _ Quarterly Sei aaly XC havuaty SeAuaty ___ Semi-Annually ) ( Annually ___ Bi-Annually Other ezsoc) ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - . How foam i sedpor ing overt? 5. How much foam is used per training event? Loesrsetrhaann 51g0agloanlss (ease scgia)t:ors *K_ s1010 tons ___ Less than 5 gallons 5 gallons 5to 10 gallons - More than 10 gallons (please specify): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6. Intrining.where docs the spent foam 07 6. In training, where does the spent foam go? SomSewer Sonny Sever onstesenic _A Grom ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ___A_ Ground Overplossodoscrber ___ Other (please describe):-----'-----"""""---------------- 7. Vibro docs he ining ok lace? lea include adres, inrsetion ivr spi ton 7. Where does/did the training take place? Please include address, intersection or other specific location i an information for current and past training areas. -2a2a1 Wedd Sohnctn I UJci--=So wnStH1 c Ninogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..009940 stare ozs21807 STATE_02821897 QUUEESSTTIIOONNNAAIIRRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg EO a Hop Pe oo ee ------------ 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. ---- Type of foam Glos nin. Class B Aqueous FilmA -- Forminq Foam (AFFF) ---- Brand of Foam yin Used in any Training? TE Yes or No sot Amount bot'Used em, Annually CSunmenuser Current Use or Historic Use? em HW CCllaassss BB AAllccoohhooll-- fond, Anglo TOAD nb O=ges HF Resistant (AR)-AFFF bor Class B Protein Gas8 ror Class B Fluoroprotein = es (FP) Gos Fin Forming Class B Film-Forming on ------------------ ---- Fluoroprotein (FFFP) omorni Class B AR-FFFP Gueant Class A-B Hi Tie, -------------- ---------- -- Expansion Foam Cason _Silvex Jes glcc Class A TTrraaiinniinngg FFooaamm oer - Other wy re _Silvex des Oo als < To A, PN ae A Com SAT ITE Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 em a or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ro jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. IER Ee ER ARH Please retum iflis auestionnaire to Delta Consultants .tv !'.t?av 9. 2008 in the encln~ed stamnerf self- aaddddrreesssseeddeennvveellooppee.. Quesiomate omit: Questionnaire completed by: Lonnie Stauffenecker hFr'ee Choef Lonl'11'e. :JI--~++~~4v Tt Name and Title Waren Vslunteor Eee tdkotrt lJ~.ry~ fJ&-~~ ~RL LoFire Department e0~ RC-TYS= 5762 (Home. Frommer Eo Phone Number Date _LsteusL frontierpetnef Ls~-/"?'@ ._[;on !-t'er t1ef. 11d Eo ens E-Mail Address Ninoger: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..094411 [p-- STATE_02821898 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1_ DfDrooeeetssghyyioonuugrr DDpeeeprpaaarrttmomenensnt?t curentyor currently or has has your your Department Department stray historically used used CGalassss AAoorr CGllaassss BB ams foams ffoorr Kes firefighting -M_I_ op-eratPionsr? octoQueestsiond No Sign tho backofthis form and rtur to Dalla Consultants -~-!-'-- Yes- Proceed to Question 2 _ _ _ No- Sign the back of this form and return to Delta Consultants 2. HoHwoawtotfetenn'sis CCllaasssBBoror Class Class Afoam A foam usedin used in esponse response fo to fre cas? fire calls? 2. -- ___ o0-2255%%oioff fiireess _ XK ----J'~'.'--j'-- 2o5s-s5o0n%oroif fvireess __ _____ 7755-110000%%ooffffiirreess 5. Does the Deparment ent havae have a compresas compressed air ffooaamm ssyysstteemm ((CCAAFFSS)) wihwith abli a built-in aktank oonn sits eennggiinnee(s))?? 3. Does the Departm vYoess ~Noro 4. Howat' foam used in raining exeroses? 4. How often is foam used in training exercises? Weekly Morty -- aureny ___ Weekly Monthly ___ Quarterly Semanal RK Aowsty array Semi-Annually _ _'f._!......! Annually ___ Bi-Annually Over (asespeci; -_-- Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - --$.-- 5. 5. How How much much foam is Loss foam is used ruasneds gppaertr ovtranaiisniinngg veevernst?? _X._ sgatons ~--..:;_J X1__ 510 10galons Less than 5 gallons 5 gallons 5 to 10 gallons ~~ MMororeetthhaann 1100ggaalllloonnss ((pplleeaasseessppeceicfiyfy):): - - - - - - - - - - - - - - - - - 5. Intiing, whee does tho spot foam go? Storm Sewer Santa Sever 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer _ ___ _onOSn-tSoiteSeSpepbtiec $GG rorouunndd Or lease dese): SE ___ Other (please describe):----------------------- ve oY, ie (Grand Stee 7. Wiheremoosfia odrdchut onitnaininsgpaio skeapnln acge? leyae.s include adres, inersoctteorn spose locaton a Q,,. ~a5Cc4 7. Where does/did the training take place? Please include address, i.ntersection or other s/pecific location information for current and past training aJ6as. , / c-: / / I ~J~tve.a. Gc..A-'ftL_ (Q!"CiA Jt<'c KXIinnoogg~enn '"' PEOPRI. J AH I RE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaeny com 22222..00942 sStTaAreTE0_208282211889999 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 58.. WWthehsaaptot ntyysppeeea((s)n) aadnnddrbbarrainandn(s()1dooafifpffpsoolaai)mmcabaarlreee?oorlrveweaersreeesucsereecdcnknooiwwhaantnddpiinltthhyeppaasstt bbyytthhee DDeeppaarrttmmeentn,t, bbothooforrfhfriree response and in training (if applicable)? Please check all that apply. Coren TTyyppeeooffFFooaamm CinAquseosus Fim: FomingFoam (AFF) Class B Aqueous Film- Forming Foam (/\FFF) Gass Aor Class B Alcoholtant (AR) AFF Resistant (AR)-AFFF Class C#lass Class 8B B Fuoroprotein Protein Fluoroprotein C(CFFlulPaaoss)rsso8BprFFtiilammnF-Fo(orFrmFmiPinn)gg CassBARFFP Fluoroprotein (FFFP) CECCxallaapsasssssnsABAi-oBABnRHHF-iFoFamFP ClEaxspasnAsion Foam TCrlaaisnsinAg Foam over Training Foam Other BrBarnadndooff FFooaamm TrUasiendiinng? Used in Training? YYeessoorr NNoo. AmUoseudnt Amount Used AnAnnunaulallyly ------------ -- oo -- heh me ~~~ So Ne sa --- Zz - Current Usoor CHHuiissrtrteoornriitccUUsUseseeo??r -- oo"TorrmhanrTsrnrotokdohydyncnooiiinuuanngogfg@oe@rnrrddyy@oeookstlututaarraeeiternimmyvme.ecc2ooaammnn))dd) ooccryroooooJJpipuemmerarhSSataittioovotnecn.k.aoinnPPgylcleeearaaaukassteteestttihccieoeoonnMnntMsitaanigcnrcntntooeeNNgssaoaaortnintacnacyygPPRRoohloilollsudatnnicooinunngegsaCCaototnontDnDrtnreoeoalltltiaAAeCC,ggoeeonnnnsccs.yyulil(t(aa66nn55tt1ss1-2-((6952575911-78---66039608776--6o5o50r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. BPlleoaassearetum rt;tfurn tthhiiss estontoiDeas rwestionnafre to neft'a ConstbaynMteys8, Cons~r!tants by Mav 9, 22000088iiyn tthheeenncclloosseedd ssttaommppeedd,, seesilf.. `aaddddrreesssseeddeennvveellooppee.. Questomateconglletteeddbbyy: ry Cao#uJrntt. sseca fire . aha andl " hoe AD, FFiirse Dbeeppaarritmmeenntt I Ph(oL5ne5&N0or77b.er g335 2 30/0 Phone Number oof ToDate -FMriaail dKadcrreessss I C-{' Kinogen- rane: 651.630.5405 18R5e0 E433rALFTariFaske S91.e61994T5O3U SMdFaAiliaSsEERAsULE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00943 STSTAATTEE0_202882211990000 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 11. . DSDroosoesnsiynygoouurr DpDeeeppraasrrtotmmneesnn?tt cstnty currently oorr hhaassyyoouurrDDeeppaarrmtmeenntt hhiissttoorriciaclalyl sedused CCllaass s orA or CCllaasss s8B foams foams for for f i r e f i LYgh)( operations? Nd o Signn tho backof tis form Yes- Proceed to Question 2 and return to Dota Consultants No - Sign the back of this form and return to Delta Consultants 2. Howoften' lass Bor Class A foam used in respofno sre cals? 2. How often is Class B or Class A foam used in response to fire calls? __ ozsnories ---X-X2--5 soafwres 75:1o0ff0re%s ___ 0-25% of fires 25-50% of fires _ _ _ 75-100% offires 3. Doss the Depart avea compressed acfoam sytem (CAFS) witha ulti tank on 1 engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? vesYes Na ~No 4. Howsttens foam used in aning oxorises? 4. How often is foam used in training exercises? wee ony ___cuaneny ___ Weekly _ _ _ Monthly SomiAomualy Aanaty 2 sonny ___ Semi-Annually _ _ _ Annually _ _ _ Quarterly 2(' Bi-Annually Or pleasespec: -- _ ___ Other (please specify):----------------------- -----X 5. How much foam suse por vainingovert? 5. How much foam is used per training event? Loss trans gatons Xs gals 51010gaons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons TT Morovantogatons (oasesmocty More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - 6. In tvaining. whore docs th spent foam 007 6. In training, where does the spent foam go? Storm Sewer __ Santry Sover onstoseptc ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Otner poasedoscrbor ,..:.-'-'----- Other (please describe):------- X Grow Ground 7. 7. WWfhohreemrraeetdidoooneassf/odiriddcttuhhteoetr;raiainnnindggpktaasktoesppallaanccege?? rlPeleeaaassse include include acres, address, inersctonr intersection or ootthherr 3p specific llooccaattioonn LastTrotiiy wos in o form information for current and past training areas. La...rf: Tro.r~thy WO;S /"" to.r \uyaarcdl I_I1L/222SS Cceo,lltdd dJ.oo 0.. r 0'\.- r Xinogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639-9449 I 800.477_7411 Fax: 651.639.9473 www de!taenv.com 22222..009944 SsTTaArTeE__0022682211990011 QUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5 What pes) nd rnc)of fam aor ere usdnw and he pabsy the Deparment 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire einen sain tf aca Poe otk tah response and in training (if applicable)? Please check all that apply. TTyyppeeooffFFoaamm aospmmarin Class B Aqueous Film- aT FoiTnirig Foar,i (AFFF) Glass 8 Aono Class B Alcoholeee Resistant (AR)-AFFF CsBPOOR | Class B Protein Gl8Faerasprossin Class B Fluoroprotein >(FP) Gls 8 FiFarming Class B Film-Forming Frcaan preg, Fluoroprotein (FFFP) cmsoaveR Class B AR-FFFP Gus ABH Glass A-B Hi Loamtoan | Class A Expansion Foam Class A 33/m1B BrarndoaoffFnFooaadmm AA4lj,&g[' ae 7 _-- ---------------- -------------- Argus Usdin Amount Used in Tong Used Mo Training? YYeessoorrNNo.o /Vo Mtge" NO Amount gal Used AnAnnunaulalllyy I qo.,l v. I p_ol Gumentusoor Current Use or HiHsitsotorriiccUUssee?? curren) C.... .t r r-e.-. I curves (/CA.rr~nrf ------ ------------ -------------- 2 /ll{l :3Joo.g..qeal( Carrent TrTarianiniingg FFooaamm ---------------- ------------------ OtOhtheerr ---------- --.-------- Thanokr yyouroimuoandcooperation. lease contac NaneyRonin atDot Consulta (651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ead maemcom ooo Singer to MoneePooley CotFar 053070008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Trsockm GHse 1S ouhav a avons rogrding i stoma jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Piessstun tis qussiotoBnenis alanis 5, 208 int coed sau, se addressedenvelope. ,0 /eass i"~tu;;; tliis guestionnair~ addressed envelope. tv J;afta Cvnsultan;:s Uy ;v?ay a. 2008 iti tlte .;;nGiosed ::;iaiiiped, seif- Quesiomatecompleted by: Questionnaire completed by: Hobie wilper Fre Chief /fu hr'-e_ Ramee Name and Title Watertown Fie LUa fer'tc~u.NJ FreDepmeqy s)- -- 950-955 Fire Department v::;s~ Fre oo Phone Number FEY [/ !/335S Date 4-270 Eva Watert Lore 2) fronficnet. per E-Mail Address I I XIn(oIngo~genn" ,"" Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 Paul, www _ MN 55126 USA deltaenv.com 22222..00945 sStTaAreTEo_z0s228211090022 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. rDDoootoehss iyynooguurr DpDeeeppraasrrotmmneesnnt?t curentloyr currently or has has your your Deparment Department Historica historically useused CaA slsass Class A or Class BB ffooaammss ffoorr y/o firefighting - roctoeQuesntiodn operations? Proceed to Question 2 / ___ No ignthe Yes- No- Sign the bbacak ocftthkhiissoffoofrrmm aanndd rreettuurrnn to DDoetltaa CCoonnssuullttaannttss 2. How often fs Class 8or ClaAfsoasm foam used used in in rreesspopnosnesttoeo frefire cals? calls? A 2. How often is Class B or Class _V/ o0-a2s5%wooff firreess _____2_ 5s205-k50o%torf feiress _____ T75s-01000%%ofoffrfireess 5. Does th Department have compressed a foam sytem (CAFS) wilh bli takon s enin(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves -~-Yes EvV"A No 4 How oftefoanmuisesdin ining exercises? 4. How often is foam used in training exercises? Waaky Vanty cue ___ Weekly ___ Monthly ___ Quarterly -- Somamuary Aoaey Susy | Semi-Annually Annually ___ Bi-Annually v OOtthheerr ((pplleeaasese ssppeecicfiyfy):): sAr~e d ~ t .wMa4Jn2f~ ro Fa-N\ A~ rgdang 5. Howmuch foam s used per ranging even? event? foam is used per train 0 5. _ How much Lesstthhaanns5 ggaatlloornss 55ggaatlolornss Less ___ 551to01100 gaons gallons MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciiyf)y:): - - - - - - - - - - - - - - - - - 6. In rining, where doss thospat foam Go? 6. In training, where does the spent foam go? SomSewsr ___ SanioyySowsr _OnSteSepic Ground ___ Storm Sewer __ Sanitary Sewer over peasedeserve) A _____..:.:_ Other (please. describe):--~~- __ On-Site Septic Ground 7. Whore doosiid he olin ako place? Please incud adress, nrsection ooler speci location 7. Where does/did the training take place? Please include address, intersection or other specific location noxmaton or cute: and past vanng areas information for current and past training areas. Kinoger: Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 ees Paul, MN 55126 USA www.deltaenv.com 22222..00946 sSTTaAeT_E0_022682211990033 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. Wnt yes) and anosfo)a re a wre used mw and i ho as byte Deparment, bo for fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rreessppoonnssee aanndd iinn ttrraaiinniinngg ((iiff aapppplliiccaabbllee))?? PPlleeaassee cchheecckk aallll tthhaalt aapppplyly.. Teottoam BrandotFoam YTUasooedrnitgno AAmUmsomeuudan.lty CusmieonntsuUsseeosr Type of Foam Glas 2 AaveoFuisn Class B Aqueous FilmForming foam pi -------- -------- -------- Foiming ream {r'\FFF) Cl8Aoohsok Class B AlcoholRossin (RyAsF | ------------ ---------- -------- ---------- Resistant (AR)-AFFF Cassopoen Class B Protein Cl8Faursorasin Class B Fluoroprotein I=) _-- (FP) Clas8 Fim Foming Class B Film-Forming Faso (orry, -------------- -------------- ---------- Fluoroprotein (FFFP) casspame Class B AR-FFFP Class ASH Class A-B Hi Erpansion Foam z --_-- Class A Expansion Foam Class A Tring Foam EE Training Foam over - Other Brand of Foam Arca Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? _m __,_./\A.e -0"""~-- pq~ heuo01l0 ~ l- e- n Thank you for your tin and conperion. Pleas contact Nancy RodorfDilgl Gonsufans (851.6975152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or madi daac am) of im Socinger a he Mimesat Polio Corl Agony (0573973008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or garters) You ha ang avesions regarding Guectomnae jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Fioase sonwis questionnairetoDil ConsusHey 8, 2008 in hs ions isu, set: Piease return ihis questionnaire to Delia Consuii<mis by iviay 9. 20Go i11 ti;.: t<:r.cio::;;;:d .staliipi:d. st:if- `addddrresssseeddeennvveellooppee.. Questomnaecompleted by: } Questionnaire completed by: Ww akt~ ubo~ rin Fame and Te Name and Title Chef FroWw Sopamtmh~ einsurs -- Fire Department Pho3ne2H0mb-e7r64-216] Phone Number 5-2-Da0te8 Date Be E-Mail Address Inogen' ov e579 a Te Ts on 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00947 sStTaAreTE0_208282211990044 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. rDDaooteeissonyyioonuugrr DoDpeeeppraaarrttmimoenensnt?t cenorhtas currently or has your your Department Department Historical historically useused CasAos Class A or GassB Class B foams foams for for X_ firefighting oYpeersat-ioPns?rotco Queesteiond2 /)( NYoesS-iPgrnocteheodbtaockQuofesthtiiosnf2orm and etur o Dota Consultants No- Sign the back of this form and return to Delta Consultants 2. Howoften Class Bor ClaA sfosam uses in respatno sre cals? 2. How often is Class B or Class A foam used in response to fire calls? 025%offres sonore _X_7s100%oifres ___ 0-25% offires ___ 25-50% of fires f)( 75-100% of fires 3. Doss the Department Have a compressed ai foam system (CAFS) witha bun tank ons angin(s? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ___ YYeess XP<. oNo 4. Howofin s foam used in ain exercises? 4. How often is foam used in training exercises? Weakly Monty Quarry ___ Weekly ___ Monthly ___ Quarterly SomiAonualy X_ nomuaty BrAmualy ___ Semi-Annually f)( Annually ___ Bi-Annually _ overlasespeety ___ Other (please specify): _______________________ 5. Howe much foam is used por vaning ovet? 5. How X__much Lessthan foam is used gatons per training event? Sgalons /)( Morethan Less than More than 105 g 1 0 gallons allons gallons (leasespect5 gal (please specify) lo : n s 51010 galons 5 to 10 gallons 5. ning, where does th spentfoam gc? 6. In training, where does the spent foam go? Sto Sawer __ Santa Sewer ___ Storm Sewer __Q{__ Sanitary Sewer Over rome deseber --"--'----"-----' Other (please describe): __ OntoSete On-Site Septic Grom Ground 77.. nWWfhhoeerrrmeeatddooosnessfi/odiriddcthuhteeewtrrianainiinnnggpataaskkteevppallnaaiccneeg??aPPrlleeeaaasssee iinnccluldued aaddrderessss,, ninteerrsesctieoncoorirootothhenerr speci specific llooccaattioonn information for current and past training areas. WWee :DDoo N/'JooTT HHAttVvEc AIt SPEuUAACL HfloouvsscESS WLIGE w!VIIGI6H#Tr 7T'1a2m./tatJrf/ IiN ns To THE Fin DEPpnimenT TTfaLAm-Im.AiJnilt/6 A/TE/lSE,/! J:TTfu/s7'/TM'" OOJI~kF""F"/nlt:w'Vsr WWHH.GE/\N.1 OCJVAJEE 1J5s 0D0Ao/ftrf2:?n:> Kinogen: Prone: Phone: 651.639.9445 1 890.473 5411Fok: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: 831.635947) Suite 100 St. 651.639.9473 wadaliagny.com Paul, MN 55126 USA www.deltaenv.com 22222..00948 STSATATTEE0_206282211990055 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. TeWWshhpaaottnttsyypepeea(ss)n) aannnddvbbariarnngda(s()1nooaffdffoopaa)mmpaarieoorPcrweweaearsreeebsucseheeoddcknryoaolwwloaanntdd 9iinnptthhee past past byhe by the Dagar, Department, both both orfor frofire response and in training (if applicable)? Please check all that apply. Tweof Foam BrandofFoam TUUesaseneiddniignn? YTorasionrinfgl?e AAmUmosoueudnntt AUmsuedl CHCi1us-m1treroenrnittcUUUssseeeoo?rr FoCClmasliTs~sBBaA~FAqeoquosauefemoFosuou(sasamFFpiPilmym- Brand of Foam -------------------- Yes or No Annual!~ Historic Use? ---------------- ---------- Forming Foar:: (.A.FFF) ReCsaltanaAllc(soRhyoslA. FF Class B Alcohol- Class 8Proton Resistant (AR)-AFFF a Class Ck=lasClass 8B B Fuoroprotoin Protein Fluoroprotein TEA Fu(CGFralaPsos)sspoBtFFiiilmmn-FF(ooFrrmmFi)inngg CassoaRFEP Fluoroprotein (FFFP) CCCElllpaaasssassssAABo-BABnRfHH-oiFaFFmP To ------------ Gass A Expansion Foam _6S/L-vlc><e. veX _Y1_g&s5 |s~sS-ch .~ ees TCrlaassnAg oan J, over Training Foam IH } (YI 4VHJ tJff{tiL Bgl '3t).o~(/u N'NOo Other oTTfhhaarnnkkoyyioouunffoogr yyGoouurar ttieimmceomoaam:nn)dd occroooodppmeerrsSatttoiooncn.i.nlgPeeleraas=sehe cceoonnMttaaiccttnNaearnscyyPRRooordnilinnggCaaoitnDDtel)ltaaACCgooennssrullt(aa6nr6t1ss-(3(696575118--066690677--o55115522 om Scien@siate rus) 0 or nrodning@deltaenv.com) or Jim jim.stockinger@state.mn.us) if you ve an eos earings Qcstomalt Stockinger at the Minnesota Pollution Control Agency have any questions regarding this questionnaire. (651-297-8666 or Questomnatecompeted by: PlPe!eaas3eerreettuurrnnththiiss qquueessttiioonnnnaaiirreettouDDeellttaaCCoontsi.Suii.ii{iaan;;li:ssbbyy-M/tat1ayy8S.. 22000088iinntihheeeenncciioo:sseeddssttaammppeedd,.sseeiiff:- aaddddrreesssseeddeennvveellooppee.. Questionnaire completed by: N~ Yamae uan.\iJ TiK~e efrfntue:nH Name and Title CC~te,rcF FWoeADeRpaArmTenAt Fire Department Phone Naor -5338 Phone Number ELtHapAcotroesnsct@) WARATS . ORE E-Mail Address 2=9/0 Date Hoge Trane: 651.630.9S50T8 080 CreeATaL rFoe y5 6303004SCmPaau aSrSE .TEE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00949 STSTAATTEE0_206228211990066 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Does your Deparment cure has your Deparment istriucs t Css Aor Css foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for Prato cpamionst firefighting operations? XC Yes-protco Qeuesetiond2 X Yes- Proceed to Question 2 No- Sign the baocf tks form and retfouDrtn Consulate ___ No- Sign the back of this form and return to Delta Consultants 2. Howlin Cass Bor Clas A foam uses ee calk? 2. How often is Class B or Class A foam used in response to fire calls? _omwortes X_reonies ___rst00mottiss X/ 0-25% of fires -~--'--- 25-50% of fires ___ 75-100% of fires 5. ous he Deparment hve a compressed i foam system (CAFS) ith xintankon engines? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ves ___ Yes Xo A No 2. Howaflenis foam used i ring veces? 4. How often is foam used in training exercises? Woeky Monty uray ___ Weekly Sami Avvusly X_ Aomuaty 5aly Semi-Annually Monthly X Annually ___ Quarterly Bi-Annually Or leas spec: _ _. Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam is sod par vig vent? 5. How much foam is used per training event? Less mansgaiens _X_ sgaions st010gatons Less than 5 gallons _____.X__ 5 gallons 5 to 10 gallons Horethan 10gaons(Jasespeci _ More than 10 gallons (please specify): _________________ 6. nino, wher dos te spent foam 007 6. In training, where does the spent foam go? Storm Sever Santry Sowa onstoseic _X around ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic ___){_Ground Over ease descr) - ___ Other (please describe):----------------------- 7. Winco does h rsining ke lace? Piso nde aes, nrsctnof othr specication 7. Where does/did the training take place? Please include address, intersection or other specific location Judit barley Ncrfh o-9 s: information for current and past training areas. f.ci..s++- c e>tfnl-"ee.l-l D0-j"-r'\SSt-.f. SSooLu<t..-,1-b m M /A II sfst, Xinogen- ------ RR TT RE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..009950 SstTaAreTE0_208282211090077 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WTWehhsaapttantyysppeee(a(ssn))daainnndabbrriaannidd((ns()1)oo2ffpffpooiaacmmblaaerryee?oorlrwoweaersreee uucssheeeddcknnooawwahanantdd aiinnpyhth.ee pas: past by by the the Deparment, Department, both both orfor re: fire response and in training (if applicable)? Please check all that apply. TUUassmeeiddniginn? AAmUmosoeuudnntt CumentUseor TTyyppeeooff FFooaamm BBrraanndd ooff FFooaamm YesorNo Training? Yes or No Annually Used Annually Histor Use? Current Use or Historic Use? CCFlolaarssmssinBBgAAFqqouuaeemoouu(ssRFFEiiFlmm).- CCRl=ellosaarissmssstinaB8gntAAFll(occAooRhmnoaAl:(-.AF.FFFF) ---------------------- -------- 7 Resistant (AR)-AFFF CCllaassss BB PPrrootteeiinn Nebiona!Secrn Yes Zaelt Catoant CC#llaassss B8 FFiluoorroopprrooteeiinn L(CCOFllaPass)ss B8FFiilmm-FFoorrmmiinngg -- CassoARERER Fluoroprotein (FFFP) Class B AR-FFFP CBaussoAnB HFioun Class A-B Hi ------------------------ ---------- ---------- -------- Cass A Expansion Foam - TCrlaassnAg Foam - omer Training Foam es Other ToTfoifhrhrmaanosnnraotkkrdoyyincooinknuuggiff@noogrardelyyerootlut@uaarrsettinimamvt.eecceoaamunnosdd))oomccrorooooJ)JpipmesmrearhSStaaitttioovonecon.k.ncinyPPgklleeiecraaaenasssteegttthhcceoeeoonnnMMtstaaiicfncmtotnegeNNsasaaaronlnitcaacnyygPPRRoolooliluusdditniQiooinnnnuggCCeaaototsnnDDrttereoololltlaaAArgCCgeoeonnnncscsyyuula((ta6n6n5t5t1ss1-2-((692857951-718--60689967067-6o55o011r5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. adPPdlleeraaessseesreredotteuunrnmvettlhhioisspqequ.eus@nenais.r_t~_tigt_oQo~DIejnft!a_nfC;oQanJ]s_iuslutlratannettss by bv May9. Mav 9. 2008 200fJ in in thn thP. anclose stamped,so: encfn~ed st<1mped. self- addressed envelope. QQuueessttiioonmnaariree ccoommpplleetteedd bbyy:: SCCahhmite.'sSan TBRiotorecrAc~hrJe.l+l- 'Tlrec..i_.\n~i.~'nj\.g.j CfJ\2i-f,e'c.-zr::,- Welcome Cre dept Name and Title FWieeBlecpaorimmeent Cire Fire Department fps Epi P one Number $A$350E6 OF Date Baas E-Mail Address rane: 631.039.9545 / 306.437 SATE Fok: E91.038 047) MbGAtAAAR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222..00095511 STSTAATTEE0_208282211990088 - QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg L 1. 1. rDDoaoatesos oyyoopuuerr rDDeseppiaarorttnmmesenn":t curenty currently oor has has your your Dpiment Department Historical historically uusseedd CClalssAAaoorrsCCalasssss 8 B ffooaammss ffoorr XK firefighting opYeersatiPonsr? otcoQueesteiond2 _ _ _ No Sign the back of this form Yes- Proceed to Question 2 No -Sign the back of this form aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss L 2. Howoftn fsClass B o Cass A foam usedin sponseto vecal? 2. How often is Class 8 or Class A foam used in response to fire calls? XS oassotives 250%of res ___ 25-50% of fires ___ 775-510-0%1o0offff0irree%ss 0-25% of fires 33.. DDooess tthheo DDeeppaarritmmoenntthhaavvoe aa ccoommpprreessssoedd aair ffooaamm ssyysstteomm ((CCAARFSS)) wwiitthh abun a built-in ttaannkkoonnists aennggiinnee((ss)?? ___ veYes JJsS- )No 4. Howoften foam used in ning exercises? 4. How often is foam used in training exercises? Wey Monin _ouneny ___ Weekly Monthly _ _ _ Quarterly Semanmualy +F. nonaly sama Other (please speciy): __TYPRAW.[OE(SE TRupel Tha ___ Semi-Annually Annually ___ Bi-Annually _ _ _ Other (please specify): ----"'T~lf-4-PJ2A==li...-=--4t:.<!.'V.::..E~~---"c.JD.~.-.:::..!::.~-~.L~~.!U.!.'.?:~::::b'---"t'O-=..:...:A~"~=-- 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppoerr rtraaiinniinngg oevveerntt?? Lessin sgatons Less than 5 gallons 55ggaatlloonnss ___X)5C;:_ s5tto01100ggaatlloonnss MoMroroe hthaann 1100 ggaalllloonnss ((plleeaassee speci) specify): - - - - - - - - - - - - - - - - - - 6. Intrinng, whee doss th spat foam go? 6. In training, where does the spent foam go? Y'f=e stom ower __ SantrySewer onsite Sept Ground Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Oren (please dese _ ~-- Other (please describe):---------------------- 77.. WWInhhfeoetrroemaddlooiensslf/ddoiddchuthroeetrsraaainininngpattasaktkevppallanacnceeg??alPreleeasaa.sse iinncclluuddee aadddrreesss,, iinntetrseerctsioenocotr tiothohrenr spec specific aloccaattioonn Y25\ information lf2S" \ Xion AVE a for current and past training )U.( Lvt0 Avt- areas. _-- 1\). XXiInnooggernn ''" 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.94491 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..00952 SSTTaATTeE__0022682211990099 QQUtJEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WWrehhsaaptot nytysppeeea(s)n)daainnnddibbnriarnndga(s(n)foodaffpffpsooiaac)mamatlraeree)o?orlrwewearesreee uucssheeeddcnknooalwwl haaanntdd piinnptlthh.ee past past by by the the Deparment, Department, both both fr fo r fre fire response and in training (if applicable)? Please check all that apply. ClsrTTuyppoeooff FFooaamm CCFlolaarssmssinB8gAFAqoquuaeemoouu(ssFFFFiiFlmm)-- RGeCFlsoaliarsssmstsianBBngAtAlF(cloc\oaohRmhoYolAl(-./F\FFFFF) GRlaessisstBaPnrt o(tAeRi)n-AFFF CGeCillaaayssssss BB B Fuoroprotein Protein Fluoroprotein C(FCFlllaPavsos)srsoBprFFoitilmmen-F(FooFrrFmmiFinn)gg GassoARFEP Fluoroprotein (FFFP) GCCElxllaaapsssasssnsAABi-BoBAnRHHFi-iFoFaFmP Expansion Foam TCralainsisnAg Foam Otner Training Foam Other `BBrraannddooffFFooaamm AnsuL eee. _ ------------------ -------------------- Ameo vJ Aa IL-:s:os ..h a - TrUUassieenddiininng? Yesorte Training? Yes or No AAmUmosoeuudnntt Amnualy Used Annually CCuuHrirrrseetnnotrt iUUcssUeeseoo?rr Historic Use? < -- <.0 < :22!o&iltL -- pm---- LCvo\ln.~e- ees ------ ---------- <<Jo...or&Aec -- CoTe-- ns Ny ooTTirmrhharnsarnotrokoddchyynkiooiinuunngfgfg@oo@rerdyrdyoo@eolusltuetarrnaettevniimv.m.ececooaammunns)d))ooccoriooyoJpomipemuerarhSSatatittiooovonccen.kk.siinnnPPggylaleerearaauaasseiteeshtthccooeoonnnMMtstiaaicnrnctnetnegeNNsasaaoronntitcaacnyygPPRRIoooollslcudrtoniQioisnunngegCsCaaoLtotnontDDmtrereaololilttlaanAAsgCCgooeonnnnsccsuyyutl((taa6n6n5t5t1ss1-2((-696257591-187--666-96067676--oo556r115522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. aPdPlrleeaaassseesraroedttuuermnnvtethhliosspeqquueessttiioonnnnaairirsettooDDeellttaa CCoonnssuullttaannttssbbyyMMaayy 59,. 22000088 if!_tthheeenncclloosseeddssttaammppeedd..sseellf-: addressed envelope. QQuueessttiioonnnnaaireeccoommplpeletteeddbbyy:: NS~amLee-anona\sT\ifa cc_ DWA\WNI~ALL | Fife ewe Name and Title FireDepaErtSmTent METS Eanes Recve Fire Department Fone5N3um-beSr 37-232> Phone Number Ove Gz }-6& Tae Date EMaBil AUdreDssALLED LESTASTID FIRE2 Cor E-Mail Address Xinogen hone: 651.6S2TS51.e$90r5644E75e3eS4p1a1 rtFoyk: SS4u1e611000a4S)C MPuamulo,beilL3A5A1R36 UAS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 U.SA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00905533 SSTTAATTEE__0022882211991100 QQUUEESSTTIIONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg B Sesriar 1. Does your Department currently or has your Department historically used Class A or Class B foams for firefighting operations? re cso cusions ~ Yes- Proceed to Question 2 em mt eaContos ___ No - Sign the back of this form and return to Delta Consultants 2. How often is Class B or Class A foam used in response to fire calls? X"'L=- ormiottves s5shoites ___7st00%otfres . 0-25% of fires 25-50% of fires ___ 75-100% offires 1. treetmienimimeRg------------ ETAL 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? Ke YYeess =No + wots oo ira is? 4. How often is foam used in training exercises? py wy Cc Weekly TE een -- --y ~Semi-Annually Monthly ___ Annually ___ Quarterly ___ Bi-Annually ty - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - torpedo? 5. How much foam is used per training event? %_ Lossthgoatnosrs __5ga_ lons _ swiogons _____L_ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons _ _ _MoMroeretthhaann1100 ggaalllloonss (plleeaase sppeecciiffy):: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ nrohopm r 6. In training, where does the spent foam go? men vyson BoEnsrisoenes KSoeoenms ___ Storm Sewer __ Sanitary Sewer ~n-Site Septic &Ground 1 iecss ng pe?Ps ce rs, ston or econ ____ Other (please describe): __ ---------------------- _______ 7. Where does/did the training take place? Please include address, intersection or other specific location Cr ity DampGrea uads e a7 information for current and past training areas. 25 Kinogen errant loa 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..009954 STATE_02821911 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5 Wht ype) and banofdfo)am are vere usd rs an nh ast by ie parma, oh for ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire ee itappamaey loethoo spo response and in training (if applicable)? Please check all that apply. TUasendgin? Am`Uosuendt Curentuseor TTyyppeeooff FFooaamm Glass Aus Fin Class B Aqueous Filmices Forming t="<'~m (AFFF) Ga8Asonso: Class B AlcoholRosson (yee ---------------------- -------------------------- Resistant (AR)-AFFF CBRE Class B Protein G8aFissroprostein Class B Fluoroprotein os -_ (FP) ClFaim sFomisng Class B Film-Forming Foon gry ------------------ Fluoroprotein (FFFP) J Class B AR-FFFP Gls AH Class A-B Hi Soran foam =------------ ------------ Expansion Foam ama Siler Class A Temgfen -- ___T Training Foam oer - Other BBrraannddooff FFooaamm Used in YesorNo Training? Yes or No Amount AAnnUnnusueaaldlllyy HCiHusitsrroteornriitccUUUssseee?o?r Thank you for youre ance, Plas contac Nancy Ring a Dol Corsa (651.697 5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 edamame como tn Stor iv Nias Foti, Corl Acres (51 5970008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or stocking Gta) 4 you hav ay aoe rogoas siinnge jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Pleas-a return this questionnaiif: to Dt:iia Cor1sulianis bv May 9. 2008 in ihe enciosed stamped. seif- Frere addressed envelope. Questionnaire competed by Questionnaire completed by: !Pa1eia1crhcalteqld w F~ox Chize Nameand Title uJ & WFeweDhohpa_erimeaent~dheA n Fire Department Fr3e00- oe S2ei- Bro Phone Number 4bac9558 Date EE E-Mail Address Ninoger 5910 Rice Creek Parkway Suite 100 St,. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00955 sStTaAreTEo_z0s228211091122 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 1. Does your Department cuntor has your Deparment Historical use Cass Aor Class B foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for retghing opiraons? firefighting operations? _X/X__ YYeess-- PPrroocceeeedd ttoo QQuueessttiioonn22 No- Sign the backof thi form and et to Dla Consultants ___ No - Sign the back of this form and return to Delta Consultants 2. How olen' Clas Bor Class A foam used in rsponso rs cal? _ oowores samo X7sio0%oltves 2. How often is Class B or Class A foam used in response to fire calls? _ _ _ 0-25% of fires _ _ _ 25-50% of fires ~ 75-100% of fires 3. Docs the Departmen ave compress si far syste (CAFS) wiablhi ak ons engines)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? X ves X Yes NoNo 4. Howotn s foam used n aing exercises? J--Y Monty 4. How often is foam used in training exercises? ___ Weekly ___ Monthly Somionusly Aoouaty ___ Semi-Annually ___ Annually aly _X,X_ qQuuaanretrelrlyy ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam i sed or vaing vent? 5. How much foam is used per training event? 3X Los than galons sgalons i)( Less than 5 gallons 5 gallons More tan10 gallons (ease spec ___ More than 10 gallons (please specify): s_ wig ___ 5 to 10 gallons 6. Intaiingwho docsth spoearn0t07 6. In Over please describe) XC StormSewer _ Sanity training, where does the spent foam go? :>( Storm Sewer _ _ Sanitary SSeewweerr _ ___ OOnn'-SSiitee SSeepplticc GGrroouunndd ___ Other (please describe): - - - - - - - - - - - - - - - - - - - - - - - 1. WE har dos th iie n ake pace? leo include adres, mrseocfootnhr speci cation ; :7 ,) Ninogen rarer 31679 TR ES Take T SESS ey ms 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00995566 SstTaArTeE__0022882211991133 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. aeroo t) ndsmanrtyafro mry Pwniohcin st yoDaprnan.bt v 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Seeattoan bomen Tli:Qe of Foam asso avonsrin _ ,/AvJ1V0 f CFFoolarrsmmsiinn8ggAFFqoouaaemmou((sAAFFFFiFlFm))- Class 8 Alcohol- Resear yr Resistant (AR)-AFFF Brand of Foam 4 Class 8 Protein case Form Class 8 Fluoroprotein Eo _-- (FP) lass among Class 8 Film-Forming Rion | Fluoroprotein (FFFP) roti Used in vag Training? Yael Yes or No jU?J Amount Amount TRUsed Ama Annuallll: wdmenetser Current Use or Historic Use? ee -- Class 8 AR-FFFP cms rots Class A-B Hi Boat Cass A Expansion Foam Class A Training Foam over - Other 2 7fJAJr_2I0 )uiS7 A S ~) ~/PV Ut- Tange yte r sng ccprto. Pose con ary Gin Oot Conant 6916075152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 acory Sh Sesh Mera Pou Ca Ao S07 900 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or regoi v ry n ton epaiG) osne jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. lsc tun ts estDtoConntosi.b aio 320 he lsdsas. Please return this questionnaire to Delta Consf.!lt~mts ~y_Mf!y_JL?Q.Q_~_liJ.J!!~-~TJ.f.!.Qsed.tamoed. selfSema addressed envelope. cuocorm e Questionnaire completed by: .~t Q&k~" 62t:fl dvJV er Forth57 275 s/The LenSeC() l)e~LMdlke-Ot ~lDat~ e Xinogen re ean RSET VEE5% i ok Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 ., Paul, MN 55126 USA www.deltaenv.com 22222222..00995577 STATE_02821914 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Docs your Deparment cantor has your Deparment ioral used Cass Cas om or 1. Does your Department currently or has your Department historically used Class A or Class B foams for eatohingcpesions? firefighting operations? ZX You Proceed to Questio2n )( Yes- Proceed to Question 2 7No Sign the baocf hkis orm and return to Dla Constants No- Sign the back of this form and return to Delta Consultants 2. Howolloniias or GlAafosam usd in 0sonse fo 40 cal? 2. How often is Class B or Class A foam used in response to fire calls? ozsiotties X_assoutties Totomeaties ___ 0-25% of fires /r 25-50% of fires _ _ _ 75-100% of fires 5. Docs he Deptment have a compressed a foam ys (CAFS) witha tin farkons engines" 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ve ___ Yes XYC NNoo 4 Howofenifoam used in rong ners? 4. How often is foam used in training exercises? ___ NNeevveerr ___ WWeeeekkllyy ___ MMoonntthhllyy _XX__ QQuuaarrtteerdlyy T Senidonaaly Aono J --" ___ Semi-Annually ___ Annually ___ Bi-Annually Gtr (ease speci) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foams used por ring even? 5. How much foam is used per training event? _X__ LLeessss tthhaann 55 ggaalllloonnss. ___ 55 ggaalllloonnss ___ 551to01100 ggaalllloonnss More than 10 gatos eso spect More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. Intoinig, where dogs he spent foam 057 6. In training, where does the spent foam go? X Som Sewer ___ Sana Sewer ontosen Sows )( Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over (passa dere) _ ~ ___ Other (please describe):---------''------------------ 7. Wher Goi th ining kc ace" Plas includ adres, nerscton ox oer specication 7. Where does/did the training take place? Please include address, intersection or other specific location Fomor of amen ang pot amg ros information for current and past training areas. A M a_r J... a Mar 0 f $5b'f-,., w Yilliams MA S6l8p 00000000000 Xinogen OVVEERR-----+ _ rome: 651.639.9505 1 800433 5411 Fak: S01 ed047) MmodAItARCDoYm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00958 sStTaAreTE0_20228120191155 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg !VIt 58.. WeWshhpaaottnttysyppaee(a(ssn))daainnddambbrriaannnddi((ss)1) ooaff ffpooaapmmaaarre"eoorPr lwweeearsreee uusseeedcd nooawlw aaanntdd i4inn5tt5hh.ee past past by by tne the Department,bth Department, both for for fre fire response and in training (if applicable)? Please check all that apply. TUUossneeiddniignn? AAmUmosoeuudnntt Curent Historically Training? Used Currently Historically FCaismsrBaamwmsgorsom TTy~p~eeooffFFooaamm Class B Aqueous _GS1i,lvex BBrarannddooffFFooaamm S; !ve..y KXxX YYeessoorrNNoo An2n0ua0lgl!4a~y! UUsseedd?? UUsseedd?? Film-Forming Foam Cl8ascosl ((AAFFFFFF)) rResaoRy C!3ss B Alcohol- o;_vt i(- rE Resistant AFFF (AR)- comspun M;1/1E ?:- oo oo FaCCCmallaasossssspBrB8oPorontei(n7) l lvl/Alf o ---- ---- Fluoroprotein CForami0nsgFism. Class B Film- (FP) Wh {FFFuroluareomrmrooiynppgrrootreoinn _-- -- -- -- c(FoFsFsPo) pmrere M/VA 4 CECCxallpaasasssnsssAAiBo-BBAn RHFH-oiFFaFmP fWl/A!l _---- -- -- Cassa Expansion Foam mIV{o / Class A OTtrhaerng Training FFooaa- mm w -- IfVVR A~ - Other iToTormrhanvhsorntodokadyrcynkiooniinnunggogkf@ @oerrdrd@yyeesooltlutuaarrttettaeniimvemm.eecnooaavmnn).dd)ococcrfoorooJooJmpipmuem)erarhSStaaitttioovonoecn.k.cainnkyPPglileeeQranaauastsgeteesetthihccreeooonnnMMtstiaaicrnnctenntgeeNNassaraoodnntticacanyyPgPoRRohloollusuddttniiiQooinnunngegsCCiaiootnontDDntranreoloallltlraaAAsgCC.geoeonnnncscsyyuult((ta6a6n5n6t1ss1-2-((692657591-178---66089606767-6-o5o56r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerroettuurn tthhiiss qqueustioennasiretttooDDeiletltoaCCoonnnsusnlutltaaannttssibbyyJrJuunneee66,. 2008 2008 inthe in t h enclosed e enclosed stamped, stamped. set: self- aaddddrreesssseeddeennvveellooppee.. iQaQuueesAkstmtiiooarnnnlennakaoaiiirreeeBccYoo1mmappql-leeltftededdd(,bb{y.y/:(:_w:. V\in Fzlree Name and Title FieiDiepfarltimeanmts (ioe Dept Fire Department Phd2o-n.-e1tN~u8m---beI7rg833-- ElifJR1Ili1Ml!l HJ!(0(JO|I Phone Number wEi~w,..l.-a;llifAigod.n~is.o.fusfiisvree. ,dJeeppt'f @@ -wwikidkl'-iee3l,.CcOoMm E-Mail Address Coed0 slOw2e7(08 Date Xinogen' ~ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.629.5445 1 800.477.7411 Fak: 651.639.9473mdowenlisnns.cam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00959 sSTTaAeT_E0_202682211991166 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11.. fDDrooeefssigyyhooiuunrgr DDopeeeppraaarrttmimoenensnt?t ccuurrrenetlynoortrhlhaayss yyoouurr DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCllasasAsAosor Gis Class BB ffooaammss ffoor firefighting ~ Yes Proceed operations? Yes- Proceed ttoo QQuueessttiioonn 2 2 NNoo--SSiiggnn tthhee bbaacckk ooff tthhissffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 22.. HHoowwoofftteenn'issCCllaassssBBoor CCllaassss AAffooaamm uusseedd iinn rreespsonpsoetntoofsfrireee ccaalllsi?? -_---,,,X._X__,__ o0-22s5w%oolf firreess ___ 2255-s5o0m%oloff frireess _____ 7755--110000%%ooffffrireess 33.. DDoocesstthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aaiir ffooaamm ssyysstteomm ((CCAAFFSS)) wwithaiabbuuhliltt-inn ttaannkk oonn sits eennggiinnee(s))?? Yes -----,- Yes Xow $ _ N o 4. Howoffolamnusiedsin traningoxercises? 4. How often is foam used in training exercises? Weekly Monthly Quarterly Semanal ___ Weekly ___ Semi-Annually ___ Monthly 2 ~ AAnnnnuuaallllyy ___ Quarterly _ ____ BBii-AAmnnnuualalllyy Other please speci): eee ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 55.. HHooww mmuucchh ffooaamm iiss uusseedd ppaerr rtraaiinniinngg eevvaenntt?? __ Less than 5gallons 5galons. _ stt0glens l( LMeosrse tthhaann 510gaglalolnosns (pease sp5egcallons _ _ _ 5 to 10 gallons _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IIn trnainitng,rwwhheaerreedidooeensstthhieessnppoentgtffoo,aamm ggoo?? 't__ SSttoorrmm SSeewweerr ____ SSaanniittaarryy SSeewweerr __ OOnnS-StiteeSSeepptticc GGrroouunndd ___ Other (please Other (please describe): d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WWinhfheoerrrmeeatddioooeenssio/driiddcuhthreeentrrtaaiainnniindnggptataskkteeappniliaaccneeg?? aPPrlleeeaaasss.ee iinncclluuddee aaddddrreessss,, iinntteerrsseeccttiioonn oorr tothheerr ssppeeccifficc llooccaattioonn information for current and past training areas. W~'oIlIlMm"yv FFrree_ vpe~p)r/.. 551155' 551,w., '22-2~ sS:TT w4,0',JJY..o.o.,utr~v.- Xinogen' none: 51.635.9$5035 1w30c0.C4r7a7nk34p31aFrok: S$9U1R63190.094S7E) MFmamadWsRliSngTnIv.cUosm 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00906600 SSTTATAETE0_202882211991177 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 88.. WrWhehasattptpoypenesa(s)n)daannnddabbrnrannad(ns()1doopfifpfflosoaca)mamabraero)eo?orlrwewearesereeuucssheeeddcnknooawlwaianandtd piinplthh.ee ppaassttbbyytthhee DDeeppaarrttmmeenntt, bbootthh fforr ffirree: response and in training (if applicable)? Please check all that apply. TUUrassiedndiininng? AAmUmosoeuudnntt Current Useor TTe:lp~eeooff FFooaamm BrBarannddooff FFooaamm Yesortlo Training? Yes or No Amualy Used Annuall:l HistoricUse? Current Use or Historic Use? FoCCrlmasilsng8BaAFAqouqsueaeomousus(sFFFFiiFlmm)-- "=? MJV1 w/JoD o0 Forming Foam (AFFF) CCRlelaasssssstaBBntAAll(ccRoohRhooYllA:- FFF -- ""3 mMM ---- --MJ--Joo---- ----o6---- ---------- CRlesaisstsa8nPtr(oAtRei)n-AFFF JE ~ -- Class Class Class Flaoroprotein B Protein B Fluoroprotein --_-- ---_---- -- -- GC(FFlllaPaass)ossop8BroFFtiilemmn--FF(ooFrmFmiPinn)gg ~ _ ....--- --~ - - CesseaRFEP Fluoroprotein (FFFP) oT -- - CCCBllplaaaassssssnsAABo-BBAnRHHF-iiFoFaFmP -- _ -- Cin Expansion Foam AO'{p"\rul5s> iJhhr --~g~ao-vm.bb...e. - J-}eEs5 ?!_1o0 GGa-ol.sJ> Coreen c.. vf'-.: v---;-- use~Ht- TCrlaaisnsinAg Foam err ---- i -- eet.ee Otter Training Foam Other -- =-----= jToohrrmhaanorsnrdotkkrodcyyniokoinniuunggffg@o@oerrdrdyy@oeosotluttuaraeretnmtenimyvem.eiccnooaammunns)dd))ooccroroyao4JopipmmouerrahSSatatttoioovoncecn.kk.iainnnPPggyeeleerqarausaaseteesttthcchioeeoonnnMtMstaiaicnnrctnetngoeNNassaraaondnlticacanyygPPRRoholioolllusdnttniqiooiunnnengsCGtaaiooftonnnDDinterrealoillltlraaeAA,CCggoeeonnnnsccsuyyultl(t(aa66nn59tt11ss--2((26960576711--8--3666696067760--o5o5r1r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. adPPdlleraasessseesrereodtteuunrmnvettlhioisspeaa,uuesstsiotnniaoirenttnooDaDeiellttrfa! Coneitants r.on~,!ta!'fs by.bv My: !!If<!\' 9. 2008?f)O!J ini!"! tthhes ncloed em::!osed ssttaammpp-a:d!d,, ettself addressed envelope. QQuueessttioonnnaariree ccoommpplleetteedd bbyy:: Fama and/RZTiiIlCcoiflt.- :JHo~hVnl5s<2oVnI Name and Title Maintenance ET W. tlm AR Fike DPT Fire Department Penorumber33,2?00-~ 2?-335~-- t(335?7( Phone Number 5-729 omDate Ea AdisFL ohn Son @ Cl witlmal. me ds E-Mail Address XKi1nnooggepn1: .., TTT Cre Fy ETE 100 SC Faun SST US 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.630.9545 1 850.437 5411 Take 91 615.473a balinsniin Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00096611 SSTTAATTEE__0022882211991188 . FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. ote or Cgatmant cent oy Depron Coes Sr Gono 1. Does your Department currently or has your Department historically used Class A or Class B foams for Ey firefighting operations? 5 ves Proce to Quesion2 ~ Yes- Proceed to Question 2 mobs fos a Sa Gomes No -Sign the back of this form and return to Delta Consultants 2. Horn ATE SRA roa? 2. How often is Class B or Class A foam used in response to fire calls? vaste _XaKssonaes rosaries ___ 0-25% of fires 25-50% of fires ___ 75-100% of fires 3. ome DetFo ET SA AR ob 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? =ve ~No -,------= Yes + Hort 4. How often is foam used in training exercises? -- ory cv -----::.:-Weekly SX seminary ph Ty ::;;< Semi-Annually Monthly ___ Annually ___ Quarterly Bi-Annually er ne pty: SE Other (please specify): ______________________ PA5. How much foam is used per training event? 3 Less hansgators Sgnions stg ~ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons - sre GR - More than 10 gallons (please specify): _________________ 66.. IInn twrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggo? moms Samar Sovor onstosaie crows ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic nse; -~- Other (please describe): ______________________ BASF SE Sante pon 7. Where does/did the training take place? Please include address, intersection or other specific location ee te en po information for current and past training areas. XXIinnoogg~enn ,. Phone: 651.639.91481005.177.7411 Faks 51.639.9471 wmshdeliasav.com Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 vo Paul, MN 55126 USA www.deltaenv.com 22222..009962 stare oas21019 STATE_02821919 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg What ype) and rants) foam aorwr sed now and nh past ho Deparment,boi or re 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tecponse and n Vain i pPicae loses chack a ot ap response and in training (if applicable)? Please check all that apply. TUasiendnigns AmUsoeudnt Cumentuseor TTyyppeeooffFFooaamm las Aqueous Fin Class B Aqueous FilmFarming Foam apy ---------------- -------- -------- -------- Forming Foam (AFFF) Class 8 Aono Class B AlcoholResta (RAFF --_---- Resistant (AR)-AFFF cewePown Class B Protein Class 8 Flsororoton Class B Fluoroprotein w= _-- (FP) GlossFin Foming Class B Film-Forming Facapeton rey | ------------------ ---------------- -------- Fluoroprotein (FFFP) Cossoarerr Class B AR-FFFP Pe Class A-B Hi Branton || mm mp Expansion Foam ama Silv-ex vYeesS Lesser Class A Trang Foam EE Training Foam oer - Other BrBarannddooffFFooaamm Used in Training? YeYessoorrNNoo. Amount Used AnAnnunaulalllyy Current Use or HiHsitsotorriic UUsse? --~~~~--- Le25 5c,c,f I ----------- Thankyoufor your te and cooperation. Pleas cata Nancy RoiiDaglla Consults (851-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rngGatae com 4m Sioingr in nase luton Conlon (51 5073000 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Fr ackmgarGato1Tsou have ary etars rogmang seston jim.stockinger@state.mn.us) if you have any questions regarding this questipnnaire. Please etum fs avssionnairo Dl Gansta by Hox,200 i enclosed stamped, salt: Please return this auestionnake to Delta Consultants by J'.1ay 9. 2008 in the enciosed stamped, self- adaddrderesssseeddeennvveellooppee.. Questonnake completed Questionnaire completed by: R jJee s.rE ee..VmY"E fe y5 c-S h o5c soo lh A_.) eCsCChhbs iiieee-e Plf we Name and Tit e Fes Deparment WU 20 Sen Fire Department Phone Nar Phone Number FE re SED-brog Date BeE-MaiL Address Ninogerr nan: Phone: 651.639.5040 1 350 433 413 Fak: S01010.8473 5910 Rice Creek Parkway Suite 100 St. 651 639.9449 I 800.477.7411 Fax: 651.639.9473 ai daliasns am Paul, MN 55126 USA www.deltaenv.com 22222..00963 sStTaAreTE0_202882211992200 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 11. . fDDeooeeelssiyynoouguroDDpeeeprpaaatrritmmoenensnt?t ccuurrrreennttllyy oorr hhaass yyoouurr DDeeppaarrttmmeenntthhiissttoorriiccaalllyuusseedd CClalsasAsAosor CCalassss Boas B foams ffoorr XX_ firefighting opYeerast-ioPnsr? otcoQueesetiodn2 NoYes S- iPgrnocteheedbtoaQoucfetshtkiiosnf2orm and return to Dita Consultants _ _ _ No- Sign the back of this form and return to Delta Consultants 2. 2. HowotenisClass How often is Class Bor B or Class Class Afoam A foam uusseedd iinnreessppoonnsseeftoo fiirreeccaallllss?? XX_ o0-z2s5w%orotf ufireess ___25255-500%% fres of fires 75-1o0ff0re%s -~-75-100% offires I 3. Doss the Department hhaavvee a ccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aa ulti built-in arkons tank on its eonnggiinnee((s))?? t 3. Does the Departmen ___ YYeess XXoNo 4. Howotens foam used in raining exerses? 4. How often is foam used in training exercises? Weekly ony Quarety ___ Weekly T Semamualy _X_ Annual -- emualy ___ Semi-Annually ___ Monthly X Annually ___ Quarterly Bi-Annually Over (pleasespecityy _ -- ___ Other (please specify):----------------------- 5. Howmuch oan is used pr ining event? 5. How much 2XX Loss foam is Less tusehd5 pgaaelrltornnasin.ing than 5 gallons event? 55ggaalllloonnss _ _ _s5wtoi100ggaallolonnss Wor than 10 gallons (please speci: ___ More than 10 gallons (please specify}: - - - - - - - - - - - - - - - - - - . Intining, In training, wheedoes where does hethe ssppeenntt ffooaomm0g0o?? 6. XX__ sSttoormm SSeewweerr _ ____SanSiantiatarryySSeewweerr Other (please descr): ee ee en _____OOnnS-StieteSSeeppiticc ___KXGGrroouunndd ----- Other (please d e s c r i b e } : - - - - - - - - - - - - - - - - - - - - - - .2Nt.t 77.. WWihhneerfreeoddooreessmo/idraiicddtuhthroeeenttrraaianniinngpgaatsaktkee pplnlaaiccneeg??aPrleeleaasa.ssee iinnccluldued aaddddrreepssss,, nrsecton intersection oo0rr ootthheer spec specific llooccaattioonn Qu information for current Lea and past Zimtraining ~ areas. (25d _ _ Jeli HSL z pe hirgead,(58lecge. 1350 Mpa ~~~~: Lo one, 7; 729 Kinogen: TTR CE Fay TU 100 SE FEFa RE SSE USK 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rene 651630.9|505050 TT TAT Fok: S9L035 9475mmsdaltasis.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00996644 STSTAATTEE0_202882211992211 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. 8. WWtheahsaptot nttyysppeee(o(ssn))daannddarbriaannd(sn1)aopdfpffiooco)aammtiaarerye?ooPrlrweeaorsee uunsseeecdnknooawlwhaanntdd ainnlythh.e paasstt bby hethe sDpepaarrttmaenn,t, bbootthhffoor r refire response and in training (if applicable)? Please check all that apply. TyT)pl[e!eooffFFooaamm Clos 8 Aqueoius Class B Aqueous FilmForFmooi(nFFgF) | Forming Fo<=Jm (AFFF) BBrarannddooffFFooaamm TUasmendign? Used in Training? YYeessoorr NNoo Amount Amount Used Used AnAnnunaualll!)y Curent Useor Current Use or HiHsitsotoriricc UUssee?? REEL GRseer QUSUMTE GRC jes S J~un~h- Lcoeteot CCllaassss BB AAllccoohhooll-- (AdN_NSsYVLJ.L.JT~ ;J/'(Cc tlt5 ) t/12/(.t'2.A.J"f cossopoon Resistant (AR)-AFFF 7 I CElahss Class Class BB B Foroprotein Protein Fluoroprotein _-- FuC(GFoliaPrs)sso8BpoFFiillmmi-FF(ooFrrmmPii)nngg | casseaReER Fluoroprotein (FFFP) cECClollaaaassssssnsAABo-BBAnRHFH-oiFaFFmP| -------- -- L~'~ c Gass A Expansion Foam Class A Ssi,'tLy)J--eexK tf4Js2uL 7 IJ)f). h, e co(!r/(/k(, -ee.An) t1- Trang Training FFooaamm EE Oottnhaerr eee eet eet mes iooTTrrmhhaanwsnnrookktddyynonooinuaucg@ffk@odoridlyyenooalutugaarremeitni:mmrve.ec@cooaausmmnns)tdd)) ooaccorortYaoJopipemmeuerrahSSata1ttoiov0oncecn.ki.ainnnPgPgyeleee:uraaeaassstetthhccoeoeonnnMtMstaiaicnnrctnetngeeNNassraaoodtnrtiaacnyygPPRRoholoolsluuddLtniGioainunnneggsCCtaooofotnnmDDtnooreaoltlrtlaaeAA.CCggoeoennnrcsseyuul((tla66an56t1r1s-42((9696757511-38--666690697667--15o51r15522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please Please rtum ret!!r!? tisth!s cussiontnoaDaitnsConsulisnts fYU2Stionn~jre to De!t3 Cor:su!tants by by Hey.".~at: , 2008 9. 2008 Is in theth.a ansiosedsisnses enc:os~d staaipf:d, seit self- aaddddrreesssseeddeennvveellooppee.. QQuueessttioonmnnaairte ccoommpplleottedd bbyy:: Ld Kppis Free Chief Name,aFnadTi.eJ.(l(#i-L FiNrasmDWIeeVpaandirImT(eAitnlen/t6)/to)11 Free ;D)eepf/JtI- Fire Department i PhoS5ne"ON'utmJXb)er-41j5-) --'F;lJJe~b& Phone Number EaseekK~R;etsRs.LLLLrY oc.f/, WWiJAnJoow/)h)1,1, mmo/w1./, tJ S4 E-Mail Address 4-30-08 DToattee XXKIinnooggfenn ,,, none: 651.670.9T505R| E$40 C053r54a11 Frok eGEL 61w3 0s433 mwinatave 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00965 STSTAATTEE0_202882211992222 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . eDDoloeeasshiyyoonuugrr oDDpeeeppraaartrttimmoenensnt?t cureonthay currently or has yyoouurr DDeeppaarrtmmeenntt starialy historically uussedd CCliasasAAsasor GCllaasssBsB ffooaammss ffoorr XDX firefighting V-eProcseed operations? Yes- Proceed oto QQuueessttiioonn 2 2 ' _ _ _ NNoo--SSiiggnn tthhee bbacakoofcftthhkiiss ffoorrmmaanndd rreettuurrnn ttoo DDietltaa CCoonnssuullttaannttss 2. How often Glas Bor GlaAfsoasm used i respotnosfree cals? 2. How often is Class B or Class A foam used in response to fire calls? ___ 00-2255%%ooffrfireess )2<9J asso 25-50% ootftfirreess ___ 7755-10-0%1o0offf0frire%ess 3. Does ihe Department have compressed ai foam system (CAFS)vith a uiin tank on is engine(s)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? ~4 XXesno )C No 4. How often oar used in raining exercises? 4. How often is foam used in training exercises? Weekly Monty Quanety ___ Weekly ___ SSeemmii--AAnnnnuuaallly ___ Monthly ___ AAnnnnuuaallllyy ___ Quarterly XXX Bsri-Aanmnuuaalllyy Over (please speci: =-------- ___ Other (please specify): _______________________ 5. How much foam i usedpaeiring event? 5. How mXu.c_h Lossthan'gators foam is used per training event? 5gatons 51010gallons )( MoreLess More ranthan than 10 galons 5 gallons 10 gallons ((pplleeaassee sect)5 gallons specify): _ _ _ _ _ _ _ _ 5 to 10 gallons _________ _ _ _ 6. In taining, where dos the spot foam go? 6. In training, where does the spent foam go? Storm Sever __ Santry Sever onsiosepic ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic COmerpossedssenber __ Other (please describe): _____________.______ -~- ~GroGuronundd 77.. nWWhfhegermreeatddoooneessfi/odcriddcutththeentartaiaininindngpaataskkteealpalacgcee?? aPPrllceesaa,sseo ncudo include aaddrderessss,, inerston intersection oorr alr other speci specific llooccaattiioonn Biot cea information for current and past ~ Ave.;JtAE anh 2m training areas. Mb c2tJD S:r5e~e! SSoou-ruH- Zury OF Wiwsred --- Xinogen ren a5 FR TE CES a 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222..00996666 SSTTAATETE0_208228211992233 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 5 TWheotmtaypeSs)randsbarinatnopf efoea)m aee crPweorse ucs nnoow eand anphy ast he Oeparima,Sih rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TVaeneng Am"Cooeudn.t curentUseor TyT~p~eeooffFFooaamm GlBAceson Fin Class 8 Aqueous FilmEom Foam | -------- -------------- .C.."."..'.r.r.n..i.n.~nI'r":":,'.".."."~n'''\',I .1.1!.=.i=.l=I) Gl8Atsel Class 8 AlcoholReiene | ------ ------ Resistant (AR)-AFFF i, Class 8 Protein Gl8Faarosprosten Class 8 Fluoroprotein & _-- (FP) Gas FiForming Class 8 Film-Forming FFlluuoorroopprrootteeiinn ((FFFFFPP)) GmBARFFR Class 8 AR-FFFP cuss 81 Class A-8 Hi Ft . TTI T O r ChassA Expansion Foam Class A BrBarannddooffFFooaamm Used in Yosoro Training? Yes or No Amount AAnnUnnuusaaelldll~y HiCHsuitsrorteorniritccUUUssseeeo??r ~~ AAl\nl&eJusS .Hj.JijCgDt'm1$gItatA~r No 'S5"e&aArL fhiife s:?qvpf~eostoJ TrTarianiniingg Foamm oer Awuncco -sreks | Yes a [EE THEEacs Other S-- F -- A~aA ec.o -s-ncK~ YsS -r~fd}.[t~ l A TET-- _ <&St'wJI'lCi-C;!--~.$')oz.. ,(liS-? Thank ou for our me and coeraon. less cot Nancy Ring Oa Const (051.007.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants {651-697-5152 ma como 3mStinga a heMinnesota Poor Con Aoarc (651397399 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ar umes Yo vt or tors ero esos jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Ficse stu tis uasiouie DlGolbayHeny , 2008 nth enclosed stompedset r-,'t::ase ;t:tum tl;i.;; qut:;::;iiunnaire to Deiia Consultants bv iliiay 9. 2.008 in the enciosed stamped. seif- aaddddrreesssseedeennvveellope.. -- Questionnaire completed by: Ched Stender [7 Assis ier. Chvd 5+-e/lderemo Name and Title -h V\Wi/ttpJs:Stiecrts? Fift-tec FFr3eaFe2nipra0reia-ntc4h8i5ef-23WW1a,6s"-l5e:kdJ.. mu. us.5o/m4/08 (Ire Phone Number e-h_~~ef -- Ee hess E-Mail Address Date MtJ , lA:; , XNIinnoogg~e:rns .,"' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00967 state o2s21024 STATE_02821924 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. 1. fDDrooceetss iyynoouugrr oDDpeeeprpaaatrritmmoenensnt?t curenty currently oorr hhaas yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl usseedd CllaasssAAosorr GCllaassss B 8 ffooamasmffosor K._ Yes - ProtocQueesteiond2 firefighting operations? ~ Yes - Proceed to Question 2 __N_oN-o-SSiiggnn tthhee bbaacckkooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 22.. HHoowwtooftneniissCClalassss BBoorr CGllaassss AAffooaammuussaed inrreessppoonnsseefotofr cal? fire calls? _ ___ o0-z2s5m%otoif ifireess 1 2K5 - 5os0a% meootf ifiroess rs toonatte ___ 75-100% of fires 33.. DDooess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommprperesssseedd aaiir ffooaamm ssyysstteemm ((CCAAFFSS)) wwithatabbuuihiltt-iinn ttaannkk oonn ittss eennigninee((ss))?? XowYYeess =x=No 44.. HHooww oofftteenn is ffooaamm uusseedd iinn rtraaiinniinngg eexxeerrccisseess?? ___ WWeeseklkyly Monty -----;,-- Monthly ___SeSmebmAin-Annunaulalllyy ___:XtC__ pone Annually Quarry ___ Quarterly simul ___ Bi-Annually ___ OOttnheerr ((pplleeaasseessppeectcyif)y.): - - - - - - - - - - - - - - - - - - - - - - - + 5. 5. How much How much foam foam sis used used ppoerr rtraaiinniinngg eevveenntt?? 2 Los ransgatons Less than 5 gallons Sgatons 5 gallons ___ 5S0to1100 ggaallloonnss More than More than 1100 ggaalllloonnss ((ppleeaassee ssppeecci)fy:): - - - - - - - - - - - - - - - - - - 6. Intraning, where docs the spent foam 607 Storm Sener ___SantrySever 6. In training, where does the spent foam go? _ _ _ Storm Sewer _ _ Sanitary Sewer __ Oonns-StiteesSaeppitiec ___K.X.K_ rGroomuned overessecesower _ _ _ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 77.. WWInhhfooerrreemaddtooiseossfi/oddriddctuthhreretrnraarainininndggptatasaktkeerlpalaianccneeg?? aPPrlleeeaaas.ssee iinncclluuddee aaddddrreessss,, iintenrsetctioenoorrroostthheerrsspcpeecictfifiiccilloooccaattniioonn information for current and past training areas. Z235335N Nt'd W#JhTIxp'aohtrvrAir/sstia~nn~w~ ANE. .SsJk-. - fod LpHlesatd pik Liha min) Xinogen Trane: 451.039.9500 SR1 E8504C7r3ee74p11rFyak SE91U16T35.24T73ESmdFmlasiWaaSnI.ScoUmE Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00996688 STSATATTEE0_202882211992255 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. pWhiaetsyleis)opaedlbirhanidis fiooamiascbwroenusednsw ian ii dhe pastby he Deparment,Sihfor ro 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. Tupeot Foam Type of Foam Gloss Asoo Fim CFFoolarrsmmsiinnBggAFFqoouaaemmou((sAAFFFFFilFFm))- ~~ Gloss 8 Near Class B Alcohol- RReessiissttaanntt ((AARR)}-AAFFFFFF ~~ camoPoen Class B Protein Brandt Foam Brand of Foam Uundin Amount Used in Tange "ood cumentUseor Training? TS my eons Yes or No Amount Used Annually fo o --H f-/o o To 0 o --HNe O Mo f./0 c) "To () Current Use or Historic Use? -- -- CCllaassss BB FFlluuoorroopprrootteeiinn &(FP) Gas 8Fi Farming Class B Film-Forming ry Fluoroprotein (FFFP) Cossoarfrrr Class B AR-FFFP eB N N<O.J CoO) -- NNoo __ 0 NNo O 0 () _ Cgolassss AA-BB "Hi mfr o Sl!v-m NNoOT Gass Expansion Foam CTrlaaisnsinAg Foam Training Foam o_ OtOttheerr N o0 _S1t ( Mtu4Nsl 5e.uL Vy VEtSS. = Z'ZSSj_b wl x B'5oo-nn,n. - NNo o 9 () NNo o 0. Thar or your ie and coopraion. leas corac ancy Rodina De Consus (051-607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 rode com oS Soi tio Mi Poh Conv oer (51 5073068 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or rack saa Tou ov a aves rogrding i stoma jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PlPeleaasseerreettuurrnntthhiisqquueestsitioonnnnaaiirreettooDDeellttaaCCoonnsuslutltannttssbbyvMMaayy99,.220000_8~. ii!nJJt!JheeeentJctl;.!o(Jsseeddssttammppeedd..sseellff:- Blase ssnies addressea envelope. P-- Questionnaire completed by: Zoey Veraes, Ast peOhwe &ev Yu?/fV\J. [Er Name and Tit(e Lord Lote Lie Deol ~dl/ L,~ 4~ Fre esaringet Fire Department Zs) SES 6s/JO CJ Fg oF. {g;G) ~38~ Prova ror on Phone Number We Fire Depr & HC74, MEF tJ L h rc~ ~C?T ERT E-Mail Address Date ?JCT4 t N:7 Xinogen rr mr TT TS a Phone: 5910 Rice Creek Parkway 651".639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 TFT Paul, MN 55126 USA www.deltaenv.com 22222..00969 state_o2621026 STATE_02821926 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 1. Doss your Department curently or hayourDepartment strat usedClass A or GloB fsoasms for 1. Does your Department currently or has your Department historically used Class A or Class B foams for eres opment 2XX. firefighting opYeerasti-onPs? rotocQueesteiodn2 Yes- Proceed to Question 2 No- ign he backof his form and stun f Dea Consults ___ No -Sign the back of this form and return to Delta Consultants 2 How fens Gass Bo las A foam us espn0 s0 cal? 2. How often is Class B or Class A foam used in response to fire calls? X_ cas ottnes 25s ctfres 75.1005otros X, 0-25% of fires ___ 25-50% of fires ___ 75-100% offires 33.. DDooeess tthhee DDeeppaarrttmmeenntt hhaavvee aaccoommpprreesssseedd aaiirrffooaamm ssyysstteemm ((CCAAFFSS)) wwiitthh aabbuiulitlt--iinn ttaannkk oonn ittss ennggiinee((s)?? ves ___ Yes XX noNo 4. How fens foam us in iong exercises? 4. How often is foam used in training exercises? Wook beni awn ___ Weekly Somvhoniaty Xo amaly ohAnaly ___ Semi-Annually Monthly Xl Annually ___ Quarterly ___ Bi-Annually Ore lease spect: -- -- Other (please specify):------------------------ 5. Howmuch foamis sodporving vent? 5. How much foam is used per training event? X_ Los trans galons sgatons 51010 gaons X Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons 7 Moron t0gaons plasespecity More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - &. Intaining, whore dos the sport foam 07 6. In training, where does the spent foam go? Stom Sever ____Sariry Sor onsioseic _X_Growa ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic _LGround Ove (pease descr) - - -.. ?ther (please describe):----------------------- 7. Woiemrsadnoeofschoemveaaninpaokssalamcge?oPnosss nck adress, resection ivr specif locaton 7. Where does/did the training take place? Please include address, intersection or other specific location information for current and past training areas. Ninogen: 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00970 sStTaAreTE0_20228121992277 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. rWehsaptontsypee(nsd) aFndabriannc((s1)pofioacm aar"oPwleenaucsheodcnkoawh aantc3inph.e ast byhe apart, both or fre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. . Tweof Foam Srandof Foam YTTUUerrassoaieenrnddifnigilgnn?e? AAAmUUmmossmoueeauddnlntyt CCHuuirrsreetnnott UrUsiseeeosorr J Clas Aqueous Fin T~~e of Foam Class B Aqueous Film- Brand of Foam Yes or No Annual!~ Historic Use? -- Forming Foam (AFFF) RCelassta8Al(coRhAolFF Class B Alcohol- ------------------ -------- -------- ---------- Cassopoon Resistant (AR)-AFFF FE Glas 8 Foroproton Class B Protein Class B Fluoroprotein rr Fr(CGFoliaPps)srs oBtFFoiinlmm-F(FooFrrmmRiinYngg Cossprmser Fluoroprotein (FFFP) cSlapssownafhoam Class B AR-FFFP Class A-8 Hi pT ---------- ------ ---------- Expansion Foam TrCianssnagFoam Class A S~ eg5u/ in. r p~e r Ssg~ak omer Training Foam EE -- Other iTo`orTmrhhaonasnrnoaikddcyynkooaiinuungfodg@orrrlyd@yoeaoulttuearreattnimvtm.ecceooaammnn))dd) ooccorooYoJipoipemuerarShStaaittiioovoncecn.k.kainniPPgyeleeecarausaaseettesthhccoeoeonnnMtMstaaiicGnctmtnaeNNosraasonnitacacnyyPPRRiooollisludltnnciaoinugnngsCCtaaotootnrnDDtrnreoolaltlsnaAAeCCggeooennncsnsyuul((tla65an55t1r1s--2(3(699657731--18-8666696007687-5o511r5522 jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PslPieloearasasesesrroetdtuuarrnnnvtethhiiaissneqquueessttiioonnnnaairireettooDDeellttaCCoonsnuslutltaannttssbbyyMMaayy 39,, 22000088ninththeeeenncclloosseeddssttaammppeedd..ssoetlf:- addressed enveiope. QQuueessttiioonnnnaaiirree ccoommpplleettead bbyy:: eulf db~a~ nd~e Name and Title obof F(r}e)Do1p?mi-naant~}j 7-~ PrFoirem2DseNp%ramrtomaernt 384 4670 Phone Number O4t-o 28-08 Date c Etat Aeh s t@o hoto iconllfie E-Mail Address Xinogen ~ ese 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.635.9445 1800.477.741F1ok.: $51.635.9473 mawasliaenv.com Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00997711 sSTTaArTeE__o0z2s82211992288 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 1. 1. DfDeooceeissghyyioonuugrr DoDpeeeppraaartrttimmoenensnt?t current currently or or has has yyoouurr DDeeppaarrtmmeenntt hhiissttoorriiccaallly uusseeddCClalassss AA oorr CCllaassss 8B ffooaammss ffoorr firefighting operations? )( YYNeoes.s-SPPirgroonccteeheeeddbttaoockQQouufeetsshttiiioosnnf22orm an retur to Delta Consultants No - Sign the back of this form and return to Delta Consultants 2. 2. Howoften How often sis Gass Class Bor B or ClAafosam Class A foam uusseedd iin rreessppoonnssee tore to fire ccaallllss?? ___ 00-2255%% offre of fires ___ 2255-.5500%% ooff esfires XK')(. 7510050 es 75-100%offires 3. Does the Departmeenntt hhaavvee aaccoommpprreesssseedd aair ffooaamm ssyysstteemm ((CCAAFFSS)) wihwith aa ulin built-in ttaannkk oann sits eennggiinnee((ss)?? 3. Does the Departm veYes X&eNo 4. How often s foam used in airing exercises? 4. How often is foam used in training exercises? X_ Never Weekly Monthy Quarry ----f',K"---- Never ___ Weekly -- somamualy Away ermal Semi-Annually Annually Monthly ___ Quarterly Bi-Annually Other (please speci): Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foam s used pr ning event? 5. How much foam is used per training event? _X tesstanSoalons ____ Seolons signs )L Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More an 10 gallons (please speci More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66.. IInnatrianiinningg,, wwhheerroe dooeessththee Som Sewer sppeenntt ffooaa_mm__Sg0aon7?taySewer ___OnSteSeptc ___ Oter posse Storm Sewer (please descvey___Mtwse __ Sanitary describe): Sewer M f- _ U$.12 d_d O n - S i t e Septic ___ Other Grow Ground 77.. WWiinnfhoeerrrmeatcdioooeenssio/cdriiddcthhreettrraaiiannniindnggpataakskeeUlpalanaiccneeg??aPlreleeaaasssee iinncclluuddee aadddrreessss,, nrsoctoonr intersection or oer other speci specific llooccaattiioonn information for current and past training areas. Kinogen OOVVEERR----+ TO Cre pry TI I8 S_E Peu Wa ssa usa 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Ione: 651.635.9005 1 805.473 5411 Fok: S91 035.047) mmdalanAca.m Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00907722 SSTTAATETE0_202882211992299 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 5. What ets andbrane cam rr re uss tn nh at ho panmen, bi rr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire em amg aan Po Sock ok oy response and in training (if applicable)? Please check all that apply. TupectFoum tan malye s-- TIyE ca enty Wa"tohtoe?nly Ty:~e of Foam Gi8 Aassoous Class B Aqueous o_o Film-Forming Foam pes (AFFF) J Class B Alcohola Resistant (AR)arAFFF TOI -- -- -- -- -- Class B Protein Gisst Class B Bint (7) Fluoroprotein (FP) btygonl Class B FilmEr Forming Frioion Fluoroprotein fs (FFFP) Tmt oe Class B AR-FFFP Guo aBH Class A-B Hi Foam Expansion Foam Goss GaSl-eX -ApMd_ Dgl Osatyuer Class A Taran -- TT = Training Foam ao = Other Brand of Foam ~5,/v--0'~ Used in Training? Yes or No Amount Used Annually: Currently Used? Historically Used? BJa~ 6VsalyMr Thankyo or your mean cospraion. less contac NancyFaring afDl Consults 619975152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aaa com so Simin he etn osCol oor (051107008 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or Tr sar) ou on oy soon opi echt jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. PPlleeaasseerreettuurrnntthhiissqquueestsit ioonnnnaaiirreettoo DDeeilttaa CCoonnssulutl taannttssbbyyJJuunnee6,.22000088iinntthheeeennclcol osseeddssttaammppeedd,,sseellff -: Sse addressed envelope. Quests compiledby.e Denn 5 Burrrr1, Quest!)aire completed by: e lH'lt s Rae sree Name and Title r Lire Clef FGre oaep:W;p;;oL~awnnWllyS {E;ra~ patmat Fire OCM r Fro 6S5/-963- 0574 TM Phone Numbr enllCeilhcroctrtPbb/uoe,rrrr,~ C2vgomuwetsis2o1 mioPnV y E-Mail Address / XXIinnoog~g:enn """ eR n SIS 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00973 [p---- STATE_02821930 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 11. . D{Deooesetssgynyoiounurgr DDopeeeppraaartrtimmoenensnt?t cunt currently oorr hhaass yyoouurr DDeeppaarrtmmeenntt hhiissttoorriciaclalyl usseedd CCllaassss AAoorr CCalassesBB ffooaammss ffoorr f i r e f i g h X_tin v g o Yesperat i o- nPs?rotcoQueestsiodn -....!.~-'----- No- Sign the baocf tkhs form Yes - Proceed to Question 2 Sign the back of this form aanndd rreettuurrnn ttoo DDeelltaa CCoonnssutlatannttss No - 2. 2. Howotenis How often Class is Class B B orClass or Class Afoam A foam uusseedd iinn reso response tfoo frfire ccaalllss?? X__ oashortres ---'-)(_,___ 0-25% of fires 25.50%ofres ___ 25-50% of fires ___ 7T5-15000%oo0tfffei%reess 5. 3. Doos Does hethe Department Department have have aaccoommpprreessssead aair ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithlhaa bbuuliltt-iinn atarnkk oonn 1itss aennggiinnee((s))?? ___ vYeess X*. to No 4. Howotens foam used in taining exercises? 4. How often is foam used in training exercises? Weak Varin uarery ___ Weekly ___ Monthly ___ Quarterly SembAnnually Aart TT eeammuay ___ Semi-Annually ___ Annually ___ Bi-Annually X_ overeasespectyy __Y-.-'-'-- Other (please specify): - - = 0 " - - - - - - - - - - - - - - - - - - - - - 5. Howmuch foam s sed per raining event?_O)0 5. How much foam is used per training event? -...::::::.- _ LesstanSomions salons sigan --- Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Morethan 10galons (leasespecty) ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 6. 6. Intraning, In training, wwhheerree odoeess tthhee ssppeenntt ffooaamm ggoo?? ___ SStoomrmSeSwewserr __ _S_a_nSaitnairayrSySeowveerr __ OOnnS-Sititee Sep Septic GGrroouunndd ~ . OOtthheerr ((pplleeaassee ddeesscrcirbibee):): Le>~ n(\olJ 1b-uvsSe_ffoc0r-m~ f..ro..er,, Tlrtawi\mili.ty:J 7. 7. fWWohhroemrraeetddioooenseo/drsidcatthrheentr:raaiainnininnggpaataskktoerlpaalancceeg??rPPelleeaaasssee iinnccluldude aadcdrressss,, inneterrsseeccttioonnooarboethrer ssppeecciififc llooccaattioonn information for current and past training areas. Kinogerr enone: es1.639.9R 005 1 83C 5 057 TAT 0E Fan: ORL 6T 30 3547)pMaaediena 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00997744 STSTAATTEE0_208228211993311 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire Training Firefighting Foam Use in Fire Training 5. What pets) and ranofsfo)am aorweruserow and nthe ast b he Deparment, both orfre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire rospones ad in ain (1 pAicate Plone chock a at 3p. response and in training (if applicable)? Please check all that apply. Type of Foam Brandoroan VTTUUraeassmoieenirddinniNiggnno?? AAAmUUmmossmoeueaudndlntyt CCsuuirrroeennnstt uUUsssoeeoosrr CCFloalarssmTsi8ynBpgAeAFaqoouufueeFrooouu(assAmFFFiiFlmn):- | Brand of Foam ---------------------- Yes or No \ Annually Historic Use? ee. seme cass phono: Alcoseal 3% Pras Forming Foam (AFFF) \ Class B Alcohol- )200spe,tot.-loturvtsS Cassmpown RReessiissttaanntt((AARR))--AAFFFFFF dl ---- J ----------- CIl)ass Class Class 8B B Fucroptein Protein Fluoroprotein Ee --_-- C(CFFlaPrs)lsoB8mFFaiilemm-FsF(ooFmrFmisFning,g ------------------------ en ee Cobar Fluoroprotein (FFFP) - CCCErallaapsssasssrsAABi-BoABnHRH:F-iFoFaFmP --_-- Cen Expansion Foam Chemauacd Saati Lest Spears TCrlaassnAg Foam --- J omer Training Foam - J Other ioToTrhrharanSnnroookkddcyyknnooiinnuungagff@ooGerrrddyy@eeoosluthutarraaetteneiimvcmu.eecosoaammnn))dd) ooccroroYooJoopipmreerrahSSataattiivoocoecnnik.nainngPPgyelleerGerauaaasettseshtlhccsoeoonnnMMtstaaiicrncntntneNNeesasaoslntgcaacyyPPaRRioooollrdudotniqioinnudnIJneggsGCiiatootonrDDnntrorneoltalltgaarAAsgCCgeoeonnnncscsyyuull((ta6a6n5n5t1s1s-32((96967575.11-88--666096697667--oo55r115522 jPimle.satsoecrkinoguer@tsitasteq.mune.sust)iifoynounathioavreeanDotyCqounessutliotnasntresgbayrdMinagyth8i,s0q0ue8stIionhneaireen.closed stamped, sel: Please return this auestionnaire to Delta Consultants by Mav 9 2008 in_the enclosed stamped, self- `aaddddrreesssseeddeennvveellooppee.. Questonnage complete by: --. . Name anTi FNraemGeaangdairtZZlienilt (MmMm<2e...rr man mo.. v'\.. Livonia / J ( ' L-r J o V\.t Cg Fre Dept Fire Department Phone Nam2e 63- 5.-35 %O Ta5e-83-04 Phone Number Date s + EmreZz//i)1m1m11eer,/mV'aIanrt +J4 @@ Sh~e.rv--bble: \| .nVle_t E-Mail Address NKinogen rene 31.4395TO e CS ee TaTokerSeESTEmE uon WAaEEnUR 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00975 sStTaArTeE__0022882211993322 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DDcooehessiyynoouugrroDDpeeeppraaarrittommreesnn?tt ccuurrrenetlynootrrhlhaasys yyoouurr DDeeppaarrttmmeenntt hhiissttoorriciaclalyl uusseedd CClalsasAAsosorr CCllaassss BBffooaammssffoorr AL Yes Protco Qeuesetiodn2 firefighting operations? V Yes- Proceed to Question 2 ___ NNoo- -SSiiggnn tthhee bbackcoofftktihiss ffoorrmm and and rettouDerltna return to Delta Consultants Consultants 2. Howoflen'sGis Bor Class Afoamused inresponse ofr cals? 2. How often is Class B or Class A foam used in response to fire calls? ___ 00-2255%%ooffffrireess _ _ _25255-05%0%ooffffirreoss VLas a75-1000%0ooff f%rireess 33.. DDoeoessththee DDeeppaarrttmmeenntt hhaavveeaa ccoommpprreesssseedd aaiirr ffooaamm ssyysstteemm ((CCAAFFSS)) wwiithtaha bbuuiilltt--iinn ttaannkkoonnititsseennggiinnee((ss))?? Yes ___ Yes -- No \..c:" No 4. How often s foam used in raining oxrcses? 4. How often is foam used in training exercises? Weaky mony Cuan ___ Weekly ___ Monthly ___ Quarterly SombAmualy ____ Anualy vy ___ Semi-Annually Annually ___ Bi-Annually VV7 OOttmheerr ((pplleeaasseessppeecciifyy:): V\/uE.R-\Y1 kha/ttt"te/t.... Be,EEcCatWysSsb OOFF CCODSsT:l ~2~.-~~~=-~~~~~~~~~~---- 5. Howmuch foam isusedpe rainingevent? 5. How /~ LesstranSgators much foam is used per training \ L Less than 5 gallons _ev_en_t?_ S5 aglalolonnss ___ 551t0o 1100ggaalllloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((plleeaassee sec). specify): I ________________ VSSom Santay Sever onsiososc Wan 66.. Intraing where docs te spentfoam go? In training, where does the spent foam go? V Storm Sewer _ _ Sanitary Sewer _ _ On-Site Septic Omer (plasodeserve J ~-- Other (please describe): ______ 77.. WiWnhfheoerrrmeeadtdoioooesnsif/ddoiriddcthuhtoeetvrraaiiannniindnggptatasaktkeevppailaaiccene??aPPrleleeaasa.ssee iinncclluuddee aaddddrreessss,, iinntetrseerctsioenocortrooitthoheenr speci specific llooccaattioonn information for current and past training areas. GL.IJEr WReJa.&llIIyy ~D"o'nTr- uUSsEE.- FFOoJAs:fY.'-: wHtEfArJ TfiR2-Ar't,m JV1iS 15J bbfE/9S.<RrIuSsE OoFF CCIOTDSs1TTi0O oOSFFEP 'SQ fPlgrww,&iotpYnoJ'y"rcvT-fMAcu0Gl(w:<ifEtf+deD1JJ 11-&- w-uNefwz:~fDbI1AANt n/7D/ D u . J/[fw11'\nSsc"wwo!fliMlTnu fwwek"ar'FfDiso~ws.h!olSTat ;J S-sEEWv.EJR~ lDJRe.Aa.rn0 ,AAJ _~oltlyy oo-Ff T<:ovrmnlB3tr.eC_) .o.o fF=e1.l+lUss..ecIJ NJN tFerj;JooE./nNJ"t'I1o- 6ffF:l()wFHir~e t~a~llL. Kinogen- _ PPrhoonne:e: 651.635.91484005.473.7411 Fok: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 451.635.9473 Suite 100 St. 651.639.9473 whisidaliagne.con. Paul, MN 55126 USA www deltaenv.com 22222..00976 STSTAATTEE0_202882211993333 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 5. What ets) an brands)offoam aorrwere us now an i th stb the Desarimen, both fr 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tespones ndin ain ( applcasle Please chock ol at 853. response and in training (if applicable)? Please check all that apply. sotto BangotFoam YTUonslenodrgitnsl AAmUmosmeuadnlty CuHrsotnertcuUssoeosr Type of Foam Brand of Foam Used in Training? Yes or No Amount Used Annually Current Use or Historic Use? Gass mos Fin: } Class B Aqueous Film[aterits Forn:ing l=o2m (AFI=I=) ReSstamrt GtRVAFFF MOPO -/ peferhel~)~ Class B AlcoholResistant (AR)-AFFF 3/Y\ (OsED NO ~ h~S TD CossbProon Class B Protein Class Fuaroprten Class B Fluoroprotein F(FPP)) ClosFiem Forming ) Class B Film-Forming Fucropoton (FFFP) --_-- Fluoroprotein (FFFP) osoARER CCllaassss ABBARH-IFFFP F-500 NG Class A-B Hi eT! me rrr TM , ClEaxspaenAsion Foam SSdIVV--E-EXX Class A TrToarviaeninriinngg FFooaamm SeC SC -i&hpDlo C)a s<aJA .cSs A f(b\T s Other Ftr=e>e~PH5wO:t"lNr.J~ /m'(\nIN: FYoDAaam-.S$1T1K)~ PO FERRET sEhEoaes M BJJe0 0 a rot;f?{ TB.S:eerb:F.umS~Iea:J]:ou Dle wd :GJ,Put.lflSs'S Ft/RLEE.SS Thankyou for yout ns and cooperation: Pleas comtat Nancy Roding at Det Consuans (65-887-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 orrodhno detach coomfo)m Sockingr a oe Mimsola PORAON Gorvl Agen (31 4573666 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or cake Gite mn) You havean Guess Gang is Qusstomnars jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Stes catm the uastionnsia fo Date Consultants by May 2008 in th eoclosed stomped sae Please return this gt!esticnnair9 to Delta Consultants by fll!av 9, 2008 !n the ~'~~::!osed st!'!moed. so.!ffoaddressed envelope. Questonmatecampedby Questionnaire completed by: -R-aDDrree-ornn1d\JTeP))ef<cJ:a::Ai,IeE.-_ CHEF E = Name and Title "ZZov;m'Yb'~pr-oo Ffpo.r-\tl 's3, FIi-rte~ DEPT. Fre Goprinert Fire Department PharAe ORu7mb-er753 2423 4Dt-s 29.0 Phone Number Date _ Z2EFb~ &Q E~'at'Wtltwl\wcl..e-. N'N~T-( EW Aadess ~ E-Mail Address r) Somer U \)_ j{~bh,L ){IInnooggfn '" Prone: 651.630/.89004.44753.7411 Fak: 851.6w3his6kd.al9iaa4ns7.c3om Phone: . 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: Suite 100 St. 651.639.9473 TF EETEETER. Paul, MN 55126 USA www.deltaenv.com 22222..00977 sStTaAreTE0_208282211993344 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doss your Department ren rhs yourDeparment tray sad Cie or Gis foams or 1. Does your Department currently or has your Department historically used Class A or Class B foams for oon r firefighting operations? _YX__ YYeess-- PPrroocceeeedd ttoo QQuueessttiioonn 22 7No ign hehack fi form an turn ta Det Conta ___ No- Sign the back of this form and return to Delta Consultants 2 Howotin's Glass or Gas A foa us espns or als? 2. How often is Class B or Class A foam used in response to fire calls? ozs ottes sana rsoniottes ___ 0-25% of fires _ _ _ 25-50% of fires [ ) ( 75-100% offires 4 Docs th Dartmnt ave compress foam syste (GAS) wil alin akon ts egies? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine(s)? XX vesYes Tw ___ No 4 Hooow m satt interio ngsers ies? 4. How often is foam used in training exercises? eat Wont XXC- auery ___ Weekly Monthly Quarterly TT cease TT aero ___ Semi-Annually Annually ___ Bi-Annually te eas sr oc ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 5. Sewn unto engover? 5. How much foam is used per training event? A K Lessthan gatons Sealons st0100akons Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Nereis eo ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 0. ine x 6. In training, where does the spent foam go? SomSor Santay Sever ontosorte X on ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground Over leas dsr - ___ Other (please describe):---------------------- 1. Were dos th aviakne pce? Pl cleates, rseton ater spaccloaten 7. Where does/did the training take place? Please include address, intersection or other specific location To information for current and past training areas. t=A = TN o Shoe Dew ;::;- a.__-6 sT Zoomedh N '\ ( <> los ~ ( HKinogen rome 51.639 es 855 3 ATE Tok: G693 01 47) MamdsltagnY. com 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..009978 sSaTrAeTEo_a02s8a211593355 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 5. What types) andbrands) foam arwere used now nd i th pstthe Departmen, boatrfrhe 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire Tesponcs and nan (f ppleane Poses check a at Sol. response and in training (if applicable)? Please check all that apply. TUesondgine AmUosuednt CumentUsoor TyTyppeeooffFFooaamm Cla8s Aquscus Fa Class B Aqueous FilmFama Fon hay -------------- ------ ------ -------- Forming Foam (AFFF) Clas& coho Class B AlcoholRoost (AR AE | | em ---------- Resistant (AR)-AFFF CesssPoen Class B Protein Glass 8 Furoproton Class B Fluoroprotein > _--_-- (FP) Class 8 Fam Foming Class B Film-Forming Frnearaan grey |= -------- -------- -------- Fluoroprotein (FFFP) Cosoarirre Class B AR-FFFP Coss AH Class A-B Hi Borinton | ma -------------------- Expansion Foam Class _Swv-ex Yes pues Class A Ting Foam --_---- Training Foam Over _ Other `BraBndroofafFFnooaadmm Used in YYTereassinooirrnNNg?oo Amount AAnnUnnusuaealdlllyy HiCHsuitsrorteornriitccUUUssseee?o?r 30~4-0 ~_<....._ _ __ Thank yofo your me and cooperation. leas contact Nancy Roding t Dota Consultan (651-097-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 a rodnahac am) ro Socket hg Mines PORNon Cortel Agency (661407 3666 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or ijimm.ssttoocckkiinnggeerr@@ssttaattee..mmnn..uuss)) iiff yyoouu hhaavvee aannyyqquuesetsitoionnss rreeggaarrddiinngg tthhiiss qquueesstitioonnnnaiariree.. PlPeleaasseerreettuurrnntthhiissqquueesstitioonnnnaaiirreettooDDeellttaa CCoonnssulutltaannttss bbyvMMaayv99,. 2200008iinntthheeeenncclloosseeddssttaammppeedd,. sseellff:- Bsns addressed enveiope. A Qu~aire completed by: c. ~.-sapewD CO. (onsmar) Name nail Name and Title 2--o\ ceren Vowmese J I{V""""\ 6 ({__, o'-') N ire Depart S032 S27 Fire Department 5o7--73~/S7-7 Phone Naber Phone Number NAotwK.(. CCt-u.,ltte?F [{--G, ac4e:: U DePptt, E4Y/28/08 Z2Xt D0 Evia Aarons tt:ccAhoc ~rss: vmVIQ~a..)n'' @ ~acAu.- vl{ C c.oo '{m\".._ E-Mail Address XKIinnoogg~enn ,,, rene 632.430.9005 1GOALSFOL EL6100) mda 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltae'nv.com 22222..00979 sStTaAreTE0_208282211993366 AAPPPPEENNDDIIXX DD QQuueesstitioonnnnaaiirreess ffrroomm AAiirrppoorrtt FFiirree DDeeppaarrttmmeennttss 22222222..00998800 SSTTAATTEE__0022882211993377 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFiEEre Training Firefighting Foam Use in Fire Training 11. . DDooeess yyoouurr DDeeppaarrttmmeenntt uussee __ CamAoly CClasasAAsaaxCnndxdsoh/orrsCCllaaBsssseBrefrifreifyigghttningg foaammssf_foorr ffi_roeffiggheitainngngCooppseesrraaAttiimoomnnssa??casss ___ Class A only xx Class B only Both Class A and Class B 2. How often fs lBao is assAs foam used in response fo re cals? 2. How often is Class B or Class A foam used in response to fire calls? o2steot res samen XC ___ 0-25% of fires ___ 25-50% of fires XX 750s 75-100% of fires 3. Whatype of foam does your Dopariment us or aning exercises operas? 3. What type of foam does your Department use for training exercises operations? Class Aonly Css Bort BomClass Aan Class ___ Class A only Class B only Both Class A and Class B Traningfoan x Nofoam is used nang f none, lease kip to Question 8 ___ Training foam ~x=x'--- No foam is used in training (If none, please skip to Question 8) 4. Howoftn's foam used in traning oercisos? 4. How often is foam used in training exercises? Weekly oany oun ___ Weekly ___ Monthly Som danualy Aoraty BrAmualy ___ Semi-Annually ___ Annually ___ Quarterly ___ Bi-Annually r-- - ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 5. Howmuchioam i used or vaiing sent? 5. How much foam is used per training event? Loss than' goons Sgalons 51010 galons ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons Woo han10 gaons (lease spec - ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 66.. IInn ttrraaiinniinngg,, wwhheerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? Sto Samer __ Sanitary Sower onsite sep Ground ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground TT ovepessodesemmer ___ Other (please describe):----------------------- 7. Where doesiid ne taining ake place? Plase includ address, nersectono aber specif ocaen 7. Where does/did the training take place? Please include address, intersection or other specific location cmt for curent and past rang reas information for current and past training areas. `CCuurrrreennttllyy,.tthheerreeiissaannoonn--ggooiinnggssititeeininvvesetsitiggaattiioonn((SS1)I)ffoorrppeerrffiluuoorriinnaatleeddccoommppoouunnddssaattoouurrpprreevviioouuss ffiirree atingste TheSsbeecoordinated ough he PCA' Duh fics The UPCA'pont of training site. The Sl is being coordinated through the MPCA's Duluth office. The MPCA's point of Conicforte SsMs. Jano Mosel 218) 520.6250, _ contact for the Sl is Ms. Jane Mosel (218) 529-6250. Ninogerr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651 639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..098811 sSTTAaeT_E0_206282211993388 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEiirree TTrraaiinniinngg ns 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. ReUsed in Amount Training? Used Current Use or Tvoe of Foam Brand of Foam Yes or No Annualll Historic Use? Se Class B Aqueous Film- Forming Foam (AFFF) Class B AlcoholResistant (AR)-AFFF 3M, Chemguard No -- 0-100 gal. Firefighting Class B Protein Class B Fluoroprotein (FP) Class B Film-Forming mEaie,n | Fluoroprotein (FFFP) Class B AR-FFFP Class A-B Hi Ex_Q_ansion Foam Class A Training Foam I -- -- EE ------ Other Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Sn PlPeleaasseerreettuurrnntthhiissqquueestsitioonnnnaairireettooDDeellttaaCCoonsnuslutltaannttssbbyyMMoayy99,. 22000088.. Questionnaire completed by: John Farnham -Senior Airfield Firefighter Name and Title 148TTMH MMnn. AAN.N..G. Duulutthh MMnn,. Fire Department (218) 788-7434 res a Phone Number Reem E-Mail Address Koen XInogen "" 26 May 08 Date PPhhoonne:e: 651.639.5/484005.475 7411 Fax: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: 691.635.9473 Suite 100 St. 651.639.9473 wmriadlinenv.com Paul, MN 55126 USA www deltaenv.com 22222..00982 STATE_02821939 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeNeAAiinInIRRFFiEEirree TTrraaiinniinngg 11. . rDDioogcehsstyyioonuugrr DDpeeeprpaaartrttommneesnn?tt ccuurrrernetlynootrr hshas yyoouur DDeeppaarrttmmeenntt hhiissttoorriiccaallllyy uusseedd CCalassss AAoorr Gl ClassaBffsooaammsss orfor firefightiXXn_g oYpYNeeoresas-tSi-oPinPgsrn?roctehoeedbtctaoocQkQueouefessettthiiioosdnnf22orm an return to Delta Consulants _ _ _ No - Sign the back of this form and return to Delta Consultants 22.. HHooww fens often is CCllaassss BBor CorlCalassss AAffooaamm uusseedd iinn rreessppoonnssee ofr to fire ccaallllss?? __.LX__Xo..._as0-w2o5%ttoef feiress ___z5sotolfres --,----'~ 25-50% of fires ___ ____77551-01000%%oloffifireess 3. Doos tho Departmmeenntthhaavvoe aaccoommpprreesssseadaaiirffooaamm ssyysstteemm ((CGAAFFSS)) wwiitthhaa bu built-in ttaannkk oonn tsits eennggiinnoe((ss})?? art 3. Does the Dep Yes -~-Yes XXnNo TM Topic discs Sok bust bo dariaa odFF 4. 4. Howo How flen's often is ffooaammuusseedd Westy iinn trraariniinngg eexxeerrcciisseess?? Monty Guanety ___ Weekly -- SeemmiiA-Annnnuuaalllyy Monthly __XX_ aAnnnnuuaallllyy Quarterly ____ BBii-AAnmnuuaalllyy _ _ _ _ OSter(please speci: ecify): ------.,---,.----.------.t--.--.--- ~5. H~ow:_mIu:_cNhp_tfco\Oam~thierlu(.sptelendaupsioe,r~sSvpasin\gvekven'to?\.t~t .+'ho""' duv(.t~ tubt~l:l "ffc,'f. 5. H o _XX_ tesstanSgatons w much foam is used per training Less than 5 gallons _ev_en_t?_ S5ggaalllloonnss Morethan 10 gallons(pease speci 5 5 to11100ggaal0 llloonnss --e _ _ _ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - 6. 6. In In taiing training, where where ddooeess ththe ssppeenntt ffooaamm ggoo?? _XX_SStotomhrmSreS(wpeeeweersro _d_ es_c_ r_ibSeSa)anniitaarryySSeewweerr _____OOnnS-tSoiteSSeeppiticc XXY _ GGrroouunndd _ _ _ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - 77.. nVfionremratdooens for clheentinainndgptaatkeipnagcea?rPcluea.se ncudo adross,interosrotboenr speci location Ruguistdh aunt ty bo individud Eid a en ofSutin Gliadndyomly inDDy uliauspuhtiy,hDi.viDaiyd Manditeny io awal y Fak edsat 2 ide ie dehvwia Way Thay apie a shot bust A Foo duounveopuaheaud fouike is. Gunchonty Cony. Kinogen ""'~rof: rane 6639.5S0R$E50 CTrSeTApTEaTyak TE51ee34170)0WSEaFauin mnusea rUs.k 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA RR Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222..00998833 STSATATTEE0_208228211994400 QQUUEESSTTIIOONNNAAIIREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 6. m Vittlefcsae rver rowan et sty Dogs 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. TyTyppeeooffFFooaamm CCllaassss BBAAqquueeoouussFFiilmm-- foment Forming Foam (AFFF) T i T Class B Alcohol- Resistant (AR)-AFFF Class B Protein Ge rome Class B Fluoroprotein 2(FP) Sst Class B Film-Forming Ce Fluoroprotein (FFFP) -- Class B AR-FFFP Class A-8 Hi Ey Expansion Foam -- Class A Tai Training Foam BrBarannddooffFFooaamm C-- umg-- odk ClH~ ~\ltlv'cl --_-- oo -- - ------ Used in So ine YYTeerassionoirrnNNgo?o G--08-- . h--hn--Z-- idc--_un_t lft~.~~ =~cJ Amount AAnnUnnusuaealdlllyy | CHHuisrarteontritcUeUssereo?r IIH- 'it.,~F~adJ. Cll~v--1J- -------- Other A ---- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-51.52 SL or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or A PL SE jim.stockinger@state.mn.us) if you have any questions regarding th!s questionnaire. SC eaa He ela amahtat hats `aaPddldedrareesssessreeeddtueenrnnvvetelhlooisppeqe,u. estionnaire to Delta Consultants by May 9, 2008 in the enclosed stamped, self- Ru&t Clusia Al Miget K~ 6-. Cfttu~v. QQueusteiosntniaoirnenaicreocmompplleetetdebbdyy:: has Name and Title ro fugee d Tio D: 'RRi~c~~k~ifsr.t,e- Ai;'A[i?q'.p,_oft- T:r:o;"v./eL 23 ot. Fire Department 5~017--2Z997Z--2Z5~2z8g Zh oR TE Phone Number fcluntinl.rockisteictbigit. tim cJ41i~tt{j,PcMt~'-h.;'f~~falvf~~-t-. ~r/AA E-Mail Address Knog Hy. . =Date s/h - 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00984 STATE_02821941 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Dos your Department use CaAsandslor las rafting fofoarfomfghstg aporaons? firefighting foams for firefighting operations? 1. Does your Class Aon Department use Class A and/or Class Class B Class Bony B only XX_BoBlotnh Cass Class Aan A and CCllaassss B8 ___ Class A only 2. Howton is CassB oClaAsfosam used n response ro cals? 2. How often is Class B or Class A foam used in response to fire calls? osmares _X_ossouolfs ___7si00%olfies ___ 0-25% of fires X 25-50% of fires ___ 75-100% of fires 3. 3. Wiha What typeoffoom type of foam does does your your Cums hony Doparimusoonfotr Department use for vairing training exercises exercises __x_Class Bony operations? o_pe_rationsB?omCimssAnd Class B ___ TCralainsisnAg foonalym Nofoa is used in aining (i nane, please skp to Question ) X Class B only Both Class A and Class B ining {If none, please skip to Question 8) ___ Training foam _ _ _ No foam is used in tra 4. Howotienifoam used nang exercises? 4. How often is foam used in training exercises? Weakly Monty ___ Weekly ___ Monthly Somidualy Annual ___ Semi-Annually ___ Annually Xuan --"X-=--- Quarterly J y----" ___ Bi-Annually ___ OOtthheerr ((pplleeaassee ssppeecicfiyfy):): - - - - - - - - - - - - - - - - - - - - - - - 5. How much foamis used por airing ove? 5. How much foam is used per training event? _ Lotansgatons ____ sgalons _X_ stot0gslons ___ Less than 5 gallons ___ 5gallons _..4.;.X.__ 5 to 10 gallons Noro than 10 gallons(ease speci): More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 66. ning In training, where does tho Sto Sewer where does the spent _spent foam 657 X_foamSangiot?ary Sewer _ T_ X__ oer Storm ther lease Sewer (please descr)X Sanitary describe): Sewer X O __ oOnns-Sititee SSeeppttiicc Gouna Ground TTTrraaoiinnmiinnegg hhfaaossmbbeeseeenn.ccloonndduoucctteecdd oo1nnh0ppalluumaggaggreerdd aaseccgwooennrccorrseaytstetdaaermreeaoafwwfhhsiicchhtbiisyeatthheecnnappnuusmmeppdeecddonooututrt,a, ctor removed from site, discharged to sanitary sewer system off site by a licensed contractor. 1. Whore dsne ol iing ake lace? Pleas includ address, nersectonor ater speci ocaion 7. Where does/did the training take place? Please include address, intersection or other specific location norman forcero an past rang arses information for current and past training areas. On aiport. Training conducted onconcrsto areas; Humphrey remota ampo deco On airport. Training conducted on concrete areas; Humphrey remote ramp or a deice Paw covered oplugged arms. pad with covered or plugged drains. XKiInnooggerrnr .,. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00985 sSTTaAeT_Eo_0z2s82211994422 QUUEESSTTIIOONNNAAIIRE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg WWhhaatt ttyyppee((ss)) aanndd bbrraanndd((ss))ooffffooaamm aarree oorr wweerree uusseedd nnooww aanndd iinn tthhee ppaasstt bbyy tthhee DDeeppaarrttmmeenntt,, both for fire response and in traininQ (if applicable)? Please check all that apply. Tvoe of Foam Brand of Foam Used in Training? Yes or No Amount Used Annually: Current Use or Historic Use? Emmiti, Class B Aqueous Film- ForminQ Foam (AFFF) Class B AlcoholResistant (AR)-AFFF Class B Protein =Class B Fluoroprotein (FP) Ansul3% Unknown Yes Unknown 200-250 gallons Both Unknown om Historic (1960s/1970s) -Military Class B Film-Forming Fluoroprotein (FFFP) Class B AR-FFFP Class A-B Hi Expansion Foam fran| Class A Training Foam 1% Lorcon No 5 gallons current EE ---- Other Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. F-- Please return this questionnaire to Delta Consultants by May 9, 2008. Questionnaire completed by: Toni J. Howell MAC Manager/Environmental Affairs Name and Title vpMetropolitan Airports Commission Fire Department (at MSP) Fire Department 612-726-8100 = 2 Phone Number 02 May 08 Date mc SHSms me thowell@mspmac.org E-Mail Address 5910 Rice Creek Parkway Suite 100 St. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 rrereeee Paul, MN 55126 USA www.deltaenv.com 22222..00986 STATE_02821943 NNaannccyy RRoodrJnniinngg FFrroomm:: HHoowwele,ll, TToonnii T[THHoowwelelll@@mmspsmpamca.co.orrgg)] SSeenntt:: MMoonnddaayy,, MMaayy 005,, 22000088 99::2255 AAMM TToo:: NNaannccyy RRooddnniinngg SSuubbjejectc:t: RREE:: FFiirreeffiigghhttiinngg FFooaamm QQuueesstitioonnnnaaiirree M`Myso.su.rRRioonqdduniiirnnygg, -t-hPPelleReeaaslseeieffvmienrdd aaaittrttpaaoccrhhteesdddttohheenocctoohmmappvlleeettteehddeiffriiroreewffinigghhftitirinenggdeffopoaaamrmmqqeuuneetsssttiiboounntnnaaiiinrrseeteffarrodomrmcttchhieevMeMAfAiCrCe//pMMroSStPPecFtFiiiorrene DDferepopamarrtttmhmeenestnu.tr.rPoPueenrrding ccyooommumrmuinnuiqntuiitiireeyss, ((thlliiessttReeddelbbieeelvlooewwr)).a.irports do not have their own fire departments but instead receive fire protection from the surrounding SiSaaikinnttePPaauull DDoowwnnttoowwnn AAiirrppoorrtt AA`FiAniynroiolankkkgaaeCCClooouuanndttyy FCCLralryyyksisenttagaFlliCmlooud Lake Elmo CiCCtiitytyyoOfOFLfSaSakiaenivntitlPPleaauuFliFFrieirrDeeeDDpeeappraamrretmmnetenntt ECdBBiietlayainionneefPrLSSapapirkriieicnnvggFiliLlLreieaFkkDeieerepPPaaDarrrekktpmMMaeornotutmunneddnsst VViieeww FFiirree DDeeppaarrttmmeenntt WWLEeaesdksteetnMMFPeertiatrrmioorieFFFiiiFrrreeiereDeDpeapramretmntent Lake Elmo Fire Department PPlleeaassee ccaalllloorr eemmaaiilliiffyyoouu hhaavvee qquueessttiioonnss rreeggaarrddiinngg tthhiiss ssuubbmmititttaall oorriiffi ccaann bbeeoofffufurrtthheerr aassssiissttaannccee iinn yyoouurr eeffffoorrttss.. TToonnii JJ.. HHoowweellll Manager, Environmental Affairs MMMeaetnrtraoopgpoeolr,liittEaannnviAArioirrnppmoorerttnsstaCClooAmmmffmiasiissrsisioonn pphhoonnee:: 661122--772266--55333366 Fre conicbin mrs pcs ys lic is sl Please consider reducing environmental impacts by not printing this email. is esse kl ements forth desiredrecent aly a ma ortonpees aconfident nfomatic. Ary other eof hscms This message, including attachments, is for the designated recipient only and may contain privileged or confidential information. Any other use of this email is robe1s youhav received hs rar, pecs rtf he sender nasanad dellete teorig anal. prohibited. If you have received this in error, please notify the sender immediately and delete the original email. Thank you. FSFerrnootmm:::TNNuaeansndccayyyRR,ooAddprniiinnlgg29[[,mma2al0ilt0too8::nn1rr0oo:dd1nn6iinAnggM@@ddeellttaaeennvv..ccoomm]] TTSSouoesb:njttteh:hcoTotwwu:eeellFsli@ldrGaemmyfi,ssgppAhmtmpiarnacilgc.2.oFo9ror,gga2m00Q8ue1st0i:o1n6naAiMre: Subject: Firefighting Foam Questionnaire GGoooodd mmoorrnniinngg MMss.. HHoowwelelll,, AfAissrewwfieeghddtiiisnsgccufusosssaeemddslliaansstMtiwwneeneeekks,,otDDaee.llttWaaeCG'oovnnesssuuellntaatnntotusstiisqsuwweoosrtrkkiiionnnggnawwiiirttheh.tththoee mMMuininninnceeispsoaolttaafrPPeooldllleuutptiioaonrntCCmooennnitrsroolal nAAdggeetnrnacciyynioongnn srrceehssoeeoaalrrscchhaciinrnotoosstthhteeheuussSteealooeff: `fttioaorepfipifninrgdedhctiooianuuttgtewwfyohhoaeeumrreeasnaaidnnnCddhMihhineoonfwweBsmmuourutkacce.hhWtffoaoekaa'imvnmegssstaaehrreneetibbomeeueiitnnqgtgouuuecsssoeetdmid.op.nlAAentttatteaiarcetchshheeetdodquiimesssuttthniheoiecniqqnpuauaieelrsseftit.riioeonndnneaapiirraeertamanneddnatasccaoonvvdeerrtrleaetitnteeirnrgffrrosocmmhotthoheels MPCA. across MPCA. |the I State appreciate you and Chief Burke taking the time to complete the questionnaire. aI1ihhrpaaovvrtee. nnootthssieesnnidds qnqouuteessstotiiooannnnndaaiiirrteewssouttolodtthhbeeeMMaAAppCCrorrpeerlliiieaevtveeerrfaaoiirprpoomrrtttssoaasssessnuudmmiqinuneggsttthihaaottnnaaanniyyreffisrieeLotrraatihinneiinrneggliwweoovueurllddaibbrepeorhhtaafnnrddelleedddepooauurtttoomfef ntththese,MMpSSlPPease ealaeiittrrppmmooreertt.kkfInnrfoeothwwdi..sepOOisattrhhnteeomrrtewwsniiostsesea?nI| daassitsswuumomueeldtthhbeeeMMaSSpPPproffiirpreeriaddteeeppafaorrrttmmmeeenntttoiissserreenssdppoqonunsesisibtvlieoenffonorraiffroeoasammtotrrtaahiienniinrneggliewwivittehhr allo the MAC airport fire departments, all of the MAC please airport fire departments? PPlleeaassee ccaallll mmee wwiitthh aannyy qquueessttiioonnss yyoouu mmaayy hhaavvee aabboouutt tthhee qquueessttiioonnnnaaiirree oofr tthhiiss rreesseeaarrcchh.. TThhaannkk yyoouu.. Nancy Rodring Nancy Rodning Project Geologist BCE S Ars DELTA CONSULTANTS SiCoe Re se 00 5910 Rice Creek Parkway, Suite 100 Shoreview, MN 55126 ain nrodning@delt9env.com 557/1144/22000088 22222222.00998877 SSTTAATETE0_208282211994444 NNaannccyy RRooddnniinngg rom: owtTe TonsGrierson From: Howell, Toni [THowell@mspmac.org] Sr Westy dr 1.30055 Sent: Wednesday, June 11, 2008 9:55AM To tery mnt To: Nancy Rodning Stat RE. Petr on cmt Subject: RE: Firefighting foam questionnaire 1 Boing Yes. foam was sc oe capo hi pos, Us of he 9M proces dcrlinosin Ms. Rodning- Yes, 3M foam was used at the airport in the past. rh a eye the 2000-2001 timeframe. We now use Ansul3%. Pic al oneove sence. Please call if I can be of further assistance. Ton igual Toni J. Howell Net Emr tte Manager, Environmental Affairs Neri Arps omen Metropolitan Airports Commission ispphone: 612-726-5336 Use of the 3M product was discontinued in ---- Please consider reducing environmental impacts by not printing this email. tt mtg 0Sp F etttn to This message, including attachments, is for the designated recipient only and may contain privileged or confidential information. Any other use of this email is t, prohibited. ee sm tor yte gn, If you have received this in error, please notify the sender immediately and delete the original email. From to Ri osrts] From: Nancy Rodning [mailto:nrodning@deltaenv.com] puget Sent: Monday, June 09, 2008 2:16 PM Baer To: thowell@mspmac.org RR fo atoms Subject: Firefighting foam questionnaire cot steronth. ove, Good afternoon Ms. Howell, 1am rng no Fst sso tgs strbots olson Cre re, er I am just finishing the Firefighting Foam Use in Minnesota report for the Minnesota Pollution Control Agency, and I have one ao more question for you-- Do you know if foam made by 3M was ever used at the airport? To Thank you. tore rs Nancy Rodning Project Geologist a DELTA CONSULTANTS E e Snctnescrazn 5910 Rice Creek Parkway. Shoreview. MN 55126 Suite 100 Eaa nrodning@deltaen.Y..(;.om (651 )697-5152 direct Eg gEra Ee (800)477-7411 tollfree (651 )639-9473 fax www.de!taenv.com po) . Member of lnogen WW'I\l,Ln.Qgenet.com rr tosmts testmeme. Confidentiality Notice. Ifyou are not the intended recipient of this email, please delete it. Thank you. onaos 6/14/2008 22222..009988 sae azezions STATE_02821945 AAPPPPEENNDDIIXX EE QQuueessttiioonnnnaaiirreess ffrroomm FFiirreeffiigghhttiinngg TTrraaiinniinngg SScchhoooollss 22222..00989 STSATATTEE0_206228211994466 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg | 7. What type(s) and brand(s) of foam are currently or were historically used for training by the school? Please check all that apply. Type of Foam Brand/Manufacturer of Foam Amount Used Annuall)l Current Use or Historic Use? Class B Aqueous FilmFormingFoam (AFFF) Sit| Class B Alcohol- Resistant (AR)-AFFF cpp | Class B Protein :CCllaassss BB FFlluuoorroopprrootteeiinn (FP) -- - ----] mi Class B Film-Forming Fluoroprotein (FFFP) Class B AR-FFFP Class A-8 Hi Expansion Foam cassA Class A Training Foam Training Foam Otrer Other --_-- ------ MS | ee] -- -- Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152) or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666} or jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. BPlleeaasseerreettuurrnntthhiissffoorrmmbbyyJJuunnee66,. 22000088,.ttoo NNaannccyvRRooddnniinngg,.DDeeltlta CCoonsnuslutltaannttss:: nrrooddnniinngg@@ddeellttaaeennvy..ccoomm Questionnaire completed by: a" Scott Schaefer Name and Title Fire Training Coordinator Alexandria Technical College School Name 1-888-234-1313 Ext. 5274 Phone Number scscooltstscc@@alaleexxtteecchh. eedduy E-Mail Address 6/13/2008 Date 00000000000 JInogen' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00990 STATE_02821947 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. DiDooehesrsoonrrohhwaassortthhneestschchahopooaolsl'tss?ffirreeffiigghhttiinnggttarianiniinngg prrooggrraamm iinnccluuddee((dd))prporcatcitciceewwiithhCCllaassss AAoorr CCllaassss B8 ffooaammss, X__ either now or Yineths-ePplaesat?se proceed to Question 2 X NYoe-sP-lPslaesasoseipgrnocteheedbatockQoufetshtiiosnfo2rm andreturn toDalta Consultants _ _ _ No- Please sign the back of this form and return to Delta Consultants 22.. HHoowwoofftteenn ddoocess tthhee sscchhooooll aintrain wwiithhCClalassss AAoorr CCllaassss B8ffoouamr?? _ _ _WeWeekelkyly Monty ___ Monthly ___ QQuuaarrterrlyy ___ SSeemmi-i-AAnnnnuuaallly _ _ _AnAnnunaulalllyy XX_ Bsii-AAnmnuuaalllyy ___ NNeevveerr ___ OOvtheerr ((plleeaassee ssppeecciify)):: ____________ 35.. HHooww mmuucchh ffooaamm iiss suseedd pperr rtraaiinniinngg eevveenntt?? ...X!__X__,____LeLesssstthahn55gagaalllononnss 55ggaallloonnss ___ 551to01100 ggaallloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((psleeaasse ssppeecciiyfy):): - _________________ 44.. WWhheerreeddoooesstthheessppeenntt ffooaamm ggoo?? _S_o_mSStoremwSeewrer ____ _SSoanniiteayrySSeewweerr ____ _OOnnS-tSeiteSeSpepiticc X___ ...!..X_,____ GGrroowund ___ CConotainnmetnt ssyaysstteeimm ofnorroofmf-f-sstietee idnisspsotsaall ___OtOttheerr ((ppleeaasseecdoessccrrvieb)e:): ___ -- ____________________ 55.. WWinhhfooerrrmoeatddioooaenssfi/oddriddctuthhrreenttrtraaaiinnniindnggpataaskkteerappiilanaiccneeg?? aPPrleleeaasa.ssee iinncclluuddee aacdddrreessss,, iinntteerrsseeccttiioonn oorrooltheerr spec specific llooccaattiioonn Winefsormeatilonufdosreocfuorrmaemntfaonrdrapianisntgt.raWininghawreeeads.oniis Generallyusedwhen conducting ive burns and i used We seldom use foam for training. When we do it is generally used when conducting live burns and is used floorcaetxopnosutrheeyprosrteecthioene. Wathevnartihoisushalpopcaetnosn.s.we|uwsoeuclldassesAtmfoaalma . Tthhatesweeburunssa afroeanmotocnonaducrtaeidninagt abusrent alopcpartoioxni.mattheelyy oanrceoehveeldryattwovayrieoaurss l Weocatidoonsn. oIusweofuoldamesftoimr aurteinttheartiowreattuasceksfowahmen otnraanintgrarineinfggebsur,n approximately once every two years . We do not use foam for our interior attacks when training firefighters. TTDhheefefooaammpiis apprroovviriddeedibbyy ntthhee FeFiirreenDeptartmsentoso tthe berandbvarries.anduaies, 66.. DDoo aottheerr ffirree ddeeppaarritmmeennttss wuitiilizzeeyyoouurr faitfacility ffoor thetheir raining training wih with foam? foam? ___ YYoeus XxX NNoo ~ Hyas, If yes, do do the the ther other cefire ddeeppaarrttmmeennttss bigbring tthheeiir oowwnn ffooaamm?? YeYess NNoo yes, If yes, approximately approximately haw how much much foam foam is is discharged discharged nannuuallybabyyootlthheerr ddeeppaarrttmmeennttss tatyyoouurr ffaacciilliittyy?? LLeessss tthhaann 5 agallolornss 55-2255 ggaalllloonnss 22551to05500 ggaatlolornss. More than More than 5500 ggaallloonnss ((ppleeaassee ssppeeccifty)): --------------- Xinogen: _ 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Fone: 651.619.9308 1500 433 5411 Tok: 91 639.3473Mash dRItasns. am Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00099911 SSTTAATTEE__0022882211994488 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 7. 7. cWWhhahatt ytyeepeos(cs)t) aaaknpndpbbraandn(s)doofffsfooaa)mm arare curry currently aor wewere istrcaly historically usdused fos for atriariniinnggbbyy hethe schoo? school? Plase Please check all that apply. Tyee of Foam SrandManufocture of Foam AAmmmoouuannttyUUssaedd|| CCSuurtrrroeeinnttcUUUssseeeo?orr CFColramislnTsgv8BaoAFeAqoquosauefemoFosuouass(mpFiFimlm).-|----B--ran--d/M--anu--fact--urer--of --Foam-- Annually | Historic Use? Forming_ Foam (AFFF) CE l8aAcsol tosl- Class B Alcohol- -- Class 8Proton Resistant (AR)-AFFF Class B Protein [-- CCellaanssss 8B Puooprotan Fluoroprotein -- CF(CFulPars)olsp8BrFoFaitilmomnF-sFo(orFrmmEsiRnin,gg |-------------------- -- cwsseameree | Fluoroprotein (FFFPJ Class B AR-FFFP [| CCElxlaapssassnsAAi-oBnHHfioam -- Expansion Foam Class A nan Angus Te| ws | Less 5 gal Trang Foam Training Foam -- OOvtheerr -- ooTTrhrrhaanSnnrokkdooyynooinuucgdff@oorrrdyyeaonulturarettfninmveec.ecooaasmmonn,dd,ooccroo@2ooJopipmmeerShaarSttaaaittvoiocoenckns.ika.nimngyPPgleltQeeraaauaststeeehathscceeooonnMMtetiaagicnncatnntreeNNmdssaaioonnttncacagyyPPtRRoosloliluditonniooinnnggGCmaaiotnteDtireelollltlaAAgCCgeoeonnnnccssyyuull((t6a6t5n5a11tns--32((09667755-1138--066686900767)--)5o5o11rr5522)) jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. Please return this form bv June 6, 2008, to Nancv Rodning, Delta Consultants: nrodning@deltaenv.com Guestonaiecompltad by: Questionnaire completed by: Tod Soi. FeTsingCoorinater Todd Seitz Fire Training Coordinator Namoand Tite Name and Title tonnopin Technical Coleg -- Hennepin Technical College Schon Namo School Name ss2m51377 sos _ 952-995-1327 Phono Numer Bate Phone Number 6-4-08 Date Tosdsotz@hemmepiesh oc Todd.seitz@hennepintech.edu Ea Address E-Mail Address XXIinnoogg~enn '"' 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00992 sSTTAaeT_E0_206282211994499 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg Fooaamm UUse iinn FFiirree Traiinniinngg 11.. DDcohoeeossroonrrohhwaaossrtthhinehssecchhpoaooslo'ts?friereffiigghhtiinngg trraaiinniinngg pprrooggrraamm iinnccluldued(ed)) race practice wwiithh CCllaasssAsA oorr CCalassssBB ffooaammss,, X_ _ either now orYinesthePlpeaasts?e proceed to Question 2 X NYoe.s-PPleleaasseespigroncteheedbtaockQuofestthiiosnf2orm and return to Delta Consultants _ _ _ No - Please sign the back of this form and return to Delta Consultants 2. How often docs the school rain with Clas A or Class foam? 2. Weekly How often does the school ___ Weekly train with Hon Class A or Class ___ Monthly B foam? ___ QQuuaartrteerrllyy ___ SSeommib-AAnmnauallyly X_""""X_,____ AAnnnnuuaallly ___ BBii-AAnnnnuuaalllyy NNeewveerr _ ___OOmtheerri(pelseasseessppoeccitfyy): ____________ 33.. HHooww mmuucchh ffooaamm iiss used used per per raining training event? event? X_ _-'-X_,____ LLeessss hthaanns5 ggaallloonnss 55 ggaaltloonss ___ 551to01100 ggaatlloonnss ___ MMoorree tthhaann 1100 agallolornss ((ppleeaassee speci specify): 44.. WWhheerree ddooeess the the spent spent foam foam go? go? ___ SSttoorrmm SSoemweerr __ SSaanniittaarryy SSeewweerr __ OOnns-StiteesSeeppiticc _,X_X'-'--- GGrroouunndd ___ `CCoonnttaaiinnmmeenntt ssyysstteemm oforr ooffff--ssiittee ddiissppoossaall Other (pease cescrive) ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - - 55.. WiWnhhfeoerrroemaddiooooenssfl/oddriddcuthrheteentrrtaaiainnniindnggpataakskoerappilaanciconeg??aPPrlleeeaaasssee iinncclluuddee aaddddroessss,, iinntteerrsseeccttiioonn oorr ootthheerr ssppeeccfifiicc llooccaattioonn inforHmeantnioenpifonrTceucrhrreinctaalnCdoplalsetg=trea1in3i1ng00arCeoalsl.ege View Dive, Eden Pate, WN 55347 Hennepin Technical College- 13100 College View Drive Eden Prairie MN 55347 66.. DDooootthherrffirre ddeeppaarrttmmeennttss ize your utilize your ffaacicliiltiyty oforr tthheoiir trraaiinniinngg wwiithh ffooaamm?? ___ YYoeus XX_NNo ~ Hye, If yes, do do the the oer other fre fire ddeeppaarrttmmeennttss bbrriinngg tthheeiirroowwnn ffooaamm?? You ___ Yes ___ NNoo = yes, If yes, approximately approximately hhooww mmuucchh ofoaamn sis ddiisscchhaarrggeedd aannnnuuaallllyy bbyy ihe other ddeeppaarrttmmeennttss aatt yyoouurr acy? facility? ___ LLoessss tthhaann 55 ggaalllloonnss ___ 55-2255 ggaalllloonnss ___ 22551to05500 ggaalllloonnss ___ MMoorree tthhaann 5500 ggaalllloonnss ((plleeaassee ssppeecctif)y:): _______________ Xinogen: 5 ee Ee ari Se 1005 ,WR SST USA. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9445 1 865 477 431 Fob: 691 635.947 MarudRILaCdoHmY. Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..00909933 SSTTATAETE0_202882211995500 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 77.. cWWhhhoaacttkattyytppeeh((ass)t) aannaddpo bbrarnda(sn)oodff ffsooaa)mm aeare curreonrwtelrey currently or were istrcaly historically used used orfor iningby training by the the school? school? Please Please check aII that apply. ype of Fon and of Foam ually | Sistoic Use? Tvoe of Foam EFormingFotam (FEF) _-- | Class B Aqueous Film- Forming Foam (AFFF) ClBaAlcsohosl. Class B AlcoholResistant (RYAFFE. = Resistant (AR)-AFFF |ma} Class B Protein #5 1 Class B Fluoroprotein (FP) | Fuooprtein (FTP | Class B Film-Forming Fluoroprotein (FFFP) Class 8 ARFFFP --] Class B AR-FFFP Brand of Foam Amount Used Annually Current Use or Historic Use? CExlapsasnsAi-oBn HFioam Expansion Foam CTCrlaliaanssinssg AAFoam a] [--| omer Training Foam _ | Other JToToofrhhmaanwsnnrootkkddyoiyncooniinuugngfgo@f@oadrrdeyy@elooslustutareraentitnimvmvn.eeccooaasmmnn,d,ooyccroroooJoJpuiipemmeraarSStavtittoiaoeonccn,kka.iinnnyPPggleelqereruaaeaasststeelhthccoeeoonnnsMMttiarianncecnntgeeaNNsrsaaodonntitcanacygyPPtRRoohlolosluuddtidniiouoinnennggsGCtaaooatnnDDrntraeeroilltteaAA.gCgCeoeonnnnsccsuyyullt((t6aa0n5n5t1t1ss--22((996877551-5189--66669608767)--)55oo1r1r5622)) jim .stockinger@state.mn.us if you have any questions regarding this questionnaire. Tprsin_commviry gguicie Cent Peciifs Please return this form by May 9, 2008. to Nancv Rodninq. Delta Consultants: nrodninq@deltaenv.com uestonnatecompletedby: Questionnaire completed by: 5W ;r/AM2'719 CCtH-t/is1T)a~I0sn). llr entail Prien Na~e and Title Tsrtacrot Soa School NNaammee Phon2eN6um3be9r 7 yg0 Phone Number ErainAndtrhesrsihncon @ E-Mail Address Hpscacc ede ae SIslog Date 35 248% XinogenTM Trane: 631.039.9005 5Fe0e C3rSeeTAprFyoe SSe10a 90TOSUS emSiEa oUSm Phone: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: _ Suite 100 St. 651.639.9473 Paul, MN 55126 USA www.deltaenv.com 22222..00994 STSTAATTEE0_202882221995511 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doosorhas the sono rafightng raring rogram Include) practice win GaAorsClass 5 foams, 1. Does or has the school's firefighting training program include(d) practice with Class A or Class B foams, Ginaro oti ho pss? either now or in the past? Yes Please proceed to Questio2n ___ Yes- Please proceed to Question 2 +-- NNoo- PPlleeaassee ssiiggnn tthhee bbaacckkoofftthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss 2. Hon den dtohe scshoo rin with Clas Aor Class foam? 2. How often does the school train with Class A or Class B foam? Weaidy Marty Guarry ___ Weekly Monthly TT Somamaly __ omiaty T biamay ___ Semi-Annually ___ Annually ___ Quarterly ___ Bi-Annually ___ OOtthheerr ((pplleeaasseessppeecctifyyy}: - - - - - - - - - - - - - - - - - - - - - - - - 3 Howmuch foam i usd pr raining event? 3. How much foam is used per training event? _ Lessvansoulons Salons swig ___ Less than 5 gallons 5 gallons _ _ _ 5 to 10 gallons ___ MMoorree tthhaann1100ggaalllloonnss ((pplleeaassee ssppeeccififyy)):: ___________ - _____-- __ 4. Vinee doos the spentfoam go? 4. Where does the spent foam go? Stom Sewer __ Santary Sewer Onsite Sec Grown ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic Ground Containment system for fs disposal ___ Containment system for off-site disposal Other lease descrbo) -- ___ Other (please describe): _______________________ 5. Wiha dosicd nein ake place? Please include adres, nersectiono ber spec ocaon 5. Where does/did the training take place? Please include address, intersection or other specific location fcmation a curert and past ing areas information for current and past training areas. 6. Door recopariments lize your filly forthf kang with oar? 6. Do other fire departments utilize your facility for their training with foam? ve ___ Yes he ___ No = yes, Go the ier re Geparnerts bring nl own fea? ves No If yes, do the other fire departments bring their own foam? Yes No yes, approximatelyhow much foam i charged annual by fhe departments a your ack? If yes, approximately how much foam is discharged annually by other departments at your facility? Less an 5 galons 525 galons. 251050 galons ___ Less than 5 gallons 5-25 gallons 25 to 50 gallons ore than 5 galas (lease speci: _ ___ More than 50 gallons (please specify): XKIinnoogg~enn: ,,, rane: 651.620.9S508e| r900 E0r5e7 4Tp H Fae$91 03180004533 M pau, n5513. 6 aUsmk 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222..00995 STSTAATTEE0_208228211995522 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg tsotton | songattom | ie[my| 7. 7. WCVihnahat ttyeyppeea(c(sst) aaaknnpddpbbrranad(ns)doofifffoosaa)mm avare cento wlerye currently or were hhiissttoorriiccaallllyy usdused orfor trraaiinniinnggbbyytthhe sha? school? lPeleaassee check all that apply. Tvoe of Foam Brand of Foam Amount Used Annual!~ Current Use or Historic Use? Class B Aqueous Film- Forming Foam (AFF) Forming Foam (AFFF) EResisitant (ROnACFE | am e Class B AlcoholResistant (AR)-AFFF [cassmprown | SW [| thera Class B Protein &rom | | Class B Fluoroprotein --_-- | (FP) F-- FlTsoproan (FFE) ---- Class B Film-Forming Fluoroprotein (FFFP) [omsparrere | | Class B AR-FFFP BExpansioneFoam re lorar] Class A-B Hi Expansion Foam Class A Class A [ary Training Foam Oher ee Other :,W\ '"3l:Yl ~V\1\ Swe '7\t;\1\..~ ss'"w "'\Au~ m[Io~'o0eDo~ r6ro"Wvt!eP Tl~' ~v..__ .-, 1:-h!z t'U-tlA ' "'"1 tnt., D..!'IMC: '"2 l-ks~~ [e's~s-s-. P'"w"-Ss- u]e~ ne t-AL | |_| cC omA eA se~ c| Thankyo fo your te an coapratn. Peas contact Nancy Rocring a Delta Consults (51.097.5152) Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152) oF rang aactw am, o sn Soekinger ath Mines Poon Carrol Agen (351-397-6860) or jjoiimrmn..srstotodocnckkiinniggn@geerdr@@essltttaaaettene.v.m.mcnno..muuss,ifiofyryoJoiuumhhSaatvvoeecakainnnyygeqqruueaeststttihiooennssMrrineenggaearsrddoiitnnaggPtthohiilslsuqtqiuouenesstCitiooonnnntnariaorilreeA..gency (651-297-8666) or Questionairecompletedby: Please return this form by May 9. 2008, to Nancy Rodninq, Delta Consultants: nrodninq@deltaenv.com Questionnaire completed by: a -- DDa~vViIeO CSOhAeQa.An-u).J ACADEMIC Gupsavisee. Ave woman Name and Title couse Bere. SSochhoaoll NNaammee Phone 2N-zu1tmr6ober11"3:33'3-- 1t0o7r1i 0o5s//0o1Dtat/[o00438 Phone Number Date ETddi,,ssoa..vv-auz.}i)'m"' @(!lIs'5cc....eedJ a4 E-Mail Address Kinoger Phone: 5910 Rice Creek Parkway 651.639.9449 1 800.477.7411 Fax: i. Suite 100 St. Paul, 651.639.9473 www MN 55126 USA deltaenv.com 22222..00996 sSTTaAeT_E0_022682211995533 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DDeooeserssoornr hhaaoossf1tthheewsshcechhopoaoosfl'ts?rfiraeifighhitningg ttraaiinniinngg pprrooggrraamm iinncclulddee((dd)) pact practice wwiithh CCllaassss AAoCor Claass s8Bffooaasmmss,, either now 'A or Yes -in the Yes- lease past? Please pprroocceaeedd ttoo QQuueessttiioonn 2 2 ___ NNoo.- PPlleeaassee ssiiggnn tthhee bbaacckkooff tthhiiss ffoorrmm aanndd rreettuurrnn ttoo DDaellttaa CCoonnssuullttaannttss . 22.. HHooww oofftteenn ddooeess tthhee sscchhooooll trraaiinn wwiitthhCCllaassss AA oorr CCllaasssBBfofoaamm?? ___ WWeeeekkllyy Monty ___ Monthly ___SeSemmi-AAnnnnuaulalllyy XX__ annua Annually Quarter ___ Quarterly BiAmualy ___ Bi-Annually ___ OOtthheerr ((pplleeaasseess pecp itye y c i f y ) : - - - - - - - - - - - - - - - - - - - - - - - 33.. HHooww mmuucchh ffooaamm iis uusseeddppeerr tvraaiinninngg eevveenntt?? ---tXX__-"----LLeessss tthhaann'5ggaatliloonnss Sgallons 5 gallons ___St5 oto 1100ggaatlloonnss _M_o r_ e wMaorne t h a n 0g 10 alons gallons ( ease please speotyy specify): --------------~-- 44.. WWheherree ddooeess tthheessppeenntt ffooaammggoo?? ___ SSttoorrmm SSeewweerr ____ SSaanniittaarryy SSeewweerr __ OOnn--sStitee SSeeppttiicc Ground Ground ___ CConotainnmetntssyaysstteeimm ofnorr oofmfff-ssiitetee ddniissppootssaall X"/K.. OOvtheerr((pplleeaasseeddeessccrriibbee)):: _OONN-,SSIlrTEE. 'TORl.tE:.At\'TfWM\E!,N.,JT1 ~FaLc>aIiTn!yt 55.. WiWnhfheoerrrmoeatddiooooenssff/codriiddcutththeeenttrtaaiainnniindnggpaataskkteeappanlaccgee?? aPPrlleeeaaasssee iinncclluuddee aaddideressss,, iinntteerrsseeccttiioonnoorr ootthheerr specs specific llooccaattiioonn WSDL information for llSOl Hung current ~w'i 23 Downs wd and past training areas. '23 l)IIWffi Wlj S65G8B0~ 0 Ani Arran as W~ E ULS\lE:.' LUE:.~SC, D0-i\A-n.--ik6'66AALLULJONN".SS. otOF~ ULLA-A.L~4AA, Ffliuim'I-Wm'\ cond t:. o,..Jc<o.tn.Ntr~ eat ()('I lrN ~1'-JN\AA-\... ~~(&!$. OOCLuo\Rn~c_~eG~"na1tms1a,Zsr.gA.8~;F''of' o(~r'tT;(V1mVTI2''AR11~<A:. IAALL-~:\::1;\)A\A.\..AA.TDoI..o.- .n/ P~RuODaUCE --ADT ALTUAL Rov Ca yJ r-J Cl 66.. DDoo ootthherr ffirree ddeeppaarrttmmeennttss uuktiilizzee yyoouurr facfoihler facility for their rtraaiinniinngg wwiitthh ffooaamm?? . XX_ YYeess --- ~ THE 1F=Ds', cu.sA~tt o0u~r sim romm C::.\""'-V.. FOA-fV\ ___ nNeo ~ Iyf yese,ddooshthee to,htheerr refire ddeeppaarrttmmeennttssbbririnngg tthheeiirr oowwnn ffooaamm?? ___ YYeeos JXX NNoo 1 yes, If yes, sappprrooxxiimnaatteelyy hooww mmuucchh ffooaamm is ddiisscchhaarrggeedd aannnnuuaallllyybbyy aottheerr ddeeppaarrttmmeennttssaattyyoouurr acy? facility? ___ LLeessss tthhaann 55 ggaatiloornss 55-2255 ggaallloonnss 22551to05500 ggaalllloonnss ___ MMoorree tthhaann 5500 ggaaltloonss ((ppleeaassee ssppeecctif)y:): _ - - - - - - - - - - - - - - XNKIinnooggpeln' ,"" rane: 651.639.3005 1 850.473 TALL Fak G51.6109453 Muddliastnome 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00997 STSATATTEE0_208282211995544 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEiEre Training Firefighting Foam Use in Fire Training 7. What pot) an ranofsfo)am are curorvear tora us or yang by he school? Pase 7. What type(s) and brand(s) of foam are currently or were historically used for training by the school? Please prieiirinta : check aII that applIy. |rgeatremm | AAmmoouunntt UUsseedd | CCuurrrreenntt UUssee oorr | pect Brandof Foam ae | one ee Tvoe of Foam Brand of Foam Annually Historic Use? E Fm Foam Af n Class 8 Aqueous Film- --_-- Forming Foam (AFFF) Class 8 Alcohol- Rear poppe | || Resistant (AR)-AFFF Cossbponn (| Class 8 Protein E& m Class 8 Fluoroprotein (FP) Class 8 Film-Forming Fsepraan Free] Class 8AREFEP Fluoroprotein (FFFP) Class 8 AR-FFFP EEnnFoam Class A-8 Hi -- [------[---- Expansion Foam Class A ES RS R-- Training Foam oer ( | ---- ] Other )-; Lv-e~ 0o -7)'\~ < ~ J'"--t hark you for our mean coopraon. lease ctot Nancy Haring a Del Consuls 651.607.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152) ron saencom, of Sm Sting sinha Polio Corl Aomne (651397 3580) or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666) or Jilbonint Ceiba pbs rE jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. Please return this form by May 9, 2008. to Nancy Rodning, Delta Consultants: nrodning@deltaenv.com Guestonnaie competedby, Questionnaire completed by: Steve Llolet Fre frogrem 150 Sle-v.e__ P{fJJLe~f-'=j Fama 5e Name and Title f:, 7 .e.. So;MVoeLles.tsea(.ln. tsi.- /P2 o"::rs--Je~ ClcE .lIeLeg5-e-e_ School Name Cas 99e 0 FransNumber '6 Phone Number 5f:- fFlraCbLa~rty EnAds E-Mail Address @ mpri. P1 ph'1n/lc~eCt.-n\... -e jJb,_,l Str 6Date Prone: 651.630.9445 / 800.473.7411 Fak: 831.639.9473 maa alisan.ion. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222..00998 state 02821955 STATE_02821955 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm Use iinn FFiirree Traiinniinngg 41.. eDDioethesesroonrrohhwaaosszitthhneehssecchhpooaaosfl'tss?ffrireeffiigghhttinngg ttrraaiinniinngg pprrooggrraamm iinncclluuddee((dd)) pprraaccttiiccee wwiitthh CCalassss AA oorr CCllaassss 8B fooaarmss,, either 5n~oYw oer.Yisnest-he- Please past? Please pprroocceoeedd ttoo QQuueessttiioonn 22 ___ NNoo--PPlleeaassee ssiiggnn tthhee bbaacckkooff tthiiss ffoorrmm aanndd rreettuurrnn ttoo DDeellttaa CCoonnssuullttaannttss Tessas sg ei ons 2. How often does the school ran with Gass A or ClassB foam? 2. How often does the school train with Class A or Class B foam? ---- Monty, Quarry ___ Weekly ___ Monthly v-Quarterly_ SemiAnnually Analy I" ___ Semi-Annually ___ Annually Bi-Annually Or please spocityy ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 3. How much foam is used por raining event? 3. How much foam is used per training event? Less than 5 gallons 5 gallons More than 10 gars (please speci): More than 10 gallons {please specify): __________________ 4. Where does the spent foam go? 4. Where does the spent foam go? Storm Somer __ Sariary Sewer Onsiosepic Ground ___ Storm Sewer __ Sanitary Sewer __ On-Site Septic ~round Containment system for off-se disposal ___ Containment system for off-site disposal Oterplessedescber ___ Other (please describe): _______________________ 55.. WiWnfhhoerormeatddiooocenss/f/odriiddcuttrhhreeentirtanaiinnindnggpaataskkteerappillanaiccneeg??aPPrleleeasaa.ssee iinncclluuddee aaddddrreessss,, iintenrsetctioenoorrr otsthheerrsscppeectcifiicilloococaattinioonn information for current and past training areas. 1e/tlr-.ri:o,.o"'sS dj'i;-creL ~d--e,ls.hs/i?b.vm;m~t.f=- f/oo~Lc;t;,i;i-on,gS _ ose /'7 <L 66.. DDoo tohtheerr frfire ddeeppaarritmmeennttss ize utilize you your facility facility for for thitheir training training with with foam? foam? ___ YYeess ~a No ~ yes, If yes, Cdoo tthhee ootthheer ffiirree ddeeppaarrttmmeennttss bbrriinngg tthheeiirr oowwnn ffooaamn?? Yes ___ Yes ___ NNoo -- Iyes, If yes, aapppprrooxxiimmaatteellyy hhooww mmuucchh ffooaamm iiss ddiisscchhaarrggeedd aannnnuuaallllyy bbyy ootthheerr ddeeppaarrttmmeennttss aatt yyoouurr fac? facility? _l_e_ ssLteassntShagna5lgaollnonss 55-2255 ggaallloonnss 2255 to 5500ggaallloonnss ___ MMoorree tthhaann 5500 ggaalllloonnss ((peleaassee ssppeecciify)):: ______________ Kinogen Phone: Phone: 651.629.34455910 651.639.9449 1I 800.477.7411 Rice Creek Par 800.477.7411 Fok: kway Fax: 951.639.9473 Suite 100 St. 651.639.9473 whisk Paul, www deliakny. cam MN 55126 USA deltaenv.com 22222222..00909999 SSTTATAETE0_208282211995566 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRRFFEiEirree TTrraaiinniinngg 7. What type(s) and ranofsfo)am a urtenty owe hisoraly used o annby he sha? Please 7. What type(s) and brand(s) of foam are currently or were historically used for training by the school? Please hac oh hk pp check all that apply. Ce | ae ats TvoeofFoam Brand of Foam Amount Used Annuall}! Current Use or Historic Use? Ferg Foam (AE) " a rN Class B Aqueous Film- Class B Alcohol Forming Foam (AFFF) Celt Class B Alcohol|foe] Sei Resistant (AR)-AFFF Cassbpown |__| Class B Protein 3M + w {).tJ,~U..,Lr j{. ,L)J\.16 l.tC.r\ t . J..:J{~ /{) 6:'.gL Ba-rH. | | Bard | /06_A(., 1Sar::i:l eh i-- Class B Fluoroprotein (FP) ~~A Class 8 FimFoming | __ 1910) ~ Class B Film-Forming Flaroproen (FFP) > Fluoroprotein (FFFP) Comparer | OA [| | Gass AB HI Class B AR-FFFP Class A-B Hi Emsion Foam Expansion Foam ~\~ ~ 0a ~(A t-:)(A | -- Class A Training Foam .61 Ll1"i_ ~ Ut:J.6Ho~# d06.$t.6 15' ~Qn\: ~~o'Tt-l Other Than you or your me and conpeation. Pleas contact Nancy Rodrig at Dita Consutans (651:007:5152) Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152) of rod aahach om1J Socios at hs Mines. Pll lor Contol Agency (651-557-8660) or or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666) or ager@ear oo ouhav ay auastons fogarai hs dueshonnars jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. Please return tis fom by May 8, 2008,toNancy Roding, Delt Consultants; nrodning@dlteny.con Please return this form by May 9, 2008, to Nancy Rodninq, Delta Consultants: nrodninq@deltaenv.com P-------- Questionnaire completed by: I)e~~en..nk:lovyu}~? - TLA1N1ub (PoLbtN4l"Ol"'... NNaammee aanndd Tititlele a DSohouamtaenssorn(oes GeorousaeaTdeargeue (bUGE PSheon7e-Ru5r3oe7r- 705 Wershet 5/Ba5it/08 E-Mail. a - Hwogen' er 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 631.639.9045 1860.477 7411 Fak: 651.639.9473 MmmadlinsnCam Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.11000 sStTaAreTE0_202882211995577 DELTA FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 11. . DGDooeesrs oonrrohhwaasosftthnheeshscchhopooaofslt's?rfiraegfigihntingg trraaiinniinngg pprrooggrraamm iinncclluuddee((dd)) ppract actice wwiitthh CCllaassss AA or CCalassss 8Bffooaammss,, either n'Kf_o._.w o r Yinesth-ePlpoaasts?e protocQueesteiodn2 YNoes- -PPleleaasseespigroncteheedbtaockQoufetshtiiosnf2orm and return to Delta Consulants ___ No- Please sign the back of this form and return to Delta Consultants 2. 2. Howaften How often does does the the school school aintrain wwiitthh CCllaassss AA oorr CCalassss BfB ofoaamm?? week ___ Weekly Monthy ___ Monthly fX_( cuaney Quarterly SomkAnnually Annual ___ Annually ___ Samual Bi-Annually ---'---- OSveemri-Apnlneusaellyspect) ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - 33.. HHooww mmuucchh ffooaamm iiss uusseedd prper rtraaiinniinngg event? event? CE Lestansgalons 3 Sours 51010galkns 1'FEfe. MorLess tthhaann 510gaglalolnosrs (lea!sief soci: 20 Gas- . 56 5 gallons 5 to 10 gallons ~2..,c..._.-.5. ~f~h""-"A"'L."'"'?"-'~=---------- 4. Wineredoes hMesorepthaefno1an0mggtaollo?ns (please specify): 4. Where does the spent foam go? ___ SSttoorrmm SSeewweerr ____ _SSanaintitaarryy SSeewweerr _____OnOSnt-SoitSeeSpeptteic Ground _____){__Ground -~- Containment Containment ssyysstteemm ffoorr of.ste off-site ddiissppoossaall Or please describe) 5. 5. WIWnhfheoer-rrm-oea..tdd.ioo,oe.ens.s/.f/dodrOiiddcthhuthereere(trpsraalei3innaniisndneggpd taaaskktee ealplans accgeec??alPrceleeiaasb ssee e iinnccll)uudd:ee-aadd-rd-eress-ss,-, iin-nte-trse-erc-tsio-eno-cortr-ooih-tohe-enrr-sspp-eec-cif-iic -llooc-caa-ttioo-nn "Luvkane ED SIN information for current and past training areas. GGrna~Nnl:erlyFFaALuLs~ FEDD ~-uu..m.NIk{.n..o~Ouw.os.N LLo.ocCaAt--irotonb)J ~ Jactsen Fy ERR = arises FD = "\.\ PCTCENTER ARSNAL,I;JA1/I=r5l{r-e5tr~~ I.c(.j na.t!_'vt.; ..- f-efo_rt~f ~l Cc.lf:tlol Vag" kJL.- o soonrres ' Sal purr 6. Do fe other fire dedpoparrtimmeenntss izeyour utilize your facil for facility for nektheir wining training wwiithffooaamm?? a1 \/ _ "\j\~:r.../ 4 SG [ tSs -- CJ--Q/ ?e('.: fcp. () ves -+Y..~ Yes \wVri'"' ___ NNoo -- Iyesf yes,ddootthhoe theother fiirde edeppaarrtmtemnetsbnbitrningsg ttheirhoowwnnlofoaaenm?? _)X..(_ YYeess NNoo -- yes, If yes, aapppprrooxxiimmaatteellyy hhooww mmuucchh ffooaamm iis ddiisscchhaarrggeedd aannnnuuaallllyy bbyy thr other ddeeppaarrttmmeennttss at youyour acy? facility? ___ LLeesssstthhaann gators 5 gallons '__f_ 55-2255ggaallloornss 22551to05500ggaatlolornss ___ MMoorreotthmaann5s0oggaatlloonnss ((pelaeasseespsepecctiyfyy): --------~----- Kinogen: nan 531.639.1R5e000C75r3eTApTErPyaks S91e90(30405S3 eFEamWH aSEaI UaE 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..11000011 STSATATTEE0_208282211995588 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 7. CWrhotcelhse aand brands)offoam re cutonty ower trial us fanny h shot? less 7. What type(s) and brand(s) of foam are currently or were historically used for training by the school? Please check all that apply. Iupeot foam BrandManytactrer of Foam - onc Us Tvoe of Foam Class 8 Aqueus Fim Class B Aqueous FilmFermi Foam (FE Class B Alcohol: Forming Foam (AFFF) Class B Alcohol- Reson (ry AEeE Resistant (AR)-AFFF [omsepoen | [| Class B Protein Brand/Manufacturer of Foam Amount Used Annually Current Use or Historic Use? --| Class B Fluoroprotein #5(FP) Class 8 Fir. Foming Class B Film-Forming Flopotin (Free Fluoroprotein (FFFP) Clase ARFFE? Class B AR-FFFP ------] Class A-B Hi Fonds Expansion Foam wa Class A [ramngroam | [| Training Foam DeQendent on What the deQartment has 15 Gal Other Thankyou or your me and cosprson. Pleas conc Nancy Ring a Dota Consulta (531.687-5152) Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152) oes aac com. Jo Soakiangh:e Mines Pollubor Cont Agen(651-557 5568) or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666) or rock Gesamm 704 hav ay qoesors Toga 0 uasionnare jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. PlPeleaasseerroettuurrnntthhiissffoorrmmbbyyJJuunnee66,, 22000088,.ttoo NNaannccyvRRooddnniinngq,, DDeellttaaCConosnuslutlatannttss:: nnrrooddnniinngg@@ddeellttaaeennvv..ccoomm Questonnaro completed by: Questionnaire completed by: Fick Besser. Fra and E45 Coordinator Rick Besser Fire and EMS Coordinator Nome smite Name and Title [--_-- ~ _ Northland College Sioa vme School Name 2unsr7z0 soo 218-683-3726 Fro Numer Baie Phone Number 6-6-08 Date es R Ricki.bec ssek r@b norte hlansdcoslleqee.erdu @northlandcollegeedy E-Mail Address BE ron 51.070 TEe E ETOL:YFELIIS mTEaWmEaEsE-- J(f 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.110002 sStTaAreTE0_202882211995509 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 11. . DeDtooheeessr oonrrohhwaassortthihnee hssecchhopooaolsl''tss?ffiirreeffiigghhttiinngg trraaiinniinngg program program incude() include( d) practice practice with with Cass Class A A or or ClassB Class B foams, foams, Yes either now or Yineths-e Pplaesat?se proceed to Question 2 Yes YNoesP-lPelaesaseespigroncteheedbtaockQoufestthiosnfo2rm and return to Delta Consultants No - Please sign the back of this form and return to Delta Consultants 22.. HHooww ten often ddooeess tthhee sscchhooooll ttrraaiinn wwiithh CCilaassss AA oorr CCllaassss B foam? foam? ___ WWeeekelkyly MoMnotnthhlyy ___ QQuuaarrterrlyy -- ___ SSeemmii-AAmnnuuaalllyy ______ AAmnnuuaalllyy X__ -'-X_,____ bBii-AAnmnuuaalllyy Never ___ Never ___ Other ET (please specify): -- _ _ _ _ _ _ _ _ _ __ 33.. HHoowwmmuucchh ffooaamm iiss uusseedd ppeerr aiing training eevveenntt?? ___ LLeessss tthaann 55 agallolornss XX 55 ggaalllloonnss ___ 551to0 1100 ggaatlloonnss ___ MMoorree tthhaann 1100 ggaalllloonnss ((ppleeaassee ssppeecciiyf)y:): _________________ 44.. WWhhoerree ddooeess tthhee ssppeenntt ffooaamm ggoo?? ___ SSttoorrmm SSeewweerr __ SSaannittarryy SSeewweerr __ OOnnS-Sititee SSeeppttiicc X_---"X_,___ Ground Ground ___ CCoonnttaaiinnmmeenntt ssyysstteemm ffoorooffff--ssiittee ddiissppoossaall ___ OOtthheerr p(plleeaassee ddeessccriribbee):): _______________________ 55.. iWWnhfhooerrrmoeatddiooooenssfi/dodiddcuttrhhreeenttrtaaiainniinnnggpataakskoerappillanacicneeg?? aPPrlleeesaa.ssee iinncclluuddee aadddrreessss,, iinntteerrsseeccttiioonn or or othr other speci specific locaton location iWnefordmo.aFtioonafomr cCulraresntaasnpdarptaosft t1rainFiEngUalreraasin.ing classes we rn, Over the past year we had classes in WMcientdoosha,Fsoacma,Claasnsd aRsedpartLaokfethFeasFFMi1/1n1ntorsaointiang classes we run. Over the past year we had classes in Mcintosh Itasca and Red Lake Falls Minnesota. 66.. DDoo ootthheerr ffiirree ddeeppaarrttmmeennttss uuitiilizzee yyoouurr faciyfo facility for tthheeiirr trraaiinniinngg wwiitthh ffooaamm?? ___ YYeess XxX NNoo ~IIffyyeess,, ddoo tthhee oer other ffirree ddeeppaarrttmmeennttss bbrriinngg tthheiier oowwnn ffooaamm?? Yes Yes No No ~ yIfeyses,, aapppprrooxxiimnaatteellyy hhooww mmuucchh ffooaamm iiss ddiisscchhaarrggeedd aannnnuuaallllyy obyy ootthheerr ddeeppaarrttmmeennttss aatt yyoouurr fact? facility? ___ LLeessss tthhaann'5 ggaalllloonnss 55-2255 ggaatlloonrss 22551to05500 ggaatlloornss. ____ _MoMroertehthaannS5O0gagallolonnss (Gplleeaasseessppeeccitfyy): _______________ py !II a } 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 651.639.9445 1 800 377 5411 Fok: $31039.9471 Mrs aRItRSHY.Com. Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www deltaenv.com 22222222.11000033 SSTTATAETE0_202882211996600 QQUUEESSTTIIOONNNNAAIIRREE Firefighting Foam Use in Fire Training Firefighting Foam Use in Fire Training 7. What types) and brand) offoam ae urenorwterye historical usorerainding bythe sho? lease 7. What type(s) and brand(s) of foam are currently or were historically used for training by the school? Please choi ht sp check all that applIy. TTyvpooeooff FoFoaanm CCFlelraamssissn BAFAaoqvaueemoouus(sFFFEiilTmm- Forming Foam (AFFF) BBaranndd ooffFFooaamm amma Amount Used Annuallv | Sion Current Use or Historic Use? Class B Alcohol- Rockton (RL AFFE Resistant (AR)-AFFF CassbPown |__| Class B Protein Class 8 Fuoropraten 1 Class B Fluoroprotein eh(FP) Firopian GFF = | Class B Film-Forming Fluoroprotein (FFFP) Class B AR-FFFP Class A-B Hi Emsion Foam Expansion Foam Dkpe Sspputs BL Fed Dam =| Class A Training Foam Training Foam Ot. Other -- -- VtJKf}lo,.v~ - 5:wf'l'w eo B 'f y:-,12.-z D~.-- Thankyou for your me and cooperation. Pleas contac Nancy Roding a Dla Consulta (51,007-5152) Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152) vod Osea am J Saingtat hs Minncsta Pollo GonolAgency (651-97.5600o)r or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666) or rockin Gta ns fo hove any Quosion Gang ts Questonna jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. Please return this form by May 9, 2008. to Nancy Rodninq, Delta Consultants: nrodninq@deltaenv.com Questognarecompleted Questionnaire completed by: Wyerimte Ausesos Fr Zscsors Monsen pe /J!;t!t-f,4z._ ANDc"YZsoJ ran Name and Title RuTeeamen. Chewsc "-~e- ~~~-,u;cAL. /J L6 "Lt:?;; c- Sooo ams School Name ring ED 25-2z0o-- 6b 22 75--551/B8f1. s/ilog Date Ba Wpeesosm jfrueTeen. epg E-Mail Address XInIncogrnx ''" Phone: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: Suite 100 St. 651.639.9473 ee Paul, MN 55126 USA www.deltaenv.com 2222222.11004 sStTaAreTE0_208282211996611 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. Doosor hes the schol refghtng raring rosa nclodec) practicewith CisAsosr Clas 8foars, 1. Does or has the school's firefighting training program include(d) practice with Class A or Class B foams, nernon oi ha pak? '1. either now or in the past? X__ YYeess-- PPlleeaassee pprroocceeeedd ttoo QQuueessttiioonn 22 No lasso sign the backof tis form and return to Dota Consultants ___ No - Please sign the back of this form and return to Delta Consultants 2. How often coos th schoo rain with Class Aor CssBfoam? 2. How often does the school train with Class A or Class B foam? Weak Nonly Quarry ___ Weekly Monthly _ _ _ Quarterly SombArnualy Annual BhAnaly Other (please speciy): Let)Retzgesrod -- ___ Semi-Annually Annually _ _ _ Other (please specify): v;v~c-Ilt:::~..J ~ K'?"9..:;~--"u ___ Bi-Annually 3. How mich foam is usedper airing oven? 3. How much foam is used per training event? X_ Loss than 5 gatons 5gators 5010 gatons :X Less than 5 gallons ___ 5gallons _ _ _ 5 to 10 gallons MMoorree tthhaann 1100 ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): __________________ 4 Whoredoosthe spent foamgo? Storm Sewer __ Sanitary Sewer 4. Where does the spent foam go? ___ Storm Sewer _ _ Sanitary Sewer __ OOnns-SiietesSeeppiticc _XX_ GGrroouunndd Containment system for afte disposal ___ Containment system for off-site disposal Oth lasso descr) _ ~ ___ Other (please describe): _______________________ 5. Whero doasd he rain ko piace? leas nciudo adres, nsecotoothnr specif ocaon 5. Where does/did the training take place? Please include address, intersection or other specific location ction or carers and past vain arcs. infoJ5rsm2ta:t0tio)n hr foose Burns for current and past training AT ..#-ous~ R_,/2AlS ar--e- as~D.ceu.n..sJT ave HA.I/c LLooccAAnncs.DnSs Auv.Aarc.w..Aa~,.s,<-i-c:e:: NrJoowu:.;. 6. Do oer re depariments uiiz your faciy for thi kang with foam? 6. Do other fire departments utilize your facility for their training with foam? J ___ Yes --XX_ NNoo = yes, Go ho othr fr department bn toe own oar? ves No If yes, do the other fire departments bring their own foam? Yes No ~ Hye, approximately ho ch am dischargesnus byaver deriment at your ait? If yes, approximately how much foam is discharged annually by other departments at your facility? Loss than galons 525 ators 251050 atone ___ Less than 5 gallons 5-25 gallons 25 to 50 gallons Mor than 50 alors (ease spec SE ___ More than 50 gallons (please specify): ______________ Xinogen _-- 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA none: 651.639.9845 1 800 473 7411 Fok: 651 636.9473 ma enu dksm tom Phone: 651 639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.110005 sStTaArTeE__o0z2s82211996622 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 7. What pets and rantof fsoa)m acurentyowere hora used o raining by th schol? Piese 7. What type(s) and brand(s) of foam are currently or were historically used for training by the school? Please Chee 2h hk gp check alI that apply. peoteo Sandof Foun An tons User Tvoeoffoam Brand of Foam Amount Used Annually Current Use or Historic Use? arming Fear AFFF) = -- = Class B Aqueous Film- Forming Foam (AFFF) Reston (RS ACE - =-- Class B Alcohol- Resistant (AR)-AFFF Cosson || PA-- Class B Protein Class B Fluoroprotein wh - (FP) Floren rep) |-------- ---- Class B Film-Forming Fluoroprotein _{FFFP) Cassone | | Class B AR-FFFP Class ns Class A-B Hi Erion Foam Expansion Foam Class A ~-1~..~~~ | /tf.c.1 I 11./rQ/ Training Foam Other Thank you fo you tine and cooperation. Peas contact Nancy Roding a Dela Cosulats (51.607-5152) Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants {651-697-5152) roger om Songaet5r Minnesta Poon ConolAgency (651.297.866o0) or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666) or skye tae os yo have avy Queso GATING TS Qstomnas jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. ------ PPlleeaasseererettuurrnntthhiissffoorrmmbbyyMMaayy99,,22000088,,ttooNNaannccyyRReoddnniinngq,,DDeellttaaCCoonnsuslutltaannttss::nnrrooddnniinnqg@ @ddaellttaaeennvv..ccoomm Questionnaire completed by: Fama "A J oe t>.e oe Yo 227. /EA ay SoraLngarite,Cb Golllleee ge lti ellmm e, oA lo, School Name Pho5 8ne H0~ umb0- er-~2?2?2----6o6&0962 # =n 305 Phone Number EtMr1Ji,'krt<ee..RRoaee@~ R@Ji'ocf9h~o'ew-<..o'~t>l-eeA., Date EbDUU E-Mail Address Kinogen eerie 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA rane: 551.579 STO TL Toke SILAS rs amanstntonm Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www deltaenv.com 222222.110006 sStTaAreTE0_208228211996633 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 1. 1. DeDotoeeessrnooorr whhaaossrtthheeshscechhopooaosrl'tss?rfiereffiiggnhitinngg ttrraainniinngg pprrooggrraamm iinnccluldued(ed)) pprraaccttiiccee wwiitthh CCilaassss AAoorr CGlalssBaBffoosaammsss,, either now or in the past? --~-NYeoessP--lPPellaeesaaseseesppigrronoccteeheeeddbttaoockQQuuoefeststhtiiioosnnf22o.rm and return to Datta Consultants _ _ _ No - Please sign the back of this form and return to Delta Consultants 22.. HHooww oofftteenn ddooeess tthhee sscchhooool iintrain wwiithh CClassaAAoorsrCCllaasssss 8B ffooaamm?? Testy CT -w-e~-n ___ Weekly Semimmualy Analy rama ___ Semi-Annually ___ Monthly Annually Quar;erly ___ Bi-Annually OverGlessespecty ___ Other (please specify):------------------------ Canvas gos stro gars 3. Howmucfhoams used per rainingevent? ~ess 3. How much foall).-is used per training event? than 5 gallons 5 gallons _ _ _ 5 to 10 gallons More than 10 gallons (lease speci): EE More than 10 gallons (please specify): __________________ 4. Wheredoes spent foam go? pr Sewer ___SantarySewer 4. Where d~pent foam go? ___ Storm Sewer _ _ Sanitary Sewer _____OOnnS-SiieteSSeeppiticc "LG--r---oGuronundd Containment system or of-ste posal ___ Containment system for off-site disposal Otter (plsse descr) ___ Other (please describe}: _______________________ 5. Where does th vain take pace? Please ncude adres, inlerseocnr other speci locaton 5. Where does/did the training take place? Please include address, intersection or other specific location information or caren and past ARG ares. information for current and past training areas. . fj, 'f'tft_' or ves Five Pepe aents iu Ieutn" Q r , b) r]C [y} --elJ !1/ ~ K> .. -?~.,_,.,(f{AJ-y<:..--to,,Yp.LUtq/~il.-{ _)'..;, _ I . ~I'--{"0~"J'v;1J7?~,.-# (Hones 3) (tnvv,r? 1'-\1) 66.. DDoooothetrffrireehddeeppaearrttmmerennttss uize utilizeyyoouurr foc fo facility for hltheir ining training wwiitthh ffooaamm?? ___ Yveess T ~ = yeso ,othe therfredepartmentsbingtherownfoam? __ Yes __No yes, If yes, If yes, approximhaowtmeulcyh foam is discharged do the other fire departments bring their own approximately how much foam is discharged anabylothyer departments at you foam? ___ Yes ___ No annually by other departments at your acl? facility? ___ LLeessss tthhanan5 ggaallloonnss. 55-2255 ggaallloonnss 22551to05500ggaalllloonnss ___ MMoorroe tthhaann 5500 ggaalllloonnss ((plleeaasseossppeecciifty)y: Ninoger rane: 631.039.9008 | 00.504131 F3ok: 0019453Mandated tar 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 22222222..11000077 STSTAATTEE0_208282211996644 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 77..ChWWehhacatkt ttyayppeeh((assl)) aaannpdd bbraand(sn)oofcfffoo)aamm aavree ccuurrrreennttllyy oorr wweerrea hhiissttoorriciacallly uusedsffooreatrnaiindningg bbyy tthhee*sscchhooooll?? PPlleeaassee check all that apply. l'TiyPpee ooff FFooaamm 8Brand of n Foam mn Amount Used Annually Historie Use? Current Use or Historic Use? Forming Foam (FFF) Class B Aqueous Film- Forming Foam(AFFFJ Class B Alcohol- Resstant (Ry AF E_| Resistant (AR)-AFFF Class 8Proton ee-- Class B Protein i= #)Class B Fluoroprotein . -------- CC(FFlllaPaasso)srsoB8prFFoiitlmmen--FFo(orFrmFmFii)nngg |-------------------------- Class ARFFE Fluoroprotein (FFFP) Class B AR-FFFP -- Te -- -- ----] Expansion Foam Class A-B Hi Expansion Foam -- ClCalassss AA ( TT E-- E ~1s\\~as:- ~] \\\_,, TTrraaiinniinngg FFooaamm z7 r a s; -\. ~-.)\\~) ote I Other TToiofrhmmahnionrookaddcyonknoniiunugnfgigf@ooedrrdyay@eoosltututarreaemtenimvem.eccooaasmmnn.dd, afoccrooyoJJoopiipeummeraarSSatvoittiooceonckn.kai.innngyPPgelelqereruaaeaassisteethtihcceoeoonnnsMMttaairncicetntgeaNNmrsaadoannitcancygyPPtRRoohilollsouditaniodoiunnnegrasCCatoiotDronDeinntrlreaologliltaaeAACgCgoeeonnnnsccsuyyull((at6a6r5n51t1s--(2(6269559711-78---666806967676-)-565oo11r)r6522)) jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. Please return this form bv May 9. 2008. to Nancy Rodning. Delta Consultants: nrodninq@deltaenv.com Questionnate completed by: Questionnaire completed by: Bond Sesh ~ Toads (So ~w..~y ~~~ - ~\~\0~ me ISL eee Name and Title ~~,~~\c Saoatame (GLR.rJ~o'o-n.,d~e~ ~ Sa~m~e . O ~~W~'Ef Sc$ShP0oor-l-NN'-a\1'?m.3es.--0o ~3s533 Tr Phone Number Ebbv~\i-s-~'biA::c,et'<r-g1e}s.h.s..ge~)e<" \aJ~r\{ o\~n~d~ .h~~s\) E-Mail Address 4-36-09 Date -- Xinogen' mane 639.9545 305 TS ATL Fok: 033 633 9475 Whelane.m THA ESTIEOER. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 1 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222..11000088 STSATTAETE0_202882211996655 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRRFFEEiirree TTrraaiinniinngg 1. Doesor has the sch rfighingvalning rogram ince) racic wih Cass Aor ClBafsass, 1. Does or has the school's firefighting training program include(d) practice with Class A or Class B foams, her ow orn hs pas? either now or in the past? XC ves. Ploas procetso Question 2 ~-- Yes - Please proceed to Question 2 No. Please sign the baocf thkis form and return to Data Consulants ___ No - Please sign the back of this form and return to Delta Consultants 2. Howat does theschool ainwih Class AorClas B foam? 2. How often does the school train with Class A or Class B foam? Weekly Vrity Quarry ___ Weekly ___ Monthly ___ Quarterly SomAnmualy Aoaty BAmualy Oteriplossespectyy ___ Semi-Annually ___ Other (please specify): TO AWWETS -----,- Annually ___ Bi-Annually __...:.'{-_--~-~~-\_V'<t__~ _-f\_~_:__::__:___:_~ _ _ _ _ _ _ _ __ 3. Howmuch foam is used por varing ove? 3. How much foam is used per training event? _X2_J _ LLeessss tthanh55gga alallloonnnss. 55gaglallloonnss. ___ 551to0 1100 ggaalllloonnss. 4 Where does the spent foam go? ___ MMoorree tthhaann 1100ggaalllloonnss ((pplleeaassee ssppeecciiffyy:): __________________ 4. Where does the spent foam go? ___ SSttoorrmm SSeewweerr _ _ S`Saanniittaarryy SSeewweerr __ OOnn--SSiittee SSeeppttiicc XAI G_erroouunndd Containment sytem for fi disposal ___ Containment system for off-site disposal Orr (ease doscrbe) SE ___ Other (please describe):----------------------- 5. Where doesd he waning tke lace? Pleas includ adress, nersocton or othr speciclocason 5. Where does/did the training take place? Please include address, intersection or other specific location nformaton for cue: and pat vanng ares information for curr~nt an_d past,trainin.g areal', , ~ 1f.-l~, Snag= iof ov Gans Rv. ~~+ .{vcu_;.,__.,_~ w-i-1{ ~cu..., ~~ +1 ~ &~~~~ 6. Doctor ie copaiments ulize your facforithel ining with foam? 6. Do other fire departments utilize your facility for their training with foam? ves ___ Yes = KyHes,NNdoooth ore departments bing rc unas? ___Yes ___No ~ HIfyyeess,, adoprthoexiomthaetrlfyirehodwepmaurctmhefnotsanbirsingditshcehirarogwend faoanma?ly byler dYepeasrtment at yoNuos facity? If _ esstansgalons yes, approximately how much foam _ szsgalons is discharged annually by other -- astosogalons departments at your facility? ___ Less than 5 gallons 5-25 gallons 25 to 50 gallons ___ MMoorree t than5h500ga galallln oonnss ((pplleeaassee ssppeecciiffyy:): Xinogen' vara 431.639.5008 S00 SL Foes EN CAS 0S emitstn 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.11009 STATE02621966 STATE_02821966 QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg 7. What yo(0) and rand) foam are cunt vers trius corailngby h schol? Pls 7. What type(s) and brand(s) of foam are currently or were historically used for training by the school? Please ren bor so | check aII that applIy. AmountUsed|Cura Uso or Tvpe of Foam mSmeem demenrin A 2 e lta|gga Class B Aqueous Filmu Forming Foam (AFFF) --a____ |= Resistant (ARLAFFF Class B Alcohol- Resistant (AR)-AFFF - CCllaassss BBPProrotteeiinn --_-- Brand of Foam ~ll 4H Amount Used Annually Current Use or Historic Use? !J;-p2_ Pla.A /fA s.y& PLl~SAA -- vy-4 | O0C = E & o |--- | Class B Fluoroprotein (FP) D ~ a Fopion (FFD - [=| 0 Class B Film-Forming - Fluoroprotein (FFFP) Class B AR-FFFP S| E-E Class A-B Hi Expansion Foam | 0 Bc:>n| E- n CCllaassss AA A All /O0 dpluuAn 112:1 Training Foam oer = --- - Other ".5\\ "e.K 10 /)[!,14 .iJe.A CJ Thanor ykouyrtoaund cooperation, loa contac Nancy RodningsDellaConsulans (51,07-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152) oF aanmothcsona.aomo Suing: oh Wipes Polos ColAon (65.597 3000 or nrodning@deltaenv.com, or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666) or TraneGea osha ary eto agai estore jim.stockinger@state.mn.us if you have any questions regarding this questionnaire. -T-lri:;e:- Zehde FetDoglan Mi uggc pe ve Questomaecomplod by PlPeleaasseerreettuurrnntthhiissffoorrmmbbyyMMaayy99..22000088,.ttooNNaannccyyRRooddnniinngq,.DDeeltltaaCCoonsnuslutltaannttss::nnrrooddnniinnqg@@ddeellttaaeennvv..ccoomm Questionnaire completed by: Ramoani Tie2~ Name and Title khs _SSSo-o=d.-vi=-oat,-m-h-e=-wC_:_o~--w=Ceaw_Wl___C___o:_l=-l=~e"""g--e---/~___,~'~----9--2-L0;-'-q.L:.a._rJ.oB'--i--oL-~_13_1_v_Co/m_;of_:s_.k__~et:.t_""'_ s G:?o03 FrSochSfmoejo70l rNl1oa-mae32r<869tJ-- 7733d2.97 ollica SO1-38o1e-1390 CCedlll Phone Number Date E"Faitita~g~e2szeebLiAde-knY@@ Soou-t<h-+clecn~t-hr~a.ll. e~1.n-L E-Mail Address Hwogen 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.110010 state 02821967 STATE_02821967 FFiirreeffiigghhttiinnQQggUUFFEEooSSaaTmTmIIOUUNNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 1. Dossa hash to etching Ving rogram incur wihCas Aor Clas foams, 1. Does or has the school's firefighting training program include(d) practice with Class A or Class B foams, on open _XX__ either now or V-ePlesase in the past? Yes- Please pprroocceeeedd ttoo QQuueessttioino2n2 No-Pleas ign thebaocf hkisform and tur oDla Consults ___ No- Please sign the back of this form and return to Delta Consultants 2 Howton doe the schol vin with GassAor Gis 8 foam? 2. How often does the school train with Class A or Class B foam? wea X_ ony outer ___ Weekly X Monthly TT senihmanly _ pomay Taman ___ Semi-Annually Annually ___ Quarterly ___ Bi-Annually TT crr---- ye ___ Other (please specify): - - - - - - - - - - - - - - - - - - - - - - - - 3 Howmeh foams used por rong sve? 3. How much foam is used per training event? Losstansgaons | _2C_ 5 ators 51010 gatos ___ Less than 5 gallons / ( 5 gallons _ _ _ 5 to 10 gallons TT broth gan omemeoty ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - - 44.. WWhehrereedodoeessththee ssppeenntt ffooaamm go? TXsomSowr __santonySewor__onstososte 2 Gro X Storm Sewer __ Sanitary Sewer Goran spam oa dps! Containment system for off-site disposal _ _ On-Site Septic X Ground omrpesmdeseber Other (please describe):---------------------- 5 Who does th ing ak lace?Pleas nce acres, nsoroother pecan 5. Where does/did the training take place? Please include address, intersection or other specific location 901/tJL a ~ No "'"1' .m ~ information for current and past ~raining a~eas. /) , 1 wlnb t%uA ~ , 5. Doother ro doormen ize ye falty rhe valnng ih foam? 6. Do other fire departments utilize your facility for their training with foam? X_ ves X Yes we ___ No yes doth other re doprbinmg teh onwntfosam? _X_ Yas No If yes, do the other fire departments bring their own foam? X Yes No yen. aoroxbmowaucyh oa fs charged anual bola dopants a Your ack? If yes, approximately how much foam is discharged annually by other departments at your facility? Lessthnsgaions _X_ S25galors __ 25t050galons --- Less than 5 gallons 'X 5-25 gallons 25 to 50 gallons Mors han 50 glors (ose spac): - ___ More than 50 gallons (please specify): - - - - - - - - - - - - - - HwXoIngoeg~rne '"' rer vero SO TTT TE ee 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222.11001111 sSmTaAtTeE__o0z2s82211096688 NNaannccyy RRooddnniinngg FFrroomm:: TTiimm ZZeehhnnddeerr [[tiimm.zzeehhnnddeerr@@sosuotuhtohecneinrtaral.l.eedduu]] SSeenntt:: TTuueessddaayy,, MMaayy 2200,, 22000088 99::3300AAMM TToo:: NNaannccyy RRooddniinngg SSuubbjjoecctt:: RREE:: FFiirreeffiigghhttiinngg FFooaamm QQuueessttiioonnnnaaiirree `TThhee ttrraaiinniinngg ttaakkeess ppllaaccee aatt tthhee sscchhooooll aanndd wweerree eevveerr tthhee ddeeppttss.. rreeqquueesstt iitt,, aatt tthheeiirr ssttaattiioonn oorr iinn aa eemmppltyy lloott,, eettcc `TTTihhmaannZkkeYYhonoduuer PSTPorrimuootgghZrraaeCmmhennMMtdareaanrnlaagCgoeelrrlege 55S00o77u--th3388C99e--7n73t3r22a99l COOfofflfilicecege:e 5t50i07m7-3-z38e81h1-n1-d13e39r09@s0oCCuetlehlllcentral edu tirn.zehnder@southcentral. edu ""334433 NNEEVVEERR FFOORRGGEETT"" FSFerrnootmm::: MNNoaannndccayyy,RRooMddennyiinn1gg9,[[mm2a0ai0iltt8oo::5n:nr1ro1oddnPniMnign@g@ddeellttaaeennv..ccoomm]] TTSSouoe:b:njTTte:iicmmMt:oZZneeFdhihranneyddf,eiegrMrhtaiyng19F,o2a0m08Que5s:1ti1onPnMaire. Subject: Firefighting Foam Questionnaire HHeelllloo MMrr.. ZZeehhnnddeerr,, "TtThhheaatnnrkkaiyynooiuungfftooarkrreeesttuuprrinnaiincngeg?tthhDeeoDDeyleoilutaar/MMaPiPnCCAwAitffhiirrfeeoffiagighmhttiaininggthffoeoaasmmchqcouuoeles?sttoiioronndnaoareierse..thCCeaafnnoyyaoomuutppralleienaaissnege aggiikvveee mpmleeacsseooammleevaccrllaiaroriiuffiscicalaotticoiaonln faarssettoo wwhheerree departments? the training takes departments? place? Do you train with foam at the school? or does the foam training take place at various local fire "TThhaannkk yyoouu,, aannyy aaddddiittioonnaall iinnffoorrmmaattiioonn wwoouulldd bbee hheelplpfuful.l. Nancy Roding Nancy Rodning Project Geologist BEE S Aus DELTA CONSULTANTS 510 RenCon ar, sn 10 5910 Rice Creek Parkway, Suite 100 Shoreview, MN 55126 nrodning@deltaenv.com [ent (651 )697-5152 direct (Eo tee (800)477-7411 toll free (Eksaurs fon (651)639-9473 fax mdse YmW,de!taenlG.QQm art megen Member of lnogen nigga www.iQQgenetcom CondenttNote: Confidentiality Notice: youIfyou rsare ctnot hothe endedeidof intended recipient of histhis amlemail, iesdit. please delete it. Tho ok Thank you. 55/12200/22000088 22222222.11001122 SSTTAATTEE__0022882211996699 AAPPPPEENNDDIIXX FF QQuueessttiioonnnnaaiirreess ffrroomm OOiill RReeffiinneerriieess aanndd CCaammpp RRiipplleeyy 222222.110013 sSTTaAeT_E0_208282211997700 QQUUEESSTTIIOONNNNAAIIRREE Firefighting FFooaamm Use in Fire Traaiinniinngg Firefighting Use in Fire Tr 1. DWaestastyuonurgDoeppearromnesnt? curanyhas yourDepadtmnt ioral uedClass Aor Cas amsfo 1. Does your Department currently or has your Department historical!y used Class A or Class B foams for firefighting operations? No sign the back ofthis form and retumto Delta Consultants __)X(_YYeess--PProrceoedtctooQe Quuee essttid ioonn 22 _ _ _ No -Sign the back of this form and return to Delta Consultants 2. How ofienis Class B or Glass Afoam usedin responsefofre cals? 2. How often is Class B or Class A foam used in response to fire calls? oatotes X_assomes 751o0f0r5es ___ 0-25% of fires _)(_ 25-50% of fires ___ 75-100% of fires 3. Dosthe Deparment have a compress foam system (CAFS) with abn ark onsangina)? 3. Does the Department have a compressed air foam system (CAFS) with a built-in tank on its engine{s)? ves ___ Yes ra>( No 4. Howfoamousedhinaieingenxercisses? 4. How often is foam used in training exercises? J oaty owen ___ Weekly ___ Monthly ___ Quarterly semvaonuaty Aovusty J ___ Semi-Annually ___ Annually ___ Bi-Annually X_ over easespecs Lame ____L Other (please specify): --AJ.""'-)I.:.!I!l.un...,e_______________ J ---- /A 5. How much foam is used per training event? )J Less han' gaons sgalons S110galore ___ Less than 5 gallons ___ 5 gallons _ _ _ 5 to 10 gallons ors thn 10 gallons (ease spechy: ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - /If 66.. IInn trraaiinniinngg,,wwhheerree ddooeesstthhee ssppeennttffooaammggoo?? P)J A StomSewer __ Satay Scher OntSept Grouns ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground ER p-- er---- ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - - 7. Where dossiid hevaiing take pce? Peaseincudeadress, terosaletercspsticloacsnon 7. Where does/did the training take place? Please include address, intersection or other specific location oma ft con an pot ane res: information for current and past training areas. 'o/4 Kinogen: i. 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA mane 451.039.9000 005 037 TEFake GEL5903) hn galaaneco Phone: 551.639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.cnm 22222.11001144 STSATATTEE0_208282211997711 vans gr a QQUUEESSTTIIOONNNNAAIIRREE P.02 FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg Ve ietye) an ranr ts1sfeoaarrPoesra s ahackahhantd s gt bhDepart, bre 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable}? Please check all that apply. TyTpxueeooffFFooaamm ise 8Aeous Fi Class 8 Aqueous Film~ Forma Foam AFF) Forming Foam (AFFF) Palheny Class 8 AlcoholRen (RATE Resistant (AR)-AFFF i Class B Protein Gite 8Fhaopotn Class 8 Fluoroprotein #(FP) Gl8 Faimsomisng Class 8 Film-Forming forming Fluoroprotein (FFFP) Fe Class B AR-FFFP `BBrraannddooffFFooaamm Usetin Used in _Taming YYTeerassinooirrnNNgo?o Am`oseudnt Amount AAnUmnnsuweasdllllyy: cumentUsoor HCiHsuitsrroteornriitccUUUssseee?o?.r -- _ Class A-B Hi DoarinaneFoun -- - Expansion Foam cuss FireTrol Flefoun1020 AD _S0gals G gl o2he Class A Tongro TT Training Foam over TT Other ,_.....,._,, ....""l"ea~I Ht.e~"-tt\ JoJB l~ ?olals IPr..J -ar ;t~dS s,~r an you your ms andcosrgtion. Piss conta NancyRoc stDataConstr (651.697.5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 aaron onSis ao ts Poh Cores gery 15575650 o or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or scm Gem) 30 av a Gohan eging 8Queso jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Please return this questionnaire to Delta Consultants by Mav 9. 2008 in the enclosed stamped. self- `aaddddrreesssseeddeennvveellooppee., Questoaescomply: Questionnaire completed by: Tanfrthlectnec Roads&GroundsSugervisor ~ i{n-~4/etd-ner Crypaene(uoasesen pao GungRwroky ode 3 P one N ber Date E-Mail Address & 7 ~,-/ -L Knog 2 Borne Crs ew, 2 rane: 631.020.0005] 300 5 TA Fr S91 GIDE MdaliAeomA. TTOoTrAeL pP.a0z2 222222.110015 stare 02821972 STATE_02821972 SEAR! SE HN Thc oe 05/07/2008 07:49 IFAX DELTAFAX@DELTAENV.COM -> 05/07/2008 09:05 FAX 6512978321 EMERGENCY RESPONSE I DELTA~I rere nn Post-irFax Note 7671 Fettey frig F Ee /.JJz, Lig f To AJtu4c.v :4):..-k--z. v zM co./Dept. PhOne# =[gs Fax#(i6j..6t:5.37r-- f7141733 DELTAFAX BR141001/002 141001 (CHEEE EE Z| Date,;f/?Jt) IPMJs~ :1._ Oi Shckpe Froman .5~- Za Co. ~_,:?tC/-9 ,;/ Phone iiG:Y/~.?'?7A866 <;; [e or r I"Fax# i . Doss your DeCporsmseAnonss Gis _AaXLn_caGlsssB8 orenfgyhingfos or etgBnonhgCaprloAnaasn?dCslasss ~ ly 1. Does your DepartmeJ use Class A and/or Class B firefighting foams for firefighting operations? _ _ _ Class A Class B only Both Class A and Class B 2 Howofio fsGes or Clas A fom sin sponse cal? 2. How often is Class BQr Class A foam used in response to fire calls? oom _X_zssnctes 75100 ffs ___ 0-25% of fires __.){__ 25-50% of fires _ _ _ 75-100% of fires 5 Whatpe of amdos your Deerei or ring excises persons? 3. What type of foam does your Departmx.use for training exercises operations? - HT ny cumpes nomshwcess Trainingfoam Nofoamisused in raining (fnone, please skipto Question 8) - . ~----_ - C--l-a-s-s A only -~----------------- _ _ _ Training foam -~-- Class 8 only --. -----.-.__, Both Class A an-d-C -l-a-s-s-B- ----~--~-----------.;.--------...:--'-- ~-- ------ No foam is used in training (If none, please skip to Question 8) Howoaonsfdiorinng e'xess? 4. How often is foam used in training exercises? Wes TT ey Coun Weekly _ _ _ Monthly I pp -- Raat Barmy Semi-Annually _ _ _ Annually _ _ _ Quarterly _ _ _ Bi-Annually Ee ___ Other (please s p e c i f y ) : - - - - - - - - - - - - - - - - - - - - - 5. How muchfoam suedpr sng vet? 5. How much foam is used per training event? rXC Loesrsttaann S1g0 aoartss ionsssscga:tr--s 50 1000. stot0galons LMeosrsetthhaann510gaglalollnosns (please spe5cgifya)ll:on-~ss:....lo.L..-.-_,lw,O~Oio-._~)l--_'(J-1_..=.:..5.-to 1-0 ga-llon-s - - Wier doin arin eso?Pies cde iiss, nrc ther pcan 6. Where does/did the training tak.e place? Please include address, intersection or ther specific location rato ot met nd vt ing rs - information fur current and past training areas. tMva\gAs1awUo6rJ)w 'P?e1z$pDpLiW ivMm EREeFFwtteJrayvr nFRRE c :tRTRAAi,Ju!j 10p02aNrP.s 20L 7. Pav. esex D.. 1. bao tna '601 t;'f. PIWL f?A.g, RD. ' 57' P/bh- PM..K rvvJ. 7. nang,where dos espnfam ga 7. In training, where does the spent foam go? __ Somsewer ___saniaySower _X Onsieseprc _XGrund ___ Storm Sewer __ Sanitary Sewer _ L On-Site Septic 1.,.Ground TompsoTn T ___ other (please describe):----------------------- 5 nfrseparssath ofr,wher oss hespn am557 8. In __ somsewsr __ fire responses at the refinery, _ _ _ Storm Sewer _ _SantarySewer where does the spent _ Sanitary Sewer f o a_m_.XXg_o_?OOnnS-StieteSSeeppiticc _$GXrGorouunndd er eas dso ___ Other (please d e s c r i b e ) : - - - - - - - - - - - - - - - - - - - - - T_T ER 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651.639.9449 f 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 2222222.11016 stare 02821073 STATE_02821973 Sa035//T0077E//2200N0088 0S0E77i::4a4988 H IEFAAsX DpERE LLTATFAACX@EDDEELLTATEANBVN.CCYOO.MaLmaescy nasovss 05/07/2008 09:05 FAX 6512978321 EMERGENCY RESPONSE + merman -> DELTAFAX gatuize: 141002/002 141002 DELTA QQUUEESSTTIIOONNNNAAIIRREE FFiirreeffiigghhttiinngg FFooaamm UUssee iinn FFiirree TTrraaiinniinngg |csc |cone |S EE 5. Wht ype) andbrane) foam ar wereusednwand the pastby he Dpriment,both or fre 9. What type(s) and brand(s) offoam are orwere used now and in the past by the Department, both for fire ponte ann aein ( applessce cahectkalioetap"p. - response and in training (if applicable}? Please check al! that apply. TTrUraasiienmdiinnigng?? | Used Amount Used | CCuurrreennttUUsseeoorr Class Fin TvDeofFoam Class B Aqueous Film- lmmwews e[ r| s] | Cl8eAcsohosi. Forming Foam {AFFF) Class B AlcoholYCf oz>om&n. | Resistant (AR)-AFFF Class B Protein rvs -- Fueeoproen Class B Fluoroprotein ape (FP) Cl8Fai sForsm Class B Film-Forming lame|[1] Fluorqg_rotein (FFFPi [omar || cameron Class 8 AR-FFFP ClassA-B Hi Brand of Foam }HuNnci<StORM -- --- Yes or No ~ Annually Historic Use? -- - - -- Ji r- - - -- fCe S. Expansion Foam Class A Training Foam 1 -- for 1 [1 J Other Tham youforyour im andconperaon. PleasecontactNancyRingoDotaConstants (ES1.607-5152 Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 or adorncom) o am Socinger oe reset Pokion Convo Agency(051-587-0008 of or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency (651-297-8666 or mock ger@stat ne) you hoveanyusstons ogee is Qesbonnas jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. Questonmaie congletedsy: `PPllesaasseerroettuurrnntthhiissqquueestsitioonnnnaairireeftooDDeletltaaCConosnuslutltaannttssbbyyMMaayy99,. 22000088_. Questionnaire completed by: FaSgmTeebavvnaeeT- e?oRRytsspf Fite Carer Name and Title MARAT) PITRE CoBp A Fire Depar. tment FSunet1Tru5msbee8r-,Lihbl Phone Number D2oe08 Date scE:exr5ua1in-pa~(tsB@).mfalm1i~ ot. t:>(L.- ct!3om1.. E-Mail Add ess XXiInnooggeenn "" shone: Phor~e: 651.630.9000 1800.877411 Fok: 5910 Rice Creek Parkway 651.639.9449 f 800.477.7411 Fax: 631.615.9475 Suite 100 St. 651.639.9473 MhMARILASRLLOm. Paul, MN 55126 USA www.deltaenv.com 222222.110017 STSATATTEE0_208282211997744 NNaannccyy RRooddnniinngg FFrroomm:: CCrriisspp,,SStteevveennLL..[[sslecrrisips@p@mmaarartahotnhooiln.ccoooimm.]] SSeenntt:: WWeeddnneessddaayy,, JJuunnee 0044,, 22000088 88::2233AAMM TToo:: NNaannccyy RRooddnniinngg `SSuubbjjeecctt:: RREE:: QQuueessttiioonnss rree.. ffiirreeffigighhttiinngg ffooaammss FSFerrnootmm:::TNNuaeansndccayyyRR,ooJcduhnniienngg03[[,mmaa2ii0ltk0oo8:n:4rn:or3do4ndiPnnMign@gd@edletaleznevn.ccoomm]] TT`SoSoeu:n:btjCC:rericiTsstpup:,e, FsSSWdttae:eyvvQe,eunnJeuLsLn.t.eio0n3s, 2008 4:34PM re. firefighting foams. Subject: FW: Questions re. firefighting foams MMr.r. CCrriispp:: It{gIr'rmaamalitinoteneinrinrmnigrbgyiibeggylaryrsroosouutoronnrtdydraylss,,afoIo1nrdirniduttdraaairlrienenucciinseengiegivv?weweitihtttLhhhieesffoqqoiauunameemhss??tetiiIIoofffnno8sn0nroa,aa,iirddrueesoooyy,hthooeweuuyyerrebbedtrrtuoiinurnnngmgteattdudhhseiiieninrrfMMooaowwayanny.m.ffwoI|oiwwatamaahmss??alwwooorotrnhnwwdadoeoeurouurillitdnndsggith,,hdeeeddiiooragffaaoeonnanayymcmioteuuthhssseeeewrribbffiheerreitinddhnceecellppueuadaxdrcereitedmdmpetieinnninotyytnssoouuouurfrsse22dei55yys00opoluuarryffiirrneeg the capabiltios from time to ime. gallon/year total annual use? It is the capabilities from time to time. in the total use, we don't use foam with all the outside agencies with the exception of displaying DfUfDosoooaeaemsmsIswwtthSohoepeuuollaadrdmmayyodoooukuuunn(teetdossoefttpfiimeffmonoaaadattmimeenyygyyooooouuuunuuiienssnmddeeeiiccaaraanngttneneeunuddacalyyilllooeyyuusff)ouurossJfaeeiinrrre.aannrrn5neeutsushappalwoolllnonyysse((he2,2a,55d0o0onnaggaaaaalvlvlrloeeokrnnra'a/fyyggieereeaea??rar))nTTiidnhhncceuellsu2ul2did55eze00ettdhgghaaaaalttlpllopuuornssnosesexddismffaotartrriaefrfilinriyreinngg2rre0eoos0snnp0pyloyo.gn.nassTTleehho??eenIIsppf rrnn0eeootvvt,ei,ioxohhtuuioossnwwgyyueemmiaausurrhcsschh Prior hat we use is sporadic Prior to that we had anoher tank re in 2004 (depending on emergencies), had another tank fire in 2004 ha took Jan. 5th that took 6500 gallons of foam t extinguish. we had a tank fire and utilized approximately 6500 gallons of foam to extinguish. 2000 gallons to extinguish. bI1ayasyssosuuummrdeeetpthhaeerTtThmhueunnndtde?errssYtteoosrrmmweAARRh-a-AAdFFuFFseffodoaa3mm'iiss wwfhohaaatmt yypooruuio rccuurrreehnntetllyychuusasene.g. eDDooouyy!ootuuo rrTeehccuaanllld,,ewwraassstoffrirrmeo affonoadammthmmaaancnuhufafaanccgtteuurroeevdderbb|yy that change over I b33eMMlieeevvveeerrwuaussseedd believe was back by yo back inur in 2000. depar 2000. t m e n t ? Yes we had used 3M's foam prior to the change out to Thunderstorm and "TThhaannkk yyoouu foorr yyoouurr ttiimmee aanndd iinnffoorrmmaatitioonn.. NNDeaalnntccayyCoRRnoosddunilitnnaggnts Delta Consultants -OF-r-r-oi-Omg:riignfiananalcl yMMeResossdsanagigeneg---------`TSFSoree:onnmtts:::rTTiNuuseaesnpsdcd@ayamyyR,a, orJJduaunnntineehg00o33n,,p22e00l00r88o33l::c33eo33ummPP'MH `TSSouu:bbj'jseelcccttr:i:spQQ@ uueesmstatiioroanntsshorreen..pfefiirtrreoeffliegiguhhmttiin.ncggoffmooa'ammss. GGoooodd aafftteernmoooonn Mi.r. CCrriisspp: ffDdDoeoeealpalmttamaarsstCCmiiononennnsMMstaiiusinnlntntaeaaensnnsodttotssattar.iissa. iwwiMnroio.rrn.rkgkJJiisinnmmcgghSSowwtoitiootlthhcsckkttaihihcnneerggoeMMesrirsinnaanntttehtetohshsoeeoStttMMaaatPPPPeoCColslAlAlouuttggtiioaahonovvneeMCCommPonneCtetrrAyyoooollcuuAAarrgngcceeoobnnnenctcttatyyaeccroottnnuiinnnccfdfooooennrrrmdmdsauuattcctiatiotoniinndnn.g.ghDDrroeeeewlssllteeamaaauririsccchhhgg,aaiinttwnhhtthoeeoarrttliihnhnekegginuuiidnss,nfeefoooarofmmnfadafftitrwriieoheofenfnigrgfehfhr.ottoinmnmggffirree: frafighting foam is being used in Minnesota. departments and training schools across the firefighting foam is being used in Minnesota. State so the MPCA can better understand how much, what kind, and where AuAUeinntttndadaeececrrhrhyssee.ttdadaWnniidodssiiunaanlnnggdtetehyhxxaaoppttullaatthpnnhelaeaettFFaooslririyneyttleceHHtotiemitlerlspsrlffRRerreoteofemmfiinnhtteehehrreeyyaMMhhtaalPPassCCcthtAhAehedoaaitrnnqoodduewwaasnntqqiffuuoirreneeesnstaddtiiioeoorppnneaannraariatnimmirrdeeeenrrtnere,etgt,gauaaarrnnndrddidinnt1tghg0hfaafmotofeiaairmrmebyttuuraasFsirieenniiidaananttgygtt,hwhweJeiituhrrneeffeffoiinona6eeamrhrmyy.?.iissIItccsioosnnDDddeuuelclcttiaate'e'sdsd aatt tthhee refinery. Would you please complete the attached questionnaire and return it to me by Friday, June 6th? 1qIuaaeppspptrrieeoccniinaaattieeraaenntyy iimnneffoorvrmimaaatetiimooannilyyooouuf crceaagnnulpparrroovvmiidadeie..aIIftfyymooyuuhahadadvvreeesaasnnyybeqqluuoewes.sttiioonnss,, pplleeaassee ccaallll mmeeaatt 665511--660977--55115522.. YYoouu ccaann rreettuurnn tthheo questionnaire to me via email or regular mail at my address below. TThhaannkk yyoouu.. NNaannccyy RRooddrniinngg 66/99//22000088 22222222.11001188 SSTTAATTEE__0022882211997755 FirefightinQQgUUFEEoSSaTTmIIOOUNNsNeNAAiInIRRFEEire TTrraaiinniinngg Firefighting Foam Use in Fire 1. Dos your Department us GlAansdor Gas raging oa x refghng operas? 1. Does your Department use Class A and/or Class B firefighting foams for firefighting operations? Gloss Aon XKClass Bony aonclass AandClass __ Class A only XXX Class B only Both Class A and Class B 2. Howelen's Glass 8or Cass foam usd in espns 0 70 cals? 2. How often is Class B or Class A foam used in response to fire calls? 206 025% of res asso otties rs toonartves XXX 0-25% of fires _ _ _ 25-50% of fires ___ 75-100% of fires 3. What peo foamdoesyour Deparment use fo rngexercisesopraions? 3. What type of foam does your Department use for training exercises operations? CassAorly 200Class Bay Soi loss Aand iss Class A only XXX Class B only Both Class A and Class B Tring foam No foams is used in vainin (none, pleasskipto Question ___ Training foam _ _ _ No foam is used in training (If none, please skip to Question 8) 4. How ollenis foam used i raining exercises? 4. How often is foam used in training exercises? Wook Moni Quarry ___ Weekly ___ Monthly ___ Quarterly Sami aly Aovcaly iAomuaty ___ Semi-Annually ___ Annually ___ Bi-Annually 0e 0K Other (e esse spaAc ABproosmaetelwyi2n0-g2a5ndmcesigufon5gh1ePavakkainndg iseaadsopnoflosm TAipnrorso.ugh XXX Other (please specify): Approximately 20 - 25 times during the training season from April through November. This includes mutual aid fire training and training forSt Paul and Minneapolis Trainees. 5. Howmuch foamsusedper ining vent? 5. How much foam is used per training event? Less han Salons ___ Salons XK 510 10gars Less than 5 gallons 5 gallons XXX 5 to 10 gallons [Ro ---- ER ___ More than 10 gallons (please specify): - - - - - - - - - - - - - - - - - 6. Where doesth airing ake pace? Please include acres, nrsacoir tohnr speci locaton 6. Where does/did the training take place? Please include address, intersection or other specific location oman orcur an pos van ce. information for current and past training areas. ss con thi 5235 . Ath fro rain g rus n he SW. 1255 Clayton Blvd. Junction Hwys 52 & 55. At the fire training grounds in the SW corner of the Refinery. In aining. wher doa he spent foam go? In training, where does the spent foam go? Sommer ___SwySewsr __OnSteSepc Grows ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground 100 Orr (pase descr Tor ne holding asa rom ih pumped 1.3 ump, hento XXX Other (please describe): To a lined holding area from which it is pumped to a sump, then to urWasto Water TreatmEecntt our Waste Water Treatment Facility.______________________ 7. Infre responses at the rofery, whee os the pentfoam 607 7. In fire responses at the refinery, where does the spent foam go? GomSowr StaySewer __onStesepse Grow ___ Storm Sewer __ Sanitary Sewer _ _ On-Site Septic Ground S005 Car las dese Goparcing on he locaton of he fp, some 000 ho aie XXX Other (please describe): Depending on the location of the fire/spill, some goes to the Waste Water Treatment city andothr may go 050. Water Treatment Facility and other may go to soil.___________ NKinogerr 5910 Rice Creek Parkway Suite 100 St. Paul, MN 55126 USA Phone: 651 639.9449 I 800.477.7411 Fax: 651.639.9473 www.deltaenv.com 222222.1100199 sStTaAreTE0_202882211997766 FFiirreeffiigghhttiinnQggUUFFEEooSSaaTmTmIIOOUUNssNeeNAAiinInIRFFEiirree TTrraaiinniinngg 8. What type(s) and brand(s) of foam are or were used now and in the past by the Department, both for fire response and in training (if applicable)? Please check all that apply. E50 | eETs | corr Tvpe of Foam Brand of Foam Used in Training? Yes or No Amount Used Annuallll Current Use or Historic Use? Ebnth | Class B Aqueous Film- Forming Foam (AFFF) escisstant (ARVA.FFF |SSUUEATCSHsOxE EeCr GOOF Yos | 8Rosponse ony Current for a lColasss BB Aelctohool- Resistant (AR)-AFFF 3M FC 600F M3MFCFC660022 3M ATC 3X3 M3MFFCC660033 Thunderstorm FC 600A FC 600F Yes |NNoo No NNoo FC 600A Yes Resoonse only Q 0 Q Q 300 aal for trn~ Current for all Class B Protein CCllaassss BB FFlluuoorroopprrootteeiinn :(FP) Seon Class B Film-Forming Fluoroprotein (FFFP) Class B AR-FFFP fon Class A-B Hi Expansion Foam Class A smn Used many years ago. |Yes Jfs eane ] Not Sure | Jam |] Historic Training Foam I Other rts De poco Thank you for your time and cooperation. Please contact Nancy Rodning at Delta Consultants (651-697-5152 ee or nrodning@deltaenv.com) or Jim Stockinger at the Minnesota Pollution Control Agency_(651-297-8666 or jim.stockinger@state.mn.us) if you have any questions regarding this questionnaire. fronone PPlleeaasseerreettuurrnnththiissqquuesetsitioonnnnaairireettooDDeellttaaCCoonnssuultltaannttssbbyyMMaayy99,, 220008.. frame Questionnaire completed by: Peter D. Herpst DeDpeuptuytFyiFrireeCChiheieff Name and Title este eps Flint Hills Resources. Pine Bend Refinery Fire Department Fire Department ror go 651-437-0643 pases Phone Number 6/2/08 Date ppeetet.heehrpestp@sfhtr.c@ohmecom E,Mail Address XXiInnooggenn:r .. , Pnahnoan:e: 631.630.0008010 473 TTI Fak: 5910 Rice Creek Parkway 651.639.9449 I 800.477.7411 Fax: $1 635.0455 Suite 100 St. 651.639.9473 wav aeitasnv. om Paul, MN 55126 USA www.deltaenv.com 2222222.110020 STATE_02821977 AAPPPPEENNDDIXIG XG IInnddiivviidduuaall TTrraaiinniinngg SSiittee PPrrooffiilleess AlAblebrertt LLeeaa ApApplpleeVValallleeyy ApApplpelettoonn BaBbabbibtittt BeBmeimdjidiji + BBllaacckkhhooooff BreBcrekceknernirdidggee. BuBfuffafallooLLaakkee BBuumrnssvviilllee + BBuuycckk CCaasssslLaakkee ClCalraeremmoonntt + CoCtottataggeeGGrroovvee + DuDmuenlne-lLl-LaakkeeFFrreemmoonntt EElllssbbuurrgg EvEanvsavnisvlilllee FFaaiirmmoonntt FFrriiddlleeyy GleGnlevnivlilllee GoGlodldeenn VVaalllleeyy HaHmabmubrurgg HaHradrwdiwcickk HaHramrmoonnyy HiHbibbibinngg HoHpkoipknisn.s + HHooyytt lLaakkeess HuHuggoo HuHtucthcihninssoonn LiLninwwoooodd LiLsismmoorree LLiittttleeffoorrkk, + LLoorreetttoo + MMaannkkaattoo MMaarrsshhaallll + MMaayynnaarrdd + MMiinnnneeapaoploilsis. + MMoonntteevviiddeeoo . MMyytrttlee + NNeewwRiRcichhllaanndd + NNeewwffoollddeenn NoNrotrthhSStt.. PPaauull + NNoorrtthhllaanndd NNoorrtthhrroopp + PPaayynneesvsivlilllee PePleilcicaannRRapaipdidss + PPieerzz + PiPnineeRiRviveerr + PPoorrtteerr + PPrreessttoonn + RRoocchheesstteerr + SiSvilveerrLLaakkee + SStt. CCllaaiirr + SStt. CClloouudd + SStt. PPaauul TyTlyelerr + UUppssaallaa + WWaaccoonniiaa + WWaaldldoorrff + WWaasseeccaa + WWeellccoommee + WWiinnoonnaa + WWiinnsstteedd DuDluulutthhAAirirppoorrtt + MMSSPP AAiirrppoorrtt + RoRcohcehsetseterrAAirirppoorrtt Lake LakeSSuuppereirioorr CCoolllleeggee DDuulluutthh + SoSuoutthhCCenetnrtraall CCoolllleeggee NoNrotrthh MMaannkkaattoo FiFilinnttHHililllssPPiinnee BBeenndd RReeffiinneerryy + MaMraaratthhoonnRRefeifinneerryy FoFromrmeerrWWrernesnhsahlalll RReeffiinneerryy 22222222..11002211 SSTTAATTEE__0022882211997788 SSiitteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY AAllbbeerrtt LLeeaa AA2l2lbb1eerrtt LLCeelaaarFFkiirrSeetrDDeeeeptpaarrttmmeenntt Albert Loa, MN 56007 221 E. Clark Street Albert Lea, MN 56007 F5Fi0irr7ee-CC3h7hi7eie-f4fJ3Ja4am0meess BBeerrgg 5aal0lffi7rre-e3@@7u7ci-iyt4y.3.aa4ll0bbeerrgglleeaa.oorrgg TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweelll: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFrraannkk AAvveennuuee,, nneeaarr tthhee ddoogg ppoouunndd AAnnssuullittee AARR-AAFFFF AAnnnnuuaallllyy 55 ggaalllloonnss GGrroouunndd AAGlRRaA-sAsFFAFF--- 4110551gt0oal.2l20o0nggsaalllloonnss Class A- 40 gallons AAllbbeerrtt LLeeaa LLaakkee llooccaatteedd aapppprrooxxiimmaatteelyly0.40.6 mmiileess eeaasstt AApppprrooxxiimmaatteellyy 117/22 mmiilee wweesstt--ssoouutthhwweesstt TTrraaiinniinngg ssiittee llooccaatteedd nin ccoovveerreedd kkaarrsstt aarreeaa <<1t/d4 mmiilee nnoorrtthh <<11//44 mmiillee ssoouutthheeaasstt 313 22222222.11002222 SSTTAATTEE__0022882211997799 ALLBEACEWIWRelTNp ALBERT LEA CWI Well Map [P=PeRE GR 0ph p \SComTey ETJl Sa T l R g k T o Aor aCdorai=anlans ES EE rhage ALE 1 pra eSn r tFiHgo]t Oanl ailpga. 7 (Xa a ies TER atn 0 iE PAE iy "= FAT 1 Well ala heS. h| IT Li reef ; pr oh| LN re c FF l aEdTT IHIN .i l+3)ea Ef a BEo-UPE EeTlE RSEIlE FRN r G EN e + S 15 RTE & V ELT 1a i 222222.110023 wosas e STATE_02821980 AAlblbeerrtt LLeeaa WWhahta't'ssIInn MMy NeighborhoMoapd AGEL A JE YR i FARE ra el PNR Ry rf ER - inrd L eprg TiATeT11 =)A,T eD e oe n gL I PR i Poe r odeATT LTHE LE ; or Hi Niel wok aba Ln aa she] etal ry Shining J i a le Er 4 HL 0D = bed B - wl tTM 1h --_-- bi hang I msrp E es S p E e on || Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. shat os poi Sites Dra apr Dt~ llfiiW: r.luJrtrftmiil Pied nats hm~SOI'I<J~ orate l!ln~miiBCI Dun~ en MFRAP Stma:attett SSuup~orfrtflunndil o coxcun e CEK.CLt:s +Femi Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb 2 Rog TRD eced um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D I&;1C~th1a'aI0InWJ8gI' + Co srs "'- SliM ~rMIII: 222222.110024 Eap-- STATE_02821981 222222.110025 < ------ Albert Lea Wetland Map ----- ---- coi ; 7 ., 14 sosbmmovn tke Ay gr4 oNBi\ rrnedon | es il (3B Pe deol iraze ped ole |, LE i[EiE cong |E[i8 e . Bd| | 5|HE | Hi 93-22-20W 93-22-0 w 93-21-40W ig r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N I-' \.0 00 N 25 SETTER 3 z3 2|3B | 3 eas / 5 Ras | FH8S a| 38 3 Fa nly J i3 Le5 ----- w - - - - A w <D 6 z 5 _,. w w "J,". 0 z ""~ w ,(, 0 z _,. w w "6 " z Cl[i3 eil 3 93-21-20W 93-21-0W Map center: 43 38' 23" N, 93 21' 37" W lg 3 wacom oman oan Pint Hi nd PHoh R EHH8 {illarihthiuiililg & Legend .0Ohlo_wet_scan D1 Out of range ;/'/ Interstate Major Roads Other Road ;/'/ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK 0 South America u North America 5 $ Scale: 1:16,881 amon OkEy] Lr 1B % Well Log Report- 00470454 To E ~:~ty aEe _Minnesota Unique Well No. ==4=7=o=4s=4====:!JII L'::: . Quad ID Freeborn AIbert Lea East lOA Well Name MW-4 WE MW 5 COOKED lent Neth Township Range Dir Section Subsections Elevation 102 21 w 9 CCCCCD F:levation Method Well Address 701 BROADWAY S ATE ALBERT LEA MN Geological Material TOPSOIL &SILTW/CLAY CLAY aCdLAiYl gColor BLACK BLK/GRY GRAY - GRAY 8Hardness SOFT SOFT SOFT HeARdD ewtabieinmocrnecow MINNESOTA DEPARTMENT OJ<' HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 epen Entry Date Update Date Received Date 12/16/1992 04/24/2008 Well Depth Depth Completed Date Well Completed 1219 ft. Calc from OEM (RSTSpina | DARE hd hn Sh Aue (USGS 7.5 min or FIee equiv.) 25ft. 25ft. Drilling Method Hollow Stem Auger 08/03/1990 Dtilling Fluid -- Well Hydrofractured? DYes D No From Ft to Ft. Use Abandoned Status Sealed Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D Yes 0 No Ahove/Relow 2.R7 ft. Casing Diameter Weight Hole Diameter 2 in. to 5 ft. 3.69 lbs./ft. 9.5 in. to 25 ft. From 0 2 5 *7 Open Hole from ft. to ft. Te RT ST Screen YF.S Make .JOHNSON Type stainless steel To Diameter 2 2 i5 2 Slot/Gauze 10 10 Length 10 10 Set Between 5 ft. and 15 ft. 15 ft. and 25 ft. 7 25 [StaStic oWamteraLetvel 6.4 ft. rom Land surtace Date Measured 08/06/1990 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. NE mms REMARKS WELL SEALED lO-lO-l9941:lY 40174 ORIGINAL USE MW- MONITOR WELL Located Minnesota Department of nau Somber Vict NA Health Unique Number Verification N/A System UTM- Nad83, Z<mel5, Meters Method Digitization (Screen)- Map Dac 0125200 (1:24,000) Date 01/25/2006 X: 470309 Y: 4832422 First Bedrock Last Strat No Record Aquifer Depth to Bedrock ft. Coouuntny ty WeWel ll IInnddeexx OOnnlliinnee RepRoepor rt Well Head Completion Pitless adapter manufacturer Model D CCaassiinnggPProroseteccttiioonn 0 122iinn. aahboovveeggraradde:e rmatingmtomatmon WoC? 8 erTnOouL D0) AAtv-ggrraadedEe(mEinrvoirnomnemnetnatallWWelelllss aanndd BBoorriinngg,s OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Bentonite from 3 to 4ft. Grout Material: Neat Cement from to 3 ft. rm Nearest Known Source of Contamination 7..Q_feet L direction Tanks type Well disinfected upon completion? D Yes 0 No Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Volts Length of drop Pipe ft. Capacity g.p.m Type Material AAbbaannddoonneedd WWeellllss DDuoeesspprrooppeerrttyy hhaavvee aannyyanoottiin nuusse aannddmnoottsseeaalleedd wweellll(ss)?? 0D1 Yes 0 No Variance Was a variance granted from the MDH for this well? No Well Contractor Certification !3av West Inc. 62573 T.icense Business Name T.ic. Or Reg. No Name of Driller 470454 I D Yes D hd ees Printed 6/25/2008 HE-01205-07 file:///IIIlviPCA/! \Xiorking/A0081-l 00%20-%20PFC%20Foam/R. .. s/Albert%20Lea/\Vell%20Log%20Report%20-%2000470454.htm6/30/2008 3:27: 13 PJ'vi 22222..11026 STATE_02821983 Well Log Report- 00475478 MMiinnnneessootataUUnniiqquuee WWelelll NNoo.. 4754578 CQ~:ou:ta:tyy II 475478 II Quam ~-==================~- QuadiD FFrrecehboormn Abert Eas Albert Lea East lonlOA WT Well Name RW-1 TommiRangeDirSecon Subsections Elerion Township Range Dir Section Subsections Elevation 1M022 221 wOW 1166 BBBEBBBBBBBS EElelevvaattiioonnMMeetthhoodd Well Adress Well Address on ROADWAY 701 BROADWAY iri ALBERT LEA MN MMUINNNSEESSOOTTAADDEEPPAARRTTMMEENRTT OFHEALTH EunDne i690 OF HEALTH WELLANDBORING Upiwebwe o12son WELL AND BORING RECORD Resoved Duc RECORD Manse Ses Chpier 1931 llfinnesota Statute~ Chapter 1031 Entry Date Update Date Received Date 12116/1992 04/25/2008 Wellbeth Deh Compt Do Wek Camd Well Depth Depth Completed on on ps Non 1219 ft. 12 ft. 12ft. Ca om DEM ((CUaSlcUGfSroST7mS.5mDGmiEinMnSoorr | DPrriillliinnggMMeetthhoodd DDuugg Date Well Completed 11/30/1991 equiv.) Drilling Fluid -- [Ir-- Well Hydrofractured? DYes D No Bon Tom From Ft. to Ft. Use Abandoned Status Sealed Cato Tope Phas. ntNo tomcion Deve? DJ ex Casing Type Plastic Jnint No Information Drive Shne? Nomen 25 No Above/Below 2.5 ft. DYes 0 Gasing Diameter Weg Tk Dimer Casing Diameter Weight Hole Diameter con sa Jy 6 in. to 5 It lbs./ft. Sen YES Nake WETCO Tope Fh Open Hole from n to n Screen YES Make WELCO Type plastic |GGeeoollooggiiccaall MMataetreir iaall MMEEDD GGRRAADDEEDDSSAANNDD SirSILT prSANDY CLAY Clnersar CLAYEY SILT CColoolorr GGRRAAYY Gwar a GRAY Ga sm ae GRAY Ry SOT 8 fee BRN/GRY HHaarrddnneessss SSOOFFTT SOFT SOFT SOFT FFrroomm 0 0 2 3 6 TToo| DDiiaammeetteerr 22 4(14 SSlloott/iGGaauuzzee 10 3 6 12 Static Water Level LLeennggtthh SSeettBBeettwweeeenn r7 5Stft.oaandmu12zaIt 6.4 n. from Land surface Dale Measured 12/1111991 TEVTRFS REMARKS li. DATEDAUGUST27, 1991. a RACOVERY TRENCH MDH CONSTRUCTION VARIANCE RW-1 RECOVERY TRENCH M.D.H CONSTRUCTION VARIANCE AVIONW. THRO RAYMOND W. THRON. WELL SEALED 1105-197 BY 0027 WELL SEALED 11-05-1997 BY 00247 ORGINAL US RC - RECOVERY WELL ORIGINAL USE RC- RECOVERY WELL PUMP IVE PNAC PUMP TYPE: PNEUMATIC Lact insets inet (Lone Located Minnesota Department ofHealtl1 nae amr Unique Number Sspame UTH-Nod%h ZmelS. Veertilfiicoantiioonn NS/AA System UTM- Nad83, Zone15. A1eters Method Dion (Seon) Nop tony Method Digitization (Screen)- Map (1:24,000) Da ovnsms Date 01/25/2006 ner. swims X: 470287 Y: 4832395 FLFiiarrswstt SBBtereaddtrrooccNkkoResond Last Strat No Record A[uerST Aquifer Depth to Bedrock ft. PUMPING LEVEL (below land surface) arb papi gp ft. after hrs. pumping g.p.m. [-- Well Head Completion Pies sat mamas Model Pitless adapter manufacturer Model Dlesingroision 0 12in socinse D Casing Protection D 12 in. above grade 3 trade Gorm Wells nd Bons ONLY) D At-grade (Environmental Wells and Borings ONLY) Gros otormation. we Groasr @ ves Olvo Grouting Information Well Grouted? 0 Yes D No Sess corre Grout Material: CONCRETE fo w2n from to 2 ft. Nea SarrCe omar t Nearest Known Source of Contamination ion Sou dowin Salers comps 7s :!2_feet Soutl1 East direction Volatile organic comQounds type Walldisiwionccotnpiociodn? 0) Yes 1 No Well disinfected upon completion? D Yes 0 No Pump toto Doc nai `MPMaunamunfpuafcatcutruerDerr''ss n nNaoa mteIm nste aQEllD~ e.d Date`MMInoosddteaellllennduummbbeerr SSOOLLOO__ HHPP_ LenogpPteh1. Consign TeOBESE Length of drop Pipe _ft. Capacity _g.p.m Type Otl1er (see crane) Mai cmarks) Material VVoollttss ey Abandoned Wells Does property have any not in use and not sealed well 0 Ove Bw (s)? D Yes 0 No Varene Wacs vam gma om be reall Ovex Variance Was a variance granted from the MDH for this well? D Yes 0 x D No CoCan Well Contractor Certification eyWest ne. Qn Huma Bay Westinc. 62573 HUEBEL J ccs Busines Nome Lic. 0 Rg. No. No Drler License Business Name Lie. Or Reg. No. Name ofDriller file:///11/MPCN!W orking/A0081-l 00%20-%20PFC%20Fo...bert%20Lea/Well%20Log%20Report%20-%2000475478.htm (1 of 2)6/30/2008 3:27:14 PM 222222.110027 STATE 02821984 STATE_02821984 Well Log Report- 00475478 County Well Index Online Report 475478 Printed 6/25/2008 HE-01205-07 file:///11/MPCN!W orking/A0081-l 00%20-%20PFC%20Fo...bert%20Lea/Well%20Log%20Report%20-%2000475478.htm (2 of 2)6/30/2008 3:27:14 PM 222222.110028 STATE_02821985 Well TDg Report - 00538779 Mon vie Minnesota Unique Well No. 55338877779 County QQuuiadd AAFlrblebeeerbrtotLrLneeaa EEaasstt Quad ID lOA Welll'\ame MW-21 Township Range Dir Section Subsections Elevation 10022 2211 wW 99 CCCCCCCCCCAA EFelevvaattiioonn MMeetthhoodd WBiHsi Well Address 100 BROADWAY ALBERT LEA MN Geological Material GRAVEL/SAND/FILL SILTY CLAY Color BROWN BRN/GRY Hardness MEDIUM MEDIUM STmU MINNESOTA DEPARTMENT OF HEALTH WWEELLLL AANNDD BBOORRIINNGG RECORD bora UEUpnpdtdraaytteeDDDaataettee Received Date 2208 0004441/3320021/222000000838 Minne.mta Statutes Chapter 1031 1219 ft. ((CUaSlcUGfSro7S7m5.5DmGmiEinMnSoorr equiv.) Well Depth Depth Completed Date Well Completed 26ft. 18ft. 01/04/1994 f I T | Piling Method Auger ~UO~' (rom-specifod) Drilling Fluid -- Well Hydmfractured? DYes DNo From Ft. to Ft. Lse Monitorwcll CCaassiinngg TTyyppee.SSetelel ((blabckoolxr oloawwcccaarrbkbon)) JJooiinntt TThhareeaaddeedd DDrtiivveeSShhooee?? [DJ Yrees 0@NNoo AAbboovveer/Bbeetloown ft. Casing Diameter Weight Hole Diameter 2 in. to 8 ft. 3.65 lbs.lft 8 in. to 24 ft. [omemn 1] Open Hole from ft. to ft. a: ScrE-E-n YES MakE> WIREWOUND Type stainless steel a Diameter Slot/Gauze Length Set Between From To 2 10 10 8 ft. and 18 ft. 0 8 8 26 Static Water LE-vE-l 6.2 ft. from Land surface Date Measured PUMPING LEVEL (below land smface) ft. after hrs. pumping g. p.m. 01/04/1994 [ NO REMARKS Located Minnesota Department ofllealth Unique Number Verification N/A [SFyrseteeme UTM- Nad83, Zonel5, Mete"rs Method GPS SA Off (averaged) DateN/A X:- 470313 Y: 4832445 First Bedrock Last Strat No Record Aquifer Depth to Bedrock ft. County Well Index Online Report WE-ll HE-ad ComplE-tion Pitless adapter manufactnrer Model [E0D CCaassiinnggPPrroosteeccttiioonn YY 0 1122inin..aabboovvee ggrraaddee c rowing formatio on Wel Gronetm ? 3 Yor O. N D3 At-ggrraaddee (QEinrvoiroonmmeeinatall WWelesllsaanndd BBoosriinnggssOONNLLYY)) Gmuting Information Well Grouted? 0 Yes 0No Grout Material: Bentonite from to 4ft. 1 bags _:f-feleecaetrtes_tddiKrinreeoccwttiinoonnSou__rttcyyeppeoe.f Contamination WWelellddisiinfenctedfuuppooonnccocommplpeelettiidoonn?? D[YeYses 0 PPuammpp 0D NNoottlInnssutatllleedd DDuatee Innssttlailleedd Manufactnrcr's name Model number - HP - Length of drop Pipe _ft. Capacity _g.p.m Type NNoo Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDI I for this well? D Yes D No Well Contractor Certification Bergerson-Caswell 27058 HOLMEN G. License Business Name Lie. Or Reg. No. Name of Driller 538779 I Printed 6/25/2008 HE-01205-07 file:/I/IIIMPCA/! Working/A0081-l 00%20-%20PFC%20Foam/R...siAlbert%20Lea!Well%20Log%20Report%20-%200053 8779.htm6/30/2008 3:27: 13 PM 22222..11029 STATE_02821986 Well Log Report- 00538788 mst53Ug8ns7ie88el Cony Fa rstom, st WELDELHiANENEAsLDoTBTHOARoIrNG pEnweeu ooiusn II II ~::~ty lvfinnesota Unique Well No. 538788 Qua Ton RECORD RecehedDac ~-==================~- QuadiD Freeborn Albe1i Lea East lOA Warne MinnsteSWoeltilsDepCthhapteDrepthCompas Date Wall Competed Well Name Tonsaip RangeDie Scion Subcctons Erato won n n Township Range Dir Section Subsections Elevation WA W 9 CCCCDA Eastin Method | C(sUlnSo)0nS7E"SDCmILCioonMsirAinbnaogTvyDeipibeaem--goentde--oriithNeoWFatulanttotTmyWsawtenoiungchuDrievaeF?sowoi0ee?Diva0emretOveerr N0o 102 21 w 9 CCCCDA Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statute.~ Chapter 1031 Entry Date Update Date Received Date 04/22/2003 04/01/2008 1219 ft. Calc from DEM (USGS 7.5 min or equiv.) Well Depth ft. Depth Completed ft. Drilling Method -- Date Well Completed Drilling Fluid -- Use Well Hydrufractured? DYes DNo From Ft. to Ft. Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter GSNoOeaoRllEooCggOiicRcalDl torial Material NO RECORD Color Hardness Color Hardness 0 SIRES NO REMARKS Cpe Te TT Open Hole from ft. to ft. Tower ke Tope Screen Make Type Obmetsr SiotGouze Diameter Slot/Gauze Longin SetBetween Length Set Between From To From To Ea0 0 Sewer Static Water Level ion Doe Monet ft. from Date Measured FONPING LEVEL tow Fr oriey PUMPING LEVEL (below land surface) Barespapi gpm ft. after brs. pumping g.p.m. Wald Completion Well Head Completion Pils sr maior Ml Pitless adapter manufacturer Model Dcmmeronion 0 1200 sores D Casing Protection D 12 in. above grade D3 Aver Eines) Wet and Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Growing atomaton. Walmer 0 ve ON Grouting Information Well Grouted? DYes D No Laced Mision ISIE Located Minnesota Department of Health Uniaue Number Verification NA Unique Number Verification N/A Svtem UTM- Noch, ZnelS, Mors System UTM- Nad83, Zonel5, Meters yg GESS Off asst) Method GPS SA Off (averaged) Dae NA DateN/A Xc 40356. Yo 4832032 X: 470356 Y: 4832432 Te Nearest Known Source of Contamination a dion - feet - direction _type Wolpoodcompestion 0 ves 0 No Well disinfected upon completion? D Yes D No Pump 0 Notlmaied Ducts Pump D Not Installed Date Installed Narnia Moddnamber 1 lis Manufacturer's name Model number - LeofdtpPiphe _L_Capocty_gpri Tye Merl Length ofdrop Pipe _ft. Capacity _g.p.m HP - Volts Type Material vane Well es ope oe sy ms 0 tea Abandoned Wells Does property have any not in use and not sealed well 0 0 ve ON (s)? D Yes D No Variance Wsavai tod om be DH x Gil? Variance Was a variance granted from the MDH for this well? D be O x Yes D No Fl ARCA ing DSO C08 hort o0gl eer 20 CSRS bo 3630 0081734 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Fo...bert%20Lea/Well%20Log%20Report%20-%2000538788.htm (I of2)6/30/2008 3:27:14 PM 22222222.11003300 SSTTAATTEE0_208282211998877 Fi Bedrock Well Log Report- 00538788 First Bedrock ater Aquifer Last Strat No Record Depth to Bedrock ft fCeounty Well Index OnlineI Report County Well Index Online Report CoCa r Well Contractor Certification e ce sie s Nemec Reg No. Nome of Dn lr e] License RLL~iness Name Lie. Or Reg. No. Name ofDriller 538788 I 538788 Printed 6/25/2008 HE-01205-07 EAC ER 075001 hr LeS05SES ORS 14 file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Fo...bert%20Lea/Well%20Log%20Report%20-%2000538788.htm (2 of2)6/30/2008 3:27:14 PM 22222222.11003311 sSTTaArTeE__0022682211998888 Well Log Report- CJCJ2171ll I'vfinnesota Unique TYell No. 207133 J toews 10 217133 County Quad Quad ID Freeborn 10 TTI ROTC Well Name I\!TERSTATE POWER CO NO. Tomb Dect bcos Fv Township Range Dir Section Subsections Elevation BN 0 CCC Hamid 102 21 w 9 CCCDD Elevation Method MIN-"ESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD Upimeowe 13906 WELL AND BORING RECORD WavesStns chp 11 foil }j,finnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/08/1988 12/21/2005 125 1. NanT Coo n Dra aco 1225 ft. 7.5 minute pie | DEN topographic map EIr Dom ns e (+1- 5feet) Well Depth 1040 ft. Drilling Method -- Drilling Fluid -- Depth Completed 1040 ft. Date Well Completed 00/00/1938 Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Casing Type Below 0 ft. Joint No Information Drive Shoe? Casing Diameter Weight DYes D "lo Hole Diameter Above/ coop sens Geological Material a UNCLASSIFIED DRIFT ge LIMESTONE DOLOMITE ne LIMESTONE SiSHALE GonColor ue LT BRN TAN aGRAY on GRY/GRN SHALE & LIMESTONE LIMESTONE S sooo ee Ie SANDSTONE &SHALE SANDSTONE LIMESTONE nFroiwd iet SANDSTONE GRAY LT. GRN WHITE GRY/TAN WHITE ones Hardness STEADoon REMARKS AQl JTFF.R UNKNOWN, NO CASING RF.CORD MGS NO. 39. WELL SEALED 10-23-1990 BY 27058. ORIGINAL USE CO- COMMERCIAL. rom To From To fom Te 0 89 205 89 184 184 310 noB 310 450 nm 450 510 510 515 515 545 545 555 Ea555 665 665 940 D5o % 940 1040 Open Hole from ft. to 1040 ft. RE Screen NO Make Type louie soromme Diameter Slot/Gauze tegn sesemeen Length Set Between Static Water Level a ft. tram Date Measured PUMPING LEVEL (below land surface) [mp i ft. after hrs. pumping g.p.m. Wale Grito Well Head Completion Pitless adapter manufacturer Model 0 ste meen t d ris011) DDO cCaaisningg PPrroovteccttiioonn 0D 1122i,n.sabboonvee ggrraaddee D At-grade (Environmental Wells and Dorings ONLY) Grouting Infonnation Well Grouted? DYes D No [---- Located Minnesota Geological Survey Unique -"mnber ev msnn monn Verification Information from owner Sm UT Ys Pont hes System UTM- Nad83, Zone15, Meters Method Digitized - scale 1:24,000 or larger (Digitizing Table) Xs TI 45249 De NA DateN/A X: 470351 Y: 4832569 Cuttings Yes Fink Cot Vl Ors First Bedrock Cedar Valky Group Law on Last Stmt Jordan tDrei htest F5a Chen Aquifer St.Peter-Prairie Du Chien Depth to Bedrock 89 ft. County Well Index Online Report Nearest Known Source of Contamination - feet _direction _type ettswintcaopetr 0 vo 0 Well disinfected upon completion? D Yes D mn Eve mtd tt Pmnp D Not Installed Date Installed Smmtesnen Nise HFC. Manufacturer's name Model number - HPQ_ Length of drop Pipe ft. Capacity g.p.m Type No No VesVolts Material he Ow AAbbaannddoonneedd WWelelllss DDoosesspproroppeerrttyy hhaavvee asanyy nnootiin uussee aannddanoott ssecaalleedd wweellll(ss)?? 0D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification ine ns mer No amit License Business Name Lie. Or Reg. No. Name of Driller mss I 217133 Printed 6/25/2008 HE-0 1205-07 file:i/11)/MPCA/1 Working/A0081-l 00%20-%20PFC%20Foam/R. .s/Albert%20Lea1Well%20Log%20Report%20-%2000217133.htm6/30/2008 3:27 14 PM 22222.1100332 sSTTaArTeE__0022682211998899 Well Log Report - 00218063 Minnesota Unique Well No. 1~=2=1=802=61=38=0==6=:3::::!..111 o~::a:ty Freeborn ~ . Quad ID 10 Well Name INTERSTATE PUWERCO. NU. WNW 9 COCEC Hatin Method Township Range Dir Section Subsections Elevation 102 21 w 9 ccccc Elevation Method MlN_\l<:SOTA DI!:PARTMJ<:NT OF WWEELLLL AND HEAL AND TBBHOORRIINNGG RECORD 11finnesota Statutes Chapter 103I tw. Entry Date Update Date Received Date ------ 04/08/1988 08/0112000 toga 1225 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth |. DPE Seid 288 ft. Drilling Method -- Drilling Fluid -- Lse Commercial Depth Completed 288ft. IWell Hydrofractured? From Ft. to Ft. Date Well Completed DYes D No Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter 5Geological Material DRIFT LIMESTONE Color Hardness F0 INFERRFREOD NEARBY WELL aT REMARKS CASING: 016 TO 0134:010 TO 0730. CASING: 016 TO 0134:010 TO 0730; LOG INFERRED FROM NEARBY WELL -From To 0 90 90 288 Open Hole SCI"een Diameter from Make Ift. to ft. Type Slot/Gauze Length Static Water Level ft. tram Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. amSet Between Well Head Completion Pitless adapter manufacturer Model DDl cCaassiinngg PPrrootteecctiioonn D0 1122inin.. aabboovvee ggrraaddee. 0D0 AAvt-ggrraadde e(En(vEinrvonimroennmtaelnWalellWesl aanndd BBoorriinnggss OONNLLYY)) GGrroouuttiinngg IInnffoorrmmaattiioonn WWaellll GGrroowuetetd?? D LJ Yveess [DJ NNoo Located Minnesota Geological Survey Aree mE Unique Number Verification N/ A Method Digitized - scale 1:24,000 or larger (Digitizing Table) pin Date NIA clin System UTM- Nad83, Zonel5, Meters X: 470355 Y: 4832445 County Wellner Onn Rap First Bedrock Cedar Valley-Galena Last Strat Cedar Valley-Galena Aquifer Depth to Bedrock 90 ft. County Well Index Online Report .\"earest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Tendno gPipeo Manufacturer's name Length of drop Pipe ft. 0_Capeciy gp Model number - Capacity g.p.m TyeHP - Type Matra Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWaass aa vvariaancregrgiaranntaeteddnttrroacmmtethhee MMDDHH ffoorr thhiisswwelelll?? 0D YYeess 0D Nxoo Well Contractor Certification 215063 License Business Name 218063 Lie. Or Reg. No. Name of Driller I Printed 6/25/2008 HE-0 1205-07 file:///Ij/l'v!PCN!Working/A0081-l 00%20-%20PFC%20Foam/R. ..s/Albert%20Lea/Well%20Log%20Report%20-%2000218063.htm6/30/2008 3:27:14 P:Vl 22222.1100333 STATE_02821990 Well Log Report - 00218064 Minnesota Unique Well No. 1~=2=1=802=61=48=0==6=:4::::!..111 o~::a:ty Freeborn ~ . Quad ID 10 Well Name INTERSTATE PUWERCO. NU. WB W 9 CONC hemi Meth Township Range Dir Section Subsections Elevation 102 21 w 9 CCCAC Elevation Method MlN_\l<:SOTA DI!:PARTMJ<:NT OF WWEELLLL AND HEAL AND TBBHOORRIINNGG RECORD 11finnesota Statutes Chapter 103I froshevipessted Entry Date Update Date 04/08/1988 08/0112000 Received Date topic 1225 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth |. PEN 554 ft. Drilling Method -- Drilling Fluid -- Lse Commercial Depth Completed 554ft. IWell Hydrofractured? From Ft. to Ft. Date Well Completed 09/00/1927 DYes D No Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter =Geological Material DRIFT LIMESTONE ussSHALE LIMESTONE & coiBi SHALE & one SANDSTONE Color Hardness oFFrom To Open Hole SCI"een Diameter from Make Ift. to ft. Type Slot/Gauze Length 0 90 90 450 EE 450 500 500 554 Static Water Level ft. tram Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. amSet Between AARQQEUUIMIFFEAERRRUUKNNSCCEERRTTAAININ,, LLOOGGIINNFFEERRRREEDD FFRROOMMOOFFFFSSEETTWWEELLLL CASING: 016 TO 0134:010 TO 0730 CASING: 016 TO 0134:010 TO 0730; Well Head Completion Pitless adapter manufacturer Model DDlcCaassiinngg PPrrootteecctiioonn D0 1122inin.. aabboovvee ggrraaddee. 0D0 AAvt-ggrraadde e(En(vEinrvonimroennmtaelnWalellWesl anndd BBoorriinnggss OONNLLYY)) GGrroouuttiinngg iInnffoorrmmataitioonn. WWaelll GGrroeuste?d? CD1Yes oD No Located Minnesota Geological Survey Method Digitized - scale 1:24,000 or larger (Digitizing Table) ars Unique A Neummbbeerr erationNp Verification N/ Date NeInA System UTM- Nad83, Zonel5, pans Meters X: 470410 Y: 4832592 na First Bedrock Cedar Valley-Galena Last Strat Platteville-St.Peter Aquifer Depth to Bedrock 90 ft. County Well Index Online Report .'\earest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWaass aa vvariaancregrgiaranntaeteddnttrroacmmtethhee MMDDHH ffoorr thhiisswwelelll?? 0D YYeess 0D Nxoo Well Contractor Certification License Business Name Lie. Or Reg. No. Name of Driller 218064 I Printed 6/25/2008 HE-0 1205-07 file:///Ij/l'v!PCN!Working/A0081-l 00%20-%20PFC%20Foam/R. ..s/Albert%20Lea/Well%20Log%20Report%20-%2000218064.htm6/30/2008 3:27:12 P:Vl 22222.1100334 STATE_02821991 Well Log Report - 00218065 1~=2=1=80=6=5====:::::!..111 ~:::ty Minnesota Unique Well No. 218065 ~ Quad. . Quad ID Freeborn 10 Well Name INTERSTATE POWER CO NU. Township Range Dir Section Subsections Elevation WNW 102 21 w 9 CBC 9 CCDBC Hest Vekod Elevation Method MlN_\l<:SOTA DI!:PARTMJ<:NT OF HEALTH W`WEELLLL AANNDD BBOORRIINNGG RECORD 11finnesota Statutes Chapter 103I EUUpnpdtdaraytteeDDDaataettee Received Date 08012000 04/08/1988 08/0112000 1220 ft. my 7.5 minute topographic map (+/- 5 feet) Well Depth |. PORES 585 ft. Drilling Method -- Drilling Fluid -- Lse Commercial Depth Completed 585ft. IWell Hydrofractured? From Ft. to Ft. Date Well Completed 00/00/1950 DYes D No Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter orGeological Material DRIFT LIMESTONE SELSusname SHALE LIMESTONE & SHALE & SANDSTONE Color Hardness osFrom To ET Open Hole from ft. to ft. SCI"een Make Type Diameter Slot/Gauze aLength Set Between 0 90 90 450 OE | 450 500 500 585 Static Water Level ft. tram Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. Ty REMARKS CASING: 016 TO 0134:010 TO 0730. HOLE WAS CASING: 01 HOLE WAS PLUGGBAECDK 6 TO 0134:010 TO PLUGGED BACK 10.308 0730; TO 308 FFTT.. , LLOOGGIINNFERFREEDFFRRROOMRMOOFEFFFSDSEETT LOG Well Head Completion Pitless adapter manufacturer Model DDl CCaassiinngg PPrrootteeccttiioonn D1 1122mi.n.aabbonoeveggrraaddee 0D AA-t-ggrraadde e(EEnnvivriroonnmmenetnatlalWWelelllss aanndd BBoorriinnggss OONNLLYY)) GGrroouutitinngg IInnffoorrmmaattiioonn WWelelll GGrroouwteedd?? JDYYeess [DJ NNoo. Located Minnesota Geological Survey Uniqve NamVedcnion Unique Nmnber Verification N/ : . A System UTM- Nad83, Zonel5, Meters Method Digitized- scale 1:24.000 or larger Np (Digitizing Table) Date NIA X: 470500 Y: 4832587 First Bedrock Cedar Valley-Galena Last Strat Platteville-St.Peter Aquifer Galena Depth to Bedrock 90 ft. County Well Index Online Report .'\earest Known Source of Contamination _feet - direction _type Well dito upen ompcion? [1 You Well disinfected upon completion? D Yes Tory Neots Does Pump D Not Installed Date Installed ODJ NNoo Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWaass aa vvariaancre ggirraannaitceddnrtroacmmtethhee MMDDHHfoforr tthhiisswweellll?? [DJ YYeess 0D NNoo Well Contractor Certification License Business Name Lie. Or Reg. No. Name of Driller 218065 I Printed 6/25/2008 HE-0 1205-07 file:///Ij/l'v!PCN!Working/A0081-l 00%20-%20PFC%20Foam/R. ..s/Albert%20Lea/Well%20Log%20Report%20-%2000218065.htm6/30/2008 3:27:15 P:Vl 22222.1100335 STATE_02821992 Well Log Report- DCJ227CJ14 I'vfinnesota Unique W Ln 27014] 227014 e l l N o . e om w County Quad Quad ID Freeborn 10 MINSOTA DEAREST OF ULI MIN'JESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. WELL AND BORING RECORD ares Sts opr 100 11finnesota Statutes Chapter 1031 Bowe Entry Date Urine Update Date flmirol Received Date o1v8 04/08/1988 11128/2007 Well Name ALBERT LEA Township Range Dir Section Subsections Elevation 0102 2N1 Ww 88 DDCCBBAADD ElEelveavtatiioonn MMeetthhoodd Well Depth Depth Completed Date Well Completed 1239 n. 300 ft. 300ft. 00/00/1889 7.5 minute fopoprghiconap | DPR Mehl topographic map(+/- Ry5 feet) Drilling Method -- Drilling l<luid mIe] -- 7 Use Well HydrofractUI"ed? DYes D No From Ft. to Ft. Geological Material ErrrDRIFT GRAVEL SAND &GRAVEL SoSAND GRAVEL &SAND weSAND SAND irocasn LIMESTONE &SAND oeSAND ro LIMESTONE SHALE SHALE SHALE SHALE so LIMESTONE oeSAND HSSAND Se LIMESTONE Toncick y ay REMARKS LOCATED BY CITY MA'l CNUSED. Casing Type Joint No Information Drive Shoe? DYes D No Above/ Below ft. fo om o"nEBoo olewL ownm E owen E wn s] rs Color Hardness From 0 80 95 105 112 113 114 115 130 Casing Diameter Weight Hole Diameter To 80 95 Open Hole from ft. to ft. 105 112 Screen Make Type 113 Diameter 114 Slot/Gauze 115 130 143 Length Set Between WHITE ww'reeWHITE WHITE 143 155 155 160 Static Water Level 160 213 22 ft. from Land surface Date Measured 1985 213 220 PUMPING LEVEL (below land surface) n= 220 234 ft. after hrs. pumping g. p.m. FI234 236 a2 acm 236 240 Well Head Completion wT 240 300 Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade I pts mim od eg ONY) D At-grade (Enviromnental Wells and Borings ONLY) "Grmting ntormaton Groat? 0 Yor Ov Grouting Information Well Grouted? DYes D No i in Located Minnesota Geological Survey Unique 'lumber Veritication Other, note in remarks rma System UTAI- Nad83, Zone15, Meters ed Dt sa 340 Method Digitized - scale I :24,000 or larger (Digitizing Table) Date N/A X: 469980 Y: 4832787 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Lomabpsn_ Coons Ts et Length of drop Pipe ft. Capacity g.p.m HP - Volts Type 'v!aterial nnd ts Dots as md meter Abandoned Wells Does property have any not in use and not sealed well(s)? D he On Yes D No Cutis Yer aGopivo Cuttings Yes Borehole Geophysics Yes ik Co aby Go First Bedrock Cedar Valley Group Intent Ione Last Strat Dubuque-Galena nity Aquifer ome Bre 138. Depth to Bedrock 130 ft. Variance Was a variance granted from the MDII for this well? D No TCWell Contractor Certification susan SWANSON insms i 0 Ro No. Nene crite License Business Name Lie. Or Reg. No. Name of Driller Yes D County Well Index Online Report 227014 I Printoo 6/25/2008 HE-01205-07 file:i/1IIIMPCA/1Working/A0081-100%20-%20PFC%20Foam1R. .. s/Albert%20Lea,Well%20Log%20Report%20-%2000227014htm6/30/2008 3:27:15 PM 22222222.11003366 sSTTaAeT_E0_206282211999933 Well Log Report- 00249066 ims Une 5 _Minnesota Unique Well No. 249066] oCany Atltnera 249066 County Quad QuadiD Freeborn Albert Lea East lOA HSCEI Well Name FREEBORN FOODS Temi ne Sc bec Hsin Township Range Dir Section Subsections Elevation WE NW 1 ABABAN Fler thal 102 21 w 17 ABABAA Elevation Method SANISOEA aDpHEr ASI OF Pr Ml'IINESOTA DEPARTMENT OJ<' HEALTH WELLANDBORING RECORD Lene 138507 WELL AND BORING RECORD am SuChas t 13 IIJimresota Statutes Chapter 1031 1231 a wo rEmeCar 1222 ft 7.5 minute pug | DE Mel CHTid topographic map (+I- 5 feet) Well Depth Depth Completed 218ft. 218ft. i)rillinP" Method LaDle 1001 Entry Date Update Date Received Date 02/02/1994 ll/28/2007 Date Well Completed 1936 Drilling Fluid EeI e] -- Em Use Industrial Well Hydrofractured? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes D No Above/Below Co Casing Diameter Thea 8 in. to 218 ft. ft. Carr Weight onlbs./ft. Hole Diameter Well Address oeBOX 1186 tenn ALBERT LEA MN 56007 eco ari Geological Material Suess NO RECORD [I a TDaLmeRs Gotowrs Color Hardness Open Hole from ft. to ft. Screen NO Make Type Diameter Slot/Gauze From To 0 218 Length SoBe Length Set Between Torrens NO REMARKS om mus J.ocated Minnesota Geological Survey Ce Ser Ven Unique 1\mnber Verification N/A Sn rr System UTM- Nadfi3, 7one/5, oyMeters st sno Method Digitization (Screen)- Map (1:24,000) Due 335301 Date 02/25/2001 ---- i X: 469764 Y: 4832388 iis fo First Bedmck Leven Dr et Last Strat Aquifer Depth to Redrock ft. County Well Index Online Report County Well Index Online Report Static Water Level 22 ft. tlum Land surface Date Measured 1983 PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. Walls conto Wdl Head Completion ECE Pitless adapter manufacturer Model Duis reir 0 120s re D Casing Protection D 12 in. above grade 0 re Een ele Bgoni D At-grade (Environmental Wells and Borings ONLY) rin rman. WetGuaet BY ET Grouting Information Well Grouted? DYes D No SCA Nearest Known Source of Contamination So _feet - direction _type a iain 0 ve 0 to Well disinfected upon completion? D Yes D No rawr] ex oated Duet Pump D Not Installed Date Installed nSeimsiriina1p_ Co oty aoi l1e Voki Manutacturer's name Model number - HP - Volts Length of drop Pipe _ft. Capacity _g.p.m Type Material eed ets ese es oe eo ay 1 Abandoned Wells Does property have any not in use and not sealed well(s)? D be 0 Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No AT Corr Creston Well Contractor Certification cmvainb tov MANE cinacs Minnesota DeQt. ofNatural Resources ome bt Li Oh NoNavel License Business Name MNDNR CUMMINGS Lie. Or Reg. No. Name of Driller 224499006666 I Printed 6/25/2008 HE-01205-07 file:/Iil[/MPCA/1 WorkingiA0081-l 00%20-%20PFC%20Foam/R ..slAlbert%20Lea/Well%20Log%20Report%20-%2000249066.htm6i3012008 3:27: 13 PM 22222222..11003377 sStTaArTeE0_208282211999944 Well Log Report- 00256866 T2e5i68h6a6s Ho BT Minnesota Unique Well Nn. County Quad Quad ID Freeborn Albert Lea East lOA i Welll'\ame INTERSTATE POWER CO. Township Range Dir Section Subsections Elevation Tn 102 21 w 9 CCDBAD Elevation Method MINNESOTA DEPARTMENT OF HEALTH SbReRe mos VE WELL AND BORING RECORD Ee pS ftfinne.mta Statutes Chapter 1031 Entry Date I:pdate Date Received Date 1212112005 11/28/2007 -- SRE 1217 ft. Dab |r 7.5 minute topographic map(+/- 5 feet) Well Depth 387 ft. Drilling Method Cable Tool Depth Completed 387ft. Date Well Completed Drilling Fluid [mr [I egw] -- Use Well Hydrofractured? DYes D 1\o From Ft. to Ft. ee -- 0so boven Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0No Above/Below ft. DYes Casing Diameter Weight Hole Diameter Well Address GARFIELDAV Eee ALBERT LEA MN 56007 oa Geological Material GLACIAL DRIFT LOWER CEDAR VALLEY FORMATION MAQUOKETA FORMATION DUBUQUE FORMATION GALENA FORMATION co vn Color Hardness ponFrom 0 92 205 273 301 20 1n. to ft EE Open Hole from Screen Make [ol To Diameter 92 oun ft. to ft. Type Slot/Gauze 205 273 301 387 Static Water Level -1 ft. from Top of casing extension lbs/ft ownLength san Set Between Date Measured 1212112005 PUMPII'\G LEVEL (below land surface) T Bcrey cce Diese ft. after Ius. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model DO) onde ro Wellam mdBevisa ONLY) D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings 01\LY) REMARKS TOP OF CASING IS ABOUT 6FT. BELOW GRADE IN A BASEMENT TYPE IPUMPHOUSE. WELL FLOWS. GAMMA LOGGED 12-21-2005. OBSTRUCTIO'J AT 389 FEET. Grouting Infonnation Well Grouted? DYes 0No Located Minnesota Geological Survey Erue mSumbermSstciton stoms Unique Number Verification Information from owner System UTM- Nad83, Znnel5, Meters Method Digitization (Screen) - Map o11n130w5 m (1:24.000) Date 12/21/2005 X: 470553 Y: 4832576 Borehole Geophysics Yes Ce First Bedrock Lower Cedar Valley EEE Last Strat Galena [Comm Worm onimrepon County Well Index Online Report gpaAquifer Depth to Bedrock 92 ft. Nearest l(nown Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No omy Nenad Dt anid Pump D Not Installed Date Instailed ME Te l\1anufaclun::r's name Mudd number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material rin resem me Abandoned Wells Does property have any not in use and not sealed well(s)? boD No BTD Yes nw Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Minnesota Geological Surve):' MGS aes|I License Business Name Lie 256866 Or Reg. No. Name of Driller Yes D No Ew Printed 6/25/2008 HE-01205-07 file: ///II/11PCA/! V.;orking/A0081-1 00%20-%20PFC%20Foam/R ..s/Albert%20Lea!Well%20Log%20Report%20-%2000256866.htm6/30/2008 3:27: 13 PJ'vf 22222222..11003388 saeazez1s05 STATE_02821995 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY AApppplle VVaalllleeyy 1144001 SSrtreeeett h AA7p1pp0pl0lee1VV4aa7ll"leeSyytFrFieirreeet DDWeeepspatarrttmmeenntt Apple Valley, MN 7100 14ih Street Apple Valley, MN W5555e11s22t 44 N9Ne5ea2al.loo9n5n3TT.hh2oo6m0m0ppssoonn,, DDeeppuuttyy CChhiieeff 9Ani5thh2oo-m9m5pp3ss-oo2nn6@@0c0icai .pappep-lev-avlallleeyy .mmnn. uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wwaellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FmFiairrieenSSttetaanttaioonnnce##11f,,ac11i55l00,000604HH4aa2yyee1ss40RRo1d;;SaatnnddW.,.AAppppllee VVaalllleeyy cceennttrraall maintenance facility, 6442 140th St. W. A"AAnnnggguuusss ATAiFFdFFeFFxAR AFF `AAAnnnggguuusss HCombat Class Tridex AR-AFF Hi-Combat Class A A BBAi-Amunnaulalllyy 551to01100ggaatlloonnss SSttoorrmm sseewweerr,, ssaanniittaarryy sseewweerr,, ggrroouunndd AAARFFAFFFF-F33-gg1aa5llllogonansslo((nhrsiissttoorricicaal uussee oonnllyy)) Class A- 10 gallons AR-AFF - 15 gallons Class A- 10 gallons AAHlaliimymeaasggnnReeottaLLdaatkkaeeinlloiocncagattesedtde:aapuppnpirodrexniomtixafitieedlmy0pa0.o.7n7tmdeimallilepeysps rnnooorrxtthmhwwaeetssett0l.oo7fyf mile north-northeast Hayes Road training mile north-northeast of 140 Sureet traning site; unidentified pond of 1401h Street training sitapproximately site. 0.7 <<S11o/u/88thmm-iioleeulnntoowrretthsheetaafssottrofhorretthh1ee40HH1aaySyteersseeRRtooraaaddinttirranaiginnisiningeg.sstitee;; <<11//44 mmiillee south-southwest for the 140 h Street training site. TTrraaiinniinngg ssiittee llooccaatteedd iinn ccoovveerreedd kkaarrsstt aarreeaa,. <e<a11/s/4t4 fmmoirilleethsseoou1ut4thh0ww1eeSsstttrfefhooetr etthreaiHHniaanyygeesssteRR. ooaadd ttrraaiinniinngg sstitee;; <<11//88 mmiilee east for the 140 hStreet training site. <S<t11r//e33etmmirillaeeinssioonuugtthhswwieeesstits fflooorrcttahhteeedHHwaaiyyheeissnRRaooWaaedditthrraeaiinanidinnggPrssoiitteee;cttihhoeen11A44r00ea1h. Street training site is located within a Wellhead Protection Area. 11s6 22222222..11003399 SSTTAATTEE0_202882211999966 AAPPPPLLEE VVAALLLLEEYY 1144001h SSttrreeeett CCWWIIWWelelll MMaapp SSIl) sCAAE RS aOISTNRETA S, ) INECe Noni pien l Spd eii ERY Sly po pEelEi a) Fe Ce ESUoM peaeaOIa EPRRSee Tf et ea i ol BS es Cao Br Li meng 5 Lee : NATa R Crie g St iy 12 EI i we LCS 15d eenet SRL nsYT ATE TD ges CWT IT ie tes EaB]nSR Elian tv Ly Hr 33) SL oe ean LTE | Jrenead S08 i: Seat ped[Re maar man Protection ra Si ThA AT Pletal nel aa nt Ee REE RR Sal EE TEI T PLE oyrj h gl sSigEaBn , a STEg 1T-E i 3 "5 LE ; ear Ld] E W x E 2 Fe] } NEES WLC Te ALO : aSn Ee] CR 222222.110040 [Ep-- STATE_02821997 [EAAplple Valley 140% SSttrreeeett WWhahta't'ss IInn=MMyaNeighborhood Eifrwiediait hal pe" lil Laotsi msTm or Ee 10 ithaen : = is 4fg i a &y/ ro]HS gyNA el frlel ste Lif iri whi [|a = s iif pe esSa I ald : |Fitigf iBie Jie embiaa. ' LH a i E ErT a nv' f / ? i i Fi] pom oe # i i mid jE ing,e fiEsbies E| rig1radep ens) Fried | : aha EE || Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion [SIESneE| of the information should be considered to be, or used as, a legal document. The information is provided [FRESE EE R | subject to the express condition that the user knowingly waives any and all claims for damages against ||| MPCA that may arise from the use of this data. || @#innesota PollutionControlAgency || wit osd a i i v : Sites SriramSapo Dt~ llfiiW: r.luJrtrftmiil Pesmoawaste hm~SOI'I<J~ ormanaDang: l!ln~miiBCI Dun~ ae MFRAP sStoportuns m:attt Su~rftlnil ocoos e CEK.CLt:s Fearn tuprun Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb |er um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ ReRAmsetton Chap F:CRA l'rJ';tfii~PDI; ~ta'IIWJI' 4St foossomons "'- SliM ~rMIII: 222222..104411 sStTaAreTE0_208282211999988 % 0 fere KmEr i ----- -- pm" 3o BE} N ile :2 Ef 5T6 Bie F104 8 2gi: oS | Tas 5g| | ts: 2<E1I4T Apple Valley 140th St Wetland Map 3 93-10-30W 4i x 52 3-2 see 222222.110042 i | 2 1 ~~I~~I,I Digital 2 Xs& c [5 i|i v } i HE[]iB Fd2 ig3 iE 3s | |ut 3 |: we | aid iji 93-13-0 w 93-12-30W 93-12-0W : 93-11-30W iif r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N I-' \.0 \.0 \.0 g ui . Hfiinbd!iii lillHiHaHn a ty, sHilll Lom ... -!" ..."'w0 Legend II z ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway I Roads Cities r USGS Quad Index 24K li Lower 48 Wetland Polygons I I Ill Estuarine and Marine Deepwater I Estuarine and Marine Wetland Freshwater Emergent Wetl1:md ipl } 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake ...... Othor J,.. Riverine .w..0 Lower 48 Available Wetland Data z Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK ......... II o J,.. D South America 6 North America z g5 i : | :33 El :tisd 93-11-0W 93-10-30W Map center: 44 44' 50" N, 93 11' 42" W $ f5 3 Scale: 1:27,882 stare 02821999 Well Log Report- 00101174 Minnesota Unique Well No. 101174 opmea Fema `W[ ANEDBe LORILNGr RECORD 101174 County Quad QuadiD Dakota Farmington 88B RTT Ea To Cd WeD "'ame NORTHSTAR CONCRETE Tome sD ton Sct ri 50 ro fy To"nship Range Dir Section Subsections Elevation Ed Lo =I= ll5 20 w 26 CDDDCB Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 984 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 240ft. Depth Completed 240ft. . Rotary Drilling Fluid -- Well Hydrofractured? From Ft. to Ft. Entry Date Une iron Update Date Mebtoue Received Date 09/]5/1988 0312112006 BAC Date Well Completed p= 04/27/1977 DYes D No Use Domestic wat sasrre Well Address mw 6055 150TH ST W APPLE VALLEY MN 55124 [oso rs Geological Material Fre GRAVEL SANDSTONE Presid SANDSTONE LIMESTONE PEColor om BROWN YELLOW GtGRAY GRAY Caing Type Steel (black or low carbon) Joint Threaded Drive ShoP? IZJ Yes D No Above/Below 0 ft. Ce Wr Fol a Casing Diameter Weight Hole Diameter rey Th ten an 4 in. to 190ft lbslft 4 in. to 240 ft EY Hardness oa SOFT Mw wm MEDIUM From To 0 156 156 182 182 220 HARD 220 240 Open Hole aad Screen NO Diameter rom 190 ft. to 240 ft. Sasa Make Type Slot/Gauze aoLength Static Water Level 92 ft. from Land surface Date Measured 04/27/1977 Sea Set Between or NO REMARKS PUMPING LEVEL (below land surface) 102ft. aflcr 2 hrs. pumping 40 g.p.m. Woh Crp Well Head Completion Toon sarkemitra okt Pitlcss adapter manufacturer [= PN D Casing Protection D Model 12 in. above grade 1 sept amet Vehmas1) D At-grade (Environmental Wells and Borings ONLY) Crotng term Verse B ver Ov Grouting Information Well Grouted? IZJ Yes D No cat MoresGobi ancy led Dpto2410 rb L d ocate M. mnesota Geo1ogt.ea1 S urvey Method Digitized- scale I :24,000 or larger (Digitizing Table) Pinprt pip pt Unique I'\umber Verification "\,J//1. DateN/A System UT1'v!- Nad83, Zonel5, Meters X: 485094 Y: 4953231 [rrp First Bedrock StPeter Last Strat Prairie Du Chien Group So Aquifer Depth to i 8 St.Peter-Prairie Du Chien Bedrock !56 ft. County Well Index Online Report Grout Material Bentonite from to ft Te me ptt ope Nearest Known Source of Contamination TI_feet .ti_direction SeQlic tank/drain field type Well disinfected upon completion? IZl Yes D No Pump IZl Not Installed Date Installed Manufacturer's name DEMING Model number - HP0.75 Voltsl. iy hp eh Cin spTi UrYi o Length of drop Pipe 110 ft. rapacity g.p.m Type Submersible Material JT SY Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes ow D No Variance Was a variance granted rom the 1\IDH for this well? D Well Contractor Certification Ryan Well Co. 19063 BOHN G. Licen~e Busines~ -:'\Jame Lie. Or Reg. No. Name of Driller 101174 I Yes D J\o Pnnted 6/25/2008 HE-0 1205-07 file:/1/IiJ:t'-APCA/!Working/A0081-100%20-%20PFC%20Foarnl...%20140th%20St!Well%20Log%20Report%20-%2000 101174.htrn6/30/2008 3 33 21 PM 22222222.11004433 SSTTAATETE0_208282222000000 Well LogReport-00205R21 Msne a Minnesota Unique Well No. 205821 205821 rQuil County Quad Quad ID Fame Dakota Farmington 88B A Welll"ame OSCAR ROBERTS CO. HS 2 OW 2 ODAC) Hesn hed Township Range Dir Section Subsections Elevation 115 20 w 22 DDACDD Elevation Method Geological Material (awna CLAY Give wosousers GRAVEL AND BOULDERS CamMosON CLAY AND STONES LIMESTONE reTRsosToe ST. PETER SANDSTONE 1FeTER moO ST. PETER SANDSTONE FeTTo ST. PETER SANDSTONE FETE woo ST. PETER SANDSTONE Shioree Es SHAKOPEE LIMESTONE o SHAKOPEE LIMESTONE SRGOMrSNiOOm SHAKOPEE LIMESTONE E JORDAN SANDSTONE or, Color wom BROWN weBLUE BROWN om BROWN neWHITE wheWHITE TMTAN =TAN nieWHITE oNreDARK WHITE wm Hardness iia ---- MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING Upineme 230 WELL AND BORING RECORD Reed Buc RECORD Vineet oresCes 01 Minne.mta Statutes Chapter 1031 Entry Date Update Date Received Date 09/1511988 0212212007 -- Weep DE Coe Dew Cons 1015 ft. 75mm cht 7.5 minute ogre | DE Nth GO Tot topographic map Ci (+1- 5 feet) Well Depth Depth Completed 493ft. . n~iiii~g t\1~th;;d c~bl~t;;;;t 493ft. Date Well Completed 12/10/1965 Drilling Fluid I -- em Lse Industrial Well Hydrofractured? DYes 0No From Ft. to Ft. bCCeBwaosnaai0gneegTDapieamBmSseeeteernckoro coTniow)eogrnhJot WFeetee Dmrievteoere? 01 From 8rom T2o [Seavey 0 ua [Se w 12 n3 lower sowie" Len sasewen 60 73 ow 105 wm 108 mm 209 BE fe 235 Fnl255 ow ow 2 270 F io : 332 WPIDelescsaSnshgreCoonmwmipeoeotnmre ep 0ziMogsdphmi one 450 Casing Type Steel (black or low carbon) Joint Welded Diive Shoe? D Yes D No Above/Below ft. Casing Diameter Weight Hole Diameter 16 in. to 73 ft. lbs.lft 12 in. to 276 ft. lbs.lft To Open Hole trom276 ft to 493 ft 12 Screen NO "lake Type 60 73 Diameter 105 Slot/Gauze Length Set Between 108 209 235 255 Static Water Level 270 136 ft. from Land surface Date Measured 1211011965 332 450 PUMPING LEVEL (below land surface) 493 154 ft. after hrs. pumping 1200 g. p.m. Well Ilead Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) REMARKS GAMMA & CALIPER LOGGED AND TV 9-12-2000. Grouting Information Well Grouted? DYes D No 12 IN. CASING TO 250FT. CASING PROBABLY CUT OFF AS PIT WAS DEEPENED. psi M.-thod Digitization (Screen)- Map Located Minnesota Geological Survey (1:24,000) Unique Number cesdronmcmom nnec D2 NA Velification Information from owner Soom UTM lb Joel Mors: 926 Vs 495305 System UTM- Nad83, Zunel5, Meters DateN/A X: 484261 Y: 4955005 "'earest Known Source of Contamination _feet - direction _type wt tisnpnceoopser 0 ver 0 No Well disinfected upon completion? D Yes D No Tomy Norland 20 165 Pump 0 Not Installed Date Installed 12/00/1965 Nurmi AZZ arose 17100 Vol Manufacturer's name JACUZZI Model number - HP lQQ_ Volts Length of drop Pipe 200 ft. Capacity 1200 g.p.m Type Material oneWah Deserve stn nd deci! 0) Abandoned Wells Does property have any not in use and not sealed well(s)? D vo Ow Yes D No Fii rk Plc [Dustid Gotten Se Dmehole Geophysics Yes First Bedrock Platteville -- Aquifer Multiple CountyWell Index OnlineReport Last StJ:at Jordan Depth to Redrock 73 ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? No Well Contractor Certification pomshilase RReenmneerrEE.lH &asSosns om2g7m01s5 HEE SSIGGAAFCOOOSS Q,_ License Business Name 220055882211 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/25/2008 HE-0 1205-07 ARCA SCS BP SbnA H file :///I /MPCA/! Working/A0081-l 00%20-%20PFC%20Foam/...%20140th%20St!Well%20Log%20Report%20-%200020582l.htm6/30/2008 3:33:20 PM 22222222.11004444 SSTTAATTEE0_208228222000011 gz Ei FHH:: eSf H1+ 1EhY h. C iLHsR IUFEEHH: a ifqe i | )E 2EE . o LHee3] e3l]5l5e di2d: Well Log Report- 00207676 lvfinnesota Unique Well No. 11 207676 11 County Quad QuadiD Dakota Farmington 88B Well Name AMCO WAREHOUSE Township Range Dir Section Subsections Elevation 115 20 w 27 DAADAB Elevation Method 5 4i 287:83 iz izF]l 2iETLE Io 3522 a] ale bE Eiga i H5i28Ns Ee E2$572 |: i|7 ls8 MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 031 Entry Date Update Date Received Date 0911511988 03;21/2006 o |: pe] fe 957 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth 220ft. lnllm!! IVIethoc -- Drilling Fluid -- Use Commercial Depth Completed 220ft. Date Well Completed 11/2911973 IWell Hydrofractured? DYes D No From Ft. to Ft. 232 2:2: o 2 : 3FE Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes D ~o Above/Below 0 ft. Casing Diameter Weight Hole Diameter 6 in. to 141 ft lbs/ft i3B2Hf: f f2o215|5f 2 HE HI il2, & o& i BiEEL BFefE sid! eB : Well Address 15DTH STW APPLE VALLEY MN 55124 Geological Material GRAVEL SANDSTONE. LIMESTONE REMARKS WELL DRILLED BY GENZ-RYAN. Color Hardness From 0 138 Open Hole from 141 ft. to 220 ft. Screen NO Make Type Diameter Slot/Gauze Length To 138 220 Static Water Level 65 ft. from Land surtace Date Measured PUMPING LEVEL (b.-low land surfact>) ft. after hrs. pumping g.p.m. 11129/1973 l 33hl id ai+ie d9le:a #z Faiilss did TLE 0 0EEH ESEdE d25idis W.-ll H.-ad Compl.-tion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Well5 and Borings ONLY) Ea Grouting Information Well Grouted? D Yes D No g g Ie, . $i Set Between i : : $:5gi1141 3 i$i: 1L.f8 8 git 222222.110045 i:: 1 i i Ps 1: s ys i3h5Pi5:lil85k 3 15% ELE iEa fiii i3::: ESE E.in i: 2 2 5 i!: i Z] i sate_o2s22002 L d M. G .S Method Digitized- scale 1:24,000 or larger (Digitizing ocate mnesota eo1og1ca1 urvey Table) olEe o j oifi EAiildy i f1.8 1 Else FiLilliig Hi H ERLE : Unique Number Verification N!A Date NIA Syst.-m UTM- Nad83, Zone15, Meters X: 484351 Y: 4953911 Nearest Known Source of Contamination - feet - direction _type ] | 14a# q ~ 0 Vl Well disinfected upon completion? D Yes D No Pump Not Installed Date Installed 03/19/1974 : rn Manufacturer's name JACUZZI Model number 7556B8-T2 HPl5_ Volts 230 I 0 Length of drop Pipe lQLft Capacity _g.p.m Type Material N 00 ;i i N i ]| :i 4J:i N file:///lii1\1PCA/! Working/A0081-100%20-%20PFC%20Foam/Reports/Appendix%2.. .ley/Apple%20Valley%20 140th%20SUWell%20Log%20Report%20-%2000207676.htm ( 1 of 2)6/30/2008 3:33: 19 PM 0 0 N 5 :i i I i iiez ii i i x1 ile[2 ils Well Log Report- 00207676 z7i3s3 172 HE 138 First Bedrock St.Peter-Prairie Du Chien Last Strat St.Peter-Prairie Du Chien County Well Index Online Report Aquifer St.Pctcr-Prairic Du Chien Depth to Bedrock 138 ft. z|ol 0, YHeE.ER] H21Eg EgRz iE ly]|g f$s H F SHEE EI E gle HFHHH RItHEe 2IslSif D D Abandoned Wells Does property have any not in use and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No i 2 License Business Name HELGESON L Lie. Or Reg. No. Name of Driller 207676 I B Printed 6/25/2008 HE-01205-07 o |g o i A 2222.1046 :2 i:i ifZi i2 i i : i }3 7i : ii ii i 1 i i : srate_02622003 ~Vl rn I 0 N 00 N N file:///lii1\1PCA/! Working/A0081-100%20-%20PFC%20Foam/Reports/Appendix%2.. .ley/Apple%20Valley%20 140th%20SUWell%20Log%20Report%20-%2000207676.htm (2 of 2)6/30/2008 3 :33: 19 PM 0 0 w H20767E 8 i EEE Well Log Report- 00207678 Minnesota Unique Well No. County Quad Quad ID Well Name OSCAR ROBERTS CO. Dakota Farmington 88B Township Range Dir Section Subsections EleYation 115 20 w 22 DDDBDB Elevation Method MI:'IINESOTA DEPARTMENT OF HEALTH TN iia WELL AND BORING RECORD Mimtesota Statute., Chapter 1031 SRE Well Depth Depth Completed mEEmE Entry Date Update Date Received Date wu09/15/1988 03/21/2006 Date Well Completed 1008 ft. 7.5 minulc topographic map (+i- 5 feet) =E I r 333 ft. 333ft. . iirilii;,g M:~th;;<i .i\i;;i!ipl~ ;;;~th~d~ ;;;~;j 05/06/1974 .... Drilling Fluid -- Well Hydrofractured? DYes D No Fmm Ft. to Ft. rrr Use Industrial Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter 8 in. to 261 ft lbs/ft 8 in. to 333 ft Well Address 140TH ST W APPLE VALLEY MN 55124 Open Hole from 261 ft. to 333 ft. Screen NO Make Type = Geological Material GRAVEL &ROCKS LIMESTONE SHALE &SANDSTONE LIMESTONE 57 Color BROWN BRN/GRY VARIED Hardness From 0 65 94 GRAY 240 = = To Diameter 65 94 240 333 Static Water Level Slot/Gauze Length Set Between =| 125 ft. from Land surface Date Measured er PUMPING LEVEL (below land surface) ft. after hrs. pumping 300 g.p.m. Well Head Completion 05/06/1974 Pitless adapter manufacturer WHITEWATER Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Sp. Located Minnesota Geological Survey Unique Number Verification Other, note in remarks Method Digitization (Screen) - 'vlap (1 :24,000) Date 09/25/2000 System UTM- Nad83, Zonel5. Meters X: 484247 Y: 4954937 Grouting Information Well Grouted? DYes 0No Nearest Kno\\'D Source of Contamination Ce0 _feet - direction _type Well disinfected upon completion? D Yes D No Pump Not Installed Dale Installed 00/00/1974 Manufacturer's name RED JACKEl' Model number - Length of drop Pipe 109 ft. Capacity 55 g.p.m Type HPu_ Volts 440 Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0D Nxo First Bedrock Platteville Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien C'.roup Depth to Bedrock 65 ft. County Well Index Online Report Variance Was a variance granted fiom the MDH for this well? D Well Contractor Certification es Renner E.h. & Sons License Business Name 207678 02015 PAUL/RAY Lie. Or Reg. No. !\arne of Driller I Yes D No Printed 6/25/2008 HE-01205-07 file:/I/II;'I\1PCA/! W orking/AOOSl-1 00%20-%20PFC%20Foam/. .. %20140th%20St/\~lell%20Log%20Report%20-%2000207678 .htm6/30/2008 3:33: 19 PM 222222.110047 STATE_02822004 Well Log Report- 00250080 C2o5m00J8|F0,wa IM'vfomrneososta LUonitqeue BWeUllNNo. 250080 CCoouunrtyy Quad Quad TD &rome DDuaekottsa Farmington RRR WELIL ANED BRORINIG REECORD MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WELL AND BORING RECORD ,'lfinnesota Statutes Chapter 1031 mnene EEnnttrryyDDatatee. Update Date Received Date -- 0033/11991/19999%6 03/21/2006 Well Name Township Range Dir Section Subsections Elevation HS115 D20 Ww 326 BBBRAABBBCC EElheevaattioonnMNeehthoodd Well Depth Depth Completed opis | PIRES 992 ft. 7.5 minute topographic map (-/- 124ft. -- 124ft. 5 feet) Drilling Fluid -- IWell Hydrofractured? From Ft. to Ft. TJse Abandoned Status Sealed Date Well Completed DYes D No Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below 0 ft. Casing Diameter 5 in. to 122ft Weight lbs/ft Hole Diameter Well Address prsgion APA63PP5PL2LEE1V4V0ATALHLLLSEETYYWMMNNS51512244 ge Geological Material GLACIAL DRIFT NO RECORD wa Color Hardness fom myem Open Hole from 122 ft. to 124 ft. a Screen NO e Make Type Diameter Slot/Gauze gmp From To 0 40 40 124 msLength avn Set Between Static Water Level 105 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 09/21/1995 Ee MSE. 29% ORSTRUACT TFEEERT REMARKS GAMMA LOGGED 9-21-1995. OBSTRUCTED AT 40 FEET. WELL SEALED 11-09-1995 DY 27172. ORIGINAL USE DO- DOMESTIC. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wdls and Borings ONLY) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey er rmant renown Unique Nmnber Verification Information from owner System UTAf- Nad83, Zone15, Meters Method Digitization (Screen)- Map (1:24.000) DeDate 078308 07/28/2004 X: 484620 Y: 4954755 ---------- Borehole Geophysics Yes First Bedrock Last Strat :\lo Record Aquifer Depth to Bedrock n. County Well Index Online Report Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft Capacity g.p.m HPQ_ Volts Type Material AAbbaannddoonneedd WWeelllss DDuoeessprporoppeerrttyy haavvee aannyy anootiinn ussee annddaonotsseeaeledd wweetlkls(sy)?? 1D Yes D No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification EI I Minnesota Geological Survev License Business Name 250080 MGS Lie. Or Reg. No. Name of Driller Yes D No Printed 6/25/2008 HE-01205-07 file :i/IIIIMPCA/1 Working/A0081-l 00%20-%20PFC%20F oarn/ .. %20 140th%20St!Well%20Log%20Report%20-%2000250080.htrn6/30/2008 3 33:20 PM 222222.110048 STATE_02822005 Well Log Report - 00256762 256762 A1innesnta Unique Well 256762 Nn. oSisw County Quad Quad ID Pees Dakota Farmington 88D WELiLrAaND BOeRsINCGpaRE1C01ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne.mta Statutes Chapter I 031 WCernitmepae Entry Date Update Date Received Date varie 06/06/2005 03/2112006 Well Name KIDWELL, ALICIA Township Range Dir Section Subsections Elevation ll5 20 w 27 BADADC Elevation Method 965 ft. 7.5 minute topographic map(+/- 5 feet) etagar Well Address 7024 142~10 ST VV ERs APPLE VALLEY lv1N 55124 ccasaes maa Geological Material GLACIAL DRIFT cor oes Color Hardness rom To From To 0 77 Well Depth Depth Completed Date Well Completed =E I e 78ft. Drilling Method -- Drilling Fluid -- 78ft. 0 Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Con ye Senctro Jom ae ot OF Casin~ Type Steel (black or low carbon) Joint 1\o Infonnation Drive Shoe? D = RN Yes D 1\o Above/Below ft. Casing Diameter Weight Hole Diameter 5 in. to ft lbs/ft rma Open Hole from ft. to ft. Screen :VIake Type Fr rn satan Diameter Slot/Gauze Length Set Between REMARKS GA'v!MA LOGGED 6-6-2005. WELL TO BE SEALED SEALING '\!0. H-228844. A tt etnies Located Minnesota Geological Survey Unique Number em, Verification Information from owner System UTM- Nad!l3. Zonel5. Meters gonnecennse Method Digitization (Screen) - Map (1:24,000) Date 06/06/2005 X: 483546 Y: 4954529 vsmtCnn dire First Bedrock Last Strat Unknown deposit type County Well Index Online Report Ssuitte n Aquifer Depth to Bedrock ft. Static Water Level 62 ft from Land surface Date Measured 06/06/2005 PI:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Eon wo Well Head Completion Pitless adapter manufacturer Model Durnin O12 sone D Casing Protection D 12 in. above grade 0 te ires t md B01) D At-grade (Environmental Wells and Borings ONLY) Groutin~ Information Well Grouted? DYes D No | Nearest Known Source of Contamination Q_feet - direction _type Well disinfected upon completion? D Yes D No Pmnp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material bo One Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D 1\o Variance Was a variance granted from the MDH for this well? D Yes D No Nimocnoineie iiosmnee ivog s. No Nant Well Contractor Certification Minnesota Geolo<>ical Survey MGS T,icense Business Name T,ic. Or Reg. No. Name of Driller 256762 I Pnnted 6/2512008 HE-01205-07 file :1//[ I/MPCA/1 Workmg/A0081-l 00%20-%20PFC%20Foam/. .. %20140th%20Sti\\lell%20Log%20Report%20-%2000256762 htm 6/30/2008 3 33:21 PM 22222222.11004499 SsTTaATTeE__0022882222000066 3mf E eernng ee -APPLE VALLEY Hayes RoadCCWWIIWWelelllMMaapp peiEroyaL L AP g iEE LnoE n NER iC e Hie ER i et1 etne foR ae iE 3 SeSo o a agy f df b ol e i] aLdNl aTdiapeakr ae BE R ioisstF]EL iBRfr prl"pE aait aL C oa S oakp Fg m AS N GaE E uaelVait Ei gata takEE :] sRN JiieeseE ]hmIyr tEeCrrhen ealbi TA|PeLSy SiITaI]EHEEeRRBR4E2 mrw dTiaaledSieri EFo f wreoie ldsli]] n Et p ppoe nE Jipew SrH f ARlg EYdn - a ENE ri H d Ee id ovR"ebarihveeaiodil)MaoA " EN SR T alsreCenCos 22222222..110050 SstTaAreTEo_z0s28z222000077 `AppleValleHyayes Rd What's InMyNeighbboorrhhoooodd| find i AdZzit pid77 ZBOVEt Jel snd Wo EAE Ee | g|f7 |/ Fm |e ! TErEi E raeA= Ip'd ery one) SEE TEfrigid mo t d f=lgN Te ee f eLTyT TT |i i ST Lr4 jz ( rrr er] tes ~ SITE Bh ey EE al yeSsTtfof a 53 a i wr ea + Fig NTE bn TM) - = BE | Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion i A La A of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against RR a Tere | MPCA that may arise from the use of this data. SraSuns Sites Dt~ llfiiW: r.luJrtrftmiil w permeCunps. hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP "--ae Stma:attett SSuup~orfrtflunndil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl @Minnosota Pollution Control Agency &taM 0~ LaMIUb I O Vo. e s um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D I&;1C~t1ha'aI0InWJ8gI' E-- e"'- SliM ~rMIII: 2222.11005511 stare oas22008 STATE_02822008 Se Elele Br in3g :toot | 8 In Zg|ld 71 E B$ le: Ss xr g2 BL 4 *13 Apple Valley Wetland Map 8 i RSA 8aIAoS l@ 22222.1100552 ` is ( o: eBiH al: JE i i |is [iRtye g iy B f Hn4 ii 93-15-0W 93-14-30W 93-14-0W i ii j= r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 0 0 \.0 oPkfu 8 wwsson * ........ J,. tn 6 z ........ .wJ.,... 0 z ........J,. :-1 .... 6 z ........ J,. w w 0 z wwnson prow wwsason lg, Hh od on HiH d 8IR in dE ik Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America iil i i Lig +7 | a :is3 x 2 % 93-13-30W 93-13-0W Map center: 44 44' 15" N, 93 13' 58" W $ 3 5i Scale: 1:27,882 Well Log Report- 00242988 MMiinmneesotaUUtniqaue WBeIll NNo. II 242988 CCoopupnetyy Quad Quad ID DDoabkootsa Farmington 888 Well-"ame Township Range Dir Section Subsections Elevation 1H1E5 2B0 Ww 228 CCCOAAMDID ERleevwatiionmMiedthodd a MINNESOTA DEPARTMENT OF WHEEAALLTTIHL WELL AND BORING RECORD ]llfinnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 1122/0010/1199990 03/2112006 967 ft. wpm 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed Date Well Completed 70ft. 70ft. fImm Db rillinl g Mei thod -- Drilling Fluid -- Well Hydrofractured? DYes 0No From Ft. to Ft. Lse Domestic Casing Type Below 0 ft. Joint No Information Drive Shoe? DYes D No Above/ Casing Diameter Weight Hole Diameter 4 in. to ft. lbs.lft. WM14eB8llHHAAAYdYEEdSSreRRsDDs APAPPPLLEEVVAALLLLEEYYMMNNS55511244 Geological Material DRIFT Color Hardness From 0 (OpOepnentHiocleefforomm ft. wto &ft. Screen "lake Typp e DDiiaammeetteerr `SSlloott/GGaauuzzee To 70 1 LLeennggtthh SSeettBBeettwweeeenn Rib REMARKS GAMMA LOGGED 9-18-1990. Static Water Level ft. from Date Measured PUMPII\G LEVEL (below land surface) ft. after hrs. pumping g. p.m. Well Head Completion Pitless adapter manufacturer Model DDl Ccaassiinngg PPrrootteeccttiioonn D0 11220i.n.sabboovveeggrraaddee D03 AAvgte-gEradne (EvnviironrmeontalnWWelemlllssesannddnBBoortriinngagss OlNLYONLY)) GGrroouuttiinngg IInnffoorrmmaattiioonn WWeellll GGrroouwteedd?? 0DYYeosr 0D nNoo Scud Ming amy Located Minnesota Geological Survey UJnoiqeue SNeumbeberr Verification Information from owner System UTM- Nad83, Zonel5, Meters edAgta L200 Method Digitized - scale I:24,000 or larger (Digitizing Table) DDaattee NN!AA X: 481521 Y: 4953505 Borehole Geophysics Yes County Wolindo: on por First Bedrock Last StJ:at Unknown deposit type Aquifer Quatemary Undiff. Depth to Bedrock ft. County Well Index Online Report .r\aerareesstt KKnaowwin S Souroceoofu fCCoonrnttaammc ininaate tiioonn - feet _direction _type Well disinfected upon completion? D Yes D No PPuammpp 0D] NNoott Intnsstatlllleodd DDataeteIInnssttaalllleedd ManufaLOturer's name Model number - HPQ_ Volts A"LNbeoanangntddhooonnfeedddroWWpeelPlllispeDDooefetss. pprrCoopapeperartcyyithhyaavveegas.pen.yymn50o1t inTyuUpsseee a2n0ddMnoaottetrssieeaaallleedd wmeelll(so)"'! 0D Yvees O D wNo Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Minnesota Geological Survey L i 209% cense Business 242988 N a m e I MGS Lie. Or Reg. No. Name of Driller Printed 6/25/2008 HE-0 1205-07 flle:///IIIMPCA/! Working/A0081-100%20-%20PFC%20Foam/... %20Hayes%20Rd/Well%20Log%20Report%20-%2000242988.htm6/30/2008 3:36:07 PM 222222.110053 STATE_02822010 FH suSRe|f EExSC EE HEE iHPdL EEEEEE: 0 3iifss)| 1543 of 4 Sfslit:i Well Log Report- 00251987 lvfinnf'sota Uniqu<' W<'ll No. 11 2s19s1 11 . County Quad Quad ID Dakota J:iannington 88B =3 2 Well Name MINNEHAHA MURSERY Township Range Dir Section Subsections Elevation 115 20 w 27 CBCDAD Elevation Method gd 3 Zs i0S3x gseylls E2$222f23F0f372:7225 2Zi EE g227a]i| i 4 2o2 (iif : i MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Nlinnesota Statutes Chapter 1031 54 Entry Date Update Date Received Date 01/2811999 08/04/2005 ol]: RE H SzaT 955 ft. 7.5 minute topographic map(+/5 feet) Well Depth 340 ft. Drilling Method -- Depth Completed 340ft. Date Well Completed IE: i 0: 32) 2z| =2:e8 HEGlzEE5HEE EEsIcS Drilling Fluid -- Well Hydrofractured? D Yes D No From Ft. to Ft. Use Abandoned Status Sealed Casing Type Steel (black or low carbon) ~o Above/Below 1.5 ft. Casing Diameter 8 in. to 166 ft. le 2 Joint No Infom1ation Drive Shoe? Weight lbs./ft. Hole Diameter DYes D Sif PEE 3i 1:8tBiEfaf% ssi FS5E5E2 522 BG Zpzs Liexs LE 3hE58 Well Address APPLE VALLEY MN Geological Material GLACIAL DRIFT ST. PETER SANDSTONE PRAIRIE DU CHIEN GROUP RE11,fARKS GAMMA LOGGED 1-28-1999. WELL SEALI:D 02-09-1999 DY 70350 ORlGlNAL USE IR- lRRlGAIION s 33 2i 8g3E5 Color Hardness IT . E[3]e =i[sE5k| 2 fl<o2 3o|d2 H| AcRs] S EHlOgsN|E E317E EE3R2 E[lEeF HA o5F From 0 161 214 esis |: Open Hole from 166 fl to 340 fl Screen NO Make Type I Diameter Slot/Gauze Length To 161 214 340 Static Water Level 66 ft from Land surface Date Measured 01/28/1999 5 8 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.lll. ike F432 "EElq eo B z EE SEE si. fs LiE5gH] E42E2EE2 Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Enviromnental Wells and Borings ONLY) slo 49 Grouting Information Well Grouted? DYes D No : 2 3 : Set Between 222222.110054 ?: i 1. | 2== 4%3 ol efi 1f5i8: |z1 Z3Zx 43% 3i:f | 2C2%:td3 iffprf | stare 0222011 HE EEF(H 2F7E08H 4272 22EEs 2 Zo| 2i25d4) c5E3R:E3E7 JBE1y3z|EgY2]ft io. | HE _% $5 efdf: |I Located Minnesota Geological Survey Method Digitization (Screen)- Map (124,000) Nearest Known Source of Contamination ~ Unique Number Verification Infonnation from Date 0712812004 Vl owner System UTlvf- Nad83, Zone15, Meters X: 482960 Y: 4953663 rn I 0 N 00 - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model munber - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material ii N i ? N i file:///IIil\1PCN! Working/A0081-I00%20-%20PFC%20Foam/Reports/Appendix%... ey/Apple%20Valley%20Hayes %20Rd/Well%20Log%20Report%20-%200025 1987.htm ( 1 of 2)6/30/2008 3:36:06 PM 0 I-' I-' .i o iHEHE HEH : is iE i7& EL i Well Log Report- 00251987 isi72i|3S 25|5 Borehole Geophysics Yes First Bedrock StPeter Last Strat Prairie Du Chien Group Aquifer St.Peter-Prairie Du Chien Depth to Bedrock 161 ft. County Well Index Online Report 15 12 zg ilo Ty 2 il: 2 PEilI]E22 ik " F 3 RE[1 EEFs2 EqY Pl 2)lSag L EiStE D D Abandoned Wells Does property have any not in use and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No Mimlesota Geological Survey MGS License Business Name Lie. Or Reg. No. Name of Driller 251987 I E Printed 6/25/2008 HE-01205-07 oO |g i 222222.110055 z i: i; i 14 ii: i5 i i 5 :i: i 3: : : iz smate_ozsazo1z ~Vl rn I 0 N 00 N N file:///Ijil\1PCN! Working/A0081-I00%20-%20PFC%20Foam/Reports/Appendix%... ey/Apple%20Valley%20Hayes %20Rd/Well%20Log%20Report%20-%200025 1987.htm (2 of 2)6/30/2008 3:36:06 PM 0 I-' N Well Log Report- 00255683 IM'vfmnoesotmaIUs nique BWeAll NYo. 255683 GdCcoorunntyy Quad QuadiD Fumingin Deatkosta Farmington 88B WELL AND BORING RECORD MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WELL AND BORING RECORD Jl11nnesota Statute., Chapter 1031 Uninc ige EEnnttrryyDDaattee. Update Date Received Date 0100308 0044/22222/2000003 Ol/06/2005 Well Name HS NW 7 CONDA Bek Mebod Township Range Dir Section Subsections Elevation 115 20 w 27 CBBBDA Elevation :VIethod Well Depth Depth Completed Date Well Completed 955 ft. 7.5 minute vprcnopi | PARE eid topographic map (+/- 5 feet) 177ft. -- Drilling Fluid [p I re -- 177ft. Well Hydrofractured? DYes D No From Ft. to Ft. TJse Domestic a, Well Address 14515 GLAZER AV APPLE VALLEY MN 55124 Geological Material GLACIAL DRIFT GLENWOOD SHALE ST PETER SANDSTONE Color Hardness From 0 49 58 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yeos OD NNoo AAbhoovve/eBdelooww f0.t. Casing Diameter Weight Hole Diameter 4 in. to 162ft lbs/ft 4 1n to 177 ft Open Hole from 162 ft. to 177 ft. Screen NO Make Type Diameter To Slot/Gauze == Length Set Between 49 58 177 Static Water Level 67 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. 03/26/2001 me REMARKS GAMMA LOGGED 3-26-2001. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade mtn ornate avons? 0 ver D1 DDO) At-garaddee (EEnnvirovnmientsalWWeclellolssamnmdidBeBoocirninnggtssOONaNLLYlY)). Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Nmnber Verification Information from owner {Syssiteemn OU7T3A:f- Xo Nad83, ZZoomnde1t5:, es. Meters Method Digitization (Screen)- Map (1:24.000) DateN/A XRe: 448622814S5 N30 Y: 4953907 Borehole Geophysics Yes Crt i en First Bedrock Glenwood Last Strat St. Peter Aquifer St.Peter Depth to Bedrock 49 ft. County Well Index Online Report Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pmnp D Not Inslalkd Dale Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does properly have any not in use and not sealed well(s)? D Yes D No Variance Was a vmiance granted fiom the MDH for this well" D Well Contractor Certification Es I Minnesota Geological Survev License Business Name 255683 MGS Lie. Or Reg. No. Name of Driller Yes D 'lo Printed 6f25f2008 HE-01205-07 file :i/iiiiMPCA/1 Working/AOO 81-1 00%20- %20PFC%20F oam /. ..%20Hayes%20Rd/Well%20Log%20Report%20-%2000255683 .htm 6/30/2008 3:36 06 PM 22222..11056 STATE_02822013 Well Log Report- 00257549 M i n n e s 257549] ota Unique Well 257549 No. oism feoinse County Quad QuadiD Dakota Farmington 88B Totop nabte Hoon WeD "'ame OLD PARSONAGE To'\\nship Range Dir Section Subsections Elevation ll5 20 w 28 ADAABA Elevation Method Well Address cians 14201 CEDAR AV S RSE APPLE VALLEY MN 55124 locsogcarmrs Cote Geological Material GLACIAL DRIFT FAA sro emer PLATTEVILLE LIMESTONE (WEATHERED) GLENWOOD SHALE eR mesire ST. PETER SANDSTONE Color REMARKS GAMJ'vfA LOGGED 7-27-2007. FROM 55 TO 68 FEET MAYBE WEATHERED BEDROCK. Wi EANDLSBoOaRLINCoGgRsE1C1ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 CMeebteosue Entry Date Update Date Received Date ovr07/27/2007 08/01/2007 1971 ft. 7.5 minute topographic map (+/ 5 feet) Well Depth ji iy 126 ft. - Drilling Fluid =EI e] -- Depth Completed 126ft. Date Well Completed Well Hydrofractured? DYes D No From Ft. to Ft. Use Cot Toe Sentry Jo erie Bvt Ove Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0 enim a D No Above/Below ft. DYes Casing Diameter Weight Hole Diameter 4 in. to 59ft lbslft 4 in. to 126 ft vanes Hardness fromFrom 0 55 66 EI78 Open Hole EE ScreenNU To|Dame To Diameter 55 a66 from 59 ft. to 126 ft. Setaie Make Type Slot/Gauze Lrg Length 78 126 Static Water Level 64 ft. from Land surface Date Measured 07/27/2007 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Wal Crp Well Head Completion RIOT ow Pitless adapter manufacturer Model [=D Casing Protection D 12 in. above grade Dr imam Wl i is 500 D At-grade (Environmental Wells and Borings ONLY) Grouting Infonnation Well Grouted? DYes D No Swtsemn Set Between c at Se r Gt Located Minnesota Geological neySurvey Unique 1\utnber Verification Infonnation from owner System l!T.Ivf- Nad/13. ZnnPI 5, Mete" ed Dn Method Digitization (Screen)- Map (1:24,000) Date 07/27/2007 X: 482707 V: 4954375 Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Dak Installed l\1anufacturer's name Model number - Lenhoup Pe0 Cony pps Te Neri Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Amnteeetdh. os es oe eemtr itr 0 3 Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 D No rrp Yo Borehole Geophysics Yes va Variance Was a variance granted from the MDH for this well? D Well Contractor Certification First Bedrock Platteville ant Pr Detpe trnh 55 1. Lic minNome Li ORr ep No NoofmDier Last Strat St.Peter Aquifel" St.Peter Depth to Bedrock 55 ft. Lr I County Well Index Online Report Minnesota Geological Survey MGS License Bm::iness Name Lie. Or Reg. No Name of Driller 257549 Yes D No = Printed 6/25/2008 HE-0 1205-07 file:/IIII!MPCA/!Work:ing/A0081-100%20-%20PFC%20Foam/ .. %20Hayes%20Rd/Well%20Log%20Report%20-%2000257549.htm6/30/2008 3 36 05 PM 22222222.11005577 SSTTAATTEE__0022882222001144 Site Name: Site Name: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY Appleton Appleton AA2p3pp0plleeWtt.oonnSnFFeiilreeinDDgeepApavarerttnmmueeenntt Appleton, MN 56208 230 W. Snelling Avenue Appleton, MN 56208 3RR2oo0mm2aa8nn6.RR1iid3dl6ee3rr, AAssssiissttaanntt FFiirree CChhiieeff 3fro2om0m-aa2nn8__958-616232565535@@hhoottmmaaiil..ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelll: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: AAAppppppllleeetttooonnn PPuubblliicc WWoorrkkss bbuulidldiinngg,, 42277 SS.. MMuunnsstteerrmmaann SSttrreeeett, Appleton AASninshsuvueilxitteeCl33a1xs33sAAARRA-AFFFFF Silv-ex Class A SSeemmAi-nAnnunaulalllyy LLeesssstthhaann 5s ggaallloonnss. GGrroouunndd AAGlRRa-sAAsFFAFF-FF-L-eLLseesssssthttahhnaann151155gagglaaolllnloosnnss Class A - Less than 15 gallons PPoommmmee ddee TTeerrrree RRiivveerr llooccaatteedd aapppprrooxxiimmaatteelyl0y0..44mimeiless eeaasstt B1/18 t0o 11/84 mmiille eeaasstt aapppprrooxxiimmaatteellyy 11//44 mmiillee ssoouutthheeaasstt NNoonnee wwiithhiinn oonnee mmiilee "11 22222222..11005588 SSTTAATTEE__0022882222001155 Fie PEE a H LFE APPLETONCWIWell Map IITE SE gags NE pig: td FBEETS RA desiS g eseLDF SE ShRiIvaEpRdEiT |; raa pila SALEHe RE dE Br I ANE AE Ea T Aears dL Nii An EL anes I eR Sree Gl TH &TRINH RigJsTCJlT = E ENeRE A=IDi oie NE RT olAf C EISln (TOREEN RBhe PNR Ue| TE NF GENES Lo TN Moves st: SweeteSONsGIOtTE rR SO 2222222.110059 STATE_02822016 [AppAlpeptleotonn WWhahta't'ssIInn MMyyNNeeiigghhbboorrhhooooddM Mapap || i =7 , | ji a Ar || anNdi en L Ef iET Dla ||1 i", Lelie d eyore hr a an eiichi]t rii d ea: || #Ii Pee Jr iw esl ae A 1 la NN || ; / SSIITTEE~ | R \ | | || 5\ | |[ / \ | etl | Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion | es tes| of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against |B RE RR SEE MPCA that may arise from the use ofthis data. | | @innosotapollutionControlAgency || SSiitteess. Sotapra Dt~ llfiiW: r.luJrtrftmiil Pemisea sodas hm~SOI'I<J~ ngamanaengs l!ln~miiBCI Dun~ MFRAP Stma:attottSSuup~errfftlunndil fr e CEK.CLt:s Febmtuprina Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb oa p rer um V9ltnar~ llritm~~l'i I; Cta'IIWrt A.... 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Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 Map center: 45 11' 34" N, 96 1' 19" W Scale: 1:28,684 N 00 N N 0 I-' 00 Jp-- Well Log Report- 00131718 Afinnesota Unique Well No. BITI8_ || atew pee 131718 County Quad QuadiD Swift Appleton 131A TOTTI TTNOT Well Name LAGRANGE. DERALL N0.2 Toni a. DStoni Fon Township Range Dir Sedion Subsedions Elevation 1 WD DCCCCC etn thot 120 43 w 23 BCCCCC Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Cpe aime WELL AND BORING RECORD iverhoe oper a Weide MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/17/1988 08/27/1996 1001 T iy C aCo 1000 ft. SIR | pd ogi i 7.5 minute topographic map (+/- 5 feet) Well Depth 162ft. Depth Completed 162ft. . Rotary Date Well Completed 04/26/1977 =eI re] oe Drilling Fluid -- Use Irrigation Well Hydrofmctured? DYes D No From Ft. to Ft. alrigiea Well Address RR 1 BOX6 Ems APPLETON MN 56208 ecopa eia Geological Material toTOPSOIL SANDY CLAY COARSE GRAVEL CLAY FINE SAND iy COARSE SAND CLAY eon COARSE SAND oaColor BLACK ouHardness SOFT BROWN SOFT GRAY SOFT GRAY GRAY . GRAY BLUE GRAY MEDIUM SOFT SOFT SOFT SOFT Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 No Above/Below 2 ft. Cong Oar Casing Diameter Eno 12 1n. to 132 ft Wa Weight onlbs/ft aeBaar Hole Diameter DYes olA From To 0 4 4 8 8 25 25 48 48 75 P| 75 135 135 136 - 136 162 Open Hole from ft. to ft. Screen YES :VIake JOHNSON Diameter 0 Slot/Gauze 7 Type stainless steel Length 30 Set Between 132 ft and 162 ft Static Water Level 25 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 65 ft. after hrs. pumping 1000 g. p.m. 04/26/1977 Torrens NO REMARKS fount Well Head Completion Pitless adapter manufacturer Model DDlcuCsaisningg hPorottsetcitioonn D01122 ian. abbovee rgraradde: rosie termes ater Yo DI D00 AAvt-ggrraaddee ((EniviromnmientealWWceellelssaamnndd eBoorrniinnggtssOOaNNLLlYY)) Grouting Infonnation Well Grouted? DYes 0 No ett Nm tt gy Located Minnt:sola Gt:ological Survt:y Ener l"nique Number es mieom onm Verification Information from owner System UTM- Nad83. Zonel5. Meiers ed Dit ce 2c Method Digitized- scale 1:24.000 or larger ery (Digitizing Table) eA DateN/A TS eAC Nearest Known Source of Contamination - feet - direction _type X: 262712 Y: 5008341 Wdl disinft:clt:d upon complt:lion? D Y~s D 'lo Pump D Not Installed Date Installed dr Wath Dror brs te wt ior? Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HPQ_ Volts Type Material Abandoned 'Veils Does property have any not in use and not sealed well(s)? D Yeoso O D nNo rs First Bedrock Last Strat Sand-gray er Aquifer Quat. Buried Aries. Depth to Bedrock ft. Aquifer County Well Index Online Report Variance Was a variance granted from the MDII for this well? D Well Contractor Certification [EI North Star Drilling License Business Name 131718 48038 FLICKER D. Lie. Or Reg. 1\o. Name of Driller I Yes D 'lo Printed 612512008 HE-01205-07 file:///IIfMPCA/IWorking/A0081-1 00%20-%20PFC%20Foam/R... ariesiAppleton/Well%20Log%20Report%20-%2000131718 htm6i30/2008 3:40: 13 PM 22222..110062 SsTtAaeT_E0_202882222001199 Well Log Report- 00139249 Afinneso/a Unique Well No. 130249 | oSurm ee WELiLAwNDSBuOeRICNGopRE1C5ORD CWeivee anion 139249 County Quad QuadiD Swift Appleton 131A WE RTTORTY TC eC Well Name WATSOI\, DORTHY Tomatsu eon 1011 fis 7 ior Township Range Dir SedionSubsedions Ele~ation 1 nw 2 EDD Menem pr y I o] 120 43 w 22 BDDDBB Ele~ation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD MinnewJta Statutes Chapter 1031 Entry Date l"pdate Date Received Date 04/17/1988 08/21!1996 1011 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth 101 ft. Depth Completed 90ft. . Rotary Date Well Completed 05/10/1979 Drilling Fluid -- Well Hydmfractured? DYes D No From Ft. to Ft. LUTse Irrigation | 8 sot 21 Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 No Above/Below 2 ft. DYes Casing Diameter Weight Hole Diameter 12 in. to 60ft lbs/ft 16 in. to 90 ft conc Geological ates Material aTOPSOIL SAND CLAY SAND SAND GonColor baness Hardness Gmn Evow BLACK BROWN GRAY BROWN BROWN SOFT SOFT MEDIUM MEDIUM MEDIUM NO REMARKS fom To E[DaEme Siloam E LeghESten From e E Opene Hole tiom ft. to r ft. ) Screen YES Make JOHNSON Type stainless steel To Diameter Slot/Gauze Length Set Between no 0 2 2 21 21 43 43 90 90 101 12 70 30 60 ft and 90 ft Em] Static \Vater T,evel 34 ft. from Land surface Date Measured 05!10/1979 PUMPING LEVEL (below land surface) lPena Cont. in ost 59 ft. after hrs. pumping 900 g.p.m. Well Head Completion Pitless adapter manufacturer Model 0 np mrment t tp11 DDl cCaassiinngg PPrrootweecstiioonn D0 1122inin.. asbhoonveepgrruaddee. D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes 0 No Located Minnesota Geological Survt:y pe \lcthod Digitized(Digitizing Tabk) scale 1:24,000 or larger l"nique Number Verification Other, Date 1\/A note in remarks System UTM- Nad83, Zonel5, Meters X: 261791 Y: 5008450 CDoutntsy WSeatonnn GriDn eporet is First Bedrock Last Strat Sand-brown Sob a Aquifer Quat. Buried Artes. Depth to Bedrock ft. Aquifer County Well Index Online Report Nearest Known Source of Contamination 1320 feet R._direction Other type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material Ox Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Well Contrador Certification North Star Drilling 48038 BLISS L. oeame rt No morte License Business Name Lie. Or Reg. 1\o. Name of Driller 1926 I 139249 Yes D No Printed 6/25/'2!J08 HE-01205-07 file:l/l[j!MPCA/IWorking/A0081-1 00%20-%20PFC%20Foam/R. .. anesiAppleton/Well%20Log%20Report%20-%2000139249.htm6!30i2008 3 40: 12 PM 22222..110063 SsTTaArTeE__0022882222002200 Well Log Report- 00222325 Mineo Ure ee 222325 || cua Minnesota Unique Well No. 222325 County Quad i Quad ID AApes Swift Appleton 131A NR DN OTT Well Name MN IJNR OBWELL 76-021 Todi aniSegction Sboectns Hsien Township Range Dir Section Subsections Elevation LE120 43 w 23 RCRRAA Elevation Method Well address Well Address serous APPLETON MN 56208 Geotogca atro Geological Material Torso TOPSOIL Sorc SANDY CLAY py GRAVEL Shoveoumconse SAND MEDIUM-COARSE CU WTHGRAE CLAY WITH GRAVEL ShoMDCORSE SAND MEDIUM-COARSE Su GRAVEL Corso COARSE SAND foGRAVEL NEDUShO MEDIUM SAND Cont m0 COARSE SAND GRE GRAVEL rdCLAY Color Color wok BLACK vain YELLOW wom BROWN won BROWN GaGRAY won BROWN owGRAY JoGRAY GNGRAY GnGRAY GnGRAY GaGRAY Boers BLU/GRY Hardness Hardness soSOFT sorSOFT SoSOFT sorSOFT soSOFT sotSOFT soSOFT SOFT soSOFT soSOFT soSOFT SoSOFT SorSOFT SE rerar REMARKS LOCATED RY DNR 376021, M.G.S. NO. 151R. MINNESOTA DEPARTMENT OF EOL Ena oun WWEELLLL AAHNENADDLBTBHOORRIINNGG RECORD Tecan pue RECORD iets Steshopes 1031 Minnesota Statutes Chapter 1031 Uplate Date Entry Date Update Date Received Date 12101996. 04/17/1988 12/1011996 won Woilbyepth DohsConmpeted DoeprlionCompt 1000 ft 7.5 minute ll Lh topographic map Well Depth Depth Completed 172ft 165 ft. Drilling Method Non-specified Rotary Date Well Completed 07!0911979 (+/- 5 feet) Drilling Fluid -- I Wet tartrate 0 vor De Well Hydmfractured? DYes DNa Few oe 1 From Ft. to Ft. From To Cm GTaostanogwTt Dyaewmentaeir0e1Jo Nooenwrann DeveFsteoctDa0marver OJ From ot 0 1 [avi Sk oSOY To 1 won A 10 2 [omnes Souwze Length SetBetween 20 zou % TSE 28 FE36 5 = 85 sn 95 To 18[Sem 110 16 ti [N70 iemhmb ure DueMesurst 07m19 145 160 [TUNING LEVEL tei nd ry 150 2 |) the te per pe 160 non GPWDotlJrotcauAutlsonbgdgemipCtcooogsmrmtpmaialemtoiotnonaan Wnel1WG1rl2o0Mmvseos?dvone 0rgimgtsYeOrNLYO)Ive 172 LSC Observation well Casing Type Plastic Joint No Information D.-ive Shoe? DYes D No Above/Below 0 ft Casing Diameter Weight Hole Diameter 2 in. to 161 It lbs.lft. To 1 Open Hole from ft. to ft. 10 ScrNn YES Make JOHNSON Type plastic 20 28 Diameter 36 2 85 Slot/Gauze 15 Length 4 Set Between 161 It and 165 ft. 95 110 145 Static Water Level 150 23.7 ft. from Land surface Date Measured 07/09/1979 160 PUMPING LEVEL (below land surface) 172 ft. after hrs. pumping g.p.m. 172 Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No ocd MissEGeog Y Sucy n Shed g DiTwosee) 1s240:000 Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number er asi one D100 Verification Information from owner DateN/A Sytem UTM Nab. Zorc Mors Xs 38. Vs S60801 System UTM- Nad83, Zonel5, 1vfeters X: 262788 Y: 5008701 Cuttings Yes Fine bedrock quer Qt. Buri Ars. Ait First Dedmck Laat Clogs Dot rch 1 Last Strat Clay-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report .'lcarcst Known Source of Contamination RS Co _feet _direction _type et gemettpercompet vou EJ tio Well disinfected upon completion? D Yes D No Yom 01 Noted Dee mal Pump D Not Installed Date Installed Manufacturer's name Model number - Lenght opie Cops-apsi Tope Ml Length ofdrop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Tommi Wel Doses Fre 7 TT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varace Wosvat rid fom he MDI rin? ) Yor Variance Was a variance granted from the MDH for this well? D Yes Ox D No crpe Boioen Nam|e Lic rR. No. Naof Deill Well Contractor Certification Conroy Well Co. 75294 Li~ense Business Name Lie. Or Reg. No. Name of Driller 222222332255 I Tome Printed 6/25/2008 HE-0 1205-07 Cig ACLS. Ap ght SS od 0308 31S file://!11/tv!PCA/! Working/A0081-l 00%20-%20PFC%20Foam/R...ariesiAppleton!Well%20Log%20Report%20-%2000222325.htm6/30/2008 3:40:12 PM 22222222.11006644 SSTTAATTEE__0022882222002211 Well Log Report - 00223982 A1innesota Unique Well No. 223982] lowns 223982 County Quad Quad ID ------ Well Name MAYNARD. EARL wien Swift Appleton 131A ow 15 ooo mmm Township Range Dir Section Subsections Elevation 120 43 w 15 DDDDCD Elevation Method -- MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. WELL AND BORING RECORD ani Minnesota Statutes Chapter I 031 Ca Well Depth Depth Completed Entry Date . -- Update Date oni Received Date 04/17/1988 08/2Jil996 aC Date Well Completed 73m 1012 ft. 7. S minute topographic map (+!- 5 feel) 60ft. |g ot or Dtilling Method -- =E I r Drilling Fluid -- Ee Use Domestic 60ft. 00/0011962 Well Hydrofractured? DYes D No From Ft. to Ft. ODe soon 08 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes No Above/Below 0 ft. Casing Diameter Weight Hole Diameter wenaress Well Address a APPLETON lviN 56208 enon tris Geological Material CLAYTILL SAND cor nes Color Hardness 0 in. to 55 It pm 10|fDoamms raSetone From Open Hole from ft. to ft. Screen YES Make Type Diameter To 0 Slot/Gauze 0 15 15 60 lbs/ft Lag Length 5 SEteTinT Set Between 55 ft and 60 It Static Water Level 30 ft. from Land smface Date Measured PI:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.111. 1962 REMARKS LOCATED BY POST OFFICE Well Head Completion Pitless adapter manufacturer Model Duomo 12m sore D Casing Protection D 12 in. above grade Dsmesmvssmgoin D At-grade (lonvironmental Wells and Borings Ol\LY) Grouting Information Well Grouted? DYes D l\o Located Minnesota Geological Survey a teetNmeere enon Op 3 Unique Number Vetification Other. note in remarks TN Ss some System UTM- Nad/!3, Lonel5, Meters -"lethod Digitized- scale I :24,000 or larger (Digitizing Table) Date "\!/A X: 262463 Y: 5009357 ivtees First Redrock Last Strat Sand DS en tyy Aquifer Quat. Buried Unconf. Aquifc Depth to Bedrock ft. County Well Index Online Report RE Nearest Known Source of Contatuination a _feet - direction _type Sot immer 0 ve 0 xe Well disinfected upon completion? D Yes D No PUlllp D I\ot Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material I D Abandoned Wells Does property have any not in use and not sealed well(s)? Yes D 1\o Variance Was a variance granted from the MDH for this well? D Well Contractor Certification United States Geological Survey prerern License Business Name ww I 223982 USGS Lie. Or Reg. No. Name of Driller Yes D No Pnnted 612512008 HE-01205-07 fi1e:i/!IIIMPCA/1WorkmglA0081-1 00%20-%20PFC%20F oam!R ..aries/App1eton/Well%20Log%20Report%20-%2000223982 htm6i30/2008 3:40: 11 PM 22222222..11006655 sStTaArTeE0_202882222002222 Well Log Report- 00432423 Comm JE Minnesota Unique Well No. 432423 County Quad Quad ID HeSwift Appleton 131A Well Name SARDNER GRAIN lRMNL 0 WN DDCON Heaton etd Township Range Dir Section Subsections Elevation 120 43 w 23 BBDCDA Elevation Method Well Address Jrei-- 119 HY APPLETON MN 56208 ogontnens Geological Material TOP SOIL CLAY ZSAND CLAY wieFFIINNEESSANNDD SAND cr ten Color BLACK YELLOW 2E YELLOW Hardness HARD MEDIUM MEDIUM BLUE HARD anrGRyAY GRAY vw MEDIUM JTS (CH MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 12/0711990 07110/1996 pic 1029 ft 7.5 minute topographic map (+I- 5 feet) Well Depth Depth Completed Date Well Completed 108ft. 108ft. | DO Nd Nei .D~iiil~Igi\i~ti~~d N~;;~~P~~ifi~dR~~;y 11/0611986 Drilling Fluid EIee Bentonite Well Ilydrofractmed? DYes DNa From Ft. to Ft. EE ------. Lse Domestic Casing Type Plastic Joint No Information Drive Shoe? No Above/Below I ft. DYes 0 Casing Diameter Weight Hole Diameter 5 in. to 98 It lbs./ft 8 in. to 108 It PomFrom 0 2 17 24 0s57 89 Open Hole from ft to ft. To |Screen YES To 2 Diameter 17 5 guste tn Make Type plastic Slot/Gauze Length 10 10 seers Set Between 98 It and 108 ft. 24 A pve ose | 57 889 [SStawticaWnaterTLoevvaerl 108 32 ft from Land surface Date Measured 1110611986 PUMPING LEVEL (below land sul"face) 40 ft. after hrs. pumping 12 g. p.m. To rraeers NO REMARKS Well Head Completion Pitless adapter manufacturer MERRILL Model SPK-5 DDl cCuassiinngg PPrrootteeccttiioonn D0 11221i0n..aabboovveeggraraddee. Grouting oormaton Well Grost? vor Dlvo DOJ AAvt-ggrraadde e(En(Evnivriornomnmeennttsa)l WWeellllss anndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes DNa Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information from owner DateN/A System UTM- Nad83, Zonel5, 1vfeters X: 263006 Y: 5008729 First Bedrock Last Stnt Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Grout Material: Cuttings from 20 to 95 ft. 1 yrds. :\earest Known Source of Contamination !50 feet North West direction SqJtic tank!drain field type Well disinfected upon completion? D Yes D No o0k ii Pump Not Installed Date Installed 11/06/1986 Manufacturer's name GOULDS Model number 10EJ05412 _ HPQ_2__ Volts 220 Length of drop Pipe 1Q_ft. Capacity 1Q_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nnoo VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHffoorr tthhiisswweellll?? [DJ Yveess. [D= No Well Contractor Certification Jacobs & Grant Well 12073 GRANT A License Business Name Lie. Or Reg. No. Name of Driller 432423 I Printed 6/25/2008 HE-0 1205-07 file://!11/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R ..aries/Appleton!Well%20Log%20Report%20-%2000432423.htm6/30/2008 3:40: 13 P:\1 222222.110066 STATE_02822023 Well Log Report- 00432431 132431 Minnesota Unique Well No. 432431 iCounty Quad Quad ID Agen Swift Appleton 131A Well Name CARL, DENNIS Township Range Dir Section Subsections Elevation 112200 4433 wWIS15 DDBBBBDDAAAA HElleevvaattiioonnMMetethhoodd J-- Well Address APPLETON MN 56208 MINNESOTA DEPARTMENT OF WWEELLLL AND HEAL AND TBBHOORRIINNGG RECORD Minnesota Statutes Chapter 1031 a Entry Date Update Date Received Date ---- 12/0711990 07110/1996 993 ft 7.5 minute totoppooggrraapphhiicc mmaapp (+I- 5 feet) Well Depth Depth Completed 70ft. 70ft. |.DP~riiiinls~IgiM\i~eti~o~dNNo~;o;~-~sP~p~iefii~fRdRoi~t~ea;rdyy DDrriilllliinngg FPllauiidd Bentonite IWWeelltltiIlyyddrrooffrraaccutmureedd?? From Ft. to Ft. Date Well Completed 0711811986 0DYveess ODnNo.a Use Domestic Casing Type Plastic Joint No Information Dl'ive Shoe? No Above/Below I ft DYes 0 Casing Diameter Weight Hole Diameter 5 in. to 60 It lbs.lft. 8 in. to 70 ft. Open Hole from ft to ft. Screen YES Make Type plastic Geological Material TOP SOIL CLAY DRY SAND CLAY SAND Color BLACK YELLOW YELLOW BLUE GRAY Hardness HARD MEDIUM HARD From 0 2 8 25 48 To Diameter 2 5 8 Slot/Gauze 15 Length 10 Set Between 60 ft. and 70 It 25 48 70 Static Water Level 20 ft from Land surface Date Measured 07/181]986 PUMPING LEVEL (below land sul'face) 35 ft. after hrs. pumping 10 g. p.m. To rraeers NO REMARKS Well Head Completion Pitless adapter manufacturer MERRILL Model SPK-5 DDO CCaassiinngg PPrrootteescttiioonn D[1 11221imn..aabboovveeggrraaddee Grouting oormaton Well Grost? vor Dlvo 0D AAt-ggrradea(En(Evnivriornomnmeennttaall WWeellllss anndd BBaorriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes DNa Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information from owner DateN/A System UTM- Nad83, Zonel5, 1vfeters X: 262137 Y: 5009845 First Bedrock Last Stnt Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Grout Material: Cuttings from 104 to 5 ft. 0.5 yrds. :\earest Known Source of Contamination lQQ_feet N_direction SeQtic tank!drain field type Well disinfected upon completion? D Yes D No 0 i Pump Not Installed Date Installed 07!18/1986 Manufacturer's name GOULD Model number IOEJ05412 _ HPQ_2__ Volts 220 Length of drop Pipe :!I_ft. Capacity lQ_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nnoo VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHffoorr tthhiisswweellll?? [DJ vYees.s [D= No Well Contractor Certification Jacobs & Grant Well 12073 GRANT A License Business Name Lie. Or Reg. No. Name of Driller 432431 I Printed 6/25/2008 HE-0 1205-07 file:///1[/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R ..aries/Appleton!Well%20Log%20Report%20-%200043243l.htm6/30/2008 3:40: 13 P:\1 22222.1100667 STATE_02822024 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY BBaabbbbiittt B7B1aabbSbboiiutttlhFFrirDeerivDDeee.ppaarrttmmeenntt abit, 1NSS705 71 South Drive Babbitt, MN55706 2RR0yy8aa.nn82SS7cch.ha2ar6rb1be1er,r, FFiirree CChhiieeff 2bb1aab8bb-b8ii2tlt7fid-a2@i6rf1ro1onnttiieermneett.nneett TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtaraiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreessttwwaatteerrwwelelll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 3344 NNoorrtthh DDirvivee,, BBaabbbbiittt A`AAnnnsssuuuiililtteee i((snnooattneedAdFaaFssFtrraabiirnnaiinnngdg ffnooaaammmeo)onn qquueesstitioonnnnaiariree,, hhoowweevveerr,, Sikvex Class A Ansulite is an AFFF Silv-ex Class A brand name) AAnnnnuuaallllyy LLeessss tthhaanns5gaglaollnosn.s GGrroouunndd A`AAnnnsssuuulililtteee A{AcRRaA-nAFinFFgFFF:fo: auumpp1ot0or'A5SFggFaFal:llloonnussp 0 5 galons Glass A: 510 10gallons Ansulite training foam or Class A: 5 to 10 gallons AFFF: up to 5 gallons UUnnnnaammeedd ppoonndd aapppprrooxxiimmaatteellyy 111/33 mmiilee eeaasstt 11/1441to0 117/22 mmiilee ssoouutthh << 111/44 mmiillee eeaasstt TTrraaiinniinngg ssittee llooccaatteedd wwiitthhiinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 212 22222222..11006688 SSTTAATTEE__0022882222002255 URSA FS LE BBAABBBBIITTTT CCWWII WWeellll MMaapp TE a PYSER EAE lane EAL Ie a Seal PHFeidirNU TALmAEeEetTaStrtrdeLdAl foansEN0C Reee S i a aEAe a am TRY Tg ml ELT Th = NTR 13 WRN BE Jfey wil TN R E en TrEE ----tE--r---- pa SeTEC HaShL av aa A By hay HImAPR L i EaELE SRERS E i N J eee ere, J of pas = fga Ph 0 Res SIEEi prratio4m% 10 5 nn ol Pr2 a o eia RenShSF Fs, EEBEi eom n i eh a] it So en! 2 anal 3 Te i ort RRS ro Ee tal PRdE i TRING il lrC d avue E EEER HeEg A a RAE y AA R ER we ee a5 di opomis s= Aes-iWE n]tEI wNl Sa IC 4 MeDm v see emsS, oretems {EE alii) 222222.110069 [p-- STATE_02822026 Babbitt What's In My Neighborhood Map W Ed TEEN i : ! a ji] fig /2 ald i r T eeSE= int Pr - iim JH y | 2 ? om AR [4 EET NVT| T r`ieBoaerSstlamsaetooeorsSauutapeereiudnd Disclaimer: Map and site information is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided S Be ro n an syih Er t| 1 WRAP subject to the express condition that the user knowingly waives any and all claims for damages agaiost ocwFoanratnenrnt MPCA that may arise from the use ofthis data. Sites- Dt:~ !lfbiM &u~rka 8\i rta:mm<J!iOOOWEN '"'n,wmii:IM Dn!Jif Nrn/I.F" mate: !UJI'frhmd CmQL!l 6 ~nl !llu~rft.ud `@Minnesota Pollution Control Agency . &tm: Ct'eJorod LJindiUI:i! Votunllllr~ 1'rw-e519a'lkol'i .f.. CIOCUWift' | .... ltCRA 1Hli f'clcill:lk63 RERAmostontCrap ltCRA. ~~kcoD~ C~IIIW,:t' 4sewsome ...._ &tnJ ~rrnno: 22222..11007700 sSmTaArTeE__o0z2s8a2z200z277 . 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Lake "w'z0 Othor Riverine Lower 48 Available Wetland Data f | 0H) li ... ,,,,,,,,,,,,,1."".".".' 6 z Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK HE 1 o South America ..."~"" w 0 p z ~------------m---------~------------------------------------------~--~ 91-58W 91-57W 91-56W 91-55W o North America r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 i Map center: 47 42' 48" N, 91 56' 39" W $ Scale: 1:37,658 N 00 N N 0 N 00 aeons [-- Well Log Report- 00267765 pro ie ie Minnesota Unique Well Nn. 267765 II 267765 County onaQuad Guim QuadiD ATR TTT SVT Well Name BABBITT MW-TH-2-99 an St. Louis Babbitt 317B Township Range Dir Section Subsections Elevation "60 113 3Ww 22 AABBAAAA EElleevvaattiioonnMMetethhoodd MINNESOTA DEPARTMENT OF privin) Bowe oszsoms HEALTH WELL AND BORING Uniueoue aon 0s WELL AND BORING RECORD RecivedDoe RECORD Manco Sure Cope 1031 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 05/25/2005 06/01!2005 Wop Dep Gonped De Wl Competed Well Depth Depth Completed Date Well Completed 1476 ft. 178 ft. 178ft. 06/17/1999 fo7top.5pogomngirinappuihtveiecmmaapp | DFriillliinngg MMeetthhoodd -- IT (+/- 5 fed) f= Imore e] Drilling Fluid -- Well Hydrofractured? From Ft. to Ft. TT Use Exploration boring DYes 0No Casing Type Joint No Information Drive Shoe? DYes D Ging Diameter No Ahove/Below ft. Casing Diameter Wag Foe Darter Weight Hole Diameter GeGoeloolgoigcicaall MMaateterriiaall Toren TOPSOIL SAND & LIGHT GRAVEL emo FINE SAND (ERssuo VERY FINE SILTY SAND FES Sho FINE SILTY SAND SoSAND Shpscunel SAND & GRAVEL LENSES SAND GRAVEL GUY Fook LENSESROCK SAND, GRAVEL, CLAY LENSES-SAND,CLAY,GRAVEL Roarre emocaeme ROCK CCoolloorr a BLACK BROWN Som BROWN ore DK.BRN on Ea DK.BRN Gori GRY/PNK Sri GRY/PNK VARED. VARED VARIED VARIED VARIED g=eRED HHaarrddnneessss FFrroomm TToo O[OpPeanlHioolke ffroomn fTt. oto Tft. 5m To [ere To 0 1 Screen Make Type 1 17 bo Ofer sovomse venom 17 60 Diameter Slot/Gauze Length o60 98 FI98 155 Eo155 157 oww hio| Sew Let Wo ayy [from Duke Moses 157 167 167 170 Static Water Level 170 171 ft. from Date Measured nRone OA Bale 171 177 PUMPING LEVEL (below land surface) 177 178 ft. after hrs. pumping g. p.m. Walled Completion Well Head Completion setseeen Set Between Pitless adapter manufacturer Model REMARKS I arse SEALED TN 1999 (H0155277) LOCATED FLD LOCATED IN FIELD Located ama Dus Located Minnesota Department Method Digicaton Seen) op Method Digitization (Screen) - Map DDlcCaassiinngg Prorowteeccttiioonn JD 1122inin..aabboovveeggrraaddee. 0 Agr omen ets nd gs ONY) D At-grade (Environmental Wells and Borings ONLY) Grouting norman Well Gotes? Yer J No Grouting Information Well Grouted? 0 Yes D No Cratos Satts Grout Material: Bentonite fomfrom 221t0o 701178 ft. I 9 bags eoUUfntnHiiqeiqauulecethNNuummbbeerr Verto Ober. icin Vl'rification Other, note in a System remarks Systl'm UTV NS UT1'vf-Nad83, ZZoonnee1lS5.. fram}vfeters Date 0601205 (1: 1p2,0n00) Date 06/01/2005 3 vis X: 578367 Y: 4sassin 5285100 Te rection pe NNeeaarreessttKKnnoowwnnSSoouurrcceeooff CCoonnttaammiinmaattiioonn - feet _direction _type wt assist poncompior 0) ver 01 Well disinfected upon completion? D Yes D No ump 0] Not tiled Dut alld Pump D Not Installed Date Installed LNiotnsghMookrmnar1 Vols Manufacturer's name Model number - Te dal Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material eed Wl Toco Be TnTo ot STO Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nxo Varnes Was ates gtd one DM fe oot? 0 Yor Variance Was a variance granted from the MDH for this well? D Yes Ow D No Ft Beck First Bedrock Losin Last Strat Air Aquifer Dept edrck_ Depth to Bedrock ft. Well Contractor Certification Eo la 21 Lt.J). EnterJ)rises Inc. 91686 crnss Nami Or Rg No. Naofmre License Business Name Lie. Or Reg. No. Name ofDriller County Well Index Online Report 267765 I Printed 6/25/2008 HE-01205-07 TAI AAA ISTINANITIIN file:/IIII/1\!PCA/!\Vorking/AOOSI-1 00%20-%20PFC%20Foam;R. ..maries1Babbitt1Well%20Log%20Report%20-%2000267765.htm6/30/2008 3:43:44 PM 222222.11007722 STSATATTEE0_208282222002299 Wet keene Well Log Report - 00267766 An sts Utnogn eWle Minnesota Unique Well No. II 226677776666 Qui QQCuouauadndty Quad ID imBBSata.bbbLbionitu.tis 317B TWoeweTnllsNNhaiammpReeaBTnAgAeBTBDiIHTSeTTcMTtiWNo-nWTSHTu-b3Ss-e97c9tions Hlevaton Township Range Dir Section Subsections Elevation @60 13 13 w W 2 2 ABAD ABAB EleanMabad Elevation Method Geotogica material Geological Material Topo TOP SOIL SAD SRA SAND & GRAVEL FIED FINE SAND saoSAND Fhesan FINE SAND ROCK SH10,8 GRAVEL ROCK, SAND, & GRAVEL SD 8 GRAVEL SAND & GRAVEL S08 RAL SAND & GRAVEL Gal GRAVEL S08 RAL SAND & GRAVEL LENSESOFSHI 8 GLAY LENSES OF SAND & GLAY ROKROCK aCCooulloocrr aaBBRLrrAOooCWuuKnnN aoBBRRxrOOooWWunYNN DK.GRY VARREEDD VARIED VVVVAAAiRRRRIIEEEEDDDD VARIED oGGRraAerYn GREEN HHaarrddnneessss SERTAEELM VEDAARRINEKS1S99 015278) LALSOEOCCACCALUATERTEDAEDDCINYIINN1FG9FI9RI9EEEL(ALHDTD0E1R552T78)H2AFENET LOCATED ON MONITORING WEL MAP ACCURACY GREATER THAN 25 FEET LOCATED ON MONITORING WELL MAP MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OF HEALTH Enybue osasaos OF HEALTH WWEELLLL AANNDDBBOORRIINNGG RECORD Reched Dae RECORD MinnesotaSaas hae 1051 JUinnesota Statute.~ Chapter 1031 UEUpnpdtdraaytteeDDDaataettee Received Date 000566//0201512//22000000555 ws n WelhlDyepth DepthoConmpleed Dae WSellnCoompeted 1476 ft. 7.5 minute wpopuphcasp | PRR Mebed topographic map Well Depth 190ft. Drilling Method -- Depth Completed 190ft. Date Well Completed 06/22/1999 `DringFluid (+/- 5 feet) Drilling Fluid -- Walltyaroraures? 0 Yer 0 No Well Hydrofractured'! DYes D No From Ft. to Ft. Use Exploration boring Cos Type dont No nfomtion Deve shoe? 0 ves 0 Casing Type Joint No Information Drive Shoe? DYes D io AboncBeon 1. No Above/Below ft. Gasing Diameter Waght HoleDiameter Casing Diameter Weight Hole Diameter Gee un wn 4 in. to 145 ft. lbs/ft. From To [GTi Ton TTT From To ER sree 0 1 EY a 1 20 Open Hole from ft. to ft. Screen YES Make Type 19 |Oametwr SiouGauze Length Set Between 20 119 Diameter ww a wd 72 0 119 121 woo121 154 Slot/Gauze Length Set Between 146 ft. and 172 ft. Jo154 164 wom 164 166 ve [SewaeTe 166 176 Static Water Level Wat | 10 Gow No omtion Date Messed 06221999 176 181 12 ft. from No Information Date Measured 06/22/1999 181 19 [PULEVMEL(PlowIFmdNsofGas) 181 186 PUMPING LEVEL (below land surface) 168 [0 aa in pm 186 188 ft. after hrs. pumping g.p.m ww 188 190 Well Head Completion Well Head Completion Pils dais amare Model Pitless adapter manufacturer Model Dcosing ossion 0 12in shove gre D Casing Protection D 12 in. above grade D1 vara (vironment ils nd Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Information. WelGroasyy 2 ves 0 No Grouting Information Well Grouted? 0 Yes D No [S-- Grout Material: Bentonite -znmn from 2 to 190 ft. w10 =bags LocatedMico Depsncnt. Method Digan Seren) Mop Located Minnesota Department Method Digitization (Screen)- Map aici azo) ofHealth (1:12,000) Unique Number Verenion Ob. cin Date ast208 Verification Other, note in rks remarks Sper UTA NodSh ZonelS. x ey: aes System UTM- Nad83, Zonel5, ire Xamon v: sso ,l,feters Date 06/01/2005 X: 578308 Y: 5285102 FLiatiBeedrock First Bedrock Last Strat Aquier Qu Wer Table Aci Aquifer Quat. Water Table Aquifer DeopBetdrhck 1 Depth to Bedrock ft. [e ere nowy Sour of Commins Nearest Known Source of Contamination - feet - direction _type WWeetllddiissinnffeccoteddsuopnocnocmompipeleitioonn?? D0) Yveexs Oo D No PPML Nuuaammnmppusfeacocuftudrr0Dceg1prr'saPnNNmiamoh meoteeIntstaallse_dMMfoodDLDdeae_lttleCnmIunoanmgstpltbpeaiellrlrye--d HHTPyPp_e VVoMollattsster! - - Length of drop Pipe _ft. Capacity _g.p.m Type Material anton Wel Dorey vs yo mo eT Abandoned Wells Does property have any not in use and not sealed well ww 0 ve @ x (s)? D Yes 0 No Variance Wasa varices fom be MDH Gill? 0 Ver Variance Was a variance granted from the MDH for this well? D Yes oO x D No eT Comracor Cron Well Contractor Certification Lip fesse sis L.t.. Ente!J>rises, Inc. 91686 cee sien Name ic. OrRg. No Nameof rile License Business Name Lie. Or Reg. No. Name oCDriller FCA Waning 113750. AR Wl0 Xe204S031mn 450488 file :///IIfMPCN!Working/A0081-l 00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000267766.htm (1 of 2)6/30/2008 3:43 :48 PM 22222222.11007733 SSTTAATTEE0_208282222003300 Well Log Report - 00267766 County Well Index Online Report 267766 Printed 6/25/2008 HE-01205-07 file :///11/MPCN! Working/A0081-l 00%20-%20PFC%20Foa... ies/Babbitt/Well%20Log%20Report%20-%2000267766.htm (2 of 2)6/30/2008 3:43 :48 PM 222222.110074 STATE_02822031 Well Log Report- 00267767 Ms Ure Wee waoin II II ~::~ty Minnesota Unique Well No_ 267767 26 Soi ~-==================~- QuadiD Sous St. Louis baw Babbitt im3l7B ATG ATT RTT Well Name BABBITT MW-TH-4-99 Towasip Rane ie ection Subcom Elton Township Range Dir Section Subsections Elevation WW 1 BAD FlestenMethod 60 13 w 1 BBAB Elevation Method WWelelll AAddddrreessss wMN GSeacctloogca ateisl Geological Material TOP SOIL supacwe SAND &GRAVEL woSAND VeRVORTY S00 VERY DIRTY SAND feSLYSO FINE SILTY SAND perROCK Cooelorr Color BLACK Repo RED/BRN Ree RED/BRN etRED/BRN oem DK.BRN HHaarrddnneessss DDEEPPAARKMMTTMNIoMNEENENsENrTSoTOOTOFTgRAAHREEA,ALLTIH WiEnLsLtRRaAEESNCCtDaOOtRBeRsDODCRhaIpNteGr Minnesota Statutes Chapter EmyDue Entry Date Unies Update Date Reset boc Received Date sosnosaus 05/25/2005 c5252005 05/25/2005 ws aenDeep DehoCohmptes De pWarCaoymer 1476 ft. camping Calc from DEM (S057 5mmer | DPE (USGS 7.5 min or Sa) equiv.) 1031 Well Depth Depth Completed 196ft. 196ft. Drilling Method -- Date Well Completed 09/14/1999 Wataru? 0 Ye O 50 Drilling Fluid Fm 1 -- Well Hydrofractured? DYes D No From Ft. to Ft. TT Use Exploration boring Coin Type oatNolaeemaion Dress? D) ver 0 Casing Type Joint No Information Drive Shoe? DYes D orden No Above/Below ft. Cosing Diameter Weight Foe Bmeter Casing Diameter Weight Hole Diameter weFfFomrroomm TT10 oo 50s1ITooo]sn5115 515 35 35 196 196 196 Op on ToT Open Hole from ft. to ft. Sewn we Te Screen Make Type loaner Soucawe Diameter Slot/Gauze LLeannggithn Static Water Level FUNPING LEVEL (rion Fores ft. from Date Measured PUMPING LEVEL (below land surface) SSeet tBBeettwweeeenn | SS Cannan REMARKS SFAT ,FD TN I 999 (H0155279) LOCATED BYTHE BG Tower LOCATED BY THE BIG TO\VER Located Mioesota Located Minnesota inet of ls Department of Health nia Number Unique Number Veutaton Ober ocia Verification Other, note in ake Sem remarks System UUTHMvf- NNaadd8 2S. 3, Zonel5, = l\!Jeters Met1h2od0,Digan Scrcn- Mop Method Digitization (Screen)- Map (1: 12,000) Date 05252005 Date 05/25/2005 x 3, x52 X: 579062 Y: 5285092 ft. after hrs. pumping gpm Welles Compltin Well Head Completion Piessir mato Mol Pitless adapter manufacturer Model Ocmmpusion 0 12m shove ate D Casing Protection D 12 in. above grade D3 esr minsWels nd Brings ONLY) D At-grade (Environmental Wells and Borings ONLY) Growing nfrmation Well roses? 8 ver 0 No Grouting Information Well Grouted? IZJ Yes D No er Grout Material: -- Bentonite [ERT from 2 to TET196 ft. RR, 13 bags RET Nearest Known Source of Contamination ofdoinn pe - feet - direction _type wetswponconpieior 0 ver 0 No Well disinfected upon completion? D Yes D No Pump 0] Noted Dut nlled Pump D Not Installed Date Installed Nimnicrers ane Mol nabs HP_ Vola Mamtfaclmer's name Modelmllllber - LegihoPipre i Copy gpa Tye Mast Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material ee Abandoned Wells Does property have any not in use and not sealed well (ss)r? 0D YYees DO NNoo VarianceWas vars gad fond ND otis vl? C1 Variance Was a variance granted from the MDH for tlris well? D be O no Yes D No Fi peck First Bedrock Lanse Last Strat iter Aquifer DepthtoBeck 11 Depth to Bedrock ft Ali 100 CSS Hf T2073 220 11471 file:///li;MPCA!!Working/A0081-100%20-%20PFC%20Foa.. .ies/Babbitt!Well%20Log%20Report%20-%2000267767.htm (1 of 2)6/30/2008 3:43:47 PM SSTTAATTEE0_202882222003322 222222.110075 Well Log Report- 00267767 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt Cr CT Well Cuntractur Certification Lic is Name Org No L.t.. Entemrises, Inc. 91686 License Business Name Lie Or Reg. No 226677776677 I Nomar Name of Driller Printed 6/25/2008 HE-01205-07 PU file:///li;MPCA!!W orking/A0081-I00%20-%20PFC%20Foa.. .ies/Babbitt/Well%20Log%20Report%20-%2000267767.htm (2 of 2)6/30/2008 3:43:47 PM 22222222..11007766 sSTTaAeT_E0_208282222003333 Well Log Report- 00267771 MMimncnessootsa HUntiqsue HWeelllNoo. 267771 || oSwi 267771 GCoouunnntyy Quad QuadiD ein SStt.. LLoouuiiss Babbitt 317B TTT Well Name BABBITT MW- TH-9-99 Tommi ae Di Secon SbectosFvsion Township Range Dir Section Subsections Elevation 60 13 w 1 BDDD ElPvation MPthod 1551 1489 ft. MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING Unincowe too WELL AND BORING RECORD Reedoe RECORD Minas SeeCuter 13 Minnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 0055/2255122000085 06/2712005 Wel both Oo Conp or WA Come] Well Depth Depth Completed Date Well Completed fy on eit 110ft. 110ft. 12/02/1999 Calc from DEM l)~illii.g 1\'I~tli~d -- 0000 (USGS 7.5 min or OT CCCaosxnoienngTsDypimeaT mineSteoer innIse Fonitmt WneewTengd nnFDiODvaeetsOirvre0 Ye equiv.) Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Exploration boring Casing Type Stainless Steel Joint No Information Drive Shoe? DYes D No Abon/BPlow ft. Casing Diameter 4 in. to 83 ft. Weight lbslft Hole Diameter conttoi Geological Material TOP SOIL SoSAND Bonn ROCK, SAND, GRAVEL Solrcan, SAND & LIGHT GRAVEL =oSAND Somes COBBLES Sowrock SANDW/ROCK meso FINE SAND ShoSAND 5)ROCK cooColor BLACK SomBROWN VARIED Vines VARIED GaurGRAY mney VARIED sme BLK/RED aeBLACK EnGRAY [ RED/BLK es Hardness rom To From To 0 1 Po1 6 DL 6 26 fo26 41 qa 41 59 a a 59 63 & 3 63 81 6 81 101 oiom 101 109 109 110 [BEE TTT Open Hole from ft. to ft. Sueen YES Make Type ome soo s Diameter Slot/Gauze Lown Length 24 samen Set Between 83 ft. and 107 ft. fw Static WatPr LPvPl 23 ft. from Top of casing above LSD Date Measured [FERp PUMPING LEVEL (below land surface) tl after hrs. pumping g.p.m. 12/02/1999 REMARKS Sr onaus, SEALED TN 1999 (H0157344) LOCATE HAINENANUELSON: SOUTHEAST OF REC, RINK LOCATED BEHIND EMANUELSON; SOUTHEAST OF REC. RINK Pi sbtse Well Head Completion Pitless adapter manufacturer NodModel DDlcCasasiinngg PPrroovteecctiioonn 0D 1122iinn.. aabboovveeggrraaddee. 3 ve Evens Weld igs 00.) D At-grade (Environmental Wells and Borings ONLY) Gating tormtion Well Gren ver Ov Grouting Information Well Grouted? IZJ Yes D No Gostiest Betts Grout Material: Bentonite onobr from 0 to 100 ft. ss 9 bags Located Minnesota Department of Health (foqeNarr Unique Number Votan Cues win Vel'ification Other. note in ens remarks on UTM. Nas ZS, System UT1'vf- Nad83, Zonel5, wer }vfeters Method Digitization (Screen) - Map (112,000) Doae 0y325303 Date 05/25/2005 X: 579644 Y: 5284427 Fis Bik ier Qt Wt Toe Aq First Bedrock tnasie Dep eet Last Strat Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. County Wall ndex Onlin Report County Well Index Online Report RT SSC Nearest Known Source of Contamination Te en - feet _direction _type wat dintspmerngteior 0 ve Ono Well disinfected upon completion? D Yes D No ro 0 Nox led Dac ied PUIIlp D Not Installed Date Installed Nites Nod mabe 11 Ves Manufacturer's name Model number - Leman5. Cape gai Te ae Length of drop Pipe ft. Capacity _g.p.m HP - Volts Type Material medI Toe BS ST RTT Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees IZl NNoo. Vane Was atom ret em be a sw 0 er Variance Was a variance granted from the MDH for this well? D Yes Ow D No Well Contractor Certification Lip Erkan 016 L.t.Jl. EntcrJJriscs, Inc. 91686 ice i Nes Ok No Nori License Business Name Lie. Or Reg. No. Name ofDriller 267771 I 267771 FrPrinted 6/25/2008 HE-01205-07 Aoi 1 Pt BA iSp OTM AT file:///III1v!PCAI! Working/A0081-I00%20-%20PFC%20Foam/R ..maries!Babbitt/Well%20Logo/o20Report%20-%200026777l.htm6/3012008 3:43:48 PM 222222.110077 sSTTaAeT_E0_208282222003344 Well Log Report - 00267776 267776 Minnesota Unique Well No. 267776 i omaCounty Quad Quad ID B3an St. Louis Babbitt 317B Well Name 1:3AI:31:31TT MW-SI:l-l-99 NN 3 ADA ese eahad Township Range Dir Section Subsections Elevation 60 13 w 2 ARDA Elevation Method MINNESOTA DJ<:PARTMK\T OF WWEELLLL AAHENNADDLBTBOHORRIINNGG RECORD RECORD ico Srhoe 101 Minnesota Statutes Chapter 1031 TUpeiuveuae Entry Date Update Date Received Date 060105 06/0112005 06/0112005 Well Depth Depth Completed GSS maer | rhdE Mtr 1473 ft Calc from DEM (USGS 7.5 min or 103ft 103 ft. Drilling Method Mud Rotary Dri] Ihweetnhatrarsmenrett equiv.) Drilling Fluid -- Well Hydmfractmed? From Ft. to Ft. Date Well Completed 12/29/1998 Ovo Ove DYes DNo LSC Exploration boring Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter eons arr Geological Material Epo me ose so MEDIUM TO FINE ARKOSIC SAND TELLSoo me nose od WELL SORTED FINE ARKOSIC SAND VE FreSao VERY FINE SAND AND SILT oe BEDROCK Color Haraness Color Hardness ro rears NO RE1v!ARKS Open Hole from ft. to ft. SS Screen Make Type rom To Games Siuowze Lena Seteween From To o0 20 oo20 40 "on 40 98 E iepenR mm 98 103 Diameter Slot/Gauze Length Set Between Static Water Level 13.3 ft. from Land surface Date Measured 1212911998 PUMPING LEVEL (below land su.-face) ft. atter hrs. pumping g. p.m. [-- Well Head Completion Nesshen Nid Pitless adapter manufacturer Model Olcuimgrion 0 2 overs C0 Arne Envionmen sl Weeld Bins ONLY D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Groin ornaion Stoned Ove Cv Grouting Information Well Grouted? DYes D No Lote Morse Depts Located Minnesota Department CUore Nrsn of Health Unique Number Vcrification Other. note in remarks System UTM- Nad83, Zonel 5, ]vfeters Nh Diino Method Digitization (Screen)- Map (!12,000) cans Date 06/01/2005 X: 578369 Y: 5284874 First Bedrock [hte Depet 5 Last Strat Aquifer Depth to Bedrock 98 ft CountyWell Index Online Report County Well Index Online Report SE e nS n C :\earest Known Source of Contamination _feet - direction _type Well disinfeLOted upon wmpletion? D Yes D No Pump D Not Installed Date Installed Le Manufacturer's name Model num her - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? 0D Yvees O D NNo 0STC Cr VVaarriiaannccee WWaass aavvaarriiaannccee ggrraanntteeddfrfroommtthhee MMDDHHffoorr tthhiiss wweeiltl?? [DJ YYeess D No Well Contractor Certification Sts Consultants Ltd MOOI7 LiceDuo Name 0 Ne Names License Business Name Lie. Or Reg. No. Name of Driller 267776 I 267776 Printed 612512008 I IE-0 1205-07 file:///II !lv!PCA/! Working/AOO 81-1 00%20-%20PFC%20Foam/R. ..mariesiB abbitt/Well%20Log%20Report%20-%2000267776.htm6/30/200 8 3 :43:48 PM 22222.1100778 sSTTaAeT_E0_208282222003355 Well Log Report- CJCJ267717 Cony Sti Jo.,finnesota Unique Well No. 1~=2=6=72=7677=7=7=7==]::::!JII o~:tmy ise ~ . Quad ID St. Louis Babbitt 317B A TITRE Well Name BABBITT MW-SB-2-99 Tomb Range Die echo Subcom Elcaton Township Range Dir Section Subsections Elevation BW 3 ABAC estanVebad 60 13 w 2 ABAC Elevation Method i bw oss MINNESOTA DEPARTMENT OF HEALTH WELLANDBORING RECORD Laue deci: WELL AND BORING RECORD inane Ses Chater 103 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 06/01/2005 06/01/2005 on Nahbee Dm[Coed Barpwria Coed 1473 ft. Calc from DEM (SGT minor | POE Veh NoRi d (USGS 7.5 min or Well Depth Depth Completed 180ft. 180ft. Drilling Method Mud Rotary Date Well Completed 01111/1999 equiv.) Drilling Fluid I -- Well Hydrofractured? DYes D No From Ft. to Ft. [rm Use Exploration boring Casing Type Below ft. Joint No Information Drive Shoe? DYes D No Casing Diameter Weight Hole Diameter Above/ tagcat atria Geological Material LED TOPE aos sn MEDIUM TO FINE ARKOSIC SAND WELL SORTED FINE ARKOSIC SAND LLSORTED ERY FR Arco S410 WELL SORTED VERY FINE ARKOSIC SAND \G FESo MoS VERY FINE SAND AND SILT ATERREOOEDSUN SAID CREL INTERBEDDED SILTY SAND AND GRAVEL reo GRANITE BEDROCK Open Hole from ft. to ft. So To Screen Make Type Color Hardness ao2fa BrEomoioTwo |omatsEr teSiotpGutzet LionginnSetBetween | Color Hardness From To 0 20 20 40 40 60 60 150 150 177 177 180 Diameter Slot/Gauze Length Set Between Static Water Level 14.6 ft. from Land surface Dale Measured 01/11/1999 PUMPING LEVEL (below land surface) So resaens NO REMARKS ft. after Ius. pumping g.p.m. [p-- Well Head Completion hn aormamta Md Pitless adapter manufacturer Model Dem tccion 1 120shone re D Casing Protection D 12 in. above grade ED Acordes Wlod Bogs ONLY) D At-grade (Environmental Wells and Borings ONLY) Corto torsion Wal Gr? 0 Yo 1 Grouting Information Well Grouted? DYes D No Lact Mime Derm. Located Minnesota Department of ici Health Unique Number erbntin Oe. cin rs, Verification Other, note in remarks SpUTM ZS System UTM- Nad83, Z<mel5, Meters thRdyDison Seen) Mo Method Digitization (Screen)- Map (1:12,000) Date 06/0112005 Doev6a012008 save X: 578341 Y: 5284967 H[ihn ednk First Redrock T.ast Strat wDeprrch 1710 Aquifer Depth to Bedrock 177 ft. County Well Index Online Report 'learest Known Source of Contamination i - feet _direction _type wa dunks prncompeint 0 vo 0 Well disintected upon completion? D Yes D No Tams 01 Nothmaled Dok oslo Pump D Not Installed Date Installed Manufacturer's name Model number - Longhorn0s Conn 05 Toe Macs Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material `Abandon Wet Docs popes ov sn ti at ated we? OF Abandoned Wells Does property have any not in use and not sealed well(s)? D 0 ON Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No NT Ca Cr Well Contractor Certification SuComshuslad bea Sts Consultants Ltd M0017 hic ois Name 0 eg. No Nave Der T.icense Business Name T.ic. Or Reg. No. Name of Driller 267777 I Printed 6/25/2008 HE-01205-07 file:///I /MPCA;I Working/A0081-l 00%20-%20PFC%20Foam/R. .maries/Babbitt1Well%20Log%20Report%20-%2000267777 htm6/30/2008 3:43 :45 PM 22222222.11007799 SSTTAATTEE__0022882222003366 Well Log Report- 00267800 lMvfiinmneessoottaaUUnniiqquuee WWeellll NNoo. County 267800 | o~:w:s~ty nn II 267800 II StS.t. LLoouuiiss Babbitt Quam 31 ~-==================~- QuadiD 317B ST TAT Well Name BABBITT MW-4A TombRange Die ecto SabeconsErsthn Township Range Dir Section Subsections Elevation 1 W 1 OIDAND ElertinMtbod 60 13 w 1 BBDABB Elevation Method siswsora MINNESOTA DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upiebuc 14205 WELL AND BORING RECORD Reve Dac RECORD Stns Saas Chap Minnesota Statute.~ Chapter i1031 EEnnttrryy DDaattee Update Date Received Date 0066/11447/22000055 06/14/2005 wn AToDn DeCaomnped D eRComin 1479 ft. Cm [TO Calc from DEM (USGS7Smmor | DRE (USGS 7.5 min or So) equiv.) Well Depth Depth Completed 70ft. 70ft. Drilling Method -- Date Well Completed Drilling Fluid Fm Be Re -Tv Use Monitor well WWelelll HHyyddrrooffrraacdtuurreedd?? 0D Yveess 0D Nnoo From Ft. to Ft. Casing Tore Jot NotationDrive soe? 0 ve Casing Type Joint No Information Drive Shoe? DYes D Dt ~0 Above/Below ft. Cong Samet Ti Tile amare Casing Diameter Weight Hole Diameter Geoogeailiteial Geological Material Color Maness Color Hardness vo Resins NO REMARKS Cp TE TTT Open Hole from ft. to ft. Seen Screen Make Type Diamesr SloUaize Diameter Slot/Gauze Longth SetBetween Length Set Between From To From To Sw Static Water Level ST fo aot DasMessed 01511977 31.4 ft. from No Information Date Measured FOP EVR (ei arf PUMPING LEVEL (below land surface) tere ppg 90 ft. after hrs. pumping g.p.m. 01/31/1997 Walle Complen Well Head Completion Pesie maton Motel Pitless adapter manufacturer Model OD CCaassiinngg Pprrootteeccttiioonn D[1 1122inin.. aabboovveegrgaraddee. 0 Avs ovine Wells nd Borin ONLY) D At-grade (Environmental Wells and Borings ONLY) Gating aterm WellGrntet? 0 Yor 0 0 Grouting Information Well Grouted? DYes D No Located Mims Located Minnesota Srna Department of Health Unie Number Unique Number Verbaton bette Verification Other, note in Zonet. Meters r"emarks . SI ystem UTMUTA- NNaadt8h3,, Zmze 15, Meters (Me1t3h0o0d)Digit Sren) op Method Digitization (Screen) -Map (1 :12,000) Date 6142005 Date 06/14/2005 %X: 5S77914499 YYs: #52528844990088 eWsgr So SC Nearest Known Source of Contamination - feet _direction _type Pump 0 Not slid Dee sll WWeellllddisiinfsecitednuuppfoonneccoocmmpltpeletetiioodnn?? D[J Yveess Pump D Not Installed Date Installed 0D NNoo Mtustcnme Nol mat 1IP_ Vos Manufacturer's name Model number - Leeiotgie pn_Copuny pp Tie Mart Length ofdrop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Foandoned Wel Doers Fre ST Em TT Abandoned Wells Does property have any not in use and not sealed well 0 Ove O x (s)? D Yes D No Varn Wet vais ged fom te OH fort? ) Variance Was a variance granted from the MDH for this well? D be O x Yes D No EAC E0730 301, Spr20 A1 650303047 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000267800.htm (1 of 2)6/30/2008 3:43:47 PM 22222..11080 sSTTaArTeE__0022882222003377 Well Log Report- 00267800 Fit Bedrock First Bedrock Lass Last Strat Air Aquifer DeopBetdhe 0. Depth to Bedrock ft. CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt el Conracar Cereation Well Contractor Certification hosEnso Service ls, MOLY Nova Environmental Services, Inc. Lire BsinescName ic. Or Reg. No Nam of rll T,icense Business Name M0139 T,ic_ Or Reg. No. Name of Driller 226677880000 I Printed 6/25/2008 HE-01205-07 Fl ARCA ing DRL 107 200.TAL got Kf 3630708307 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000267800.htm (2 of 2)6/30/2008 3:43:47 PM 22222222.11008811 SSTTAATTEE__0022882222003388 Well Log Report- 00267801 267801 | po~:w:rn~tiy lMvfiinmnieessootataUUnniiqquuee WWeellll NNoo. County II 267801 II ~-==================~- QuadiD won SStt. LLoouuisi.s Babbitt 317B TR TTT Well Name BABBITT MW-5 Towbin DirSeton Sacto Elation Township Range Dir Section Subsections Elevation 60 1133 Ww 11 BBBBDDAAAABB ElEelevvaattiioonn MMeetthhoodd wiswesora MINNESOTA DDEEPPAAHHRREETTAAMMLLEETTNNHHTT OOFF WELLANDBORING Upiueue 420s WELL AND BORING RECORD Revd Dae RECORD nese Sues Caper Minnesota Statute.~ Chapter ir1031 EEnnttrryy DDaattee Update Date Received Date 0066/11442/2000055. 06/14/2005 wen Weal ehoooComed De Wa Come 1476 ft. Cian [ESR Calc from DEM ( (USUGSS 77..55G mmiinnSoorr Tout equiv.) Well Depth Depth Completed 22.5 ft. 22.5 ft. DrL illins g Method -- Date Well Completed Drilling Fluid Tv -- Use Monitor well Ten ow WWelelll HHyyddrrooffrraacdtuurreedd?? 0D Yveess 0D Nnoo From Ft. to Ft. CaCsaisinnggTTyyppee JJooiinntt NNoo IInnffoormmaattiioonnDrDirivvee SShhooee?? D [JYveess 0D bartels ~0 Above/Below ft. Cong Dimers Fre Samer Casing Diameter Weight Hole Diameter Geological ateisl Geological Material Color Hordness Color Hardness vo REaanKs NO REMARKS Cr Tr Open Hole from ft. to ft. Se Te Screen Make Type Diameter SloUGawe Diameter Slot/Gauze From To From To Length SetBetveen Length Set Between Static Water Level 51 fons Messed 18.5 ft. from No Information Date Measured FOTFIRG TEV. (ei tre PUMPING LEVEL (below land surface) er x pr 1 ft. after hrs. pumping g.p.m. [-- Well Head Completion 0131197 01/31/1997 Pitless adapter manufacturer Model OD CCaassiinngg PPrrootteeccttiioonn D[J 1122i.n. aabboovveeggrraaddee. `Growing normation Welorouet? 0 ves 0 No DD1 AAvgradte-g(rEandevi(Ernovnirmoennmteantlal WWeellllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Lae Him Located Minnesota Semen Department of Health Uniqs Nome Unique Number Verheaton Ove. tin Verification Other, note in en TN remarks System UTM- Nad83, ZZomnzees1.5, MMeetteerrss it5h0o0Dion Sr) Mop Method Digitization (Screen) -Map (1 :12,000) Dae 061435 Date 06/14/2005 X: 579197 Y: 52- 84889 RTRT E STe TCR Nearest Known Source of Contamination - feet _direction _type WWeellllddiisinsfecitednuuppfoonneccoocmmptlpeletetiioodnn?? D[J Yveess 0D1 NNoo PPuummpp ODJ NNoott Innssatlallleedd. DDaatteeInInssttaalllleedd Memes Neder 117 ols Manufacturer's name Model number - metPps1L_Comety pe ge et Length ofdrop Pipe _ft. Capacity _g.p.m HP - Volts Type Material en TP a Ta Abandoned Wells Does property have any not in use and not sealed well (ss)r? D0 Yvees DO NNoo bo O x V`VaarriiaanncceeWWaassaavvaarriiaanncceeggrraanntteedd ffrroommtthhee MMDDHHffoorrtthhiisswwelelll?? DCJ Yes D No Eo ARRAS HA HOT file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000267801.htm (1 of 2)6/30/2008 3:43:45 PM 222222.110082 SStTaArTeE0_208282222003399 Well Log Report- 00267801 First Bedrock Aquifer our Wa nox oni Raps LastStrat Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Nova Environmental Services, Inc. 267801 T,icense Busin 267801 e s s N am I e M0139 T,ic_ Or Reg. No. Name of Driller Printed 6/25/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%200026780l.htm (2 of 2)6/30/2008 3:43:45 PM 22222..11083 STATE_02822040 Well Log Report- 00267861 wiesEsora MINNESOTA 267861 | Ga~:wu:a~itym lMvfiinmnieessootataUUnniiqquuee WWeellll NNoo. County II 267861 II ~-==================~- QuadiD Swomn SStt. LLoouuisi.s Babbitt 317B TROREO Well Name GEORGE SENHOUSER Tove an DiS Suvciom Eision 14500 Township Range Dir Section Subsections Elevation Ron Bmw ethodSuvoed 60 13 w 2 ADBDDA Elevation Method 1480 ft. Surveyed DDEEPPAAHHRREETTAAMMLLEETTNNHHTT OOFF WELLANDBORING Unicow insane WELL AND BORING RECORD Reedbac RECORD imc Se Cer Minnesota Statute.~ Chapter Tot1031 EEnnttrryy DDaattee Update Date Received Date 0O8R/I0S51/22000055 08/05/2005 Dr Compe DWT Coed Well Depth py . ft. Depth Completed Date Well Completed ft. | orig st Se Drilling Method Sand Point a Drilling Fluid Well Hydrofractured? DYes D No -- From Ft. to Ft. foUsee 1 CaCsaisinnggTTyyppee JJooiinntt NNooIInnffoomrmataitioonn DDrriivvee SShhooee?? D 0Yveess 0D nen No Above/Below ft. Casing comers We FoDime Casing Diameter Weight Hole Diameter TE TET ET Open Hole from ft. to ft. eT Screen Make Type Dameter SiotGauzs Diameter Slot/Gauze Longin SetBotveen Length Set Between Geog total Geological Material Golor Hardness Color Hardness Fim To From To Sore Static Water Level SL fn tortion Due sna cst1997 7.6 ft. from No Infonnation Date Measured FTG VEL fe Erdos PUMPING LEVEL (below land surface) 08/11/1997 fwareiComsapre tSE ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model DDO Ccaassiinngg PPrrootteeccttiioonn D01122iimn..aabboovveeggrraaddee: 0D) AAtt--ggrardaedEe(nEmnivriroonnmmenetnatall WWelelllss aanndd BBoorriinnggss OONNLLYY).) FERRE Eo REMARKS TL,OOCCAATTITOONN PPRROOVVIIDDEEDDBRYY NNOORRTTHHFEAASSTT TTRRCCHHNNITCCAAL,T. SSRERRVVITCCERSS TiN| GGrroouuttiinngg IInnffoorrmmaattiioonn WWeellll GGrroouutteedd?? ODY vees DOxNo REAUGUST. 1997 REPORT Lod Nie Located Minnesota CvaereteormeOrnt ton DDeeppeadrtimiennst ooff Hfeeaatlttyh Unique Number System UTM Nad. ZonelS. Verification Other, note in rreemmarakrks.s System UTM- Nad83. Zonel5. }Mdeetterss. MotoDion reo Method Digitization (Screen)- Map Date 852003 (o1 :n24,000) Date 08/05/2005 x. ecco v samasso X: 578650 Y: 5284559 itae Seteonn on NNeeaarreesstt KKnnoowwnn S Souro ceoofu fCCoonr tnatammic niantaie toion.n - feet - direction _type WWelelllddiisinsfecitednuuppfoonneccoocmmptipcletetiioodnn?? [DJ Yveess 0D NNoo amp 0 Noted Dut lied Pump D Not Installed Date Installed MaMnuafnaucfatcutruerre'r'ss nnaammee MoMdoedell nnuummbbeerr _ iat ipae 1 Coan apa Tue Nit Length ofdrop Pipe ft. Capacity g.p.m HHPP_ VVoollttss - Type Material er Abandoned Wells Does property have any not in use and not sealed well (ss)r? 0D Yvees DO NNoo i eich First Bedrock Lose Last Strat Daneiptt eit Aquifer Depth to Bedrock ft. VVaarriiaannccee WWaass aa vvaarriiaannccee ggrraanntteedd ffrroommtthhee MM DHffoD orrtthhiissH wweellll?? DJ CoCRa Yreess DO NNoo Well Contractor Certification cre Bsns mec rR. No. NemeatDrter License Business Name Lie. Or Reg. No. Name ofDriller Eo ARRAS HATS file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000267861.htm (1 of 2)6/30/2008 3:43:47 PM sStTaArTeE0_20228220200411 222222.110084 Coury Wal nox ons Raper Well Log Report- 00267861 County Well Index Online Report 267861 267861 Printed 6/25/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa... ies/Babbitt/Well%20Log%20Report%20-%200026786l.htm (2 of 2)6/30/2008 3:43:47 PM 22222..110085 STATE_02822042 Well Log Report- 00267862 267862 Qu~:n:ui~tiy STumtt lMvfiinmneessoottaaUUnniiqquuee WWeellll NNoo. County II 267862 II StS.t. LLoouuiiss Babbitt ~-==================~- QuadiD 317B Wel am BATT SKATING TR Well Name BABBITT SKATING RINK Tomb RageDir Scion Sanctions Eaton Township Range Dir Section Subsections Elevation 3 WI BODADA. Haan Method 60 13 w 1 BDDADA Elevation Method MixNEsoTA MINNESOTA 1 1489 ft. Sissel Surveyed DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upiwebuc ~~ ounsos WELL AND BORING RECORD Recehed Dc RECORD Minnste Sats Chapter Minnesota Statute.~ Chapter on1031 EEnnttrryy DDaattee Update Date Received Date 0O8R/I0S51/22000055 08/05/2005 Dep Dep Compied Baie Wel Come Well Depth w w ft. Depth Completed Date Well Completed ft. vt ii Drilling Method -- EE Drilling Fluid WWeellll HHyyddrrooffrraaccttuurreeda?? 0DYveess 0D NNoo -- From Ft. to Ft. fe 1 Use Cotna Tpe Joint NoatomstonDrive Sho? 0 ves OF Casing Type Joint No Information Drive Shoe? DYes D Go" Abrelon 1 No Above/Below ft. "Casing Diameter Weg FileDamar Casing Diameter Weight Hole Diameter GGeeoollooggiiccaallMMaatteerriaal CCoolloorr HHaarrddnneessss [-- NO REMARKS oT TT Open Hole from ft. to ft. Sr kT Screen Make Type Obmeter SiotGauss Diameter Slot/Gauze LLeennggithn SSeettBBeettwweeeenn FFrroomm TToo Sawa Static Water Level 370 fmNoone Mess) 07171977 20.7 ft. from No Infom1ation Date Measured FUMING LEVEL Geko andar) PUMPING LEVEL (below land surface) hE re EEE ft. after hrs. pumping g.p.m. 0711711997 Wallen Completion Well Head Completion et sis mamas Ml Pitless adapter manufacturer Model Olcampomion 0 2m ned D Casing Protection D 12 in. above grade 0 Avge Enos Wet an ering ONLY) D At-grade (Environmental Wells and Borings ONLY) Goin atormation Well Grosetr 0 Yor 00 Grouting Information Well Grouted? DYes D No Lucid Mision Located Minnesota oarsmen of eu Department of Health Uniawe Namber Unique Number Verbation Obese Verification Other, note in ra remarks Sem UN ZelS . System UTM- Nad83. Zonel5, Ves A1eters Method Drain Sn) Ma Method Digitization (Screen)- Map ion (1 :24,000) DakDate 08057005 08/05/2005 oy sos X: 579659 Y: 5284482 Fis Bedrock First Bedrock Last Last Strat DaqeupetBk Aquifer Depth to Bedrock ft. Nor KrSourCoon Nearest Known Source of Contamination aoe SaksGon - feet - direction _type Weldsipnontcoomptetoiotn? 0 ver 0 no Well disinfected upon completion? D Yes D No ump 0 Notlntaled Duct Pump D Not Installed Date Installed Nimicuetcnme. Modder HP_ Vos Manufacturer's name Model number - Longhor0n Comey pp Te Mata Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material I Abandoned Wells Does property have any not in use and not sealed well 0 0 ve On (s)? D Yes D No Varin We vats gedfn MDM fr? ) Variance Was a variance granted from the MDH for this well? D be O x Yes D No ConrCaordo Well Contractor Certification cee Bis Nem. eg No. NoofrDeele License Business Name Lie. Or Reg. No. Name of Driller RCA NR 0300. lf lets20 OTeo FOR 46S file:/i/II/MPCN!Working!A0081-l00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000267862.htm (1 of 2)6/30/2008 3:43:46 PM STSATATTEE0_208282222004433 22222..11086 Coury Wal nox ons Raper Well Log Report- 00267862 County Well Index Online Report 226677886622 Printed 6/25/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa... ies/Babbitt/Well%20Log%20Report%20-%2000267862.htm (2 of 2)6/30/2008 3:43:46 PM 22222..110087 STATE_02822044 Well Log Report- 00267863 lMvfiinmneessoottaaUUnniiqquuee WWeellll NNoo. County 267863 q~:u:a~ty Batic II 267863 II StS.t. LLoouuiiss Babbitt Quam ~-==================~- QuadiD 317B Ween ATTY SOFTRALL FD. Well Name BABBITT SOFTBALL FIELD ons RangeDir Scion Swinton Elation Township Range Dir Section Subsections Elevation IW 3 BACH. Haan Method 60 13 w 2 BAACBB Elevation Method MixNEsoTA MINNESOTA 10 WEMLinLRnsAEteNCSoDOantBwRDsODeCRphIapNteGrDep CRoeUmcppedihueeeddbaDteBcaie WeloCwnosrmuse 1482 ft. Sissel rin iio Surveyed DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELL AND BORING RECORD Minnesota Statute.~ Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 008//0035//22000055 08/05/2005 Well Depth ft. Depth Completed Date Well Completed ft. Drilling Method -- EE Drilling Fluid WWeellll HHyyddrrooffrraaccttuurreeda?? 0DYveess 0D NNoo -- From Ft. to Ft. fe 1 Use Cotna Tpe Joint NoatomstonDrive Sho? 0 ves OF Casing Type Joint No Information Drive Shoe? DYes D Go" Abrelon 1 No Above/Below ft. "Casing Diameter Weg FileDamar Casing Diameter Weight Hole Diameter GGeeoollooggiiccaallMMaatteerriaal CCoolloorr HHaarrddnneessss [-- NO REMARKS oT TT Open Hole from ft. to ft. Sr kT Screen Make Type Obmeter SiotGauss Diameter Slot/Gauze LLeennggithn SSeettBBeettwweeeenn FFrroomm TToo Sew Static Water Level 103 ur No afoomation_Dut Messed 07171977 10.4 ft. from No Infom1ation Date Measured FUMING LEVEL Geko andar) PUMPING LEVEL (below land surface) ane br punpig gp ft. after hrs. pumping g.p.m. 0711711997 Welt Ha Completion Well Head Completion et sis mamas Ml Pitless adapter manufacturer Model Dcumposion 0 1200 shone pase D Casing Protection D 12 in. above grade 0 Avge Enos wets an ering ONLY) D At-grade (Environmental Wells and Borings ONLY) Groatng Itormaton. Werte? 0 ves 0 v0 Grouting Information Well Grouted? DYes D No Lucid Mision Method Dian Son) Map Located Minnesota oarsmen {3ioo0, Department of Health Uniaue Namber Unique Number Verteaton Obes tocia Dae 08052003 Verification Other, note in ra remarks Sym UTMNat, Zl,s yo System UTM- Nad83. Zonel5, Ves A1eters Method Digitization (Screen)- Map (1 :24,000) Date 08/05/2005 X: 577850 Y: 5285049 Fis Bedrock First Bedrock Last Last Strat Aqutr Aquifer Dep to park Depth to Bedrock ft. Nor KrSourCoon Nearest Known Source of Contamination a Gon - feet - direction _type phWi eldain,dsipno4ntcoomptetoiotn? 0 ver 0 no Well disinfected upon completion? D Yes D No ump 0 Notlntaled Duct Pump D Not Installed Date Installed Nimicuetcnme. Modder HP_ Vos Manufacturer's name Model number - LonigmphPioef _t_Coppapcy Ti Met Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material I Abandoned Wells Does property have any not in use and not sealed well 0 0 ve On (s)? D Yes D No Variance Wes vatiot on m he Mor H ret? Variance Was a variance granted from the MDH for this well? D be O x Yes D No ConrCaordo Well Contractor Certification cee Bis Nem. eg No. NoofrDeele License Business Name Lie. Or Reg. No. Name of Driller ARCA ing 1107301. Tf pt504 43 es 30308046 5 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000267863.htm (1 of 2)6/30/2008 3:43:46 PM 22222..11088 STSATATTEE0_208282222004455 oun Wolinder Onn Ropar Well Log Report- 00267863 County Well Index Online Report 267563 267863 Printed 6/25/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa... ies/Babbitt/Well%20Log%20Report%20-%2000267863.htm (2 of 2)6/30/2008 3:43:46 PM 22222..11089 STATE_02822046 Well Log Report- D056n~9 567889 I'vfinnesota Unique Well No. 567889 oma Comtty Quad Quad TD Ban St. Louis Babbitt 117R `WELL AND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 1lfinnesota Statutes Chapter 103! UpiseDue Entry Date Update Date Received Date 0317208 05/24/2005 04117/2008 05/1011996 Well Name BABBITT MW-1 BW 1 MON Hosta Township Range Dir Section Subsections Elevation 60 13 w 1 BBDA Elevation Method (5087S 1476 ft. Calc from DEM (USGS 7.5 min or equiv.) Well Depth Depth Completed | DthdR id 21 ft. Drilling Method Hand Auger 21ft. Drilling Fluid -- IWell Hydrofmctmed? From Ft. to Ft. Date Well Completed 05/22/1996 DYes D 'lo Use Monitor well Casing Type Plastic Joint No Information Drive Shoe'! D Yes 0 No Above/Below ft. Casing Diameter Weight Hole Diameter Wweellll AAddddreresss.s MN Geological Material SAND FINE TO MEDIUM WG FINE GRAINED SAND Color TAN Hardness MEDIUM MEDIUM From 5 12 2 1n. to It lbs/ft 2.25 in to 21 ft Open Hole Screen YES Diameter ll from ft. to ft. Mal{e JOH'JSOI\ Slot/Gauze Type plastic Length Set Between To 10 11 It and 21 ft 12 21 Static Water Level 17.9 ft. from No Information Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 06/25/1996 Pics mamas Well Head Completion Pitless adapter manufacturer Mol Model D0CaCsaisningg PPrrootteccttiioonn 0D3 11220in.. aabboovveeggrraaddes R'Av!WEWM1TFFAOORRRCKCISITTYYOOFF BBAABBBBIITTET `Grouting Information. Wel Grows? Ves 0No. 0 At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No ENVIRONMENTAL - TROUBLESHOOTERS, INC: -SR-1 GGrrooustMMaatteiria.l CCOONNCCRREETTEE. ffroomm 00 1to0228ft Looted Moms Dpto Located Minnesota Department of Health onvis Unique 'lmnber Verification Other, note in remarks System UTl'vf- Nad83, Zone15, Meters = 4p inten re) Atop 1300 Method Digitization (Screen)- Map (1: 12,000) ee Date 05/27/2005 X: 579161 Y: 5284890 | Gat Gtr Grout Material Neat Cement Grout Material Bentonite Nearest Known Source of Contamination :!Q_feet Ldircction Other type ion sn 08 from 2 to 8 ft from 8 to 10 ft Well disinfected upon completion? D Yes D No Pmnp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material 22 bbaags ee 2 bags 1 bags Fi dre Ar uuWtTbs Ani First Bedrock Last Strat Cnknown deposit type Aquifer Quat. Water Table Aquifer Depth to Bedrock ll. CountyWe nex oie Ror County Well Index Online Report Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? 0 Yes D No Well Contractor Certification Fehon Earth Burners Inc. sar License Business Name 567889 MOS M0142 Lie. Or Reg. No. I gy PAUL KILPELA Name of Driller Printed 6/25/2008 HE-01205-07 file :i/ili!MPCA/' Working/A0081-l 00%20-%20PFC%20Foarn!R...maries/Babbitt/Well%20L og%20Report%20-%20005 678 89.htm6/301200 8 3 43:45 PM 2222..11009900 STATE_02822047 Well Log Report- DCJ56n9CJ 567890 I'vfinnesota Unique Well No. 567890 wr Well Name BABBITT MW-2 oou'wna County Quad Quad ID St. Louis Babbitt 317B I WU EDD Tht ted Township Range Dir Section Subsections Elevation 60 13 w 1 BBDB Elevation Method MIN-"ESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD Upimeme 001708 WELL AND BORING RECORD newt St Cpr 191 Totton 3150 1Vfinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 05/24/2005 04117/2008 05/22/1996 -- NDC PrN Caray Well Depth Depth Completed Date Well Completed (0505The 1479 n. Calc from DEM (USGS 7.5 min or equiv.) 20.6 ft. | PhTdd Drilling Method Hand Auger 20.6 ft. 05/22/1996 Drilling l<luid Fr Imeee -- Well HydrofractUI"ed? DYes D No From Ft. to Ft. Use Monitor well Casing Type Plastic Joint Threaded Drive Shoe? Below ft. DYes IZl No Above/ Casing Diameter Weight Hole Diameter 2 in. to 20 It lbs/ft 8.25 1n to 20 ft ecogieat Geological steal Material SAND MEDIUM TO FINE SAND VERY COARSE CCoolloorr ORN/BRN BROWN HHaarrddnneessss MEDIUM MEDIUM FFrroomm TToo 4 10 10 20 LL -- REMARKS :V!W- 2 FOR CITY OF BABBITT ENVIRONMENTAL TROUBLESHOOTERS. INC: SB-3 td Mesos IPAS pti a) op(112000 Located Minnesota Department of Health Method Digitization (Screen)- Map (1:12.000) ks Unique -"umber Verification Other. note in remarks System UTlvf- Nad83. Zunel5. Meters Date 05/27/2005 wate X: 579145 Y: 5284882 T OpeL n Hole from ft. to ft. NR TT Screen YES Make JOHI\SON Durer Stoic Leo ngn e setBam een Diameter Slot/Gauze Type plastic Length 10 Set Between 10 It and 20 ft Static Water Level 16.g n. trom No Information Date Measured 06/25/1990 PUMPING LEVEL (below land surface) alc Copitn ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model DDO Casaisinngg PPrrootteeccttiioonn IZl 1122i.n.aabboovvee ggrraaddee Covwomton Wats ver Ov IZJ At-grade (Enviromnental Wells and Borings ONLY) Grouting Information Well Grouted? IZJ Yes D No Gost matenomratgoses Grout Malerial Gos rn Grout Malerial rd CONCRETE Grout Malerial Well known to be not grouted Benlonite CONCRETE on 20st from 2 to 5 ft sett from 5 to 7 ft ower from to 2ft Nearest Known Source of Contamination Nasser copes 0 vo 0 lLfeet L direction Other type Well disinfected upon completion? D Yes D No LNaerwitiana CNoodiat ebpit 1Tis Vwiait Pump D Not Installed Dale Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.rn HP - Volts Type :V!aterial -- tan 2 bags mn 1 bags em 2 bags Fi Beck aver Qua Wo Torque First Bedrock Law Cn pei 5c pes kB Last Strat Cnknown deposit type Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. CountyWe nsx oni Report County Well Index Online Report Abandoned Wells Does property have any not in use and not sealed well(s)? D Yiees IZl NNoo Variance Was a variance granted from the MDH for this well? IZl Yes D No Well Contractor Certification | PR Earth Burners. Inc. hime tis License Business Name S70 567890 NOME i, :V!Ol42 mete kp Yomi Lie. Or Reg. No. PAUL KILPELA Name of Driller I Printed 6125/2008 IIE-01205-07 file://ili/MPCA/1 Working/A0081-l 00%20-%20PFC %20FoamiR .. maries/Babbitt!Well%20L og%20Report%20-%2000567890 htm6/30/2008 3:43 :46 PM 222222..109911 STSATATTEE0_208228222004488 Well Log Report- 00665904 Minnesota Unique Well No. [ons a=, wa 665904 County Quad QuadiD St. Louis Babbitt 317B rcWell :'\lame BUROW, GARY atv ei To"nship Range Dir Section Subsections Elevation GW Cn Demis 61 13 w 35 CCCDCB Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL ANBBORING RECORD Tie, WELL AND BORING RECORD AD Eo i i Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 07/08/2002 03111/2005 pA T i S om 1476 ft. SENS i i oad Calc from DEM (USGS 7.5 [Em I min or equiv.) Well Depth Depth Completed 30ft. 30ft. Mulliplc mdhods Date Well Completed 07/17/2001 Drilling Fluid --v,.r ater Use Domestic Well Hydrofractured? DYes IZJ No Prom H. to H. Casing Type Steel (black or low carbon) Joint Threaded Drive Shot'? No Above/Below ft. 0 Yes D Casing Diameter Weight Hole Diameter -- Well Address 2681 70 HY BABBITT MN 55706 copes Geological Material SANlJ SoGRAVEL coColor =llRUWN BROWN oe Hardness pon 7|E ow ows um n sTtTeL From 0 EI27 6 in.lO 30ft 20 lbs/ft Open Hole from ft. to ft. Screen YES Make Type stainlt:ss stt:t:l Diameter To 4 ',2_( 30 Slot/Gauze 10 Length 4 6 ln. to 30 ft Set Between 27 ft and 30 ft Static Water Level ft. from Date Measured PUMPI:'IIG LEVEL (below land surface) ft. after hrs. pumping g.p.m. atc Well Head Completion Pitless adapter manufacturer MONITOR Model Bogan Bowsers D Casing Protection D 12 in. above grade SNAPPY om mmo REMARKS DRILLING l'vfETIIOD: A!RfDRIVEN1<0TARY. CASING: T/W. Lr pe, Sed Located Minnesota Department of Health Method Dn S54 Digitization (Screen)- Map (1 :24,000) rete D At-grade (Environ Grouting Information m Wat ental Wells and Well Groutcd0 8Boring IZJ vos ON Yes LY D ) No Grout Material Well grouted, type unknown from to ft Som UTA oe Unique I'\umber Verification N/A System UTM- Nad83, Zonel5, Meters Xs SSE V5 20250 Date 05/21/2004 X: 577352 Y: 5285254 TH Xn Sdnld oe NPart'st Known Sour"" of Contamination l:!Q_feet :tL_direction Sertic tank/drain field type Wdl disinfected upon completion? IZI Yes D No TD ei perm Pump D Not Installed Date Installed 08/08/2001 E E E G , Manufacturer's name AERMOTOR Model numher - 10-- 50 - HP lL2_ Volts 230 Length of drop Pipe 18 ft. Capacity 10 g.p.m Type Submersible Material ev ern oes estes BT Abandoned Wells Does property have any not in use and not sealed well(s)0 D Yes aIZI No it seg rats First Redrock foie NOVI 4 +r Last Strat Gravel (+larger)-brown Aquifer Quat. Watcr Table Aquifer Depth to Redrock ft. CouryVln one Raper County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Wll Contrartor Crtifiration dn ar Kolstad-olson 69554 MAJESKL T. bei te i Svs License Business ~arne Lie. Or Reg. No. Name of Driller [e TI onEs ET 665904 Yes IZI No Printed 6/25/2008 HE-0 1205-07 file:/f/IItMPCA/!Work:ing/A0081-100%20-%20PFC%20Foam/R .. maries/Babbitt/Well%20Log%20Report%20-%2000665904.htm6/30/2008 3:43:46 PM 22222..11092 sStTaArTeE._002288222200499 Well Log Report- 00567891 rs toe Minnesota Unique Well No. II 5T 678G 91 II 567891 ~-==================~- QGC~o:uu:aun:dttydy QuadiD St Louis St. Louis tin Babbitt Sm317B TTT Well Name BABBITT MW-3 Tomb Range DirSection Subctons Bkaton Township Range Dir Section Subsections Elevation 6"0 113 3Ww 11 BBBEDDAA EElelevvataitioonnMMetethhoodd MINNESOTADEPARTMENT OF HEALTH MINNESOTA DEPARTMENT OF HEALTH WELLAND BORING Upiaibye 0utdaios WELL AND BORING RECORD Recovedbaie 0333195 RECORD Manson Stes Chor 1031 Minnesota Statutes Chapter 1031 EuyDae Entry Date Update Date Received Date 05042005 05/24/2005 06/14/2005 05/22/1996 WellDeph Depth Comeed Doe Wal Comp] Well Depth Depth Completed wen Te PP sme 1476 ft. 21 ft. 21 ft. Cale om DIM (C(UaSlcUGfSr7oS7.m.55DGmmEniMnSoorr | DDrriilllliinngg MMeetthhoodd HTeanndd AAuuggeerr prey equiv.) Date Well Completed 05/22/1996 EE Drilling Fluid Te Tow -- Use Monitor well Wweetlll tHyyddrrooffrraacctuurread?? 0DYveess 0D NNoo From Ft. to Ft. CaCsaisinngg TTyyppee PPllaassttiicc JJooiinntt TThhrreeaaddeedd DDrriivvee sShhooee?? D [JYYeess 0 Nomen No Above/Below ft. GasingDiameter Ve Tee Dame Casing Diameter Weight Hole Diameter Zan at wn eman on 2 in. to 21 ft. lbs./ft. 8.25 in. to 21 ft. cccigica ters Color araness From To|DS2hiemeneVrES NSalkoetGTaOuTzReSON LeWnoTgoteh FSeentBeatwmeenan Geological Material prey wom wwf 1 SANDY GRAVEL Gn Dom uw wo GRAVEL Sh Fre Grand Wom uw #3 f FVO7NPeIrNfw GoLmENVapEluLam(tpoosmyaidona_DrutcMyoses 062sons SAND, FINE GRAINED Color BROWN LT. BRN BROWN Hardness MEDIUM MEDIUM MEDIUM Open Hole from ft. to ft. Screen YES Make JOHNSON Type plastic Diameter Slot/Gauze Length Set Between From To 2 10 10 11 ft. and 21 ft. 4 10 10 15 15 21 Static Water Level 17.7 ft. from No Information Date Measured 06/25/1996 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. TETRET roan GPPDirrleocsnr-- uigaoglomorroamsaoitmonnpeWm0e1lW1l2eMelrladb=oover1piogveeOsNLYI) No" REMARKS M\V-3 FOR CITY OF BABBITT TAVIRONMENTAL TROUBLESIOOTERS, INC. $54 ENVIRONMENTAL TROUBLESHOOTERS, INC.: SB-4 LucuMims Demers Methad Dihictin cin) 30 | paGeoommslntestmaWceolnmln.mer eragoskd fa--onnb2i0t8n1 221t0bgss ooLffoiHiceeaaatllettdhh Minnesota Department nie ramter sans Neaorn Konowes esuresoaf iCnonOaant twre Unique Number System UTH- Nadhh, Zot. rVreeemmraairfrkikcssation Other, note in System UTM- Nad83, Zonel5, sire 0RLNaeamiOnnovooeWplmPaeneDocBwToCMnaoepsdimBaen5e0ts:e7r PTRi_eeSVMoset al e Afeters Method Digitization (Screen)- Map ((11:1122.,000000)) x. i010; sasases Date 05/2-7/2005 X: 579180 Y: 5284888 Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade 0 At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Grout Material: Well known to be not grouted from 2 to 8 ft. 2 bags Grout Material: Bentonite from 8 to 10 ft. 1 bags Grout Material: CONCRETE from to 2 ft. Nearest Known Source of Contamination ~feet South West direction Oilier type Pump 0] Notlmtalld Date nstled WWeelllddiisinsfecitednuupfpoonneccocommptlpeletetiioodnn"? [DJ Yveess [D1 Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Lengtll of drop Pipe _ft. Capacity _g.p.m Type NNoo Volts Material 2 bags Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes 0 No Fico First Bedrock Last Last Strat quer Qu. WotTkAqs Aquifer Quat. Water Table Aquifer DeptBedrock Depth to Bedrock ft. VVaarriiaannccee WWaass aa vvaarriiaannccee ggrraanntteeddffrroommtthhee MMDDHHfoforrtthlilisswweellll?? 0 YYeess Ow D No CoCerr Well Contractor Certification Boon M2 KPiaua Earlh Burners Tnc. M0142 PAUL KILPELA cme sinsName_Lic. Or Reg. No. Nana ile License Business Name Lie. Or Reg. No. Name of Driller FIC ig 10.50. eet 3 SET (1 400855455 file:l!/li;MPCAI!Working/A0081-100%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000567891.htm (1 of 2)6/30/2008 3:43:45 PM 22222..11093 STSATATTEE0_208282222005500 Setter Well Log Report- 00567891 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 556677889911 Printed 6/25/2008 HE-0 1205-07 Aig 105 AAW S3S5 TD 5030810 file:l!/li;MPCAI!Working/A0081-100%20-%20PFC%20Foa...ies/Babbitt/Well%20Log%20Report%20-%2000567891.htm (2 of 2)6/30/2008 3:43:45 PM 22222222.11009944 SSTTAATTEE0_208228222005511 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY BBemeimdijdiji AAiirppoorrtt TTrraaiinniinnggSiStiete B5Be1"emmSitdidrjeijieFtFii&rreeADDmeeeprpaiarcrttammAeenvntetnue Bema MN 56601 5 h Street & America Bemidji, MN 56601 Avenue 2DDi1icc8kk7SS5aa1tth8he0errs0s,1, FFiirree CChhiieeff 218-751-8001 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerr trraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: CC(llaaCsssslABBaoffosoaaamsmttrrraaaiinnniininngggiaatst BBuesemediidaji AAhrierppooRrrattilroad Street ste) (Class A foam training is used at the Railroad Street site) 3ISMiMlLLeiixgghhCttlWWaasatsteeArr AAFFFFFF Silv-ex Class A AAnnnnuuaallllyy 551to0 1100ggaallloonnss GGrroouunndd CAAlFFaFFssF::4aa:pp1pp5rorxgaiomllxaonties.lmy a5gtgaalelllloonnyss Class A : 15 gallons EEcckkileess LLaakkee llooccaatteedd aapppprrooxxiimmaatteellyy 11//44 mmiillee ssoouutthhwweesstt AASdodjujaatccheewnentsttnnoorrtthh oofftthhee aaiirr ffieieldd aanndd aapppprrooxxiimmaatteellyy 11//44 mmiilee southwest oonn-sstitee aatt aaiirrppoorrt CCllaassssBB trraaiinniinngg ssiittee llooccaatteedd wwiiithhiinn WWeellllhneeaadd PPrrootteeccttiioonn AArreeaa E26 22222222..11009955 SSTTAATTEE__0022882222005522 Emil Es er BEMIDJI AIRPORT CWI Well Map rms: ey EEE Hi fil i ol Li 2] al F ] l pS il LniaiTsI n ol e = = TYESeon St ": Sn, el TR Tl iE TSR ES REA J TRE ela ol maf SSE 4 LoraSEEING [aegis] CS peo rmeam hSaHkEeEeEE LT WoTo Sm NE p TEiT i es gt' ny SToRbNeek fmiiestdal (a5 Lt A J 1 fi Ji Hom OmrQuet n Ent one etn Cor, oZY Sal SE, 222222.110096 STATE_02822053 A : BBeemmididjjii WWhhaatt''ss IInn MMyy NNeeiigghhbboorrhhoooodd MMaap |I T I le I | {el I f BE mmr 3 I Jeni | : N\ i sete cal | |) | | fo 7 Poh | | oad |[7 he y ~~.l ~EFILF i S =Ee | & Sei | te, ~s~!~'li SRSITE ifr eetemy "" ! v I / . L .......................... ..,-_,;y""r"""'nul Pliner Se 1 I mat |J | Ll edie Ea SSiitteess. Disclaimer: Map and site information is believed to be accurate but accuracy is not guaranteed. No portion lms of the information should be considered to be, or used as, a legal document The information is provided aren mrs. | subject to the express condition that the user knowingly waives any and all claims for damages against = MPCA that may arise from the use of this data. `@Minnesota Pollution Control Agency B Dte:~lS!tlfabotiMeSt &uup~s orrkuadn8d\i =remus sorawans rta:mm<J!iOOOWEN mmaratuese ..-n,wmii:IM Dn!Jif WR Nrn/I.F" Kid mate: !UJI'frhmd oconcn CmQL!l Fume tuporund 6 ~nl !llt.a~rft.ud sum CrovaLanam &tm: Ct'Jood LJindiUI:i! YVootuunllnllgr~ l'rrwae5!m9a'elkonl'i .f.. CIOCUWift' 4 RSRRTSEMucins .... ltCRA 1Hli f'clcill:lk63 RERAweston, Charap ltCRA. ~~kcoD~ C~IIIW,:t' som pogasomom: .t.. &tnJ ~rrnno: 222222.110097 STSTAATTEE0_208282222005544 - firoomi!y| t |l|BFE.RgI.O;R dn h Hath oii a ge i ii :i CE galld 2 3 Bemidji Airport i fo] AE bYr EyeEy | ON[os ARR OL pr ON 3 aE 3a eow E 3 CgBer E bol EEa 1 : oo 2222.1098 7 ey 7 Jf =] L I T4 3 i|i j-- eer A gd F4; ||i A C' ~ w 0 z i A ~ ~ 6 z | w ~ 0 w 0 z 1~''" , ,,,,,,,, , , , ,,,,,,',,,,,,,,,,,,,,,~'~-~,,~~~,,,,,,,,,,,,,,,,,,,,,,,,,,, , , , i,,,,,,, ,,, ,,77~, ",,,,,,,,,,,,,,, w A ~ , ,,Jo 6 z Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America oni Bn I & I~ 94-57 w 94-56 w $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 A 94-55W z Map center: 47 30' 37" N, 94 55' 35" W Scale: 1:30,142 N 00 N N 0 Ul Ul ers Well Log Report - 00243337 Mineo Minnesota Done Unique WING We// No. oumry ~:::ty ILII___=24=234=33333=77=====.ill Quad ~ . QnadlD Tr Well Name CITY Of BEMIDJI etiam Beltrami PPeetteerrssoonn LLaakkee 32'JC Township Range Dir Section Subsections Elevation 114797333 Ww 3300 CCCCCCCCCCDD ElEelevvaattiioonn MMeetthhoodd MINNESOTA DEPARTMENT OF HEALTH EwnDse 072520 HEALTH W`WEELLLL AANNDD BBOORRIINNGG RECORD rr 1lfinnesota Statutes Chapter 103/ UEUpnpdtdaraytteeDDDaatateete: Received Date 0077122552!2000022 07125!2002 SW Well Depth Depth Completed Date Well Completed 1381 ft. t7to.o5ppoomggrrinaappuhhteiicc mmaapp 79ft. ft. | Dring Method PPoowuerr AAuuggeerr 05!13/1986 (+/- 5 feet) Drilling Fluid -- I"Well yarotracturea? Well Hydrofractured'! 0DYveesr OD J NNoo From Ft. to Ft. [EeeEn Use Test well CCaassiinngg TTyyppee GGaallvvaanniizzeedd JJooiinntt TThhrreeaaddeedd DDririvveesShhooee?? [DJYveess ODJ No Above/Below ft. Casing Diameter Weight Hole Diameter ory Geological Material FILL- SANDY, MEDIUM L LLL SAND MEDIUM SAND MED --COARSE SILTY SAND, COARSE, CLEAN, SILTY SAND, VC, CLEAN W/ GRAVEL SAND, C, SILTY i SAND, MED, SILTY sa SAND, CLAYEY MEDIUM SAND, COARSE coColor BEBLACK RED/BRN OK. BRN EABROWN BROWN GRY/BRN GRAY GRAY GRY/BRN vo renee NO REA-JARKS ins Hardness KOpL en Hole om 10 rar From To Screen YES T oe ine tg spe 0 2 al owen 2 5 Diameter from ft. to ft. Make BK- SLOTTED Slot/Gauze Type Length plastic Set Between 5 10 2 10 2 ft. and ft. 10 20 IE30 45 50 60 20 30 145 Static Water Level 50 12.4 ft. from No Information Date Measured 05/13!1986 60 79 PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. prc Well Head Completion Corning normatin. Wal Grout? 0 ver O10 Pitless adapter manufacturer Model Olcusing postion 1 12in. sbove gate D Casing Protection D 12 in. above grade C3 Avra (miro Wells and Brings ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Infonnation Well Grouted? DYes D No Located United States Geological Method Digitization (Screen) - Map Survey Jukgue Simmer we 03182003 Unique Number Li wb --_L_L_ Verification Information from owner Sytem UTM Nal ane scum 3: sac System UTM- Nad83, Zonel5, }vfeters (1 :24,000) Date 03/18/2003 X: 354879 Y: 5263907 CoWulnnetOnyin Rr Fiist Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Wel diswoincotmpledion" 0) ver 0 No TR Gieton oe NNeewaersestt KKonoewsnSSooaurrecse ooTf Contain Contamination _feet _direction _type Well disinfected upon completion? D Yes D No PPuummpp 0D NNoottlInnssttaatllleedd DDaattee IInnssttaalllleedd Manufacturer's name Model number - HP - Volts A"LNbehnaangntddhoaonnfeedddrWWoepelPlllisspeDTooefetss. operFave Capacity _g property have .oaprn.yymn5o0t 1inTyiups4ee5anddMnoaottetrssieaeaallleedd wweelll(s)"? 0D Yvees O D NNo V`Vaarriiaannccee WWaass aa vvaarriiaanncceegrgraanntteedd ffrroommtthhee MMDDHHoforr thhiiss wweellll?? [DJ YYeess 0D Nxoo Well Contractor Certification United States Geological Survey 243337 License Busine 243337 s s N a me I USGS Lie. Or Reg. No Name ofDriller Printed 6/25/2008 HE-01205-07 file://ill/l\1PCA/I Working/A0081-100%20-%20PFC%20Foam/R...maries!Bemidji/Well%20Log%20Reporto/o20-%200024333 7.htm6/30/2008 3:47:3 5 PM 22222..11099 STATE_02822056 Well Log Report - 00243344 co2r43i340 J oComuery ~:::ty MMiinnnneesostoatUUnaniigquueeWWelelllNNoo.. II II 243344 Guin I.!:.=========::::!.J. Quad ID lini Beltrami Tecmniaie Peterson Lake 2c329C WRG CTY OF ESOT Well Name CITY OF BEMIDJI TownshipRange Direction Subsections Eston Township Range Dir Section Subsections Elevation 1M47 7333 wW 332 CCBBBBBBBEDD EElelevvaattiioonnMMetethhoodd a 1381 ft. Srna Byoue MIIINSNHEESSOOTTA DDEEDPAARRTIMMEENNTT aso: OF HEALTH WELLAND BORING Upiuebue iva WELL AND BORING RECORD Renda RECORD ito Sie Cot 1031 llfinne,WJta Statutes Chapter 1031 Entry Date Update Date Received Date 07/25/2002 03/18/2003 WDeph Dep Compl Doe Wel Compre Well Depth Depth Completed Date Well Completed Tn asad 27ft. 27ft. 05/13/1986 IE t7io.o5ppoomggrirnaapuphtehicicmmaapp |DDrirlillliinn!g! MMeetthhoodd PFoownetr AAuuggeerr (+/- 5 feet) DrDirlillliinngg FFlluuiidd Fon Te wt -Te Terr Use Test well WWeellll HHyyddrrooffrraaccttuarreedd?? 0DYveess 0D NNoo From Ft. to Ft. Cans Type Garis Jn Unknown Dresher? 0 Yor OF Casing Type Galvanized Joint Unknovm Drive Shoe? DYes D he ven 15 No Above/Below 1.5 ft. GingDiameter Won ToDamar Casing Diameter Weight Hole Diameter Tne zt wn 2 in. to 22 ft. lbs./ft. Sectogiat terial Color Harsness From ToSDo:amnieVrES WeSibtBwEuzsTope Lo?ngth SetCBeetween Geological Material Shole.ceCEn REDE os SAND,MED-CRS,CLEAN She Crs cle Son won SFTe0UNNnPnIesNNGroLiTEnoVlpETLoin(gonw ngode:ross)e 0511195 SAND, CRS, CLEAN Color RED/BRN BROWN Hardness Open Hole trom tl to ft. Screen YES Make BK Type plastic Diameter Slot/Gauze Length Set Between 2 From To 10 2 ft. and ft. 0 15 15 27 Static Water Level 12 ft. from No Information Date Measured 05/13/1986 PUMPING LEVEL (below land surface) ft. atler hrs. pumping g.p.m. 0 RENAE WPGIeriOlolwevHiesnagdiCwrpoommrpmvlestimonwenanWGreoNssaednsedrl orgsverV1O)vo NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDOlCcaassinngg Pprrooteccitioonn DTI 11221in.. aabboovveeggrraaddee. D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Lact Uses Ses Gougisl Method Dita crs) Mop.| CGuottits HSeewCteven ftoonn 00121 Located United States Geological ine or Survey Method Digitization (Screen)- Map ( 1:24,000) CoigueNumber " TRS Ca VVUeenrriiiqffiucaeattiNioounnmInbnefforrmoatrionaffrotommioowovnmencrrDaDtaeteNNI/AA Spm UTM No ZoeIS. x, i 3: sp wo aniston copiiow 0 ve 0 xo System UTM- Nad83. Zonel5. 0vT M Lomovemn0OoakNwp oermalCNomoDeouycktmgeaidrer117 VoNlsit },feters X: 356479 Y: 5263037 Grout Material: Neat Cement Grout Material Bentonite from Oto12ft from to ft. reese Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Tnslalled Dale Tnslalled Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m IIP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Fi Beam First Bedrock Laster Last Strat J Aquifer Depirto Depth to Bedrock ft. VVaarriiaannccee WWaassa vvaarriaancceeggraranntteedd ffrroomm tthee MMDDHH ffoorrtthiiss wweelll?? D0 YYeess 0 x D No VeCoCro a Well Contractor Certification ni SeGogoSvle 1505. TTnited States Geological Survey Lccme Dano Name __Lic Of No. Noofmlslr License Business Name USGS Lie. Or Reg. No. Name of Driller CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 224433334444 Me Printed 6/25/2008 HE-01205-07 Cin OR 107250. mt enlgL et 5SRL 4m 087371 fi1e:/i!Jiil\1PCN! Working/i\0081-1 00%20-%20PFC%20Foam/R...maries/Bemidji/Well%20Log%20Report%20-%2000243344.htm6/30i2008 3:47:37 PM 22222..11100 STSATATTEE0_208228222005577 Well Log Report- 00243345 ~m::i:tmy II II lMvifinnnnmeeessoottaa UUnniiqquuee WWel elNl eNo. 224433334455 County Quad ~-==================~- QuadiD uhBBeellturoammii B`Beemmiiddjjii WWeesstt 302B arene Well Name Towmabip Rang iSectionSubsections Eesti Township Range Dir Section Subsections Elevation 1M47 7333 wOW 3322 CCCCCCCCDDDD EElleevvaattiioonnMMetethhoodd wan 1378 ft. DDEEPPAARRMTTSMMIuNEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD Reconeda RECORD increStates Chops 1031 Minnesota Statutes Chapter 1031 EEntnrtryyDDataete. UUppddaattee DDaatete. Received Date 00770/22557/22000022 007n/s252/2000022 WNDeph DepComedie WeComet Well Depth Depth Completed Date Well Completed pin on a 37 ft. 14ft. 05/14/1986 i tot7o.pp5oogmgriranappuhhtieiccmmaapp |DUri~lllllilnn!g!MlVeltethnOod PPoowweerr AAuuggeerr (+/- 5 feet) -DrDirlillliinnggFFlluuiidd -- Fon ho WWeellll HHyyddrrooffrraaccttuurreedd?? [DJYveess 0D NNoo. From Ft. to Ft. Use Test well Cas Tope Gand ont Un Devine? 0 Yor 01 Casing Type Galvanized Joint Unknown Drive Shoe? D Yes D moon No Above/Below ft. GingDiameter Weg Fa Damar Casing Diameter Weight Hole Diameter Tob men wr saab 7 2 in. to 12.4 ft. lbs./ft. 5.3 in. to 37 ft. cociogcai matoral Color Hardness From To[Seren VIS VaR TR Tope 7 Geological Material TSoHmOsoCn msuocrs Fery 0 $7 [omer siovomze Longin setetween TOP SOIL, SAND `SSSAAANNNDDD, ,,CCCLLLEEEAAANNN, ,,CCCRRRSSS SapCLAY CRs oo ow SAND CLAY CRS Sap VCRSCLEM oom Bo SAND, V.CRS CLEAN Sap VCRGiER oxom Bofe SAND, V.CRS CLEAN SSSAANANDD,NC,CS.DI.CLCRTR,SYS,W,CCCLLLEEAAAYNN. Bais ww = SAND, CLAYEY, SILTY Color DARK OKDDKK...BBBARRNNN DK. BRN DK. BRN DK. BRN BBBRRROOOMWWNNN BROWN Hardness From To 0 2 5 2 5 5100 10 15 15 20 20 25 3205 333*05 35 37 Open Hole from ft. to ft. Screen YES Make RK Type plastic Diameter Slot/Gauze 10 Length Set Between 1R2.A4 Rft. aandd 114a.4 f1t. Static Water Level ft. fro om D Date MeMaseurned PUMPING LEVEL (below land surface) ft. after lns. pumping g.p.m. vo rEvanEs WPGD0reolulctclronseeomspsgrtcrmoeomampstlieiaotminnomen enWtelW1el2lM0semocrsddhovo2erggesveOrNLY0) vo NO REMARKS Well Head Completion Pitless adapter manufacturer D Casing Protection 0 Model 12 in. above grade D At-grade (Envirolllllental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Laced nodSis esp Method Digizn(Sno Grattan Breer fon 010 241 2 Located United States Geological Sy toon Survey Unis Nam err Res ear Coo Unique Number Venhesson ema tom Date NA Jp Verification Information from owner ress mts, . oss nsoopiion 0) ver B vo System UTM- Nad83, Zonel5, oo wa: er ouTNLriamomnpgmOdiicovttncs0esoTrpeWNnhheatneTnsoaBlwCemdNayaDykubtivognlaridiTpHePeloNitsoratT lvfeters Method Digitization (Screen) - Map (1 :24,000) Date N/A X: 356492 Y: 5262257 Grout Material: Bentonite from 0 to 12.4 ft. 2 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes 0 No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes 0 No VVaarriiaannccee WWasaas avvaarriiaannccee ggrraanntteeddftrroommtthhee MMDDHHftoorrtthhiiss wweellll?? D[J Yveess Fis Berk First Bedrock Losin Last Strat ater Aquifer DopoBeck Depth to Bedrock ft. D0 NNoo We Co Cer Well Cuntractur Certificatiun Uni Sic Gbgol Seve US SIARK United States Geological Survey Line Bois ome. Lic Or eg No NaamDrieer License Business Name USGS STARK Lie. Or Reg. No. Name ofDriller CA ig ALI TC fo onl a 25 A TSE file:///li;MPCA/!Working/A0081-100%20-%20PFC%20Foa...ies/Bemidji/Well%20Log%20Report%20-%2000243345.htm (1 of2)6/30/2008 3:47:38 PM 222222..110011 STSATATTEE0_208282222005588 Well Log Report- 00243345 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 224433334455 Printed 6/25/2008 HE-01205-07 Wig 107201.Be Wel 1 Mp 5X11 1008748 file:///li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa...ies/Bemidji/Well%20Log%20Report%20-%2000243345.htm (2 of2)6/30/2008 3:47:38 PM 22222222..11110022 SSTTAATTEE__0022882222005599 Well Log Report- 00547514 M i n n e s 547514 ota Unique Well 547514 No. mfeat County Quad QuadiD Ramone Beltrami Peterson Lake 329C `WELLnAeNeDSBuORsICNpG rREC81ORD MINNESOTA DEPAIUMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 VKeeteo Entry Date Update Date Received Date ors 01/08/1999 06/15/2005 Well Name BEMIDJI 1A To'\\nship Rang'-' Dir Sl'ction Subsl"ctions Elevation 147 33 w 31 DAA Elevation Method Well Address cFevronmmsn BEMIDJI MN 56601 conga Geological Material [rte TOP SOIL & FILL FINE SAND pri SAND & GRAVEL SAND rans cana SANDY CLAY &GRAVEL MIX rans Eos we SANDY CLAY &COARSE GRAVEL MIX conColor BROWN oon BROWN LT. BRN omLT. BRN PrGRAY SAND & GRAVEL WiTHIN SANDY CLAY we osonn e SANDY CLAY & SAND & GRAVEL SAND & GRAVEL VERY COARSE GRAVEL & COBBLES GRAY om BROWN BROWN BROWN COARSE GRAVEL (DIRTY) COARSE SAND & GRAVEL SoSAND oie ce weve suo COARSE GRAVEL W/FINE & MED SAND COARSE GRAVEL W/MED SAND Soo! SAND BROWN BROWN Bom BROWN Eom BROWN BROWN Bom BROWN VERY FINE SAND BROWN SAND & GRAVEL BROWN COARSE SAND & COARSE GRAVEL COARSE SAND & GRAVEL COARSE SAND & COARSE GRAVEL ae COARSE SAND & GRAVEL Cows aac. COARSE SAND &GRAVEL fieons FINE SAND or orescue SAND & COARSE GRAVEL SAND & COBBLES 28Sone woocmssacar SAND & GRAVEL W/COBBLES & SILT Coe oan Coos COARSE SAND &SMALL COBBLES BROWN BROWN BROWN oiBROWN aGRAY aGRAY aGRAY GRAY aGRAY SaGRAY CLAY REMARKS vor SOUTH WELL N0.1. WELL SEALED 11-04-2004 BY 91686 CARL CONRAN srr ORIGGJAL USE PC -COMMUNITY SUPPLY GRAY Well Depth Depth Completed Date Well Completed 1380 ft. 163 ft. 161ft. 09/0211994 Calc from DEM (USGS 7.5 min or equiv.) orien Hardness Lauto llJlJJ prom 1| eTIweat garcyrets 0 ve Ove From To 5 3 [coer stator cen) rs storm tenet 0 3 3 8 D0 [Ox wean 8 17 17 29 3i dI ee= ToEr 29 42 42 47 Drilling Fluid Water Well Hydrnfractured? From Ft. to Ft. Use Abandoned Status Scaled DYes 0No Casin~ Type Steel (black or low carbon) Joint No Infonnation Drive Shoe? D No Above/Below ft. Casing Diameter 16 1n. to 121 ft Weight lbs/ft Hole Diameter ve DYes wow MEDIUM wow MEDIUM 47 57 24 1n. to 122ft lbs/ft 57 60 5s 60 65 Open Hole from ft. to ft. i} [Sherr 65 79 Screen YES Make JOHNSON Type stainless steel 79 92 92 97 Diameter | % _-- 97 102 12 w wld 3 Fhe 102 107 12 107 110 Slot/Gauze 70 40 Length Set Between ft and 162 ft 122 ft and ft To 1 110 112 112 118 118 122 Static Water Level 122 127 18 ft. from Land surface Date Measured 09/02/1994 127 129 129 132 PUMPING LEVF,L (below land surface) 22 132 137 61 ft. after 6 hrs. pumping 1500 g.p.m. Woe 137 140 12 wos cma 140 145 Well Head Completion BST 145 148 Pitlcss adapter manufacturer Model EE D 0 148 151 151 157 Casing Protection 12 in. above grade 18 0sr iment Neth misc) 157 163 D At-grade (Environmental Wells and Borings ONLY) Crates conc Bye On 163 163 Grouting Information Well C'rt"outed? 0 Yes D 1\o Gort eons Grout Material Neat Cement fn own from 0 to 121 ft CT164 bags ad Mt Dnt JN CNN Located Minnesota Department of Health Unique Number Verification Information ome etn lei ne asco from owner Sten UT rss 3557 4 0s System UTM- Nad83, Zonel5, Meters Method IJigitization (Screen)- Map (1:12,000) Date 02/23/2000 X: 355377 Y: 5263125 First Bedrock petegsyy Doieane 0 Last Strat Clay-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedl'ock ft. CountyWelles orn Ror County Well Index Online Report re Nearest Known Source ofContantination _feet - direction _type Well disinfected upon completion? 0 Yes D No Tome 0 ot mtd Dac btn Pump D Not Installed Date Installed 09/0211994 Nnt edCOLES Sid enh HLL 12 tess Manufacturer's name GOULDS Model number 14RJLO liP ]j_ Volts 450 ro Coe oe i Length of drop Pipe ft. Capacity 1500 g.p.m Type Turbine Material dredWek os opty ns mm cc lo? vor Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes o. 0 No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification TrautM.j. Well Co. 71536 TRAUT T. icoos nme Lc rkepNo mcf License Business Name Lie. Or Reg. No. Name of Driller sisi I 547514 Yes D No Pr1nted 6125/2008 HE-01205-07 file: /IIII/1,1PCAI! Working/A0081-1 00%20-%20PFC%20Foam!R.. manes/Bemidjii\:Vell%20Log%20Report%20-%2000547514.htm6/30/2008 3:47:38 PM 22222222.11110033 SSTTAATETE0_208282222006600 Well Log Report- 00547515 ECEth Minnesota llnique Well Nn. 547515 County Quad Quad ID Beltrami Peterson Lake 329C RTeAt Bake atecsons MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimresota Statutes Chapter 1031 =iil Entry Date Update Date Received Date 01/08/1999 05/06/2005 Welll'\ame BEMIDJI 2 Township Range Dir Section Subsections J1evation 147 33 w 31 BDABDB Elevation Method 1379 n. Calc from DEM (USGS 7.5 min or equiv.) Well Depth 148 ft. Drilling Method Cable 'lool Depth Completed 148ft. Date Well Completed 10/16/1994 Well Address BEMIDJI MN 56601 spans Geological Material :FILL SiSAND oe an Color goBROWN EE BROWN Hardness MEDIUM Drilling Fluid I Water Well Hydrolractured? DYes D '-lo r rom Pt. to Pt. Use Abandoned Status Sealed ponFrom To mmr=e 0 6 Casing Type Steel (black or low carbon) Joint Welded Drive Shoe"! 0 Yes D Seo 6 24 No Above/Below ft. Svar SAND & GRAVEL SAND SILTY CLAY Seow BROWN BROWN BROWN MEDIUM Gog 24 27 27 30 30 32 nese Casing Diameter 24 1n. to 98ft or Weight lbs Itt Hole Diameter MED SAND & COARSE GRAVEL BROWN 32 35 16 1n. to 104 tt lbs Itt saSCnALAoNYD. & GRAVEL COARSE GRAVEL esa MED SAND & COARSE GRAVEL SAND COARSE SAND & MED GRAVEL CEE COARSE SAND & MED. GRVL W/LG ROCKS Shao CRS SAND &CRS. GRVL W/LG ROCKS RGBRROAOYWMN BROWN EEBROWN BROWN BROWN BrGRAY aGRAY owMMEEDOIUWM MEDIUM 5325 85652 Open Hole 65 70 Screen YES Blame 70 73 73 75 Diameter 75 87 12 5b 87 90 i: 90 98 omoun from ft. to ft. Make JOHNSON Slot/Gauze 40 en samme Type stainless steel Length Set Between 40 104 ft and 144 tt VERY COARSE GRAVEL GRAY 98 102 MED SAND & COARSE GRAVEL LST COARSE SAND &COARSE GRAVEL SAND &COARSE GRAVEL VERY COARSE SAND & VERY CRS. GRVL MED SAND &CRS. GRAVEL GRAY =GRAY GRAY GRAY GRAY oom] 102 104 104 107 Static Water Level 107 109 18 ft. from Land surface Date Measured 10/16/1994 109 114 PUMPII'\G LEVEL (below land surface) 114 117 ft. after hrs. pumping g. p.m. Sho Shwee. VRY CRS, SND & VRY CRS GRVL WIRKS VERY COARSE GRVL W/MED SAND VERY COARSE GRVL W/MED SAND COARSE GRAVEL & COARSE SAND FINE SAND & MED SAND W/GRAVEL &CiGRAY GRAY GRY/BRN GRAY GRAY B 3 fi Dee smee BWrshoe 117 122 122 127 Well Head Completion 127 130 Pitless adapter manufacturer Model 130 132 132 138 D Casing Protection 0 12 in. above grade MED SAND WIGRAVEL GRAY 138 145 D At-grade (Environmental Wells and Borings ONLY) me FINE SAND REMARKS NORTH WELL N0.2. Grong tormaton Wal Gronest @ ver Io GRAY 145 148 Grouting Infonnation Well Grouted? 0 Yes DNo wk se ey WELL SEALED 2-20-2003. BY NORTH WELL SEALED 02-20-2003 BY 49588 SnTAyR ' DRILLING H-198594. Gat Grout Material NNoetat CCeamretnt ofromm 0otoo91hft 114435 bbaogs ORIGINAL USE PC- COM:VillNITY SUPPLY et rin Located Minnesota Department of Health Unique Number Verification Information from owner TT System UTM- Nad83, Zonel5, Meters e85e |EE Method GPS SA On (averaged) Date N!A vos [Rtsems Bye X: 355475 Y: 5263433 Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? 0 Yes 0 30 D No Pump D Not Installed Date Installed La engPhiee t0 Cy pe p Tipe Nn oi h1anufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Nxo BS0 Yes County Welder one Rapa First Bedrock Last am Strat Sand-gray Sar a Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D WPII Contractor CPrtification Traut M.j. Well Co. sists License Business Name 547515 71536 TRAUT T. Lie. Or Reg. No. Name of Driller I Yes D No Printed 6125/2008 HE-01205-07 file:/IIII/11PCA/! V.jorking/A0081-l 00%20-%20PFC%20Foam!R... maries/Bemidji!Well%20Log%20Report%20-%2000547515.htm6/30/2008 3:47:3 7 PM 222222.111104 STATE_02822061 Well Log Report- 00549969 549969 Q~Q:uu:i:atym II II lMvifinnnneessoottaa= UUnniqiquuee) WWel elNl eNo. County 549969 ~-==================~- QuadiD aamiake BBeelltruammii Peterson Lake 329C WN TORR TORFRT Well Name LOREN, ROBERT Towmaip Rang iSectionSubsections Elevation Township Range Dir Section Subsections Elevation 1M47 7333 wOW 331 AABBDD EElelevvaattiioonnMMetethhoodd DDEEPPAARRMTTSMMIuNEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WELLAND BORING Upduebwie Oly WELL AND BORING RECORD ReconedDac RECORD MioSmescCshpttr1e31 Minnesota Statutes Chapter 1031 EEnnttrryy DDaattee. Update Date Received Date i 01/0n1/1s 980 01/03/2005 WN Deph DepComedie WeCoed Well Depth on os ws avis 1380 ft. 108 ft. FOV TLL (C(UaSlcUGfSro7S7m..55DGmmiEinMnSoorr |U D~rlilllllinn!g! lVletMnetOhod on) equiv.) Depth Completed 108ft. Non-pecifed RntRo~tarrvy Date Well Completed 03/24/1995 Beto DrDirlillliinngg FFlluuiidd. Bentonite Fon 1 10 Ty WWelelll HHyyddrrooffrraaccttaurreedd?? [DJYveess 0D Nnoo From Ft. to Ft. Use Domestic Caine Type Pate Jom Gd Drvestoe? Yer Casing Type Plastic Joint Glued Drive Shoe? 0 Yes D oon No Above/Below ft. Coning Diameter Weight ols Diameter Casing Diameter Weight Hole Diameter sab sn Wen eee 0h 4 in. to 96 ft. 1.87 lbs.lft 8.3 in. to 30 ft. oznn 101 6.25 in. to 108 ft. fm orm re] Open Hole from ft. to ft. Sheer VFS Nake COOK Tope ST Screen YES Make COOK Type stainless steel |GGeeoolologgiiccaall MMaateterriiaall pies Com papas from 10% " TE meen SAND car Ga ow mw CLAY pres a Son won SAND Cavmosno Gn ew 7 9 fer CLAY AND SAND TToOrNINsGheLE1V3EL4(io piTn s25rgin SSANeD CCoolloorr BROWN GRAY GRAY GRAY YRELLw OW HHaarrddnneessss SOFT MEDIUM SOFT MEDIUM EMEoDIUmM FFrroomm 0 49 67 72 s93 TToo | DDiiaammeetteerr 49 2 67 SSlloott/iGGaauuzzee 12 LLeennggtthh SSeett BBeettwweeeenn 12 96 ft. and 108 ft. 72 93 Static Water Level 110088{1122 f0t ffrroomm LLaannddssuufrfaaccee DDaattee MMeewassiurroedd 00/3/2244/111999955 PUMPING LEVEL (below land surface) 108 ft. after 120 hrs. pumping 75 g.p.m. So REaanrs GWiO0raecolsnuletsmentdggewerCooormmpmclvaeitittmoioonmnseWne0sllMWGO1re2No1Is0lTaenssOtR?oon1esMmveOkrNLY01) no NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model D Casing Protection D 12 in. above grade D At-grade (Enviromnental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No LoBt Co So Wp rssh veo) Gott ostCaren knToD do Located Beltrami Cty. Soil & Water Cons. Disl. UniqueNumer on Nae SrCora Unique Number VVeerriiffiiccaattiioonn IInfnorfmoatironmfrfaroomtmoiowwnoennerr Grout Material: Neat Cement Method GPS SA On (averaged) from 7to30ft. DDaeateN/A 52N5.e2a_frfeeeetstt KYWn_!od_widvnierSceotctiuioorcnne oSSfeepCrtotinctttaaarmnkk/ind/draartaiinionfnifieekldd_ttyyppee 4 bags (SSyyswteemm UUTTMM-N-eNaaldl833., ZZoonneells5,, levfertesrs XXo:: 335560108835 YV:: S52N62I8122 WWeellllddiissiinnffeecctteedd uuppoonn ccoommplpelteitioonn?"? 0 YYees OD NNoo Pun 0 Noted Du old 03331995 Pump D Not Installed Date Installed 03/24/1995 Mimipacne s COULD. Mode amber SLED Manufacturer's name GOULD Modelnumber48LE30 _ HP l_ Volts 230 Targhee pes. Copa 20 gpm Length of drop Pipe lill_ft. Capacity 7Q_g.p.m 1 Sumer Moi Type Submersible Material Romdone Wel Toes pope Fey So er Te Abandoned Wells Does property have any not iu use and not sealed well 0 Ove Bn (s)? D Yes 0 No Variance Wes vats grad fo eH or et 01 Variance Was a vmiance granted fiom the MDH for this well~ D be On Yes D No CA Wig AL 0120 Cl. Bel hg 2 COS ARSE file:///li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa...ies/Bemidji/Well%20Log%20Report%20-%2000549969.htm (I of2)6/30/2008 3:47:38 PM 222222.111105 STSTAATTEE0_208282222006622 Well Log Report- 00549969 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Bradscth Well Co. 04527 BRAD SETH ~ License Business Name Lie. Or Reg. No. Name of Driller 549969 I Printed 6/25/2008 HE-01205-07 file:///li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa... ies/Bemidji/Well%20Log%20Report%20-%2000549969.htm (2 of2)6/30/2008 3:47:38 PM 22222..11106 STATE_02822063 Well Log Report- 00564264 _NMoimnneesotaUUnniqtue KWeill Noo. 564264 =. = cCooump1etyy Bpeeltraamni QQuuaadd PePteetrerssoonn LLaakkee Quad ID 329C Well Name BEMIDJI POTATO Township Range Dir Section Subsections Elevation 147 34 w 25 BDAD Elevation Method SLR MMIINN-N"EESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH "WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 Sd, EEnnttrryy DDaattee. U{p;pddaattee DDaattee. Received Date 0077/11001/1999985 0055/00062/2000085 1386 ft. Calc from DEM (USGS 7.5 min or equiv.) Well Depth 119 ft. Drilling Method Depth Completed 119ft. Rotary Date Well Completed 05/08/1995 Drilling Fluid Btmlonite IWell Hydrofractured? DYes D No I'rom I't. to I't. Use Abandoned Status Sealed i Aswilll Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 12 in. to 99 ft 50 lbs/ft 18 in. to 119 ft Sstteh Geological Material SAND SANDY CLAY SANDY CLAY Peso SAND FINE SAND SAND SAND Sobor Color BROWN GRAY BROWN Tom BROWN BROWN BROWN GRAY MHaarrddnneessss SOFT MEDIUM MEDIUM vou MEDIUM MEDIUM MEDIUM MEDIUM a VOI REMARKS WELL SEALED 04-20-2001 BY 49588 ORIGINAL USE IR- IRRIGATION - FFrroomm 0 28 38 FI53 78 95 100 EOpeL n Hole from ft. to ft. Screen YES T70o [Daiammeteeterr 28 38 12 SotGaute Length SetBetwoon Make COOK Type stainlt:ss slt:d Slot/Gauze Length Set Between 70 20 99 ft and 119 ft 53 78 95 Static Water Level 100 11 ft. from Land surface Date Measured 05/08/1995 119 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Di sprmito TOMEAD Vol Well Head Completion Pitless adapter manufacturer TOPHEAD Model D0) CCaassiinngg Pprrootsescttiionn 0 1122mi.n. asbhoovveeggrraaddee. rosin norman Wel Goer B ver Ov DD3 AAtv-pgrraaddee ((EFanvviirroonnmmeennitaall WWeellllss aanndd BHoorriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D 1\o GGrorouuttMMataeterial BBeenrttoonnitee ffroomm 001to033001ft 0 Located Beltrami Cty. Soil & Water Cons. Dist. Unique 1'\umber Velification Tag Sytem on well System UTM Noh UTM-Nad83, ZelS. Zone15, Meters Method IJigitization (Screen)- .Vlap (1:24,000) Datcrs e 02/07/20x.05 sagem X: 354075 Y: 5264977 Nearest Known Source of Contamination - otfeet Well d - i s stupor direction _t intected upon onpioir ype completion ? @0 veYes D Pmnp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.pm HPQ_ Type xNoo Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDII for this well? D No Yes D Well Contractor Certification Traut S.m. Well Co. 21535 NEYENS J sors License Business Name 564264 Lie. Or Reg. 'lo. Name of Driller I Pnnted 6/25!2008 HE-01205-07 file://ili!MPCA/1 Working/A0081-l 00%20-%20PFC %20FoamiR...maries!Bemidj i/Well%20Log%20Report%20-%20005 64264.htm6130/2008 3:47:3 7 P\A 222222.111107 STATE_02822064 Well Log Report- 00564764 Q~:u:~etym lMvfiinnnneessootatUaUninqiqu.ueeWWelelll NNoo. County II 556644776644 IIQuad ~-==================~- QuadiD 0BBeellttrraammii BBeemmididjjii WWeesstt 302B TRE ATT ROY Well Name PLATT, RODNEY ovnaip RangeDirSection Subcom lation Township Range Dir Section Subsections Elevation 1H4e6 3344 wOW 22 iA\AADD EElleevvaattiioonn MMeetthhoodd MixvEsoTs MINNESOTA DEPARTMENT WHEEAALLTTHH aOdF W`WEELLLL AANNDD BBOORRIINNGG RECORD ReceivedDre RECORD MinceSotutesChapter Minnesota Statutes Chapter nt1031 EEnnttrryy DDaattee UUppddaattee DDaattee Received Date 1122/72200/11999955 0011/60162/2000055. Depts Deh Complete Wal Copied Well Depth Depth Completed wn po an pr 13go ft. 64ft. 64ft. cannon | (C(UUaSSlcGGfSSr7o7.m.55DmmEiinMnoorr | DPirillliinnggMMetethhoodd 1N'-.on-sp'ecified RRoottaarryy Date Well Completed 06/10/1995 equiv.) Romie DrDirlillliinngg FFlluuiidd Renlonile Fon Tt 14 WWelelll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D Nnoo From Ft. to Ft. Use Domestic CainsType Pate JuitNoleorution Deveshoe? OJ You Casing Type Plastic Joint No Information Drive Shoe? DYes No Amon 0 No Ahuve/Belu~ ft. Casing Diameter Vien File Damar Casing Diameter Weight Hole Diameter tan wn Jere 4 in. to 60 ft. lbs./ft. 6.75 in. to 64 ft. -- Well Address aor a CINDY LA rite BEMIDJI MN 56601 Op TT Open Hole from ft. to ft. Sheen 15 NAR TOTON To Soe Screen YES Make JOHNSON Type stainless steel Dameter SiotGauze Length SetBetween Diameter Slot/Gauze Length Set Between Sao |GGeeoolologgiiccaall MMaateteririaall SAND wom SOFT CCoolloorr BROWN HHaarrddnneessss SOFT oa FFrroomm TToo| ?2 0 64 12 4 4 6H1 eft. mande6i4 nft. Sew Te Static Water Level Toh Lom teh Messed 15 ft. from Land surface Date Measured FUMING EVEL (oir Fond aro) PUMPING LEVEL (below land surface) 50" ater te pang 10 5 50 ft. after 60 hrs. ptunping 10 g.p.m. Well HesdCompletion Well Head Completion Pies st matoss Ml Pitless adapter manufacturer Model 00A1598 06/10/1995 vo nears NO REMARKS 0D CCaassiinngg PPrrootteeccttiioonn 0 1122iinn..aabboovveeggrraaddee 3 vga mmc Wels ad Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Grosing rman Wall Grooetr Yer Ovo Grouting Information Well Grouted? 0 Yes D No Located Blin C5 So05 CCLoononscs.a. tDiesdits.t.Beltrami Cty. Soil & Water Uniaue NumberVeriton NA Unique Number Verification N/A Sym UTM Nt, Zonet Mrs System UTM- Nad83, Zonel5, Meters Gtr Bane foun Grout Material: Bentonite from 8to30ft. spd GPS nO verge) Method G' PS SA On (averagaed) Date Nin TTT DateN/A X. S502 Vo 330799 | 50 it NorFast econ Sepnn ide X: 353102 Y: 5261799 Nearest Known Source of Contamination 2Q_feet North East direction Sej)tic tank/drain field type 2b 2 bags WWeellllddisisiinnffeecctteedd uuppoonnccoommplpelettiioonn?? 0 YYees OD NNoo Pun 0) Notts Due raed Pump D Not Installed Date Installed Nicest name. Mode mbet_ HP Vols Manufacturer's name Model number - LonguphPagoe f Copy gp Tf: Motel Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Roamdone alls oe rors Be FT oo ot TT Abandoned Wells Does property have any not in use and not sealed well Variance is avin sad omte MH for, 0) (os)r? 0D YYeess 0 NNoo Variance Was a variance granted from the MDH for this well? D Yrees DO Nnoo le TAC fing AS10F3TC004m fh SL Ree 3 LSTbnA 6300837363 file:/i/II/MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa...ies/Bemidji/Well%20Log%20Report%20-%2000564764.htm (I of2)6!30/2008 3:47:36 PM 22222..11108 STSATATTEE0_208282222006655 Well Log Report- 00564764 FFiirsstt Back Bedrock Aquiter Aquifer foLast Strat Se Depth to Bedrock ft CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt el Contractor Cericaton Well Contractor Certification Agua Well Drilling License Busiess Name Lic Or Reg. No. Nn of Drills License Business Name 564764 I 564764 04463 PLATT R. Lie. Or Reg. No. Name of Driller Printed 6/25/2008 HE-01205-07 MPC A340. Wel 0 oe HULAGT in 2 3630303 736A file:/i/II/MPCA/!WorkingiA0081-100%20-%20PFC%20Foa...ies/Bemidji/Well%20Log%20Report%20-%2000564764.htm (2 of2)6!30/2008 3:47:36 PM 22222222.11110099 SSTTAATTEE__0022882222006666 Well Log Report- 00579729 G~:u:~itym lMvfiinnnneessoottaa UUnniiqquuee WelWell NNoo. County II 557799772299 IIQuad ~-==================~- QuadiD BBeellttrraammii BBeemmididjjii WWeesstt 302B Ee TRO TC Well Name JOHNSON, BUCK omRan s Dir i ection Sabvction letin Township Range Dir Section Subsections Elevation 1M466 334 wW 22 AADDAABB EElleevvaattiioonn MMeetthhoodd [-- MINNESOTA couenamontMinioR|;nyESreCeolOehDRespDtCshap Be oCnRoeecnddbuDee tWaCtompact 13go ft. DEPARTMENT WHEEAALLTTHH aOdF W`WEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 EEnnttrryy DDaattee UUppddaattee DDaattee Received Date 0022/5275/11999977 0055/00557/22000055 Well Depth Depth Completed Date Well Completed 47ft. 47ft. 08/19/1996 (C(UUaSlScGGfSSro77m..5SDmmEiiMnnoorr | DDrriilllliinnggMMetethhoodd 1N'-.on-sp'ecified RRoottaarryy equiv.) oie DrDirlillliinngg FFlluuiidd Renlonile Fon fe WWelelll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D NNoo From Ft. to Ft. Use Domestic CaCsaisinnggTTyyppee PPllaassttiicc JJooiinntt NNooInInffoorrmmaattiioonn DDrriivvee SShhooee?? [DJYveoss We Adress Well Address R260, RR2BOX45 En BEMIDJI MN 56601 eocgcatamral Geological Material waeSAND oSAND awCLAY Soo mocur SAND AND CLAY woSAND Color arness Color mfoorom sor BROWN GRAY GaoGRAY Gos GRAY Gv sn GRAY Hardness SOFT SOFT SOFT SOFT SOFT 0 NNoo AAhbouvvee//BBeelloun~w fftt. Coun Dieter Casing Diameter Tan ot 4 in. to 43 ft. Vlg Weight walbs./ft. Tole Dimer Hole Diameter eran 01 6.75 in. to 47 ft. pT TE ET Open Hole from ft. to ft. Sen I ESC Toe Tee Screen YES Make WESCO Type stainless steel From To|p suse . From To Diameter o afm Sgn Sw 0 7 2 7 18 Slot/Gauze 12 ow o n 18 31 wow 31 40 @ [mw 40 47 Static Water Level Length 4 Set Between 43 ft. and 47 ft. 10 oe imate evar avionsns 15 ft from Land surface Date Measured 08/19/1996 FONFING LEiVnEiLc PUMPING LEVEL (below land surface) EN snr bo poping 0 gpm 25 ft after 60 hrs. ptunping 30 g.p.m. WelHsd Complain Well Head Completion Pcs manta Motel Pitless adapter manufacturer Model vo Reaanrs NO REMARKS Located lini. 518. Method Din Son Mo Located Beltrami Cty. Soil& Method Digitization (Screen)- Map Won hr Water Cons. Dist. (1 :24,000) Une Number ie oso: Unique Number VVeerriiffiiccaattiioonn NN//AA heDate 05/S05X/2005 soem UN suv sz System UTM- Nad83, Zonel5, A1eters X: 353030 Y: 5261878 0D CCaassiinngg PPrrootteeccttiioonn 0 1122iinn..aabboovveeggrraaddee `Growing Inormation Wel Grout? 8 ves 0 vo 0D AAvt-ggrraadede(En(EvnivriornomnmeennttaallWWelelllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grats sent Grout Material: Bentonite nnn from 8to30ft. 2h 2 bags eraSo Cama N1100e00a_rfefeseetettKnEE_o.w_dndiirrSeeocctutiiroocnne oSfSeCepQtoitniccttataamnnkikin/ddarrtaiaioinnn tield tfiyeld_ptypee. wet tnisttopooopionr B ves 0 to Well disinfected upon completion? 0 Yes D No g oioet gt CMopoydpetr HTIeF VoMler PPuummpp 0D NNoottiInnssutalllleedd DDaatteeInInssttaalllleedd Manufacturer's name Model number - Length of drop Pipe ft Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (os)r? 0D YYeess 0 NNoo. `VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntteedd ffrroommtthhee MMDHHffoorrtthhiiss wweetll?? [DJ [rYeess 0 NNoo file:/i/II/MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa... ies/Bemidji/Well%20Log%20Report%20-%2000579729.htm (I of2)6/30/2008 3:47:36 PM 222222.111110 STSATATTEE0_208228222006677 Well Log Report- 00579729 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Agua Well Drilling 04463 CESOLINI, C. License Business Name Lie. Or Reg. No. Name of Driller 579729 I Printed 6/25/2008 HE-01205-07 file:/i/II/MPCA/!WorkingiA0081-100%20-%20PFC%20Foa... ies/Bemidji/Well%20Log%20Report%20-%2000579729.htm (2 of2)6/30/2008 3:47:36 PM 2222.11111111 STATE_02822068 Well Log Report- 00590872 IM'vifmmnoesotaUUnnitque VWellNNo. 559900887722 ZB ud CCooutnyty Quad Quad ID BBeeltrbamei PPeetresrsoonn LLaakkee 329C rm. MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD. Jl11nnesota Statute., Chapter 1031 EUEnpntdtrrayyteDDaDatateete Update Date Received Date 0506 205 o04/1n7/1e997 05/06/2005 Well Name l:lEMlDJl TW. Township Range Dir Section Subsections Elevation 147 33 w 31 BDCCBB Elevation Method 1385 ft. 7.5 minu!t: topographic map (+/5 feet) Well Depth 172ft. llrillim.- MPtho<l Depth Completed 167ft. Rotary Date Well Completed 12/06/1996 Drilling Fluid Bentonite IWell Ilydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Well Address BEMIDJI MN 56601 GGeeoollooggiiccaallMMataetreiriaall TOP SOIL SAND-FINE SANDY CLAY aSANDY CLAY SANDY CLAY SASSAANNNODDYY-FCICNLLEAAYY BE SAND & GRAVEL SAND & GRAVEL =CLAY cCoolloorr BLACK BROWN GRAY =BROWN GRAY i BROWN GRAY =BROWN VARIED &GRAY HHaarrgdnneessss 0 Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 08 Nvoo AAbboovre/oBieloonw f0t.. DYes Casing Diameter Weight Hole Diameter 12 in. to 122 ft 49.56 lbs/ft 17.5 ln. to 170 ft FFrroomm TToo [pOpmen Holefmww from ft. to wTft. 0 1 Screen YES Make JOHNSON Type stainless steel 1 32 32 34 Diameter Slot/Gauze Length Set Between 1 1% SEE 34 38 12 60 ft and 167 ft 38 47 12 45 122 ft and ft & 7, [Fewer od 47 52 52 67 i: 67 122 Static Water Level 122 168 16 ft. from Land surface Date Measured 12/06/1996 = 3 168 172 PUMPING LEVEL (below land surface) a 82.7 ft. after 24 hrs. pumping 1330 g. p.m. LOD REMARKS TEST WELL PULLED & GROUTED. ORIGINALUSE WFT.L SFALFD ORIGINAL USE TW - 12-06 TW- TEST -1996 TEST WELL RY 916 WELL 8 6 Well Head Completion Pitless adapter manufacturer Model DDOlcuCsaisningg PPrrootwescitioonn B0 1122in. baboowvseggrraaddee rng ornate Grant? B ver Ov D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No GGruoutt Mtaeteanatl tori Bentonite wmfrom 000to 28 122 ft 1122 tbaogns E ctl Nians sts DT. gion Sco (2400)| ee RwSr TC,0 Located Minnesota Department of Health Method Digitization (Screen)- Map (1:24.000) Nearest Known Source of Contamination Unique Number Verification Other. - feet - direction _type note in remarks DateN/A Well disinfected upon completion? Yes D No System UT1\If- Nad83. Zone15. ET Meters X: 355234 Y: 5263193 ve Pump D Not Installed Date Installed Lenchoriophp0e Manufacturer's name Length of drop Pipe ft. Copgpe Model number - Capacity g.p.m Te HP - Type nis Volts Material AAbaarnddaonneedd WWeellllss DDuosess pprrooppeerrtyyhhaavvee aannyy nnott iinnuusssesaendd nnoott sseeaableedd wwieklli(ss)?? 0D Yes 0 No Variance Was a variance granted trom the MDH for this well'' D Well Contractor Certification Yes 0 "Jo CEE First Bedrock Last Strat Clay-gray Aquifer Quat. Buried Artes. Depth to Bedrock ft. County Well Index Online Report Aquifer 5s908o72 L.t.Q. Enterrrises Inc. License Business 1\ame 91686 SACAZAR.B. Lie. Or Reg. No. Name of Driller I Printed 6/25/2008 HE-01205-07 file :i/IIIIMPCA/1 Working/A0081-l 00%20-%20PFC%20F oam/R ..manes;Bemidji1Well%20Log%20Report%20-%2000590872.htm6/30!.2008 3 :47:36 PM 222222.111112 STATE_02822069 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY BBllaacckkhhoooo!f B1Bl7laa5cc7kkhhVoaooloflfeFFyiivrreieeDDweeRppoaaratrdtmmenetn.t Bamum, UN 55707 1757 Valleyview Road Barnum, MN 55707 2RR1oo8yy-cc3ee64LLa-at4tut9u,6,3FFiirree CChhiieeff Toyoe attu@msn com 218-384-4963 royce.lattu@msn.com TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerr trraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 33114488 CCoouunnttyy RRooaadd 55,, BBaarrnnuumm FF--550000bbyy HHaazzaarrdd CCoonnttrrooll TTeecchhnnoollooggyy ((HHCCTT)) S`Seemmii--AAnnnnuuaallllyy aassooff FFaallll 22000077:; nnoo ffooaamm uusseeprpiroiorrttoo FFaalll 22000077 LLeessss tthhaann 55 ggaallloonnss. GGrroouunndd HHCCTT FF5-50000::2g2aglallolonnss. EElllssttroomn LLaakkee llooccaatteedd aapppprrooxxiimmaatteellyy 11//33 mmiilee nnoorrtthwweesstt AApppprrooxxiimmaatteellyy 111/33 mmiilee wweesstt LLeessss tthhaann 11/44 mmiillee ssoouutthwweesstt NNoonne wwiitthiinn 11 mmiillee 7 7 22222222.41111133 SSTTAATTEE__0022882222007700 bse | USI sadn bsg Tg BBLLAACCKKHHOOOOFF CCWWII WWelelll MMaapp Et So Tee te Beare COT ETT GeerYale | wee Le ROGETDET ail roiled Ties Ale ato CO CME rl fe ieEa patil 2 fEoh 50 Cobol SRE STHE m eye Tae Eh ead STeR SIAL PRR Ne RE ena om al Sid aie mana Rom VEE] ee u g SEeat R Een B Se S RAxRREleenSwLeean Ca 1 Ck o ERNRa SdLETERyTyo me Cia HE 2 PRWE RT e ReAG S AeeSpyAoDeTeSagR ageny , I Coek EeAlN inRMRS aed A ed FaeleTyE i SHE EERRoSt ih Ta ati0n Sa NER, Fmeo)l SEssh BE Wel EVe E mYo ASeE J EeEER at hRe a a smea Leeytal d SEERawaeren EiNa TO(et A TE REEL ey SEALE seldfl, 7H tuo he aEgeAGLEeTeERS gresed BEEANALweK! HoFAO all bl miweal UR Ya Mertens, mame Comey a | ge fn 222222.111114 sSTaArTeEo_a02s822200m71 | 9 | | I BBllaacckkhhooooff WWhhatat''ssIInn MMyy NNeeiighgbhobrhoorohdoMMoaadpp | | E oh Ee [| [ i i i ao a | 2 \ | |1 I enn SITE nt || 1|| ||| 3| || i ||| 11 || A | mands || = DFoedmsamomSaewpaaos rn Disclaimer: Map and site information is believed to be accurate but accuracy is not guaranteed. No portion | i | gemaracene of the information should be considered to be, or used as, a legal document. The information is provided aT eras | | em subject to the express condition that the user knowingly waives any and all claims for damages against |e wr MPCA that may arise from the use of this data. SSiitteess. Dt:~ !lfbiM &u~rka 8\i rta:mm<J!iOOOWEN '"'n,wm~Dn!Jif Nrn/I.F" | ---- mate: !UJI'frhmd CmQL!l | 6Fo~donrall Q!lulpuo~rrfftu.nudd || @Minnesota Pollution Control Agency | | vou mcrae S&twm:CCot'oJosoadLLaJinnadiiUI:i! Votunlllr~ 1"rwe519a"lkol'i .f.. CIOCUWift' oRoRATSDFries .... ltCRA1Hli f'clcill:lk63 REltCRRAA.I~n~vkecsotiDg~&aCCh~tIrIiaIWro,u:ntp' oS..t.. &tnJ ~rrnno: 222222.111115 state_o2s22072 STATE_02822072 a 3Se 1 Ww Ee ne i oh |) :.+ BF L1 lno , mh H {EI S nele G| VH e 2 al | i EE Blackhoof Wetland Map EY 2222.1116 i Bhilai ol I Pr ny WN gEY o &1 AP AR 2 Ls |. No eo ge : JE 4,0 BULL. .... "w' "z ' Legend ;;' Interstate Major Roads [I Other Road ;;' Interstate ,..v State highway ~US highway "' Roads .... .w... Cities r USGS Quad Index 24K z Lower 48 Wetland Polygons dl - Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine ;5 Lower 48 Available Wetland Data Non-Digital Digital "'.... No Data w Scan w z NHD Streams Counties 1OOK States 100K o South America o North America UC edd afd i ;3 P| [i 4i = ii fr it w w 92-34W 92-33W 92-32 92-31 $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 : Map center: 46 33' 48" N, 92 32' 27" W 3 Scale: 1:39,044 N 00 N N 0 '-I w :: Well Log Report- 00177611 177611 A1innesnta Unique W 177611 e l l N o . mt" County Quad Quad ID Stn Carlton Atkinson 225D "WELL AND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 jroo] Entry Date Update Date 08/14/1991 02/06/2006 Received Date Well Name SWANSON, DARREL NT UDDCCA Demon Neth Townlrlp Range Dir Section Subsections Elevation 47 17 w 7 BDDCCA Elevation Method [ST 1093 ft. 7.5 minute topographic map (+I- 5 feet) Well Depth Depth Completed Date Well Completed 90ft. EE -- Drilling Method Cable Tool 90ft. 05/07!1981 = Imee Drilling Fhrld Well Ilydrofractured? DYes D :\lo -- From Ft. to Ft. Use Domestic Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D 1\o Above/Below ft. Well Address 1265 5 HC S CARLiTONmMN o 55707 rasan Geological Material SAND COARSE SA~ID oan SAND & CLAY very Fre soo VERY FINE SAND FINE SAND Gots Color BROWN BROWN meow RED Fon Soft BROWN Hardness SOFT MEDIUM SOFT SOFT BROWN SOFT Casing Diameter 4 in to 90 ft Weight 10.5 lbs/ft Hole Diameter fou From 0 26 8 on 45 ro 70 TES Open Hole Screen YES To Diameter 26 2 45 70 80 sows from ft. to ft. MMaakkee JJOOHTNNSSOONN Slot/Gauze 10 80 90 Static Water Level tan sw T1} ype = stainless steel Length Set Between 4 86 It and 90 It 24 ft from Land surface Date Measured 05/07/1981 PI:MPING LEVEL (below land surface) 33 ft. after 24 hrs. pumping 12 g.p.m. NO REMARKS Pie pr monoay Well Head Completion Pitless adapter manufacturer Skt Model D Casing Protection 0 12 in. above grade D00 AAt-gvraede ((EEnnvviirroonnmmeennttaall WWeellllss aamndd DDoorirnigsnOgNsLYONLY)) Grouting Information Well Grouted? DYes 0 No Located Carlton Cty. Soil & Water Cons. Dist. Unique Number Verification N!A System UTM- Nad83, Zonel5, Meters Method Digitization (Screen)- Map (1:24,000) Date 04/14/2005 X: 534959 Y: 5157512 Nearest Known Source of Contamination !.!.Q_feet South West direction SeQtic tank/drain field type Well disinfected upon completion? 0 Yes D No Err PPuummpp D0 NNoott Iinnstaatlleedd DDoastee It nstalt led002l 5./1155!1e 1998811 Manufacturer's name PIONEER Model number Al212C Length of drop Pipe Z___ft. Capacity ll_g.p.m Type Submersible Material Plastic HPQ.j_ AAbbaannddoonneedd WWeelllss DDoocess pprrooppeerrttyy hhaeve aannyy anootiinnutseaannddnnootsseeaalleeddwweellll(ss)?? Volts 230 D0) Yes D No First Bed rock ivr Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer pe Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the :v!DH for this well? D Well Contractor Certification Klavu Well Co. 09323 KLAVU.E. License Business Name Lie Or Reg. No. Name of Driller 177611 I Yes D No Printed 6/25/2008 HE-01205-07 file:il!li!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R.. nes1Blackhoo1Well%20Log%20Report%20-%20001776ll.htm6/30/2008 3:50:37 P\A 2222222.41117 STATE_02822074 Well Log Report- 00414206 419206] A1innesnta Unique Well 414206 N n . oe County Quad Quad ID ie Carlton Atkinson 225D "WELL AND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 031 [ror Entry Date Update Date Received Date 08/14/1991 02/0912006 Well Name KOSKI, S1JE Townhip Range Dir Section Subsections Elevation 47 17 w 18 ACBCCB Elevation Method 1122 ft. 7.5 minute topographic map(+/- 5 feet) uso GGeeoollooggiiccaallMMataetreiriaall SAND CLEAN SAI~D Som CCoolloorr BROWN BROWN snHHaarrddnnesess.s SOFT SOFT 8fFrroomm ITo 0 61 61 67 Well Depth Depth Completed Date Well Completed 67ft. Drilling Method Cable Tool 67ft. 04/06!1987 Drilling Fluid = eI e D -- I -- Use Domestic Well Hydrofractured? DYes No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint TI1readed Drive Shoe? IZI Yes D 1\o Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 in. to 63 ft 11 lbs/ft Open Hole from ft. to ft. Screen YES Make JOIINSON Diameter 22 Slot/Gauze 1"2 es Type stainless steel Length Set Between 4 N 6S3 tft aHnde67sft Static Water Level 46 fl. from Land surface Dale Measured PI:MPING LEVEL (below land surface) 46 ft. after 1 hrs. pumping 6 g.p.m. 04/06/1987 NO REMARKS Well Head Completion Pitless adapter manufacturer Model D Casing Protection IZI 12 in. above grade D00 Atg-grraaddee((EEnevivroinnmoenntmalnWWetleallllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes IZI No ocdCoton Cy SHUT Located Carlton Cty. Soil & Water Cons. Dist. Unique Number Verification N/A System UTM- Nad/!3, Lnnel5, Meters pg itSn st M1240 Method Digilizalion (Screen)- Map (1:24,000) Date 04/1512005 X: 535160 Y: 5156118 Nearest Known Source of Contamination 300 feet L direction SeQtic tank/drain field type WWaellll ddiissiinnfeescttoedduuppoonnccoommplpelettiioonn?? IZI Yveos DOxNo 5First Bedrock frinpTE ok vies tld Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Pmup D 1\ot Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material D Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? fo OD no Yes No Variance Was a variance granted trom the MUH for this well'! D Yes D 1\o Well Contractor Certification deme gue MOD Schwock Well Co. 09116 NEGAARD, _12_ con ino Nani OR No Name rete License Business Narne Lie. Or Reg. No. Name of Driller iia I 414206 Pnnted 6/25/2008 HE-01205-07 file :IIIIIIMPCA/IWorkmglA0081-l 00%20-%20PFC%20F oam/R ..ries/Blackhoo1Well%20Log%20Report%20-%2000414206.htm 6/3012008 3:52: 14 PM 2222222.11111188 STATE_02822075 Well Log Report- 00469918 46918] Minnesota Unique Well 469918 Nn. oGnea County Quad Quad ID 5Sie Carlton Atkinson 225D Welll'\ame SWANSON. DARRELL ob ne tonto Township Range Dir Section Subsections Elevation ow 7 coos emote 47 17 w 7 ACCCAB Elevation Method sass Well Address soe 1257 5 CR ERwin CARLTON MN55718 WELL eANsD BSOeRINCGprRE1C1ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD ftfinne.mta Statutes Chapter 1031 Wreintnepe Entry Date Update Date Received Date ota 08/14/1991 02/06/2006 100 1. 1100 ft. Jes 7.5 minute topographic map (+/- 5 feet) Well Depth i40ft. | arta Drilling Method ' Depth Completed 40ft. Drilling Fluid ms ~rater Use Domestic IWell Hydrofractured? From Ft. to H. Date Well Completed oemh 10/1111990 DYes D No Casing Type Skd (black or low carbon) Joint Weld~d Dri~e Shoe? No Above/Below 1 n. IZI Y~s D Casing Diameter Weight Hole Diameter 6 1n. to 38 It 18.97 lbs/ft 6 1n. to It rT Sr ET Open Hole from fl. to fl. Screen YES Make JOHNSON Type stainless steel Geological Material SANDY LOAM Ee SANDY CLAY SAND & GRAVEL SAND & GRAVEL Color Hardness RED SOFT EE RED BROWN BLACK MEDIUM MEDIUM SOFT or NO REMARKS From To 0 8 Ti 8 12 12 35 35 40 Diameter 5 Slot/Gauze 15 Length 3.5 Set Between 38 It and 40 ft Static Water Level 10 fl. from Land surface Date Measured 10/11/1990 PUMPII\G LEVEL (below land surface) 30 fl. after 1 hrs. pumping 50 g. p.m. Well Head Completion RE eu Pitless adapter manufacturer Duin indvs D Casing Protection D Model 12 in. above grade 0 pre o Yeemd er 01. D At-grade (Environmental Wells and Borings ONLY) rosie tari 31st Ov Bn Grouting Information Well Grouted? DYes IZI No cond Co 1.5058 Cp ito Sr S121) Located Carlton Cty. Soil & Water Cons. Disl. oe Somerenn 3 te 405 ST Unique Number Verification N/A Sn UT No rN 84 3S TO Tre niS n mgtk B vo se no System UTM- Nad83, Znnel5, Meters Method Digitization (Screen)- Map (1 :24,000) Date 04/14/2005 X: 535224 Y: 5157563 Nearest Known Source of Contamination lQLfeet ~direction SqJtic tank/drain field type Well disinfected upon completion? IZI Yes D No FL ru SEetTs a CerPoOreEs rhay er Pump D Not Installed Date Installed 10/20/1990 1\1anufacturcr's name Model number - HPQ,l_ Volts 220 Length of drop Pipe _ft. Capacity 11_g.p.m Type Material Plastic Abandoned Wells Does propeliy have any not in use and not sealed well(s)? D Yes IZI No De mitt First Redrock Last Strat Sand & larger-black Dee Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. Variance Was a variance granted from the MDH for this well'? D Yes D No Well Contractor Certification bm ome ro Nome lr Sunnarborg Well Co. 09437 SUNNARBORG. C License Business Name Lie. Or Reg. No. Name of Driller County Well Index Online Report 469918 I Printed 6/25/2008 HE-01205-07 file: ///II/11PCA/! V.jorking/A0081-l 00%20-%20PFC%20Foam!R...ries/BlackhoofMTell%20Log%20Report%20-%2000469918 .htm6/30/2008 3: 52: 16 PM 22222222.1.11199 STSTAATTEE0_208282222007766 Well Log Report- 00530555 [s5e30s555s] i om A1innesnta Unique Well No. County Quad Quad ID A Well Name CHRTSTENSOJ\, ET J AREY Carlton Atkinson 225D MINNESOTA DEPARTMENT OF HEALTH ANDMORNG RECORD WELL AND BORING RECORD Sbiiail Minnesota Statutes Chapter 1031 ital Well Depth Depth Completed Entry Date oem, I Update Date Rass, Received Date 11/30/1993 02/07/2006 glint Date Well Completed FW 7 CAMAD Hlevwom Method Townlrlp Range Dir Section Subsections Elevation 47 17 w 7 CAAAAD Elevation Method [5 Elis 1097 ft. 7.5 minute topographic map (+I- 5 feet) 92ft. ET " p-- Drilling Method Cable Tool 92ft. 09/28!1993 JIee Drilling Fhrld Well Ilydrofractured? DYes D :\lo -- From Ft. to Ft. Use Domestic ete Casing Type Sled (black or low carbon) D 1\o Above/Below ft. Joint Threaded Drive Shoe? 0 Yes Well Address Casing Diameter 5 in to 88 ft Weight 15 lbs/ft Hole Diameter CARLTON MN 55718 Open Hole from ft. to ft. I Geological Material SAND SANDY CLAY SAND GRAVEL SANDY CLAY Ro. SAND & GRAVEL CLAY SILT Sone SAND FINE Color BROWN SE EDD Lowe som um samen BROWN BROWN BROWN wo 71 BROWN BROWN Som ERE Eri BROWN Hardness SOFT SOFT SOFT SOFT MEDIUM SOFT SOFT From 0 4 16 20 37 42 86 To Screen YES Make COOK Type stainless steel 4 Diameter 16 3 20 Slot/Gauze 10 Length 4 Set Between 88 It and 92 It 37 42 86 Static Water Level 92 22ft from Land surface Date Measured 09!17/1993 PI:MPING LEVEL (below land surface) 40 ft. after 2 brs. pumping 10 g. p.m. RI nen Well Head Completion Pitless adapter manufacturer .\WNITOR tt m0 Model PL50 D Casing Protection 0 12 in. above grade 0D0 AAvte-g(radEe (EnnvvironimerntaloWWelenlllssmaanmddeDDoornriinnggtssOOaNNLLYlY)) REMARKS 2 BAGS BENTONITE AROCND CASING WHILE DRILL!!\G. Grouting Information Well Grouted? 0 Yes D No Loot orton Co: S18 WAS Located Carlton Cty. Soil & Water Cons. Dist. Unique Number Verification N/A System UTM- Nad83, Zonel5, Meters 1p pion scr op (124560) Grout Material Method Digitization (Screen)- Map (1:24,000) from to It 2 bags Date 04/14/2005 X: 535150 Y: 5157444 Nearest Known Source of Contamination Q_feet L direction SeQtic tank/drain field type Wet! disinfected upon completion? 0 Yes D No PPuummpp CD3 NNoott Isnsltailledd DDaattee tInnsstaalllleodd 09/2092.!212.9199933 Manufacturer's name MEYERS Model number RM 2:\l 52-12 _ HP Q,j_ Volts 230 Length of drop Pipe 60 ft. Capacity 10 g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No First Bed rock LTaest Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Dpepr th to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the :v!DH for this well? D Well Contractor Certification Klavu Well Drilling 09650 KLAVU. R. License Business Name 35300555555 Lie Or Reg. No. Name of Driller I Yes D No Printed 6/25/2008 HE-01205-07 file :I/!II !MPCA/1 Working/A0081-l 00%20- %20PFC%20F oam/R.. nes1Blackhoo1Well%20Log%20Report%20-%2000530555 .htm 6/30/2008 3 :52: 16 P\A 22222.1111220 STATE_02822077 Well Log Report- 00530558 A1innesnta Unique Well No. 530558] oim ieee 530558 County Quad Quad ID TTT Well Name NEGAARD, DONAlD M. Carlton Atkinson 225D Wis DODD Pen eta Townlrlp Range Dir Section Subsections Elevation 47 17 w 18 BDDBAB Elevation Method -- MINNESOTA DEPARTMENT OF HEALTH "WELL AND BORING RECORD Cian oe WELL AND BORING RECORD ies Sans Cot 51 Ret oat Minnesota Statutes Chapter 1031 TC Well Depth Depth Completed Entry Date Update Date Received Date 07/31/1994 02/09/2006 Date Well Completed SS 1111 ft. 7.5 minute topographic map (+I- 5 feet) 85ft. ------ f-- Drilling Method Cable Tool 85ft. 02/01!1994 e I e Drilling Fhrld Well Ilydrofractured? DYes D :\lo -- From Ft. to Ft. Use Domestic FT TE Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? Div. seer D 1\o Above/Below ft. 0 Yes Well Address 893 106 CR Sime BARNUM MN 55707 -- Geological Material SAND Sbscue SAND & GRAVEL SAND Sbvour SANDY CLAY aCLAY Sven SANDY CLAY 229 FINE SAND a men Color BROWN Wom Mow BROWN BROWN om sort BROWN fi BROWN =n = BROWN som so BROWN Hardness SOFT MEDIUM SOFT SOFT SOFT SOFT SOFT Casing Diameter 5 in to 82 ft Weight 15 lbs/ft Hole Diameter pon 1 From To 0 18 mu 18 24 24 32 2 = 32 62 i 3 62 75 I 75 82 es 82 85 Err Open Hole from ft. to ft. Screen YES Make COOK Type stainless steel [Owes Diameter 3 SeOmse Slot/Gauze 12 lmgh Length 4 sBswen Set Between 82 It and 85 It Static Water Level 32 ft from Land surface Date Measured 11/02/1994 PI:MPING LEVEL (below land surface) 65 ft. after 2 brs. pumping 10 g. p.m. orem NO REMARKS LectCoton CSAS Located Carlton Cty. Soil & Water Cons. Dist. Coamr XA Unique Number Verification N/A System UTM- Nad83, Zonel5, Meters ppg gut Sn Method Digitization (Screen)- Due 415305 Date 04/15/2005 X: 534997 Y: 5156062 p28) Map (1:24,000) Well Head Completion PieEc minobes MONITOR Nod PAU Pitless adapter manufacturer .\WNITOR Model Dlcuie ttc 8 10dove D Casing Protection 0 12 in. above grade PL5U te atrntn Va ret? 8 ve D00 AAvte-g(radEe (EnnvvironimerntaloWWelenlllssmaanmddeDDoornriinnggtssOOaNNLLYlY)) Grouting Information Well Grouted? 0 Yes D No Gott Grout Material ne from to It - 2 bags ST Nearest Known Source of Contamination wt tnt romp @ vo 0 2Q_feet South West direction Sertic tank/drain field type Well disinfected upon completion? 0 Yes D No PPuummpp D0 NNoott Iinnstaatlleedd DDosatee Itnnsttaallloedd 0022/00111/1999944 TadopiPpodtd1 Gono 10 gpm Tye Submits Manufacturer's name AERMOTOR Modclllllmbcr SD12-50 _ HP Q,j_ Volts 230 Length of drop Pipe 60 ft. Capacity 10 g.p.m Type Submersible Mari Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No First Bed rock ive Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer pe Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the :v!DH for this well? D Well Contractor Certification ss License Business Name 530558 08650 KLAVU.E. Lie Or Reg. No. Name of Driller I Yes D No Printed 6/25/2008 HE-01205-07 file:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R.. nes1Blackhoo!Well%20Log%20Report%20-%2000530558.htm6/30/2008 3:51:53 P\A 2222.11112211 SsTtAaeT_Eo_z02s82222007788 Well Log Report- 00567594 556677559944 Geait oo Afinnesota Unique Well No. County Quad QuadiD Carlton Atkinson 225D Well Name HANSEN, GERALD rn to Township Range Dir Section Subsections Elevation 47 17 w 18 DBAABB Elevation Method an1124 ft. MINNESOTA DEPARTMENT OF HEALTH WELLAND BORING RECORD WELL AND BORING RECORD A Minne.wJta Statutes Chapter 1031 Well Depth = oo 68ft. Depth Completed 68ft. t7o.5pomgrinauptheic map(+/- 5 i:iril.ling; iVieiilo"t~ :\Jali~s]JeCified R:oiai-Y Entry Date fretewits Update Date fh. Received Date 10/04/1996 02/09/2006 Date Well Completed TT 08/01/1996 .... feet) Dtilling Fluid Bentonite IWell Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Ir ZI m Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 64 ft 11 lbs/ft 6.75 in. to 68 ft DYes Cy Geological Material FINE SAND SANDY CLAY oe FINE SAND MED. SAND for tes Color RED Hardness SOFT RED M.SOFT oe RED BROWN SOFT SOFT guFrom 0 10 36 55 Open Hole from ft. to ft Screen YES Make JOHNSON Type stainless steel [FTO To Diameter 10 2 36 SHEMET Slot/Gauze 10 Length 4 Set Between 64 ft and 68 ft or55 68 Static Water Level 39 ft. from Land surface Date Measured 12119/1996 PTTMPTNG LRVRL (below land surface) 65 ft. after 1 hrs. pumping 12 g. p.m. Well Head Completion Pitless adapter manufacturer MONITOR Model SN D Casing Protection IZI 12 in. above grade D At-grade (Environmental Wells and Borings ON! .Y) NO REMARKS curt wpe Grouting Information Well Grouted? Grout Matenal H1gh solids bentonite on IZI Yes D No from 0 to 30ft ou2 bags Located Carlton Cty. Soil & Water Cons. Dist. Cnique Number Verification N/A System UTA- Nad83, Zone15, Meters Method Digitization (Screen)- Map (1:24,000) Date 04/1 5/2005 X: 535515 Y: 5155869 Nearest Known Source of Contamination 2Q_feet South East direction SeJ)tic tank/drain field type Ss WWeellllddisisiinnffeecctteedd upproen ccoommnppllteitioonn??" IZI Yyeos D0 NYoo Puntp D Not Installed Date Installed 08/0111996 Manufacturer's name GOULDS Model number 10GS05412 _ liP ()_j_ Volts 230 Length of drop Pipe 59 ft. Capacity 10 g.p.m Type Submersible Material First Bedrock Aquifer Quat. Buried Unconf. i\.quife GountyWell Index OnlineReport Ls ast Sr tratsSeand-red DM epth m to Beda rock aft. County Well Index Online Report Abandoned 'Veils Does property have any not in use and not sealed well(s)? D Yes IZI No Variance Was a variance granted from the MDH for this well? D Yes IZI '\Jo Well Contractm Cet1ification Rosga Well Co. 58069 BCSSE. G. So7594 License Business Name 567594 Lie. Or Reg. No. Name ofDriller I Printed 6/25/2008 HE-01205-07 file:i/III!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R. .ries/Blackhoof/Well%20Log%20Report%20-%2000567594.htm6/30/2008 3:50:38 PM 2222222.11122 STATE_02822079 Well Log Report- 00572847 Afinnesota Unique Well No. 572847 GGuuai 2men 572847 County Quad QuadiD Carlton Atkinson 22SD ASTOR Well Name SALMI, ROBERT J. Tomiie Seba Hern Township Range Dir Section Subsections Elevation 50 WT Doon Hosea 47 17 w 7 DDCADB Elevation Method MINNESOTA DEPARTME.'IT OF HEALTH WELL ANDBORING RECORD WELL AND BORING RECORD eosSsChg 13 MinnewJta Statutes Chapter 1031 119 8 fy Cone 1139 ft. Se ho ony 7.5 minute topographic map(+/- 5 feet) Well Depth 157ft. Depth Completed 157ft. I Rotary Entry Date [ie Update Date Wend Received Date 04/19/1996 11115/2007 arco Date Well Completed wan 11122!1995 Drilling Fluid Water IWell Hydrofmctured? DYes D No From Ft. to Ft. nase Well Address Use Domestic CCaassiinngg TTyyppee StSoteeell((blbackcloerhloaowcaccarrbbokonn)) JJooiinntt WWeellddeedd DDrriivveeSShhooee?? 0[2 YVoess. 00 Aetion 1 D No Above/Below ft. Ging Doetr Vie ot Baer Casing Diameter Weight Hole Diameter San mrs wean 6 in. to 154 7 It 18.97 lbs/ft 2341 SCHELINDER RD CARLTON MN 55718 Open Hole from ft. to ft. Geological Material povSAND Sova SANDY CLAY ErgCLAY Foes FINE SILTY Epeee FINE SAND A MED SAND Color So BROWN l=] RED Dw vow BROWN Tom vom BROWN EE I E RED haBROWN Hardness SOFT SOFT MEDIUM MEDIUM SOFT SOFT From To IF 0 60 0% 60 75 mw 75 101 me 101 140 iE8 140 151 oo151 157 [Yower Screen YES Diameter 4 siovonie LT eng oT t evesn .Vlake COOK Type stainless steel Slot/Gauze 12 Length 4 Set Between 157 It and 154 It [er Static Water Level 60 ft. from Land surface Date Measured lli22/1995 PUMPING LEVEL (below land smface) Wels Comin ] 150 Jl. aller 1 hrs. pumping 50 g.p.m. Well Head Completion vo nan NO REMARKS Pitless adapter manufacnJrer Model DDlcuCsaisningg Porottsecctiiocnn D0121i2ni.n.aabboovveeggrraaddee Croat tormaton Seta 0 Ya O10 D00 AAtt-ggrradaed(sEn(Evnivroicnmmmeennttaall WWeellllssaanndd Boorriinnggss OONNLLYY)) Grouting Information Well Groutcdo DYes D No Locust ull Ct. Sol WAT tcp Dgton Located Carlton Cty. Soil & Water (sce Aap 2900) Cons. Dist. Method Digitization (Screen)- Map (1 :24,000) raeNomber Vernon A Dre 0414308 Lnique Number Verification N/A Date 04114/2005 Sm UTM Sah nM Ne $57 3s S18 System UTA- Nad83, Zone15, Meters X: 535779 Y: 5156823 AR Nearest Known Source of Contamination on tr pian lQQ_feet :\Y__direction SeQtic tank/drain field type WWaellll ddiiisninffoeccitoeddvuepomn ccoommpplleettiioonn?" [2] Yveeos DOx1o'\o Pump D Not Installed Date Installed Manufacnlrer's name Model number - Length of drop Pipe ft. Capacity _g.p.m liP - Volts Type Material Abandoned \Veils Does property have any not in use and not sealed well(s)? D Yes [2] No First Bedrock LoS Sons Depts A ir Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer on a Depth to Bedrock ft. CountyWa Index One Report. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractot Cet1ification Smmarborg Well Co. 09437 SUNNARBORG C ine insName Or Rey No. Nomsot rks License Business Name Lie. Or Reg. No. Name of Driller S847 I 572847 Yes D No Printed 6/25/2008 HE-01205-07 file :II/IIfMPCA/IWorking/A0081-l 00%20- %20PFC%20Foam/R .. ries/Blackhoof/Well%20Log%20Report%20-%20005 72847.htm6/30/2008 3 :50:39 PM 2222222.11112233 STSTAATTEE0_208282222008800 Well Log Report- 00595776 Afinnesota Unique Well No. 595776 GGuuai 2men 595776 County Quad QuadiD Carlton Atkinson 22SD TA STRIT Well Name SWANSON. RYAN TomDa e l beceHs ern Township Range Dir Section Subsections Elevation 47 17 w 7 DDDACD Elevation Method 1521162 ft. MINNESOTA DEPARTME.'IT OF HEALTH WEANDLBORL ING RECORD WELL AND BORING RECORD eosSsChg 13 MinnewJta Statutes Chapter 1031 Ce Well Depth -- on 184ft. Depth Completed 184ft. Entry Date piece 273m Update Date Wend Received Date 09/18/1997 02/07/2006 arco Date Well Completed hi06/11!1997 7.5 minute topographic map(+/- 5 feet) iid "'~" Drilling Fluid Water IWell Hydrof.-actured? DYes D No From Ft. to Ft. Use Domestic Cone Toe Se ik woe Jo is pve Be Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? Oo Aetion 1 D No Above/Below ft. 0 Yes San mar Casing Diameter 6 in. to 118 ft or ton Weight 18.97 lbs/ft Hole Diameter Wen Address. Well Address mses 2309 SCHELINDER RD CARLTON MN 55718 coogi ate Geological Material wrSAND a8SAND color taess Color ome RED Son BROWN Hardness MEDIUM SOFT ToT Wa WTO TF Tee Open Hole from ft. to ft. Screen YES .Vlake WESCO Type stainless steel frm To| From oom 0 Wo 2 180 Diameter To 4 180 184 7Slot/Gauze 12 Length 4 ET Tw Set Between 181 5 ft and 184 ft Static Water Level 70 ft. from Land surface Date Measured PUMPING LEVEL (below land sm-face) 170 Jl. aller 1 hrs. pumping 30 g. p.m. 06111/1997 Pa pmetanes Well Head Completion Pitless adapter manufacnJrer de Model DDlcuCsaisningg Porostsecctiiocnn D0121i2ni.n.aabboovveeggrraaddee D00 AAtt-ggrradaed(sEn(Evnivroicnmmmeennttaall WWeellllssaanndd Boorriinnggss OONNLLYY)) NO REMARKS Grouting Information Well Groutcdo DYes D No Lote Mma GatoSancy Located Minnesota Geological Survey Cnique Number Verilkation Information Sym UTM Nd, ZveS, Mes from ov.ner System UTA- Nad83, Zone15, Meters Neth PS iat Corl Method GPS Differentially Corrected x: $m 3: sist DateN/A X: 535983 Y: 5156801 dren Stdinank Nearest Known Source of Contamination l Lfeet :\Y_direction SeQtic tank/drain field type WWeellll ddsisiinnffeocttoedd uuppeone ccoommpplleettiioonn?" [2] Yveeos DOx1o'\o First Bedrock Loi Sons pvt deh A ir Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer fv Depth to Bedrock ft. CoWuellnnd tOlyin Report County Well Index Online Report Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m liP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes [2] No Variance Was a variance granted from the MDH for this well? D Well Cont.-actot Cet1ification en wa SSARRG Sunnarborg Well Co. 09437 mc inmsei Ors NS tite License Business Name Lie. Or Reg. No. SUNARBORG. !!_ Name of Driller 05776 I 595776 Yes [2] No Printed 6/25/2008 HE-01205-07 file :II/IIfMPCA/IWorking/A0081-l 00%20- %20PFC%20Foam/R. .. ries/Blackhoof/Well%20Log%20Report%20-%20005 95776.htm6/30/2008 3 :50:3 8 PM 2222222.11112244 SSTTAATTEE0_208282222008811 Well Log Report- 00596844 559966884444 Gmuia m ie Afinnesota Unique Well No. County Quad QuadiD Carlton Atkinson 225D TAT Well Name WARD, SUSAN om rm toto Township Range Dir Section Subsections Elevation 47 17 w lg BADAAC Elevation Method 1103 ft. MINNESOTA DEPARTVIENT OF HEALTH WE ANDL BORL ING RECORD. WELL AND BORING RECORD mete StCope 131 Jl11nnesota Statute., Chapter 1031 Ce Well Depth No 123 ft. Depth Completed 123ft. Entry Date pee 200300 Update Date Seneitc Received Date 04/28/1998 02/09/2006 TNA Coa Date Well Completed jo01/21/1998 7.5 minute topographic map(+/- . Rotary 5 feet) Drilling Fluid Water IWell Hydrofmcturcd? DYes D No From Ft. to Ft. Use Domestic Coie Toe Sataowkcey Jot ei Diet Yr Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes 0 sboretim_n D No Above/Below ft. Casing Diameter Weight Hole Diameter 6 in. to 120 ft 19.45 lbs/ft 6 in. to 123 ft Well Address mxER 2935 5 CR BARNUM MN 55707 cccmater Geological Material jySAND aCLAY FINE SAND & CLAY FINE SAND GooColor Som BROWN FoulRED RED RED dass Hardness SOFT MEDIUM MEDIUM SOFT Ce Open Hole tfom ft. to ft. -- ofom oTot[Dames Screen YES From To Diameter 0 50 4 S7towe Leth SeT tBatveem n Make COOK Type stainless steel Slot/Gauze 7 Length 4 Set Between 120 ft and 123 ft 50 60 60 95 95 123 Static Water Level 24.7 ft. from Land surface Date Measured 01/16/1998 PUMPING LEVEL (below land surface) T5 she? bnpng1 gm 34.5 ft. after 2 hrs. pumping 18 g.p.m. Wl Cmpiten Well Head Completion Pi hpins MONITOR Noid $SATPY Pitless adapter manufacturer MONITOR Model SNAPPY 0 te Evia Vet md ins 031 ) DDO cCasaisinngg Porowtsecitioonn 0 12121min..aabboovveeggrraaddee. D At-grade (Environmental Wells and Borings 01\LY) NO REMARKS Grouting Information Well Grouted? 0 Yes D No Costes Grout Matenal non mt from 0 to 120 ft Located Carlton Cty. Soil & Water i Cons. Dist. Ce Naber Veto 3 ute 41530 SET CC Lnique Numbet Velification N/A som UN oS. 117: sess Seatedoe ad System UTM- Nad/?3, 7.one15, Meters Method Digitization (Screen)- Map (1:24,000) Date 04/15/2005 X: 535117 Y: 5156436 Nearest Known Source of Contamination ~feet L direction Septic tank/drain field type WWaellllddisisiinnffeecctteedd uuppoonnccoommplpelteitoionn??" 0 YYeos DO NNoo un 5 bags Pump D Not Installed Date Installed Oli21/1998 STar nghoPp ifp i0n Ca15i pon Tip: Smet Masia| Manufacturer's name STA-RJTE Model number 10P4C01S _ HP Ql_ Volts 115 Length of drop Pipe 40 ft. Capacity 15 g.p.m Type Submersible Material o Bw AAbaarnddoonneedd 'WVeelillss DDooess pprrooppeerrttyy hhaavse aannyymnoottiinnuussee aanndd nnottsseeaalleeddwweelll()s)? DCJ Yes 0 No LoS Smt FFiirsrt BBeeddrroocckk Last Stmt Sand-red Does ett AAqquuiiffeerr QQuuaa.t. BBaurriieodd AAnrteess.. AAqquuiiffeerr Depth to Bedrock ft. Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contmctor Cet1ification ice ins mec 0Rep Yo. Nema rtr Pseiterrseenn WWeellllCCoo License Business 'lame 6o9u1Rs1 PPEETIEE.BR!R.LSSEINN. Lie. Or Reg. No. Name of Driller County Well Index Online Report 596844 I Printed 6/25/2008 HE-01205-07 file :iill IIMPCA/1 W orking/A0081-l 00%20-%20PFC%20F oam/R...ries/Blackhoofi\\1ell%20Log%20Report%20-%20005 96844.htm 6130/2008 3:50:39 PM 2222222.11112255 SSTTAATTEE0_208282222008822 Well Log Report- 00604501 Afinnesota Unique Well No. 604501 QGuuai 2te 604501 County Quad QuadiD Carlton Atkinson 22SD a Well Name BROW"lE, KEVIN ToDuSmbea c Hr: s Township Range Dir Section Subsections Elevation WT CAC Heaton 47 17 w 7 CACCBD Elevation Method MINNESOTA DEPARTME.'IT OF HEALTH WEANDLBORL ING RECORD piece 207300 WELL AND BORING RECORD eosSsChg 13 Wend MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/28/1998 02/07!2006 101 1 er Cooe arpceo 1091 ft. 8 TE | i tn Gi Te 7.5 minute topographic T I e map(+/- 5 feet) Well Depth Depth Completed 56 ft. 56 ft. Cable Tool Date Well Completed 11103!1997 Drilling Fluid -- Well Hydrofractured? DYes IZI No From Ft. to Ft. npg Well Address Crone 2845 5 CR CARLTON MN 55718 Use Domestic CCaassiinngg TTyyppee StSoteeell((blbackcloerhloaowcaccarrbbokonn)) JJooiinntt WWeellddeedd DDrriivveeSShhooee?? IZI YVoess. 00 Aetion 1 D No Above/Below ft. ring Damtr a Tin Barer Casing Diameter Weight Hole Diameter ae ar in. to 52ft 15 lbs/ft [EEE wm Open Hole from ft. to ft. Screen YES .Vlake COOK Type stainless steel Geological Material poySAND Soran SANDY CLAY = Saee SAND-GRAVEL SAND Color Som wae om | ty BROWN Som oh PE BROWN Sg Soomm E eewweUi58 feo BROWN Hardness MEDIUM SOFT MEDIUM From 0 22 37 To Diameter 22 3 37 49 Slot/Gauze 10 Length 4 ETSet Between 52 ft and 56 ft BROWN MEDIUM 49 56 Static Water Level 12 ft. from Land surface Date Measured 09/07/1997 vo nan NO REMARKS Ltd Cen Sd Wo Co. Di. thd OS ilyCored Located Carlton Cty. Soil & Water Cons. Dist. Method GPS Differentially Corrected PUMPING LEVEL (below land smface) Wels Comp . 15 Jl. after 24 hrs. pumping 12 g.p.m. Well Head Completion Pitless adapter manufacnJrer MONITOR Model 8PL5U rosie tormaton Seta B Ya 00 DDlcuCsaisningg Porostsecctiiocnn B0 121i2ni.n.aabboovveeggrraaddee D00 AAtt-ggrradaed(sEn(Evnivroicnmmmeennttaall WWeellllssaanndd Boorriinnggss OONNLLYY)) Grouting Information Well Groutcdo IZI Yes D No Costes serie Grout Material Bentonite en from to ft Ton 1 bags Cnique Number Verilkation Tag on well em System TH UTA- RaNad83, ts Zone15, Meters DateN/A X: 534734 Y: 5157135 i dreSetedndre Nearest Known Source of Contamination Q_feet _____direction SeQtic tank/drain field type WWeellll ddiissiinnffeecctteedd uuppcoenccoommpplleettionn"? IZI Yveeos DOx1o'\o Pump D Not Installed Date Installed 11103/1997 Manufacturer's name MYERS Model number 2NI'l52 IIPQ_2_ Volts 230 Length of drop Pipe 20 ft. Capacity 12 g.p.m Type Submersible Material LoS Sons First Bedrock ir Last Strat Sand-brown Depts A Aquifer Quat. Buried ;\rtes. on a Depth to Bedrock ft. Aquifer County Well Index Online Report Abandoned \Veils Does property have any not in use and not sealed well(s)? D Yes IZI No Variance Was a variance granted from the MDH for this well? D Yes IZI No Well Contractot Cet1ification inin eNames Oo Yo Yomi K.lavu Well Drilling 09650 KLAVU R. License Business Name Lie. Or Reg. No. Name of Driller 604501 I Printed 6/25/2008 HE-01205-07 file :II/IIfMPCA/IWorking/A0081-l 00%20- %20PFC%20Foam/R. .. ries/Blackhoof/Well%20Log%20Report%20-%200060450 l.htm6/30/2008 3 :50:40 PM 2222222.11112266 STSTAATTEE0_208282222008833 Well Log Report- 00604593 604593 Minnesota Unique Well 604593 Nn. County Quad Quad ID na Carlton Atkinson 225D Welll'\ame NEAULT, MICHAEL & LINDA Township Range Dir Section Subsections Elevation 47 17 w 18 BABACB Elevation Method WELL AND BORING RECORD MINNESOTA DEPARTME:'I/T OF HEALTH WELL AND BORING RECORD ftfinne.mta Statutes Chapter 1031 [rir Entry Date Update Date Received Date 11/23/1999 02!09/2006 1094 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed EpF reI eee-- 36ft. .D~iili.;-g Meth;;d A~R~t~ry 36ft. 03/20/1998 Drilling Fluid ~rater Well Hydrofractured? DYes D No From Ft. to Ft. TJse Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below ft. 0 Yes D Casing Diameter Weight Hole Diameter 6 in. to 36ft 18.97 lbs/ft 6 in to 36 ft nem Well Address 2440139 RD CLOQUET MN55720 Geological Material on smomecne SAND SILTY SAND COARSE SAND FINE GRAVEL Color BRNIYEL BROWN BLACK Hardness EmSOFT SOFT SOFT From To 53 0 17 17 30 30 36 a Open Hole from 36 ft. to 36 Screen NO Make Type ft. Diameter Slot/Gauze Length Static Water Level 12 ft. from Land surface Date Measured PUMPII\G LEVEL (below land surface) ft. after hrs. pumping g.p.m. 03/20/1998 Set Between ERG AETIoD DRROTARY A REMARKS DRILLING METHOD: DRIVI:N/ROTARYIAIR. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D00 Apt-grradee (En(virEonmmenitalrWWevlelllssmmanmddBBcoorriainnggtss OaNLYONLY)). Grouting Information Well Grouted? DYes DNo Located Minnesota Geological Survey Unique Number Verification Address verification System UTM- Nad83, Zonel5, Meters Method Digitization (Screen)- Map (1 :24,000) Date 07/06!2005 X: 534839 Y: 5156599 Nearest Known Source of Contamination 12Q_feet L direction SqJtic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed Lenavrampbe 1\1anufacturer's name Length of drop Pipe n_Copuiy Model n ft. Capacity pps umber - _g.p.m geliP -- Type Mma Volts Material First Bedrock I ,ast Strat Sand & Jarger-hJack Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. Abandoned Wells Does property have any not in use and not sealed well(s)? D 0 No Variance Was a variance granted from the lv!DH for this well? D Yes 0 Well Contractor Certification Sunnarborg Well Co. 09437 SU\JNARBORG C License Business Name Lie. Or Reg. "Jo. Name ofDrilJer Yes No County Well Index Online Report 604593 I Printed 6125/2008 HE-01205-07 file: ///II/11PCA/! Vv'orking/A0081-1 00%20-%20PFC%20Foam!R ..ries/Blackhoof/Well%20Log%20Report%20-%2000604593.htm6/30/2008 3:50:39 PJ'v1 2222222.11112277 STATE_02822084 Well Log Report- 00613358 Afinnesota Unique Well No. = he 613358 County Quad QuadiD a TITm Well Name WEETS, DELBERT R. Carlton Atkinson 22SD OWT DODADD Fermin Township Range Dir Section Subsections Elevation 47 17 w 7 DDDADD Elevation Method MINNESOTA DEPARTME.'IT OF HEALTH oR WELL AND BORING RECORD as MinnewJta Statutes Chapter 1031 jo ps 1151 ft. 8 TE| i i iismei ed 7.5 minute topographic map(+/- 5 feet) Well Depth 248ft. Depth Completed 248ft. "'~" Entry Date I, ER Update Date = Received Date 11123/1999 02/07!2006 a Date Well Completed ia 07/30!1998 Drilling Fluid Water IWell Hydrofmctured? DYes D No From Ft. to Ft. 5EnEs Use Domestic CCaassiinngg TTyyppee. Sttoecel((blabckooca r hloowwcccaarrbk boon)) JJooiinntt WWeellddeedd DDrriivveeSShhooee?? 0[3 YYeess D No Above/Below ft. Casing Diameter Weight Hole Diameter ERWell Address 2307 SCHELINDER RD CARLTON MN 55718 6 in. to 245 ft 18.97 lbs/ft 6 1n to 245 ft [Er] Open Hole from ft. to ft. Screen YES .Vlake JOHNSON 4 1n to 248 ft Type stainless steel Geological Material FINE SAND Bw MUDDY SILTY SANDY CLAY e EEEse SILTY SAND MED SAND Color RED/BRN ETE BROWN S 2g2S00E 2xm mm= me BROWN Hardness SOFT SOFT SOFT From To Diameter 0 170 4 170 205 205 240 Slot/Gauze 10 Length 4.7 Set Between 245 ft and 248 ft BROWN SOFT 240 248 Static Water Level 70 ft. from Land surface Date Measured 07/30/1998 wane PUMPING LEVEL (below land smface) 240 Jl. aller 1 hrs. pumping 50 g. p.m. Well Head Completion Pitless adapter manufacnJrer Model DDlcuCsaisningg Porostsecciticonn D0121i2ni.n.aabboovveeggrraaddee D00 AAtt-ggrradaed(sEn(Evnivroicnammeennttaall WWeellllssaanndd Boroirinnggss OONNLLYY)) REMARKS DRILLING METHOD: DRIVEN/ROTARY/AIR. Grouting Information Well Groutcdo DYes D No AT mee LLooccaatteedd MMiinsnecsotaGGroekolooggiiacallSSuurrvveeyy Sian l"nique Number Verification Information from owner System UTA- Nad83, Zonel5, Meiers MMeethtod DDiigiiStirzaaitioonn ((SScrrecen))- 'Mvalapp (1:24,000) DDaattee 0077/00662/2000085 X: 536040 Y: 5156778 CotyWolds Grin Ror First Bedrock ir Last Strat Sand-brown Aquifer Quat Buried Artes. Aquifer o Deptn h to e Bedroa ck ft. County Well Index Online Report ToT Neeaaretst KKniovwunSSooaurrecse ooffCCoomnatammaniantatiioonn 55 feet L direction SeQtic tank/drain field type Well disinfected upon completion? [2] Yes D 1'\o Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m liP - Volts Type Material Abandoned \Veils Does property have any not in use and not sealed well(s)? D Yes [2] No Variance Was a variance granted from the MDH for this well? D Well Contmctot Cet1ification Yes [2] No Smmarborg Well Co. Sis License Business Name 613358 09437 SUNNARBORG C Lie. Or Reg. No. Name of Driller I Printed 6/25/2008 HE-01205-07 file :IIIIIIMPCA/IWorking/A0081-l 00%20- %20PFC%20Foam/R .. ries/Blackhoof/Well%20Log%20Report%20-%200061335 8.htm6/30/2008 3 :50:3 8 PM 222222.111128 sare asaaons STATE_02822085 Well Log Report- 00617945 Afinnesota Unique Well No. 617945 GGuuai 2men 617945 County Quad QuadiD Carlton Atkinson 22SD ATI IT Well Name OSWELL. CLYDE TownDSdtobn bpcasgHerseon Township Range Dir Section Subsections Elevation Bn WT Ache Hosea 47 17 w 7 ACDCCC Elevation Method MINNESOTA DEPARTME.'IT OF HEALTH WEANDLBORL ING RECORD WELL AND BORING RECORD eosSsChg 13 MinnewJta Statutes Chapter 1031 1128. a Cpoe s 1112 ft. Ste ho ny 7.5 minute topographic map(+/- 5 feet) Well Depth 45ft. Depth Completed 45ft. I Rotary Entry Date piece 0205300 Update Date Wena Received Date 07/20/1999 02/06/2006 arco Date Well Completed oi 01/28!1999 Drilling Fluid Water IWell Hydrofractured? DYes D No From Ft. to Ft. Use Domestic CCaassiinngg TTyyppee StSoteeell((blbackcloerhloaowcaccarrbbokonn)) JJooiinntt WWeellddeedd DDrriivveeSShhooee?? 0[2 YVoess. 00 Aetion 1 D No Above/Below ft. Ging Domtr Vie DT Casing Diameter Hr ww tn an G51 6 in. to 42 ft Weight 18.97 lbs/ft Hole Diameter 6 1n. to 42.5 ft Yt Soares Well Address 28005CRS corsa cs CARLTON MN 55718 Geological Material coo Color toe Hardness romFrom [EE wm Open Hole from ft. to ft. Screen YES .Vlake JOHNSON 4 in. to 45 ft Type stainless steel To DDlaiammeteteerr To 4 SSlioot/GGaauuzzee 12 ET LLeennggtthh SSeettBBeettwweeeenn 4.5 42.5 ft and 45 ft SAND BROWN SFT-MED 0 45 To rranns NO REMARKS Static Water Level 20 ft. from Land surface Date Measured PUMPING LEVEL (below land smface) 40 Jl. after 1 hrs. pumping 30 g. p.m. 01128/1999 Painted Well Head Completion Pitless adapter manufacnJrer Model DDlcuCsaisningg Porostsecciticonn D0121i2nin..sabboovveeggrraaddee Craig tormaton Seta 0 Yo B50 D00 AAtt-ggrradaed(sEn(Evnivroicnmmmeennttaall WWeellllsssanndd Boorriinnggss OONNLLYY)) Grouting Information Well Groutcdo DYes [2] No Ltd imide Sey Mth Di Se t Nog 240) Located Minnesota Geological Survey Method Digitization (Screen)- Map (1:24.000) SaUm7 Koh Zoe Hs Xe 150 V $1707 Cnique Number Verification Address verification Date 07/06/2005 System UTA- Nad83, Zone15, Meters X: 535390 Y: 5157475 TtTS ron Scum4 6 Nearest Known Source of Contamination 150 feet ELdirection SeQtic tank/drain field type WWaellll ddiiisninffoeccitoeddvupeon cccoemnpplleettioonn?" [2] Yveeos DOx1o'\o First Bedrock LoS Sons Depts A ir Last Strat Sand-brown Aquifer Quat. Buried ;\rtes. Aquifer on a Depth to Bedrock ft. CoWua InndextOnye Report. County Well Index Online Report Pump D Not Installed Date Installed Manufacturer's name GRUJ\DI'OS Model number - liP Q_j_ Volts 220 Length of drop Pipe 40 ft. Capacity 12 g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes [2] No Variance Was a variance granted from the MDH for this well? D Well Contractot Cet1ification Smmarborg Well Co. 09437 SUNNARBORG H ine tsName Or Rey No. Nomsot rks License Business Name Lie. Or Reg. No. Name of Driller GI7o4s I 617945 Yes [2] No Printed 612512008 HE-01205-07 file :II/IIfMPCA/IWorking/A0081-l 00%20- %20PFC%20Foam/R. .. ries/Blackhoof/Well%20Log%20Report%20-%200061 7945.htm6/30/2008 3 :50:37 PM 2222222.11112299 STSTAATTEE0_208282222008866 Well Log Report- 00691411 A1innesnta Unique Well No. (T691H411 JEi," 691411 County Quad Quad ID A Well Name HATTENRERGER, JOHN S=en Carlton Atkinson 225D nr penn nites Townlrlp Range Dir Section Subsections Elevation 47 17 w 7 DCBDAA Elevation Method -- MINNESOTA DEPARTMENT OF HEALTH "WELLAND BORING RECORD Ceme 10730 WELL AND BORING RECORD hn A fete Minnesota Statutes Chapter 1031 SS Well Depth Depth Completed Entry Date Update Date Received Date 08/18/2004 02/07/2006 07/09/2004 Date Well Completed Timms 1112 ft. 7.5 minute topographic map (+I- 5 feet) [hit 46ft. 46ft. Drilling Method Non-specified Rotary -- 06/18/2004 Drilling Fhrld I Bentonite Use Domestic Well Ilydrofractured? DYes 0 :\lo From Ft. to Ft. Com So Ten mo a Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? 5 er D 1\o Above/Below ft. Be0 Yes Casing Diameter Weight Hole Diameter Well Address FEE N. 2860 5 CR rs CARLTON MN 55718 expres Geological Material wo TOP SOIL SoSAND CLAY SAND iwr omwn Color BLACK Hardness SOFT Som BROWN BROWN BROWN bw MEDIUM MEDIUM MEDIUM goFrom 0 01 31 36 6 in to 41 ft 19 lbs/ft 6 in. to 41 ft [mmr Open Hole from ft. to ft. rr Screen YES Make JOHNSON Type stainless steel vo [o-- Sonne au Spon To Diameter or % wo. 1 5 Slot/Gauze 12 Length 5.5 Set Between 41 ft and 46 ft 831 36 46 Static Water Level 25 ft from Land surface Date Measured 06/18/2004 PI:MPING LEVEL (below land surface) 40 ft. after 2 brs. pumping 11 g. p.m. Peievprr monoay 81Ssekatnon Well Head Completion Pitless adapter manufacturer D Casing Protection 0 Model 12 in. above grade D00 AAvtr-g(radEe (EnnvvironimerntaloWWelenlllssmaanmddeDDoornriinnggtssOOaNNLLYlY)) NO REMARKS i seg rvso sMpo. opnshn ie Located Minnesota Geological Survey Unique Number Verification Address verification Method Digitization (Screen)- Map (1 :24,000) Date 07/06/2005 System UTM- Nad83, Zonel5, Meters X: 535353 Y: 5156970 ans ee Grouting Information Well Grouted? Grout Material Benton1te 0 Yes on D No from to It 0 a Nearest Known Source of Contamination .!QLfeet Y!_direction Sertic tank/drain field type Well disinfected upon completion? Yes D No tuum First Bedrock fhLaest tStrpat sSand-brown mer Aquifer Quat. Buried Artes. Aquifer Dpeptrh to Bedrock ft. County Well Index Online Report heer relia CT) Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material lo 0 Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes No Variance Was a variance granted from the .\.fDH for this well? D i O05 Well Contractor Certification Lakehead Well 09199 KENT B. License Business Narne Lie. Or Reg. No. Name of Driller 6s91o4u11 I Yes 0 No Printed 612512008 HE-01205-07 fi1e:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R.. nes/B1ackhoo!Well%20Log%20Report%20-%2000691411.htm6/30/2008 3:50:38 P\A 2222222.11130 SsTraAtTeE__o022s82222008877 Well Log Report - 00693484 tgwire Minnesota Unique Well No. 693484 II 693484 County Quad Quad ID a Carlton Atkinson 225D Well '-'arne GROVER, TARA Township Range Dir Section Subsections Elevation 4a7 1T7 Ww 1I8S AAAAAAAABBAA FElelevvaaitioonn MMeetthhoodd WWeelll AAddddrreessss 2302 SCHELINDER RD CARLTON MN 55718 Geological Material SANDY CLAY SAND Color BROWN BROWN Hardness MEDIUM gustiaesn MlN.\J<:SOTA DJ<:PARTMJ<:NT OF HEALTH WELL AND BORING WELL AND BORING CE RECORD }lfinnesota Statutes Chapter 103I i Entry Date th Update Date RPcPivPd Dati' sit 03/2212005 ae 02/0912006 1125 ft. 7.5 minute ttooppooggrraapphhiicc mmaapp (+/- 5 feet) Well Depth Depth Completed 248 ft. 248ft. | DUrnillllmin!g' JMVeJtethhoocdt NoorspreciiedoRrotayry DI"illing Fluid Bentonite IWell Hydrofractured? From Ft. to Ft. Date Well Completed 05/08/2003 DYes 0No SB Cse Domestic Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 240 ft. lbs./ft. 8.75 in. to 248 ft. [Emm Open Hole mre rom ft. to ft. Screen YES Make JOHNSON Type stainless steel Diameter From To 2 0 236 236 248 Slot/Gauze 12 Length 8 Set Between 240 ft. and 248 ft. Static Water Level 40 ft. from Land surface Date Measured PUMPI'-'G LEVEL (below land surface) 150 ft. after 1 hrs. pumping 20 g. p.m. 05/08/2003 NO REMARKS NO RF:MARKS Well Head Completion Pitless adapter manufacturer Model D00 CCaasisningg PPrroosteecctiioonn 0 1122iinn.. ashboovveeggrraaddee D0] AAtt-ggrraaddee ((EtnnvviirrooonmmenetnatallWWelelllss aanndd BBoosriinnggss OONNLLYY)) GGrroouuttiinngg IInnffoorrmmaattiioonn WWeelllGGrroouutteedd?? 0 = Yes D No Located Minnesota Geological Method Digitization (Screen)- Map Survey Unique Numbe1 Lo razon Verification Tag on well Spm UTM Nah Zmel soy; sys System UTM- Nad83, Zone15, Meters (124,000) Date 07/06/2005 X: 535988 Y: 5156659 rat First Bedrock Last Strat Sand-brown County Well Index ern Aquifer Quat Buried Artes. Depth to Bedrock ft. Online Report Aquifer Grout Material: High solids bentonite from 0 to 30 ft. :\earest Known Source of Contamination EE m, lQ_feel - direction Se)2lil0 lank/drain field type Woh ditotupnsongicint 0 Yor 1 Mo Well disinfected upon completion? D Yes D No PPuummpp ODJ NNoott tInusstsailleedd. DDaattee IInnsstiaallteidoQd_ ManufalOlurer's name Model number - HP - Volts AiLbaeannngdtdohononefedddrWoWpeelPllkispeDDooefetss. pprrCoopapeperratycyithayav_veeg an ot .p.m any not m v5 Type in use aannddMnmaoottetrssieeaaallleedd wweellll(ss))"? 0D Yveess 0 NNoo Val"iance Was a variance granted from the MDH for this well? No Well Contractor Certification Fn North Star Drilling Tjcense Business Name 693484 49588 NELSONS. T.ic Or Reg. No Name of Driller I D Yes 0 Printed 6/25/2008 HE-0 1205-07 fll e:/I/I[!\1PCA/! Working/A0081-l 00%20-%20PFC%20Foam/R...ries/Blackhoof/Well%20Log%20Report%20-%2000693484.htm6/30/2008 3: 50:37 PM 2222.11113311 STATE_02822088 SSiitteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY BBrreecckkeennrriiddggee B4Br2ree0ccNkkeeenbnrrriiaddsggkeeaFFAiirrveeenDDeuepepaarrttmmeenntt 4BBr2ree0cckNkeeennbrririaddgsgeke,a, MNAve MN n55u86e552200 B2Br1raa8dd.6WW4a3al.lll6,9AA1ss0ssiissttaanntt FFiiree CChhiieeff 218-643-6910 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 11331122 MMiinnnneessoottaa AAvveennuuee,, BBrreecckkeennrriiddggee GAAlFFasFFsF:.:Abb'rrabanrndadnnndootntosslppesecpcieifcfiiieefddied Class A: brand not specified AAnnnnuuaallllyy 551to0 1100ggaallloonnss SSttoorrmm sseewweerr AACFlFFaFFsF:s:A55:g5aglaglllaoolnnossns Class A: 5 gallons tera Ottertail RRiivveerr llooccaatteedd aapppprrooxxiimmaatteellyy 331/44 t1o0 11 mmiillee eeaasstt AApppprrooxxiimmaatteellyy 11 mmiilee eeaasstt AApppprrooxxiimmaatteellyy 111/33 mmiilee ssoouutthhwweesstt NNoonnee wwiitthhinin11 mmiillee 11s5 22222222.11113322 SSTTAATTEE0_208282222008899 FLO om] ea BBRREECKENRRIIDDGEE CCWWII WWeellll MMaapp I qtE e 5 e NTTE UTE: ht wld 0 LRT LE E 8 EE E R var aely ) M(T2AGrL y o Nh) E UHEyaaeaNABiSly i ZFiawdhk dRI|EER84A (gaR i saa e at Tv Nl Gk RIE | acco ad wv BLAAN RhLy eS e r C ZiBLE ED mE a ei Ta SpnE i aes CHAiVRE NlRer raRBOrrh} eae ASPdej Eee we oh LT E e e gJ ed vpeaty LT) WE ey | (0Ny ele oYEN --J ETATR Lbosy LNgS EE Eboo2vy BeC2aZsuON te yLR E ee H` e_ERB i 100h 0SqEn eSs E 0 RL BoL EaLLJ T ESAa] ea Sl RL SET ay te: stpreAF| T i : 8| Ea LL HE| prem 38) i i j onornHenCap 230 : HREL, A ney Noe----r=lltm 2222222.11133 [Ep-- STATE_02822090 [BreBckreecnkreindrgidegWehWahatt''s IIsnn MMyyNNeeiigghhbboorrhhooooddMMaapp | Li isi7de? +80 } 7 ri al HH i ellie-- | TkaF mi] \ [a . i 3 0 TTT ee 1 =1 1 sm x [bit rSpier Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion [isms mpc | -- of the information should be considered to be, or used as, a legal document. The information is provided RET SRE | ve subject to the express condition that the user knowingly waives any and all claims for damages against PS I 4m ocSoarane . te s MPCAthat may arise from the use ofthis data. Sites. Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP Stma:attett SSuup~orfrtflunnidl e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA um ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D &I;1C~t1ha'aI0InWJ8gI' "'- SliM ~rMIII: 222222.111134 stare.o2s220m STATE_02822091 22222.1111335 somo H $ IwbS F| Z| IED --| 2 =f 2 CTrao LAN LNAAYS | Breckenridge Wetland Map ------ ----- "et } FoF| 1 I 1I ny 2 I 2 of5 2Ih, ii? Ss C2u. a 7 E2 E5 3d\Vne AINA \ /LL R2e edJ iiE \ 96-35W 96-34 w it i is iB li i i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 0 \.0 N EH gl} 1]7 Ss fg\ 5 i {2 5 inc : 5) a BP : f Pa [|emBieellen ------ ~..(::~.. OJ w 0 z Lig H1 ELL an CHR pemnag lg & JN ...'t' Legend ffi 6 z ;;' Interstate Major Roads JF Other Road ;;' Interstate ,..v State highway ~US highway ...~ Roads (]1 w 0 Cities z r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland 9i IIIII Freshwater Emergent Wetl1:md FrAshwater Forested/Shrub Wetland <:n Freshwater Pond 6 111 Lake Z Othor Riverine a ith we > .. ~., ............................... ...~ It 0 z ... .~.. 6 z Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America i : : |B * ; $ 96-33 w Map center: 46 15' 14" N, 96 34' 5" W : Scale: 1:35,317 i Se wal | Ey Well Log Report- 00221775 E 221775 E MiMvicnnseosottsa UUrniigquuee WWellNNo. CCoounnyty Quad WWitilkkiinn Wahpeton Quad In 221D MINNESOTA DEPARTMENT OF HWEEAALLTTHH wie WELL AND BORING a RECORD mw EEnnttrryy DDaattee Update Date Received Date T 04117I /1988 09/02/2004 11Jinnesota Statutes Chapter 1031 Welll'\ame BRECKENRIDGE TW-1 Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation 11322 4477 wW 44 CCDDDDCCBBCC EElleevvaattiioonn MMeetthhoodd aon 955 ft. 450ft. 450ft. 08/2811976 tt7oo.p5poomggrrianappuhhteiiccmmaapp | Dtrnilllmin!'g" JMVeltethhoodc (+/- 5 teet) Drilling Fluid FT m I m -(oLsee TToeswt waell orCCaassiinngg TTyyppee Below 0 ft. Well Hydrofractured? DYes D No From Ft. to Ft. JJooiinntt NNoo IInnffoorrmmaatitioonn. DDrriivveeSShhooee?? [DJYveess [DJNNoa. a nse Casing Diameter Weight Hole Diameter 1 AAbboovvee/ Well Address sit s MN Geological Material TOP SOIL Somme CLAY CLAY SANDY CLAY+ DIRTY SAND LENSES DIRTY SAND TOOK SOME WATER SANDY CLAY+ DIRTY SAND LENSES LLLEEENNNSSSEEESSS OOOFFFVVCEELRERYAYNDDIAIRRNTTDYYDSSIAARNNTDDY SAND 8gagColor BLACK 2YELLOW GRYIBLU GRAY GRAY GRAY SIGSLIRLVVAEEYRR ineHardness gonET From To HI TT 0 13 13 27 27 147 147 295 3295 300 Open Hole Screen NO Diameter !rom fl Make lo fl. Type Slot/Gauze 300 355 355 400 Static Water Level o 400 450 t ft. from DfiateeMMoewaasrureedd PUMPIJ'\G LEVEL (below land surface) enLength veSet Between ft. after hrs. pumping g. p.m. [OT NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDcuCiasningg Pprrootteeccttiioonn D0 1122inin..sahboovvee ggrraaddee Grouting tormaton. Wal Groses? 0) ver OI ve D1 AAvt-ggrraadede(Ennvviirnounmameenntatl WWeelllssaanndd BBooirinnggss OONNLLY,Y) Grouting Information Well Grouted? DYes 0No Ltd HanGots s Savy Located Minnesota Geological Survey tesciron m over Unique Number Verification Information from owner System UTM- Nad83, Zonel5, Meters NelDts 124000 Method Digitized - scale 1:24,000 or larger (Digitizing Table) DeDate NAN/A X: 223547 Y: 5130187 First Bedrock Cretaceous,Undiff. Aquifer `County Well IndexOnline Report Last Strat Cretaceous,UnditT Depth to Bedrock 400 ft. County Well Index Online Report a "earest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No PPuummpp 0D NNoottlIanssttalllloedd DDaatte Ilnnsstsatlileedd Manufacturer's name Model number - HPQ_ Volts Nando Well Docs Length of drop Pipe ft Abandoned Wells Does Fret Bery TTF idt ede Capacity _g.p.m Type Material properly have any nol in use and nol sealed wewell(s)? 0D Yvees O D nNo Variance Was a variance granted tram the MDH for this well? No Well Contractor Certification Llg Enlemrises 91353 License Business Name 22211777755 Lie. Or Reg. No. Name of Driller I D Yes D Printed 612612008 HE-0 1205-07 fll e:///Ij!MPCA/! Working/A0081-l00%20-%20PFC%20Foam/R. .. s/Breckinridge/Well%20Log%20Report%20-%2000221 775.htm6/30/2008 3:53 :36 PM 222222.111136 STATE_02822093 Well Log Report - 00416278 Minnesota Unique Well No. 416278 QCQuouauadndty Quad ID WWWaiahlhkppienettoonn 221D Well Name RED RIVER VALL Y RR HW 10 DOACHD Heaton etd Township Range Dir Section Subsections Elevation 132 47 w 10 BDACBD Elevation Method Well Address same BRECKINRIDGE MN Geological TOP SOIL CLAY CLAY CLAY SABD LENS Material Color BLACK YELLOW BLUE BLUE GRAY Hardness SOFT SOFT MEDIUM MEDIUM MEDIUM MINNESOTA DEPARTMENT OF HEALTH "WWEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 EUUpnpdtdaraytteeDDDaataettee Received Date 09022000 04/08/1991 09/0212004 grb 965 ft 7.5 minute topographic map (+I- 5 feet) Well Depth Depth Completed Date Well Completed 225 ft. 225ft. | PE Sed ite Ry .D~iiil~Igi\i~ti~~d N~;;~~P~~ifi~dR~~;y 02/01/1990 Drilling Fluid eIre -- Well Ilydrofractmed? DYes 0No From Ft. to Ft. Lse Domestic Casing Type Plastic Joint No Information Drive Shoe? 0 Yes D No Above/Below 0 ft Casing Diameter Weight Hole Diameter 0 in. to 221 ft. lbs./ft. 6.25 in. to 225 ft. Sa RT Open Hole from ft to ft. Screen YES Make .JOHNSON Type From To Diameter 0 1 3 1 18 Slot/Gauze 15 Length 4 Set Between 221 It and 225 ft. 18 200 200 221 221 225 Static Water Level 35 ft from Land surface Date Measured 02/1011990 PUMPING LEVEL (below land sul"face) ft. after hrs. pumping g. p.m. To rraeers NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model 6PS DDl cCuassiinngg Pprrootteecction D0 1122iinn..aabboovveegrgaradde.e Grouting oormaton Well Gross? vor Dro 0D AAt-ggrradea(EnEnvviiroronnmmeennttaallWWelelllss aanndd BBorriingns OgNsLYONLY)) Grouting Information Well Grouted? 0 Yes 0No Located Minnesota Geological Survey Unique Number en CIM NS lS, Verification Other, note in Meters fe -- remarks System UTM- Nad83, Zonel 5, 1vfezers Method Digitized- scale 1:24.000 or larger (Digitizing Table) ii Date NIA X: B2l25133 sas Y: 5129473 First Bedrock Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Grout Material: Neat Cement Grout Material: Cuttings from 20 to 210 ft. from 210 to 226 ft. 1 yrds. 0.3 yrds. :\earest Known Source of Contamination oldspe icompeen" 250 feet Yi_diredion Segti<O ta Well disinfected upon completion? n k /dra 0 i n vesfield Yes 0type D xo No PPuummpp 0 NNoott Innssatallleedd DDaattee Ifnnsstaalllleedd020.2!1122./11999900 Manufacturer's name GOULDS Model number 7EH05412 _ HPQ_2__ Volts 230 Length of drop Pipe llQ___ft. Capacity l_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees O D NNo VVaarriiaannccee WWasas aa vvaarriiaanncceeggrraasntteeddfrfroomm tthhee MMDDHHffoorr thhiiss wweellll?? [DJ vYeess 0 D No Well Contractor Certification Falk Bros Well Co. 91204 FALK J License Business Name Lie. Or Reg. No. Name of Driller 416278 I Printed 6/26/2008 HE-0 1205-07 file:///1)/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R ..s/Breckinridge/Well%20Log%20Report%20-%2000416278.htm6/30/2008 3:53:36 P:\1 22222.1111337 STATE_02822094 Well Log Report- 00595937 otrie elo Minnesota Unique Well No_ 595937 Quoady r.==ll==59=5==93=7=::::::;]11 ~::~ty Quam ~-==================~ QuadiD -Wilkin Wilkin Wipe Wahpeton 221221D ara Well Name Toni Rane Di Section Sabsctins Eleaton Township Range Dir Section Subsections Elevation 1m32 oa47 wow 99 EElelevvaattiioonn MMeetthhoodd Misgsors MINNESOTA DEPARTINT OP NEA on DEPARTMENT OF HEALTH ELLAANSDAEBORING, Umndiamebeue 1oou1or WELL AND BORING Reconed ate RECORD Minete Stes Chapter Minnesota Statutes Chapter ir1031 Entry Date Update Date Received Date 06/04/2004 11126/2007 ll Depth Depth Completed Date Well Completed Well Depth wan po po po 963 ft. 87ft. Ca trem DEM ( (CUaSlcUGfSro7S7m..55DGmmEiinMnSoorr | DlirillliinuMMePtthhoodrl os equiv.) Depth Completed 85ft. Non-spesifed R"oRtoatarryy Date Well Completed 10/23/2003 Doling Fad] wettatectoret? 0 ve 0 50 Drilling Fluid ae Pon 1 0 18 Water Well Hydrofractured? DYes D No From Ft. to Ft. EL -- 0 Use Irrigation Casing Type Plastic Joint No Information Drive Shoe? Yes WelWell Aadddrreessss 0D NNoo AAbhaunvee/rBeellouwn ffti. CasingDiameter Casing Diameter Tan mn 4 in. to 80 ft. Vion Weight walbs./ft. File Damar Hole Diameter ern 5h 6.75 in. to 87 ft T7O04OADATKIOATARAYV SBRREECIKREENNRRIRDGGEE WMYN cechogcalMateial Geological Material Torsor TOPSOIL clayCLAY GarCLAY Shoes SAND LENS Color Color wo BLACK lion YELLOW auBLUE GaGRAY R[ EVIRET -- REMARKS DEVRTDPED WITH ATR 100 GPM Mardness From To |Diemetsr SlouSauze Length SetBetween Hardness somo 13 % TE me SOFT sort Tow SOFT wow 7 MEDIUM wow sw S WPFGTDiroOeJlolNcshslPsAatsee IecunsNmangdgGstseCohLbo oraomEmr(mmpiVladpiEaetomLtsopinrt(nongenoeewi0ee2MTtoWGm1nGmeersosM2lseeanttas?lrthosFevei81pgBis10eY3Oer3NYo3L0Y00 )3 noCom MEDIUM OOppeenn HHoollee ftrroomm f1t. 0to 1ft. ScSrcereeenn YYEESS MMaakkee JJOOHTNNSSOONN TTyyppee ssttaainmleessss ssteece]l From To Diameter Slot/Gauze Length Set Between 0 1 3 12 5 80 ft. and 85 ft. 1 17 17 55 55 85 Static Water Level 12 ft from Land surface Date Measured 10/23/2003 PUMPING LEVEL (below land surface) ft. after hrs. pmnping g.p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Gout: Bons fo oBSR bas Grout Material: Bentonite from 0 to 50 ft. oLocsatedMimeso inst of Metyhoda GGPSSSSAA OFOF arvmsst) Located Minnesota Department of Health Method GPS SA Off (averaged) Uniaue Number Veriton NIA Dae 12093003 ---- Unique Number Verification N/A Sytem CTH Noahs, zoel, Mrs 3s 22130: ston |tWeelssiintostnotponcompiont 8) ves 0 No System UT1vf- Nad83, Zonel5, Meters Date 12/09/2003 X: 223754 Y: 5129332 Nearest Known Source of Contamination Q_feet - direction _type Well disinfected upon completion? 0 Yes D No 5 bags Minburn GOULDS Mod mabe SEL 03412 PPuummpp [DJ NNoottiInnssttaalllleedd DDaatteeIInnssttaalllleedd 1100//3300//22000033 Manufacturer's name GOULDS Model munber 25 EL 05412 _ HPL Volts 230 Tgtohf oop Pipe 50 1. Cpa 25pm Length of drop Pipe ~ft. Capacity Q____g.p.m Tire Samer, Ml Type Submersible Material ee Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yveess 0 NNoo VarianceSisvaiocs ged om MDI fo wet? Variance Was a variance granted from the MDII for this well? D be @ xo Yes 0 No AC ing RL16720SEC 0m ri Lg lp 2 Sr 055 am 1 ESO 5340 file:///li/MPCA/!Working/A0081-l 00%20-%20PFC%20Foa...reckinridge/Well%20Log%20Report%20-%2000595937.htm (1 of 2)6/30/2008 3:53:34 PM 222222.111138 STSATATTEE0_202882222009955 Well Log Report- 00595937 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Falk Bros Well Co. 91204 FALK.N License Business Name T-ic. Or Reg. No Name of Driller 595937 I Printed 6/26/2008 HE-01205-07 file:///li/MPCA/!Working/A0081-l 00%20-%20PFC%20Foa...reckinridge/Well%20Log%20Report%20-%2000595937.htm (2 of 2)6/30/2008 3:53:34 PM 222222.111139 STATE_02822096 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY BBuuffffaalloo LLaakkee B2Bu1uf2fffaaClleoontLLraaakkleeAFFviierreenuDDeeeppNaaErrttmmeenntt Bufalo Lake, MN 55313 212 Central Avenue NE Buffalo Lake, MN 55313 G3Ga2ay0yl8lee33DD.eea2a,3l,7FF4iirree CChhiieeff 3bbi2lfdd0ff-i8rre3ec3ch-h2iie3ef7@i4@hhootimmaaiil.lccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: NNeeaarreessttwwaatteerrwweelll: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 3S3t11r55eetNN.s.,MMBaauiifnnfaSSlttorreeLeeta,tk, enneeaarr iinntteerrsseeccttiioonnooff MMaaiinn aanndd CChhuurrcchh Streets, Buffalo Lake CAAlFFaFFsFsF::A33:MMAnLLgiigguhhstt HWWiaa-ttCeeorrmbat Class A: Angus Hi-Combat BBAi-mAnnunaulalllyy LLeessss tthhaann 5gaglallloonnss SSttoorrmm sseewweerr GAAlFFaFFssF::ALL:ee5ss10ss-10tthhgaanan l55ogganallslloonnss Class A: 5 to 10 gallons OOttetetratialil RRiivveerr llooccaatteedd aapppprrooxxiimmaatteellyy 331/44ttoo 11 mmiillee eeaasstt AApppprrooxxiimmaatteellyy 11 mmiillee eeaasstt AApppprrooxxiimmaatteellyy 111/33 mmiilee ssoouutthhwweesstt NNoonnee wwiitthhinin11 mmiillee 133 22222222..11114400 SSTTAATTEE0_202882222009977 BBUUFFFFAALLOO LLAAKKEE CCWWII WWeellll MMsapp Wer Lr bo 3 \ 190. Insl + i , t e oF 1-3 MNeb fOEs A eET A $nLocy X 5 Sod 0 23Fe flto ei mNGSEe i 7 mp = cwe: 0 aed FERS TT Care NITSp ms Sl La eg S 0Ts FaTE |feSEFEfBufTal2o0TmakeTT hoTN A e i fDua | SpaeeddEai Fo RQ pee Cr HETE. PEON md ; ` ina N TalTE Een = Le | = noyb)wl , =a < EteFerel,TGeLeoes bsalFlSy Sete Tend rg] ETE e hI TS IR ed x Call Som ny al 7fois = Nn pall as 1D 3 SiR o,D oog i ~T . CER LT PoE SN / Tr T " h/ aReg I vIo A Ee Ne o 3 b{ PNY ap du - Th TM VOCS rR Memvmngi er,n Cor Toa A \ LT deem 2222.11114411 sSTTaArTeE__0022882222009988 | Ta | BBuuffffaalloo LLaakkee MMPPCCAA MMaapp ||| /f] || ol | 1||| }i | || i ay1 || 3 iI omeime | Fred..i . | -- ef| .;+S-:ISITTE | a 1 died || L | || ii rt, ERE. |4 | Samii || | Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion ea mr ped| of the information should be considered to be, or used as, a legal document. The information is provided [ERSSTE | subject to the express condition that the user knowingly waives any and all claims for damages against | MPCA that may arise from the use of this data. SSiitteess. Botetsauatfuporuna Dt~ llfiiW: r.luJrtrftmiil Poisordeasdts ROGDg hm~SOI'I<J~ l!ln~miiBCI Dun~ -- MFRAP noSuportn m:attt Su~rftl nil || | | @winnosota Pollution Control Agency | |l e CCEEKR.CCLLtS:s QFFo'Mcial:nll S!luhp.ea~rrfhumcnld tCirossLanasis Vogt:wanen &taM 0~ LaMIUb +rR Ec um V9ltnar~ llritm~~l'i I; Cta'IIWrt _._ ~RA ra~111:1~ SRA sotiaton Charup F:CRA l'rrffii~PDI; ~ta'IIWJI' 4se ssasomens "'- SliM ~rMIII: 222222.111142 STSTAATTEE0_208282222009999 222222.111143 stare_02822100 WTes= [ fo/ /{ Tatr3 / f rarer 4 :: g a3 lg : te3 Buffalo Lake a.2 1 | | CF3 E32 :i 94-38W 94-37 w 1 is 2 1s Ii|i}ii r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' 0 0 i | cE8 : .i [Sia|t |I i f : 3 3 g JF Ei PUBGx || a ........ .... "6 ' z |1F i.i i. aHnal Legend w........ ;;' Interstate ........ Major Roads 0 Other Road z ;;' Interstate ,..v State highway ~US highway Roads II Cities ............ r . USGS Quad Index 24K Lower 48 Wetland Polygons ....z6 Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake w........ Othor Riverine .... w Lower 48 Available Wetland Data z 0 Non-Digital Digital No Data Scan in HI jiait NHD Streams Counties 1OOK .... States 100K .t..-. w o South America 6 IZ o North America || 94-36W Map center: 44 43' 56" N, 94 36' 46" W $ R 3 Scale: 1:32,921 M0r i | 3 Hi Hii IRHEE EH :Ps gi tad 13 4. C2i0254]s,om Well Log Report- 00211254 Minnesota Unique Well No. 211254 County Quad QuadiD &heise Renville Buffalo Lake 94A "WELTL ANDEBORRING ERECORD. MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statute., Chapter 1031 ECroRne Entry Date Update Date Received Date Dh04/17/1988 05/06/2005 Well Name BUFFALO LAKE 1 Township Range Dir Section Subsections Ele,ation 115 31 w 30 BBDCCC Elevation Method Well Depth Depth Completed Date Well Completed Fm m I e 1069 ft. Calc from DEM (USGS 7.5 min or equiv.) 368 ft. Drilling Method Cable Tool 368ft. 07/00/1940 .... Drilling Fluid -- Well Ilydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Well Address ---- BUFFALO LAKE MN 55314 Geological Material tm, LOAM CLAY CLAY & BOULDERS SAND GRAVEL & CLAY BALLS CLAY ROCKS STICKY CLAY HARDPAN STICKY CLAY SAND & GRAVEL jEColor BLACK YELLOW BLUE GRAY GRAY GRAY Hardness EL SLD100 BY ES ERY ELL C673 REMARKS WELL SEALED 8-ll-2000 BY BEN ERVIN WELL CO. H-167299. WELL SEALED OS-11-2000 BY 65252 ORIGINAL USE PC- COMMUNITY SUPPLY Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0DNvoo Abbnove/Rvelnew 6 nft. Casing Diameter Weight Hole Diameter 8 in. to 352ft lbs/ft DYes Lobo Open Hole From To 0 2 Screen YES 2 10 Diameter 10 71 6 71 72 from ft. to ft. oa Make BCTTON Slot/Gauze ow Type Length 15 seme Set Between 352 ft and 368 ft 72 110 110 200 200 205 Static Water Level mm 205 347 54 ft. from Land surface Date Measured 07/00/1940 347 368 PUMPING LEVEL (below land surface) ft after hrs. pumping 110 g.p.m. Well Ilead Completion Pitless adapter manufacturer Model DDcuCiansignrgoPsroctsecitoionn 0D 1122imn.sabhovoe pgvrraedee. D00 Agtr-garaddee (EEnvnirovnmientanlWWeolelllmssaamnddBBeosoirninnggsts OONaNLLYlY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Number Verification Information from owner System UTM- Nad83, Zan<>15, Meters Method GPS SA On (averaged) DateN/A X: 371593 Y: 4955202 Nearest Known Source of Contamination S0 EE Re _feet - direction _type Well disinfected upon completion? D Yes D No Pump Not Installed Date Installed 00/00/1940 Manufacturer's name FAIRBANKS-MORSE Model number - HP !Q_ Volts 220 Length of drop Pipe UQ__ft. Capacity _g.p.m Type Turbine Material Steel (black or low carbon) Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No First Bedrock Last Strat Sand & larger Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Keys Well Co. 62012 JOHNSON A. License Business Kame Lie. Or Reg. No. Name of Driller 211254 I Yes D No Printed 6/26/2008 HE-01205-07 file:/I/II;'1-1PCA/! Working/AOOSl-1 00%20-%20PFC%20Foam/. ..uffalo%20Lake/\~.1ell%20Log%20Report%20-%2000211254.htm6/30/2008 3 56:04 PJ\1 222222.111144 STATE_02822101 gs |. z I si $Pi21 &s gTE2 3B3e33l33l3 222222.111145 :HBEIoN Esliefl]ElE: BEREs[BE |)& [|e 5- siHlal Lfsi"e AR]2 Efese FEiLl E[EEi Well Log Report - 00211689 A1innesota Unique Well No. 11 211689 11 County Quad Quad ID Renville Buffalo Lake 94A Well Name SCHJ\Ml:1{, ELMER Township Range Dir Section Subsections Elevation 115 31 w 30 ACCCCB Elevation Method Well Address g 22 4 =3 i3is "|2 252) 11 3gl +i 2 = z 3zz3d 22 EE zE2i]E gEE H EE TI(EE.zlz]s Ff5Ecx #57 lal]: ff 5fc5ii2tf [ MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne,mta Statutes Chapter 1031 Entry Date Update Date Received Date 04/1711988 04/22/1997 EE si22z 1:f Z 1065 ft. 7. 5 minute topographic map (+/- 5 feet) Well Depth 112 ft. Drilling Method -- Depth Cnm pleted 108ft. Date Well Completed 08/13/1969 o 2: 12PF| RR] Drilling Fluid -- Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. Sis BYE:= Casing Type Steel (black or low carbon) Joint No Infonnation Drive Shoe? DYes D No Above/Below 0 ft. Casing Diameter 4 in. to 104 ft. Weight lbs.lft. Hole Diameter = EFa EZz}[2 25 isso |H FeLE RiEEzed| ImCE23 lea |e RfEEf2EiE3R [B[gflFfE3- IB fF[Ef BUFFALO LAKE MN 55314 Geological Material CLAY CLAY SANDY CLAY SANDY SANDY CLAY SAND [EEEEH 2lesuun Color YELLOW BLUE BLUE BLUE BLUE BLUE Hardness V.SOFT 0 E Zoeuns From 0 19 62 72 105 112 Logn8e |i Open Hole from ft. to ft. Screen YES Make Type stainless steel To is 13-=4 .Fo.5 19 Diameter Slot/Gauze Length Set Between 62 4 18 4 104 ft. and 108 ft. 72 105 112 112 Static Water Level 24 ft. from Land surface Date Measured 08/13/1969 2 PUMPING LEVEL (below land surface) 28 ft. after hrs. pumping 100 g.p.m. I2f. | r3ie iize 3F2a3ts ale 25 | 2 SizHEEsE] 2E5E 2 SfEi Beles 22542 [E<a2REA[R3E2f5E50]0])2 <s z NO REMARKS =zg Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Enviro11111ental Wells and Borings ONLY) 452 Grouting Information Well Grouted? DYes D No Z5al, 5 Z:z a 3: of 2 J| 3 HFL 1 i P15id f:i Hi i ifTHiii i:1 phEgyeo z:1 iHzoro> J iE; ii:if SThisg i382 : stareozs22102 . i : H E31fsLEE i FE Eas 0 Li. Located Mirmesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) :: ~ Unique Number Verification Information DateN/A Vl from owner System UTM- Nad83, Zonel5, Meters X: 372565 Y: 4955255 rn I 0 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion D Yes D No N 00 N 3 3 ii 3i N file:/!/II/MPCA/!Working/A0081-l 00%20-%20PFC%20Foam/Reports/Appendix%2... Site%20Summaries/Buffalo%20Lake/Well%20Log%20Report%20-%2000211689.htm (I of 2)6/30/2008 3:56:05 PM I-' 0 N : i Well Log Report - 00211689 F3E1 LER Hg afl iS First Bedrock Last Strat Clay & sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft iE 3 County Well Index Online Report oO |o i= : lo ae |3 7 Hq: |: PY izle [3f, 55 Jigs | fed CH2E2E2] gE 2 isii i2o0[32E4": Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification Fredericksons Inc. 43099 NASS,R. D No License Business Name Lie. Or Reg. No. Name of Driller 211689 I Printed 6/26/2008 HE-01205-07 222222.111146 i ! i i : i:3 4i 1i 3 : 2 stare 02822103 ~Vl rn I 0 N 00 N N file:/!/II/MPCA/!Working/A0081-l 00%20-%20PFC%20Foam/Reports/Appendix%2... Site%20Summaries/Buffalo%20Lake/Well%20Log%20Report%20-%2000211689.htm (2 of 2)6/30/2008 3:56:05 PM I-' 0 w SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY BBuumrnssvviilllee B1B0uu0rnCsmivvisillce CFFeiinrreeteDDreepPpaaarrrkttwmmaeeynn.tt Bumsiile, MN 55337 100 Civic Center Parkway Burnsville, MN 55337 D9D5aa2nn.8HH9oo5vv.ee4,,5AA7s2sssiissttaanntt FFiirree CChhiieeff dan ove@i bumsuile mn us 952-895-4572 dan.hove@ci.burnsville.mn.us TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: TTEraraagiainnnii.nngglffoaacccaiitliietyyd ojaoniniltnlyyerooswwecnnteeiddonobbyyfBCBuuHmrsnvsRivoillaleed,, AaApnppdplleeRiVVvaealrllleReiyydagaenn.dd Boulevard, Bumsiile Eagan, located at intersection Boulevard, Burnsville of Cliff Road and River Ridge AAClRRaA-sAFsFFAEF:.FS: iAAvnnsosuxull AATTCC 335/68 Training Class A: Training Foam: Ansul Silv-ex Foam: Ansul (stor (historic uussee)) AAnnnnuuaallly 551to0 1100ggaallloonnss GGrroouunndd CAAlRRaAs-AFsFFAFF::F1: 466000gggaaallllllooonnnsss Training Class A: Training Foam: 5 gallons 140 gallons Foam: 55 gallons ((hhiissttoorriicc uussee)) AAnn uunnnnaammeedd ((inntteerrmmiittteenntt)) ssttrreeaamm lfeosss tthhaann 11//44 mmiille ceaasstt LLeessss tthhaann 11//44 mmiilee wweesstt--nnoorrtthhwweesstt SnSioittreethaawppeppseetaarcrssomttooerbbeeofllooDccaaakttoeetddaiinnCssommuaalnlll aarreeaaooffaaccitivvee Kkaarrsstt iinn thhee. northwest corner of Dakota County LLeessss tthhaann 11//44 mmiille tto tthhee nnoorrtthh--nnoorrtthheeaasstt aanndd fto tthhee ssoouutthhwweesstt TTrraaiinniinngg ssittee llooccaatteedd wwiitthhiinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 223 22222222.11114477 SSTTAATTEE__0022882222110044 TIRE reek BBUURRNNSSVVIILLLLEE CCWWII WWeellll MMaapp FF- 2 Ha E CE tl i rh mn ii La a TAD 3 rer R | Hi 0 LER er TEA a Seem BEd [ See]T wr ECat ee TESER A E ee wetter roe oe en SL To Ee Te Eo ir Ceromm ld) WoLeEE oilrg Tits REE o ] 2eB ASN 7h a Cb n I iL E a R eCa Ni el ra S: ExEZe RSIP TE S AL 2en0S,fo . a FSIrEaigendlliera A5n AWhAeY V &o1,oA oedSar , e A, pHBE 0 35 5Miel lCKol NOPRNETTenOlaNeEE"I|L 222222.111148 woe casos STATE_02822105 I[BurnBsuuvrnirslvsliilleey WWhahwtaaa't'ss IInn MMy NeigbhorbhooordMhMaoa=po: d L pe il jiI frm i sil | om ||i IB : on / spt = rd ; Wh R7 ie ar shiitaf+ ea | I ob 4 SL taal | ye T | 2 i [imam oe | Eo ime SITE = bk { ZN |i "aA pr # ANoal \Sik : i Leo] = Ji / Ji | si = || = tant5h r= Ean old pr ad 7 7 fe r T ee = TN = || Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion E [Imre re | of the information should be considered to be, or used as, a legal document. The information is provided EE EER subject to the express condition that the user knowingly waives any and all claims for damages against ||| MPCA that may arise from the use of this data. ||| @Winnesota poution Control Agency || Sites ora porn Dt~ llfiiW: r.luJrtrftmiil uPhonmni~dSioOd SIo'lIdW<aJst~e wpomaeatenns l!ln~miiBCI Dun~ (OD MFRAP a torn m:attt Su~rftlnil + cos e CEK.CLt:s Fmitprtn Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb + Vooummaanan, vraon um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ [ene F:CRA l'rJ';tfii~PD I; ~ta'IIWJI' A Go Foor "'- SliM ~rMIII: 222222.111149 sSrTaArTeE__o0z2s8a2z2110060 Se igoi |PN 1H11i TH T:RE in3g wan 3 LZaEg 2 5 FR 2 g | 2 HE EL ] ed = |iha8 \ S| pe 3 B 2E3Ew 8El eANaEs Burnsville Wetland Map Hiefage JN 1 oh 22222.1111550 HiH d 8IR in dE ik a i ........ J,.. "w" 0 z 5=4 AAa +\ W \ ec Sy 2A ........ ... ................ :... ::.............. .............................................................. .....;...................... J,.. ::~==4--.. 6 z \ 4 FAN . . . . . ;. . . . . . .I :,; .1;J,'iE'::"')z,:.;~:':Vfil .. '::~~::J~~~.J~====~~~~== oi A i 3 % ~;1Je~1~: 1f :: .,......:..........................................:................ ~ z WSswan win warn Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital II ~:~Streams No Data Counties 1OOK States 1DDK o South America o North America i Lig Le, iE J : i piim c E: g z 2 i2 isl e H I 2 in 93-18-DW 93-17-30W 93-17-DW ik 8 iiiil r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate. current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' 0 '-I 93-16-30W 3 2 93-16-DW Map center: 44 47' 7" N, 93 16' 56" W $ :2 Scale: 1:27,893 Well Log Report- 00206175 Minnesota Unique Well No. Co2061i75] n oIw,' Homes 206175 County Quad QuadiD Dakota Bloomington 104D Te -- Well "'ame BURJ\SVILLE To'\\nship Rang'-' Dir Sl'ction Subsl"ctions Elevation a 27 24 w 34 BDC Elevation Method - Well Address 12111 RIVER RIDGE BL BURNSVILLE MN MINNESOTA DEPAIUMENT OF HEALTH "WELRLANDRBORRING RECORD rBeE wm WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 10/19/1990 06/22/2001 A 725 ft. Bomtinn |spt ees 7.5 minute topographic map (+/- 5 feet) Well Depth 220ft. -- Depth Completed 220ft. Date Well Completed 12/20/1963 Drilling Fluid I -- Well Hydrofractured? DYes D No From Fl. to Fl. Usc Abandoned Status Inactive ee Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D 00N5o0 AAbboovveei/Bbeebloown 00 ft. wat Casing Diameter Weight Hole Diameter or 6 in. to 180ft lbs/ft DYes 6 in. to 180ft lbs/ft Open Hole from ft. to ft. Screen NO Make Type rece Geological Material FILL SHAKOPEE-ONEOTA DOLOMITE JORDAN SANDSTONE TEE Color Hardness From To 0 12 12 168 168 220 Diameter Slot/Gauze Length Set Between REMARKS RRB OPES HOLE ARTESIAN FLOW OVE HOLE ABANDONED OPEN HOLE ARTESIAN FLOW OPEN HOLE CASING: 010 TO 0012:006 TO 0180. tc pm Located United States Geological Method Digitized- scale 1:24,000 or larger (Digitizing Survey Table) ier Girton 5 gn Unique Number Verification J\/A DateN/A em UT Nott Sow, ame vo a System UTiti- Nad83, Zone15, Meters X: 477578 Y: 4959030 Static Water Level Rmasag ft. from Date Measured PUMPING LEVF.L (below land surface) 0 ft. after hrs. pumping 200 g.p.m. Well Head Completion Pitless adapter manufacturer Model DDcuCiansignmgrPorostsecitioonn 0D 1122iinn.sahboovveeggrraaddee: D00 At-grgardadee (E(Enavviironnommmeennttaal WWeetllssannddBBoorriinnggsOONNLLYY)) ring Grouting woematn. Information allWell rst? (',routed? CD1Yveess Oo D No Nearest Known Source of Contamination di ad _feet - direction _type wit iopnrompsior 0 vo 0 Well disinfected upon completion? D Yes D No Longhai8r Cogpy Te Maer Pump D Not Installed Date Installed 1\1anufacturcr's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Fit-s! Bedi'Ock Prairie Du Chien Group Last Strat Jordan County Well Index Online Report Aquifer Jordan Depth to Bedi'Ock 12 ft. Variancl' Was a variance granted from the MDH for this well? D Well Cont.-actm Cel'tification was Tri-state Well Co. License Business Name 206175 27118 Lie. Or Reg. No. Name of Driller I Yes D No Printed 6126/2008 HE-01205-07 file:/I/II/1,1PCAI!Working/A0081-100%20-%20PFC%20Foam/Re ... ries/Bumsville/\~.1ell%20Log%20Report%20-%20002061 '75.htm6/30/2008 3:58:33 PM 2222.11115511 STATE_02822108 Well Log Report- 002076R9 MMiirnneensoata UUnniigquuee BNO Well No. 220077668899 ain oCuopuentyy QQuuaadd QuadiD a>putots DBBllaookooommtiainnggttoonn 104D TR Welll'\ame ED KREAMER Touma cnSacHtersoton Township Range Dh Section Subsections Elevation TH WB AKC Haske 27 24 w 33 ADCCBC Elevation Method Saemrni WWelelll AAddddreressss. 1000122 STW BURNSVILLE MN scooter Geological Material GraGRAVEL Giesrone LIMESTONE Soore SANDSTONE Color Haness Color Hardness ro rains NO REMARKS MINNESOTA DEPARTMENT OF WEALTH Fay Date free HEALTH WWEELLLL AANNDD BBOORRIINNGG RECORD Kdte RECORD timesStas Cpr 631 11Jinnesota Statutes Chapter 1031 lEU:ppnddtraaytteeDDDaatatetee. Received Date o0180m1111i94n1/11e9999n10 731. asohn DgSCuonm DWaCnot 722 ft. ioc 7T.S5 amuintute topographic map (+/- 5 feet) Well Depth 240 ft. DiriillningVMieetthhoodd -- Depth Completed 240ft. Date Well Completed 07/30/1974 Drilling F1uid f I e -- We-ll Hydrofracturc-d? DYes D No From Ft. to Ft. l:se Commercial Casing Type bioBelow 0 ft. .Joint No Information Drive Shoe? DYes D No CasingDarr a FeDate Casing Diameter Weight Hole Diameter Tan we wn 4 in. to 196 ft. lbs.lft. A hove/ fom To From To on0 79 [A79 158 Bo 158 240 Open Hule 1ium fl. tu fl. SESueen Make Type Obmeter SiGmz Diameter Slot/Gauze Legh Length SetBtwenn Set Between Static Water Level 20 ft. from Land surface Date Measured 07/30/1974 PUMPII'\G LEVEL (below land surface) ft. after hrs. pumping g. p.m. Walle Completion Well Ilead Completion Pa rar Mot Pitless adapter manufacturer Model Dlcang roam 0 12 ove rte D Casing Protection D 12 in. above grade 0 ror rime Wel edge on D At-grade (Environmental Wells and Borings ONLY) Coming loro WelGroses? )Yer 0 ve Grouting Information Well Grouted? DYes D No Located Minnesota Geological savy gata Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Une Nam Verifcion NA Die NA Unique Number Verification N/A DateN/A rsSystem Meters UTM- Nad83, Zonel5. X: i 47oS32 vYe: 495S959 Vist Beh Pr DCH Gop First Bedrock Prairie Du Chien Group Vacs Sod Last Strat Jordan ter Jord Aquifer Jordan Depts ed Depth to Bedrock 79 ft. County Well Index Online Report SC Sr Cio "'earest Known Source of Contamination - feet - direction _type et nics compton 0 ver Well disinfected upon completion? D Yes Tamy 0 Noted Doc ond Pump D Not Installed Date Installcd 0 no D No LongofrPoiep Manufacturer's name Length of drop Pipe ft. Came gp05 Model number - Capacity g.p.m Tipe HPQ_ Type Notes Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D No Well Contractor Certification {icon times ks No Narcan License Business Name Lie. Or Reg. No. Name of Driller Yes D 207689 I Printed 6/26/2008 HE-0 1205-07 ATC 0305S er et 0 Sn3 0 SUS file :///IIIMPCA/! Working/A0081-100%20-%20PFC%20Foam/Re...ries/Bumsville/Well%20Log%20Report%20-%2000207689.htm6/30/2008 3:58:33 PM 222222.111152 STSATATTEE0_208282222110099 Well Log Report - 00229lll7 Minnesota Unique Well No. II 229107 County Quad Quad ID Dakota Bloomington 104D SU MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 05/20/1991 08/1411991 Well-"ame LEHIGH PORTLAND CEMENT C Township Range Dir Section Subsections Elevation 227 224 wW 3333 DDBBDDBBCCDD EElelevvaattiioonn MMeetthhoodd 729 ft. t7to.o5ppoomggrirnaapupthheiiccmmaapp (+/- 5 feet) Well Depth Depth Completed Date Well Completed 225 ft. |.. bP~riiilnkigi iM\e1t~htho~dd ~~ 225ft. 196309 .... Te I re| Drilling Fluid -- Cse Industrial Well Hydrofractured"! DYes D No From Ft. to Ft. orCasing Type Joint No Information Drive Shoe? DYes D No Above/ Below 0 ft. Casing Diameter Weight Hole Diameter =Geological Material PEAT LIMESTONE-SHAKOPEE DOLOMITE [SSuANnDsStToOnNeE-JiORoDnAN Color Hardness oFrom To 0 9 9 170 1n 70 O225 10 in. to 22 ft. ST ereno NE e To 6 in. to 185 ft Open Hole from 18) ft. to 225 Screen NU Make Type Diameter Slot/Gauze lbs.lft. lbs/ft ft. Length WaT Static Water Level -8 ft. from Land surface Date Measured 196309 amSet Between PUMPI-"G LEVEL (below land surface) 0 ft. after hrs. pumping 100 g. p.m. REMARKS CASING: 10 TO 22; 6 TO 185. FLOWING WELL Well Head Completion Pitless adapter manufadurer Model DDO cCoassiinngg PPrroosteccctiioonn D0121i2 .in. abboonveeggrraaddee. D0 AAttv-ggrraaddee ((EEnmvivroinrmoenntaulmWWeelenlllstsaaannldd BBoorriimnggss OONNLLYY)) Grouting Information Well Grouted? DYes DNo Located Minnesota Geological Method Digitization (Screen)- Map Spe UTM Nod Zo. rn x: sosazn pSoUUulnnriiviqqeyuueeNNuummbbeerr VVeerriiffiiccaattiioonn NN/AA G(DD1a2a2tth4ee,0000m0880)/33)002/2000044 System UTM- Nad83, Zonel5, Meters X: 476592 Y: 4958620 First Bedrock Prairie Du Chien Group Last Strat Jordan Aquifer Jordan Depth to Bedrock 9 ft. County Well Index Online Report we giwen ncoms pen 01 ver 0) .N'\eoeauartreesstt KKdinorocwntncSnSooumr-ccyeepooeff CCoonnttaammiinnaattiioonn - feet - direction _type Well disinfected upon completion? D Yes D PPuummpp 0D NNoott tInnsstsallleedd DDaattee IInnsstsallleedd Longo Pe Manufacturer's name Length of dmp Pipe ft. Coping Model number - Capacity g.p.m Type HPQ_ Type no No Doria Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D No Well Contractor Certification Aamot Well Co. 27062 License Business Name Lie. Or Reg. No. Name of Driller Yes D 229107 I Printed 6/26/2008 HE-0 1205-07 fll e:///II/:\1PCA/! Working/A0081-l00%20-%20PFC%20Foam;Re...ries/Bumsville/Well%20Log%20Report%20-%20002291 07.htm6/30/2008 3:58 :31 PM 222222.111153 STATE_02822110 Well Log Report- 00229108 (2E 29108I fs Minnesota Unique Well No. County Quad QuadiD Dakota Bloomington 104D eA Well "'ame NORTHWESTERN STATES CE'v!ENT CO. ws com emi To'\\nship Rang'-' Dir Sl'ction Subsl"ctions Elevation 27 24 w 34 CBCABA Elevation Method an Well Address BURNSVILLE MN MINNESOTA DEPAIUMENT OF HEALTH "WELLAND BORING RECORD iam ov WELL AND BORING RECORD eonmoves che on Minnesota Statutes Chapter 1031 -- SC bare Well Depth Depth Completed Entry Date Update Date Received Date 05/20/1991 03/08/2007 Date Well Completed 1S Soterntnn| 743 ft. 7.5 minute topographic map (+/- 5 feet) 270ft. -- Drilling Fluid -- ot270ft. oo 10/04/1963 IWell Hydrofractured? DYes D No From Fl. to Fl. Cot oe nt om em Det D7 Usc Industrial Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes 0DNsoo AAbboovree/Beetloown 00 8ft. ernst Casing Diameter Te 20 1n. to 29ft Gon 12 1n. to 194ft We Weight orlbs/ft PAlbs/ft aro Hole Diameter Open Hole fi"om 194 ft. to 270 ft. Screen NO Make Type Geological Material EE GLACIAL DRIFT SHAKOPEE-ONEOTA DOLOMITE JORDAN SANDSTONE Color Hardness From To TEE 0 27 27 179 179 270 EETi DONT RYO HOW HH AONE GROUDLEVEL REMARKS WELL FLOWS DON'T KNOW HOW HIGH ABOVE GROUND LEVEL. LINER PIPE GROUTED WITH PCRE CEMENT. tt Nc tm Located Minnesota Geological Survey CoteSome ottmsoi Unique Number Verification Infonnation from owner we 73 Ss ss System UTJ'vf- Nad83, Zonel5, Meters Jl Do Method Digitization (Screen) - Map (1:24,000) pe1 Date 08/30/2004 07502 X: 477296 Y: 4958679 Diameter Slot/Gauze Length Set Between Static Water Level -1 ft. from Land surface Date Measured 10/04!1963 PUMPING LEVF.L (below land surface) MleECoEmpaTn 14 ft. after hrs. pumping 360 g.p.m. Well Head Completion Pitless adapter manufacturer Model DOca Casing Protection 0D 1122iinn.daobvovee grroaddee D00 AAt-ggrradae (E(nviirornmaentmalWWeetellnlsssainddHsBooitrninggss OONNLLYY)) Grrrmaton Grouting Information Waters Well C"'rt"outed? Ev 0 Yes EDl No Grout Material Neat Cement from to ft Nearest Known Source of Contamination i ad _feet - direction _type 2 itt mniiot 2 vo 3 Well disinfected upon completion? D Yes D No ENE Sh BE NR Pump D Not Installed Date Installed 1\1anufaeturcr's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material D Abandoned Wells Does property have any not in use and not sealed well(s)? Yes 0D No Variancl' Was a variance granted from the MDH for this well? D Yes D No Fit-st Bedi"Ock Prairie Du Chien Group Lots oie Steet 70cm 1s ro Yemen Last Strat Jordan [Com |awm | I o] n County Well Index Online Report Aquifer Jordan Depth to Bedi"Ock 27 ft. Well Cont.-actm CeJ"tification Tri-state Well Co. 27118 BENEKE R. License Business Name Lie. Or Reg. No. Name of Driller 229108 Printed 6126/2008 HE-01205-07 file:/I/II/1,1PCAI!Working/A0081-100%20-%20PFC%20Foam/Re ... ries/Bumsville/\~.1ell%20Log%20Report%20-%2000229108.htm6/30/2008 3:58:33 PM 222222.111154 sStTaAteTE0_202882222111111 SSiittee NNaammee:: FiFriree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY BBuuyycckk. B8Bu0uy3yc5ckkOVV-oBlouunytlcekeurFRiForinraeedDtDeepepaarrtetmmeernntt Buyck, UN 55771 8035 Orr-Buyck Road Buyck, MN 55771 NNoott pporovviiddeedd TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 88003355 OOrr-r-BBuuyycckk RRooaadd,, BBuuyycckk NNoott ssppeecciiffiieedd AAmnunaulalllyy LLeessss tthhaann 5gaglallolonnss. GGrroouunndd NNoott ssppeeccitfieedd AAnn uunnnnaammeedd ssttrreeaamm bbeotwweeenn 11//44 aanndd 11//33 mmiillee ecaasstt LLeessss tthhaann 11/88 mmiilee ssoouutthh MMoorree tthhaann 11 mmiillee MMoorree tthhaann 11 mmiilee 1"4 22222222..11115555 SSTTAATTEE__0022882222111122 BBUUYYCCKK CCWWII WWeellll MMaapp FE ETE SSa R Ul SES Lb oe F 4 F s R hP it REI d CE RA) e STg E (SOSWoIe ET A g EL SEC RY Eh)BRU ER en AS bS Sr oE a rnT| INRNGT aE SaaliPeeea eAREiNaT aA Tnhe P SEERA ATSRE aESS (CR NTga h RCAasaREC 3LaDrktES ET b NL INSITliA Ne C Na n vedi OE S MR AR RT as )eByeeNhG a glXIB H EL NON no e STEEL SOE aEof ey Seon ylll irsLolH 2 SAONNSRS A YH,C rm = p NaGi nS a PSore UE RRRNTCee.lae a i p e lal ipa re Bait oEiER Ear anses SNo)f. I= S Jed,ee55 SDT ETRer E rSese N t WASCNSare ES TEE SR AS Sea E2 ragCP eEa ESO) S BN ESR e S ) esB l ae aa r r A ae laa E CEAR AR ES ET Sse Wehr Me SAE NE mm ov m oem . coro + ZXON |oeae 222222.111156 [Ep-- STATE_02822113 |Buycckk WWhhaat'sItInn'MMsy Neighborhood Map | --~ XN | - ! i | Lo | ) | 7 ji I ee Ww. | | / | iy (||Si Ii br .S~ISITTEE N 7 wtJ \ 3 | (| 1 --.. | Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion gm ppm oprsector| of the information should be considered to be, or used as, a legal document. The information is provided RE subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. [| ersmasmmmmomsrmn || SSiitteess. [---- Dt~ llfiiW: r.luJrtrftmiil uPhommni~tSieOd SIo'hIW<aJ st~e ungomasaoanms l!ln~miiBCI Dun~ ee MFRAP Stma:attett SSuup~orfrtflunndil o coxcun e CEK.CLt:s + Femi Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb Cm um V9ltnar~ llritm~~l'i I; Cta'IIWrt A_._ R~CR RAATSEFraac~i1t1s1i:1o~s FeRAmotaton Cran F:CRA l'rl'ffii~PDI; ~ta'IIWJI' 4"'- SliM ~rMIII: 222222.111157 sStTaAtTeE_o022s82222111144 2222.1158 . CR S NIRIe ENSEACE er Tb ANl Bl Lo 1 via Buyck Wetland Map oP 1 92-34W 92-33 w r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' I-' Ul WW 38) i1 r HiAS : Ii] 7 | VS \ i Bo 3 LE! gglw ,3 1 LsVhe foiSwm wm Bsemeyse we| J J - ]~ 0 z ...'f Cw ' 0 z ...m !!~ z ; g4y1 1) if m w 0 z ...m c'n 6 z MN : if =!~ 0 z Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K II o South America o North America call0s 3 $ 92-32 w Map center: 48 6' 40" N, 92 32' 55" W Scale: 1:36,676 Soooe{1r|Ey.,ts dm h HBEEE Da5i i in1 l :i -- - SSIITTEE SSUUMMMMAARRYY SSiitteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: CCaassss LLaakkee CGBaoasxsss82LL4aakkee VVoolluunntteeeerr FFriree DDeeppaarrttmmeenntt CCBaaossxss82LL4aakkee,, MMNN 5566663333 TT2i1imm8o-ot3thh3yy6.RR6ee1ii9pp5ilinnggeerr,, Firiree CChhiieeff Giie@anvg net 218-335-6195 clfire@arvig .net TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtarianininingg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: RRaaiillrrooaadd rriigghhtt-o-of-fwwaayy bbyy 88 RRaalilirooaadd SSitrreeeett NNWW,, CCaassss LLaakkee ACAlFFaFFsF:s:BAA:nnSggiuuhsseeFFxiirrsstt SSttrriikkee Class B: Silv-ex AAnnnnuuaallllyy 551to0 1100ggaallloonnss GGrroouunndd AAAFRFFAFFFF:F: F0001to05150gg5aalglllaoolnnslsons Class B:2010 25 Gallons. AR-AFFF: 0 to 5 gallons Class B: 20 to 25 gallons FFooxx CCrreeeekk llooccaatteedd bbeettwweeeenn 117/22 aanndd 22//33 mmiillee ssoouutthh BBeettwweeeenn 111/22 aanndd 22/13 mmiiklee ssoouutthh LLeessss tthhaann 11/4 mmiillee nnoorrtthheeaasstt MMoorree tthhaann 11 mmiilee 9 s 22222222.11115599 SSTTAATTEE__0022882222111166 : [3700 C(CAASSS LLAAKKEE CCWWII WWeellll MMaapp dedi do LURES NB Tpoe e TpT e He g Pine Grinot veb(Cs EERR E EaGuh aBAN wo. Of) UHATTTp Ee LFT0eg Le | sen ren S37 CLEHEANT TRIE ELT _ ae] Er 3.9 Tha IEE EELE ------ae-- SHEl R ar 14 6 id TL ee Ba?mvo5e a Wi aee TL Fe SPREE LL ORe E e ET Edn cf, Spo s"3%iReon 47raao veseo4tL]faaE SnOT OSDN swEeEE de ToWT aoETSE E oem n Fe oxff SasSd| Pppvel , } atOTS ed 17 So 7 0 f= oF dh CL wf "re fy ogi Ca HE mi Yo i alee oem Ne tL LEA W i>o AOTNia YNMomamesnceim aD0nSOyO) SE sherman ah 222222.111160 STATE_02822117 CCaassss LLaakkee WWhhaat't'ssIInn MMy NeighborhMoaopd ---- e|T|l Hf n | ayy | eee t ent fm1 Te r mrt i si HiSITE IE EN 0 =5 Fought X a id [on - ol py L of \ A | | Gl| = Sites. SPiredanaptesnd Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion mse pptespe on | orate of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against EASIER | wo+Fcwoxeecunmi MPCAthat may arise from the use ofthis data. Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP Stma:attett SSuup~orfrtflunndil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb initPoin CotAgi 2g Rog TRDC ec um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D I&;1C~th1a'aI0InWJ8gI' 4"'- SliM ~rMIII: 2222.11116611 [p-- STATE_02822118 5 m(r ||F BE. RIO.R Hil i ou ii i fir dn | Eld BURR PF g 1 id T 5i [ : 23 || gl HE J |g7$niC ihe or TTT Cass Lake Wetland Map are 2222.1162 ; : ani wan wason aason anon saan szon 3 | 1 .... "~"" w J,. 0 z 2 ev a > LAE WE i .,. II ~ Legend ;;' Interstate ~ Major Roads z Other Road ;;' Interstate ,..v State highway ~US highway = Ba : 4 | i ig . i ALfEee EE pfte |MaE i ii FUE dle 2 4] ihe a] Phe Is i Tl] ERE 3 Ny 1 [k{a=nob | I C rm Hf) E iE ee] BEi] .... Roads C' N w Cities 6 r USGS Quad Index 24K z Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md .... 111 FrAshwater Forested/Shrub Wetland """~ Freshwater Pond N l.. Lake 0 Othor z Riverine Lower 48 Available Wetland Data Non-Digital Digital ~ No Data ~ Scan N ~ NHD Streams 0 z Counties 1OOK lam), if |& | States 1DDK o South America o North America .... "~"" N 6 z 1 it LH w w 94-37-30 94-37-0W 94-36-30W 94-36-0W 94-35-30 i i i $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 Map center: 47 22' 51" N, 94 36' 18" W Scale: 1:24,313 N 00 N N I-' I-' \.0 - ss Well Log Report- 00161481 IM'vafmnneessotaUUnntiuqeue WWeIll NNo. 161481 oud CCooupnyty Quad QuadiD Cooke CCaassss Cass Lake 301A WELL AND BORING RECORD MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WELL AND BORING RECORD Jl11nnesota Statute., Chapter 1031 Vpbwebuie EFnnttrryy DDaattee. Update Date Received Date onan 00222/2441/5198899. mvo6;2007 Well Name CHAMPION INT.CORP. Township Range Dir Section Subsections Elevation 145 31 w 15 BDACAB Elevation Method 1319 ft. Calc from DEM (USGS 7.5 min or equiv.) Well Depth Depth Completed Date Well Completed 35 ft. 35ft. ll/05/1985 E I k llrillim.- MPtho<l Drilling Fluid -- Rotary Well Ilydrofractured? DYes D No From Ft. to Ft. Bn Use Pump out well Casing Type Steel (black or low carbon) 0 No Above/Below 2 ft. Joint Threaded Drive Shoe? DYes Casing Diameter Weight Hole Diameter 6 in. to 25 ft 18.97 lbs/ft 12 1n. to 35 ft linden Well Address CASS LAKE MN 56633 Geological Material SAND &GRAVEL SAND &GRAVEL,CEMENTED Color BROWN BROWN Hardness HARD HARD [omme Open Hole from ft. to ft. Screen YES Make JOHNSON a mili Diameter Slot/Gauze Type stainless steel Length Set Between From To 6 15 10 0 ft and ft 0 10 10 35 ETRE REMARKS .75 tvllLES E. OF HWY. 371 401 WHEELER DIVISION Static Water Level 12 ft. from r.and surface Date Measured ---- PUMPING LEVEL (below land surface) 27 ft. after 1 hrs. pumping 20 g.p.m. Well Head Completion 12/12/1985 Pitless adapter manufachtrer Model DDaCsasing pPrrootweccitioonn 0D 1122iinn. aabboovveeggrraatdee arrenammaom woos B 5 Le D At-grade (Environmental Wells and Borings ON! .Y) Grouting Information Well Grouted? 0 Yes D No Grout Matenal Bentonite from to ft Located Minnesota Pollution Control Agency Unique Nmnber Veritication Information tiom owner System UT.l'vf- Nad83, Zone15, Meters Method Digitization (Screen)- Map (1:12.000) Date 07/26/2007 X: 379310 Y: 5248244 atSr First Bedr Last Strat o Unc ck Unknow dpn de epo s i t getype Dept Aquifer Depth to drock Bedrock 1.ft. County Well Index Online Report Nearest Known Source of Contamination - feet - direction _type Wdl disinfected upon completion? D Yes D No Pump D Not Installed Date Installed 12/12/1985 Manufacturer's name GRUNDFAS Model number - SP-4-8- - HP - Volts 230 Length of drop Pipe ll__ft. Capacity l2._g.p.m . Type Submersible Material Galvanized AAbbaannddoonneedd WWeelllss DDuosessprporopperetrtyyhheavveeaannyy nnoodt iinn uusseeaaendd nnoott sseeaalleedd wweelll(s)?? 0D Yes D No Variance Was a variance granted from the MDH for this well 0 D Yes D No Well Contractor Certification Bergerson-Caswell no5g l\UBBE. lJ License Business !\arne Lie. Or Reg. No. Name of Driller 161481 I Printed 6/26/2008 HE-01205-07 file ://JIIIMPCA/1\Vorking/A0081-l 00%20-%20PFC%20Foam/. ..s/Cass%20Lake/\Vell%20Log%20Report%20-%200016148l.htm6/30/2008 4:05:30 PM 222222.111163 STATE_02822120 Well Log Report- 00243223 Meso2sC 4U3ni2gU23tIN QCuoidy II 243223 II ~:::ty lvfinnesota Unique Well No. Quam ~-==================~- QuadiD CosCass Coma CassLake iA301A "eWToelwlalsNahaimmpeeRUaSnUSGeGSSDiTTrEESSSeTTctVWiavE'nELLTSLubsccton Elevation T o 1531 wnship Rang 145 31 e WDir w S e 15cti 15 o n BADCCD Subsection BADCCD s Elevation Elevatio Elevatio n n MMeetthhoodd GGFCCeLLNeoEEoElAAolANo,gE,giCCDicOcOaSaAlAAlRMRNMSaSDEtEaeStSre4Air1aNial0Dl GNCFILELNEDEEAS-,MNL,ETCCDOYOSRSAARRwNSSDEESSA0N0D NCEUMMDEAEDDSS.-RCSLIRSLSTTSYSAAASSNADDNADO CLAY, SILT &SAND CRRBCoERolDEOloo/WBrrORNN GGGBRRROYvRW/BBNRRRNN GRY/BRN GGRRAvYBRN GRY/BRN GRAY SSSHMOOOaaFFFdrTTTdnneessss SSSSOOOOFFFTTTT SSSWOOOAFFFRTTTD HARD Er MDWEEPiALRRLJTmSAEMaaWENCteeNeDaOlrTsBnRODsesFOhDpHtaRhEptIANU1oTG03DHe1pthaCoRnUmeppcEedswtahnetdyeeDdDuuDecaDacte Wwello01C31u11o27m220p0070e 1321 ft. Sunsysd SH sg E ich PoS v Niger Surveyed MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 11112/2001 09/17/2007 Well Depth Depth Completed Date Well Completed 63 ft. 23ft. 08/04/1986 U ~lllln!! lVletnO Power Auger Weltydrotmaurca O Yer 0 No Drilling Fluid rom Fo -- Well Hydrofractured? DYes D No From Ft. to Ft. Te Or Use Observation well Conig Type Galvrized dont Tread Deve shoe? 0 ves OO Casing Type Galvanized Joint Threaded Drive Shoe? DYes D oboe | 1. No Above/Below 1 ft. CasingDiameter Weight Filo Diameter Casing Diameter Weight Hole Diameter 2n6 at wh isan f 2 in. to 20 ft. lbs./ft. 4.5 in. to ft. 200 Bt wn 2 in. to 23 ft. CT Open Hole trom n. to n. lbs./ft Teen VI Ne Tope Screen YES Make Type plastic From To Diameter SlotGauge Length SetBetween From To Diameter os [5 0 2 mn maz 0 5 2 sow 5 15 Slot/Gauze 10 Length 2 Set Between 20 ft. and 22 ft. Bow 15 40 0 ow 40 50 5% [Sew 50 60 Static Water Level @ 8| 1750 fomLennie DeMesurod 0809195 60 63 17.5 ft. from Land surface Date Measured 08/09/1986 FUNPING LEVEL (kon Bd arte) PUMPING LEVEL (below land surface) A slr bes pumps gpm ft. after hrs. pumping g.p.m. RTWEEELM WLALAORRCEKS0S% MILES OFF 371, NEAK TRAIN TRAACNDKBUSLK WELL LOC 0.8 MILES OFF 371, NEAR TRAIN TRJ\.CKS AND BULK WWPelelllol HHeeaapddiCCtoommmpplalceitmioonrn s Mest Dlcusing rosin B Pilless adapter manufacturer D Casing Protection 0 12in shove ge Model 12 in. above grade D0) Arad vimemnnst At-grade (Enviromnental WWielllslannsddBBoorginsgsOONNLLY0Y)) | GGrroouuttiinnggIItnofromrmataitioonn. Welelll GGrroouuteesd?? 0 Yveess 0D NNoo FF"FUUUeEEZELLLNSOOTNIOILDLRNSSARMMGEEEOLL.BLLWTETOLOSLSEEDNDOI.INMEE1N1N0TT1SS6 NNEEAARR WWAATTEERR TTAABBLLEE! ------ MNDNR OBVv'ELL NO.: 11016 Graal Grout Material tNesetCaetreCnt--ement PRfrom 0 to 17 ft. Located UritedSites Gesogcal Located United States Geological Suey Survey Unique Number Unique Number Veriton nomen fom Verification Information from over owner Sve UTM Zot, System UTM -Nad83, Zonel5, Mis l\!Jeters Method Digittion Sven op Method Digitization (Screen) - Map 24000) (1 :24,000) Date 09172007 Date 09/17/2007 Xympe X: 379270 woes Y: 5248352 FitBedrock Lassie First Bedrock Last Strat Air DeApqtuhifer Bedrock_11 Depth to Bedrock ft. earn KeesSoares oTComtamiestio Nearest Known Source of Contamination Tio iin. pe - feet - direction _type Heslldisetn penycmoimpnle?tion?) B %Ves >o Well disinfected upon completion? D Yes 0 No Pump 0 Notlusallod Dt stl Pump D Not Installed Date Installed Nemcueersmme | Mokinumb_er 1P_ Vols Manufacturer's name Model number - LengdlpPhyeot Comigpn ive Merl Length of drop Pipe _ft. Capacity _g.p.m liP - Volts Type Material RammeWa Tos ropes Bo a Tre TT eT Abandoned Wells Does property have any not in use and not sealed well or 0 ve On (s)? D Yes D No VarianceWes vac raedfom he MOH fdas? 01 Ves Variance Was a variance granted from Lhe MDH for this well? D Yes O x D No Well Contractor Certification Uni Sues Gologisl Svy ~~ USGS. STARK. United States Geological Survey License DusiessName Li. regNo NaoDel License Business Name USGS STARK J. Lie. Or Reg. No. Name ofDriller Fl CA rig ORL. hh Wel og Tart21223 3008 40537 file:///li;MPCA/!Working/A0081-I00%20-%20PFC%20Fo...ass%20Lake/Well%20Log%20Report%20-%2000243223.htm (I of2)6/30/2008 4:05:27 PM 22222222..11116644. SSTTAATTEE0_208228222112211 Well Log Report- 00243223 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 224433222233 Printed 6/26/2008 HE-01205-07 CA lg ORL 1070S blFog Sper SUL mH TIN file:///li;MPCA/!Working/A0081-I00%20-%20PFC%20Fo...ass%20Lake/Well%20Log%20Report%20-%2000243223.htm (2 of2)6/30/2008 4:05:27 PM 22222222..11116655 sStTaArTeE__o0z2s82222112222 Well Log Report- 00268446 268446 ~:::ty Contac ae Minnr>sota fe Uniqur> Wr>/1 No. Cony 1'---==2=6=8=44=6======..!11 - . QuadlD Cas Cass Cass Lake 301A Well Name SI REGIS PAPER- 104 Township Range Dir Section Subsections Elevation 145 31 w 15 ACBBCD Elevation Method WELL ANDBORING HEALTH MINNESOTA DEPARTMENT HEALTH OF WELL AND BORING RECORD Afinnesota Statutes Chapter 1031 Cpinebwe BunDue Entry Date Update Date Received Date T7207 0720207 07/24/2007 07/27/2007 Well Depth Depth Completed Date Well Completed 1315.4 ft. 22ft. 22ft. 01/27!1982 [om fIrp See | Surveyed Drilling Method Water Rotary Drilling Fluid -- Well Hydrofracturcd? DYes D No From Ft. to Ft. Use Monitor well CaCsaisinnggTTyyppee GGaallvvaanniizzeedd JJooiinntt NNoo IInnffoorrmmataitioonn. DDrriivvee SShhooee?? [D= No Above/Below ft. D [JYVeess Casing Diameter Weight Hole Diameter GGeoeloologgiiccaall MMataeterriiaall SAND CCoolloorr BROWN HHaarrddnnesess.s [OOppentHoole Tfroom nft.ttoo wftn. 1 Screen YES Make Type galvanized i Diameter FFrroomm TToo| *4 0 22 22 22 Slot/Gauze Length 10 Set Between 1N1 e ft. manda21 kft. Static Water Level 12 ft. from Land surface Date Measured 01/27/1982 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m CRCHHEAAMMMPPAITROONNKTISNNTTEERRNNAATTTIOONNAALT. SSUUPPEERRFFUUNNDDSSIITTEE-- MMWW 110044 Located Minnesota Pollution Control Agency WUuniigqouee NNouwmbebse.r Verification Information from owner S SystemY UTMN-Neadds8)3., ZZmoenresl5,, }vfeters Method Digitization (Screen) - Map (l:l2,000) DDaattee 0077/22662/2000077 XXo: 3T7H9466T7 YV:: 5$224068228577 FitFirst BBeeddrroocckk Last Strat AAqquuiiffeerr QQuuaatt. WWaatteerr TTaabbllee AAdquuiiffexr Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model DDcaCsaisningg PPrrootseecctiioonn D0 1122iinn. asbhoovveeggrraaddee: CL 0D0 AAtt-.ggrraaddee(En(Evnivriornomnmeennttsa!l WWeellllss aanndd BBoorriinnggss OONNLLYY)) GGrorouuttiinngg Ilnaffoorrmmaattiioonn WWeellll GGrroowuetedd:? 0 Yes aD No Grout Material: Cuttings from 8.5 to 22 ft. Grout Material: Neat Cement from to 8.5 ft. NNeeaarreesstt KKnnoowwnn SSoouurrcceeooff CCoonnttaammiinnaattiioonn _feet - direction _type WWeellll ddisiinfsecitednuuppfoonneccoocmmpltpeletetiioodnn?? D[J Yveess ODJ NNoo PPuummpp 0D) NNoott Isnsatallledd DDiatee IInnssttaalllleedd. Manufacturer's name Model number - Length of drop Pipe tl Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWaass a vvaarriiaanncceeggrraanntteeddffrroomm tthhee MMDDHHffoorr tthhiiss wweellll?? D[J YYeess 0D NNoo Well Contractor Certilication N`Noorrtthh SSttaarr DDrriilllliinngg License Business Name i L 4490558888 OnOoTIImOU,DT L Lie. Or Reg. No. Name of Driller 268446 I Printed 6/26/2008 HE-0 1205-07 file://ilii1\1PCA/~ Working/A0081-100%20-%20PFC%20Foam/...s/Cass%20Lake/Well%20Log%20Report%20-%2000268446.htm6/30/2008 4:06:3 8 PM 222222.111166 STATE_02822123 Well Log Report- 00268458 Mon26r8i4e258Wolo. Minnr>sota Uniqur> Wr>/1 No. QcCououinyty L.!:::::::==2=6=8=45=8====::::!.JII Q~:u:a:im ConCass Canake Cass Lake ain301A WaName STREGR PAPER TY Well Name ST REGIS PAPER- 218 ove Range DieSection Sbuctons Elevation Township Range Dir Section Subsections Elevation 13 WIS BADD. Elevator Method 145 31 w 15 BDABDD Elevation Method win 1317.6 ft. _Suncod Surveyed MONELOATIINT oF MINNESOTA DEPARTMENT OF neALTH BD 0720207 HEALTH WELL AND BORING UpdneDue 0207 WELL AND BORING RECORD Received Duc RECORD MiStni Cohirt131 JIJinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 07/24/2007 07/30/2007 WD Deh Compt Do Wel Compre Well Depth Depth Completed Date Well Completed wa on 2m 39ft. 38ft. 12/29!1984 eT TRA Drilling Method . Rotary IVellvdrsrcaret? 0 ve 0 vo Drilling Fluid om 1 1 -- Well Hydrofractured? DYes D No From Ft. to Ft. Cains Tope Seite Stl Jot Tmt Drive Shot 0 Yer 01 Use Monitor well Casing Type Stainless Steel Joint Threaded Drive Shoe? D Yes D No Above/Below ft. Casing Ometer Casing Diameter Zab wh 2 in. to 33 ft. Tog Weight wnlbs.lft Fok Gamer Hole Diameter ectogicl Matai Geological Material Siren SILTY SAND FESMD POOR GRADED) FINE SAND (POOR GRADED) end SANDY CLAY Color Color Geom DK. BRN som BROWN aGRAY Hardness Hardness C --r Open Hole from ft. to ft. Seen Na Tope Screen YES Make Type stainless steel Diameter SlouGauze Length Sot Between Diameter Slot/Gauze Length Set Between From To 2 5 mre From To 2 5 33 ft. and 38 ft. "a 0 3 EY 3 36 EE36 38 Static Water Level TT lrLanai _Duc Med 12291981 15 fl. from Land surfaL:e Date Measured 12/29/1984 FUNPING LEVEL (lor ont arf) PUMPING LEVEL (below land surface) Be pong ft. after hrs. pumping g.p.m. Wale Comleion Well Head Completion den oimamas Moi! Pitlcss adapter manufacturer Model Dlcaing rorcion 1 120m shove ge D Casing Protection D 12 in. above grade aeGomi Weld Boog ONLY) D At-grade (Environmental Wells and Borings ONLY) AMON NITRNATIONAL SUPLRIUNDSIT M218 REMARKS CIIAMPIONINTERNATIONAL SUPI:RPUND SITE- MW 218 Lact Mons Polion Located Minnesota Pollution ora gn Control Agency Unie Nomber Unique Number Nermetion teormhaomtoounn Verification Information from owner Sem UTM ZneIS System UTM-Nad83. Zonel5. }vfeters Method Distion Sen) Mop Method Digitization (Screen)- Map ain (1:12,000) -- Date 07/26/2007 x an: saan X: 379324 Y: 5248253 GGroruotuitinngg aormaton Information Wo Guts? Well Grouted? BIZl1 esYes ODINNoo [---- Grout Material: Other |Gra trates Cemet Grout Material: Neat Cement fon 251090 from 25 to 39 ft. fon w250 from to 25 ft. Near Knows Sar oT Common Nearest Known Source of Contamination ME- feet _direction _type Wodipon n complt etion? 0 ver wo Well disinfected upon completion? D Yes D No Pum 0 Noted Dut ed Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Volts Fir Bock Aquier Qui War Tale Aqui First Bedrock Last DeptBick Last Strat Aquifer Quat Water Table Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report A"LAbebnaangntddhooonnfeedddrWWopeelPlllispeDTooefests. pprrCooppaeperratycyi ave ty _g have ay osr e3 nt sealed .p.m Type Material any not in use and not sealed welellsl(s)? Ose Ow D Yes D No Variencs Wor vai gareTom be MDTori? Yer Variance Was a variance granted from the MDH for this well? D Yes Ow D No NTComrar CrTeo Well Contractor Certification BRAN BRABENDER,L. ice BinsName_Lic OvReg No._Nansof Dre License Business Name Lie. Or Reg. No. Name ofDriller 226688445588 I Printed 612612008 HE-01205-07 CA Nig ALAC MS NH et09 SEA ADIN file://i!JI1\1PCAP Working/A0081-100%20-%20PFC%20Foam/. ..siCass%20Lake/Well%20Log%20Report%20-%2000268458.htm6/30/2008 4:05 :29 PM 22222222.11116677 SSTTAATTEE__0022882222112244 Well Log Report- CJCJ26g461 268461 _Minnesota Unique Well No. 268461 Comity Quad Quad ID Stee Cass Cass Lake 301A Well Name ST REGIS PAPER- 102 Township Range Dir Section Subsections Elevation 145 31 w 15 BDBABC Elevation Method 1320.8 ft. Surveyed WELLANDBORINGRECORD Mll\NESOTA DEPARTMENT OJ<' HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 pede Entry Date Update Date Received Date 731307 07/25/2007 07/31/2007 Well Depth Depth Completed Date Well Completed 121ft. 121ft. 02/10/1982 I Drilling Method Mud Rotary Drilling Fluid Bentonite Well Hydrofractured? DYes D No From Ft. to Ft. L Use Monitor well C: Casing Type Galvanized Joint No Information Drive Shoe? DYes D wsis Geological Material FINE SAND EFeis FINE SAND MEDIUM SAND CLAYEY SAND FHrohene w SILTY SAND COARSE GRAINED SAND wZrafteiray Color BROWN SB om LomEms BROWN BROWN OK. GRY Soamy if5f[owmesr sowcane GRAY GRAY Hardness No Above/Below ft. Casing Diameter From To 0 16 16 24 24 34 34 45 45 57 57 58 4 in. to 105 ft. Open Hole from ft. to ft. Screen YES Make Type Diameter 4 Slot/Gauze Weight lbs./ft. Hole Diameter tS orn soy so galvanized Length 10 Set Between 105 ft. and 115 ft. SILTY SAND GRAY 58 72 FINE SILTY SAND GRAY 72 75 Ea ee BRD SANDYCLAYEYSILT OK. GRY 75 CLAYEY SILT OK. GRY 77 CLAYEY SAND W/GRAVEL YEUBRN 89 FSFIIINNLTEEYGGSRRAAANINNDEEWDDS/GSAARNNADDV.EL & COBBLES VYYEEEUUUBBRRRRNNN 91W90a3 GEER 77 Static Water Level 89 ft. from Date Measured 99 103 PUMPING LEVEL (below land surface) 1o0p9 fAt. aaffteerr hbersy. ppuummppiningg g.pg.pmm SILTY SAND W/ SOME GRAVEL SoCrLAeYErYsSiANnD GRY/BRN wGRyAY 109 117 M 117 0121 WPpiteclcllsssHaaeddaaadppttCeerrommmaapnlneutfoiaocrntusre:r MMooddeell NO REMARKS orLocated Minnesota Pollution Control Agency 2Method Digitization (Screen)- Map (1:12,000) Unique Number Verification Information from owner Date 07/26/2007 (SySswteim S UTM- S Nad83, Zmoniel5, Mpeeteers XRo: 3B79O13L9 VY2 : 5S248I323 D Casing Protection D 12 in. above grade DIO) AAvt-agmraddee ((EEnavviirmoanmmesentatallWWelelllssaanndd BBoorrinigsnOgNsLYONLY)) rrr Grouting Information Well Grouted? Grout Material: Neat Cement RHEE D Yes D No from to 100 ft. Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not In~talled Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HP - Volts Type Material fee O No Abandoned Wells Does property have any not in use and not sealed well(s)'' D Yes D No First Bedrock Last Strat Aquifer Depth to Bedrocl ft. Coouuntny ty WeWel ll IInnddeexx OnOnllininee RepRoeporrt Variance Was a variance granted rom the MDH for this well? No Well Contractor Certification Twin Ci_!y Testing 1393 ZAK M License Business Name Lie. Or Reg. No. Name of Driller 268461 I D Yes D aay Printed 6/26/2008 HE-01205-07 file:///IIIlviPCA/! Working/A0081-l 00%20-%20PFC%20Foam/ ..s/Cass%20LakeM'ell%20Log%20Report%20-%2000268461 htm6/30/2008 4:05 :27 PJ\1 22222..11168 STATE_02822125 Well TDg Report- 00435555 Minnesota Unique Well No. 44335555555 QCQuouuainddty Quad ID CPPiiakksees BBaayy 301D Welll'\ame ST REGIS PAPER- MW 125 Township Range Dir Section Subsections Elevation 145 31 w 16 DAACBD Elevation Method WeWlelll AAddddrreessss =CSAsSSsLuAKRE eMNi5n663D3 GGeeoollooggiiccaall MMaateterriiaall SAND mom CCoolloorr HHaarrddnneessss BROWN SOFT MINNESOTA DEPARTMENT OF HEALTH WWEELLLL AANNDD BBOORRIINNGG RECORD Minne.mta Statutes Chapter 1031 UEUpnpdtdraaytteeDDDaataettee Received Date 00o98n!/o2015112/21009009772 Well Depth Depth Completed Date Well Completed L I L 1322 ft. 31ft. 31ft. CCaallec flrioomm DEMDEM | ni~iniiig~i !NVeid~htho~dd Cca~bblle~ fT~o~c~k p(eUqruSiiGev.dS) 7.5 min or 10/20/1987 Drilling Fluid -- ILEse Monitor well Well Hydrofractured? DYes 0No From Ft. to Ft. CCaassiinngg TTyyppee.SSetelel((bbllaacckk oonr loowwccaarrbboonn)) JJooiinntt WWiecllddeedd DDriiivveeSShhooee?? [DJ Y[rees 0NNoo AAbboovev/Beerlobwi2l2o1fnt. Casing Diameter Weight Hole Diameter 6 in. to 16 ft. 19 lbs./ft 6 in. to 31 ft. Opl'nHoll' from ft. to ft. Scrl'l'n YES Makl' JOHNSON Typl' stainless steel DDiiaammeetteerr FFrroomm TToo 0 31 SSiloott/iGGaauuzzee 1"0" LLeennggtthh 1*5 SSeett BBeettwweeeenn 1i6 zft. ay nd 3y 1 ft. Static Water Level 22.8 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. 10/20/1987 TIT once RREEM VAARRKKSS E. HWY 371- S OF RR TRACKS. #125 CHAMPION INTERNATIONAL SUPERFUND SITE- MW 125 Well Head Completion Pitlcss adapter manufacturer Model D0) CCaassiinngg PPrrootteeccttiioonn 0 1122inin..sahboovvee ggrraaddee Grog rman Got? 0 Ve DC1 AAts-ggrraadede(E(nEvnivriornomnmeennttaallWWelellslsaanndd BBoorirnignsgs OONNLLYY)) Grouting Information Well r Grouted? DYYeo s 0ENoo Located Minnesota Pollution Control Agnendcy Unique Number Verification Information rom owner SSyysstteemm UUTTMM-- NNaoddS833,, ZZoonneell55., MMeetteerrss Method Digitization (Screen)- Map "(1:1z2,0o00) Dati' 07/26/2007 XNe: 337T8B4A6G22 YY: : S52M4T7882211 CouenRnteyx Ortna epr a First Bedrock Last Strat Ds Aquifer Depth to Bedmck ft. County Well Index Online Report .N"ela'arrels'stt KKnnoowwnnSSoouurrccel'ooff CoConnttaammiinnaattiioonn Q_feet - direction Waste pile type Lenght Pe Copy gpoi TV Motori aWNell fdiasinrfetcteduupponsceoamgphlaeitioonn'? 0 Yveos DONNo PPuummpp 0D NNoott oInssittallleedd DDuatee Innssttallileedd Manufacturer's name Model number - HP - Volts Length of drop Pipe ft Capacity _g.p.m Type Material Yo Bn Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? No W I'll Contractor CHtification North Star Drilling [5 License Business Name 435555 48038 BEUNING WALT Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/26/2008 HE-01205-07 file:/I/IJIMPCA/! Working/A0081-l 00%20-%20PFC%20Foam/...s/Cass%20Lake/Well%20Log%20Report%20-%20004355 55.htm6/30/2008 4:05 :29 PM 2222..11116699 STATE_02822126 Well TDg Report- 00435556 sve es _ Minnesota Unique Well No. 435556 ( County QQuuaidd Quad ID CPPiiakksees BBaayy 301D Welll'\ame ST REGIS PAPER- MW 124 Township Range Dir Section Subsections Elevation 145 31 w 16 DABDDA Elevation Method WeWlelll AAddddrreessss =SCAsSSsLuAKRE eMNi5n663D3 GGeeoollooggiiccaall MMataeterriiaall SAND mom CCoolloorr BROWN HHaarrddnneessss SOFT Tm MINNESOTA DEPARTMENT OF HEALTH WWEELLLL AANNDD BBOORRIINNGG RECORD Minne.mta Statutes Chapter 1031 tu UEUpnpdtdraaytteeDDDaataettee Received Date pasion 00o98n!/o201511/221009009772 Well Depth Depth Completed Date Well Completed L I L 1322 ft. 32ft. 32ft. CCaallec flrioomm DEMDEM | ni~iniiig~i !NVeid~htho~dd Cca~bblle~ fT~o~c~k p(eUqruSiiGev.dS) 7.5 min or 10/2111987 Drilling Fluid -- Well Hydrofractured? DYes 0No From Ft. to Ft. ILEse Monitor well CCaassiinngg TTyyppee.SSetelel((bbllaacckk oonr loowwccaarrbboonn)) JJooiinntt WWiecllddeedd DDriiivveeSShhooee?? [DJ Y[rees 0NNoo AAbboovev/Beerlobwi2l2o1fnt. Casing Diameter Weight Hole Diameter 6 in. to 17 ft. 19 lbs./ft 6 in. to 32 ft. Opl'nHoll' from ft. to ft. Scrl'l'n YES Makl' JOHNSON Typl' steel (non-stainless) DDiiaammeetteerr FFrroomm TToo 0 32 SSiloott/iGGaauuzzee 1"0" LLeennggtthh 1*5 SSeett BBeettwweeeenn 1a 7 ft. m and y 32 ft. Static Water Level 234 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. 10/21/1987 FI 71S oF RR TRACKS 1120 RREEVMAARRKKSS E. HWY 371- S OF RR TRACKS. #124 CHAMPION INTERNATIONAL SUPERFUND SITE- MW 125 Well Head Completion Pitlcss adapter manufacturer Model 0D) CCaassiinngg PPrrootteeccttiioonn 0 1122inin..sahboovvee ggrraaddee CD1 AAst-ggrraadede(E(nEvnivriornonmmeennttaallWWelellslsaanndd BBoroirnignsgs OONNLLYY)) Crineinomaton. Grouting Information Sucronntt Well r Grouted? [DJYYeovsm E0Noo Located Minnesota Pollution Control Agnendcy Unique Number Verification Information rom owner SSyysstteemm UUTTMM-- NNaodd8,3, ZZoonneellS5., MMeetteerrss Method Digitization (Screen)- Map (1:1z2,o00n0) Dati' 07/26/2007 XXe: 3T7R8A4I1T7 YY : S52M4I7881100 CouenRnteyx Ortna epr a First Bedrock Last Strat Ds Aquifer Depth to Bedmck ft. County Well Index Online Report .N"ela'arrels'stt KKnnoowwnnSSoouurrccel'ooff CoConnttaammiinnaattiioonn Q_feet - direction Waste pile type Lenght Pe Copy gpoi TV Motori aWN ellfdiasinrfetcteduupponsceoamgphlaeitioonn'? 0 Yveos O D NNo PPuummpp 0D NNoottoIsnsittallleedd DDuatee Innssttlalileedd Manufacturer's name Model number - HP - Volts Length of drop Pipe ft Capacity _g.p.m Type Material Yo Bn Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? No W I'll Contractor CHtification North Star Drilling "ass License Business Name 435556 48038 BEUNING WALT Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/26/2008 HE-01205-07 file:/I/IJIMPCA/! Working/A0081-l 00%20-%20PFC%20Foam/...s/Cass%20Lake/Well%20Log%20Report%20-%20004355 56.htm6/30/2008 4:05 :28 PM 22222.1111770 STATE_02822127 rnon Well Log Report- 00662053 metre Minnesota Unique Well No_ 662053] otm'e ae II 662053 County Quad QuadiD Cass Cass Lake 301A an WellNameMW-1 TS -------- Township Range Dir Section Subsections Elevation MSW 145 31 w 15 IS BBBRHBCCCCCC Elevation Elevation Method Method MINNESOTA DEPARTMENT OF , HEALTH WELLANDBORING Lmicen din WELL AND BORING RECORD Ye, RECORD ap Se Chr 101 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 11127/2001 01129/2008 08/24/2001 159 8. jy a a 1329 ft 7.5 minute topogipherma | DONTE thd Auger roses) topographic map (+/- 5 feet) Well Depth Depth Completed 30 ft_ 26ft ..ri"i-iiiiii!i iVi~th~d .A~f\~i (t~or~~~P~~ifi~ct) . Date Well Completed 07/23/2001 Drilling Fluid mIe] -- Well Hydrofractured? DYes 0 No From Ft. to Ft. Use Abandoned Status Sealed - Well Address on `CC2AANSSDSSLSLATAKNKEEMMNN5536563333 ---- CGCOOeNoNClCRoREgETiTcEEaSlSAAMNNaDDteGGrRiRAaAlVVEELL. GGRRAAVVEELLYYSSAANNDD SAND =SAND [. WET SAND so'SAND Gor DCDKKo.BlBoRRrNN BBRROOWWNN BROWN [Ro BRN/GRY Say BRN/GRY wom BROWN ness MMHEEaDDrIIdUUnMMess MMEEDDIIUUMM MEDIUM MEDIUM ho MEDIUM ww MEDIUM Casing Type Plastic Joint No Information Drive Shoe? No Above/Below ft. DYes 0 Conn Damar VG Casing Diameter Weight Hole Diameter a pry Pet vil 2 in. to 16 ft. 0.69 lbs.lft. 8.25 in. to 30 ft. From To{OOppeenntHoollee ffroomm fo t. towft. 1] Screen YES Make TIMCO Type plastic 00From 2T2 o| DDiiaammeetteerr 2 2 a 4 22 SSlloott/iGGaauuzzee 1*0 LLeennggtthh SSeettBBeettwweeeenn 10 1B6 rfto. aandd 26 Rft. 4 18 18 20 3 2 lorem 20 26 Static Water Level a26 30 20.5 ft. from Land surface Date Measured 07;23/2001 SEER PUMPING LEVEL (below land surface) on REMARKS WELL SEALED 12-21-2004 BY 73646 ORIGINAL USE MW- MONITOR WELL om un mana Located U.S. Forest Service Uno Member vento Toon Unique Number Verification Tag on well etna oscaEn Method GPS SA Off(averaged) Due 0701008 Date 07/01/2004 ft. after hrs. pumping g. p.m. weap Well Head Completion Mitra sat Pitkss adapter manufadurer Devin rons 0 1210 shove 0 Casing Protection Y D Model 12 in. above grade 00 Avaric (Evironment Wells ad Borings ONLY) D At-grade (Environmental Wells and Borings ONLY) Crmingasin Weta? 8 Yo EI Grouting Information Well Grouted? 0 Yes D No cmt tet cent Grout Material: Neat Cement Gai toto ens Grout Material: Bentonite from 0 to 11 ft. from 11 to 13ft. TE Nearest Known Source of Contamination sem 3 bags ie1 bags System UTM- Nad83, Zonel5, Meters X: 378646 Y: 5248574 _feet _direction _type Well disinfected upon completion? D Yes 0 No el a comin Pump D Not Installed Date Installed a eysTr S op, 1 i Manufacturer's name Model number - HP - Volts Length of drop Pipe _ft. Capacity _g.p.m Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No i aie First Bedrock aque An pt Last Strat Unknown deposit type Aquifer Depth to Bedrock ft. CountyWell IndexOnline Report County Well Index Online Report Variance Was a variance granted from the MDII for this well? D Yes 0 No Well Contractor Certification A W----- Thein Well Co. 34625 HERRBOLDT N. {vim Den ani Org.No. Narr Dr License Business Name Lie. Or Reg. No. Name ofDriller 662053 I 662053 Printed 6/26/2008 HE-01205-07 AA el 0 HAV ef Sp 8 353 file:i/ill/l\1PCA/I\Vorking/A0081-I00%20-%20PFC%20Foam/...s/Cass%20Lakei\Vell%20Log%20Report%20-%2000662053.htm6/30/2008 4:05:28 PM 2222.11117711 sate_o2s20128 STATE_02822128 Well Log Report- 00662054 [6054 Jo Mionneosonta Uiniqeue WBeO ll Nn_ II 662054 CCoouunnttyy Quad QuadiD Comtake CCaasss Cass Lake 301A Well Name MW-3 Township Range Dir Section Subsections Elevation MSW 145 31 w 16 AMADAD Elevation Method 16 AAADAD Elevation Method - WM2eNolDlSASTTdNNdress CASS LAKE MN 56633 GGeoeloologgiiccaall MMataeterriiaall `CCOONNCCRREETTEESSAANNDD SAND WET SAND SAND CCoolloorr BBRROOWWNN BROWN BRN/GRY BROWN HHaarrddnneessss MMEEDDIIUUMM MEDIUM MEDIUM MEDIUM WELL ANDBORING. MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Updebue EEntnrtryyDDaattee Update Date Received Date 0120308 1111122662/2000011 01129/2008 08/24/2001 Well Depth Depth Completed Date Well Completed 1331 ft 7.5 minute topogiprmhae | DUNE Method Auger (rsp) topographic map (+/- 5 feet) 30 ft_ 30ft ..ri"i-i1iiii!i iVi~th~d .A~f\~i (t~or~~~P~~ifi~ct) . 07/23/2001 Drilling Fluid [mIeee] -- Well Hydrofractured? DYes 0 No From Ft. to Ft. Use Abandoned Status Sealed Casing Type Plastic Joint No Information Drive Shoe? No Above/Below ft. DYes 0 Casing Diameter Weight Hole Diameter 2 in. to 20 ft. 0.69 lbs.lft. 8.25 in. to 30 ft. (OrOepenniHcokle Fferomm Aft. to &ft. 1] Screen YES Make TIMCO Type plastic FFrroomm 0 0 2 22 28 TToo| DDiiaammeetteerr 22 |2? SSilooti/GGaauuzzee 1i0o LLeennggtthh 10 22 28 30 Static Water Level 24.5 ft. from Land surface Date Measured SSeett BBeettwweeeenn 2B0 Rft. aMnd H30 "ft. 07;23/2001 PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. IE REMARKS MW#3 `OWORERIILGGLIINNSAAELAL LUUESSEDE MW - 12-21- MW- 2MM0OO0N4NIBITTYOO7RR3 6WW4E6ELLLL Well Head Completion GE rowing oematin. WeC lles? 8 Yor Oo Blcingmamimy ) vzimanmsgrte Pilkss adapter manufadurer Model C3 Aspe (amironmenta Wells and Barings ONLY) 0 Casing Protection Y D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No GGrorouuttMMatateerrial: NNeeaatt CCeommeentt fEromT0Eto 15ft. Grout Material: Bentonite from 15 to 17 ft. 33 bbaaggss 1 bags Soa UTM a of Ms X, SSE Vs $3021 Unique NumberVerification Located U.S. Forest Service Unique Number Verification NANIA System UTM- Nud83. Zunel5. Meters Date NA Method GPS DateN/A SA Off (averaged) X: 378634 Y: 5248624 First Bedrock Aquifer County Last Strat County Wel Index Online Unknown deposit type Well Index Online ReportDepth Report to Bedrock ft. Nearest Known Source of Contamination pl _feet _direction _type va sunisstspncorpison BD vo B Well disinfected upon completion? D Yes 0 Ppuummpp 0D] NNoottlInnssatalllleedd DDuactee Innssatallleedd Manufacturer's name Model number - HP - Length of drop Pipe _ft. Capacity _g.p.m Type Nwoo Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No VVaarriiaannccee WWaassaavvarairiaanncceegrgaranntteedd ffrroomm tthhee MMDDIIIffoorr thhiiss wweelltl?? [DJ YYeess 0 No Well Contractor Certification Thein Well Co. 34625 HERRBOLDT N. 662054 License Business Name 662054 Lie. Or Reg. No. I Name of Driller nT Printed 6/26/2008 HE-01205-07 file:/IiJI/1\lPCA/1 Working/A0081-I00%20-%20PFC%20Foam/...s/Cass%20Lakei\Vell%20Log%20Report%20-%2000662054.htm6/30/2008 4:05:29 PM 222222.111172 STATE_02822129 Vettori Well Log Report- 00662068 Minnesota Unique Well No_ ont6o62U0ni6e 8 DIN II 662068 CoQuopiudpn'yty QQuuaad m QuadiD ceCass Contate Cass Lake 301A WTR Well Name MW-2 TowbinDiSection SubcomElevation Township Range Dir Section Subsections Elevation WS NW IS MECH EleradonMethod 145 31 w IS BBBCCB Elevation Method Wot Adressye Well Address GRANT UTLEY AV Groping CASS LAKE MN eciogintMotorist Geological Material COCRETESD CONCRETE SAND SaoSAND WETS WET SAND SaaeRGRY SAND BLK/BRN/GRY SnoSAND Color Color wom BROWN wow BROWN ER BRN/GRY Ve VARIED ENGR BRN/GRY Madness Hardness wow MEDIUM MDM MEDIUM MO MEDIUM vw MEDIUM OW MEDIUM TEVIRRE REMARKS MW#2 SUMMIT WELL SEALED 1221204 BY Tats WELL SEALED 12-21-2004 BY 73646 GRICINAL USE MW MONITOR WELL ORIGINAL USE MW- MONITOR WELL MINNESOTA DEPARTMENT OF EAL Boe 1126200 HEALTH WELL ANDBORING Unduebue 0129308 WELL AND BORING RECORD Recomed bute 0321201 RECORD MinnaSotwesChaper 103 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 11126/2001 01129/2008 08/24/2001 wn Weplybon Depts Cnonpied DrpWrel Comet 1329 ft 7.5 minute lopognghemap |DPONTE Med Ar rns) topographic map Well Depth Depth Completed 30 ft_ 28ft ..ri"i-iiiiii!i iVi~th~d .A~f\~i (t~or~~~P~~ifi~ct) . Date Well Completed 07/23/2001 (+/- 5 feet) Drilling Fluid Ea F I r -- Well Hydrofractured? DYes 0 No From Ft. to Ft. Toe ST Use Abandoned Status Sealed Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Above/Below ft. Gosing Diameter Casing Diameter Zan wn 2 in. to 18 ft. Viet Weight 0 an 0.69 lbs.lft. Tile Diameter Hole Diameter aman Bn 8.25 in. to 30 ft. From To| SpaementeVrES WaSkielGTaRuIsEeS TLengoth SetBetween From oz [7 0 Een 0 22 fb 3 18 x @ 26 0 [2F0US2NePweIieNfWGoaLabeEemTVyEpeLori(nclseow_Dgvtmosfacn)d 07232000 28 -- a Open Hole from ft. to ft. Screen YES Make TIMCO Type plastic To Diameter Slot/Gauze Length Set Between 2 2 18 10 10 18 ft. and 28 ft. 26 28 30 Static Water Level 22ft. from Land surface Date Measured 07123/2001 PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. Walled Compl Well Head Completion Pion spc mature Mod Pilkss adapter manufadurer Model Dcsigrorcson T 12in shone ge D Casing Protection D 12 in. above grade ED gre Evironment wets nd rigs ONLY) 0 At-grade (Environmental Wells and Borings ONLY) Growing oematin. Welles? 8 Yor Oo Grouting Information Well Grouted? 0 Yes D No Cbramteis: NVonoCwonet Grout Material: Neat Cement Grout Material: Bentonite fon 0e8n1n from 0 to 13ft. from 13 to 15ft. 5 veoes 3 bags 1 bags Located U.S. forest Service Unlaue NumberVeriton NA Dae NA Unique Number Verification NIA Stem UTMiNS,tZn, Mrs Xm e S4SH Ye n 520592 System UTM- Nad83, Zonel5, Meters Method GPS SA Off (averaged) Date N!A X: 378654 Y: 5248592 County Wel Index Online Report Fin Bedrock First Bedrock LueStat Unkrown desire Last Strat Unknown deposit type ADqquueiefterproBetdrohck 8. Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination _feet _direction _type oS li ihon,d 7%i te BB 0%i}, Well disinfected upon completion? D Yes 0 Ppuummpp 0D] NNoottlInnssatalllleedd DDuattee Innssitaallleedd Nimicters mane Nod punber_ 1P_ alt Manufacturer's name Model number - LenngpPeenl. Comeiyg3.0 Te Mest Length of drop Pipe _ft. Capacity _g.p.m HP Type No Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? Varian Woes vais ied om be MDI tira? 0 Yer D Yes 0 No Variance Was a variance granted from the MDII for this well? D Yes 0 No Well Contractor Certification Tine Co as WRENOLDLN Thein Well Co. 34625 HERRBOLDT N. ime Dunes Name Li OrRegNo_ NaofmDiel License Business Name Lie. Or Reg. No. Name of Driller 662068 I 662068 Pa Printed 6/26/2008 HE-01205-07 ACA alg ORL 0350S CoeSf pe 4SO 308 15334 file:i/ill/l\1PCA/I\Vorking/A0081-100%20-%20PFC%20Foam/...s/Cass%20Lakei\Vell%20Log%20Report%20-%2000662068.htm6/30/2008 4:05:28 PM 22222222.11117733 SSTTAATTEE__0022882222113300 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: CCllaarreemmoonntt CCBlolaaxrreDemmoonntt FFiirree DDeeppaarrttmmeenntt CCBlloaarxreeDmmonotn,t, MMNN 5555692244 JJSeoefrfff-CC5o2ow6we.el2,l7l,0221nd AAssssiissttssaanntt FFiirree CChhiieeff TTrraaiinniinngg OOffffiicceerr 507-528-2701 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KaKrasrstt: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: IInn ffroonntt ooffffirree hhaallll oonn FFrroonntt SSetrete,t, CCllaarreemmoonntt AARRA-AFFFFFF:: 3aMM AAnnnnuuaallllyy 55ggaalllloonnss SSttoorrmm sseewweerr AAGlRRaAs-sAF.FFAFF:F:5: AAgpapplproroonxxsiimmaatteellyy 2200 ggaalllloonnss Class A: 5 gallons IIntteerrmmiittteenntt ssttrreeaamm 11//44 ttoo 111/22 mmiilee ssoouutthheeaasstt MMoorree tthhaann 11 mmiillee SSiitee llooccaatteedd iinn trraannssiitioonn oorrccoovveerreedd kkaarrsstt aarreeaa LLeessss tthhaann 11/88 mmiilleo ssoouulthtwweesstt MMoorree tthhaann 11 mmiilee 118 22222222.41117744 SSTTAATTEE__0022882222113311 S_-------- CLAREMONT CWI Well Map EmA = gy CET A ee Ji nll BL se TE TIT TD ET i TIS E RWE N TN Urmontga TT IT Ee ata. Peat ER Bent La En Bi fi if A HE I LC ol iE iy Sy EER] Ei pornBn] : i B ITINR il] Lig a 2222.1175 -- STATE_02822132 |" CClalarreemmoonntt WWhhaatt''ss IInn MMyyNNeeiigghhbboorrhhoooodd MMaapp i ||| | 1 mm 0 i | | Tn | hol perme | i het ||[| = -- LE on | Ju Lal | SSiitteess. {| PtosratSotaeSWaasdtne t IE TI E I AE NAS| Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided J subject to the express MPCA that may arise fa ail condition that the user knowingly from the use of this data. ws waives eanyy dl and all des claims frdmg for damages sesagainst | pets | Dt~ llfiiW: r.luJrtrftmiil unemmea Dumps hm~SOI'I<J~ l!ln~miiBCI Dun~ uMFw RAP m:attt Su~rftl nil e* CCEERKC.CLLtS:s | ae Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb || @innosotaPotution Control Agency * Coanc"ron V9ltnar~ llritm~~l'i I; Cta'IIWrt | + momaTeB acs .... ~RA um ra~111:1~ | erm.Cries F:CRA l'rJ';tfii~PDI; ~ta'IIWJI' l Pi "'- SliM ~rMIII: 222222.111176 STATE_02822133 G*E [ls TH 5 c HE I[18i 8 btghdeiiBfHilElHEaih5aidlgiiEgdGa a | 3 1 3 ! E 12d gli | s 5 Claremont | | 22222.1111777 ew .0 w__,,.. 5: Legend 6 Ohlo_wet_scan z D1 Out of range 3 ;!</ Interstate Major Roads 8 5 __,,.. J .................................... pvv~ORiqa.. SE~.......................................... ,, ...................................r................. D~~~J ................. D~~~~' ~~ 0 z ~: on Other Road ;!</ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons i! iill ; B Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond -- 2 fli i "ou, Lake Othet 2 "'__,,.. Riv~rine ~ Lower 48 Available Wetland Data Non-Digital 0 z Digital No Data Scan NHD Streams Counties 1OOK States 100K f: I blEl 93-0-20W 93-0-0 w 92-59-40W to 3 Hi |]hJil r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' w .j:>. 3 i: i 92-59-20W 92-59-0W Map center: 44 2' 41" N, 92 59' 43" W 38 15 0 South America u North America $ Scale: 1:15,588 stare_o2m22108 Well Log Report- 00101520 Minnesota Unique Well No. Bree SS CQpuoaoudnn, ieODosrtpte on II 101520 County Quad Quad ID Dodge Owatonna SE 52D STAT WPil ~arne K & A SUPPLY Town age Sct Sc sion Township Range Dir Section SubsPctions EIPvation 110077 18 wOW 229 DDAAAAAAAACC EFlleevvaattiioonn MMeetthhoodd WonWell Ads Address `CCLLAARREEMMOONNTT MMNN $555492244 coisa teri Geological Material GrDRIFT Sd GALENA coor Huns Color Som sr BROWN Em WHITE Hardness SOFT HARD 1201. 1280 ft. MINNESOTA Dl<:PARTMI<:NT OF HEALTH oyu a1 HEALTH WELL AND BORING Vpdae Dae 01m WELL AND BORING RECORD Moved owe RECORD iSp tu Cho g 131 }lfinnesota Statutes Chapter 103I Entry Date Update Date RPcPivPd Dati' 02/29/1988 01/09/2002 ag Dog Comp Bo NACo Well Depth Depth Completed Date Well Completed oh J 202ft. 202ft. 04/0911976 tot7op.5poogmgriranapuphthieicc mmaapp |, DDrrililinngg MMeetthhoodd Now-supyecificd RRooatraryy (+/- 5 feet) DI'illing Fluid -- IWell Hydrofractured? From Ft. to Ft. DYes 0No CsP Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe'! 0 Yes D No Above/Below 1 ft. Cangas Wo Casing Diameter Weight Cae mt wa 6 in. to 123 ft. 18.97 lbs.lft. Te Gare Hole Diameter saw mn 6 in. to 202 ft. rom To From To 0m0 123 mom 123 202 Open Hole Oumar Screen NO Diameter from 123 ft. to 202 fl. Sita Make Tyopre Slot/Gauze Lena Length Seton Set Between oar NO REMARKS cated Mims Goi Neto Dies Located Minnesota Geologil'al Method Digitized- slOale Survey (Digitizing Table) Lenhart oe A Unique Number Date N!A Verification Other, note in remarks System UTM Nh Zone. som; ase System UTM- Nad83. Zone15. Meters X: 499491 Y: 4876784 136000 1:24,000 as or larger Static Water Level 38 ft. from Land surface Date Measured FENNEL ary PUMPI~G LEVEL (below land surface) The be pnt Ep 72 fl. after 2 hrs. pumping 48 g.p.m. [ET -- Well Head Completion Nin sae moire Mos Pitlcss adapter manufacturer Model 04/09/1976 DDi CcaassiinnggPPrroosteecctiioonn D0 11221imn..aabboovveegrgaraddee. FoD At-grade (Environmental Wells and Borings ONLY) Croming wormaten lGrees? B Yor Ov Grouting Information Well Grouted? 0 Yes D No Gotta re Grout Material: Bentonite now an from 0 to 123 ft. .'lcarcst Known Source of Contamination a 200 feet .!i_direction Other type Well diun ponce omptdon? ves 0 no. Well disinfected upon completion? D Yes D No Tap. Norlmutlod Date nsalied LTTE Pump 0 Not Installed Date Installed 04/13/1976 cnEDIACKLT Mbsoar IEC Manufacturer's name RED JACKET Model number 13FC _ HPi_ Volts230 Tealdnmp gpe 2h00. Cope 0gpa Length of drop Pipe llQ__ft. Capacity ~.p.m freon igre, Type Submersible Material Galvanized ed A De Er ST Abandoned Wells Does property have any not in use and not sealed well(s)? Ov Ow D Yes D No TCC VariancE' Was a variance granted from the MDH for this well" No Well Contractm Ce1tification -First Bedrock Galena Los Gin pr te 154 1 Last St1'3t Galena AquifPr Galena Depth to Bedrock 123 ft. `CountyWell Index Online Report County Well Index Online Report CChhrriisstteennssoonn WWeellll one ono Yami OrReg No ows rr License Business Name 2e00s65 SCOOTTITRREELLLL. L Lie. Or Reg. No. Name of Driller 101520 I 101520 EP ------ flle:///I]!\1PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R...ries/Claremont/Well%20Log%20Report%20-%20001 01520.htm6/30/2008 4:08:46 PM D Yes D Printed 6/26/2008 HE-0 1205-07 stae_oz822135 STATE_02822135 222222.111178 Well Log Report- 00217548 C[aasss] ,oor Minnesota Unique Well No. 217548 County Quad QuadiD 5es Dodge Owatonna SE 52D "WELTLANEDBOERINNG RSECORD. MINNESUTA DEPAIUMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 ErotRo Entry Date Update Date Received Date 02/29/1988 04/25/2006 H TIR ee Fenrir Well Name CLAREMONT CREAMERY To'\\nship Rang'-' Dir Sl"ction Subsl"dions Elevation 107 18 w 28 BCCDBA Elevation Method 1281 ft. 7.5 minute topographic map (-!- 5 feet) Well Depth inl Tr 790ft. want Eo llrilling IVIethod L.ame 1""' Depth Completed 790ft. Date Well Completed 00/00/1952 Drilling Fluid = I -rr ae Use Commercial Well Hydrofractured? DYes 0No From Ft. to Ft. Well Address CLAREMONT MN 55924 oo Geological Material TTDRIFT i SAND GALENA SHALE W/CARING SNDST & LIMESTONE CAVED SANDSTONE LIMESTONE &SANDSTONE LIMESTONE &SANDSTONE LIMESTONE DIRTY SANDSTONE Color Hardness -SOFT SOFT SOFT 0 so Aboretidon 0 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DNo Above/Below ft. Casing Diameter in to t29 ft Weight lbs/ft esFrom To RR 0 85 Open Hole from 129 fi. lo 790 ft. Screen NO Make Type 385 127 Diameter 127 322 322 440 440 550 Slot/Gauze Length 550 607 607 665 Static Water Level 665 694 46 ft. from Land surface Date Measured 00/00/1952 694 790 PUMPING LEVEL (below land surface) Hole Diameter Set Between ft. after hrs. pumping g.p.m. DYes REMARKS CAVED IN BELOW 480 FT. TV BY PAT SARAFOLEAN OF MDH 4-24-2006 TO ABOUT 103FT. OBSTRUCTED. i Located Minnesota Geological Survey Unique Number Vcrification Information m SteUTm E from neighbor Nl ss ens 4707 System UTM- Nad83, Zonel5, Meters Method Digitization (Screen)- Map (1:24,000) Date 04/25/2006 X: 499681 Y: 4876917 First Redrock Galena Last Strat Prairie Du Chien Group County Well Index Online Report Aquifer Multiple Depth to Redrock 127 ft. Well Head Completion Pitless adapter manufacturer D Casing Prott:lition D Model 12 in. above grade D At-grade (Enviromnental Wells and Borings ONLY) Grouting InfOrmation Well Grouted? DYes D No Nearest Knu\\'n Source of Contamination otsitontncops _feet - direction _type Well disinfected upon completion? 0D voYes 0D Nxoo Lenkoug Pe0 Covent ape Pump D Not Installed Date Installed l\1anufactun::r's namt: Moddnumber - Length of drop Pipe _ft. Capacity _g.p.m Ty Nika HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s )? D Yes D No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Eu Mccarthy Well Co. License Business Name 217548 27022 Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/26/2008 HE-01205-07 file://III/1,1PCAI!Working/A0081-1 00%20-%20PFC%20Foam!R...nes/ClaremonLWell%20Log%20Report%20-%200021 '7548.htm6/30/2008 4: 11: 18 PM 22222.1111779 STATE_02822136 Well Log Report- CJCJ256nl mtn re _Minnesota Unique Well No. 256983 | gut | Outer: 256983 Comity Quad Quad ID Dodge Owatonna SE 52D War CATION CREW TE Well Name CLAREMONT CREAMERY 12X8 Tenn Range DieSection SunctorsFevston Township Range Dir Section Subsections Elevation WW 2 DCCDDA evsMethod 107 18 w 28 BCCDDA Elevation Method sory pS 0 oe SUH Mll\NESOTA DEPARTMENT OJ<' HEALTH WELLAND BORING RECORD pee 036i WELL AND BORING RECORD imSeunsnCltpirs00 Minnesota Statutes Chapter 1031 wn oobno DeptoConmpe Bor Compe 1281 ft. 75mine - 7.5 minute ptt | DeeCcdTed topographic map pus oy (+/- 5 feet) Well Depth Depth Completed 330ft. 330ft. Drilling Method Cable Tool Entry Date Update Date Received Date 04/25/2006 04/26/2006 Date Well Completed D1illing Fluid fm p I mo -- Well Hydrofractured'! DYes D No From Ft. to Ft. won cress Well Address Foust FRONT ST prabime CLAREMONT MN 55924 cogs water Geological Material ener GLACIAL DRIFT SucnamesTone GALENA LIMESTONE Siamese GALENA LIMESTONE Sib inesioe GALENA LIMESTONE Color Harness Color Hardness Use Commercial Cain Type Ske chron cree Jot Thread Drv? OF Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D io Oo Amo1n2. Yes D No Above/Below 1 ft. CoangDamar Tigh Tote Damen Casing Diameter Rao an wr 12 in. to 140 ft. io en wn 8 in. to 164ft. Weight lbs./ft. lbs./ft. Hole Diameter Fam To From To a 0 133 Wom 133 213 mom 213 279 oR 279 330 Open Hole from 164 ft. to 330 ft. San Moke Toe Screen NO Make Type [Diameer SouGaze Diameter Slot/Gauze Sew Static Water Level LLeennggtthh Sateen Set Between 53.2 ft. from Land surface Date Measured 0412412006 PUMPING LEVEL (below land surface) CAM&M TVBYAPATSLARAFO OLEAG NFORMGDIIOEN42D40, REMARKS GAMMA LOGGED & TV BY PAT SARAFOLEAN FOR MDH ON 4-24-2006. ft. after hrs. pumping g.p.m Welle Compitin Well Head Completion Pienaar Moll Pitless adapter manufacturer Oca poisson 812i shee D Casing Protection 0 Model 12 in. above grade ED tye (mime Wet mi rigsONLY) D At-grade (Environmental Wells and Borings ONLY) | Grane Grouting norman Information WeWell Grit? Grouted? 0DYveesr Yo D No TncatetMimo Gogol Sy Located Minnesota Geological Survey Unique Number erento train fesse Verification Information from owner Sot UIA Nadon thr System UlM- Nad83, Lonel5, Meters Ji Sion Seen Sp Method Digitization (Screen)- Map (1:24,000) 2Date 04/25/2006 Xs I Vs ITH X: 499724 Y: 4876877 [---- Borehole Geophysics Yes i rch Galera First Bedrock Galena Last Strat Galena ahr Aquifer GGlaelennsa Depth to Bedrock 133 ft. County Well Index Online Report Nearest Known Source of Contamination Ry - feel - direction _type Ove De Well disinfected upon completion? D Yes D No Tuy 01 Net rd Duce Pump D Nol Installed Dale Installed Manufacturer's name Model number - Longhothdosup Coon sei Tie Mita Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material banWde Doe pers ss min md etsid vl 01 Abandoned Wdls Does property have any not in use and not sealed well(s)? D be O Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No CaCrc Well Contractor Certification esscsnosottionns Minnesota DeQartment of Health MDH License Business Name Lie. Or Reg. No. Name of Driller 256983 I Printed 6/26/2008 HE-01205-07 file:///IIIlviPCA/! Working/A0081-1 00%20-%20PFC%20FoarrJR.. nes/Claremont/Well%20Log%20Report%20-%2000256983.htm6/30/2008 4:11: 18 PM 22222222.11118800 SSTTAATTEE_0022882222113377 Well T"ng Report- CJCJ216n4 225566998844 J omit owes Jo,finnesota Unique Well No. County Quad Quad ID Dodge Owatonna SE 52D Well Name CLAREMONT CREAMERY ne Township Range Dir Section Subsections Elevation 1281 ft. WELLL AANDNBORDINOG RENCORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Uplate Entry Date Update Date Received Date ois 04/25/2006 04/26/2006 Well Depth Depth Completed Date Well Completed 267ft. 267ft. 1W07018lR wWX2R RBCCCCDDRRAA EFlleevvaattioonn MMeetthhoodd tot7op.5poogmgrrianappuhhtieicc mmaapp | DDrriilllliinngg MMeetthhoodd CCaabtlee TTeocokl (+!- 5 feet) [rer Drilling Fluid -- u I t O00e Well Hydrofractured? DYes D No From Ft to Ft. LB an ser Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D Yes D No Above/Below ft. Casing Diameter Weight Hole Diameter B owsr m Well Address FRONT ST CLAREMONT MN 55924 meEe GGeoeloologigcicaall MMataetreiriaall GLACIAL DRIFT GALENA LIMESTONE GALENA LIMESTONE CCoolloorr HHaarrddnneessss Lva g FFrroomm TToo 0 137 137 213 213 267 12 in. to 137.7 ft. lbs/ft. 12 in. to 267 ft. Open Hole from 137.7 ft. to 267 ft Tw Screen NO Make Type -- San Diameter Slot/Gauze LLeennagtth soto Set Between Static Water Level 524ft. from Land surface Dale Measured H REeE PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model 04/24/2006 REMARKS GAMMA, MULTI. AND CALIPER LOGGED 4-24-2006. LOGGED FOR MDH SE. TV BY PAT SARAFOLEAN OF MDH 4-24-2006. D Casing Protection D 12 in. above grade D0) AAvt-ggrraaddee E(EminrvoirnosnmmonetnatallWWalelllss aanndd BBroirinnggss OONNLLYY) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Sopt Uy TM Naonl, rs Unique Number Verification Information from owner System UTM- Nad83, Zonel5, Meters Method Digitization (Screen) - Map ( 1:24,000) J X: $6 X: 4574030 Date 04/25/2006 X: 499683 Y: 4876930 giv Borehole Geophysics Yes County ve ero apr First Bedrock Galena Last Strat Galena Aquifer Galena Depth to Bedrock 137 ft. County Well Index Online Report Nearest Known Source of Contamination Seriamdei 1B Ye - feet - direction _type Well disinfected upon completion? D Yes Pump D Not Installed Date Installed 0% D No LE MLLeanngeutfhoaocnftfuddroerg oorp'ps PPntiaippmeeehtftt. CoCMpaopocadicetiltyynugmgpb.pem.rm- HTTPyopp-ee VMMolatastteeriarl Abandoned Wells Docs property have any not in usc and not scaled well( s)? D Yes D No -- Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Minnesota DeQartment of Health License Business Name Tso I 256984 MDH Lie. Or Reg. No. Name of Driller Printed 6/26/2008 HE-OI205-07 file:///IIIlviPCA/! \Xiorking/A0081-l 00%20-%20PFC%20Foam/R...ries/Claremont;Well%20Log%20Report%20-%2000256984.htm6/30/2008 4: 11: 16 PJ'vi 222222..118811 STATE_02822138 Well Log Report- 00256985 Mme LIN ey I'vfmnesota Unique Well No. 356085] Geutan 256985 County Quad Quad TD Te Well Name CLAREMONT CREAMERY rbieees Dodge Owatonna SE 520 WW COC Hota Natd Township Range Dir Section Subsections Elevation 107 18 w 28 BCCDCB Elevation Method I MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD WELL AND BORING RECORD Meteo Cpt 11 ,'lfinnesota Statutes Chapter 1031 aC Well Depth Depth Completed -- Entry Date pias oioacn Update Date Wet Received Date 04/25/2006 04/0S/2008 Dara Date Well Completed 1281 ft. 7.5 minute pena | PRES CB Te topographic map (-/- jy EI E 5 f~~t) 0 ft. Drilling Fluid -- 0 ft. Cable Tool Well Hydrofractured? DYes D No From Ft. to Ft. TJse Commercial Oe Aneto 18 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Y~s D No Above/Below I ft. Casing Diameter Weight Hole Diameter Wetadaess Well Address oe FRONT ST [i t-- CLAREMONT MN 55924 cog ater Geological Material NO RECORD coor ners Color Hardness I NO REMARKS fom ToET arEToan From Open Hole from ft. to ft. Screen Make Type Diameter Slot/Gauze To 0 0 th Length SewSet Between he pet Static Water Level Jl. from Date Measured PUMPING LEVEL (below land surface) vr ie coe mpein ota ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade DO i imaet mes D At-grade (Environmental Wdls and Borings ONLY) re an Dr Grouting Infonnation Well Grouted? DYes D No Led Mies Gs a me h Mh Dn Ss Located Minnesota Geological Survey mre pws Unique Number Verification Information from owner Method Digitization (Screen)- Map (1:24.000) Date 04/25/2006 System UT1vf- Nad83, Zonel5, Meters X: 499637 Y: 4876884 arSees First Bedrock Last Strat :\Jo Record pyi Aquifer Depth to Bedrock ll. County Well Index Online Report TS Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Volts Length of drop Pipe ft Capacity g.p.m Type Material enWdal erty vey rm dt tty OF Abandoned Wells Does property have any not in use and not sealed well(s)? D SO Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No eee Ls egYo Nana Well Contractor Certification Minnesota D~Qartment of Health License Business Name MDH Lie Or Reg. :\Jo. Name of Driller 256985 I Printed 6/26/2008 HE-01205-07 file :i/IIIIMPCA/1 Working/A0081-1 00%20-%20PFC%20F oarn/R.. nesiClarernont/Well%20Log%20Report%20-%2000256985 .htrn6/30/2008 4:11:18 PM 22222222.11118822 sStTaArTeE0_202882222113399 Well Log Report- 002569~6 256986] I'vfmnesota Unique W 256986 e l l N o . ows Comtty Quad Quad m ovis Dodge Owatonna SE 520 Well Name CLAREMONT CREAMERY Township Range Dir Section Subsections Elevation 107 18 w 28 BCCDDB Elevation Method WELLAND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 1lfinnesota Statutes Chapter 1031 Una Entry Date Update Date Received Date eases 04/25/2006 04/08/2008 1281 ft. 7.5 minute topographic map (+/5 feet) Well Depth 40ft. Drilling Method -- Drilling Fluid -- Use Commercial Depth Completed 40ft. Date Well Completed IWell Hydrofractmed? DYes D 'lo From Ft. to Ft. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below ft. Casing Diameter 6 in. to It Weight lbs/ft Hole Diameter WWeellll AAdddrdersess.s FRONT ST CCLLARAEMROONT MN 55924 Geological Material NO RECORD Color Hardness From 0 oOppeneHorle Tfromm w ft. w to w ft. Screen Make Type DDiaiammeteteerr `SStloott/iGGaauuzzee To 0 LLeennggtthh SSeettBBeettwweeeenn Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model DDO CCaassiinngg PPrrootteccttiioonn 0D1 1122iinn.. aabboovvee ggrraaddee: RHONLY 0 FT. DEEP NOT GANA LOGGEDOR TV 040:00, |Grong tomato, VitGroat 0 vor D1 xo REMARKS 6 IN. WELL ONLY 40FT. DEEP NOT GAMMA LOGGED OR TV ON 4-24-2006. D0) Attv-ggrraaddse (hEmnvviciroomnmmcoentatall WWeelllss asnndd BBoosrinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Laced mos GrSdane, Located Minnesota Geological Survey Unique Nmnber Velification Information from owner System UTM- Nadfi3, 7.one/5, lvfeters th Diinin Sn op Method Digitization (Screen) - Map (1:24,000) Date 04/25/2006 X: 499709 V: 4R76R70 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pmnp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft Capacity g.p.m HP - Volts Type Material Abandoncd Wells Does property have any not in nse and not sealed well(s)? D Yes D No EEE rBian First Bedrock Last Strat 'lo Record Aquifer Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification [mow|I Minnesota Der>artment ofHealth MDH License Business Name Lie. Or Reg. No. Name of Driller 256986 Yes D No Printed 6/26/2008 HE-01205-07 file :i/ili!MPCA/' Working/A0081-l 00%20-%20PFC%20Foam/R .. ries/Claremont/Well%20Log%20Report%20-%2000256986. htm6/301200 8 4 08:48 PM 2222222.11118833 STATE_02822140 Well T"ngRepnrt- CICI466l39 466339 J] ~o:~utyt ons: Jo,finnesota Unique Well No. 1'---==4=6=6=33=9===='-lll ~ . aQuad ID Dodge OwatonnaSE 52~D WELLANDBORING RECORD MINNESOTA DEPARTMENT OF HEALTH WEMLinLucAsoNuDa SBtaOtResICNhaGpteRrE1C031ORD Minnesota Statutes Chapter 1031 Lrlaebue Entry Date Update Date Received Dantee 0100302 12/28/1991 01/09/2002 Well Name WOBBROCK ROBERT Township Range Dir Section Subsections Elevation 1W0707818 w W 2% 28 CHOBCD Flevaton Method CBCBCD Elevation Method 1290 ft. topugrpaicp 7.5 minute topographic map (1/-Sfeet) Well Depth Depth Completed | PPE Nether 184ft. Drilling Method 184ft. Rotary Drilling Fluid Bentonite Use Domestic IWell Hydrofractured? From Ft. to Ft. Date Well Completed 05/21!1991 DYes D No Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe'! IZl Yes D No Above/Below I ft. Casing Diameter Weight Hole Diameter Well Address =Eg m Cameo RR 1 CLAREMONT ManNs5s5o9z2s4 Geological Material CLAY SAND CLAY WHITE TO CREME poses SAND LIMESTONE 5 in. to 138 ft 15 lbs./ft. 8 in. to 135 ft. wom ory Color YEUBLU FEETH TAN Hardness MEDIUM SOFT From To 0 112 112 116 Open Hole from 138 ft. to 184 ft. Screen NU Make Type Diameter Slot/Gauze 5 in. to 184 ft. Length Set Between MEDIUM 116 132 TAN GRY!TAN SOFT HARD vein| 132 135 135 184 Static Water Level 53 ft. from Land surface Date Measured 05/2111991 PUMPING LEVEL (below land surface) 53 ft. after I hrs. pumping 12 g. p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer BAKER Model 7PS56S4CI D Casing Protection IZJ 12 in. above grade D00 AAvt-ggrraadede(En(EvmiriomnammeennttaallWWeelllls~aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? IZJ Yes D No Located Mankato State University Unique Number Verification Information from owner System UTM- Nad83, Z<mel 5, Meters Method Digitization (Screen)- Map (1:24,000) Date 06123/2004 X: 499591 Y: 4876549 ry vs rrr First Bedrock Galena Last Strat Galena Aquifer Galena Depth to Bedrock County Well Index Online Report 135 ft. Grout Material: Bentonite from 0 to 135 ft. 0.75 yrds. 'learest Known Source of Contamination 2Q_feet North West direction SeQtic tank/drain field type Well disinfected upon completion? IZl Yes D No Pump IZl Not Installed Date Installed 05/25/1991 Manufacturer's name AEROMOTOR Model number Al2B50 _ HP Ql_ Volts 230 peSukmeriie Length of drop Pipe Type Submersible Merial ()_ft. Material Sc t (haak o) Capacity l2_g.p.m Steel (black or low carbon) Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes IZl No Variance Was a variance granted from the MDH for this well? D No Yes D Well Contractor Certification aw Born Well Co. License Business Name 466339 81162 BORN D. Lie. Or Reg. No. Name of Driller I Printed 6/26/2008 HE-01205-07 file:///I /MPCA;I Working/A0081-l 00%20-%20PFC%20Foam;R.. ries/Claremont/Well%20Log%20Report%20-%2000466339.htm6/30/2008 4:08 48 PM 222222.111184 STATE_02822141 Well Log Report- 00521068 tonite Jo,finnesolu Unique Well No. 520068 foulti ows: 521068 County Quad Quad ID Dodge Owatonna SE 52D warWell Name Tem ne DScSearnion Township Range Dir Section Subsections Elevation 12751 1278 ft. MINNESOTA DEPARTME.\IT OF TE tog serum HEALTH WELL AND BORING Cone vision WELL AND BORING RECORD Reovtoae RECORD nso a hoes 01 Minnewta Statute~ Chapter 1031 Entry Date Update Date Received Date 06/14/1993 01/09/2002 i oi Comet Cod Well Depth Depth Completed Date \Vell Completed a on a 262ft. 262ft. 00/0011993 7.5 minute 107 18 w 28 CCCCDB Elevation Method topographic map Drilling Method Rotary (+!- 5 feet) Drilling Fluid Bentonite IWell Hydi'Ofractmed? DYes D No From J:ot. to J:ot. eer oo Tors rr B Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 warns Well Address -RR 1 Sreronmsszs CLAREMONT MN 55924 THGeological Material FoSOIL =CLAY GRAVEL SoSANDY CLAY CLAY ErCLAY coorColor BLACK Wht YEUWHT BROWN Swe YEUWHT BLUE Sw BROWN ners Hardness feSOFT STSOFT SOFT BmSOFT SOFT BmSOFT rom To From To fom0 2 2b 2 4 4 18 won 18 33 33 73 hom 73 121 GTirnag Some un Yveess D0 NNoo AAbboovree/BBeedlooww f1t. Casing Diameter Weight 5 in. to 142 ft. 15 lbs./ft. Open Hole wma Screen NO Diameter from 142 ft. to 262 ft. sew Make Type Slot/Gauze em Length ToHole Diameter ven wer 8 in. to 142 ft. tae me 4 in. to 262 ft. ses Set Between SAND asse LIMESTONE freee LIMESTONE WHITE SOFT 121 moe TAN HARD 142 gmemom LT. GRY HARD 220 142 Static Water Level om220 ft. from Date Measured 262 PUMPING LEVEL (below land smface) om ft. after hrs. pumping g.p.tn. hte Cungetn Well Head Completion Meerve vonTOR te sss Pitless adapter manufacturer MONITOR Model 6PS56S4Cl I ri Wo Bo 1 D0) CCaassiinngg PPrrootteeccttiioonn 0 1122i.n. sabhoovvee ggrraaddee D At-grade (Environmental Wells and Borings ONLY) RELNUAkRkKS OAKVIEWESTATES ADD. BLK2 LOTS I &2. ren ht Scorer Located Unique Number Ei x Verification Information from owner primogelopmps BE System UTM- Nad83, Zonel5, .Meters Method Digitization (Screen)- Map (1:24,000) Date 03126/2002 X: 499593 Y: 4876068 Grr soon or GGrroouuttiinngg IInnffoorrmmaattiioonn WWeellll GGrroouwteedd?? 0 Yveess 0D NNoo Grout Material: Bentonite from 0 to 142 ft. .\learest Known Source of Contamination ET R_feet "jf__direction SeQtic tank/drain field type Sa Se Sabi Well disinfected upon completion? 0 Yes D No mm 1.25 yrds. Pump 0 Not Installed Date Installed 01123/1993 Manufacturer's name AERMOTOR Model number Al2B50 _ HPQi_ Volts 230 Length of drop Pipe ft. Capacity 12 g.p.m Type Submersible Material anne Deserts nn ee a str Abandoned Wells Does property have any not in use and not sealed well(s)? D Bo Yes 0 No First Bedrock Galena Lassie Goon Depo birch 12 0 Last Strat Galena Aquifer Galena Depth to Bedrock 142 ft. County Well Index Online Report County Well Index Online Report Variance Was a variance granted from the MOH for this well? No Well Contractor Certification Born Well Co. 81162 BORN R. 521068 License Business Name 521068 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/26/2008 HE-0 1205-07 Rg AAT SER riTA Rp SARS m file:/ !MPCAi! Working/A0081-l00%20-%20PFC%20Foam!R...ries/Claremont/Well%20Log%20Report%20-%2000521068.htm6/30/2008 4:08:48 PM 222222.111185 sStTaArTeE__o0z2s82222114422 Well Log Report- 00698973 PrMinnesota Unique Well No. 698973 || Gouwan 698973 County Quad Quad ID Sh Well Name MW-1 O0va: Dodge Owatonna SE 52D WW 2 CADAA Henin Meth Township Range Dir Section Subsections Elevation 107 18 w 28 CBADAA Elevation Method Humor pToL oa MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING Uabwe voz WELL AND BORING RECORD Reed 114208 RECORD iets Sane hte 101 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/02/2006 11114/2003 Nebo Dopod DWT Comin 1282 ft mee 7.5 minute pg | PN Aoii) topographic map Well Depth Depth Completed 15 ft. 15ft. . D~llll~Igi\i~ti~~d A~g~r (;;~r;.;p~~ifi~d). Date Well Completed 10/20/2003 (+/- 5 feet) INet tharormcorest 0 vo Be Drilling Fluid Fon i -[e -- mer Lse Monitor well Well Ilydrofractmed? DYes 0No From Ft. to Ft. Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Above/Below ft Casing Dameter Casing Diameter Zab 5h 2 in. to 5 ft. Vie Weight rtm 0.69 lbs./ft. Dometr Hole Diameter aman ft 8.25 in. to 15 ft. Aen Eres Well Address FRONTSTW cuRBIONTIS4 CLAREMONT MN 55924 occtonct teri Geological Material owCLAY cforori Marmess Color BROWN Hardness MEDIUM Open Hole from ft to ft. Sn RR TET Screen YES Make TIMCO Type plastic Osretsr SiouOauze Lengh SetBetween Diameter 3 th TEER. 2 Fam To From To Slot/Gauze 10 Length 10 Set Between 5 ft. and 15 ft. SSeem ate Mesure 10202900 0 15 Static Water Level 5 ft from Land surface Date Measured 10/20/2003 PUMPING LEVEL (below land sul"face) WPiasleatCmoammptros Mod ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model ro rans NO REMARKS Located Mineo Glog Located Minnesota Geological Survey VSiegee Unique Number n Toonc Verification Tag on well Sem UTM Not Bre. System UTM- Nad83, Zonel5, 1v!eters Method Ditton Sr) Mop Method Digitization (Screen)- Map (124,000) Due 2s Date 04/25/2006 mv: amar X: 499921 V: 4876715 0 Casing Protection Y 0 12 in. above grade 0 pte omenswepings NY) D At-grade (Environmental Wells and Borings ONLY) Croat atomston Wel Goont? ver Lv Grouting Information Well Grouted? 0 Yes 0No Gent Netcast Grout Material: Neat Cement | Gre Sore Grout Material: Bentonite knowir from 0 to 4 ft. fn anist from 4 to 4.5 ft. tom 1 bags 05 bw 0.5 bags SSC :\earest Known Source of Contamination i _feet _direction _type wt guns opeinr 0 vo B no Well disinfected upon completion? D Yes 0 No rump 0 Notnts Du oss Pump D Not Installed Date Installed Leng olden Manufacturer's Length of drop Biename Pipe _L_Copoci spn Model number - ft Capacity g.p.m TypeHP - Type Motori Volts Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? ns Bc PO ---- First Bedrock Lisi Clans epi kf Last Strat Clay-brown Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. `County WellIndex Online Report County Well Index Online Report D Yes 0 No Varnes Weavnedefo he OT nt Variance Was a variance granted from the MDH for this well? o 0 No Well Contractor Certification Dewaca wes wma Thein Well Co. 34625 WIEBER A. Lic Bs Nome Oxi Names Der. License Business Name Lie. Or Reg. No. Name of Driller 698973 I 698973 Ver D Yes Printed 6126/2008 HE-0 1205-07 AEA ig 0 Co. Cn NPS Hee SDA 9 481 file:///I)/l'v!PCA/!Working/A0081-I00%20-%20PFC%20Foam/R ..ries/Claremont/Well%20Log%20Report%20-%2000698973.htm6/30/2008 4:08:47 PM 22222222..11118866 STSATATTEE0_202882222114433 Well Log Report- 00698974 PrMinnesota Unique Well No. 698974 || Qouwan 698974 County Quad Quad ID SE Well Name MW-2 O5va: Dodge Owatonna SE 52D WW 2 CAND Henin Meth Township Range Dir Section Subsections Elevation 107 18 w 28 CBAADD Elevation Method Humor pToL oa MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING Uniiabwe otzsam WELL AND BORING RECORD. flared RECORD iets Sane hte 101 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/25/2006 11114/2003 Nebo Dopod DWT Comin 1282 ft mee 7.5 minute pg | PN Aoii) topographic map Well Depth Depth Completed 15 ft. 15ft. . D~llll~Igi\i~ti~~d A~g~r (;;~r;.;p~~ifi~d). Date Well Completed 10/20/2003 (+/- 5 feet) INet tharormcorest 0 vo Be Drilling Fluid Fon i -[e -- mer Lse Monitor well Well Ilydrofractmed? DYes 0No From Ft. to Ft. Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Above/Below ft Casing Dameter Casing Diameter Zab 5h 2 in. to 5 ft. Vie Weight rtm 0.69 lbs./ft. Dometr Hole Diameter aman fi 8.25 in. to 15 ft. Aen Eres Well Address FRONTSTW cuRBIONTIS4 CLAREMONT MN 55924 occtonct teri Geological Material owCLAY cforori Marmess Color BROWN Hardness MEDIUM Open Hole from ft to ft. Sn RR TET Screen YES Make TIMCO Type plastic Osretsr SiouOauze Lengh SetBetween Diameter 3 th oS 2 Fam To From To Slot/Gauze 10 Length 5 Set Between 5 ft. and 10 ft. SSeem ate Mesure 10202900 0 15 Static Water Level 5 ft from Land surface Date Measured 10/20/2003 PUMPING LEVEL (below land sul"face) WPiasleatCmoammptros Medd ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model ro rans NO REMARKS Located Mineo Glog Located Minnesota Geological Survey VSiegee Unique Number n Toonc Verification Tag on well Sem UMN Zor System UTM- Nad83, Zonel5, 1v!eters Method Ditton Sr) Mop Method Digitization (Screen)- Map (124,000) Due 2s Date 04/25/2006 my: aren X: 499929 V: 4876742 0 Casing Protection Y 0 12 in. above grade 0 pte omenswepings NY) D At-grade (Environmental Wells and Borings ONLY) Croat atomston Wel Goont? ver Lv Grouting Information Well Grouted? 0 Yes 0No Gent Netcast Grout Material: Neat Cement | Gre Sore Grout Material: Bentonite knowir from 0 to 4 ft. fn anist from 4 to 4.5 ft. tom 1 bags 05 bw 0.5 bags SSC :\earest Known Source of Contamination i _feet _direction _type wt guns opeinr B vo Well disinfected upon completion? 0 Yes rump 0 Notnts Du oss Pump D Not Installed Date Installed 0 no D No Leng olden Manufacturer's Length of drop Biename Pipe _L_Copoci spn Model number - ft Capacity g.p.m TypeHP - Type Motori Volts Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? ns Bc PO ---- First Bedrock Lisi Clans epi kf Last Strat Clay-brown Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. `County WellIndex Online Report County Well Index Online Report D Yes 0 No Varnes Weavnedefo he OT nt Variance Was a variance granted from the MDH for this well? o 0 No Well Contractor Certification Dewaca wes wma Thein Well Co. 34625 WIEBER A. Lic Bs Nome Oxi Names Der. License Business Name Lie. Or Reg. No. Name of Driller 698974 I 698974 Ver D Yes Printed 6126/2008 HE-0 1205-07 AEA ig 0S Co. Cn NPS Hee SDAP 0 48 file:///I)/l'v!PCA/!Working/A0081-I00%20-%20PFC%20Foam/R ..ries/Claremont/Well%20Log%20Report%20-%2000698974.htm6/30/2008 4:08:49 PM 22222222..11118877 STSATATTEE0_208282222114444 Well Log Report- 00698975 I Minnesota Unique Well No. 698975 || Qouwan O5va: 698975 County Quad Quad ID Dodge Owatonna SE 52D Si Well Name MW-3 WW 2 CAND Henin Meth Township Range Dir Section Subsections Elevation 107 18 w 28 CBAADD Elevation Method Humor pToL oa MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING Uniiabwe otzsam WELL AND BORING RECORD. flared RECORD iets Sane hte 101 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/25/2006 11114/2003 Nebo Dopod DWT Comin 1282 ft mee 7.5 minute pg | PN Aoii) topographic map Well Depth Depth Completed 15 ft. 15ft. . D~llll~Igi\i~ti~~d A~g~r (;;~r;.;p~~ifi~d). Date Well Completed 10/20/2003 (+/- 5 feet) INet tharormcorest 0 vo Be Drilling Fluid Fon i -[e -- mer Lse Monitor well Well Ilydrofractmed? DYes 0No From Ft. to Ft. Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Above/Below ft Casing Dameter Casing Diameter Zab 5h 2 in. to 5 ft. Vie Weight rtm 0.69 lbs./ft. Dometr Hole Diameter aman ft 8.25 in. to 15 ft. Aen Eres Well Address FRONTSTW cuRBIONTIS4 CLAREMONT MN 55924 occtonct teri Geological Material owCLAY cforori Marmess Color BROWN Hardness MEDIUM Open Hole from ft to ft. Sn RR TET Screen YES Make TIMCO Type plastic Osretsr SiouOauze Lengh SetBetween Diameter 3 th TEER. 2 Fam To From To Slot/Gauze 10 Length 10 Set Between 5 ft. and 15 ft. SSeem ate Mesure 10202900 0 15 Static Water Level 5 ft from Land surface Date Measured 10/20/2003 PUMPING LEVEL (below land sul"face) WPiasleatCmoammptros Mod ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model ro rans NO REMARKS Located Mineo Glog Located Minnesota Geological Survey VSiegee Unique Number n Toonc Verification Tag on well Sem UMN Zor System UTM- Nad83, Zonel5, 1v!eters Method Ditton Sr) Mop Method Digitization (Screen)- Map (124,000) Due 2s Date 04/25/2006 sp: aren X: 499937 V: 4876740 0 Casing Protection Y 0 12 in. above grade 0 pte omenswepings NY) D At-grade (Environmental Wells and Borings ONLY) Croat atomston Wel Goont? ver Lv Grouting Information Well Grouted? 0 Yes 0No Gent Netcast Grout Material: Neat Cement | Gre Sore Grout Material: Bentonite knowir from 0 to 4 ft. fn anist from 4 to 4.5 ft. tom 1 bags 05 bw 0.5 bags SSC :\earest Known Source of Contamination i _feet _direction _type wt guns opeinr 0 vo B no Well disinfected upon completion? D Yes 0 No rump 0 Notnts Du oss Pump D Not Installed Date Installed Leng olden Manufacturer's Length of drop Biename Pipe _L_Copoci spn Model number - ft Capacity g.p.m TypeHP - Type Motori Volts Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? ns Bc PO ---- First Bedrock Lisi Clans epi kf Last Strat Clay-brown Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. `County WellIndex Online Report County Well Index Online Report D Yes 0 No Varnes Weavnedefo he OT nt Variance Was a variance granted from the MDH for this well? o 0 No Well Contractor Certification Dewaca wes wma Thein Well Co. 34625 WIEBER A. Lic Bs Nome Oxi Names Der. License Business Name Lie. Or Reg. No. Name of Driller 698975 I 698975 Ver D Yes Printed 6126/2008 HE-0 1205-07 AEA ig 0 Co. Cn NPS hee SAPS 9 481 file:///I)/l'v!PCA/!Working/A0081-l00%20-%20PFC%20Foam/R ..ries/Claremont/Well%20Log%20Report%20-%2000698975.htm6/30/2008 4:08:47 PM 22222222..11118888 STSATATTEE0_202882222114455 Well Log Report- 00726344 7263 | qm _Minnesota Unique Well No. 726344 County Quad Quad ID ovens: Dodge Owatonna SE 52D WELrL AeND kBORkINiG RoECORD Ml'IINESOTA DEPARTMENT OJ<' HEALTH WELL AND BORING RECORD _i',fimwsota Statutes Chapter 1031 Urtebwe Entry Date Update Date Received Date (435300 12/05/2005 04/25/2006 07/25/2005 Well Name MW-4 Township Range Dir Section Subsections Elevation 107 18 w 28 CABCBB Elevation Method 1282 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed Date Well Completed 12ft. 12ft. 06/13/2005 I Ck Other Drilling Fluid 0 -I -- Use Monitor well Well Hydrofractured? DYes No From Fl. to Fl. Casing Type Plastic Joint No Information Drive Shoe? No Above/Below ft. DYes 0 Casing Diameter Weight Hole Diameter 2 in. to 2 ft. lbs./ft 2 in. to 12 ft. "3W17elFl RAOdNdTrSesTsW 317 FRONT ST W EE. CLAREMONT MN 55924 Geological Material SANDY CLAY SANDY CLAY WET SAND LENSES SANDY CLAY WET SAND LENSES EE Color BLK/BRN Hardness M.SOFT BROWN SOFT BROWN MEDIUM From 0 4 8 asaCOLpen Hole Screen YES Diameter To 2 4 from ft. to ft. Make TIMCU Slot/Gauze 10 Type plastic Length 10 -- Set Between 2 ft. and 12 ft. 8 12 Static Water Level 5 ft. trom Land surface Date Measured 06/13/2005 PUMPING LEVEL (below land smface) ft. after hrs. pumping g. p.m. BpRL rMETaHOD.yDIRECT PSe PORE n REMARKS DRILLING METHOD: DIRECT PUSH PROBE Located Minnesota Geological Method Digitization (Screen)- Map Survey Unique NUlllber Verification Tag hed Soe on well Sym UTM Nal Zon, pv2m sarez System UTM- Nad83, Zonel5, Meters (1:24,000) Date 04/25/2006 X: 499950 Y: 4876722 FiFirrstBBeeddrroocckk Last Strat Clay & sand-brown alte Aquifer Qu.Quat. Wr Water TTaablleeAir Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model 0 Casing Protection Y 0 12 in. above grade SJ DrIirEaSm,.Vist Z) UYaROv OR DD0 AAvt-ggrraaddee ((EEnvairvoinmseontnalmWWeelenllltssasannlddBBoorriinnggssOONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Bentonite from 0.5 to 1.5 ft. 1 bags Grout Material: Neat Cement from to 0.5 ft. 0.5 bags Nearest Known Source of Contamination pi _feet - direction _type et gis encom 0 ver Well disinfected upon completion? D Yes 0BoNo PPUulmllpp DC1 NNoottlIanssstallileedd DDaattee Innssatallleedd Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material AAbbaarnnddoenneedd WWeellllss DDooeess pprrooppeerrttyy hhaavvee aannsyanoott iinnuussee aannddanoottsseeaalleeddwweellll(ss)?? 0D1 Yes 0 No Vatiance Was a variance granted from the MDH for this well? D No Yes 0 ThenWel Mes Well Contractor Certification Thein Well Co. 34625 pussy HlLBRANDS. B. License Business Name Lie. Or Reg. No. Name ofDrillcr 726344 I Printed 6/26/2008 HE-01205-07 file :///IIIlvlPCA/! Working/A0081-1 00%20-%20PFC%20Foam/R ..nes/Claremont/\Vell%20Log%20Report%20-%2000726344.htm6/3 0/200 8 4:0 8:48 PM 22222..11189 STATE_02822146 Well Log Report- W0005430 so Unie Fo lMvifinnnneessoottaa UUnniiqquuee WWel elNl eNo. 20W0005430 ||II o~Q:ur:a:inty II 20W0005430 Quam . Quad ID is Dodge clasuens Claremont sic51C Wa TOTS CITT Well Name LOlUS, CHARLES Towmaip Rang iSectionSubsections Eesti Township Range Dir Section Subsections Elevation 1107071818 wW 3333 AABBBBAADDBB EElelevvaattiioonn MMeetthhoodd sn 1265 ft. DEPARTMENTOFMEALTH guide 07201593 MSIuNENSESOOITAA DEPARTMENT OF HEALTH WELLAND BORING Updwebwie 72s WELL AND BORING RECORD Reconed ac RECORD MioSmescChspttr1e31 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 07/26/1993 07/26/1993 WN beph Dep Comedie WeComet Well Depth Depth Completed Date Well Completed fy A ft. ft. i t7to.op5poomggirrnaapuphtehicicmmaapp | D lJrlllEln!! M!Vteethdoc (+/- 5 feet) DrDirlillliinngg FFlluuiidd Fon to WeWlelll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D NNoo. From Ft. to Ft. Use Domestic Casing Type Joint Casing Diameter Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter Open Hnle [0 Screen Dames Skuauze Diameter rrom n to rc Slot/Gauze LLeennggtthh SSeett Beettwweeeenn cGeecoilooggcicaall MMaateterriiaall CCoolloorr HHaarrednneessss ro rane NO REMARKS From To From To Sowa Static Water Level oa Do essed ft. from Date Measured PUMPING LEVEL (below land surface) re ping" pr ft. after hrs. pumping g.p.m. Wellead Completion Well Head Completion Pee mands Mkt Pitless adapter manuraclurer Model DDO cCaassiinngg PPrrootteeccttiioonn [DJ 1212inm.aabboovveeggrraacdee 0 te tvomens Wels ad orgs ONLY) D At-grade (Envirolllllental Wells and Borings ONLY) ring oormaton Wellner 0 ver 0 v0 Grouting Information Well Grouted? D Yes D No LnctedMicon Gosgisl Located Minnesota Geological So Survey Unique Name Unique Number Vertes omtion on Verificatinn Tnronnation rrom owner St EA SOLI, System UTM- Nad83, Zonel5, Vee lvfeters 0Me0t0h0od00PuMbelitserLd uve Method Public Land Survey - QQQQQQ Section Date NiA DateN/A 3 eane us ? : X: 500524 Y: 4875972 Sr trroan Fi dock First Bedrock Lastat Last Strat Air Aquifer Dep Beck. Depth tn Bedrock ft. County Well Index Online Report Nearer Rows Sure of Conant Nearest Known Source of Contamination RRS - feet - direction _type well gintposn coinpleeiodn? 0 ver 0 No Well disinfected upon completion? D Yes D No Pump 0) Not nsaled Dut id Pump D Not Installed Date Installed i LMLeannegutfhanocoftfdugdrreroortp'psPPnihaippmeee_f_tft_. CCMaappoaadccieitltyynu_mg_.bpge.rmp- m HTTPyypp-ee VMoMaltatseterriiaall Abandoned Wells Does property have any not in use and not sealed well(s? D0 Yvees OD NNoo VarianceWes vata grated fom te OH ri 1 Yor Variance Was a variance granted from the MDH for this well~ D Yes 0D No eRCor Cero Well Contractor Certification Ewoosisy cn BsnsName_Lic. License Business Name Lie. 20W0005430 OrReg Or Reg. No. No. Na of Name of Dil Driller Printed 6/26/2008 HE-01205-07 ECA ig L070 Cio B.Com 9 3Snd ORT file:///li;MPCA/!WorkingiA0081-100%20-%20PFC%20Foam!R...ries/ClaremontiWell%20Log%20Report%20-%20W0005430.htm6/30/2008 4:08:47 PM 22222..11190 STSATATTEE0_202882222114477 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: CCooltltaaggee GGrroovvee CC8o6to4tt1taa8gg0ee"GGrSrootvvreeeeFFii5rr.ee DDeeppaarrttmmeenntt Cottage Grove, MN 8641 80th StreetS. Cottage Grove, MN 5555001166 B6B5oo1bb.B4By5ye6er.rll2yy8.,5FF0iirree CChhiieeff 651-458-2860 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree SSttaattioonn 22,, 88664411 8800t"h SSttrreeeettS.,., CCootttaaggee GGrroovvee AARRA-AFFFFFFL: 33MM VVeerryy sseellddoomm LLeessss tthhaann 5s ggaalllloonnss. GGrroouunndd GAAlRRaAs-AsFFF4FF:F.3:055 gggaaallllllooonnnsss. Class A: 30 gallons IInntteerrmmiittteenntt ssttrreeaamm leessss tthhaann 11//44 mmiillee ttoo tthhee ceaasstt LLeessss tthhaann 11/44 mmiilel ttoo tthhee eeaasstt TSTroraauiilnntiinwneggsstsiietterenaapWppapeseaharirssngttootbobneeCiinon uaacrcttyiivvee kkaarrsstt aarreeaa aalloonngg hthee riivveerr iinn southwestern Washington County 117/221to0 33/84 mmiitlee wweesstt TTrraaiinniinngg sesite iissinn oorr aaddjjaacecnetntotoaaWWelelllhveeaadd PPrrootteeccttiioonn AArreeaa 277 22222222.11119911 SSTTAATTEE__0022882222114488 CCOOTTTTAAGGEE GGRROOVVEE CCWWII WWeellll MMaapp. SD iH CE h Tee ATE] OE A CS eT le gE me Cay? oe i Ma WY hh 00 eS i)JE in Fo 7 oY,# 5 CE el RE s LL NNR Protection J; Lia Be Af id 8 Cy re a. Ey i posh oid LIAL hess ee HER be 24% p ; r PRl E per{iii ll ih 5 ee i) She Naar 222222.111192 STATE_02822149 | CCoottttaaggee GGrroovvee WWhhaatt''s IInn MMyy NNeeiighborrhhood MMaapp | | eso SITE 3 | | | Disclaimer: :tvlap and site information is believed to be accurate but accuracy is not guaranteed. No portion REEL AN S NST| of the information should be considered to be, or used as, a legal document. The information is provided |SRTTSIITR ASIII | subject to the express condition that the user knowingly waives any and all claims for damages against |||| @winnesota Pollution Control Agency MPCA that may arise from the use ofthis data. | | Doitaetstuspoan umm ane Be urs DtiB\il maw r.lu!Dfrkmiil Pohrunitio~d S!oQlti~dWWIaIs:tfek Un,smiiiiJ\J Dlln,:~S ItmAP FitoSuportnd ~ fiiUIHrkiM o cero ;:ERCLIS p-- 0 ~nl SuJ"rfuOO fmt ChoaLaie mats Cb-Hd Llr\diU~ Vgasnen V9'ltlllllr~ hWWI~PI'i .f..Ctllnil!ll' 4RORATSD Facttos i. R:CRA 1SD F'aeilll:~ "RSRAsetRatonsCHarsp ~RA l'rWWI~&'ol'i II; ClfiiWJt 4sit pssasomis A. hM: ~ll'lll:Wil 222222.111193 STSATATTEE0_208228222115500 %gr Wrehe iwet g3 o 93 Bd erat BOF 54 Bl el S3 TH Bly | remit: 54 - Cottage Grove Wetland Map 2 i dahd ree Hi 22222.1111994 | z __,,.. 0 &, "."0.'."'. 0 J,.. 0 .... z [i1;8 4. H14al| fi ooiksly)d3 eau) 8 ho Pf3ao8i8bnagHni {illarPhthiuliileisg Ps gee I 5 "0z~Or'"(" " " " '" " " " " "~' '" " " " '" " "' " " " ";~ ~ ~ G, ." " " " '" " "r" " " " :" " " " " " " " " " " " " " " " " " " " " " ": ," " " " "'" " " " " " " " " : ~:~," " " " " " " " " " "~" " " " " " " " " " " " (!" " " " ":" "'" " ' " " " " " " " " " _,. .... .&,(.,., .... 0 0 z Legend .0Ohlo_wet_scan D1 Out of range ;/'/ Interstate Major Roads 3 z __,,.. "..9....'.. ""1&6z0, 0 """"""""'''""""""""""""'"~'"'""""""'"l""""""""""'n"F~"'""."""" ' "'""""""" ' ; ; C""0,~::~"";;""' ;""""""""'''""""""""*"'""""""'"'"''"""""""""''''"""""" "''"""""""""'""'""'""" , : "" '""'"""" F""'""'"" a 7 sss Other Road ;/'/ Interstate .;./ State highway .;./ US highway Roads Cities r , USGS Quad Index 24K Lower 48 Wetland Polygons H ) f. gfJ / Fy 7 |g i s0 Era Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland __,,.. z Freshwater Emergent Wetland rA 0 J,.. Freshwater Forested/Shrub Wetland 1" <D Freshwater Pond ~ 0J,.. Lake ........ z Othet Riv~rine 7 VE7 . iis he I] weC f Eiq ay 7 Ll z 0 ~ .m... ........ Pp iol said 92-57-0 w 92-56-30W 92-56-0W iiE |i: r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only, Data layers that appear on this map may or may not be accurate, current, or otherwise reliable, THIS MAP IS NOT TO BE USED FOR NAVIGATION, I 0 N 00 N N I-' Ul I-' ic Le [8 __,,.. J,.. <D ,(, 0 z 92-55-30 w 92-55-0W E 3 3 Map center: 44 49' 59" N, 92 55' 52" W | Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK 0 South America u North America $ Scale: 1:23,125 :% stare ozs22151 Well Log Report- 00170844 Horns Minnesota Ce Unique KY Well No. [mse] 3, i 171700884444 f ra T WeD :'\lame cppnpy Quid County Quad QuadiD wnbirgn SPP Washington StPaul Park 102C NNISOTADRPAKIMIT OF MALIN "MWWINEENLLELSLOAATANNDDDEPBBAOORRRTIMINNENGGTRROEEF CCHOEOARRLDDTH ANIONS Minnesota Statutes Chapter 1031 S i r iy Well Depth Depth Completed [ Entry Date pdaeDue 0336199 Update Date i Received Date 03/01/1989 03/26/1996 aii Date Well Completed To'\\nship Range Dir Section Subsections Elevation TW 27 21 w 17 ANC AABBCC Bev Nett Elevation Method 872 ft. | PF 7.5 minute topographic map (+/- 5 feet) rib Ned 205ft. Nope Ray205ft. ~ton; 10/29/1980 Drilling Fluid I -- ------------------ Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. ron er Casing Type Steel (black or low carbon) Joint Welded Dri,e Shoe? IZl Yes D No Above/Below 1 ft. Casing Diameter Weight Hole Diameter 8 in. to 85ft lbs/ft 12 1n. to 85 ft 4 in. to 184ft lbs/ft 8 in. to 184 ft ei ae Geological Material SAND & GRAVEL LIMEROCK SANDROCK LIMEROCK m oo RmoLf Color BROWN YELLOW Hardness MEDIUM HARD From To 0 82 82 140 WHITE MEDIUM 140 146 YELLOW HARD 146 205 rn NO REMARKS tots Located Minnesota Geological Survey te p00 Method Digitization (Screen) -Map (I :24,000) pr Unique Number Verification Other, note in remarks System UTJ'vf- Nad83, Zonel5, Meters Ap Date 02/13/2004 X: 504038 Y: 4964404 Open Hole Screen NO Diameter A from 184 ft. to 205 ft. Make Type Slot/Gauze Length -- Set Between Static Water Level 74 ft. from Land surface Date Measured 10/29/1980 PUMPING LEVEL (below land surface) 74 ft. after hrs. pumping 15 g.p.m. wt o Well Head Completion RATT Pitless adapter manufacturer Benen nsec D Casing Protection D Model 12 in. above grade B obra ion, D At-grade (Environmental Wells and Borings ONLY) mri Adm Be BY Grouting Information Well Grouted" IZJ Yes D No Grout Matenal: Neat Cement from 0 to 184ft 5 yrds NPart'st Known Sourt'e of Contamination TT Cte 7i_feet L direction Sertic tank/drain field type cei 3a 0 Wdl disinfected upon completion? D Yes D No won Beam Pump IZl Not Installed Date Installed I0/29/1980 Manufacturer's name FAIRBANKS Model numher -10- 015- - Length of drop Pipe !l_ft. Capacity !Q__g.p.m SOE Crp ere _ Type Submersible Material Galvanized HPL Volts 230 i heer em Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 5D No h rt pe is First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group sS wt mEony Aquifer Prairie Du Chien Group Depth to Bedrock 82 ft. County Well Index Online Report Var-iance Wa' a variance granted fi"om the MDH for thi' well? D Well Contractor Certification | Sirs vans Maher Well Co. 19301 .V!AHER.R. Le 1s ry tr License Business ~arne Lie. Or Reg. No. Name of Driller 10s I 170844 Yes D No Printed 6/27/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/ ..ttage%2CGrove/Well%20Log%20Report%20-%20001 70844.htm6/30/2008 4: 13:20 PM 22222222.11119955 stare oas1s2 STATE_02822152 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: DDuunnnneelll DPDuOunnBnnoeelxllk-L2Laa1kk6ee FFrreemmoonntt FFiirree DDeeppaarrttmmeenntt Duell MN PO Box216 Dunnell, MN 5566112277 AA5l0laa7nn.6HH9ee5ll.mm2ere9sr5s,0, FFiirree CChhiieeff 507-695-2950 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: OOllddbbalalllddiiaammoonndd,, NN.. SSeecelleeyy AAvveennuuee,, DDuunnnneellll AAFFFFFF:: SSppeecciiffieedd aass SSiitlv--eexx,, aassssuummeedd uunniiddeenntitiffiieedd AAnnnnuuaallllyy LLeessss tthhaann 5gaglallolonnss. GGrroouunngd AAClFFaFsFFs A((SSi(ilvSv-i-eevxe:xtxu/)un:nidid2eengtnaftilifeliedod)n:)s: 2200 ggaalllloonnss Class A (Silv-ex): 2 gallons IInntteerrmmiittteenntt sttrreeama 11//44 ttoo 117/33 mmiille ttoo tthhee ssoouutthheeaasstt 11//441to0 117/33 mmiillee ttoo tthhee nnoorrtthheeaasstt 31/13 t0o 11/22 mmiilee ssoouutthheeaasstt MMoorree tthhaann 11 mmiilee 5 5 22222222..11119966 SSTTAATTEE__0022882222115533 DDUNUNENLL CNCWWIEIWWeeLllll MMLaapp torr af? NE le po)m fn E Je TE Ey ES ey Te ERR EeI 7 AEE & ; fo of iJ i Sf ede he s 18 ==we EhSey f mT e oGmg fo1e boSd co CE pf a no 2 . i Cb i SIETA E ms Th 7 A: [mriee Ly RVo l NE a JT TO ET |po. t {fj1il/3l4 1 / eh|\ ' | ane i : TTY 1/7 i eh, a | 3! Vv - 1 eT "I AN been Lda x . i| i2 awgmawedi[S OWNSg nt ;3 ea . Fo J NaTE he EMD NT a NY ~ a wl NT Lay opt moms.Su Cnet Soret, eet 2222222.11197 sSTatAeT_Eo_206282222115544 [~~ DDuunnnnelelll WWhhaatt''ss Iinn MMyNy eNeiigghhbborohorohdMoMaoapdp fri | | . | | 1 i| pr een || { -- | i | | i 1 SITE--~ | [om Lei I . = i IiT a II/ EE | [| EERSTE ET | uPI emaSo. lawaste J Disclaimer: .tviap of the informatio acti and site n should cbr information is be considered be to scr lieved be, or edto be used shSamet. accurate but accurac as, a legal document. Th ini 8 y is not guaranteed. The information is ered"| No portion provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. |||[@uimstnrassn tonsa L etSv--e--E a----ms l~ -iniiJ"V!I''".inlnesatta - Polllut:iolnV-VIIUUIA"'~c..l.&lr'IC"yY/1 | +erI RrEyc Bb SiStiteess Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ Al!RlOnT~ImNiIiEBSCOICDuunp~s MFRAP m:attt Su~rftl nil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb um V9lIa t;nCarta~'IIlWlrrtitm~~l'i _._ ~RA ra~111:1~ F:CRA l'rl'ffii~PD I; ~ta'IIWJI' "'- SliM ~rMIII: 222222.1111998 STATE_02822155 22222.1111999 stare_o2022156 2s a i 94-47-30 w z 0 .'.f.. ".,1..',. z 0 "'.... ".,1..',. z #p cge Dunnell Wetland Map 94-47-0W 94-46-30W = EE i NiE i | z 9 "".,1..'',. HH : i? HE 3 ,| 2i 94-47-30 w 94-47-0W 94-46-30W i18 = iHi r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' Ul 0"1 z & gd soit gl 2 3Su ii BN ii 5 ia | 94-46-0W 94-45-30W wwA A J,.. 0 z Hi, fal 3 ~ w Legend A ,(, 0 ;;' Interstate z Major Roads HERR Other Road ;;' Interstate ,..v State highway wwA ~US highway A Roads 6 z Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater A Estuarine and Marine Wetland w Freshwater Emergent Wetl1:md w w 111 FrAshwater Forested/Shrub Wetland J,.. 0 Freshwater Pond z Lake Othor Riverine Lower 48 Available Wetland Data wwA Non-Digital w Digital ,(, No Data mn 0 z Scan NHD Streams Counties 1OOK States 1DDK o ~ South America o ww North America 6 z . i2 g3 x 5 94-46-0W 94-45-30W Map center: 43 33' 47" N, 94 46' 23" W $ le Scale: 1:25,389 id mer 1%. gc | dm | [| Billa i PERthPS 5 til}1 ary Well Log Report- 00102834 ns tn Minonnesseottsa UDniqiue JiVBe!O! NNOo. 102834 II 102834 II L.!:.= = = = = = = = = : : : : ! . J . ~GCGo:auu:nd:ittyym Quad ID D1u0st MMaarrttiinn Dum1ell 16D WANTON I Well Name NELSON, HR. TownRagsDir cco Sbsction Elston Township RangeDir Section Subsections Elevation 110011 333 wOW 1144 BBAABBAAARB FElelevvaattiioonn MMeetthhoodd win 1341 ft. MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING Undue (1203003 WELL AND BORING RECORD Recehed Due RECORD Minot SsChapter 131 114inne,mta Statutes Chapter 1031 EEnnttrryy DDaattee. Update Date Received Date 4014/11331/11998888 07/29/2002 Wllbeph Dept Compiard De Wa Cpe Well Depth Depth Completed Date Well Completed en p, any 234 ft. 234ft. 11/09/1976 tpopokgrapmhaic | DTTMethodNon-seciidRory 7.5 minute topographic map (+/- 5 feet) nrillingMei:hoJ.. "N0fi~spec1t!eciR.0.ary EE Drilling Fluid -- Fon 0 1 Wweellll HHyyadrroutfrraacctuurrcead?? 0DYveess ODnNoo From Ft. to Ft. Caio Type Jans Wott Orneshoe? 0 ve B vo bre Use Domestic Casing Type Joint Welded Drive Shoe'! DYes 0 No Above/ Below 1.5 ft. CasingDiameter Casing Diameter Sow awe 5 in. to 230 ft. We Weight wnlbs./ft. Tete Dar Hole Diameter occgicat atria Geological Material Shorcay SAND &CLAY frets CLAY &SAND FedCLAY Gavan CLAY &SAND GarCLAY Gav ocks CLAY &ROCKS aCLAY SCLhAYs&sSAhNeD SSANeD Color Hantness Color wo RED B08 BLUE nN BLUE rrBLUE WE sn BLUE WE son BLUE wow BLUE LBLUAE YLEaUGlRY Hardness SOFT SOFT SOFT SOFT SOFT SOFT SOFT wSOmFT SOFT Cpe ET Open Hole from ft to ft From To[Semen VES Wk TOTRRON Type ST From To Screen YES Make JOHNSON Type stainless steel os 0 25 4% [omew sovomse wngm sstsemeen 25 40 Diameter Slot/Gauze Length Set Between 3 23 TT ne 40 55 5 15 5 230 ft. and 234 ft. 55 62 Bw 62 130 Bife 130 145 Static Water Level wow 145 210 180 rt from Land surface Date Measured 11/09/1976 22100 121%4 P[ UMF PINGO LLEEVVM EELL(P (ebteloowwI tlaanndN dssuurrfG faaccee)) 2*14 P23|4 119500 ft. aafttterr 2244. hbros. ppuummppiinngg 1122 gg.pp.lmll. Welles Completion Well Head Completion Prt mais Mad Pitless adapter manufacturer Model vo REanEs NO RElvfARKS Located Mist Gero Located Minnesota Geological FaiSurvey Unique Number Unique Number V(ierriiSfikcualtiioonn PPllaattRBooookk Sym UTA} 015 System UTM- Nad83, Zone15. Jo.1eters Method Dist ss 12400005 Method Digitized- scale 1:24,000 or ne Digi Toe) larger (Digitizing Table) yo 1 DateN/A Sits. zis X: 357245 Y: 4824403 FinaBendk First Bedrock Lust Sed Last Strat Sand aqui ut. uiArds. Ate Aquifer Quat. Buried Artes. Aquifer Detpo Btehk Depth to Bedrock ft. DDO CaCsaisningg PPrrootteeccttiioonn 0B1212 iinn.aabboovveeggrraaddee 0 ae inn Weld hoengs ONLY) D At-grade (Envirolllllental Wells and Borings ONLY) Grouting Inormation WellGroued" 8 ver 0 No Grouting Information Well Grouted? 0 Yes D No Coutts oes Grout Material Cuttings fon Got from 0 to 200 ft. Near KaenSoe Coo 22N00e00afreefsectettKWnYof_w__nddiSirreoeccuttriicooennofSSCeep]o2tntiitccatmtaanniknkAla/radtiinroainn fiiesldld_ttyppee Welondcopisers 8 ves 0 Mo Well disinfected upon completion? 0 Yes D No Pump 0 Nord Dataset 14576 Pump D Notinstalled Date Installed 1111111976 immune ATROMOTOR Mod te 0-120 Manufacturer's name AEROMOTOR Model number SD-12-100 Tr va _ HPL Volts 230 Tenghodop Pps 208 0 Cosi 15 zp Length of drop Pipe 204 ft. Capacity .li_g.p.m ie Sobmerie dewarl Pac Type Submersible Material Plastic oonmed Wa To Pp WC RRR Abandoned Wells Does property have any not in use and not sealed well(s)? Ov Ow D Yes D No VVaarriiaannccee WWaassaa vvaarriiaannccee ggrraanntteedd ffrroommtthee MMDDHHffoorr tshwisewlelll!? C1 D YYeess Ow D No elCoCro a Well Contractor Certification Claws 0 CURSTENSND Cliffs Well Service 90325 CHRISTENSEN B coose Name Lic Oke. No. eof Drs License Business Name Lie. Or Reg. No. Name of Driller ACA O00. Se No e23 EE 0 60 SR 06 file:///IIil\1PCN! Working/A0081-100%20-%20PFC%20Fo...%20Fremont/Well%20Log%20Report%20-%2000 102834.htm (1 of 2)6/30/2008 4: 16:06 P'vl 22222..11200 STSATATTEE0_208282222115577 Well Log Report- 00102834 County Well Index Online Report 102834 Printed 6/27/2008 HE-01205-07 file:///IIil\1PCN! Working/A0081-1 00%20-%20PFC%20Fo...%20Fremont/Well%20Log%20Report%20-%2000 102834.htm (2 of 2)6/30/2008 4: 16:06 P'vl 222222..120011 STATE_02822158 Well Log Report- 00136181 II 136181 a So o Minnesota Unique Well No. County Quad QuadiD Martin Dunnell 16D TR Well Name JANSSEN, WALTER Township Range Dir Section Subsections Elevation 101 33 w 15 ADADBB ElPvation Method MINNESOTA DEPARTMENT OF HEALTH WELLANDBORING tpn ON WELL AND BORING Econ we RECORD Sind Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 0411311988 07/2')/2002 WET Well Depth Depth Completed Date Well Completed 1310 ft. on 7.5 minute topographic map (+/- 5 feet) 218ft. 218ft. Il~illi~gM~th~dN~~~sp~cified Rotary 04/2411979 0000 DrDirlillliinnggFFlluuiidd -- I well Well Hyarotructurea? Hydrufractured? 0D YYeess 0D Nwoo. From Ft. to Ft. Use Domestic E SyL waa CaCsaisinngg TTyyppee JJooiinntt TThhrreeaaddeeddDrDirivvee SShhooee?? Below 1.5 ft. Casing Diameter Weight 5 in. to 208 ft. 14.95 lbs./ft. D [JYveess [0El NNoo AAbboorwer/ tans Hole Diameter 8 in. to 208 ft. cSootsaas Geological Material BESAND & CLAY CLAY Wise CLAY & SAND hie CLAY & ROCK =CLAY arson CLAY & SAND o*SAND cl or ve s tom 12 SoCurter Sse Color mo Eo oS es BROWN BLUE Me 2 0B BLUIGRY W Homw BBoose BLUE Hardness SOFT SOFT SOFT HARD From 0 25 85 100 fOpOepnetniHooklee Ttroomm ttl 0to n. Screen YES Make JOHNSON Type stainless steel To 25 Diameter 85 4 Slot/Gauze 18 Length 10 Set Between 208 ft and 218 ft. 100 130 a awe Eor BLUE BLUIYEL GRAY HARD SOFT SOFT m ReSR LS s een 130 200 Static Water Level 200 205 138 ft. from Land surface Date Measured 205 218 PUMPING LEVEL (below land surface) To 150 ft. after 15 hrs. pumping 12 g. p.m. Well Head Completion a2 04/24/1979 Pitless adapter manufacturer Model DDO cCaasisninggPPrrooeteccttiioonn 0D3 1122iinn.. aabboovveeggrraaddee vo Resins NO REJ'v!ARKS D03 AAtv-ggrsaadede(En(vEmiriornomnmernttaall WWeellllss aanndd BBoorirnigsnOgNsLYONLY)) Grouting ormatin Wel Grou? 2 Yes OI vo Grouting Information Well Grouted? 0 Yes D No ------ et Grout Material: Cuttings from to ft. Located Minnesota Geological Survey Ve ane Unique Number V(Veerriftiecnattiiovnn NNoampee on mdaiilbbosx Sym UTH- Na Zoet5. System UT1'vf- Nad83, Zonel5, ]\/[eters -- Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A x, sr, amo X: 356567 Y: 4823932 oatFiist Bedrock ant ct tse rte Aquifer Quat. Buried Artes. Aquifer County Well Index Online Report Last Strat Sand-gray Depth to Bedrock ft. County Well Index Online Report a NParPst Known Source of Contamination 110000 fefceett !dii_rdeircetcitioonn SSq2etic tpnankkdt/diraniin ficeld tfiycldp_tvepe Wet ints ponconpcion?_B ves 0 wo Well disinfected upon completion? 0 Yes D No PPUuImIlpp CD1 NNoottlInssttlallleedd DDaattee IInnssttaalllleedd naiAMIE Mba S12 Manufacturer's name AEROMOTOR Model number SD-19 Tengodrnfie 6i01e. 2Cope 1g9 pm _ HP 1.2_ Volts 230 Length of drop Pipe .!Q_ft. Capacity 12.__g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nwoo V`Vaarrilaannccee WWaass a vvaarriiaannccee ggrraanntteeddffrroommtthheeMMDDHHffoorr tthhiisswwelelll?? JD YYeess. 0 no D No Well Contractor Certification or Jerl}''s Well Co. 90421 Amnon CHRISTENSEN,R ET License Business Name 136181 Lie. Or Reg. No. I Fr Name ofDriller Printed 612712008 HE-01205-07 ro eR rm Aree ere file:///III1v!PCA!!Working/A0081-I00%20-%20PFC%20Foam/...ake%20Fremont/Well%20Log%20Report%20-%2000136181.htm6/30/2008 4:16:07 PM snare oasaaass STATE_02822159 222222.112202 Well Log Report- CJCJI7417l I'vfmnesota Unique Well No. 174173 opmrae Dunit 174173 Comtty Quad Quad TD Martin Dunnell HiD TOOT Well Name ANDERSON, DAVE omens oeSec Sesto Een Township Range Dir Section Subsections Elevation 01001 33 wWI14 DDAABDRDDB EFlleevvaattoinonMMetethhoodd Well Address ed DUNNELL MN 56127 tat Geological Material Eo CLAY CLAY GAY smo m0ox CLAY +SAND+ ROCK anCLAY Showa CLAY +SAND CLAY ROCKS SAND ROCKS cor ness Color on BROWN BLUE axBLUE SEE BLUE Hardness SOFT SOFT SOFT SOFT EE BLUE BLUE GRAY SOFT HARD SOFT 12a 1322 ft. MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD WELL AND BORING RECORD inet Sati Chapt 195 1lfinnesota Statutes Chapter 1031 Ne epi Well Depth en an. 198 ft. Depth Completed 198ft. Entry Date UpineDue 073302 Update Date [etn Received Date 04/13/1988 07129!2002 De Coad Date Well Completed wasn 06/25/1981 hr 7.5 minute topographic map (+/5 feet) RA Drilling Method T . Rotary Drilling Fluid TI T -- Well Hydrofractmed? DYes D No From Ft. to Ft. Use Domestic ert 14 Casing Type Plastic Joint No Information Drive Shoe? No Above/Below 1. 5 ft. DYes 0 Casing Diameter Weight Hole Diameter 5 in. to 193ft lbs/ft 8 in to 198 ft prom 7o From To S75 0 30 30 40 Fr 40 43 FE43 115 ii 115 145 145 185 185 198 Open Hole from ft. to ft. [RTE NST eT Screen YES Make JOH'JSOI\ |oummer sotGmie Leng Suse Diameter fo mre 5 Slot/Gauze 20 Type stainless steel Length 5 Set Between 193 ft and 198 ft Static Water Level 153 ft. from Land surface Date Measured PUMPING LEVEL (below land sur-face) 155 ft. after 20 hrs. pumping 1g g. p.m. 06/25/1981 [-- NO REMARKS Tecate Mines Git sy eptiiodaDcieed 240000 Located Minnesota Geological Survey Method Digitized- scale 1:24.000 or larger (Digitizing Table) Sn GAS Ft, Sr: 00. Vs 2S VUVeenrriitqfhiucceaattNiioomnnnIfbnefoorrmcatnionsfrtoommiooonwennts:r System UTI'vf- Nad83, Zone15, I'vfeters D2a1teNN/4A X: 358068 Y: 4823462 Well Head Completion Pi soe mtr Nod Pitless adapter manufacturer Model Dcunimsion 0 12m sone grate D Casing Protection D 12 in. above grade ID rr me Wet minn gsONLY) D At-grade (Environmental Wells and Borings ONLY) rng ntrmotn cts? 8 ve 0 a Grouting Information Well Grouted? 0 Yes D No Grats sors Grout Material Bentonite fom 00108 from 0 to 150 ft Nearest Known Source of Contamination 8 Bll. 173 150 feet North East direction SeQtic tank/drain field type eps option B va Ovo Well disinfected upon completion? 0 Yes D No Tay Soriano icoc ton Pmnp 0 Not Installed Date Installed 06/26/1981 NecaALOT Nd mnt 51010 Manufacturer's name AF.RMOTOR Modelnum her SS 10-1 00 _ HPL Volts 220 LatdrophPeo16f01. Cpucis_psm Length of drop Pipe 160 ft. Capacity _g.p.m To Sm ar Hue Type Submersible Material Plastic Abie Wet oes opty ve my det id wer OF Abandoned Wells Does property have any not in use and not sealed well(s)? D oO ow Yes D No LnedoeSeSkt er First Bedrock Last Strat Sand & larger-gray Daelprt euski8rs Agr Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock 185 ft. Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Nc mal QESTESIN Jerrv's Well Co. 90421 CHRISTENSEN ico nesNas rR No Non Dr License Business Name Lie. Or Reg. No. Name of Driller County Well Index Online Report 174173 I Printed 6/27/2w8 HE-01205-07 file:i/ili!MPCA/'Working/A0081-1 00%20-%20PFC%20Foam/. ake%20Fremont/Well%20Log%20Report%20-%2000 1741 73.htm6/30!2008 4 16:08 PM 22222222.11220033 SSTTAATTEE__0022882222116600 SSIITTEE SSUUMMMMAARRYY SSiittee NNoammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: EEllllssbbuurrgg E1El1lls0sbb2uurMrgginVVkoolRluuonnattdeeeerr FFriree DDeeppaarrttmmeenntt CC1o1ot0ttt2oonnM,, iMMnkNNRo55a55d772244 B2Br1raa8dd4yy8MM2i3illl7ee,r7,7AAssssiissttaanntt FFiirre CChhiieeff 218-482-3777 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: MMeellrruuddee FFiirree HHaall,l, 11776633 MMeellrruuddee RRooaadd,, MMeellruuddee AAFFFFF.: UUS.S.. FFooaamm AAnnnnuuaallllyy LLeessss tthhaann 55ggaallolonnss. GGrroouunndd AAFFFFF:: nnoott ssppeecciiffiieedd UUnnnnaammeedd ccrreeeckk lleesss tthhaann 11//44 mmiilee ssoouutthh LLeessss tthhaann 11/44 ssoouutthh aanndd ssoouutthheeaasstt 11/221t0o11 mmiillee nnoorrtthheeaasstt MMoorree thhaann 11 mmiilee 9 5 22222222.11220044 SSTTAATTEE__0022882222116611 EELLLLSSBBUURRGG ((MMEELLRRUUDDEE)) CCWWII WWeellll MMaapp B BiReElEN T ZY e 6Gi 9 (7TaW i- he CA bXN Fis SemeOpi R MVo ep SY TNs C [pNetANF A on a SEN A oh inal] = Sa i) A Vo{l13 Ajii:l 1 a = ol E Enaan Lr ardhe ei rk imA ET BC aasE ol gi S=,ITSELi fAerat an) ig *Te Se ie a freA BPNoF A r Be HS e eR et at hLE o wil1o6nasid B SF a RIESaLFIAN er rr fo Urns greantt llaSR Tg otAtpa LRa2Xalegrnatl ep e 2d i nl ANi D REI EteEieinnii tepEn ealNy e eotn ta Ee es ns enki: Hi EE Sem gmp og np ecorpens | eet Gian 222222.112205 stareozs22162 STATE_02822162 ~ ElEillssbbuurg WWhahta't'ss IInnMMyNeigbohrhbooodrMMaahpood 4 ple 3\ | }- {5 |{ |J J . 1 2 if Ny bd | 5~=x<SITE Tr ie dy in | { 3be / I =T Sites. | mtr mange | [ Le-- t Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion Imesge f The reooe|| uaootmeamacems ofthe information should be considered to be, or used as, a legal document. The information is provided Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. MFRAP Stma:attottSSuup~errfftlunndil fr e CEK.CLt:s Febmtuprina Q F'Mil:nl !lh.a~rhmcl @Minnesota Pollution Control Agency &taM 0~ LaMIUb xO BV oRato Ee Facy es um V9ltnar~ llritm~~l'i I; Cta'IIWrt _._ ~RA ra~111:1~ 4St foossomons RFC:CRRAAIaln'vr5l'1ff1ii9~P0DI&;1C~t1ha'aI0InWJ8gI' "'- SliM ~rMIII: 222222.112206 sStTaArTeE0_02228222116633 gr |, dn miers ((% T fod,E Biih i | :{: 3 iR fi 1 HE . aW ELLEQ IN Ellsburg (Melrude) Wetland Map i oo 2222.1207 i i P: EId ii 92-25-40 w 92-25-20 w 92-25-0 w r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' 0"1 .j:>. oT i. 5 \| \ LY} i .... ";'"' ;n 6 z .... ";'"' :;;: l.. 0 z ....~ ~'l;t 0 z 92-24-40 w 92-24-20 w Map center: 47 14' 39" N, 92 25' 0" W ;H ean assim Legend .0Ohlo_wet_scan D1 Out of range ;!</ Interstate Major Roads Other Road ;!</ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K 0 South America u North America ahnd d $ Scale: 1:13,471 g mn} JI} rn - : Well Log Report - 00729063 Minnesota Unique Well No. II 729063 ot"County Quad Quad ID Cotsen St. Louis Central Lakes 292C WELL AND BORING MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 1031 Cpe Entry Date Update Date Received Date tam 11130/2007 11114/2005 Well-"ame ANDERSON, ELMER & JULIA Township Range Dir Section Subsections Elevation 55s5 1166 wW 1177 BBBBBBBBAABB EElleevvaattiioonn MMeetthhoodd 1360 ft. 7.5 minute totoppooggrarapphhiiccmmaapp (+/- 5 feet) Well Depth 85ft. | DDrriilllliinngg MMeetthhoodd DDrriilllliinngg FFlluuiidd. Water Depth Completed 85ft. MMaulptilplee lmlelvttHhoudus> uus>evud IWell Hydroteacwured? Well Hydrofractured? From Ft. to Ft. Date Well Completed 10117/2005 0DYveess 0 NEnoo Use Domestic CCaassiinngg TTyyppee SSttoeeell ((bbllaacckk oorr llooww ccaarrbboonn)) JJooiinntt TThhrreeaaddeedd DDrriivveeSShhooee?? 0 Y[reess 0ON noo AAbboovre/tBieloonw 0ft. Casing Diameter Weight Hole Diameter Well Address V1MfE8uLE9eLR8RULiUDEeDEEeEmRMDsiNse55r7e6s6 Bune Geological Material CLAY SAND GRAVEL & BOULDERS FINE SAND & ROCKS SSLTATEE 6 in. to 77 It 19.45 lbs./ft. 6 in. to 77 ft. itn tt (en Color RED GRAY EEG GRAY BLACK Hardness MEDIUM SOFT HARD HARD From 0 10 17 40 OOpenpen HToelermfrom 7722 1f0t. to 8B5 nft. Screen NO Make Type To Diameter 10 17 40 77 Slot/Gauze 6 in. to 85 ft. Length Set Between BLAACCKK MS.SOOFFT n77 8[5 iSttaetic WWaatteerr LLeevveell 23 ft. from Land surface Date Measured 10/12/2005 PUMPII\G LEVEL (below land surface) 34 ft. after 24 hrs. pumping 15 g.p.m. vo Rinks NO REMARKS Located Minnesota Department of Health Unique Number Verification NiA System UTM- Nad83, Zone15. Meters Method GPS SAOtl(averaged) DateN/A X: 544811 Y: 5233809 First Iledrock Last Strat Aquifer Depth to Bedrock 77 ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model DDlcCasaisnigngPPrrootteeccttiioonn 0 1122inin..aabboovveeggrraaddee. CSonaingIortoTn WelTl GriIt YoNr Oe D3 AAtv-ggraede E(EnnvvirionrmoenntamlWeWelnelltlsssaannldd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Bentonite from to 77 ft. 4 bags ."earest Known Source of Contamination 2Q_feet Yi_direction Sewer type WWelelll ddisisnfeictenduupfpoonneccoomcmplpielettediso?n? 0 Yveess DOJ NNoo PPuummpp 0D NNoott Isntsatalllleedd DDaatteelIsntsltallleedd LongihoPyfei_g_Capuin gpa Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m Type HP - Type Maris Volts Material Abandoned Wells Does properly have any not in use and not sealed well(s)? 0D Yvees 0 NNoo Variance Was a variance granted from the MDH for this well? D No Yes 0 Well Contractor Certification PPeetteerrsseennWWelelll CCoo.. 6i91s83 PPETEERNSE.N l2 License Business Name Lie. Or Reg. No. Name of Driller 729063 I Printed 6/27/2008 HE-0 1205-07 fll e:///II/:\1PCA/! Working/A0081-l00%20-%20PFC%20Foam/R. ..ari es!Ellsburg/Well%20Log%20Report%20-%2000729063.htm6/30/2008 4: 18 :08 PM 222222.112208 STATE_02822165 SSIITTEE SSUUMMMMAARRYY SSiittee NNoammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: EEvvaannssvviilllee EPEvvOaaBnnsosuxviilll3ee6FF7riree DDeeppaarrttmmeenntt EEPvvOaannBssuovixillle3e,6,7MMNN 5566332266. TT32iim0m-AA8n3nd4de-er4rss9oo9nn5,, 22nd AAssssiissttaanntt FFiirree CChhiieeff 320-834-4995 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtarianininingg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: BsBeaehchii(nnnddefwfiirreaedhhdaialtllli,,on11,0066eaSSstttaaottefe tSSottwrrenee,ett,,eaEEsaatsstetnSSdiioddfeeMAAaddiddniitiiSootnnreiinentaa) ccuul--dee-- sac (new addition, east of town, east end of Main Street) AARRC-AAFFFFFF:: NNaattiioonnaall FFooaamm UUnniivveerrssaall GGookldd 111to0 33%% AAnnnnuuaallllyy 55 ggaatlloonnss GGrroouunndd,, ssttoorrmm sseewweerr AARRA-AFFFFEF:: nnoott ssppeecciiffiieedd IIntteemrmititetenntt ssttrreeaamm 11//44 ttoo 117/22 mmiille 0to tthhee ssoouulthh-ssoouutthheeaasstt LLeessss tthhaann 11/44 mmiilee nnoorrtthh AApppprrooxxiimmaatteellyy 111/22 mmiilee nnoorrtthhwweesstt LLeessss tthhaann 11//44 mmiilee nnoorrtthh 1"1 22222222.11220099 SSTTAATTEE__0022882222116666 EEVVAANNSSVVIILLLLEE CCWWII WWeellll MMaapp NET JR igi ee AAT NT er bo A Te Noll TERA RT SNE N =iaS ATTSlAR EeEA eeon m TT h eTeer RS : Saver SRE Eee hn Ne 7] : pe pm Len bd Ne CRE yEp ile] J. eerie JT DNA Feil eta SAR AS TY Ah = ELA Cr TR TN Te L ET m CSEFIRTE | Rsoeee ll yop RIN ys sen nl i SodEe olONa ERSsendor N AN LAAENNNCe GE N0yB eee eeC\ IDe T TnEeJMea ACC RE Xobe IN WORT A 51 TEL (5 NCL dE APhA ee ME OT APNEEgleNRRONENY Fe E eSLD T) C relmt ads lingER=eT aHN N mn 4 ) HL Tai"ez =| ~e SNeor T ekh 8 SHE = es Sent ERNSN> ST} AASo T1+e%nt W ByRrA dY CER Ne Se AEER N TANG E Fn 222222.112210 sSTaArTeEo_a0s28a222116677 [E Evanv svillea WWhahtn a't'ssIIns nMMyNv eighi bboorrhhl ooooddl MMaap e id | i i +| wha | | Wes! 0 TT a Ve] t || || | | |; | [ | UE|i | ATI ~SsIiTTEE A = PadS IN ~ ml|fin. e Se 1 NJ --_-- [Doita raipr Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion [isms mpc | -- of the information should be considered to be, or used as, a legal document. The information is provided RET SRE | ve subject to the express condition that the user knowingly waives any and all claims for damages against E+ ewrp MPCA that may arise from the use of this data. Sites Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP Stma:attett SSuup~orfrtflunnidl e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl @Minnosota Pollution Control Agency &taM 0~ LaMIUb O [rote uspimmnt V9ltnar~ llritm~~l'i I; Cta'IIWrt 2 een .... ~RA um ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D &I;1C~t1ha'aI0InWJ8gI' + Someone "'- SliM ~rMIII: 2222.11221111 stare_o2022168 STATE_02822168 + a1H eir al HHipalilguigsln thislinit i|g Iola i{ glo2 E@ 3 3& =. 23] S| 2i ` Ss , . 2 =F = { 5 er Evansville Wetland Map Bi E on of - 222222.112212 f im 0G 12 Bg [s: 3 2.8 A B% oEig e = B 7 g .......:..... ::: ...: . : ......1~ z y oFy tf BF4 Ge x E ' . 3 & P" ~0c3f~0"~~/ 4~~);~;~==:~~=~ "''"''"'~ A 1~~ 5 x : ] 8 3g 3 gi A ''!+' .................................; ............ I"~' z 82 yi& son won EfLd.s H Bi h bHf I H gua H Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America wr | i i: pe AE hfI iiz ihi . iz i |ii 2 iut 1 FE --i ql| 95-43W 95-42W 95-41 w r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' 0"1 \.0 i: 95-4DW 95-39W Map center: 45 59' 54" N, 95 40' 53" W $ 3 3 i Scale: 1:43,495 [p-- Well T"og Report- 00221392 [22B 21392 Jos Minnesota Unique Well No. County Quad QuadiD Eeenile Douglas Evansville 199C Welll'\ame GREAT NORTHERN RR Township Range Dh Section Subsections Elevation 129 40 w 2 CCBCCC Elevation Method Well Address MINNESOTA DEPARTMENT OF We ELL ANDe BORING HEALTH WELL AND BORING RECORD 11Jinnesota Statutes Chapter 1031 Upleebue Entry Date l:pdate Date Received Date 05062008 04/07/1988 05/06/2005 1351 ft. 7S.5emuinnugte topographic map (+/- 5 feet) Well Depth 202 ft. DDrriilllliinng g MMeetthhoodd -- Depth Completed 200ft. Date Well Completed 07/28/1926 E EI r R Drilling F1uid -- Wl'll Hydrofracturl'd? DYes D No From Ft. to Ft. lhorrye l:se Abandoned Status Sealed CCaassiinngg TTyyppee J.Jooiinntt NNoolInnffoorrmmaattiioonn DDrriivveeSShhooee?? [DJYYeess [DJ NNoo. Below 0 ft. Casing Diameter Weight Hole Diameter AAhboovvee/ 12 in. to 193 ft. lbs.lft. EVANSVILLE MN Geological Material Sms SURFACE SOIL HARDPAN & CLAY MIXED hu STREAK OF GRAVEL QUICKSAND HARDPAN FINE SAND & WATER BEARING GRAVEL COARSE WATER BEARING GRAVEL CLAY [OpOupieineHloele Ttolowm ft. w to &ft. 1 Color Hardness From To Screen YES -"lake JOHNSON Type = 0 10 By foe smo gun sue, 10 175 Diameter 175 176 12 Slot/Gauze 24 Length 0 Set Between 193 ft. and 200 ft. 176 178 178 183 183 192 Static Water Level 192 200 70 ft. from Laud surface Date Measured 07/28/1926 200 202 PUMPIJ\G LEVEL (below land surface) ft. after hrs. pumping g.p.m. RE11IARKS WELL SEALED09-29-1993 BY71015 ORIGINAL USE IN- INDUSTRIAL Well Head Completion Pitless adapter manufacturer Model DDlcCsassinngg Pprroeteccitioosn D0 1122i0in..sahbooveveggrraaddee DOJ AAvt-ggrraaddee ((EEnnvviirroonnmmeennttaallWWelelllsssaandd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Method Digitization (Screen)- Map SoSruvrveeyy or A (12o4,0n 00) Unique Number Verification N/A Date 03/06/2003 Pe Systl'm UTM- Nad83, Zone15. Meters X: 292017 Y: 5098403 First Bedrock CLoansst Strat Clay Aquifl'r Quat. Buried Artes. Aquifer DD epth th o Bedi"Ock ft. County Well Index Online Report "e'aerareesstt KKnnoowwnnSSoouurrcceeooff CCoonnttaammiinnaattiioonn - afeet Well de open coi mpe _direction _type disinfected upon completion? D01 YYeess 0 D NNoo PPuummpp 0D NNoottlIenssttaalllleedd DDuaete IInnsvtaallliedd Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HPQ_ Volts Type Material AAbbaannddoonneedd WWeellllss DDoocess pprrooppeerrttyy hhaavvee aannyy nnoott iinn uussee aanndd nnoottsseeaalleedd wweellll(ss))?? LDJ YYeos DONNo Variance Was a variance granted from the MDH for this well? D No W I'll Contractor CHtification Owner 99999 License Business Name Lie. Or Reg. No. Name of Driller Yes D 221392 I Printed 6/27/2008 HE-01205-07 file:///IIIMPCA/! Working/A0081-l00%20-%20PFC%20Foam/Re ...ries;EvansvilleiWell%20Log%20Report%20-%2000221392.htm6/30/2008 4:20:5 5 PM 222222.112213 STATE_02822170 Well Log Report- 00524771 524771 Go~:u:ut~tdy MMiinnnnre>ssoottaa UUnniiqquruere> WWerl>lll NNoo.. II 524771 II ~-==================~- County QuadiD Tose DDoouuglgalsa.s Evansville 199C TA TO Well Name LARSON. RONALD onnbiRans DiSctn Suction Fevsion Township Range Dir Section Subsections Elevation 112299 4400 wW 11 CCDDCCDDBBSB FlEelveavtaitioonnMMeetthhoodd wn 1382 ft. MMNINNNEEVSOOOOTFFTAAHHDEEDEAAESLLPTTAAHHRRTTMMEENNFT WELL AND BORING Upiebwe ni WELL AND BORING RECORD Reed bu RECORD iS s Chapter 101 11finnesota Statutes Chapter 1031 EEntnrtryyDDaattee Update Date Received Date 0099/11851/1999933 02/04/1998 Nek Daps Do Compt Do WeCom Well Depth Depth Completed Date Well Completed on [ wri 199 ft. 199ft. 199306 IT7.5 minute ftooppooggrraapphhiicc mmaapp | DDrriilllliinngg MMeetthhoodd Noa-specified .RRoottaarryy (+/- 5 teet) Drilling Fluid -- `WWelelll HHyyddrroorfsraccttourreedd?? 0DYveess 0D NNoo From Ft. to Ft. WotbAddsress. Well Address 19067 ABERCROMBIE TR SmariE un EVANSVILLE MN scacgcat ater Geological Material anCLAY anCLAY SoSAND ColorColor "alow YELLOW aBLUE branes Hardness Use Domestic CCaassiinnggTTyyppEe> PPllaassttiicc JJooilntt NNoo IInnffoorrmmaattiioonn DDrirviewSShhooEe>?? 0DYYeess ODJ Nena 01 No Above/Below 0 ft. Going Diameter Weg Tk Damar Casing Diameter Weight Hole Diameter Soe we or 5 in. to 191 ft. lbs./ft. pT TTT Open Hole from ft. to ft. Sn Nake OTRO To TT Screen YES Make JOHNSON Type stainless sled Diameter SloGauzs Length Sot Between Diameter Slot/Gauze Length Set Between From To| o OS From To 5 ow 0 30 20 8 191 It and 199 It 530 169 oom 169 199 See Static Water Level 105 tl from Land surface Date Measured 199306 FULNEVEFL(iIoTiNdrnGs) PUMPING LEVEL (below land surface) On ae hs prin 15 sm 0 ft. after hrs. pumping 75 g.p.m. [-- Well Head Completion Pe thsomes NOWITOR od Pitless adapter manufacturer MONITOR Model Oca trosion 0 12instove D Casing Protection D 12 in. above grade 0D0 AAvt-ggrraaddee ((EtnnvviirroonnmmeennitaallWWelelllsssanndd BHoorriinnggss OONNLLYY)) NO REMARKS Led Nis Geog Located Minnesota Geological ser Survey Unig Nomber Unique Number Veneuson og nv Verification Tag on well Spm UTM-Nadks Z0elS. System UTM- Nad83. Zone15. }vfeters Method iirc| 340001 Method Digitized- scale 1:24,000 or piss eny larger (Digitizing Table) J DateN/A x mars v: smaosa X: 294134 Y: 5098236 Fos Bk First Bedrock Lisi Sod Last Strat Sand Aquifer Qu Turd Ars Air Aquifer Quat. Buried Artes. Aquifer Dept Beh Depth to Bedrock ft. `CCoouunnttyyWWelelll IInnddeexx OOnnlliinnee RReeppoorrtt Grouting Information Well Grouted? 0 Yes D No Gt sues Grout Material: Bentonite fon 030 o from 0 to 35 It 0 eT a SC Nearest Known Source of Contamination et een Sepa ede 120 feet Yf_direction SeQtic tank/drain field type wet tinaptncoemtediow 0 veo 0 wo Well disinfected upon completion? D Yes D No PPuummpp. 0 NNoott IInnssttaalllleedd DDaatteIenInssttaalllelde0d6/0006:1010/9199933 Norcent 035 Vos Manufacturer's name F +VIi Model number - HP 0.75 Volts 230 Length of drop Pipe 12Q_ft. Capacity lQ_g.p.m Type Material TovWaA Tse vt on sR Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees O D nNo VVaarriiaannccee WWaass aavvaarriiaanncceegrgarnatnetdedffrroomm tthhee MMDDIIIffoorr tthhiiss wweellll?? 0D Yveess eT Co Co 0D Nnoo Well Contractor Certification con Bios Names Ore. No. W`Waasskkoosskkyy WWeellll CCoo.. 2266113300 License Business Name Lie. Or Reg. No. a WASKO. SKY TL NamDre Name of Driller 552244777711 ae Printed 6/27/2008 IIE-01205-07 file:/I11111\1PCA/I Working/A0081-1 00%20-%20PFC%20Foam!Re...ries/Evansville/Well%20Log%20Report%20-%2000524771.htm6/30/2008 4: 19:53 PM 222222.112214 state_ozs22171 STATE_02822171 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: FFaaiirrmmoonntt PFFaaOiirmmBooonxntt3FF8ii5ree DDeeppaarrttmmeenntt Faimont, MN PO Box 386 Fairmont, MN 5566003311 NNoott pprroovviiddeedd,, bbaacckk ssiiddeeooffqquueesstitioonnnnaaiirree nnoolt ccoommpplleetteedd TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraainniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: Citityy sshhoopp ppaarrkkiinngg lloott., 441177 EE.. MMaarrggaarreett SSrtreeee,t, FFaaiirrmmoonntt FFooaamm tyyppee nnoott ssppeecciiffiieedd QQuuaarrteerrlyy LLoessss tthhaann 5 ggaalllloonnss GGrroouunndd NNoott ssppeecciiffiieedd BBuufafalloo CCrreoeckk aapppprrooxxiimmaatteellyy 11//88mmiileettootthhee nnoorrtthh AApppprrooxxiimmaatteellyy 11//88 mmiilee nnoorrtthh 31/13 0to 117/22 mmiitlee ssoouutthh MMoorree tthhaann 11 mmiilee 221 22222222.41221155 SSTTAATTEE0_022882222117722 ZEAE FAIRMONT CWIWell Map TENG Jen ARY $C TSN TENReTeda|a Drie (Ee Ame" Clb 56 Jif ah Sh _JE NR 11 -- el SA |A - Py i 2 Vie BEER A Te CN2T4s d4 yaOky aa a WNn ea r S h e ESneaol dH,T0po=TY EN Cas Ch er AE od, fei iJ a jPml. Eparcf o adr gie l | JaEiElef r ier enmbema gotrcori RR pa 222222.112216 STATE_02822173 FFaiarirmmoonntt WWhahta't'ssIInn MMyNeighborhoodMap | | ; >| ae } | i | | | { pel ppp a ae | FE = i Le | g heee ne l eEriye | pr pi, AneAs [rotsn. [A | | hop oe INGE ee SE [E isms m Rp Ic E || Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. isin pn GH SSiitteess. SraSuns Dt~ llfiiW: r.luJrtrftmiil Wsiiiralesin hm~SOI'I<J~ -- l!ln~miiBCI Dun~ | MFRAP Stma:attett SSuup~orfrtflunndil "-- e CEK.CLt:s ae Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb I C. m um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D I&;1C~t1ha'aI0InWJ8gI' E-- e"'- SliM ~rMIII: 222222.112217 sone caste STATE_02822174 Joy g1r g Vion N i7 35 | RU ll 1 g 2g 3 e = B| t i5 2HE| 2 t2, Ef ! Fairmont Wetland Map 94-29W 222222.112218 = |ji= " oo | -- FE 94-29W 94-28 w iL i ih r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' '-I Ul | . 1|2i . : a Fi| 2P {lsc5 .i 3 J ! i 1|g oer | 5,1 PEMAd dion II ;;' Legend .w... ~ Interstate Major Roads z Other Road ;;' Interstate ,..v State highway ~US highway Roads tal | iilil i! | Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater .... II Estuarine and Marine Wetland w Freshwater Emergent Wetland J,.. 111 FrAshwater Forested/Shrub Wetland 0 z Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital I II No Data Scan NHD Streams Counties 1OOK II .w... States 1OOK w o South America (!) o z North America on z zo i re], g i: $ $ 94-27 w 94-26W Map center: 43 40' 12" N, 94 27' 47" W SC Scale: 1:42,049 Well Log Report - 00217083 Minnesota Unique Well No_ 217083 Quid County Quad Quad ID FMFaaaiirrmtmienoantt 14B MINNESOTA DEPARTMENT OF HEALTH "WWEELLLL AANNDDBBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 UEUpnpdtdraaytteeDDDaataettee Received Date 07302002 04/13/1988 0713012002 Well Name STOKELY VAN CAMP INC. Township Range Dir Section Subsections Elevation UWS 102 30 w 5 DCCA Fen Ved DCCDAA Elevation Method 1192 ft. cry 7.5 minute topographic map (+/- 5 feet) Well Depth | PA od 285 ft. Drilling Method -- Depth Completed 285ft. Date Well Completed 00/00/1958 I Drilling Fluid WWeelltlyHaryodfrorfarcaecuturreedd?? 0DYveess D OnNoo -- From Ft. to Ft. LSC Industrial | pr Casing Type Joint No Information Diive Shoe? DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter Geological Material FILL aryCLAY FARDPANBOULDERS HARDPAN BOULDERS SAND Ba SOFT CLAY CLAY. GRAVEL SANDY CLAY a DIRTY SAND aa SANDY CLAY DIRTY SAND SANDY CLAY SAND W/CLAY LAYERS CLEAN SAND SAND. SOME CLAY CLEAN SAND FINE SILTY SAND Color Hardness orSOFT [. NO RF:MARKS From To 0 5 s8 ERC 5 88 88 102 102 103 BE 103 107 107 118 118 170 Boi 170 173 iE 173 205 205 209 209 216 216 250 250 263 263 270 270 282 282 285 12 in. to 251 ft. y lumae raowe Open Hole from ft. to ft. Screen YES Make Type Diameter Slot/Gauze 12 lbs.lft. omLength 30 save Set Between 0 ft. and ft. Static Water Level 70 fl. from Land surface Dale Measured PUMPING LEVEL (below land surface) 116 ft. after hrs. pumping 1250 g.p.m. 00/00/1958 Well Head Completion Pitless adapter manufacturer Model DDl CCaassiinngg PPrrootteeccttiioonn D[1 11220i.n.sabboovveeggrraaddee routes norman. Wellorones? 1 ver No D03 AAvt-ggrraadde e(En(Evnivriornomnmeennttaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No SSuLurorvvceeayyted Minnesota Geological Unique Number Vetification N/ St UTM NadS3 ZonelS. A System UTM- Nad83. Zonel5. ]vfeters ((MDDieiggtihittoiizzdiinnDgg iTgTaaitbbilzleee))d - scale -1:24.000 or larger Date NIA Xx.: sans 382635 xY: : sien 4835167 County Wa ns nine repr ToFirst Bedrock Last Strat Sand & silt pr Aquifer Depth to Quat. Buried Artes. Redrock ft. Aquifer County Well Index Online Report .\"earest Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D PPuummpp CD3 NNootttInnssatallileedd DDuastee Iinnssttaalllleedd Manufacturer's name Model number - HPQ_ Length of drop Pipe ft. Capacity g.p.m Type No Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D0 Yvees DOxNoo VVaarriiaannccee WWaass von goed a variance granted ffrroommttohee MMODTHE ffoorr hint this well? D YYeers D0 No Well Contractor Certification 20% Tri-state Well Co. License Business Name 217083 27118 Lie. Or Reg. No. Name of Driller I Printed 6/27/2008 HE-0 1205-07 file://!11/l'v!PCA/! Working/A0081-l 00%20-%20PFC%20Foam/R...aries;Fairmont/Well%20Log%20Report%20-%2000217083.htm6/30/2008 4:21 :49 PM 2222222.11221199 STATE_02822176 Well Log Report - 00217084 triwga 217084 Minnesota Unique Well No_ II 217084 id County Quad Quad ID Farmer Martin Fairmont 14B Well '-'arne STOKELY VANCAMP INC. Township Range Dir Section Subsections Elevation 1102023030 wWS5 DDCCCCCCDDDD EElelevvaattiioonn MMeetthhoodd ii wi MlN_\ESOTA DEPARTMENT OF HEALTH WELL AND BORING WELL AND BORING RECORD ;winnesota Statutes Chapter 103I Veber Entry Date Update Date RPcPivPd Dati' Toes 04/13/1988 05/06/2005 1185 ft. tot7op.5poogmgrarinappuhhtieicc mmaapp (+/- 5 feet) Well Depth 197 ft. | DDrriilllliinngg MMeetthhoodd -- Drilling Fluid -- Depth Completed 197ft. IWell Hydrofractured? From Ft. to Ft. Date Well Completed 05/00/1957 DYes DNa l"se Abandoned Status Sealed Casing Type Joint No Information Drive Shoe? DYes D No AbovPIBPlow 0 ft. Casing Diameter Weight Hole Diameter 12 in. to 152 It lbs.lft. Geological Material BLACK SOIL YELLOW CLAY BLUE CLAY ions YELLOW GRAVEL YELLOW SANDY CLAY YELLOW SAND Color BLACK YELLOW BLUE alow YELLOW YELLOW YELLOW Hardness From 0 5 21 Wo110 115 147 (O OppeenrHole T fro_ mAft. wto ft._--1 Screen YES Make Type To Diameter 5 0 21 Slot/Gauze 18 Length 45 Set Between 0 ft. and ft. 110 [ep coon i| 115 147 Static Water Level 197 70 ft. from Land surface Date Measured 00/00/1966 PUMPI'-'G LEVEL (below land surface) 107 ft. after hrs. pumping 533 g.p.m. TET REMARKS WELL SEALED 09-12-1989 BY 27058 Well Head Completion Pitless adapter manufacturer Model DDO cCuassiinngg PPrrootteccctiioonn D01 11221min.. aabboovvee ggrraacdee: Coming tomas Watt Ove Ce D0 AAtt--gprraaddee ((EEnavviirroonnmmeenntiall WWeellllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes DNa Located Minnesota Geological Survey UninqiquueeNNuummbbeerr VVeerriiffiicoantiioonn N3/ Sym UTM Nol ZoeIS. A System UTM- Nad83, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) 1.0, 157, Date N!A x, yrs : amano X: 382581 Y: 4835090 Coty ih rr Grin Foor First Bedrock Last Strat Sand-yellow Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report .e\"acraerscstt KKnnoowwnn SSouro ce oofu fCCoonr tnatammicniantaie toion.n wo ditesotopn opti 0) vee - feet _direction _type Well disinfected upon completion? D Yes 0 wo D No Pump 0 Not Installed Date Installed Manufacturer's name Model number - HPQ_ Volts Length of drop Pipe llQ_ft. Capacity _g.p.m Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees O D xNo Variance Was a variance granted from the MDH for this well? D No Well Contractor Certification Yes D 207084 License Business Name 217084 Lie Or Reg. No. Name of Driller I Printed 6/27/2008 HE-0 1205-07 flle:///Ij!\1PCAI!Working/A0081-1 00%20-%20PFC%20Foam/R... aries/Fairmont/Well%20Log%20Report%20-%200021 7084.htm6/30/2008 4:21 :49 PM 222222.112220 STATE_02822177 Well Log Report- 00217085 ---- Mionnnesseottsa UDniqiue JiVBe!O! NNOo. County 207085 || ~Go:wu:t:itym II 217085 II L.!:.=========::::!.J. Quad ID r1 un MMaarrttiinn Fairmont 14B WAT GSTORIYVCR Well Name STOKELY VAN CAMP TommiRange DiSecn Subcom Ein Township RangeDir Section Subsections Elevation 10022 3W0N wWS5 DDCCDDRBCCAA FElelevvaattiioonn MMeetthhoodd cogcatnerst Geological Material SCR BLACK DIRT Vatouaiar YELLOW CLAY SoSAND eeu MUSHY CLAY [rye HARD BLUE CLAY oar so DIRTY SAND Bian BLUE CLAY Shoscane SAND & GRAVEL Ea Reid YELLOW CLAY WHITE SAND SEHgOeE, 0 YELLOW SAND DARK YELLOW SAND eCLArY corColor fredBLACK Teton YELLOW woeBLACK aeBLUE enviYELLOW WHITE Eprd YELLOW YELLOW araness Hardness woHARD 0 REArEs NO RElvfARKS 110 1 1190 ft. MINNESOTA DEPARTHENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELLANDBORING Upiabue 07302008 WELL AND BORING RECORD Rech bu RECORD inetSure hpi 01. 114inne,mta Statutes Chapter 1031 EEnnttrryyDDaattee Update Date Received Date 4014/11331/11998888 07/30/2002 WeDo Deg Comat Doe WaComd Well Depth Depth Completed Date Well Completed on oh pa 181 ft. 181 ft. 05/00/1940 7.5 minute topograpmhaic | DTT Method topographic map rr (+/- 5 feet) Drilling Ntei:hoJ~~ [ois Tamar Drilling Fluid Fn 1 -- Well Hydrufractured? From Ft. to Ft. Oe DYes On DNo From To CCawasniesngbalgae1me_rJomt NormWwoeDreve sThoie?Ga)mevrna0 From o" 1 [Om me 0 Th [Sev mom 7 von 17 5D [ones sovomze Longin sate 21 Bw WT wa 23 wow 105 wo117 J 119 zo 126 154 F1 Zre [LAPUMPINNGrLEVELpbelnowga0nd parsm 156 166 Use Industrial Casing Type Joint No Information Drive Shoe? DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 12 in. to 135 ft. lbs./ft. To 7 Open Hole from ft to ft 17 Screen YES Make JOHNSON Type 21 23 Diameter 105 12 Slot/Gauze Length 46 Set Between 135 ft. and 181 ft. 117 119 126 Static Water Level 154 70 fL from Land surface Dale Measured 00/00/1959 156 166 PUMPING LEVEL (below land surface) 180 114 ft. after hrs. pumping 435 g.p.m. Piaobmpemsire_ Mok 1T80 OE181 Weetll HeeaaddCCoommplpeltetiioonn Pitless adapter manufacturer Model DDO CCaassiinngg PPrrootteeccttiioonn D0 1122imn.aabboovveeggrraaddee 0 Arte vim Welksm rags LY) D At-grade (Envirolllllental Wells and Borings ONLY) Grouting Inormation WellGrout" 0 ver 0 Ne Grouting Information Well Grouted? DYes D No LoeMins Gogial Method Digs ce 2490 Located Minnesota Geological me SrDg oe Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) UniNumber eon Np 1 ~nique Number Verification N/ Date N/A iSpm UTM Nl 0855s: sss System UTM- Nad83, Zone15. Jo.1eters X: 382712 Y: 4835183 Fini Aqui Qu. uit As. Agi First Bedrock Liisi Sot Dept ame Last Strat Sand Aquifer Quat Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report NRG Seo CR Nearest Known Source of Contamination Src - feet - direction _type we nssetpm pein 0 ves 0 no Well disinfected upon completion? D Yes D No Pomp 0 Novia Drones Pump D Not Installed Date Installed Nimctusrsne Mods moer 10 Vote Manufacturer's name Model number - Length of drop Pipe _fL Capacity _g.p.m HPQ_ Volts Type Material Tomine Wa SFr Ee Tr he wT Abandoned Wells Does property have any not in use and not sealed well(s)? Ov Ow D Yes D No Varnes Wass vm ped fo be MO fr? 0 Yr Variance Was a variance granted from the MDH for this well? D Yes Ow D No ATCCAR Well Contractor Certification Lice sms Li ox No Nor Deter License Business Name Lie. Or Reg. No. Name ofDriller 217085 217085 a Printed 6/27/2008 HE-01205-07 file:///IIil\1PCN! Working/A0081-l 00%20-%20PFC%20Foam/R...ariesIF airmont/Well%20Log%20Report%20-%2000217085 .htm6/3012008 4:21:48 PM 2222.11222211 STSATATTEE0_208282222117788 Well Log Report - 00223071 tgwt 223071 Minnesota Unique Well No. II 223071 ued County Quad Quad ID Fan Martin Fairmont 14B Well '-'arne STOKELY VAN CAMP NO. I Township Range Dir Section Subsections Elevation 1102023030 wWS5 DDCCDDBBCCAA EElelevvaattiioonn MMeetthhoodd ii wi MIN.\ESOTA DEPARTMENT OF HEALTH WELL AND BORING WELL AND BORING RECORD ;winnesota Statutes Chapter 103I Veber Entry Date Update Date RPcPivPd Dati' mv: 04/13/1988 07/30/2002 1190 ft. tot7op.5poogmgrarinappuhhtieicc mmaapp (+/- 5 feet) Well Depth 197 ft. | DDrriilllliinngg MMeetthhoodd -- Drilling Fluid -- Depth Completed 197ft. IWell Hydrofractured? From Ft. to Ft. Date Well Completed 05/00/1937 DYes DNa l"se Industrial Casing Type Joint No Information Drive Shoe? DYes D No AbovPIBPlow 0 ft. Casing Diameter Weight Hole Diameter 12 in. to 195 It lbs./11. Geological Material BLACK SOIL YELLOW CLAY BLUE CLAY ions YELLOW GRAVEL YELLOW SANDY CLAY YELLOW SAND Color BLACK YELLOW BLUE alow YELLOW YELLOW YELLOW Hardness To rrreers NO REMARKS From To 0 5 5 21 21 110 wow 110 115 115 147 147 197 Open Hole from ft. to ft. Screen YES Make Type Diameter 12 Slot/Gauze 18 Length 45 Static Water Level ft. from Date Measured PUMPI'-'G LEVEL (below land surface) 107 ft. after hrs. pumping 800 g.p.m. Set Between 150 It and 195 It Well Head Completion Pitless adapter manufacturer Model DDO cCoassiinngg PPrrootteecctiioonn D01 11221min.. aabboovvee ggrraaddee: Grout tormaton WellGrates? 0 Yes CIN D0 AAtt--pgrraaddee ((EEanvviirroonnmmeennitsall WWeellllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes DNa savesLocated Survey Minnesota -Geologil'al Unique Numbet Vel"ification N/ Sn UTM N32lS. A System UTM- Nad83, Zonel5, Meters Ogre Tab) Method Digitized- (Digitizing Table) slOale I :24.000 or "larger DateN/A sn 3; asso X: 382728 Y: 4835180 CountyWellesOeReport VFiirrsstt BBeeddrroocckk. Last Strat Sand-vellow AAqquuiiffeerr QQuuaatt BBuurriieedd AArrtteess. AAqquuiiffeerr Depth to Bedrock ft. County Well Index Online Report .\"carcst Known Source of Contamination wer guntcusuponcompas: 0 ver vo - feet _direction _type Well disinfected upon completion? D Yes D No Ppuummpp 0D] NNoott IInnssttaalllleedd DDaatee Isntsatalllleedd MLLeannegutfhaoncoftfudgdrreroort'ppsPPnihaippmeee_fftt. CCMaappoaadccieitltyynu_mgg.bpep.rm-a HTTyPypp3eeQT_uTrubVrbioinnletes MMaatteerriiaal Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees O D xNo pn Variance Was a varianl'e granted from the MDH for this well? D No Well Contractor Certification BROWN K. Yes D 25071 License Business Name 223071 Moe_ Lie. Or Reg. No. Name of Driller I Printed 6/27/2008 HE-01205-07 flle:///II!\1PCAI!Working/A0081-l 00%20-%20PFC%20Foam/R... aries/Fairmont/Well%20Log%20Report%20-%200022307l.htm6/30/2008 4:21 :47 PM 222222.112222 STATE_02822179 Vettes Well Log Report- 00642668 in Minnesota Gog Unique Ven Well No_ II 642668 County Qua Fomor Quad Quan 1 QuadiD Martin Fairmont 14B A TROT Well NameS & J EXCAVATING omni Rane iScion Sects Ean Township Range Dir Section Subsections Elevation 1w0s3 30 oww 3R2 eeCCsB EElelevvaattiioonn MMeetthhoodd MINNESOTA DEPARTMENT OF ea Bowe as2102 HEALTH WELL ANDBORING Unimcbme osnicon WELL AND BORING RECORD Teneo RECORD Mica Sores Chaper 1031 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 05121!2002 04/03/2008 Welbog DeCome DWC Well Depth Depth Completed ns on Dis! 1158 ft 121 ft. 121 ft. cu om im (C(UaSlcUGfSroS77m..55DGmmiEinMnSoorr |..rPiir-ii1iniiig!i iMVeit~htho~ddN.:No~mIi-~~sp~pdfei~cctiRRof~ttea~dryy Date Well Completed 07/18/2001 equiv.) Drilling Fluid Water IWell Hydrofractured? DYes D No From Ft to Ft. Use Domestic WotAsaress Well Address CaCsaisinngg TTyyppee PPllaassttiicc JJooiinntt NNoo IInnffoorrmmaattiioonn DDrriivveeSShhooee?? [DJYYeess IZl No Above/Below ft. Gosing Diameter We Fle Dame Casing Diameter Weight Hole Diameter Seo en WA sew ma 5 in. to 116 ft. lbs/ft. 9 in. to 121 ft. RRonion AFRMAINIRMONTSMiN s560)31 eoiogc atest Color Kadness From To |Dameter SiG Length SetBetween Geological Material So Som Sor oe | Ten SAND ai SE wow + ow CLAY nase GE wom nom CLAY &SAND Fresno Fomor Wl FINE SAND Soo FA A hFSO0R0eFINsmGeLaEteVtEbLti(peotympBea0aersi)r 0715300 SAND (OrOepenniHcokle Fferomm ft. 0to &ft._-- 1] ScSrcreeeenn YVIESS MMaakkee JJOOHTINNSSOONN TTyyppee sstianinlleessss ssteeeel Color BROWN BLUE BLUE BROWN GRAY Hardness SOFT MEDIUM SOFT SOFT MEDIUM From To Diameter 0 8 5 8 80 SloUGauze 15 Length 5 Set Between 116 It and 121 It 80 100 100 114 114 121 Static Water Level 46ft. from Land surface Date Measured 07118/2001 PUMPING LEVEL (below land surface) 50 ft. after 16 l1rs. pumping 60 g. p.m. -- WPCDIerilEolclacatreuisnisgbgdeomeCoormcomtmaviitiopoonntme.enWn1edMlWAl1eRl2esmSsds?ihnmM2eegdrsdsYOe3NrXL1Y2I)81M4o NO REMARKS Well Head Completion Pitkss adapter manufadurer MAAS Model 5X1.25 IN D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? IZJ Yes D No I pp -- Gott ene won 0 11 om Located Minnesota Depmtment of Health Une NbrVerto NA Dae WA Unique Number Verification NIA Sem UTM Naoe Mrs, W052 Ve ss [Neo Reo See Comm System UTM- Nad83. Zonel5. Meters Method GPS SA On (averaged) DateN/A X: 381952 Y: 4836858 Grout Material: Bentonite from Oto106ft Nearest Known Source of Contamination 15 bags Q_feet L direction SeQtic tank/drain field type wadsiscpnrcomcposter B ver 0 to Well disinfected upon completion? IZl Yes D No vue D1 Not nls Dus malt o01 Pump D Not Installed Date Installed 07!19/2001 Nomura WELTROL Nott mre 02581 Manufacturer's name WEBTROL Model number 102S58B [rag _HPQ_j_ Volts 230 Tent PedAL Gouin 10_spm Length of drop Pipe Q_ft Capacity lQ_g.p.m To Sm Me Type Submersible Material Romoeed Welk Dos hos TRE TR ASTI Abandoned Wells Does property have any not in use and not sealed well(s)? Ow Bw D Yes IZl No Variance Was a variance granted from the MDH for this well? D Yes IZl No FnBeck itr veces CHRISTENSEN, First Bedrock Lesa Union dost oe Depts Bikasea_i x eg No Nam tir Last Strat Unknown deposit type Aquifer Depth to Bedrock ft. CountyWell IndexOnline Report 642668 I Fr County Well Index Online Report Well Contractor Certification Jer!}''s Well Co. 90421 CHRISTENSEN, License Business Name Lie. Or Reg. No Name ofDriller 642668 Printed 6/27/2008 HE-01205-07 ARCA lg AE 03H Pine205ER nf UAT21 IN file:I/IJI/l\1PCA/I Working/A0081-100%20-%20PFC%20Foa...es/Fairmonti\Vell%20Log%20Report%20-%2000642668.htm (I of 2)6/30/2008 4:21:49 PM STATE 02822180 STATE_02822180 222222.112223 Weegee contra Well Log Report- 00642668 file:/I ABA iJI/1\lPCA/1 cig Working/ AORA0081- 175m0 ackWS L . gr.0064i 100%20-%20PFC%20Foa...es/Fairmonti\Vell%20Log%20Report%20-%2000642668.htm 12530308421 (2 of 2)6/30/2008 4:21:DF49 PM 22222222.11222244 SSTTAATTEE0_208282222118811 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDoeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: FFrriiddlleeyy 6FFr4rii3dd1lleeyyUnFFivirreeerDDseeyppaAarrvttemmneeunntet NE Fridley, MN 58432 6431 University Avenue Fridley, MN 55432 NE J7Jo6oh3h.nn5BB7e2er.rg,3,61FF0iirce CChhiieeff bergi@e fidley mn us 763-572-3610 bergj@ci.fridley.mn.us TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtaraiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: N3No0or0rtt7hh1MM"eetAtrvrooenFFurieree, TTFrrraaiiindneiinnygg CCeenntteerr 300 71 st Avenue, Fridley AARR--AAFFFFFF:: 33MM ((hhiissttoorriicc)) NNoott vveerryy oofftteenn LLeessss tthhaann 55 ggaalllloonnss. RReetteennttiioonn ppoonndd ClAAaRR-s-AAsFFFAFF:F:a: mhhoiissuttnoortriiccnoaatmmsoopueuncntitfnineoodtt ssppeecciiffiieedd Class A: amount not specified RRiiccee CCrreeeekk lleesss tthhaann 11//44 mmiillee ttoo tthhee ssoouutthh--ssoouutthheeaasstt LLeessss tthhaann 11/44 mmiille ssoouutthheeaasstt SSMiiittseessaasppippoeepaairrssRit1vo0erbbee nin aa ttrraannssiitlioonn oorr ccoovveerreedd kkaarrsstt aarreeaa aalloonngg tthhee Mississippi River LLeessss tthhaann 11//44 mmiilee nnoorrtthhwweesstt TTrraaiinniinngg ssittee llooccaatteedd wwiitthhiinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 228 22222222.11222255 SSTTAATTEE__0022882222118822 FFRRIIDDLLEEYY CCWWII WWeellll MMaapp il wl HN i | ash ay BME GE Ed NEED GEE fe lbi 8 eis LSoEh Eef wOfa Arab hP aAnE {| | FgreomEk T OeyTfE onSf w edie || FEE aEt Teg 4 Fea TE od Are " fl[Egy Se a a El peoea]rVe n eri e inehee ate ele IEERE ET sr Tom hn rare [LS gph Das EDLY1p EE a Ce pls Yo alls Lil 4% Ea 5a ih ha 8 er i Won EAfoE o 130S ShadeSrE b ina mmmeer ren Upha ee 222222.112226 snore ms STATE_02822183 Fridley What'sIn My Neighborhood Map_ ET rNN eisbn gpmLaiE t fTr fm] fl ] S CXE L NEeTeTTLeLXy4 Lig sa id TL eee pee rberet iYne ide | bem]| Ro El oie x %X i=i=CfNLb Niaak] a li IgiNVi pEaeEdPn.rbAT thbE eaGE E tSR m R Ir EE I m F3 ural 57 EE peenar $23) a Sda solLie eaetey, ihd 1 Sites. warron--t healt essed Disclaimer: .tviap and site information is of the information should be considered oywel. eldomesThe oma 8 believed to be accurate but accuracy is not guaranteed. to be, or used as, a legal document. The information is ered | No portion provided bir Wa subject to the express condition that the user knowingly waives any and all claims for damages against PPeopa MPCA that may arise from the use of this data. Dt~ llfiiW: r.luJrtrftmiil 1MROANISACups hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP Stma:attett SSuup~orfrtflunndil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl @Minnosota Pollution Control Agency &taM 0~ LaMIUb J pYmouRSu wo: prenn um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D I&;1C~th1a'aI0InWJ8gI' Psi "'- SliM ~rMIII: 222222.112227 smarts STATE_02822184 Fridley Br ei ls C | B ipl i Li om I= s| 4 CHT | 7 Jia: e5 X wey : 1 i amia Thy Tg Bi TERT = Zl I a id e] | iiil 2222222.11228 oon my my son err. 14] & | sEHJ:i ha l co EVE ULE i | iE qo gee--TH |i& 1 TH | b A 1 .:.: ::l. (lZr;Hnalit "'~a: Or=v& "'.... c'n : lw 0 z soon Legend ;;' Interstate Major Roads -"' II ;;' Other Road ~ ,..v Interstate State highway ~ ~ US highway Roads Pint | i ih i Cities r USGS Quad Index 24K Lower 48 Wetland Polygons <f Ill Estuarine and Marine Deepwater z'wf' Estuarine and Marine Wetland 0 Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine .... Lower 48 Available Wetland Data "'&. Non-Digital 6 Digital z No Data Scan NHD Streams Counties 1OOK "'.... States 1DDK o f. South America w 0 o z North America z YH ii Ei )8 93-17W 93-16W ii r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N I-' 00 Ul j: 93-15W Map center: 45 5' 34" N, 93 15' 52" W $ i : Scale: 1:36,925 Well Log Report- 00223736 A1innesota Unique Well No. [22376 J oe iin 223736 --t--n----iy o Well Name JENSEN. BILL County Quad Quad ID Anoka Minneapolis North 120D MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. [ros WELL AND BORING RECORD bors neweroer 1 Wea Minnesota Statutes Chapter I 031 Ey Well Depth Depth Completed Entry Date Update Date Received Date 04/15/1991 03/2711996 Date Well Completed owe AAD heme Township Range Dir Section Subsections Elevation 30 24 w 14 ADDACD Elevation Method 849 ft. Sr | Cy oe 7.5 minute topographic f Er e I e e] ] map (+!- 5feel) 119ft. Dtillhig Method -- Drilling Fluid -Use Domestic 119ft. 08/lli1971 Well Hydrofractured? DYes D No From Ft. to Ft. Well Address 589 RICECREEK NE Ea e FRIDLEY M~l ossGeological Material ES SAND GRAVEL GRAVEL CLAY aCLAY SeSAND $58 aro ROCKS HARDPAI~ onescse CLAY HARDPAN CLAY & GRAVEL-GRAVEL SCREEI~ED Casing Type Below 0 ft. Joint No hnonnation Drive Shoe? Casing Diameter Weight 4 in. to ft lbs/ft DYes D No Above/ Hole Diameter TE | Color fn Df ene ssi YELLOW YELLOW BROW~J SE von BLUE a id GRAY nom we 8fe BROW~J 5 EEEepv in | BROW~J Hardness V.HARD From To 0 8 8 14 14 17 17 24 24 44 44 52 52 105 105 119 Open Hole from ft. to ft. Screen YES Make Type Diameter Slot/Gauze Length Static Water Level 20 ft. from Land surface Date Measured 08/1111971 Set Between PI:MPING LEVEL (below land surface) 0 ft. after hrs. pumping 35 g. p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer Model DO vot mime mez or) D Casing Protection D 12 in. above grade D At-grade (Envirmm1ental Wells and Borings 01\LY) Grouting Infonnation Well Grouted? DYes D 1\o [------_ -- Located Minnesota Geological Survey :VIethod Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification Address DateN/A verification System UTM- Nad83. Zonel5, 1\Ieters X: 479796 Y: 4993282 er at nit on First Bedrock Last Strat Pebbly sand/silt/clay-brown Det red Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report CR Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No ryt BCpEy Gs ow Pump 0 1\ot Installed Date Installed Manufacturer's name STA-RITE Model number - HPu_ Volts Length of drop Pipe fl. Capacity g.p.m Type Submersible Material bo Dn Abandoned Wells Does properly have any not in use and not sealed well(s)? D Yes D 1\o Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification coe Den Nemes Ru. No Name Mork Well Co. 02133 License Business Name Lie. Or Reg. No. Name of Driller 223736 I Pnnted 6127/2008 HE-01205-07 file://IIIIJviPCAI!WorkmgfA0081-100%20-%20PFC%20Foam!R ..maries!Fridley;Well%20Log%20Report%20-%2000223736 htm6/30/2008 4 23 29 PM 22222222.11222299 sSTTaArTeE__0022682222118866 iigs [3 5f 3 NEE RHHHR EED SH3 E E5E= 33] fs PLEEEE. 55 0g. ef<5 232 o [Eas] % i BIH o |Z s | |2 : i0 E|E||E|7 BE 3 S2E 2:leq || F Ll. ze [2 oe]3 | HEoEE SE:3 EEEESREEe 2 gE Well Log Report- 00543528 Afinnesota Unique Well No. 11 543528 11 County Quad QuadiD Anoka Minneapolis North 120D iz: ei B5o%il MINNESOTA DEPARTMENT OFHEALm WELL AND BORING RECORD Minnesota Statutes Chapter 1031 zg Entry Date Update Date Received Date 09/15/1994 0911411995 E2zofr 2 WellNameMW-2 Township Range Dir Section Subsections Elevation 30 24 w 14 ACBACD Elevation Method 2 8 850 ft. 7.5 minute topographic map (+/- 5 feet) 5 Well Depth 198 ft. Drilling Method Depth Completed 198 ft. Date Well Completed 06/02/1994 Well Address FRIDLEY MN 55432 Geological SAND CLAY SAND SOFT CLAY SAND SANDROCK LIMEROCK LIMEROCK Material Color Hardness Eoe050228 From 0 16 43 50 63 112 118 120 Drilling Fluid -- Well Hydrofractured? D From Ft. to Ft. Yes D No Spleese] 5 7<|2 [5 HHEEEF EIEH N [Esl EfllEE:[E8s- Use Monitor well Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? ~o Above/Below 0 ft. DYes 0 Casing Diameter Weight Hole Diameter 4 in. to 122 ft. lbs./ft. 6 in. to 122 ft. 4 in. to 198 ft. ol 2 : Fe [8kB2bEsE2 Open Hole from 122 ft. to 198 ft. Regg3pTESE To Screen NO Make Type 16 Diameter 43 Slot/Gauze 50 63 een 112 118 120 Static Water Level 198 fL from Date Measured PUMPING LEVEL (below land surface) ft. after lrrs. pumping g.p.m. g< Length Set Between < * 8 EE3 33 op. 1E3Es, 3 3330 8880 507 222222.112230 8 : " 3 soZo2 13Z2 s NEl 32z3ise HEIE EEEEEH ENE zie] 222 2[% 3 F< 5 Goilff f52r2e5:8 20 [<5EEE2 FEeEfNuliircadt: :BOfEfSayd F<fz=[ 200) & [52 EEE REMARKS M.G.S. NO. 3526. GAMMA LOGGED 9-8-1994. Eo Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade D At-grade (Environn1ental Wells and Borings ONLY) Grouting Information Well Grmtled? 0 Yes D No t: riig. 3: % Li 1% 2 iEERiEe :: sate_o2s20187 Grout Material: Neal Cement from 0 to 122 ft. 3 22 5 z :| i 4 :i : o i2 :H3 Ei EH 2 15% i Located Minnesota Geological Survey Method Digitization (Screen)- Map (1:24,000) Unique Number Verification Infonnation from owner Date 07/19/2004 Nearest Known Source of Contamination ~ System UTM- Nad83, Zone 15, Afeters X: 479814 Y: 4992849 Vl rn I 0 - feet _direction _type Well disinfected upon completion? D Yes D No N 00 N 33 i =i i i3 : N i file:/i/II/MPCA/!Working/A0081-100%20-%20PFC%20Foam/Reports/Appendix%20G/Site%20Summaries/Fridley/Well%20Log%20Report%20-%2000543528.htm (I of2)6/30/2008 4:23:30 PM :i 3 ) i I-' 00 '-1 27 bags i: o 5322 =i:lz Ii: sif||eg : iTi Well Log Report- 00543528 FiEiEs g3i33f63s Cuttings Yes Borehole Geophysics Yes First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group County Well Index Online Report il ii Aquifer Prairie Du Chien Group Depth to Bedrock 11 9 ft. lzeo deli ]5 2% ERE RE L12y[5] d22 HEH 3 20 : EEE. o:HdE|2H|N2EE5R0I2E 253s 54 Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe tl. Capacity g.p.m HPQ_ Volts Type Material 2 SF 0 |o Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification North Star Drilling 49588 BACKOWSKI, M. License Business Name Lie. Or Reg. No. Name of Driller 543528 I & i53 Printed 6/27/2008 HE-01205-07 gs 2222.11223311 : i i2 i Z i1 i 3 ; H & i i : :i :: Z: stare02822188 ~Vl rn I 0 N 00 N N file:/i/II/MPCA/!Working/AOOSl-1 00%20-%20PFC%20Foam!Reports/Appendix%20G/Site%20Summaries/Fridley/Well%20Log%20Report%20-%2000543528.htm (2 of 2)6/30/2008 4:23:30 PM I-' 00 00 Well Log Report- 00576180 Minnesota Unique Well Nn. vor Soin II 576180 TJohnoCounty Quad QuadiD M52 ae Anoka Minneapolis North 120D MINNESOTA DEPARTMENT OF HEALTH wewsbmomne DRG IEE WELL AND BORING wwcon Er RECORD ree te1 T Minnesota Statute.~ Chapter 1031 Entry Date Update Date Received Date 0412212003 11/1712006 Well Name MW-1 Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation WW 30 24 w 111 BBCCDDCCAACC EelevvaaitioonnMMetehthoodd 858 ft. 7.5 minute topographic ry |DFEMethod Avgerope topographic map (+1- 5 feet) 17ft. Drilling Method At,c;v 15ft. 04/03/1996 Drilling Fluid mIee -- Well Hydrofractured? DYes 0No From Ft. to Ft. Use Abandoned Status Sealed a Casing Type Plastic Joint No Information Drive Shoe? DYes D No Ahove/Belo~ ft. Casing Diameter Weight Hole Diameter 2 in. to 5 ft. lbs.lft. 8 in. to 17 ft. WeWlelllAAdddrderesss.s F7F3RR0IID0OLULENEYIYVMMENNR.SITY AV comitants Geological Material SAND oeCLAY conColor urWHT/BRN GRAY rns Hardness om 70 From To vy 0 11 11 17 Cav SaetineTlarg StTEtn OpenHole Screen YE-S Diameter 2 from ft. to ft. Make JOIINSON Slot/Gauze 10 Type plastic Length 10 Set Between 5 ft. and 15 ft. Static Water Level 6 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) tl after hrs. pumping g.p.m. 04/03/1996 TIREMARKS WELL SEALED 08-20-1997 BY 02653 ORIGINAL USE MONITOR WELL Well Head Completion cain potciony 0 12inshovegrade Pitless adapter manufacturer 6'" PROTOP Model 0 Casing Protection Y D 12 in. above grade DD3 AAt-rgraaded(En(Evnivriornomnmeennttaall WWeelllss aanndd BBooirinnggss OONNLLYY)) Crmncibenaton etc 8 1 Oe Grouting Infonnation Well Grouted? 0 Yes D No omcocrr mei Grout Material: CONCRETE from to 3ft. iw3 bags Located Minnesota Department of Health Unique Number Verification N/A System UT.T\I- Nad83, Zonel5, Meters Method GPS SA On (averaged) Date NIA X: 479138 Y: 4994227 CountyWa nde Grins Report FFiirsstBBededrroocckk Last Strat Clay-gray AAqquuiiffee1r Qu,Quat. WWataerTTatabblleeAeAqgurirfer Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination - feet _direction _type WWeellll ddisiinfsecitednugpfoonneccoocmmptlpeletetiioodnn?? D0) Yveess PPuumpp CD NNoott Iinnsstaallileedd_ DDuatee IInnsstaalllleodd 0D Nwoo Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvess 0 NNoo VVaarriiaannccee WWasas aa vvaarriiaannccee ggrraanntteedd ffrroomm tthhee MMDDHHffoorrtthiiss wweetll?? 0D YYeess 0 NNoo Well Contractor Certification WC nen camrvw W.J. Can)y Inc. 71677 CANTY,W License Business Name Lie. Or Reg. No. Name of Driller S76130 I 576180 Printed 6/27/2008 HE-01205-07 A rt rt file :///II/1\!PCA/! \Vorking/A0081-l00%20-%20PFC%20Foam/R. ..maries/Fridley/Well%20Log%20Report%20-%2000576180.htm6i30/2008 4:23:30 PM 222222.112232 STATE_02822189 Well Log Report- 00576181 Minnesota Unique Well Nn. II 576181 County Quad QuadiD Anoka Minneapolis North 120D MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statute.~ Chapter 1031 Entry Date Update Date Received Date 0412212003 11/1712006 Well Name MW-2 Township Range Dir Section Subsections Elevation WWI 30 24 w 11 BBCCDIKCDDAA EelevvaaitioonnMMetehthoodd Well Depth Depth Completed Date Well Completed 857 ft. 7.5 minute topographic ry |DFEMethod Avgerorspesife topographic map (+1- 5 feet) 21 ft. Drilling Method At,c;v 18ft. 04/03/1996 Drilling Fluid mIee -- Well Hydrofractured? DYes 0No From Ft. to Ft. Use Abandoned Status Sealed CCaassiinngg TTyyppee PPrlaassttiicc JJooiinntt NNoolInnffoorrmnaaitioonn DDrirviveesShhooee?? JDYveess 0D No Ahove/Belo~ ft. Casing Diameter Weight Hole Diameter 2 in. to 7.5 ft. lbs./ft. 8 in. to 20.5 ft. Well Address 7300 UNIVERSITY AV 5MN Geological Material SAND CLAY geoColor WHT/GRY GRAY Hardness TIREMARKS WELL SEALED 08-20-1997 BY 02653 ORIGINAL USE MONITOR WELL Open Hole from ft. to ft. Screen YES Make JOIINSON Type plastic Diameter From To 2 0 14 14 21 Slot/Gauze 10 Length 10 Set Between 7.5 ft. and 17.5 ft. Static Water Level 8.6 tl:. from Land surface Date Measured PUMPING LEVEL (below land surface) tl after hrs. pumping g.p.m. 04/03/1996 Well Head Completion Pitless adapter manufacturer 6'" PRO TOP Model cain potciony 0 12inshovegrade 0 Casing Protection Y D 12 in. above grade ODJ AAtt-ggraaadede(Ennvviiroornammeennttaall WWeelllss anndd BBoorriinnggss OONNLLYY)) Crmncibematon etc 8 1 Oe Grouting Infonnation Well Grouted? 0 Yes D No SR Grout Material: CONCRETE from to 4ft. 3 bags Located Minnesota Department of Health Unique Number Verification N/A System UT.T\I- Nad83, Zonel5, Meters Method GPS SA On (averaged) Date NIA X: 479152 Y: 4994199 FiFirsstBBeeddrroocckk Aquifer Aquife1 Qua. Quat. WWaatteerTTaabbllee Air Aquifer County ell nde one Report Last Strat Clay-gray Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination - feet _direction _type WWelelll ddisiinfesctedfuuppooonncccoomtmplpleeestioodnn?? CD1 YYeess 0 NNoo PPuummpp CD1 NNoott Ilntsatlallleedd_ DDuatte IInnsstialllleodd. Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees 0 NNoo V`Vaarriiaannccee WWaass a vvaarriiaannccee ggrraanntteedd ffrroomm tthhee MMDDHHffoorr tthhiiss wweelltl?! [DJ YYeess D 0 xNo Well Contractor Certification Wa Can. ne. nT CANTY. W.J. Can)y Inc. 71677 CANTY,W License Business Name Lie. Or Reg. No. Name of Driller s76181 I 576181 Printed 6/27/2008 HE-01205-07 file :///II/1\!PCA/! \Vorking/A0081-l00%20-%20PFC%20Foam/R. ..maries/Fridley/Well%20Log%20Report%20-%200057618l.htm6i30/200 8 4:23:29 PM 22222.1122333 STATE_02822190 Well Log Report- 00576182 Minnesota Unique Well Nn. veraSoir II 576182 TJohnoCounty Quad QuadiD M52 ae Anoka Minneapolis North 120D MINNESOTA DEPARTMENT OF HEALTH wewsbmomne DRG IEE WELL AND BORING wwcon Er RECORD ree te1 T Minnesota Statute.~ Chapter 1031 Entry Date Update Date Received Date 0412212003 11/1712006 Well Name MW-3 Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation WWI 30 24 w 11 BBCCDDCCAADD EElelevvaaitioonnMMetehthoodd 857 ft. 7.5 minute topographic ry |DFEMethod Avgerorspesife topographic map (+1- 5 feet) 19ft. Drilling Method At,c;v 17ft. 04/03/1996 Drilling Fluid mIee -- Well Hydrofractured? DYes 0No From Ft. to Ft. Use Abandoned Status Sealed a Casing Type Plastic Joint No Information Drive Shoe? DYes D No Ahove/Belo~ ft. Casing Diameter Weight Hole Diameter 2 in. to 7ft. lbs.lft. 8 in. to 17 ft. WeWlelllAAdddrderesss.s 7300 UNIVERSITY AV MN comeitants Geological Material oEsrSAND CLAY cos Color ooonBROWN Hardness GRAY Open Hole from ft. to ft. Screen YES Make JOIINSON Cav Stine Diameter ron 70| Te From To 2 ovyu 0 13 Slot/Gauze 10 13 19 larg STtnE Type plastic Length 10 Set Between 7 ft. and 17 ft. Static Water Level 8 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) tl after hrs. pumping g.p.m. 04/03/1996 TIREMARKS WELL SEALED 08-20-1997 BY 02653 ORIGINAL USE MONITOR WELL Well Head Completion cain potciony 0 12inshovegrade Pitless adapter manufacturer 6'" PRO TOP Model 0 Casing Protection Y D 12 in. above grade DD3 AAt-rgraaded(En(Evnivriornomnmeennttaall WWeelllss aanndd BBoorriinnggss OONNLLYY)) Crmncibematon etc 8 1 Oe Grouting Infonnation Well Grouted? 0 Yes D No omocrr mei Grout Material: CONCRETE from to 3ft. ew3 bags Located Minnesota Department of Health Unique Number Verification N/A System UT.T\I- Nad83, Zonel5, Meters Method GPS SA On (averaged) Date NIA X: 479160 Y: 4994212 CountyWa nde Grins Report FFiirsstBBededrroocckk Last Strat Clay-gray AAqquuiiffee1r Qu,Quat. WWataerTTatabblleeAeAqgurirfer Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination - feet _direction _type WWelelll ddisiinfesctedfuuppooonncccoommtpplleeestioodnn?? DC1 YYeess 0 NNoo PPuumpp CD NNoott Iinnsstaallileedd_ DDuatee IInnsstaalllleodd Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvess 0 NNoo VVaarriiaannccee WWasas aa vvaarriiaannccee ggrraanntteedd ffrroomm tthhee MMDDHHffoorrtthiiss wweetll?? 0D YYeess 0 NNoo Well Contractor Certification WC nen camvw W.J. Can)y Inc. 71677 CANTY,W License Business Name Lie. Or Reg. No. Name of Driller s7ets2 I 576182 Printed 612712008 HE-01205-07 A rt rt 1 file:///II/1\!PCA/! Working/A0081-I00%20-%20PFC%20Foam/R. ..maries/Fridley/Well%20Log%20Report%20-%2000576182.htm6i30/2008 4:23:31 PM 222222.112234 STATE_02822191 Well Log Report- 00576221 MINNESOTA lMvfiinnneessotUanUianqi3uquee Bll Well NoNo. Coury oka DAHEARLTKH or MINNESOTA DEPARTMENT OF EunDue ous II 557766222211 II QQ~:uu:a~datym 1200 MAMinimnoenkaeapaoploiliss NNoorrtthh HEALTH WWEELLLLRAAENNCDDOBBROODRRIINNGG ReUEUcpnpedtdiraayvtteeeDdDDaataDettaeete 000455//0200266//222000000355 ~-==================~- QuadiD 120D MiMninnensesooRttaaESSCtuaustOutitRes.~DCChhaapptteerr Received Date TWWoaewrlalsNhaimpeRangeDir Section Subsections vation son 1031 WelnDepth Well Depth De D pth epth CCnoommppileeteedd Date Date WWeellll CCoommppelteteedd Township Range Dir Section Subsections Elevation 303 WI CPACDD ElevationMethod a(C86lUa6leSc0ffrtrS.oo7mmSDDmEEiMnMe{r iDrigllingft.Mtehtheoad ft. 30 24 w 11 CBACDD Elevation Method a) (USGS 7.5 min or equiv.) Drilling Fluid WWFaoellntl HtFyydawrnuufrcauctrueread?? 0 ver DYes 0 No DNo To i SatanFroSmealFedt. to Ft. Use Abandoned Status Sealed JCCoaoisnvineg 1TT.oyppee Jdoiinntt DDririvvee sShhooee?? 0D YYeers 0D NNoo Abn! Above/ "Casing Diameter Below ft. Casing Diameter WWeeiigghhtt HFlolaeDDiiaammeetteerr GGeoeloologgicicaall MMataetreiraiall CCoolloorr HHaarrddnneessss TEWIERRESIUTAMTR SS REMARKS WELL SEALED 08-20-1997 BY 02653 ORIGINAL USE Cio ow ToT Open Hole Soren Screen Diameter SotGauze Diameter from ft. to ft. Slot/Gauze LLoennggithn SSeett BBoettwweeeenn FFrroomm TToo SSItaeticfWWroeamtrer DLTeeeveellMessed PFnBUU.aVMIbPfPerIIorNmNGG Date Measured LbeEsVpEuLmlp"ow LEVEL (below gFprmere land surface) n. at1er hrs. pumping g.p.m. WWPeielslllsHHeaeaaaddpCCmooammnppitlecotinuonres Mol Dcuimgroion Pitless adapter manufacturer O 12Minodsehlove pase DD1 CAasvinigrPraotemcitisoonmentsDt W1e2llisna. adbooveigrsadeONLY) GDroutAint-ggrnaoder(mEantvioronnmWeentlallWoerllcs asnd?0 Bo0ringsveOsNL0Y1) Noy Grouting Information Well Grouted? DYes D No JoLocated Minnesota Department of Health Unique Number Verification NA Unique Number Verification N/A Sem UTM Nas Zonet3 Ms System UTM- Nad83. Zonel5. Meters ati Method GPS SA On (averaged) Date NIA Ears ot DateN/A Xe mics Vow | qoGR eg X: 479164 Y: 4993980 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump 01 Notlnlled Dut lod Pump D Not Installed Date Installed Mamicurcs same Modeler HP_ Volts Manufacturer's name Model number - LongolphPioet Cop _gpri Tope Merit Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material Rvandoncd Well Tc ropes Tov ay orn oT ot oT wl Abandoned Wells Does pmpe1ty have any not in use and not sealed well or 0 vo O no (s)? D Yes D No Varance Was variance grated from he MDH fortis welt 1 Variance Was a variance granted from the MDH for this well? D bee O no Yes D No MRC R07T3 C 20 . Fly Wl0 Rp20007623Ho of 2630308 231 PA file:/i/II/MPCN!WorkinglA0081-1 00%20-%20PFC%20Foa...ies/Fridley/Well%20Log%20Report%20-%2000576221.htm (1 of 2)6/30/2008 4:23:31 PM 22222222.11223355 SSTTAATTEE0_202882222119922 Well Log Report- 00576221 First Bedrock i a Last Strat Aquifer Depth to Bedrock ft our Wa nox oni Raps County Well Index Online Report Well Contractor Certification 5s7o62t21 I License RLL~iness Name T,ic. Or Reg. No. Name of Driller Printed 6/27/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa...ies/Fridley/Well%20Log%20Report%20-%2000 57622l.htm (2 of 2)6/30/2008 4:23:31 PM 222222.112236 STATE_02822193 Well Log Report - 00576959 Mons re wi Jo,finnesolu Unique Well No. 576959 576959 pamet'er New eghon County Quad Quad ID Anoka New Brighton 119C NT Well Name MW-1 Tomi mei Secton Suton Erato Township Range Dir Section Subsections Elevation BNW 12 CONCD Herston Noted 30 24 w 12 CCBCCD Elevation Method MINNESOTA DEPARTME.\IT OF ET BryDue ou HEALTH WELL AND BORING Upiebwe 172000 WELL AND BORING RECORD Received Date RECORD inst ies haps 101 Minnewta Statute~ Chapter 1031 Entry Date Update Date Received Date 04/22/2003 11/17/2006 wn Wyln DinpCornpierd Tae Wel Coomnpiont 870 ft. 7.5 minute omg | PAd sid) topographic map (-i- 5 feet) Well Depth 21 ft. Drilling Method Auger Depth Completed 21ft. Date Well Completed 03/2!11996 Drilling Fluid TIe bon Ft e -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed wenl engasreess Well Address 6982 65 HY NE MN Gecogicar atria Geological Material farsiFINE SAND Sivan SILTY SAND Color Color wom BROWN GaGRAY taness Hardness wen MEDIUM om MEDIUM Casing Type Plastic Joint No Information Drive Shoe? DYes D No Above/Below ft. "GasngDiameter Casing Diameter Taw wh 2 in. to 19 ft. gn Weight wRlbs./ft. Fle Dame Hole Diameter tie nt 8 in. to 21 ft. From To|SO2rameVwErS NeSoPuVGCmanTop LBeCng From 00 wn 19 Open Hole from ft. to ft. Screen YES Make PVC Type slotted pipe Diameter To 2 19 21 SloUGauze 10 Length 10 SetBetween Set Between arene 9 ft. and 19 ft. Static Water Level 13 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 03/21/1996 RE ra R11/ARKS WETJ. SEAT.ED 07-02-199() BY 27058 GRGNAL USE. MOTORWELL ORIGINAL USE : MONITOR WELL LocMins xpos Hh Located Minnesota Department of Health Som UTM. Nal fol rs Unique Number Verification N/A System UTM- Nad83, Z<mel5, _Meters Methad GPS SA On ed) Method GPS SA On (averaged) Xo 080 Ys 49854 DateN/A X: 480520 Y: 4993554 Bt deok Auer us. Wot Table Ai First Bedrock Losi Sed hy Depa Beh Last Strat Sand & silt-gray Aquifet Quat. Water Table Aquifer Depth to Bedrock ft. CountyWellIndexOnline Report County Well Index Online Report Well Head Completion Tienstsmalar Mol Pitless adapter manufacturer Model Bess pricion B12 shonege IZI Casing Protection Y IZI 12 in. above grade 0 oe viens Vets nd Bigs ONLY) D At-grade (Environmental Wells and Borings ONLY) Grout ornate Wellowectr B vor 0 vo Grouting Information Well Grouted? IZI Yes D No Gone Grout Material: sors Bentonite fonfrom to 5 ft. 2m 2 bags .\learest Known Source of Contamination a io _feet _direction _type St duonockompetsion 01 Yoo Well disinfected upon completion? D Yes Tanp 0 Norse Duclos Pump D Not Installed Date Installed IZI No No Manufacturer's name Model number - Lenogp hpet Copspi Tue Maer Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material banded Wels res prt bs in vdtswl Abandoned Wells Does property have any not in use and not sealed well(s)? D vo Bw Yes IZI No Variance Was a variance granted from the MDH for this well? D No Yes 0 Well Contractor Certification BosonComcl 70% MURANDLE. Bergerson-Caswell 27058 BURANDT P ico oeNoms_Lis Org NoNano rr License Business Name Lie. Or Reg. No. Name of Driller 557766995599 I Printed 6/27/2008 HE-01205-07 ACA GPT AH ASS 0 8 2131 m file:/ !MPCAi! Working/A0081-l 00%20-%20PFC%20Foam!R...maries/Fridley/Well%20Log%20Report%20-%2000576959.htm6/30i2008 4:23 :31 PM 22222222.11223377 SSTTAATTEE__0022882222119944 Well Log Report - 00576961 Mona re wi Jo,finnesolu Unique Well No. 576961 576961 pamet'er New eghon County Quad Quad ID Anoka New Brighton 119C NT Well Name MW-3 Tomi mei Secton Suton Erato Township Range Dir Section Subsections Elevation BNW 12 CCNIDA Herston Noted 30 24 w 12 CCBBDA Elevation Method MINNESOTA DEPARTME.\IT OF ET BryDue 01200 HEALTH WELL AND BORING Upiebwe 172000 WELL AND BORING RECORD Received Date RECORD inst ies haps 101 Minnewta Statute~ Chapter 1031 Entry Date Update Date Received Date 04/22/2003 11/17/2006 me Woyn Din oConnpid Tae Wel Coomnpiont 888 ft. 7.5 minute omg up | PAd sid) topographic map (-i- 5 feet) Well Depth 18ft. Drilling Method Auger Depth Completed 18ft. Date Well Completed 03/2!11996 Drilling Fluid TIe bon Ft e -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Casing Type Plastic Joint No Information Drive Shoe? DYes D No Above/Below ft. "GasngDiameter Casing Diameter Taw ih 2 in. to 17 ft. gn Weight wRlbs./ft. Fle Dame Hole Diameter tie or 8 in. to 18 ft. seawgicr ater Geological Material FINE SAND Sivoo SILTY SAND SILTY SAND coor Color BROWN Eom BROWN GRAY Warners Hardness MEDIUM wow MEDIUM MEDIUM From To| OS1amrewVrE From 0 bk 10 Open Hole Screen YES Diameter To 2 10 15 from ft. to ft. Tope Make Type Suman SloUGauze ty10 mixed (multiple) Leg Setatwen Length wT 10 Set Between 7 ft. and 17 ft. 15 18 Static Water Level 12 ft. from Land surface Date Measured 03/21/1996 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. TE ra R11/ARKS w WETJ. SEAT.ED 07-02-199() BY 27058 GRGRAL USE MONTTORWEIL ORIGINAL USE: MONITOR WELL LocMins xpos Hh Located Minnesota Department of Health Som UTM. Nal fol rs Unique Number Verification N/A System UTM- Nad83, Z<mel5, _Meters Methad GPS SA On ed) Method GPS SA On (averaged) Xo 050 Ys 4905 DateN/A X: 480569 Y: 4993695 Bt deok Auer us. Wot Table Ai First Bedrock Losi Sed hy Depa Beh Last Strat Sand & silt-gray Aquifet Quat. Water Table Aquifer Depth to Bedrock ft. CountyWellIndexOnline Report County Well Index Online Report Well Head Completion Tienstp malar Mol Pitless adapter manufacturer Model Bess pricion B12 shonege IZI Casing Protection Y IZI 12 in. above grade 0 oe viens Vets nd Bigs ONLY) D At-grade (Environmental Wells and Borings ONLY) Grout ornate Wellowectr B vor 0 vo Grouting Information Well Grouted? IZI Yes D No Goa Grout Material: sr Bentonite onfrom wan to 3 ft. 15 vo 1.5 bags .\learest Known Source of Contamination a io _feet _direction _type St duonockompetsion 01 Yoo Well disinfected upon completion? D Yes Tanp 0 Norse Dacosled Pump D Not Installed Date Installed IZI No No Manufacturer's name Model number - Lenogp hpet Copspi Tue Maer Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material banded Wels res prt bs in vdts wl 1 Abandoned Wells Does property have any not in use and not sealed well(s)? D vo Bw Yes IZI No Variance Was a variance granted from the MDH for this well? D No Yes 0 Well Contractor Certification BosonComsl 70% MURMADLE. Bergerson-Caswell 27058 BURNADT P cos oeNoms_Lis Org No Nanectrdr License Business Name Lie. Or Reg. No. Name of Driller 557766996611 I Printed 6/27/2008 HE-01205-07 CA GPT tiAH 0S i 08 218 m file:/ !MPCAi! Working/A0081-l 00%20-%20PFC%20Foam!R...maries/Fridley/Well%20Log%20Report%20-%200057696l.htm6/30i2008 4:23 :30 PM 22222222.11223388 SSTTAATTEE__0022882222119955 Well Log Report- 00576960 Afinnesota Unique Well No. 576960 [Grauri 576960 County Quad QuadiD Anoka New Brighton 119C Sr Well Name :V!W-2 TomDSa c SlabaeHrs s Township Range Dir Section Subsections Elevation BW 1 conn Hotmtator 30 24 w 12 CCBCDD Elevation Method MINNESOTA DEPARTME.'IT OF HEALTH WELL ANDBORING RECORD Updwedue 111700 WELL AND BORING RECORD eosSsChg 13 Wed MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/22/2003 11117/2006 348. Sin Corsad Da NaaiCoend 884 ft. 7420 0|i pr i 7.5 minute topographic map(+/- 5 feet) Well Depth 21ft. ~Ub~> Depth Completed 21ft. r Date Well Completed 03/21!!996 Drilling Fluid = m I mr -- Well Hydrofmctured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed ion Address. Well Address 6982 65 HY NE cogent tens MN Geological Material SAND SUVOAYESMD SAND SILTY CLAY & SAND coorColor OK. BRN GA LT. BRN GRAY wanes Hardness MEDIUM uw MEDIUM MEDIUM WSE eat La2 op wy ss REMARKS WELL SEALED 07-02-1996 BY 27058 ORIGINAL USE MONITOR WELL Casing Type Plastic Joint No Information Drive Shoe? DYes D No Above/Below ft. Tan 1 Casing Diameter 2 in. to 19 ft wh Weight lbs/ft een Hole Diameter 8 in to 21 ft Open Hole from ft. to ft. rom 10|umes S0oans Lean SeEBaEwaE From Screen YES Diameter To 2 Vlake PVC Type slotted pipe Slot/Gauze 10 Length 10 Set Between 9 ft and 19 ft 0 6 om 6 16 16 21 Static Water Level 13.5 tt. tfom Land surface Date Measured 0312111996 PUMPING LEVEL (below land smface) ft. after hrs. pumping g. p.m. ee Compton Well Head Completion Pasi ms Node Pitless adapter manufacturer Model Dcuingonin Dl 130m segs D Casing Protection D 12 in. above grade 0 pte em Wtmd is 030) D At-grade (Environmental Wells and Borings ONLY) rosin tortion tro? B Yor Ovo Grouting Information Well Grouted'' 0 Yes D No Gost serie Grout Material Bentonite [ from to 5 ft ze2 bags Coe Nr Vat 1. Located Mitmesota Department of Health Lnique Number Verification N/A System UTA- Nad83, Zone15, Meters Be"lethod GPS Date 1\/A SA On (averaged) X: 480561 Y: 4993569 nt eck saute un vr py First Bedrock La Sn et dyed opt ee Last Strat Pebble free clay/sand/silt- Aquifer Quat. Water Table Aquifer Depth to Bedmck ft. `CountyWel Index Online Report County Well Index Online Report TSC Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes 0 rare 0 td Did Pump D Not Installed Date Installed Manutacturer's name Model number - Logit Pe0 Cumin spur Te Length ofdrop Pipe ft. Capacity _g.p.m HP Type 1\o Nia Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification | Bonnet 208 BRADLEY Bergerson-Caswell 27058 BURANDT. P ico ins anes Oo.No Nasir License Business Name Lie. Or Reg. No. Name ofDriller 576960 I 576960 Yes 0 No Printed 6127/2008 HE-01205-07 file:lillj!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R. .. maries/Fridley/Well%20Log%20Report"/o20-%2000576960 htm6/3012008 4:23:31 PM 2222222.11223399 STSTAATTEE0_208282222119966 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: GGlleennvviilllee GGGllleeennnvuviiilllleee,FFMrirNee DD5ee8pp0a3ar6rt.tmmeenntt Glenville, MN 56036 C5Cr0raa7i.igg44RR8aa.yy3mm9a1an6n,, FFiirree CChhiieetf 5fraa0yy7mm-4aa4nn8cc-@@3g9ge1es6scchhooooilss.ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: HHiigghh sscchhooooll ofocottbaalll ik,field, GGlleennvviilllee AARRA-AFFFFEF:: AAnnssuull AAnnnnuuaallllyy LLeessss tthhaann 5gaglallolonnss. GGrroouunngd AARRA-AFFFFFF:: lleossss tthhaann 5 ggaalllloonnss. RRoocckk RRiivveerr lleessss tthhaann 11//44 mmlilee ttoo tthhee ceaasstt U1/d4 too 11/22 mmiille eeaasstt TTrraaiinniinngg ssiittee iis llooccaatteedd iinnaatrtaransnistitiioonn oofr ccoovveerreedd Kkaarrsstt aarreeaa LeLsesss tthhaann 111/44 mmiilee wweesstt MMoorree tthhaann 11 mmiilee 313 22222222..11224400 SSTTAATTEE__0022882222119977 GGLLEENNVVIILLLLEE CCWWII WWellell ipMap CNNHO oNaEORR Heee yom ebVos TGdd bC o ENIN SREET de ed TReEs catEIa Fae SeTell Nr Le on SE F 2 Eoo CA ee a a e Ooo eek Le EI EER i ny WAN OGRE RE Jl . O(lve IRgl DS[omaet | Ee 3 ke le {R r-dJN SSeafe a 4 $REn . LFoT oeERy 5AmTaEaR Fed | A fe NT 4 HTT {ie AE onal Te | REN RE A - | Fn TM Gaelpity 7m" RNY dad Nir comin he | TE meni 2 / Mires nh.GendmCaa non A or Cb JN ha NRT J Ai oe s--, sbagm 2222.11224411 stare 2822198 STATE_02822198 [ GEleNnviGlle What's In My Neighborhood Map \ ~ Pp } | |\ TN - ( | |B Pas | bas | Sy ered aR {i eat oe HSS ents tie | i REE) NL fc {J | | A SI | | Wt = is ~\ | Jer N N | | | = i|i y - o\_ 1{ | \ || i 2 | la L = | Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion ara mr pd| of the information should be considered to be, or used as, a legal document. The information is provided LE ren.| subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. | || @#innesota Polution Control Agere' | isi SSiitteess. Bototsaatfuporuna Dt~ llfiiW: r.luJrtrftmiil Poisordeasdts ROI Dg hm~SOI'I<J~ l!ln~miiBCI Dun~ Wm, MFRAP Stma:attottSSuup~errfftlunndil o cexcts e CEK.CLt:s Frnensuperun Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb e Voe s um V9ltnar~ llritm~~l'i I; Cta'IIWrt A....R ~RC ATSER Fraac~i1A i1s1i:o1s~ re F:CRA l'rJ';tfii~PD I; ~ta'IIWJI' 4se ssasomens "'- SliM ~rMIII: 222222.112242 STSTAATTEE0_202882222119999 222222.1122443 somone . / | oaSid 8 Glenville Wetland Map 3 // 1 be 9 28 /sss. [i1] iii: i EonEi g [3 PiiEsHd 93-17-30W 93-17-DW 93-16-30W iiHE r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only" Data layers that appear on this map may or may not be accurate, current, or otherwise reliable" THIS MAP IS NOT TO BE USED FOR NAVIGATION" I 0 N 00 N N N 0 0 2| 4 2g | 8.E : 2Zz { 5 FATA .w... .w... l.. 0 z .w... ~ ,(;, 0 z .w... .w... 6 z w w ~ l.. 0 z .w... '"""""""""""""""""""""""""""""'""""""""""""" "I:wC 0 z 93-16-0 w .w... w w 6 z 93-15-30W Map center: 43 33' 54" N, 93 16' 29" W oan ___sauon sao enon onmu PT & Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r " USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America $ Scale: 1:25,874 id | HEERl R idman le igard |(| PU 1g3i1lI i TTI }i : olf %Rs Well Log Report- 001 03524 100532542]4 wfn= Minnesota Unique Well Nn. County Quad Quad ID TT Weill'\ame WAALKENS, JOHN Freeborn 10 mw wen tse Township Range Dir Section Subsections Elevation 101 20 w 8 BCCAD Elevation Method MINNESOTA DEPARTME:'I/T OF HEALTH WELL AND BORING RECORD Teter ov WELL AND BORING RECORD eo St Chr 1 We ftfinne.mta Statutes Chapter 1031 CA Well Depth Depth Completed Entry Date Update Date Received Date 04/08/1988 07127/2000 Date Well Completed Ds 1220 ft. 7.5 minute topographic map(+/- 5 feet) |i cei 100 ft. 100ft. n~iili~g Meth~d N~~~~r~~ifi~clR~t~ry a 03/20/1976 Drilling Fluid -- IWell Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 18 ft. Casing Diameter Weight Hole Diameter 5 in. to 78ft 15 lbs/ft fe e mrer] Open Hole from 78 ft. to 100 ft. Screen NO Make Type Geological Material Ea TOPSOIL SAND & GRAVEL LIMESTONE Color Hardness EE BLACK BROWN GRAY SOFT SOFT HARD Diameter Slot/Gauze Length From To i- = 0 3 3 70 70 100 Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) aP tae ri ft. after 75 hrs. pumping Well Head Completion Pitless adapter manufacturer g.p.m. Model 0 rm Cem tt mis 051) D Casing Protection D 12 in. ahove grade D At-grade (Environmental Wells and Borings ONLY) Set Between NO REMARKS Groutin~ Information Well Grouted? DYes 0:\lo Located Minnesota Geological Survey FE Ce Unique Number Verification Information re from neighbor Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A System UTM- Nad83, Znnel5, Meters X: 478457 Y: 4823711 pS pl A Nearest Known Source of Contamination _feet - dirt:liLion _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed [TBeh iR gPoE th 0 E Colo spn Manufacturer's name FLI:\IT AND WALLI:\IG _ HP Q_j_ Volts 220 Length of drop Pipe 10 ft. Capacity 10 g.p.m Tie sme aces | Model number 1OKB Type Submersible Material 0 Abandoned Wells Does property have any not in use and not sealed well(s)'! D Yes D No First Dedrock Cedar Valley Group Last Strat Cedar Valley Group Aquifer Cedar Valley Group Depth to Dedrock 70 ft. County Well Index Online Report Variance Was a variance granted from the lv!DH for this well? D Well Contractor Certification 1i035e24 Morrison Well Co. License Business Name 24001 MORRISON WELL Lie. Or Reg. ~o. Name of Driller I Yes D No Printed 6/2712008 HE-01205-07 file: IIIII/11PCA/! Vv'orking/A0081-1 00%20-%20PFC%20Foam/Re... aries/Glem-ille/\~.1ell%20Log%20Report%20-%20001 03524.htm 7/1/2008 7:28:53 AM 22222222.11224444 SstTaArTeE__o0z2s82222220011 Well Log Report- 00132514 Comin 132514 1\Iimnenresinttsa UUnniqeue 0 Well No. (L 4 1,CCoouunnttyy QQuuad Quad ID FFrreeecbhome 10 a MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH `WWEELLLL AANNDDBBOORRIINNGG RREECCOORRDD Minne.mta Statutes Chapter 1031 Enrtryy DDaattee UUppddaattee DDaattPe Received Date 0044/00881/1998888 2077/2270/200000 Well Name NELSON, HARLAND Well Depth Depth Completed WD WT DCD sonata Township Range Dir Section Subsections Elevation 101 20 w 7 DCCBD Elevation Method 1230 ft. 7. 5 minute topographic map(+/- 5 feet) 125 ft. 125ft. . Rotary Dtilling Fluid -- IWell Hydrofractured? From Ft. to Ft. Date Well Completed 05/lS/1976 DYes D No nt0 Usc Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below 2 ft. Casing Diameter Weight Hole Diameter Yes D 5 in. to 95 ft 15 lbs /ft GGeoeloologgiiccaall ters Material TOPSOIL CCcLLaAArYY CLAY CLAY CLAY 3CLAY SHALE Slee SHALE & LIMESTONE LIMESTOI~E EiOPEN HOLE LIMESTOI~E Cor Color BLACK aE YELLOW BLUE BR0\11/N Bm BLUE BR0\11/N DK.BRN GREEN BR0\11/N Maes Hardness wa MEDIUM [SE ---- REMARKS NO 103531 IS A DUPLICATE OF THIS LOG. FFrroomm 0 218 35 40 48 a64 70 Bo80 94 [CO115 123 ToTo 2 33158 | 40 48 64 0%70 80 &94 115 123 125 Open Hole Screen NO DDiiaammeetteerr from 95 ft. to 125 ft. Make Type `SSltoott/GGaauuzzee. Static Water Level 30 ft. from Land surface Date Measured PI:MPING LEVEL (below land surface) 52 ft. after 2 hrs. pumping 150 g.p.lll. LLeennggtthh 05/18/1976 Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D00 Agtr-garatdee (nEnvvironi meno talWWenlelllsssaannddo BBroirtninggssa OONNLl LYY)) Grant norman. Grouting Information WeWell GGrrooautcetd?? DC1YYeess 0B NNoo SSeett BBeettwweeeenn Lr Mom tots JdDE 480 L t d oca e M. mnesota Geo1og1.ea1 S urvey "lethod Digitized- scale 1:24,000 or larger (Digitizing Table) USniiGquee NNuambaer VVeerifnicautison 'SJanoie yyy rs DateN/A on mailbox isd System UTM- Nad83. Zonel5. Meters X: 477550 Y: 4822890 NeaearreesdtRKanovwnnSSoouurcrceeooff CCoonnttaammiinnaattiioonn ~feet North West direction SeQtic tank/drain field type Well disinfected upon completion? 0 Yes D No Pmnp 0 Not Installed Date Installed Lom Pp6o Cop10i3pnre peSpi Mi Manufacturer's name JACUZZI Model number - HPQl_ Volts 220 Length of drop Pipe 36 fl. Capacity 10 g.p.m Type Submersible Material AlAmbuanddoonnsehdWWeelllss DDooesspprrooppee1ttyy hhaavveeaannyy nnott iinn uussee aanndd nnott sseeaableedd wweellll(ss))?? D1 Yes D No a First Bedrock Cedar Valley Group Last Strat Cedar Valley Group ins Aquifer Cedar Valley Group Depth to Bedmck 70 ft County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Morrison Well Co. 24001 MORRISO'J l2... License Business Name Lie. Or Reg. No. Name of Driller 132514 I Yes D No Pnnted 6/27/2008 HE-01205-07 file :1I/II/lAPCiV! W orking/A0081-l 00%20-%20PFC%20Foam IRe ... anes/Glenville/Well%20Log%20Report%20-%2000132514.htm7/1/2008 7:30:07 A_Vf 222222.112245 STATE_02822202 Well Log Report- 00132548 Minnesnta Unique Well Nn. 132548] oonri 10 132548 County Quad QuadiD a Well Name HAGEN. LILLIAN Freeborn 10 ob ceo moms Township Range Dir Section Subsections Elevation 101 20 w 6 ccccc Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD WELL AND BORING RECORD [rr Miuue.mta Statutes Chapter 1031 --- PC 1233 ft. Jmrerre |r o 7.5 minute topographic map(+/- 5 feet) Well Depth 121 n. -- Depth Completed 127ft. Drilling Fluid -- IWell Hydrofractured? From Ft. to Ft. Entry Date Trine oso Update Date ove Received Date 04/08/1988 05/10/2007 rh Date Well Completed 03/llil977 DYes DNo Use Domestic we Asse Well Address RR2 Scns GLEI~VILLE MN 56036 oct i Geological TOPSOIL ftCLAY CLAY pyCLAY ahCLAY SaleSHALE :SHALE fvLIMESTOI~E Material oe SHALE LIMESTOI~E loColor BLACK Sin YELLOW BLUE Son YELLOW prsBLUE 8 GREEN WHITE omBROW~J orWHITE GRAY tons Hardness fom To From To 0 2 HI2 18 18 33 5d 33 55 [I55 80 FH80 88 Pi 88 90 Boz 90 112 112 120 =o120 127 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? No Above/Below 2 ft. 0 Yes D Casing omer a Casing Diameter Weight Hole Diameter sen an 5 in. to 101 ft 15 lbs/ft Open Hole fromlOl ft. to 127 ft. Screen "\10 Make Type Diameter Slot/Gauze Length Set Between Static Water Level 50 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 58 ft after 2 hrs. pumping 75 g.p.m 03/11/1977 ro neanns NO REMARKS Well Head Completion Pit ae mono Nod Pitless adapter manufacturer Model Ocuitrin 12 seg D Casing Protection D 12 in. above grade 0 tt Cnt et drs 011) D At-grade (Environmental Wells and Borings ONLY) oro aeton Wom 0) ver Ene Grouting Information Well Grouted"' DYes 0 No Sect MmsesGbiolSiy Mth itd se2400 bre: Located Minnesota Geological Survey Ure Name otto btm pen SRS Uuique Number Verification Information oon i TE in pi at one from neighbor en Ns, oS M0 TS V2 rmaaT System UTM- Nadli3. ?.nne 15. Meter' Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 476725 Y: 4g24l61 Nearest Known Source of Contamination l_feet N_direction Sertic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - HP Q_ Volts Length of drop Pipe ft. Capacity g.p.m Type Material Abaceal Doe ts ey td teat 1 ve Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes o D 'lo i i:Ct ily Cov First Bedrock Cedar Valley Group Lt Co Vy rg Last Strat Cedar Valley Group Aor obvrio Aquifer Cedar Valley Group Dsbeh 3 1 Depth to Bedrock 80 ft. County Well Index Online Report Variance Was a variance granted tfom the MDH for this well? D hMo meNone 1 rbetNo oNmtsorvewrL Well Contractor Certification Morrison Well Co. 24001 MORRISON WELL T,icense Business Name I -ic. Or Reg. No. Name of Driller 132548 I Yes D 1\o Printed 6/27/2008 HE-01205-07 file: II!IIf11PCA/! v.,rorking!A0081-1 00%20-%20PFC%20Foam!Re ..aries/Glenville/Well%20Log%20Report%20-%2000132548.htm7/1/2008 7: 28: 49 AM 2222222.11224466 SSTTAATTEE__0022882222220033 Well Log Report- 00152795 1\Iinnesnta Unique Well Nn. [isos J oa 7 152795 T----i -- 0 Well Name LEJ\Z, THEO County Quad Quad ID Freebom 10 ENT DRC Heat hte Township Range Dir Section Subsections Elevation 101 20 w 7 DBBBCC Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. WELL AND BORING RECORD Mera re og 1 Minne.mta Statutes Chapter 1031 aC Well Depth Depth Completed LSS | 1235 ft. 7. 5 minute topographic map(+/- 5 feet) 111 ft. 111ft. . Rotary Dtilling Fluid -- IWell Hydrofractured? From Ft. to Ft. Entry Date [rote Update DatP Mento Received Date 04/08/1988 07/27/2000 ra Date Well Completed ec 00/00/1979 DYes D No Usc Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes D No Above/Below 2 ft. Tn Casing Diameter 5 in. to 91 ft Sn Weight 15 lbs /ft Hole Diameter coger Geological -- TOPSOIL GRAVEL beCLAY CLAY tio LlrviESTOI~E Material SHALE LlrviESTOI~E FDritehie re SHALE+ LIMESTONE jacaLlrviESTOI~E PRET Color oeBLACK on YELLOW BLUE Son BR0\11/N Hardness som BR0\11/N woBR0\11/N or NO REMARKS From To ST 0 0 2 2 18 Bod 18 45 45 76 EI76 80 80 85 85 98 g [I n 98 108 won 108 111 Open Hole fou Screen NO Diameter from 91 ft. to Ill ft. scwze Make Type Slot/Gauze von Length suman Set Between ie moves om Static Water Level 23 ft. from Land surface Date Measured 1979 PI:MPING LEVEL (below land surface) 43 ft. after 2 hrs. pumping 100 g.p.lll. Well Head Completion Pisittin ol Pitless adapter manufacturer Dccmmenin Di dose D Casing Protection D Model 12 in. above grade 0 vot meotr miess 5117 D At-grade (Environmental Wells and Borings ONLY) rt emt eGo Dv 8 nn Grouting Information Well Grouted? DYes 0 No ont ons bttnsy Ptt-l2eb Located Minnesota Geological Survey Method Digitized- <cale 1:24,000 or larger (Digitizing Table) Co amber Vostio ensin p 1 Unique Number Verification Information DateN/A from owner wn THN, Ms Ts 4 System UTM- Nad/?3, Zrme /5, Meters X: 477559 V: 4823454 ee) Nearest Known Source of Contamination l_feet South West direction SeQtic tank/drain field type rr 0 Br Da Well disinfected upon completion? Yes D No Pmnp D Not Installed Date Installed LoiipPrere0 Manufacturer1s name Length of drop Pipe _ft. Come gp Model number - Capacity _g.p.m To HPQ_ Type besa Volts Material Ow Abandoned Wells Does prope1ty have any not in use and not sealed well(s)? D Yes D No kn Cte Vie Gy First Bedrock Cedar Valley Group Last Strat Cedar Valley Group Din 0 Aquifer Cedar Valley Group Depth to Bedmck 76 ft County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Morrison Well Co. 24001 MORRIS0"\1 l2... License Business Narne Lie. Or Reg. No. Narne of Driller 152795 I Yes D No Pnnted 6/2712008 HE-01205-07 file:///II/lAPCiV!Working/A0081-100%20-%20PFC%20FoamiRe ... anes/Glenville/Well%20Log%20Report%20-%2000152795.htm7/l/2008 7:28:53 A_Vf 22222222.11224477 sSTTaArTeE__0022882222220044 Well Log Report- 00191940 Hn SE coy I'vfmnesota Unique Well No. 191940 | aomam 191940 County Quad Quad TD TTT Well Name SOIL EXPLORATIO'l pn Freebom Gone Glenville iy100 AINISOTA PATENT OPIEALT MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD WELL AND BORING RECORD ise Sti Chet 13 1lfinnesota Statutes Chapter 1031 Ge Well Depth Depth Completed Byte avcnie Entry Date [rr Update Date Kei Received Date 04/08/1988 11126/2007 Prva Coe Date Well Completed 00 NW 7 ACHR Fewon Method whpyoqruphsap | DURENehod Co Tok Township Range Dir Section Subsections Elevation 101 20 w 7 ACBCDB Elevation Method 1235 ft. 7.5 minute topographic map(-/5 feet) 32ft. Driinfiii M.etho!l ca1Jie t00i 32ft. 04/18/1985 Drilling Fluid IWell Hydrofractured? DYes D No From Ft. to Ft. anna Geological Material TOPSOIL Use Domestic Cnn Te Stocote) am Wad Dover 0 Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? DYes 1 o somorto2n 0 No Above/Below 2 ft. Going ameter a Tier Casing Diameter Weight Hole Diameter Wa a Pye 11 in. to 12ft 49 lbs/ft noo we ns an 20 in. to 19ft 78.6 lbs/ft Gor dors rom To E [OS NSTHGo TlemoSn TSoames Color BLACK Hardness From 0 Open Hole from ft. to ft. Screen YES Make JOHNSO'l Type stainless steel To Diameter 3 14 Slot/Gauze 20 Length 20 Set Between 30 ft and 10 ft SAND &GRAVEL YELLOW 3 27 SAND &GRAVEL BROWN 27 29 CLAY BLUE 29 32 Static Water Level II ft. from Land surface Date Measured 04/18/1985 PUMPING LRVRL (helow land surface) Wi Compton 17.3 ft. after 100 hrs. pumping 10 g.p.m. Well Head Completion Pitless adapter manufacturer Dlcuinrasion 8 110sors gs D Casing Protection 0 Model 12 in. above grade 0 spat mivn tmtugr0t 811) D At-grade (Environmental Wells and Borings ONLY) SPEEDY MART REMARKS SPEEDY MART GGAASS STASTTAITOIONN,, CCOO,. RRDD.. 5 & & HHWWYY.. 6655 Gost: vot GGrroouuttiinngg IInnffoorrmmaatitioonn. WWaelllGGrroouwtesd?? Grout Matenal Neat Cement wn oma 0 Yvoess ODI NNoo. from 0 to 3 ft Located Mankato State University Uae Number Veto A Unique Number Verification l\/A en tt System UT1vf- Nad83, Zone15, Meters Method Digitization (Screen)- Map (1:24,000) Date 12500 Date 11120/2003 x, mse vs ss X: 477537 Y: 4g2377g Ca Nearest Known Source of Contamination - feet - direction _type ses pncapa 0 vo 8 x Well disinfected upon completion? D Yes 0 No ror Soros pos mots Pump D Not Installed Date Installed arcane GRINDIGS hd meio$5. Manufacturer's name GRUNDFOS Model number SP4-6 _ HPQ2_ Volts 230 TeuphoPlier2o0p. Cpu 2g Length of drop Pipe ~ft. Capacity m_g.p.m EE Sal Si Gs Type Submersible Material Galvanized unt Wet oc ory bv mn eter OF Abandoned Wells Does property have any not in use and not sealed well(s)? D he Ow Yes D No Fit sk Or -- First Bedrock Laas Gy Ditoback Last Strat Clay-gray Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. Ee County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Lopes LEDBETTER. B. icone Bis ame Or No mst rr License Business l\ame Lie. Or Reg. No. Name of Driller [o |I on| 191940 Printed 6/27/2008 HE-01205-07 file :i/iiiiMPCA/1 Working/A0081-l 00%20- %20PFC%20Foam/Re...aries/G!enville/\!/ell%20Log%20Report%20-%2000191940.htm711/2008 7:28 :53 AM 22222222..11224488 STSATATTEE0_208282222220055 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: GGoollddeenn VVaalllleeyy GG7o8ol0ldd0eeGnnoVVladalellneeyyVaFFliirrleeeyDDeRepopaaardrttmmeenntt Golden 7800 G Golden Valley, olden V Valley, MNalley MN 55R55o44a22d77 M7M6aa3rr-kk5KK9u3uh-hn8ny0ly,8,0FFiirree CChhiielf 7m m6k3u-h5n9u l3y-@@8c0ci8i.g0gn ooilddeenn--vvaalllleeyy.m.mn..uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 77880000 GGoollddeenn VVaalllleeyy RRooaadd,, GGoollddeenn VVaalllleeyy ACAlRRaA-sAFsFFAFF:F.A: nAAgnnuggsuuss Class A: Angus SSeemmi-AAnnnnuuaallllyy 551to0 1100ggaallloonnss SSttoorrmm sseewweer,r, ggrroouunndd CAAlRRas-AAsFF4FF:FF5:20200gagglaaollnlloosnnss Class A: 50 gallons BBaasssseetttt CCrroecekk lleessss tthhaann 11//44 mmiilee tfoo tthhee nnoorrtthh--nnoorrtthhwweesstt U1/d4 too 11/22 mmiillee ssoouutthhwweesstt TTKarrraasiitnniiannrggesasiittee aapppearpsttooebbeaelloorccaattseedd nin aa ttrraannssiittiioonn oorr ccoovveerreedd karst area LLeessss tthhaann 11//83 mmiilee nnoortthh aanndd ssoouutthh TTrraaiinniinngg ssiitee llooccaatteedd iinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 222 22222222.11224499 SSTTAATTEE0_202882222220066 GGOOLLDDEENN VVAALLLLEEYY CCWWII WWeellll MMaapp ORR ap TeeresST ls n 5 {i Ea SE LR Re CEE EER El a wr r Ti Ee p TEeal rEs ne 1 24a = ERE aitaee A ATs wSi f- p [aVidre The& | ae EH nLni SS e wa AA EER E A E ne paites=e fg | SEER TE Cg PT tt CEA f Hll=adayWh a E A TS FH eE l) Ug ie ER iSER DEGREE at aan: nTyR LELNS 2 wi ores fei Emel1 BE Rri= Ll esr me----= 2222.1250 STATE_02822207 |"BmGolden Valley F What'm s In MyNeighbe orMhae opod LoTi d dF hlal ier n T eN Fri, rrr LD | Tey I(HToeAsTeEsL ohi e EE ape irsy L[= o d lL =T m -- g3 | iy) Sl on bie tv aE eFi E LETHR a= Yip le i PE RfEe d pe eret ] [p Pole o a s TMS TTee semen sc || Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. @Minnesota Pollution Control Agency Sites. ri sr Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ -- l!ln~miiBCI Dun~ oo es MFRAP Stma:attett SSuup~orfrtflunndil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb L O Ne e c um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D &I;1C~t1ha'aI0InWJ8gI' or "'- SliM ~rMIII: 2222.11225511 STATE_02822208 a1 g 32 S Be ira (| PU 11I TTI id S| | dd HiERRdlm en :le Boomr sow wmwr wows sm wmar 3} J 4 a Te J1 : HsiEFT5 g 2i > E35l4. 3 Golden Valley Wetland Map Po =| 3deFe l re |eet3; id 222222.112252 3 lh J : iiJiis 4. _,. tn """" .......... ..........:................. I~ z } [/7 i .} __,,.. "'<D l.. 0 z __,,.. "' IPFMf~.fTiiTI:t; 0 z b & || Im vil i| 12% ie | | gy ro y I| aad [| EE I+ ~~~~~~~~~L~~J~~~;====l~ 6 z By ,[~0~0 ................................................................... , ........................................................................... __,,.. '1,:/lli:l~ "z'0 Be Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America tad 3 ei ffw/ Y) n)iHi L 7 e , Ii Ea f hE \II E ~; : gl} |is g 3 w 93-23-30W 93-23-DW 93-22-3DW JE 93-22-0 93-21-3DW 93-21-DW i in ii]] $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 Map center: 44 59' 25" N, 93 22' 15" W 8 Scale: 1:25,160 N 00 N N N 0 \.0 J-- Well Log Report- 00203911 [to2ns0v9eg0es1 oJoms II 203911 II ~:::ty Minnesota Unique Well No_ 290 Js ~-==================~- QuadiD tote Hennepin ioHopkins inl04B Taorewnens Dronbts Eon Well Name Township Range Dir Section Subsections Elevation 1H1S8 221 Ww 3322 BBCCAABBCCHB EElleevvaattiioonnMMetethhoodd Wt ada Well Address mone 825 RHODE ISLAND AV N ame GOLDEN VALLEY MN ccgcamans Geological Material SANDY-CLAY owCLAY Suro SANDY MUCK Fonte HEAVY GRAVEL iLIMtE RiOlCK SSTe. PeEkTEsR SANiDSnTOeNE ocosor, Color YELLOW SiBLUE Som BROWN Som BROWN FBLUdE WHaIiTeE ass Hardness vo Rrsinns NO REMARKS 02 1. s MDFPiLKnRTte sMEsiEvCSeNefOoiTsr reRrOoTnPDslMpEoiATooem CRpneaaeysoduaotnsueBsWpAaonCoviimunem)nt 902 ft MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/2411991 09/ll/1991 Well Depth Depth Completed Date Well Completed 85ft 85ft 07/20/1960 oh t7too.5ppoomggrrinaappuhhtieicc mmaapp | JDJri~lulninn,g 1MVeletl hnooda -- (+/- 5 feet) Drilling Fluid -- PR WWeellll HHyyddrrooffrraaccttuurreedd?? ODJYveess ODJ NNoo. From Ft. to Ft. -- Use ---------- CaCsaisinngg TTyyppee JJooiinntt NNooIInnffoorrmmaattiioonn DDrriivvee sShhooee?? D [JYveess DOJ rant No Above/Below 0 ft Cong Dame Wego Dr Casing Diameter Weight Hole Diameter Ceo an wn 4 in. to 63 ft lbs./ft. EE ETT EET Open Hole from 63 ft. to 85 ft. Sar Screen NO Make Type EFonrom To | er SctGazei" Length SoBe From To Diameter 0 17 vow 17 33 [A33 44 ios 44 63 Slot/Gauze Length Set Between 8 63 881 B 81 85 reStmatmiceWwaateerTLeevdel 1i8hft. ffrroomm LLaannddssuufrfaaccee DDaattee MMeeasssueredd a PUMPING LEVEL (helnw land surface) TE et ey 0 po 18 ft. after brs. pumping 60 g.p.m. Wt ompin Well Head Completion 0077/2200/11996600 Pitless adapter manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn. D[1 1122 iinn.. aabboovveeggrraaddee: Grouting ntarmation Wel Gouted? 01 Yer 01 No 0D AA-gradte-g(rEadnev(iErnovnirmonemntenatlal WWellesllas nandd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological FaSurvey Goer VVUeernriiifqfiiucceaattNiioounnmNNb//eAAr Wiam System _Meters UTM: Nad UTM-Nad83, ZZoonncell5S, Method Digitized- scale 1:24,000 or sg Te larger (Digitizing Table) " DDaattee N/ANA Xx:: anna 470222 Yvs: 4a9o8m1i7r5s8s ET SCR Nfeefeeaetrte s t_dKdiinnreoeccwttiinoonnS o urce of __ttyyppee C o n t a m i n a t i o n - - Wellton compli" 0) Yes Well disinfected upon completion? D Yes 0D NNoo PPuummpp 0 NNoott IInnssttaalllleedd DDaatteeInInssttaalllleedd mine tSAIsTO eltrl Manufacturer's name AERMOTOR ModelnumberG-50M TL va _ HPQ2_ Volts Length of drop Pipe .lQ_ft. Capacity _g.p.m Type Material Te WR RS No BC TST RTT Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yvees DO NNoo VVaarriiaannccee WWasaaavvaarriis aannccee ggrraanntteedd ffrroomm tthhee MMDDFH ffoorr tthiisswweelltl?? DJ Ybreess DO Nnoo RCA R130. SoS Sn 10 file:/i/li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203911.htm (I of 2)7/1/2008 7:33:03 AM 222222.112253 sare ozs22210 STATE_02822210 Well Log Report- 00203911 First Bedrock Platteville Last Strat St.Peter Aquifer Multiple Depth to Bedrock 63 ft. County Well Index Online Report Well Contractor Certification Renner E.H. & Sons 27015 License Business Name Lie. Or Reg. No. Name of Driller 203911 I Printed 6/27/2008 HE-0 1205-07 fi1e:/i/li;MPCA/!W orking/A0081-100%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203911.htm (2 of 2)7/1/2008 7:33:03 AM 222222.112254 STATE_02822211 Well Log Report- 00203913 eons Minnesota Unique Well No_ II 203913 II ~-==================~- outs ~:::ty QuQuadiD pimeegn Hennepin Hopkins `l04B ST CATV TTC Well Name CALVARY LUTHERAN CHURCH Town Range DrSection Sumetions Ean Township Range Dir Section Subsections Elevation mHE; 2211 Ww 3322 BBCCDDAAAABB EElelevvaattiioonnMMetethhoodd 505 1. sDEPAeRsTaMinEepbsNnooTstlRnoOnaPeneMEArLTHDeplCoonLmpopuoe n aWAxTcGCoaonumHtie"] 905 ft MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING MinnesoRtaEStCatOutResDChapter Minnesota Statutes Chapter 1031 Entry Date Update Date Recceieviveded DatDaete 08/2411991 09/ll/1991 Well Depth Depth Completed Date Well Completed 110ft 110ft 03/30/1961 oh tto7op.5poogmgrrianappuhhtieicc mmaapp | JDJT~iulninn,g M1Veltelhnooda ---(+/- 5 feet) Wel Addons Well Address TROUBLE 7520 GOLDEN VALLEY RD CGROLADGENVVAALLLEEYTMNNY Goclogialtistoial Geological Material Fy GRAVEL Shorey SANDY CLAY pried LIMESTONE SineSHALE Sucre SANDSTONE Color Color Eom BROWN Grom BROWN GarGRAY byRED GarGRAY Haness Hardness vo Rrsinns NO REMARKS Drilling Fluid -- UCsTe preyWWeellll HHyyddrrooffrraaccttuarreedd?? 0DYveess 0D NNoo From Ft. to Ft. CCaassiinnggTTyyppee JJooiinntt NNooIInnffoorrmmaattiioonn DDrriivvee sShhooee?? D [JYveess DOJ Arun 0 No Above/Below 0 ft Casing Diameter We Tio Dar Casing Diameter Weight Hole Diameter can mh on 8 in. to 77 ft lbs./ft. From To [Dames SiotGaure Legh SetBetween From on0 on 15 HI76 5 0% 89 8 To [TSYO0oR0sFTLwRmGsaLeeEstVtpaTpsoer190 tM2eos5rsied ovs0n 95 Open Hole from 77 ft. to 110 ft. ScSrcreeeenn NNOO MMaakkee TTyyppee To Diameter Slot/Gauze Length Set Between 15 76 89 95 110 Static Water Level 30 ft. from Land surface Date Measured 03/30/1961 PUMPING LEVEL (helnw land surface) 36 ft. after brs. pumping 140 g.p.m. We HeadComplion Well Head Completion Pitless adapter manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn. D[1 1122 iinn.. aabboovvee rgoraddee: Grouting ntarmation Wel Gouet? 01 Yer 01 No 0D AA-gradte-g(rEandev(iErnovnirmonemntenatlal WWellesllas nandd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological SvSurvey Unie Number Unique Number |VVeerriiffiiccaattiioonn NN/AA Sym UT NS Zone System UTM-Nad83, Zonel5, _Meters Method Digitized- scale 1:24,000 or ne Dring Tv) larger (Digitizing Table) w DDaattee N/A9A x. oss: amis? X: 470366 Y: 4981637 NRT SARTO Nearest Known Source of Contamination fefeeett _ddiirreeccttiioonn __ttyyppee. - - Welds spon compli" 0) Yes Well disinfected upon completion? D Yes 0 No D No PPuummpp 0 NNoottIInnssttaalllleedd DDaattee IInnssttaalllleedd Manufacturer's name RED JACKET Model number 300 KL llP [a _ HPL Volts Length of drop Pipe l_ft. Capacity 2Q_g.p.m Tie Se Mi Type Submersible Material Rod Wal Tos or Ee BS SAT SIT Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yvees DO NNoo VVaarriiaannccee WWa<Jssa<J vva<rJrii<aJnncceeggrra<nJntteedd ffrroommththeeMMDDHH ffoorr Itbhiiss wweellll?? DJ Yfrees DO NNoo CA ORL 1008S. sy ogSet SS 71 SRT 842 file:/i/li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203913.htm (I of 2)7/1/2008 7:33:02 AM 222222.112255 sStTaAeT_Eo_0z2s82222221122 Well Log Report- 00203913 First Bedrock Platteville Aquifer Multiple Coun tres on Rr Last Strat St.Peter Depth to Bedrock 76 ft. County Well Index Online Report Well Contractor Certification Renner E.H. & Sons 27015 License Business Name 20913 I 203913 Lie. Or Reg. No. Name of Driller Printed 6/27/2008 HE-0 1205-07 file:/i/li;MPCA/!W orking/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203913.htm (2 of 2)7/1/2008 7:33:02 AM 2222222.11256 STATE_02822213 Well Log Report- 00203915 corsets oaut.ts II 203915 II ~:::ty Minnesota Unique Well No_ P15 | on, ~-==================~- QuadiD imepn Hennepin loins Hopkins l04B TT CAVA Well Name PHIL CAVANAUGH Town RangeDirSection Subcctions Beatin Township Range Dir Section Subsections Elevation mHE; 2211 Ww 3322 CCHBAABBAA EElelevvaattiioonnMMetethhoodd 595 1. MsDEoP:AeeRRsTtEMiCEp SsNnOjTstsRyDoOaeDPnrMCnElAorLtTsHDep CoorUmyrppiuutebuBenoe WpacOCoaMouimI"e 895 ft MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/2411991 09/ll/1991 Well Depth Depth Completed Date Well Completed 72ft 72ft 1211011957 or tot7po.o5pgomrgarinappuhhtieiccmmaapp | JDJT~iulninn,g 1MVeletlhnooda ---(+/- 5 feet) Wel Adsess Well Address SamoDe soa 520 RHODE ISLAND AV N CAGOTLDBEIN VVAALLREYTMNN Gecicgicaltistoial Geological Material Shove SANDY CLAY no so MUCKY SAND fret PACK GRAVEL fonts BROKEN LIME RAEN LMESTONE BROKEN LIMESTONE ColorColor Soom BROWN SaGRAY Sox BLACK SnGRAY SvGRAY Hardness Hardness vo Rrsinns NO REMARKS Drilling Fluid -- UCsTe Fen hn: WWeellll HHyyddrrooffrraaccttuarreedd?? 0DYveess 0D NNoo From Ft. to Ft. CCaassiinnggTTyyppee JJooiinntt NNooIInnffoorrmmaattiioonn DDrriivvee sShhooee?? D [JYveess DOJ Miran 0 No Above/Below 0 ft Goning Dames We Tio Dar Casing Diameter Weight Hole Diameter Taw 1 on 3 in. to 65 ft lbs./ft. From To From To a. 0 20 ooh 20 54 "08 54 63 8% 63 72 nn 72 72 [Dames SiotGaure Open Hole from 65 ft. to 72 ft. ScSrcreeeenn NNOO MMaakkee TTyyppee Diameter Slot/Gauze Legh Length SetBetween Set Between [mT Static Water Level 30 Lan atic Mesaed 20 ft. from Land surface Date Measured FORFTRG TEV Tor tori PUMPING LEVEL (helnw land surface) Ser be pee 13 shor 0 ft. after hrs. pumping 12 g.p.m. We HeadComplion Well Head Completion 19100557 12110/1957 Pitless adapter manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn. D[1 1122 iinn.. aabboovvee rgoraddee: Grouting ntarmation Wel Goutet? 01 Yer 01 No 0D AA-gradte-g(rEandev(iErnovnirmonemntenatlal WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological SvSurvey Unie Number Unique Number VVeevriifficeatiioonn NN/AA Vim System _Meters UTM Nad UTM-Nad83, Zonel Zonel5, Method Digitized- scale 1:24,000 or ne Dring Tv) larger (Digitizing Table) w DDaattee N/ANn x. asso vs aomizer X: 470339 Y: 4981367 NRTSRST Nearest Known Source of Contamination -fefeeett -_ddiirreeccttiioonn __ttyyppee. Wellton compli" 0) Yes Well disinfected upon completion? D Yes 0 No D No PPuummpp 0 NNoottIInnssttaalllleedd DDaattee IInnssttaalllleedd Manufacturer's name AERMOTOR Model a Not number_ HP 0.75 Volts Length of drop Pipe 27 ft. Capacity _g.p.m Type Jet Material han AT TET Tvs Sh Sw Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yveeos D0 NNoo VVaarriiaannccee WWasaaa vvaarriis aannccee ggrraamniteedd ffrroomm tthhee MMDDHH ffoorr tthhiisswweellll?? D[J Ybreess DO Nnoo CA ORL 1008S. sy ogSet SS 71 SRT 842 file:/i/li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203915.htm (I of 2)7/1/2008 7:33:02 AM 222222.112257 sStTaAeT_Eo_z02s82222221144 Well Log Report- 00203915 First Bedrock Platteville Last Strat Platteville Aquifer Platteville Depth to Bedrock 63 ft. County Well Index Online Report Well Contractor Certification Renner E.H. & Sons 27015 License Business Name Lie. Or Reg. No. Name of Driller 203915 I Printed 6/27/2008 HE-0 1205-07 file:/i/li;MPCA/!W orking/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203915.htm (2 of 2)7/1/2008 7:33:02 AM 222222.112258 STATE_02822215 Well Log Report- 00203917 200917 | et 8tn Afinnesota Unique Well No. 203917 County Quad QuadiD Hennepin Hopkins 104B WELLS AND BORn ING RECORD MINNESOTA DEPARTME.'IT OF HEALTH WELL AND BORING RECORD Minne.wta Statutes Chapter 1031 Upon Entry Date Update Date Received Date OA 08/24/1991 01/17/1992 Well Name RED OWL STORE WNW 0 COD es abon Township Range Dir Section Subsections Elevation 118 21 w 32 CBB Elevation Method TS Ente 895 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed 95ft. i-- Drilling Fluid P e Ie r ] -- 95ft. 07/31!!959 Well Hydrofmdured? DYes D No From Ft. to Ft. Use CCaassiinngg TTyyppee.SStteeelh (blaca k ooerlloc owwccaak rrbotn)) JJooilntt NNooInIfnofromramtaitoion.n DDrriivveeSShhooee?? CDJ Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter Well Address a SEE 7820 OLSEN HY GOLDEN VALLEY MN ts Geological Material FILL MATERIAL shoSAND PACK GRAVEL COARSE SAND gnColor DARK ITAN DARK BROWN onHardness 6 1n. to 87 ft lbs/ft gon [on on open From 0 2 sl 12 SOepreennHVolIeS from akft.e JtoONSft.ON Type che Screen YES :VIake JOHNSON Type other To Diameter 12 6 40 Slot/Gauze 25 Length 8 epee Set Between 0 ft and ft 40 76 76 95 Static Water Level bi 25 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 28 ft. after hrs. pumping 58 g.pm. Well Head Completion 07/31/1959 Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Grouting Information Well Grouted? DYes D No Located United States Geological Survey Method Digitized- scale I :24.000 or larger (Digitizing Table) Sem UTM NaS 21S. mar, Lnique Number Velilication N/ DateN/A A System UTM- Nad83, Zonel5, Meters X: 470076 Yvz : ami) 4981279 First Bedrock a Last Strat Sand Boutin 0 Aquifer Quat. Water Table Aquiter Depth to Bedrock ft. County Well Index Online Report Nearest Known Som-ce of Contamination - teet - direction _type Well disinfected upon completion? D Yes D 1\o Pump 0 Not Installed Date Imtalled Manufacturer's name MYERS Model number SA 300 A4 HPJ_ Volts Length of drop Pipe 60 fi. Capacity 50 g.pm Type Submersible 'vlaterial Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Valiance Was a variance granted from the MDH for this well? D Yes D 1\o Well Contractor Certification Renner E.H. & Sons 27015 License Business Name Lie. Or Reg. No. Name of Driller 203917 I Printed 6127/2008 HE-01205-07 file:IIIIIIMPCA/1Working/A0081-100%20-%20PFC%20Foam/R. .. olden%20Valley/Well%20Log%20Report%20-%2000203917.htm7/l/2008 7:33:02 AM 22222222.11225599 STATE_02822216 Well Log Report- 00203918 [2e0smp1e8 r Jom T Io II 203918 II ~:::ty Minnesota Unique Well No_ 298 Jos in ~-==================~- QuadiD Hennepin Hopkins l04B ware Well Name ovmbi RangeDi ection Samectons Bean Township Range Dir Section Subsections Elevation I BW 3 CHO Hon ted liS 21 w 32 CBCDCB Elevation Method Wel agaress Well Address Tamara 7732 HAROLD AV SUDENALEVIN GOLDEN VALLEY MN ctogica atria Geological Material posSAND ae GRAVEL ErCLAY soSAND SRT us coe. DIRTY SAND &GRAVEL WATERS WATER SAND JitLIME ROCK Coolxor Madness Color BLACK Hardness To rman NO REMARKS swesors MINNESOTA pra Ore - DEPARTMENT OF HEALTH pLLore, Snnoernmee au-- WELL AND BORING RECORD Wee RECORD Minne Sots Choir Minnesota Statutes Chapter i1031 Entry Date Update Date Received Date 08/2411991 09/ll/1991 $50 1 olpeoly Dep Coonmpt De WalComepneted 890 ft "Sminne 7.5 minute mgmt | PENRO topographic map oh (+/- 5 feet) Well Depth Depth Completed S7 ft 87ft JJ ~unn, 1Vlel no a -- Date Well Completed 10/30/1961 Vartan O ver O vo Drilling Fluid Fn fms -ee 1 Use Well Hydrofractured? D Yes D No From Ft. to Ft. Couns ant Natoma veins? 0 ve 0 Casing Type Joint No Information Drive Shoe? DYes D Nr No Above/Below 0 ft Goning Diamar Weigh Tow Damar Casing Diameter Weight Hole Diameter sas wn 3 in. to ft lbs./ft. Fiom To From To "6 0 6 ow 6 20 0s 20 35 EF35 60 FI60 75 A 75 87 8 87 87 OT TT Open Hole from ft. to ft. A Screen YES Make JOHNSON [omer Siovoaze Diameter Slot/Gauze Longin Type Length SSeett BBaettwweeeenn Static Water Level [Nm anata est 100101 30 ft. from Land surface Date Measured FONPING LEVEE (lo nari PUMPING LEVEL (helnw land surface) Or te plage 3 gon 0 ft. after hrs. pumping 20 g.p.m. 10/30/1961 We esd Compltn Well Head Completion Picnic mamta Mode Pitless adapter manufacturer Model Dlcnng rosin 0 1210 shone D Casing Protection D 12 in. above grade 0 rte inn We a ins ONLY) D At-grade (Environmental Wells and Borings ONLY) Goto atormation We Gat? 0 Yer 10 Grouting Information Well Grouted? DYes D No LocateMims Geog Located Minnesota Geological tiSurvey Unie Number Unique Number Veicaton NA Verification N/A Sytem System _Meters UTM Natt UTM-Nad83, Zl. Zonel5, Method Diese 240000 Method Digitized- scale 1:24,000 or re Dine Toe) larger (Digitizing Table) HE Date N/A px,oeiyozn vs amiss X: 470120 Y: 4981035 Fit Bed Pile First Bedrock Platteville Last Pcie Last Strat Platteville po Aquifer Dep boBed 5 1 Depth to Bedrock 87 ft. eT Sr ER Nearest Known Source of Contamination Nr - feet - direction _type Weldwponconpioins 0 ver 0 No Well disinfected upon completion? D Yes D No vump 0 Nona Doms Pump D Not Installed Date Installed Nomiactastonmns Mobster IPD. oe Manufacturer's name Model number - Loot Cone gps Te Magia Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material LC Abandoned Wells Does property have any not in use and not sealed well oO ve O (s)? D Yes D No Varian savas rd rom NfoH r ee? 0) Variance Was a variance granted from the MlJH for this well? D be 0 Yes D No AT Coco CR Well Contractor Certification Aesastaico 9 Associated Well Co. 27259 con Bs ames Oe Nome rite License Business Name Lie Or Reg. No. Name of Driller Ail ALC,el eg Se 0b 1 3 8218 file:/i/li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203918.htm (I of 2)7/1/2008 7:33:03 AM 22222222.11226600 sStTaArTeE__0022882222221177 Well Log Report- 00203918 County Well Index Online Report 203918 Printed 6/27/2008 HE-01205-07 file:/i/li;MPCA/!W orking/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203918.htm (2 of 2)7/1/2008 7:33:03 AM 2222.11226611 STATE_02822218 Well Log Report- 00203924 pons tp ere Minnesota Unique Well No. ~~=2=o=39=2=4====::::!.JII G~:u:n:dty ~ . Quad ID netsSouth Hennepin Minneapolis South 104A nT MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING WELL AND BORING 2sRECORD 1\finnesota Statutes Chapter 1031 oe Entry Date Updsebue Update Date Received Date conn 08/24/1991 BVI 0911111991 Well Name CARL ROAN Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation 890 ft. 260 ft. 260ft. 10/2711958 1H1S8 2211 w W 3322 DDBECCDDAADD HElleevvaattiioonnMMetethhoodd 7.5 minute ttooppooggrraapphhiic cmmaapp | iD)r;:iiilihl;sg ~M~e~tthho~dd -- (+/- 5 feet) EE Drilling Fluid -- Iwet tyarofrsctureaz 0 ves 0 No. Well Ilyd.-ofractmed? DYes 0No From Ft. to Ft. me, Well Address 6935 GLENWOOD AV Lssee AA Casing Type Joint No Information Drive Shoe? DYes D No Above/Helow 0 ft. Casing Diameter Weight Hole Diameter GOLDEN VALLEY MN 4 in. to 195 It lbs.lft. cote eri Geological Material SAND & CLAY SANDY CLAY &CLAY Eu CLAY GRAVEL BROKEN LIMESTONE & GRAVEL SANDSTONE Goer snes From To | Color BROWN BLUE ELIT BLUE BROWN DARK GRAY Ei GRAY Hardness From To 0 30 30 50 Open Hole Screen NO 50 65 Diameter 65 75 75 84 84 105 105 125 rT from 195 ft. to 260 ft. Make Type TUL Slot/Gauze emLength eee Set Between SANDSTONE SANDSTONE SHALE SANDSTONE SHAKOPEE WHITE WHITE RED GRAY PINK HARD 125 195 195 210 Static Water Level 210 234 28 ft. from Land surface Date Measured 10/271]958 234 253 PUMPING LEVEL (below land surface) 253 260 31 ft. after hrs. pumping 20 g.p.m. 1 vo nEsinEs NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDOcoCmasiinngg PPrroloeLwOiloionn D0 11221imn.. aabbouvne ggrraaddee. Growing ntormaton. WetGrres? 0ver 1No D3 AAt-vgrgadee(En(Evnivroirnomnmeenntta)l WWeelllls anndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No Located Minnesota Geological Survey Unique Number Verification N/ Sto UTM Nat Lol. A System UTM -Nadti3, L.one15, lvferers Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NIA up vs vos X: 470961 Y: 4981053 "'earest Known Source of Contamination Wodiugot n pit on? 0 vo _feet _direction _type Well disinfected upon completion? D Yes Bo D No P`uMamnupfactur0ers nNaomteInMsYtaEllReSd. Date InMsotaldlednumberSA S0AS Manufacturer's name MYERS Model number SA 50 A4 _ HPQ.2_ Volts AiLbaeannngdtdohononefedddrWWopeelPlllispeDD3ro6oess pfptr.rooppCee1ratypyahhcaaivtvyeeaanngyy.pan.mcott asesod act scaled neo Type Submersible Material in use and not 5ealed well(s)? 0D Yvees OD xNoo Variance Was a variance granted from the MDH for this well? 0D Nnoo FFiirsstt BBerdorocckk Paeille Platteville Aquier Mate Aquifer Multiple Bonabllase 2018 Well Contractor Certification Renner E. H. & Sons 27015 Last Strat Prairie Du Chien Group DPpth to BPdrock 84 ft. `CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt LiLOense Business Name 220033992244 LiLO. Or Reg. No. Name of Driller I tt ee te file:///II/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foarn/R. ..olden%20Valley/Well%20Log%20Report%20-%2000203924.htm7/1/2008 7:33:02 AM D Yes Foss Printed 6/2712008 HE-0 1205-07 222222.112262 STATE_02822219 Well Log Report - 00203 978 [e2o 03n9s 78 oJuomts II 203978 II ~:::ty Minnesota Unique Well No_ 298 | ans ~-==================~- QuadiD imepn Hennepin tipiHopkins l04B TORT STATS TOW? Well Name NORTHERN STATES POWER SU Town RangDie Section Suetions Eatin Township Range Dir Section Subsections Elevation mHE; 2211 Ww 3311 AAAACCDDCCHB EElelevvaattiioonnMMetethhoodd 50 1. DMEsPoAReeRTstEMiECep SsNnOpTstlosROoa PDenMCEloArtLsTDHep CamnpUpyrpiuueobueDwsaascOoisaItnuiD]. 900 ft MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/2411991 09/ll/1991 Well Depth Depth Completed Date Well Completed 92ft 92ft 0611511957 or tto7op.5poogmgrrianappuhhtieicc mmaapp | JPJ i~luinnn,g 1MVeletlhnooda ---(+/- 5 feet) Wot adress Well Address ohmA 901 MINNETONKA AV N CUDA GOLDEN VALLEY MN oclogicatiteial Geological Material orca! DRY GRAVEL Shiva SANDY CLAY TTRS00 WATER SAND Shiv oy SANDY CLAY InesLIMESTONE SueSHALE Shere SANDSTONE ColorColor SmoBROWN aBLUE Som BROWN >RED SayGRAY SheiGREEN SaGRAY Hardness Hardness vo Rrsinns NO REMARKS Drilling Fluid -- CUCse previ WWeellll HHyyddrrooffrraaccttuarreedd?? 0DYveess 0D NNoo From Ft. to Ft. CCaassiinnggTTyyppee JJooiinntt NNooIInnffoorrmmaattiioonn DDrriivvee sShhooee?? D [JYveess DOJ Arun 0 No Above/Below 0 ft Goning Omar We Tio Damar Casing Diameter Weight Hole Diameter Sab at wn 6 in. to 64 ft lbs./ft. From To From To O" 3 0 20 oa 20 48 bok 48 49 FE49 65 FE65 78 nw 78 80 8% 80 92 Open Hole from ft. to ft. Sn Screen Make Type [omewr Siovoamze Diameter Slot/Gauze LLoennggithn SSeett Bseattweeeenn [Ew Static Water Level [50 um mists Dust 22 ft. from Land surface Date Measured FRTTRG TEV Tor trio PUMPING LEVEL (helnw land surface) & prone eo ft. after hrs. pumping g.p.m. We HeadComplion Well Head Completion 31957 06/15/1957 Pitless adapter manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn. D[1 1122 iinn.. aabboovvee rgroaddee Grouting ntarmation Wel Grotet? 01 Yer 01 No 0D AA-gradte-g(rEandev(iErnovnirmonemntenatlal WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological SvSurvey Unis Number Unique Number VVeevriifficeatiioonn NN/AA Vina System _Meters UTM Nad UTM-Nad83, Zonel Zonel5, Method Digitized- scale 1:24,000 or ne Dring Tv) larger (Digitizing Table) i DDaattee N/ANn x: agra vs amish X: 469748 Y: 4981851 Laks Sie FFiirrsst BBeeddrroocckk PPllaatitcevviilllee Last Strat St.Peter Doth Bere 5 AAqquuiiffeerr MMuultltiippllee Depth to Bedrock 65 ft. NRT SARTO Nearest Known Source of Contamination Wellton compli" 0) Yes -fefeeett -_ddiirreeccttiioonn __ttyyppee. Well disinfected upon completion? D Yes 0 No D No PPuummpp ODJ NNoottinInststaalllleedd DDuatee IInnssttaalllleedd Manufacturer's name Model number - uot tp i 1 Cat gpe Nye bait Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material pT Abandoned Wells Does property have any not in use and not sealed well (ss)r? 0D Yvees DO NNoo VVaarriiaannccee WWaassaavvaarriiaanncceeggrraanntteedd ffrroommtthhee MMDDHHffoorr tthiiss wweelltl?? D[J Yfrees DO NNoo CoaCRT Renner 118 Sons 201s Well Contractor Certification Renner E.H. & Sons 27015 come snes Name Ore. Ho Nomeof De License Business Name Lie Or Reg. No. Name of Driller CA ORL 1008S. sy ogSet Sb 71 S543 file:///li;MPCA/!Working/A0081-100%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203978.htm (1 of 2)7/1/2008 7:33:03 AM sStTaArTeE__0022882222222200 222222.112263 Well Log Report - 00203 978 County Well Index Online Report 203978 Printed 6/27/2008 HE-01205-07 file:/i/li;MPCA/!W orking/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203978.htm (2 of 2)7/1/2008 7:33:03 AM 222222.112264 STATE_02822221 Well Log Report- 00203979 MixNEsoTA MINNESOTA 203979 Qi ~:u:~atym lMvfiinmneessoottaaUUnniiqquuee WWeellll NNoo. County II 203979 II ~-==================~- QuadiD T10o03p HHeemnnceppiinn Hopkins 104B Warne Well Name Tonaeip RaneDie Section Subectons Eston Township Range Dir Section Subsections Elevation 1H1S8 2211 Ww 3311 AADDCCAADDBB EElelevvaattiioonn MMeetthhoodd DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upiepwie ooo WELL AND BORING RECORD RecehedDac RECORD Minnste Sats Chapter Minnesota Statute.~ Chapter on1031 EEntnrt ryy DDaattee Update Date Received Date 008R/2244/11999911 09/11/1991 ws Dsenp Dep iCsoimnpied Baie aWxenlsCnoossme 895 ft. 75mints to7top.5poogmgrrianappuhhtieicc mmaapp Ore (+/- 5 feet) Well Depth Depth Completed 153 ft. 153 ft. | DDrriilllliinngg MMeetthhoodd -- Date Well Completed 08/15/1955 Wettyarrctrea? 0 ver 1 vr Drilling Fluid Fon 1 0 1 -- Well Hydrufractured? DYes DNo From Ft. to Ft. Wall Adress Well Address S81I20OMMRAREENNLLAA h GOLDEN Vi ALLEY MN Gelogica Matera Geological Ger GRAVEL ClayCLAY Gavel GRAVEL charCLAY SaoRock SANDROCK Material Color Marines Color Hardness Use Domestic CaineTe Joit Nontomsion Drive shoe? 0 ves Casing Type Joint No Information Drive Shoe? DYes D orem 0 8 No Above/Below 0 ft. "Casing Diameter Weigh Fol Diameter Casing Diameter Weight Hole Diameter Tie wn 3 in. to ft. lbs/ft A 0FFwrrooomm wTT10oo 4o0100 w4o50n0 ois 50 70 70 153 [omer SiotGaus OOppeenn HHoollee ffroomm ft. ttoo f1t. SSccrreeeenn MMaakkee TTyyppee Diameter Slot/Gauze Length SetBetwsen Length Set Between [mw Static Water Level 0 fomLamba_Doe Mesut 40 ft. from Land surface Date Measured FONPING LEVEL ei Bsr PUMPING LEVEL (below land surface) 00 ar ts pinging20 gpm 0 ft. after Ins. pumping 20 g.p.m. Wall Head Completion Well Head Completion hit sr mats Ml Pitless adapter manufacturer Model 151955 08/15/1955 vo nears NO REMARKS DDO Ccaassiinngg Pprrootteeccttiioonn D[J 1122min..aabboovveeggrraaddee. 3 Avge Ems Wels an Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Groatng rman. Wetted? 0 ver 0 vo Grouting Information Well Grouted? DYes D No Lacsted Mies Geoogcl Located Minnesota Geological os Survey Uniaue Numer VVUeernriiifqfiiucceaattNiioounnmNNbI/eAAr Nim System }deters UUTTMM:- NNaadd8i3,, F013. Zonel5, Method Digi scl E2406 Method Digitized- scale 1:24,000 or ies (ing 50) larger (Digitizing Table) esis DButeate N30/A Xx:: srs 469773 YYs: amiss 4981556 Nr TST TCT Neffeeaeerttest_KddiinrreoeccwttiinoonnSou_rtc_yteyppoee.f Contamination - - Wellgwsoniospiind? ves 01 No Well disinfected upon completion? D Yes D No ump 0 Notlntaed Drm Pump D Not Installed Date Installed Nirbtcstonme Moddmmber Pa Vos Manufacturer's name Model number - Linigm hpae t0_ Coot Type Mt Length ofdrop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material RoumdoneT Wall Docs oer ore sof Te oe HoT Abandoned Wells Does property have any not in use and not sealed well 0 0 ve On (s)? D Yes D No Variance Ws vate to fom he A or it? Variance Was a variance granted from the MDH for this well? D be O x Yes D No RCA NR 0300. Yl eB Raat209 3507 172083501 file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000203979.htm (1 of2)7/l/2008 7:33:01 AM 222222.112265 state 02822222 STATE_02822222 Well Log Report- 00203979 First Bedrock StPeter Aquifer our Wa nox oni Raps Last Strat St.Peter Depth to Bedrock 70 ft County Well Index Online Report Well Contractor Certification 22003399779 I License RLL~iness Name Lie. Or Reg. No. Name of Driller Printed 6/27/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa... en%20Valley/Well%20Log%20Report%20-%2000203979.htm (2 of2)7/l/2008 7:33:01 AM 22222..11266 STATE_02822223 Well Log Report- 00203980 Minnesota Unique Well No. 203980 | a ons ~~=2=o=39=s=o====::::!.JII ~:::ty ~ . Quad ID we Well Name iis Hennepin Hopkins 104B Township Range Dir Section Subsections Elevation 1H1S8 2211 wW 3311 AADDDDBBBBBB HElleevvaattiioonnMMetethhoodd wet agares Well Address tr 8125 LEWIS RD codmiiaLEv GOLDEN VALLEY MN GGeeoloologgiiccaall MMataetreiriaall Ce CLAY & GRAVEL eves eso PLATTEVILLE LIMESTONE hESHALE hen STPETER SeSHALE hen STPETER SrSHAKOPEE CCoolloorr HHaarrddnneessss NO REMARKS MINNESOTA DEPARTMENT OF HEALTH WELLAND BORING rics oliieiid WELL AND BORING con, Spier RECORD ine ee Cogs 1\finnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/24/1991 0911111991 eh Com AW Cond Well Depth Depth Completed Date Well Completed 905 ft. 248 ft. 248ft. 1112211960 7.5 minute ttooppooggrraapphhiic cmmaapp (+/- 5 feet) EI E | iD)r;:iiilihl;sg ~M~e~tthho~dd -- Drilling Fluid -- Well Ilyd.-ofractmed? From Ft. to Ft. DYes 0No eLssee 1 Casing Type Joint No Information Drive Shoe? DYes D No Above/Helow 0 ft. Casing lamers Tow Ga Casing Diameter Weight Hole Diameter Toe mma - 4 in. to 216 It lbs.lft. Open Hole from 216 ft. to 248 ft. FFrroomm EF [ome sotouss nam satmotven 0 & 3 62 io75 Ew 80 wom 189 Bs [me 204 FB Ey 248 TToo | Screen NO Ma" ke Tvypee 62 Diameter Slot/Gauze Length Set Between 75 80 189 204 248 Static Water Level 248 56 ft. from Land surface Date Measured 1112211960 PUMPING LEVEL (below land surface) 0 ft. after hrs. pumping 20 g.p.m. ---- Well Head Completion Ramses okt Pitless adapter manufacturer Model Dhcoig tie I ti sri D Casing ProteLOtion D 12 in. above grade D peer er ry D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes 0No Located Minnesota Geological jp Survey ToS on Xp Unique Number Verification N/ A Spm Tl gv, nits System UTM -Nadti3, L.one15, lvferers Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NIA X: 469850 Y: 4981626 First Bedrock Platteville Cots enh Dit rk Last Strat Prairie Du Chien Group Aquifer Multiple Depth to Bedrock 62 ft. `CountyWell Index Online Report County Well Index Online Report RR "'earest Known Source of Contamination wt sitepssi 0 vs _feet _direction _type Well disinfected upon completion? D Yes 0 xe D No ember tie Cos on gente sit ManufancamteAuErRMeOrTOsR Mok umber Pump 0 Not Installed Date In stalled Manufacturer's name AERMOTOR Model number - HIPP0O.7S5 VVaolltis Length of drop Pipe ft. Capacity g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? arm Worse mon er? D Yes D No Variance Was a variance granted from the MDH for this well? 0D NNoo Well Contractor Certification Stodola Don Well Co. 27172 203980 I License Business Name Lie. Or Reg. No. Name of Driller 203980 vo D Yes Printed 6/27/2008 HE-0 1205-07 RAH AAT SIE HARE file:///II/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foarn/R. ..olden%20Valley/Well%20Log%20Report%20-%2000203980.htm7/1/2008 7:33:03 AM 22222.1122667 stare_ozs22224 STATE_02822224 Well Log Report- 00213208 [2Mim1e e3e 20e8 uJonms II 213208 II ~:::ty Minnesota Unique Well No_ RB Jan, ~-==================~- QuadiD tteomcmgin Hennepin Hopkins l04B aT SS TTI Well Name J\1RS. JOHN MUELLANEY Townoin Rang iSeton Subsctns Elevation Township Range Dir Section Subsections Elevation mHS; 221 Ww 3322 BBBECCCCHBCC EElleevvaattiioonn MMeetthhoodd WeiAdaress Well Address ol iNET 1016 WINNETKAAV N COBNVALENN GOLDEN VALLEY MN sivEsoTs MINNESOTA DrpARTNTOPREATH - DEPARTMENT OF HEALTH ELLDSORING, UpEinenbdunee ocsniuwe WELL AND BORING RECORD po RECORD Minne Sots Choir Minnesota Statutes Chapter i1031 Entry Date Update Date Received Date 08/2411991 02/0l/2006 wn CpyD DepvCoempeted Ba aWealanCoosmspeted 908 ft 7minse t7too.5ppoomggrrinaappuhhtieicc mmaapp he (+/- 5 feet) Well Depth Depth Completed 79ft 79ft | JDJri~lulninn,g 1MVeletl hnooda -- Date Well Completed 07/2211955 Veta? 0 ve O vo Drilling Fluid Fon 1 0 Ty -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic CaCsaisinngg TTyyppee JJooiinntt NNooIInnffoorrmmaattiioonn DDrriivvee sShhooee?? D [JYveess DOJ omen 0 1. No Above/Below 0 ft "GosingOiameter Weg Tile Diameter Casing Diameter Weight Hole Diameter Ope or TET Open Hole from ft. to ft. Tho To Screen Make Type |GGeeoloologgiiccaall MMataetreiriaall axCLAY aoe HARDPAN GAL GRAVEL LIME eROcCkK CCoolloorr HHaarrddnneessss REVIRET REMARKS FN 3 IN. CASING 127104B5507221182132BBCCB NOCASNG RECORD AQUITER (NKOWN. NO CASING RECORD-AQUIFIER UNKO\VN FFrroomm TToo my 0 30 % @ 30 60 2 7 60 72 =72 779 [ DDiiaammeetteerr SSleoit/Gsuaunzee Lkeentgtoh SSeett BBoentwineeenn FSSatamtiec wWaaeterr LTeoveTl Sh om Landweice_Dute Mesursd 07720955 36 ft. from Land surface Date Measured FONPING TEVEL (a Eni ios PUMPING LEVEL (helnw land surface) 00 ter "hen pri 15 gp 0 ft. after hrs. pumping 15 g.p.m. 07/22/1955 Walled Compeion Well Head Completion Pie shes mamas Noll Pitless adapter manufacturer Model Olcacngpsain DD 12in so prc D Casing Protection D 12 in. above grade 0 Avge mires) Welland Doings ONLY) D At-grade (Environmental Wells and Borings ONLY) Grin norton WellGroaetr Ee 0 ver 01 vo-- Grouting Information Well Grouted? DYes D No LactedMion Goslogsl Located Minnesota Geological Survey ors ue Number Unique Number Vetesion Non Verification N/A JA, System UTM-Nad83, Zonel5, Lo = lvfeters Method Dito crs) op Method Digitization (Screen)- Map Gz (1 :24,000) Date amine Date 02/01/2006 X amie v: amis X: 470016 Y: 4981903 Fist Bock hile First Bedrock Platteville La Set Patri Last Strat Platteville Asie Aquifer [or Depth to Bedrock 72 ft. Neeaarreestt KKnnoowwn SSoouurrccee oofCf oCnotnatmaminiantatiioonn pr Ove Ow - feet - direction _type Welds oncomplosns 0 vee No Well disinfected upon completion? D Yes D No Pump] od vt mld Pump 0 Not Installed Date Installed Nines mane Nod mat 10. Vols Manufacturer's name Model number - LopaimpnPoet Caponspp Toe Mota Length of drop Pipe ft. Capacity 8 g.p.m HPQ_ Volts Type Material anions Wl Dos oper Tv To Te IST Abandoned Wells Does property have any not in use and not sealed well (ss)r? 0D Yvees DO NNoo Variance esas ged fn hoDorct? C1 Variance Was a variance granted from the MDH for this well? D be O x Yes D No Cor Crr Well Contractor Certification cone Bsns ame Lic Ox No Nene License Business Name Lie. Or Reg. No. Name of Driller ig L005 Con. St 71 387501 0 file:///li;MPCA/!Working/A0081-100%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000213208.htm (1 of 2)7/1/2008 7:33:01 AM 22222..11268 STSATATTEE0_208282222222255 Well Log Report- 00213208 County Well Index Online Report 213208 Printed 6/27/2008 HE-01205-07 file:/i/li;MPCA/!W orking/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000213208.htm (2 of 2)7/1/2008 7:33:01 AM 222222.112269 STATE_02822226 Well Log Report- 00223776 Minnesota Unique Well No. II 222233777766 , County QQuuaadd QuadiD Hennepin `HHooppkkiinnss 104B Well Name HOPE CHEST BUILDING Township Range Dir Section Subsections Elevation 118 21 w 31 ADDDDD ElPvation Method B ! ; SRiopmee) , `W6600e55lWlWAIINNdNdNErETeKTsAsKAAAVV GOLDEN VALLEY MN W2y GGeoeloologgiiccaall MMataetreriiaall CLAY CLAY DRY STONES WAWTATEERRSSADND Birom CCoolloorr BROWN BLUE BLUE wGRxAY HHaarrddnnesess.s MINNESOTA DEPARTMENT OF WoCy. HEALTH `WWEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 re, Entry Date UUppddaattee DDaatet.e Received Date 08/2411991 W09/N11i1991 909 ft. 7.5 minute t((o+p/$-og5erfaep)eht)ic map Well Depth 88ft. Drilling Method -- Depth Completed 88ft. Date Well Completed 12/2711956 0000 Drilling Fluid -- IWWeellll HHyyddrrouffiraaccttuurreeda?? JDYveess 0D NNoo From Ft. to Ft. Use Commercial ee ER Casing Type Joint No Information Drive Shoe? DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 4 in. to ft. lbs.lft. PILE Open Hole tram tl to n. Screen YES Make JOHNSON re Type other o yw ke FFrroomm 0 10 TToo | DDiiaammeetteerr 10 4 45 SlSolotti/GGaauuzzee 18 sLLeennggtthh 5 oh wn SSeettBBeettwweeeenn 0 ft. and ft. 45 56 =56 888 [SSitaatcic WWaateterr LTevveerl 36 n. from Land surface Date Measured 12/27/1956 PUMPING LEVEL (below land surface) 39 n after hrs. pumping 23 g. p.m. vo Resins NO REJ'v!ARKS Well Head Completion Pitless adapter manufacturer Model DDl CCaassiinnggPProrotteeccttiioonn TD 1122iinn.. aabboovvee ggrraaddee. Groatng wormatin. We Grou? 0 Yes LI No DOJ AAtt-ggsraaddee ((EEnmviriroonnmmenentatall WWelellslsaanndd BBoorirnigsnOgNsLYONLY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey a Fa Unique Number Verification Address verification Sytem UTM NaS ZnS, mma; miss System UT1'vf- Nad83, Zonel5, ]\/[eters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NIA X: 469983 Y: 4981434 First Bedrock AquifPr Quat. Buried Artes. Aquifer County Wal ndex Sine Report Last Strat Sand-gray Depth tu Bedrnck ft. County Well Index Online Report A ---- NParPst Known SourcP of Contamination wet sitetpemconpcion? 0 ves 0 wo - feet _direction _type Well disinfected upon completion? D Yes D No PpUuImIlpp [DJ NNoottlInnssttaallleedd DDaattee IInnssttaalllleedd Manufacturer's name LLengethoon ffddorg oppPPt iippeehffit. CCMaappoaadccieitltyynugmgb.ppe.rmm- HPQ_ TTyyppee Volts MMataetreiraiall Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Drs V`VaarriiaannccPe WWasasa avvaasriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHfoforrtthhiisswwelelll?? [DJ YVeess 0D NNoo WPll Contractor CPrtification Renner E.H. & Sons 27015 23776 I License Business Name Lie. Or Reg. No. Name of Driller 223776 Printed 6/27/2008 HE-01205-07 file:///Iji1v!PCAI!Working!A0081-I00%20-%20PFC%20Foam/R... olden%20Valley/Well%20Log%20Report%20-%2000223776.htm7/1!2008 7:33:01 AM 222222.112270 STATE_02822227 Well Log Report - 00224074 [t2on4ve0ge v1ee4 oJoms II 224074 II ~:::ty Minnesota Unique Well No_ 2A Js ~-==================~- QuadiD iotote Hennepin Hopkins l04B eamreineasDirSeconSac Bsn Well Name Township Range Dir Section Subsections Elevation mHS; 221 Ww 3322 CCHBDOSBDDAA EElleevvaattiioonnMMetethhoodd $01 s MDFPiLKnRTte sMEsiEvCE eNefOoiTsr reRrOonPDslMpEoiAT po URppeT aoeyvodueotnsues poGsoveas 890 ft MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/2411991 05/06/2005 Well Depth Depth Completed Date Well Completed 91 ft 91 ft 04/2811959 or tt7oo.p5poogmgrrianappuhhtieicc mmaapp | JDJri~lulninn,g 1MVeletl hnooda -- (+/- 5 feet) wpt arggree , Well Address 420 RHODE ISLAND RD HHOOPPKINSS MMpN cocgctseis Geological Material priv SANDY CLAY SeSAND heSAND Wiasno WATER SAND eo LIMESTONE SrSHALE prSANDSTONE coor adress Color Som BROWN om BROWN aGRAY awGRAY aGRAY Gren GREEN neWHITE Hardness TET REMARKS RE LILEMTaNT \VELL SEALED 11-21-1990 BY 27172 Orta 50 Doe ORIGINAL USE DO -DOMESTIC TTT Hanh Drilling Fluid -- WWeellll HHyyddrrooffrraaccttuurreedd?? ODJYveess ODJ NNoo. From Ft. to Ft. Use Abandoned Status Sealed CaCsaisinngg TTyyppee JJooiinntt NNooIInnffoorrmmaattiioonnDrDirivvee sShhooee?? D [JYveess D0 rant No Above/Below 0 ft Cong Dames Wooo Dr Casing Diameter Weight Hole Diameter pire on 3 in. to 63 ft lbs./ft. Fim To From To 0 3 0 9 So9 31 PI31 40 a a 40 63 FI63 77 7 ow 77 80 08 80 91 OOppeenn HHoolekef_rofmo60m33 fIt. toto 0911 f1t0. Sar Screen NO Make Type [omen stoma Diameter Slot/Gauze Longin Length sete Set Between [mw Static Water Level [otic eat 20 ft. from Land surface Date Measured a PUMPING LEVEL (helnw land surface) Beet pag 15 ty 23 ft. after brs. pumping 15 g.p.m. Wt ump Well Head Completion oui 04/28/1959 Pitless adapter manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn. D[1 1122 iinn.. aabboovveeggrraaddee: Grouting ntarmation. Wel Groot?os 01 Yer s0r1 evo 0D AA-gradte-g(rEandev(iErnovnirmonemntenatlal WWellesllas nandd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Lcd Memon Gogol Located Minnesota Geological fwoa"Survey ie Namie Unique Number Voto On iin Verification Other, note in feSym remarks System UUTTMM-NNaadb833, ZZoonneellS5,, er_i\1eters Method Dione 21000 Method Digitized- scale 1:24,000 or ng larger (Digitizing Table) oteDate N/A pcs vy: soiss X: 470279 Y: 4981135 pnp FFiirrsst BBeeddrroocckk Patlaitctevviilllee Last Strat St.Peter DisBir 1 AAqquuiiffeerr MMuultltiippllee Depth to Bedrock 63 ft. ET SCR Nearest Known Source of Contamination [SnEE nin - feet - direction _type vet atti 0 vee 0 so Well disinfected upon completion? D Yes D No Pump 01 Notrtallod Dut stalled Pump D Not Installed Date Installed ecu cnm Nobdmeaet 190 Vols Manufacturer's name Model number - heerlen Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material LE Abandoned Wells Does property have any not in use and not sealed well (os)r? 0D Yvees DO NNoo `VVaarriiaannccee WWaassaavvaaririaanncceeggrraanntteedd ffrroomm tthhee MMDDHHfoforrtthhiiss wweelltl?? D0 Yfrees DO NNoo SC emer ILWell ois Well Contractor Certification Renner E.H. Well 71015 Lo i me_1:Cr o onatrte License Business Name Lie Or Reg. No. Name of Driller RCA R130. SoS ST THI file:/i/li;MPCA/!Working/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000224074.htm (I of 2)7/1/2008 7:34:16 AM sare ozsazzzs STATE_02822228 2222.11227711 Well Log Report - 00224074 County Well Index Online Report 224074 Printed 6/27/2008 HE-01205-07 file:/i/li;MPCA/!W orking/A0081-I00%20-%20PFC%20Foa...en%20Valley/Well%20Log%20Report%20-%2000224074.htm (2 of 2)7/1/2008 7:34:16 AM 222222.112272 STATE_02822229 Well Log Report- 00241384 224411338844 oEt" iemi Minnesota llnique Well Nn. County Quad Quad ID Hennepin Hopkins 104B RT a Welll'\ame VALLEY PLAZA Township Range Dir Section Subsections Elevation a 118 21 w 32 CBBDBD Elevation Method MINNESOTA DEPARTMENT OF HEALTH "WELLR,ANDRBORIRNG RECORD fErEosted WELL AND BORING RECORD ftfinne.WJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/18/1995 10/1111995 -- ER -- 890 ft. Bsn [pant 7.5 minute topographic map(+/- 5 feet) Well Depth 257ft. Drilling Method -- Depth Completed 257ft. Date Well Completed Drilling Fluid [Fm TIB p B] -EE -- Use Commercial Well Hydrofractured? DYes D "lo From Ft. to H. Casing Type Skel (black or low carbon) Joint No Information Drive Shoe? D Y~s 0D0N soa AAbboovvee/BBeedlooww 00 f8t. Casing Diameter Weight Hole Diameter 6 in. to 213ft lbs/ft Well Address 7700 OLSON MEMORIAL HY GOLDEN VALLEY MN ramos GGeoeloolgoigci caall MMataeteririaall GLACIAL DRIFT ST. PETER SANDSTONE PRAIRIE DU CHIEN GROUP Tm RJ:.'MARKS GAMJ\1A LOGGED 4-17-1995. CCoolloorr HHaarrddnneessss. Open Hole from 213 ft. to 257 ft. Screen NU Make Type FRFfroomm 0 93 242 TToo D[Diaammeaterr 93 242 257 SSlloatu/Ggaiuizeh koLennggth Static Water Level Er 62 ft. from Land surface Date Measured PUMPII\G LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model 04/17/1995 $S4et BBedtwbeeesn D Casing Protection D 12 in. above grade resting oormnton Wrens 0 Yer I D00AAtt-ggrraaddee (EEnnvivronimrenotalWmWaleekllsns aatnnddaBBolovriinnggss O0'N-JLLYY)) Grouting Information Well Grouted? DYes 0No Located Minnesota Geological Survey Unique Number Verification Information from owner System UTM- Nad83, Zonel5, Meters Method Digitization (Screen)- Map (1:24,000) Date 08/30/2004 X: 470164 Y: 4981263 nnn Borehole Geophysics Yes [cSoemremr Aapmacmsa First Bedrock StPeter Last Strat Prairie Du Chien Group County Well Index Online Report Se 21. Aquifer 'v!ultiple Depth to Bedrock 93 ft. EENearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes ---- D No Variancl' Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Minnesota Geological Survey MGS rw2c 41i384a a| e I LG e iol ] License Business Name Lie. Or Reg. No. "lame of Driller Printed 6/27/2008 HE-01205-07 file:/IIII/11PCA/!V.jorking/A0081-l 00%20-%20PFC%20Foam/R... olden%20Valley;Well%20Log%20Report%20-%2000241384.htm7/1 /2008 7 34 15 AM 222222.112273 STATE_02822230 Well Log Report- 00243402 es toe Minnesota= Uniqu= e Well No. 243402 II 243402 II ~-==================~- QCQ~o:uuu:an:dattyyd QuadiD oiHHeennnnepeipni.n HHooppkkinins.s 104B ET Well Name VIETH, ANNE Tomb Range DirSection Subctons Bkaton Township Range Dir Section Subsections Elevation mUS; 2211 wWR32 CCHBDDCCCCHB EElelevvataitioonnMMetethhoodd Wei Address Well Address 8 ook Kum A 409 RHODE ISLAND AV N SoD GOLDEN VALLEY MN ceotogict teria Geological Material GAC RET GLACIAL DRIFT 7 peteRsmosrote ST. PETER SANDSTONE Color artness Color Hardness LEELA REMARKS GAMMA LOGGED 2-12-91. on MMIaNnNsEoSnORSTEWAteCpDellOEosDPyReCApDhtRhoTpMsE1N0DT1eptheCnomRpeccodved DDuoee Wal Copied 890 ft. MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH =~ `WWEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 EEnnttrryy DDaattee UUppddaattee DDaattee. Received Date 0088/22441/1999911 11001111115199955 Well Depth Depth Completed Date Well Completed 245 ft. 245ft. i 7.5 minute totpoopgorgarappuhiiccmmapap, | DDrriillningg MMeetthhoodd -- (+/- 5 feet) EE Drilling Fluid -- Wweetlll tHyyddrrooffrraacctuarread?? 0DYveess 0D NNoo From J:it. to J:it. Use Domestic CaCsaisinngg TTyyppee JJooiinntt NNooInIfnofornmnaattiioonn DDrriivveesShhooee?? D[JYveess DOJ Nilo 1 No Above/Below 0 ft. GoingDiameter Weg Tie Brmeter Casing Diameter Weight Hole Diameter Tow mn wn 3 in. to 123 It lbs./ft From To From To ow 0 86 686 245 Open Hole from 123 ft. to 245 ft. I Screen NO Make Type Dimer SotGaie Length Diameter Slot/Gauze Length SatBetusen Set Between Swe I Static Water Level ft. from Date Measured FONPING LEVEL (on Tod rey PUMPING LEVEL (below land surface) seb pin gp ft. after hrs. pumping g.p.m. WolHesd Compleion Well Head Completion Paessp mec Md Pitless adapter manufacturer Dla torsion 0 12 shore rae D Casing Protection D Model 12 in. above grade rvs mormon Water ve Ore 0D) AAtt--gprraaddee ((EEnnvviirroonnmmeennttaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No LacMints Golgi Located Minnesota Geological somes Survey UniqueNumber Unique Number VVeerrtiifiecoattiioonn NFA/A. Sym UTH- Nh Zonet. System UTM- Nad83. Zone15. Afeters tha Dighton (Sc) Mop Method Digitization (Screen)- Map Sronn (1:24,000) we ovz020 DDateate 0o8R/30/2004 x. pugs somos X: 470237 Y: 4981057 Bohol Geophys Yes Borehole Geophysics Yes Fi Bedok Sto First Bedrock StPeter La Str Pt Last Strat St.Peter NEE Aquifer St.Peter De1p0Betdohk 56 Depth to Bedrock 86 ft. Nara ears of Coo Nfeefeeaelrtes_tdiKdrinerocectwtiinoonnSou__rttcyyeppoeef Contamination - - Watds pncos mpton" 01 ves 0 no Well disinfected upon completion? D Yes D No umn 0 Not sale Dotted Pump D Not Installed Date Installed Ntsmane Meddnamber 00. Vos Manufacturer's name Model number - pinot pet Casy 35:7 pe Veal Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material radon Wall DTo one Bey 5 a ek TT Abandoned Wells Docs property have any not in usc and not scaled well (ss)p? D0 YYees DO NNoo VVaarriiaannccee WWaass aa vvaarriiaannccee ggrraanntteeddffrroommtthhee MMDDHHffoorrtthhiiss wweellll?? D[1 YYeess [=D No eRCor Cer Well Cnntractnr Certificatinn conuses mei. OrReg No Name rt License Business Name Lie. Or Reg. No. Name or Driller file:l!/li;MPCAI!Working/AOOSI-I00%20-%20PFC%20Foa... en%20Valley/Well%20Log%20Report%20-%2000243402.htm (I of 2)7/112008 7:33:53 AM 222222.112274 sStTaAtTeE0_208282222223311 Well Log Report- 00243402 County Well Index Online Report 243402 Printed 6/27/2008 HE-01205-07 file:l!/li;MPCAI!Working/AOOSI-100%20-%20PFC%20Foa... en%20Valley/Well%20Log%20Report%20-%2000243402.htm (2 of 2)7/112008 7:33:53 AM 222222.112275 STATE_02822232 Well Log Report- W0020065 mst lvfinnesota UUnnii=quee elWell No. Coumy II 2277WW00002200006655 ||II wQ~:u:a~atym . QuadiD teen Hennepin tions Hopkins 1035104B Warne Well Name Tonsaip RangeDie Scion Subcctions Erato Township Range Dir Section Subsections Elevation HS118 221 Ww 31 31 DAAABD ElastinMebod DAAABB Elevation Method MixNEsoTA MINNESOTA prea or DEPARTMENT OF HEALTH Eye oun HEALTH WELLANDBORING piuedsic 01072005 WELL AND BORING RECORD RecehedDac RECORD Minnste Sts Chapter Minnesota Statute.~ Chapter oi1031 Entry Date Update Date Received Date 04/22/2003 01/07/2005 0s Dew p DehCompiaed Dare WeCompe 908 ft. Caton DM | ing wih Calc from DEM (050575 mace (USGS 7.5 min or sn) equiv.) Well Depth ft. Drilling Method Depth Completed ft. Date Well Completed Walt tantctrea? 0 ver O No Drilling Fluid oe Fron Bt to1 Use Well Hydrufractured? D Yes D No From Ft. to Ft. CongType doin _eiveShoez_0) ver 0 No Abmoleion_tt Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter Oper TT Open Hole from n. to n. Seer Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGeeoollooggiiccaall aMtaoteiraiall CCoolloorr HHaarrddnneessss vo nraanns NO REMARKS From To From To Er Static Water Level I Dc Mr n. from Date Measured FUNPING LEVEL (bon Find aricey PUMPING LEVEL (below land surface) ae bspnp gp: n. at1er hrs. pumping g.p.m. Wel Hes Compton Well Head Completion Piles spermato Medel Pitless adapter manufacturer Model 0 Casing prosstion. 1 121m above rte D Casing Protection D 12 in. above grade 0 gre momma Wealn Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Grating wormaton Wet Grouetr 0 ver 0 No Grouting Information Well Grouted? DYes D No sd sie Located Minnesota Department of Health nia Number Unique Number Veration NA Verification N/A System UTA-Nadb3 20015. System UTM- Nad83. Zonel5, A1eters Method GSDif Cored Method GPS Differentially Corrected teDate N/A bxe, siihp: miso X: 469922 Y: 4981391 Fit Bock First Bedrock Lanett Last Strat aque Aquifer De0pBetdmhck_t Depth to Bedrock ft. Nar Know Sore Co Nearest Known Source of Contamination Ta raion pe - feet _direction _type Wetstenceompden 0 ve 0 no Well disinfected upon completion? D Yes D No Pump 0 Noted Dele Pump D Not Installed Date Installed Manufacturer's name Model number - Lowhofdnp Pipe_0_Copucin gp _Tye Maal Length of drop Pipe _ft. Capacity _g.p.rn HP - Volts Type Material RandoneT Wels oes opens Ta FUT oT TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ov Ow D Yes D No Varknce Wes vain rndfro te MDH foci el? 0 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No eT Contract Coron Well Contractor Certification cee sis Name Or Reg No. Noro Dill License Business Name T,ic Or Reg. No. Name oC Driller Fl ARCA DSC. lh 0Reer205N04 1 T120873400 file:/i/II/MPCN!Working/i\0081-1 00%20-%20PFC%20Fo...n%20Valley/Well%20Log%20Report%20-%20W0020065.htm (1 of 2)7/1/2008 7:34: 14 AM 22222222.11227766 SSTTAATTEE0_208282222223333 Well Log Report- W0020065 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 2277WW00002200006655 Printed 6/27/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-1 00%20-%20PFC%20Fo...n%20Valley/Well%20Log%20Report%20-%20W0020065.htm (2 of 2)7/1/2008 7:34: 14 AM 222222.112277 sStTaArTeE_0022882222223344 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: HHaammbbuurrgg H1H8aa1mmbBbururorggadFFwiirraeeyDDAeevppeaanrruttemmeenntt Hamburg, MN 181 Broadway Hamburg, MN 55339 Avenue 55339 9BB5rra2ad.d4DD6r7roo.ce3gg2ee3,,2FFriroe CChhiieeff 9bba5dr2roo-4ee6gg7ee-5s3002003@@2aaooll..ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 118811 BBrrooaaddwwaayy AAvve.e,., HHaammbbuurrgg AARRF-FFFFFPP:: AAnngguuss AAnnnnuuaallllyy LLeessss tthhaann 55 ggaalllloonnss. GGrroouunndd AARRF-FFFEFPP.:55gaglallloonnss BBaasssseetttt CCrreeeekk lleesss tthhaann 11//44 mmiillee t(o0 tthhee nnoorrtthh--nnoorrtthhwweesstt U1/a4 ttoo 117/22 mmiilel ssoouutthhwweesstt TTrraaiinniinngg ssiittee iis llooccaatteedd iinn oofr nneeaarr aa ccoovveerreedd Kkaarrsstt aarreeaa LLeessss tthhaann 11//83 mmiilee nnoortthh aanndd ssoouutthh TTrraaiinniinngg ssiitee llooccaatteedd nin WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 313 22222222.11227788 SSTTAATTEE__0022882222223355 HHAAMMBBUURRGG CWI CWI Well Well Map Map Re EE doSl hen a FS SE Ale o VO ENE Wag Ge Berd o PEN S ESECR CfaCs l pY e A SeSe fe ) SUUN Sah Lo GS Che ~ ERNE HE VOB ES d p e oeCraohssTT IT SiSdee us/a Ay realeosl FT TN EET RS AE ATT an [TY AN i foo CES ete re =, Soy ETN esas h=e am{edlt hq fia |: cil ER STEER ae ! "hen FS ke otal ENJie CBtIeE eMLsYdes L WZIag TA 7P ] l LEa e Seyfn O J T NgeeF aeLe a BP L y g JSo]lerEOT eJifngen\ e= l . 7 ed Cr] ooE bof ) EN oF i , LAT i LAT wl ob Merzmebuvensattarne,s Gore Toy Gee" 48m 222222.112279 sStTaArTeE0_20288222222336 [HamHbamubrurgg WWhhaatt''ss IInn MMyyNNeeiigghhbboorrhhoooodd MMaapp i| / || ; | | !. | i i i|| 7 .J | A |Ii"~""""""'"""""""""""""""""""'"""""""""""""""""""" """""I' SITES ""s rd """""""""""" """""""""" I'I'E-4 0 ~ "" NR nl den | | | 1| | is | || / i | | Zk IA z fn | || PDrttesaasmosaSwaaspotreuna Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion [msm er| gormmasungs of the information should be considered to be, or used as, a legal document The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against [ ||| ELT enwFscwSetooanprraonnrttuupnrusn MPCAthat may arise from the use ofthis data, SSiitteess. Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP m:attt Su~rftl nil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl | @#innesota Pollution Control Agency 1|| L &taM 0~ LaMIUb ee, ai V9ltnar~ llritm~~l'i I; Cta'IIWrt . -- i ~RA um ra~111:1~ ReRAmsetton Chap F:CRA l'rrffii~PDI; ~ta'IIWJI' "A"SStliaMf~srseMsIoImIen:t 22222..11280 sStTaAreTE__0022882222223377 2222.11228811 . i 1 Bi : ii, PE i ii ols i|i i PEEi i J-- f i ni g 2 HE 3z B AE F 214 LL Hamburg Wetland Map 93-59-0W z 0 ..'..f.... ,..;... "R. il 2 BisUE % er 3EB) 5 wy Pe 93-59-0W 93-58-30 w 93-58-0W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N N w 00 5 z i4 93-57-30 w f g -93--57,-0 w sion esnzon sion win won z om i A -!" A A J,.. 0 z II Legend ;;' Interstate Major Roads A Other Road A J,.. ;;' Interstate ,A(, ,..v State highway 0 ~US highway z Roads til sil i Cities IIr USGS Quad Index 24K Lower 48 Wetland Polygons A -!" Estuarine and Marine Deepwater A A 6 Estuarine and Marine Wetland z Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor A Riverine A J,.. Lower 48 Available Wetland Data w J,.. Non-Digital z 0 Digital No Data Scan NHD Streams Counties 1OOK o A A J,.. States 100K w ,(, South America 0 z o North America i i1i Ld $ 93-57-30 w Ei 93-57-0 w Map center: 44 44' 1" N, 93 58' 12" W Scale: 1:24,546 WF nm friH filessIR1E .e85 a iKHv 3, gr z 3 Well Log Report- 00223321 CEE A1innesnta Unique Well No. 223321 County Quad Quad ID Carver 91 Well Name MPLS. & ST LOlJTS RR Townlrlp Range Dir Section Subsections Elevation 115 26 w 28 CCDBAB Elevation Method a Well Address ey MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 mom, Entry Date Update Date Received Date 05/26/1988 10/06!1993 1005 ft. 7.5 minute topographic map(+!- 5 feet) Well Depth Depth Completed Date Well Completed 244ft. 244ft. 00/00!1944 pre pI eeSoo) Drilling Method Cable Tool Drilling Fhrld -- Well Ilydrofractured? DYes D :\lo From Ft. to Ft. Use Commercial Rr CCuamsiinngg TTyyppee. SSlield ((bllaacckooxr blooww ccaarrbboonn)) JJookinnttNNoolIfnofmomma1iaolino.n DDrriivveeSShhouee?? 0D1 Yeoss 0D NNoo AAbbovoe/Bretloiw o001nf.t. Casing Diameter Weight Hole Diameter irea] HAMBURG Ml~ 55339 Geological Material YELLOW CLAY BLUE CLAY HARDPAN SOFT YELLOW CLAY WE HARDPAN SANDSTONE \IVA TER BEARING WHITE SANDSTO~IE Color tarts Color Hardness prs NO REMARKS prom From 0 7 75 119 a125 203 209 |To N[TNS Open Hole from ft. to ft. Screen To Make Type 7 Diameter 75 Slot/Gauze Length -- Set Between 119 125 p Seeo] 203 209 Static Water Level 244 90 ft. from Land surface Date Measured 1944 PI:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.nL Pilepremier Well Head Completion Pitless adapter manufactnrer oseModel ------ Ee DDcuCsaisinngg Ptrrooteeccttiioonn D01122min..aabboovveeggrraaddee 0D0 AAtto-gprhade m(EnvvironimeontalWnWelelmllss naenddbBrnoirnintggss OaONNLLlYY)) Grouting Information Well Grouted'! DYes D No rornmMomo Located Minnesota Geological Survey Unique Number Verification hlformation from owner System UTM- Nad83, Zone IS, Meters StdDido 40g Method Digitized - scale 1:24,000 or larger (Digitizing Table) Date NIA erNearest Known Source of Contamination _feet _direction _type X: 423459 Y: 4953777 Well disinfected upon completion? D Yes D No Pump D Not h1stalled Date Installed a Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D LEYes D No an" First Bedrock Jordan Last Strat Jordan Be Aquifer Depth to Bedrock 203 ft. County Well Index Online Report Variance Was a variance granted trom the MUH for this well? D Yes D No Well Contractor Certification Minnesota DeJ:>t. ofNatural Resources MNDNR License Business Narne Lie. Or Reg. No. :\lame of Driller 223321 I Printed 6/27/2008 HE-01205-07 file:il!li!MPCA/IWorkinglA0081-l 00%20-%20PFC%20F oam/R ..manesffiam burg/Well%20Log%20Report%20-%200022332l.htm 71112008 8:53 01 AM 22222.1122882 STATE_02822239 Well Log Report- 00549785 MMiinnneesrotsa UUnndiquuee WBeIll NNo. II 554499778855 GCoouunnetyy QQuuiadd QuadiD CCaarrvveerr HHaammbbaurrgg 91R " MINNESOTA DEPART-"IENT OF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD ]llfinnesota Statutes Chapter 1031 EnEUtpndrtrayyteDDaDatateete Update Date Received Date 000666/1005772/1109909976 06/15/2007 Welll'\ame SCHNEIDER, DAVID US 2 W 3 ACD. Fenhod | FOOTCONTY Town~hip Range Dir Section Subsections Elevation 115 26 w 33 ACBDAA Elevation Method 1000 ft. CALCFROM2FOOT COUNTY DEM Well Depth |, DB thd 215ft. Drilling Method No Depth Completed ;+, ry215ft. Rotary DDrriilllliinngg FFlluuiidd Qwikgel IWelt Hydrofractured? Well Hydrofractured? From FL to FL Date Well Completed 08/15/1994 [DJYveess O0nNoo. Lse Domestic _ W1155e22l77l55AMMdAAdRRrTeTHHsAAs SSTT MN qoGeological Material Soe! CLAY CLAY CLAY WI SAND SAND & GRAVEL gu tee Color Som sor BROWN GRAY GRAY RE VARIED Hardness SOFT MEDIUM MEDIUM SOFT Casing Type Plastic Below ft. Casing Diameter 4 in, to 205 ft Joint Welded Drive Shoe? DYes 0 No Weight lbsJft Hole Diameter 8 in, to 215 ft Above/ gm Af or From oe |W We ws 0 {OrOrpteniHdoilee Ffroom ft =to E fc o-- Screen YES Make PVC Type slotted pipe To Diameter 31 4 Slot/Gauze 15 Length 10 Set Between 205 ft and 215 ft 1 mm 31 90 90 194 194 215 Static Water Level 96 ft from Land surface Date Measured 0811511994 PUMPIJ'\G LEVEL (below land surface) 215 ft, after 4 hrs, pumping 45 g,p,m, ro nears NO REMARKS Located Carver Land & Water Method Digitization (Screen)- Map Services (1:24,000) Unique Number VerficadonAds srnion P24 3092007 Verification Address verification Sym UTM Not Zl, ai vs mss System UTM- Nad83, Zonel5. Meters Date 03/06/2007 X; 424167 Y; 4953104 First Bedrock Aquifer Quat Buried Artes, Aquifer Coty il ngox Grins por Last Strat Sand & larger Depth to Bedrock ft. County Well Index Online Report Well Head Completion Grrowing fon rmation Well Grote? pYeriNo Pitless adapter manufacturer WHITEWATER Model DDlcCaassaingg Pprroovteecctiioonn D0 11221il.L aabboovvee ggrradee DDO) AAtv-gernadee (EEonvviirromnmmeennttall WWellse aannddBBel roirinnggssONLYONLY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement from Oto30ft Grout Material: Bentonite from 30 to 215 ft 4 bags .'lcarest Known Source of Contamination 10tet dren Hamadhe 7S)_feet E:_direction Ramvard type wet pints comin B vo Well disinfected upon completion? 0 Yes 0 vo D No PPuummpp 0D] NNoott Ilnasstlallloedd DDaattee Iansstallleod 08/1051/511999944 Manufacturer's name RED JACKET Model number lOOCNSl- CN514 HPL Volts 230 Length of drop Pipe ~ft Capacity lQ_g,p,m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees B0 nNo Variance Was a variance granted from the MDH for this well? No Well Contractor Certification Bcrgcrson-Caswcll 27058 SCHULTZ,C, S785 Ijcense Business Name 549785 [jc, Or Reg, No, Name of Driller I D Yes D Printed 612712008 HE-0 1205-07 flle:///IIIMPCA/!Working/A0081-100%20-%20PFC%20Foam/R"maries/Hamburg!Well%20Log%20Report%20-%2000549785,htm7/l/2008 8:53:01 AM 222222.112283 STATE_02822240 Well Log Report - 00590680 M i n n e s 590680 ota Unique W 590680 e l l N o . ouumi n County Quad Quad ID AT TOTS BT Well Name JOHNSON, DENNIS itnitan Carver Hamburg 91B Township Range Dir Section Subsections Elevation HS115 226 wW 329 DUADAC Wem Nethod DBADAC Elevation Method eS arre eds Well Address 14575 5&25 HY HAMBURG MN 55339 eciogia Haters Geological Material aCLAY anCLAY SanSAND Color Harness Color Som Meow BROWN Gu wow GRAY Gv wow GRAY Hardness MEDIUM MEDIUM MEDIUM MINNESOTA DJ<:PARTMK\T OF HF:ALTH WELL AND BORING [reeves WELL AND BORING RECORD. Need pte RECORD ingotsSuse Chr 1031 Minnesota Statutes Chapter lfJ31 Entry Date Update Date Received Date 02/0412002 0611512007 Welles Dept Compt Die Wel Compt Well Depth Depth Completed Date Well Completed FpOiOtTCOUNTY | DANTE tho Ney 1003 ft. CALC FROM2FOOT COUNTY OEM 130ft. 130ft. , Drilling Method Non-speLOified Rotary 10!10/1997 Drilling Fluid Bentonite IWell Hydrofractmed? DYes D No From Ft. to Ft. rom TofS|ooCDoC2Taaoo3rmnuaennstomngeTTreDopinmem RmaPe.iErr eS%otOJGe aoutOssa RrTimwLeaeThnnigtnh TSSDFeeEowvTTteeeBaseoThDotnnarwtmeasw0wnrneYe From 00 nm 18 mw ST 120 Lse Domestic Casing Type Plastic Joint No Information Drive Shoe? No Above/Below ft. DYes 0 Casing Diameter Weight Hole Diameter 4 in. to 130 ft. lbs./ft. 7.8 in. to 30 ft. 6.75 in. to 130 ft. Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel Diameter To 2.5 18 Slot/Gauze 12 120 130 Static Water Level Length 8 Set Between 122 ft. and 130 ft. 40 ft. from Land surface Date Measured 10/10/1997 PUMPING LEVEL (bl'low land surface) 50 ft. after I hrs. pumping 20 g.p.m. So rrainrs NO REMARKS Loc Caer Land Water Locatl'd Carver Land & \ater Services digs Yume Uniqul' Numbl'r eestoriv Vel"ification Address verification Sem UTM NalSh Zone Systl'm UT1vf- Nad83, Zone15, ]vfeters Moth Ml'thod Dian Digitization Sen) (Screen)- opMap (1:24,000) DDaattie' 0033/00552/2000077 cris 3: sos X: 422745 Y: 4954294 Bs Bek aie ut. ui Arn. Ain First Bl'drock Lisi Sdn Depts rah 1 Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. CountyWell Index Online Report County Well Index Online Report Well Head Completion Pisre ant WHITEWATER. ok! Pitless adapter manufacturer WHITEWATER Model Dlcaingrmesion 12 doves D Casing Protection D 12 in. above grade Grouting norman. WollGroses 2 vor Ino D0 AAssatd-g(raEden(EvnivirronomnenmtaelWWenleltlslsaaannldd BBoosriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes 0No Gratin igs rts Grout Material: High solids bentonite nie RE from 0 to 30 ft. 2 2 bags .e\"aeraeresstt KKnnoowwnn SSoouurrcceeooff CCoonnttaammminaattiioonn See spin 517 ~feet South East direction SeQtic tank/drain field type Wot dsniupoonscotmpeeiodn? B ves 0 no Well disinfected upon completion? 0 Yes D No Yomp Noted Due alc 101077 Pump D Not Installed Date Installed 10/10!1997 LML eanngutfhae ocoftfuddrreroorg 'ppsPnPiaippmeeh el8iMl0l__E0fYt..ERCCSaappaacciittyyMn1_o2_d_gelg.pnp.ummmber - HP 0.75 Volts 2o3o0 TY Smet Mt nas Type Submersible Material Plastic Toantond Wel os pes Wr SPT Abandoned \Veils Does property have any not in use and not sealed well(s)0 Ove @ ow D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification MabenGe ms Ua Mathews Well Co. 43238 URAN.J icBoot nNeai Or Reg No NoofmDres License Business Name Lie. Or Reg. No. Name of Driller 559900668800 I Printed 6/27/2008 HE-0 1205-07 Cig A030 FEC. se Wl Chg 0 S38 file:/1/IIIlv!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R...maries/Hamburg/Well%20Log%20Report%20-%2000590680.htm7/1/2008 8:53:03 AM 2222222.11228844 SStTaAtTeE0_208282222220411 Well Log Report- 00590889 s Ce Mip nneseota UCniqlue WBelTl NRo. II 559900888899 Gud CCoouunnttyy QQuuaadd. QuadiD 1hCCaarrvveerr HHoammbubrugrg. 91B RT FT Well Name PANNING, PAUL own Range Di Secton Subsections Be ton Township Range Dir Section Subsections Elevation 111S5 226 wW 3333 AABBCCCCCCDD EElleevvaattiioonn MMeetthhoodd ome 1003 ft. MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH W`WEELLLL AANNDD BBOORRIINNGG RECORD Rescned pac RECORD Manet Ses Chapter 1031. 114innesota Statutes Chapter 1031 EEnnttrryyDDaattee UUppddaattee DDaatete: Received Date a02/n04/o20n02 00661/11557/22000077 Wb DepCompre De Wen Comet Well Depth Depth Completed Date Well Completed pop, Son Taso 210ft. 210ft. 11126/1996 FFCOOAOOLTCTCCFOROUOUNNMTT2YY- |DDrrililineg MMeetthhooddNor-sp~e.- cified .RRootatarryy Dlg Foa |IWetland? 0 vo 0 No DEM Drilling Fluid BBoevnitoonniitse FWFrroeolmml HFFytt.drttooofrFFautc. tured? DYes D No Use Domestic Wel Adress Well Address TRAST 15175 MARTHA ST FABRE HAMBURG MN 55339 CaCsaisinngg TTyyppee PPllaasstiicc JJooiinntt NNooIInnffoorrmmaattiioonn DDririvveeSShhooee?? [DJYYeess IZl oN No Above/Below ft. Casing Diameter We Tete Damar Casing Diameter Weight Hole Diameter Tow msn wn 4 in. to 205 ft. lbs./ft. EEE Open Hole from ft to ft Screen YES Make JOHNSON Type stainless steel GGeoeloologigcicaallMMataetreiraiall Toroor TOP SOIL carCLAY GarCLAY CCoolloorr on BLACK Wow YELLOW weBLUE HHaarrddnneessss sareeSOFT omSOFT fmSOFT FFrroomm TToo | DDiiaammeetteerr fom =| 0 3 2 3 3 20 on om 20 200 "SSlolto/UGGaauwzzee 18 TT Tn wd 20 LLeennggtthh SeSett BBeettwweeeenn 5 205 ft. and 210 ft. WPFF5eUulNiFHIeRaaddfGroCLo|mEmopVnlEaeedtLtsinofptnooissgiMDnOud3eN0rIMT2ioOpsRemer N1e3k!6199 oSANoD w20w0 22100 SStactic WWaatteerr LLeovveel 120 ft. from Land surface Date Measured 11126/1996 PUMPING LEVEL (below land surface) 144 ft. after 1 hrs. pumping 30 g.p.m. Well Head Completion Pitless adapter manufacturer MONITOR Model I, NO REMARKS sLaeceie Car&Wne Located Carver Land & Water Services Unique Number nko Sumber V(Veorriffiecsattiivohn AAddddornesss vweiriffniciatoionn Syme UTM Nab 1S. System UTM- Nad83, Zonel5, lv!eters iMeothnod)Dizon Sea Mop Method Digitization (Screen) - Map Date 03062007 (124,000) Date 03/06/2007 Xx,: soo 424004 vs soe Y: 4953218 0D0 CCaassiinngg PPrrootteeccttiioonn IZJ 1122iinn.. asbhoovveeggrraaddee 0 toe (Eimear Wet nd Doings ONLY) D At-grade (Enviromnental Wells and Borings ONLY) GrowingInormton WellGroast? Yer 0No Grouting Information Well Grouted? IZJ Yes DNo Cutts paste Grout Material High solids bentonite kmfrom 0B0 to SR205 ft. 2 ye 2 yrds. Nearest Know Soaresof Comtamimston Nearest Known Source of Contamination 60Q__ffeecett NN__didriereccttiioonn SSeepgttiiccttaannkki/ddrraaiinn ffiieeldld_ttyyppee wetsompitor B ve 0 wo Well disinfected upon completion? 0 Yes D No vm Norse Due msi Pump D Not Installed Date Installed Mimics STATE Mod anter _ 17075 ol2s Manufacturer's name STA-RITE Model number - LenoptPu SL Cots 13 Ep Length of drop Pipe 144 t1. Capacity ll___g.p.m TS ebm, Mal Type Submersible Material liP 0.75 Volts f1 Co Abandoned Wells Does property have any not in use and not sealed well(s)? Ov 8x D Yes IZl No VVaarriiaanncceeWWaaas avvaarriiaannccee ggrraanntleedd ffrroomm lthhee MMDDHHffoorr lhhiiss wweellll?? D0 YVeexs Prine First Bedrock Last Send Last Strat Sand aque ut tn Aq Aquifer Quat. Buried Artes. Aquifer DepoBedok 1. Depth to Bedrock ft. IZl No We Comraar Corr Well Contractor Certification Dra WC WOKS BRAUNWARTILM Braunwarth Well Co. 10068 BRAUNWARTH,M cone DassName_Lic Oep No_ NaofmDreie License Business Name Lie. Or Reg. No. Name ofDriller ATR ig 080555, Ha NaFH e 0 SOR 37 VER508 AN file:///Iji1\1PCA/!Working/A0081-100%20-%20PFC%20Foa...ies/Hamburg/Well%20Log%20Report%20-%2000590889.htm (1 of2)7/l/2008 8:53:03 AM 222222.112285 STSATATTEE0_208282222224422 Well Log Report- 00590889 County Well Index Online Report Sw 590889 Printed 6/27/2008 HE-0 1205-07 file:///III1\1PCA/!Working/A0081-100%20-%20PFC%20Foa ... ies/Hamburg/Well%20Log%20Report%20-%2000590889.htm (2 of2)7/l/2008 8:53:03 AM 222222.112286 STATE_02822243 Well Log Report- 00601609 ss Ce Minnesota Uni%que Well No. 601609 II 601609 GQuuind othihmbor CCoouunnttyy Quad QuadiD CCaarrvveerr Hamburg 91B RTTCRTRC GIT Well Name BUCKENTTN, GENE own Range DieSection Sabectons Be ton Township Range Dir Section Subsections Elevation 1H1S5 2266 wW 3322 DDAAAADDBBDD EElleevvaattiioonn MMeetthhoodd ome 1003 ft. MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING [roster WELL AND BORING RECORD Rescned pac RECORD Manet Ses Chapter 1031. 114innesota Statutes Chapter 1031 EEnnttrryyDDaattee Update Date Received Date 4040/309/199988 06/15/2007 Welbog Copied Do Wen Comet Well Depth Depth Completed Date Well Completed rn ion 211 ft. 211ft. 01/17/1998 FFCOOAOOLTCTCCFOROUOUNNMTT2YY- |DDrrililineg MMeetthhooddNor-sp~e.- cified .RRootatarryy Dlg Fa |IWetland? 0 vo 0 No DEM Drilling Fluid BBoevnitoonniitse FWFrroeolmml HFFytt.drttooofrFFautc. tured? DYes D No Use Domestic -- Well Address "st pions 15450 JACOB ST HABRG HAMBURG MN [---- Geological Seog ar TOP SOIL ClrCLAY firstCLAY frSAND CayCLAY Material nSANeD Color Color coorBLACK [rr YELLOW weBLUE weBLUE Hardness Hardness anessSOFT SOFT smSOFT wow MEDIUM from To From To From To 0 3 BE 3 20 om ms 20 125 ww 125 130 Gem 130 204 B 204 20211 I, NO REMARKS Lacie CarnWa Located Carver Land & Water see Services eke Numer Unique Number envioAdes sion Verification Address verification Syn UTM Nab 1S. System UTM- Nad83, Zonel5, lv!eters oMetnhodyDiitzion Sea My Method Digitization (Screen) - Map Date 0305207 (124,000) Date 03/05/2007 Xx.: ss 423099 vs ps2 Y: 4952689 rte First Bedrock Lastra Sond Last Strat Sand aque ut Br Al Aquifer Quat. Buried Artes. Aquifer DepoBede 1. Depth to Bedrock ft. CaCsaisinngg TTyyppee PPllaasstiicc JJooiinnttNNooIInnffoorrmmaattiioonn DDrriivvee SShhooee?? [DJYYeess IZl byt HY No Above/Below ft. CasingDiameter Ve TDi amar Casing Diameter Weight Hole Diameter Tow an ma 6snb mn 4 in. to 206 ft. lbs/ft. 6.5 in. to 211 ft. Open Hole from ft to ft |Screen YES Diameter 2 Make JOHNSON Type stainless steel pmo Length Set Bower Slot/Gauze z ST ed nn 22 Length 5 Set Between 206 ft. and 211 It SWE S110ta05ti5fct.WaffrtroeomrmLLLeaavmneddlssuurrifbaccee DDaattee MMeeaassuurreedd O01U1I177/111999988 FONFIRG LEVEL fio ind ri PUMPING LEVEL (below land surface) Ta ar| bo. pig 10 2pm 126 ft. after 1 hrs. pumping 40 g.p.m. Wel Head Completion Well Head Completion Pid manos MONITOR Nik! Pitless adapter manufacturer MONITOR Model Olcaiposcin 8 1200 conc D Casing Protection IZJ 12 in. above grade 0 toe (EiWetmmd Deoingrs ONLY) D At-grade (Enviromnental Wells and Borings ONLY) GrowingInormon Welloroast? 8 Yer 0No Grouting Information Well Grouted? IZJ Yes DNo Cts pms Grout Material High solids bentonite Kmfrom 0208 0 to 206 ft. 25 yo 2.5 yrds. Nearest Row Source of Contamoation Nearest Known Source of Contamination oT Trion Spo Ean 4 pe lQQ_feet Ldireetion SeQtic tank/drain field type Woldsunicotmpcaiort_B) ves 0 no Well disinfected upon completion? 0 Yes D No ump D1 Norse Doe masons Pump D Notinstalled DateinstalledOl/17/1998 imine SARI. Mod Manufacturer's name STA RITE Model Le75. lista number_ HP 0.75 Volts220 TendogyPkpst26 Comets 10 gpm Length of drop Pipe 126 ft. Capacity !Q__g.p.m 7 Selmer il Type Submersible Material ey Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees EIZBl NNoo Varanes Was vines gto on Do ortiD nal? 0 You Variance Was a variance granted from the MDH for this well? D Yes xo IZl No WT ComCroar Well Contractor Certification Dec J BRAUNORTILM Braunwarth Well Co. 10068 BRAUNWORTH,M cone Duss Name Li Oe. No. NeofDrc License Business Name Lie. Or Reg. No. Name of Driller ATR 080555, Ha NaVH e 03m 37 VOR R3503 file:///Iji1\1PCA/!Working/A0081-100%20-%20PFC%20Foa...ies/Hamburg/Well%20Log%20Report%20-%2000601609.htm (1 of2)7/l/2008 8:53:02 AM 222222.112287 STSATATTEE0_208282222224444 Well Log Report- 00601609 County Well Index Online Report 601609 Printed 6/27/2008 HE-0 1205-07 file:///III1\1PCA/!Working/A0081-100%20-%20PFC%20Foa ... ies/Hamburg/Well%20Log%20Report%20-%2000601609.htm (2 of2)7/l/2008 8:53:02 AM 222222.112288 STATE_02822245 Well Log Report- 00601616 s Ce Mie nneseota Ui nique WPelEl NRo. 601616 II 601616 GQuuind othihmbor CCoouunnttyy Quad QuadiD CCaarrvveerr Hamburg 91B RO TRI VT Well Name VOLLBRECHT, VlRGTL own Range DiSection Subsections Be ton Township Range Dir Section Subsections Elevation HS 115 226 w W 20 29 CDCPCC Elevation Method CDCBCC Elevation Method MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING Undue tanszn WELL AND BORING RECORD Rescned pac RECORD Manet Ses Chapter 1031. 114innesota Statutes Chapter 1031 EEnnttrryyDDaattee Update Date Received Date a02/n04/o20n02 06/15/2007 Well bop Depth Copld Date Wal Cried Well Depth Depth Completed esncnous poe .en pros FOOT COUNTY |Dring Method Nor-speciiedRoy 1006 ft. CALC FROM2FOOT COUNTY 106ft. Drilling Method 106ft. ~.- .Rotary Date Well Completed 03/25/1998 Dalene |IWetland? 0 vo No DEM Drilling Fluid BBaeinotovniist.e WFreolml HFytdrtoofrFauctured? DYes 0 No From Ft. to Ft. Use Domestic Wen Adress Well Address morscr 18180 50 CR FRO HAMBURG MN CaCsaisinngg TTyyppee PPllaasstiicc JJooiinnttNNooIInnffoorrmmaattiioonn DDririvveeSShhooee?? [DJYYeess 0 DyerNo Above/Below ft. CasingDiameter Ve TDi amar Casing Diameter Weight Hole Diameter Tow wn mn 4snb on 4 in. to 101 ft. lbs/ft. 4.5 in. to 106 ft. Seen VES Ne COOK Trp eT Open Hole from ft to ft Screen YES Make COOK Type stainless steel GGeoeloologigcicaallMMataetreiraiall fein TOP SOIL carCLAY GarCLAY oSANoD CCoolloorr rica BLACK Wow on YELLOW we lm BLUE HHaarrddnneessss SOFT SOFT SOFT FFrroomm TToo | DDiiaammeetteerr a0 3 2 3 om 3 20 om ow 20 100 zSSllootU/GGaawuzzee 22 ST Sr on LLeennggtthh SeSett BBeettwweeeenn 5 101 ft. and 106 It 110000101806IStaticWWataeterr LLeevveell 0 ods Due Meson 03351998 40ft. from Land surface Date Measured 03/25/1998 FONFING LEVEL flo Tenors PUMPING LEVEL (below land surface) I, NO REMARKS Lacie Caner Wa Located Carver Land & Water see Services Uetqu Samer Unique Number envio drs sion Verification Address verification SysUTM Nab 1S. System UTM- Nad83, Zonel5, lv!eters Method Diitzion Sea Moy Method Digitization (Screen) - Map ony (124,000) Dae 03.052007 Date 03/05/2007 x, ao vs psi X: 421977 Y: 4953744 FistBedmk First Bedrock Lastra Sond Last Strat Sand aqueQu Bd Ars Aqilr Aquifer Quat. Buried Artes. Aquifer DepoBede 1. Depth to Bedrock ft. WPeliHeadd Commplaetinonos MONITOR Nil 90 ft. atler 1 hrs. pumping 40 g.p.m. Well Head Completion Pitless adapter manufacturer MONITOR Model DDO Cacsaisningg PPrrootteeccttiioonn D0 1122 iinn.sahboovveeggrraaddee: 0 trae (EiWetmnd Deoingrs ONLY) D At-grade (Enviromnental Wells and Borings ONLY) GrowingInormon WellGroast? Yer 0No Grouting Information Well Grouted? 0 Yes DNo Guts pms Grout Material High solids bentonite Km OBOE from 0 to 101 ft. 15 yo 1.5 yrds. eT Sr Cameo Nearest Known Source of Contamination AN 75....__feet }Y_direction Barnyard type Wot sniwcpmctompnciosr_ 0 ver 0 no Well disinfected upon completion? D Yes D No vump D1 Norns Doe mesiotnzion Pump D Not Installed Date Installed 03/2511998 Mimi STAITE Med Manufacturer's name STA-RITE Model Le75. V3 number_ HP 0.75 Volts220 [Er Te Length of drop Pipe 2Q_ft. Capacity lQ__g.p.m rg rly Type Submersible Material RC Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees B0E NNoo Varanes Wass vanes gato on DoD or tinal? 0 You Variance Was a variance granted from the MDH for this well? D Yes xo 0 No WT ComCroar Well Contractor Certification DhVelCe lS DRANNARTILM Braunwarth Well Co. 10068 BRAUNWARTH,M cove Dass Name Li Oe. No. NeofDrc License Business Name Lie. Or Reg. No. Name of Driller ATR ig R005, Ha NaFH e 0SBOE bm 37 VRR503 AN file:///Iji1\1PCA/!Working/A0081-100%20-%20PFC%20Foa...ies/Hamburg/Well%20Log%20Report%20-%2000601616.htm (1 of2)7/l/2008 8:53:02 AM 222222.112289 STSATATTEE0_208228222224466 Well Log Report- 00601616 County Well Index Online Report 601616 Printed 6/27/2008 HE-0 1205-07 file:///III1\1PCA/!Working/A0081-100%20-%20PFC%20Foa ... ies/Hamburg/Well%20Log%20Report%20-%2000601616.htm (2 of2)7/l/2008 8:53:02 AM 222222.112290 STATE_02822247 Well Log Report- 00670839 Minnesota Unique Well No. 670839 ww CQQuouauadndty Quad ID CHHaaamrmvbbaerrugrg. 91B Well Narne THAEMERT. DAVE Township Range Dir Section Subsections Elevation HS115 226 wW 328 DCOCBA Wen Method DCDCBA Elevation Method Well Address SEPARA 953 PARK AV sn HAMBURG MN 55339 sSeteenuer Geological Material CLAY =aCLAY CLAY WATER SAND svoolrr fieess Color BROWN mEVeow GRAY Hardness MEDIUM MEDIUM GRAY SOFT GRAY MEDIUM MINNESOTA DJ<:PARTMK\T OF tct onpne a HF:ALTH WWEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter lfJ31 hn UEUpnpdtdaraytteeDDDaataettee Received Date 0006651/71113551/222000000747 12/0112003 1013 ft. FOOTCOUNTY CALC FROM2- FOOT COUNTY OEM Well Depth |. DANTE tho 319ft. Drilling Method Drilling Fluid Water Depth Completed Ney 319 ft. Non-speLOified Rotary IWell Hydmfractmed? From Ft. to Ft. Date Well Completed 03115/2003 DYes 0 No Lse Domestic CCaassiinngg TTyyppee PPllaasstiicc JJooiinntt NNoolnInffoorrmmaattiioonn DDrriivveesShhooee?? D OJYveess 0D No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 311 ft. lbs.lft. 8.5 in. to 30 ft. Open Hole from ft. to ft. RTS ST Screen YES Make JOHNSON 6.5 in. to 319 ft. Type stainless steel romrom JoTo[0%[our Sualstae aSlroa uJ rtaeA n From To Diameter LB 0 25 4 Slot/Gauze 12 Length 8 Set Between 311 ft. and 319 ft. 25 180 180 295 295 319 Static Water Level 75 ft. from Land surface Date Measured 03/15/2003 PUMPING LEVEL (bl'low land surface) 250 ft. after 2 Ius. pumping 25 g. p.m. ro rrairrs NO REMARKS Locatl'd Minnesota Geological Survey Uniqul' Numbl'r Sm UTM Na Jel Verification Address verification Systl'm UT1vf- Nad83, Zone 15, ]vfeters Ml'thod Digitization (Screen)- Map (1:24,000) Dati' 03/05/2007 X: ns 424226 x: oss Y: 4953687 County Wit ieson Fper First Bl'drock Last Strat Sand-gray Aquifer Quat. Buried A1tes. Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion DlcuingPrintion B 12in sone grate Pitless adapter manufacturer WHITEWATER D Casing Protection 0 12 in. above grade Model 4INCH D0 AAssatd-g(radEe (nEnvviroinmrentoalWWenlellmslsaanenddBnBoosritinnggass OlNLYONLY)) Grouting norman. WollGroses 2 vor Ono Grouting Information Well Grouted? 0 Yes 0No Corte pe fom WHA Grout Material: High solids bentonite from to 30 ft. om3 bags .\"earest Known Source of Contamination Sagres soci B ve ?.2..__feet North East direction SeJ:>tic tank/drain Well disinfected upon completion? 0 Yes Ovo field type D No PPuummpp CDJ NNootttInnssstlallloedd DDuaste IInnsstaallleedd 0033/11155/22000013 Manufacturer's name AERMOTOR Model number SS-75 _ HP 0.75 Volts 220 Teng of ropPipe 120. Capacity I3_gpm Length of drop Pipe nQ___ft. Capacity .li_g.p.m Type Submersible Material Er RT TT Abandoned \Veils Does property have any not in use and not sealed well(s)'' D0 Yvees 0 NNoo Va.-iancl' Was a variance granted from the MDII for this well? 0 No Well Contractor Certification Motzko Well Co 670839 License Business Name 670839 86508 MOTZKO.R. Lie. Or Reg. No. Name of Driller I D Yes Printed 612712008 HE-0 1205-07 file:/1/IIIlv!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R...maries/Hamburg/Well%20Log%20Report%20-%2000670839 .htm7/1/2008 8:53:02 AM 222222..129911 stareozs22248 STATE_02822248 Well Log Report- 00679273 ~:::ty Minnesota Unique Well No. 1'--==6=7=697=297=237==3==:::::!..111 Quid ~ . QuadiD Carver HHaammbbuurrgg 91B Well '-'amP SIWEK, DAVE Township Range Dir Section Subsections Elevation 115 26 w 33 ABCCCB Elevation :Method Well Address -JONG AERA 15173 MARTHA ST YOUNG AMERICA MN Geological Material FILL CLAY SANDROCK SHALE SANDROCK =o Color BROWN Hardness SOFT BLUE MEDIUM WHITE SOFT BLUE MEDIUM GREEN MEDIUM MIN_\l<:SOTA DEPARTMENT OF HEALTH "WWEELLLL AANNDD BBOORRIINNGG RECORD 11finnesota Statutes Chapter 103I EUUpnpdtdraaytteeDDDaatatetee. RPcPivPd DatP 0o181w/1o01669/2/22000000772 1002 ft. 7.5 minute topographic map (+i- 5 feet) Well Depth 520 ft. Drilling Method Drilling Fluid Bentonite l:se Domestic Depth Completed 520 ft. . Rotary Date Well Completed 10/01/2002 I 0 Well Hydrofractured? DYes No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Weldcd Drive Shoe? 0 Yes D No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 423 ft. 10.79 lbs./ft. 8 in. to 423 ft. 5 in. to 520 ft. OpPnHolP from 423 ft. to 520 ft. ScrPPn NO Make TypP From To Diameter 0 15 Slot/Gauze 15 280 280 370 370 420 420 520 Static Water Level Length Set Between 125 ft. from Land surface Date Measured 09/12/2002 PUMPING LEVEL (below land surface) 280 ft. after 2 hrs. pumping 20 g.p.m. So eraraers NO REMARKS Located Minnesota Geological Survey Spe UTM Nad rel. Uyniuqune NSummebeer Verification Tag on well System UTM- Nad83, Zonel 5, Meters Method Digitization (Screen)- Map (124,000) DDaattee 0077//1166//22000077 x. ann x: aosias0 X: 423994 Y: 4953250 First Bedrock Jordan Last Strat Franconia Aquifer Franconia DPpth to Bedrock 280 ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer WHITEWATER Model SU4X5.5 DDO cCaassiinngg PPrroowteecctiioonn D[1 11221min.. sahboovveeggrraaddee GT routing otermatT on ellGronct?I 8 ves wo DD0 AAvt-ggrraadde e(En(EvnivriornomnmeennttaallWWelelllss anndd BBoosriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement from 0 to 423 ft. 4 yrds. .e"aeraeresstt KKnnoowwnnSSoouurrcceeooff CCoonnttaammiinnaatitioonn. lldisisnpofnccomptleesodn' !QQ_feet L direction SeQtic tank/drain Well disinfected upon completion? 0 vesfield Yes 0)type D NNoo PPuummpp CD1 NNoutl IInnssttaalllleedd DDuaele IInnsstaallleedd 1100/.00111.22000022 Manufacturer's name STA-RITE Model number 10P4E02 _ HPL Volts230 TLTypeyenpgethSSuoubbfmmderreosrpsiibPblilepee lMMla.Qatet_errifitaa.ll Capacity lQ_g.p.m Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D No Yes 0 Well Contractor Certification Kimmes- BauerDrilling 19738 OTTO. F. License Busines5 Name Lie. Or Reg. No. Name of Driller 679273 I Printed 6/27/2008 HE-01205-07 flle:///I]!\1PCAI!Working/A0081-100%20-%20PFC%20Foam/R...maries/Hamburg/Well%20Log%20Report%20-%2000679273.htm7/l/2008 8:53:01 AM 22222.1122992 STATE_02822249 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: HHaarrddwwiicckk HRHaoarurdtdwewii1cckk FFiirree DDeeppaarrttmmeenntt HHRaoarurddtwewiic1ckk,, MMNN 5566113344 D5D0aa7nn.6KK6iinn6d.d,2t,4FF9i1irreo CChhiioeff dd5yy0kk7ii-n6nd6dt9i@-@2ff4rro9on1nttieermneett.nneett TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooffffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: BBaallll flieeklds ppaarrkkiinngg lloo,t, HHaarrddwwiicckk NNoott ssppeecicfifiieedd,, 33MM ffooaamm aassssuummeedd AAnnnnuuaallllyy LLeessss hthaanns5 ggaalllloonnss. GGrroouunndd NNoott ssppeeccitfieedd MMoouunndd CCrroecekk,, 11//44 ttoo 11/33 mmiillee wweess!t 11/441t0o 117/33 mmiitlee wweesstt MMoorree tthhaann 11 mmlilee MMoorree thhaann 11 mmiilee 212 22222222.11229933 SSTTAATTEE0_022882222225500 | HaHradrwdiwcickk WWhhaatt''ss IInn MMyyNNeeiigghhbboorrhhooooddMMaapp |? / | "SITE-- i | ' |A rie || Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion gm ppm opr sector| of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against |PEER NTIIRETE | MPCA that may arise from the use ofthis data. || Sites [---- Dt~ llfiiW: r.luJrtrftmiil uPomitioaSorawacks hm~SOI'I<J~ ungomasaoanms l!ln~miiBCI Dun~ ame MFRAP fo Sapo m:attt Su~rftlnil e* cCEeKR.oCLLt:ss + Femi Q F'Mil:nl !lh.a~rhmcl ||||| @Minnosota Pollution Control Agency l~ -iniiJ"V!I''".inlnesatta - Polllut:iolnV-VIIUUIA"'~c..l.&lr'IC"yY/1 &taM 0~ LaMIUb 2. RTaog TRoD epc um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ FeAmon Chg F:CRA l'rJ';tfii~PDI; ~ta'IIWJI' 4"'- SliM ~rMIII: 222222.112294 sStTaAreTEo_z0s228222225511 HHAARRDDWWIICCKK CCWWII WWeellll MMaapp E Hd A NS ETE er i V Vo tN Vi , 00 Vn eee Ta wo ;I e i e aSNgEEL 5 Seba i ToeT nSL ; f ry Pf ol | HER Ty {| xJ L NETN= aJ d YAR IT HyAtL |\ pJ Y i; vo jb " : I Led cer ror,AES: Ge UE ke Ls p hfS vToe AEEEECSRIeTeEms LTLT i . . %, 4 ar i 1 ~~ 1 i ey ~ fm L gr h a IE Ya Seay f V Co) TSO fpE NN R ee emTT SNCY Ls SR 3 lo.RFJesev oT pe edya2T XVY xL JA TI EET, Lf TR an @ &i : CoNBist bled LTT et 2 JNu i union peste res Lo 1 aC oy 222222.112295 sStTaArTeEo_z0s2z822222s522 hy NEE188Pohsignn doi g, 8HBiEniEBPh iHEtild} i efh HE 2 Ss 2= , | si B3 3 5| Hardwick Wetland Map 96-12-20W r | {aminHiilarthailig :Ps 33 3 ;4 | i i 4i g. i 22222.1122996 PEMA ....6w J,.. z 1-.J "-- Legend .0Ohlo_wet_scan D1 Out of range oo ii i ---- "| fou v 1 2 S| = EI or $ . I ---------- .w... J,.. !~ 0 z ;!</ Interstate Major Roads Other Road ;!</ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons !3 .... Ill Estuarine and Marine Deepwater w Estuarine and Marine Wetland J,.. Freshwater Emergent Wetland (J) ,(., Freshwater Forested/Shrub Wetland 0 z Freshwater Pond Lake Othet Riv~rine FE iis .|3 iili ilis |3 i |iiiE 2 i 96-12-40W 96-12-20W 96-12-0W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N N Ul w 3 96-11-40W = iPgd .w... J,.. (J) 6 z 96-11-20W Map center: 43 46' 32" N, 96 11' 57" W :5 Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DOK 0 South America u North America g $ Scale: 1:18,389 [p-- SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: HHaarrmmoonnyy HPHaOarrmmBooonxnyy34FFi1irree DDeeppaarrttmmeenntt HHPaOarrmmBooonnxyy.3,4MM4NN 5555993399 B5Bi0ill7l -HH8aan8nl6lo-on4n,6,0FF0iirreDe CC(h5hi2iee1f1f Hal) harmonyvid@yahoo.com 507-886-4600 D (5211 Hall) harmonyvfd@yahoo.com TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtaraiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: F0Fi1irr1ee3hh9aal8l,l, GMMoaariidnnoAAnvvReednn.uuee(nSS.o,., maaannpddpaaabbblrreuu)sshh dduummpp,, eeaasstt ooff iinntteerrsseeccttiioonn of 139 & Gordon Rd. (not mappable) AAClRRaA-sAFsFFAFF:F.S: iAAlnnessuxuiliftee Otner: Aqua Eco Class A: Silv-ex Other: Aqua Eco AAnnnnuuaallllyy 55ggalallloonnss. GGrroouunndd,, ssttoormm sseewweerr CAAlRRaAs-AFsFFAFF:F:u: lleenssss5dtthhgaaaenlnlo5rnggsa.alllloonnss Other Class Other: 1A: 1 sickunder stick 5 gallons IInntteermmitittteenntt ssttrreeaamm aapppprrooxxiimmaatteellyy 11//44 mmiilee ssoouutthh AApppprrooxxiimmaatteellyy 11//44 mmiilee ssoouutthh TTrraaiinniinngg ssiitteeiiss llooccaatteedd iinn aann aaccttiivveekkaarrssttaarreeaa 117/221to0 11 mmiillee ttootthhee eeaassttaannddttoo tthhee ssoouutthhwweesstt MMoorree tthhaann 11 mmiilee 1"4 22222222.11229977 SSTTAATTEE__0022882222225544 HHAARRMMOONNYY CCWWII WWeellll MMaapp omTmdwp fESfSmIn TEOlRWNeR R RT eef Esri Te AUdE EfR m E0 NE ONAN EEE Ny WE Afoor occ pmy on : 1%TE V e E a It S CEN BdoRm my eh eb fae afii SaollraACNeE 0oAe SCUre, ITE ER L EE YSE BATeTGe] S[TF < 8s aio E Rey 5 BN EN Drie wee BD OL STpoAs TEal | E SedEE femonCy e[Tht Tr TE x aC A any Lo A ~> DaASITERET SN SEO SETS el Yd grPAod tpOE A ma Si WE AY IS #8 a + a7 ION Nard arm EE EL Le Te eee sg TE ZT ay Se va nile gL AS ee YSoIHraC m sSod REETRIIREERAA4 RI [tplh HeALE T07 U imi RN 2 AN 200 adh HR" A CAENRTNE SRad C pn EL e TAY mCd Ra E WRTEA JeL7BQEP RINE e a Pe Ln 2T RAESA NN IN OI R YN 2E4E 1 Henan.Ovrom come Lob ge menmds Lge 222222.112298 sSTaArTeEo_a0g282222225555 [HarHmaromnonyy WWhhaatt''ss IInn MMyy NNeeiigghhbboorrhhoooodd MMaapp |i TH :i ee | ] ; . ifli |Jpriii)e| u i | y Hi e i SSIITTEE=~ | | ~. | | 9| |f . f' | 4 ---- 1\ | | uPromoea sornawasatrsina Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion ara mrpd| ROI Dg of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against |irate a Lod ens MPCA that may arise from the use of this data. SSiitteess. Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP m:attt Su~rftl nil | ||| l-i@niiJ"mVi!I''n".innlenessatttaa P-Pololllulutti:oionlnC-ontrolAAcgl&elnr'IcCyY ~ VVIIUUI ~... "y/1 e* CCEEKR.CCLLt:Ss Q PFod'Mavila:nll S!luhp.sar~rihumncdl 2 ote &taM 0~ LaMIUb vonsane V9ltnar~ llritm~~l'i I; Cta'IIWrt + mveenFaca um .... ~RA ra~111:1~ amano F:CRA l'rrffii~PDI; ~ta'IIWJI' -- "'- SliM ~rMIII: 222222.112299 STATE_02822256 W GWgeere |[I1,8 4. d 5 EFatthii {illarihthuilig a iz| gla NESE 24 Ii , 5 2 Harmony Wetland Map /4 d 2222222.11300 i 3 92-1-20 w 92-1-0W PUBGx ii 92-0-20 w 92-0-0W 3 91-59-40W eee oen soe oar] Ll z 0 wwA 'f w ,"",r.y'' 4 J,.. 0 z ] 5i ii 5 i LL Legend 2 . Ohlo_wet_scan .0 z Aw D1Out of range 8 ~~~~~~~~=~~~~~~~ z ;!</ Interstate Major Roads . Other Road ;!</ Interstate .;./ State highway .;./ US highway TE Roads 3 iiii, l 1fooiksly)di | | A ii reHH 11) i sh w ::JI9z wA r CUSitiGeSs Quad Index 24K ,ry w 6 Lower 48 Wetland Polygons ,. z Ill Estuarine and Marine Deepwater | Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet 1 'J 1 |1 | wwA Riv~rine N Lower 48 Available Wetland Data zJ,.. Non-Digital 0 Digital No Data Scan rE LsFi is we [1 i i J NHD Streams Counties 1OOK J [Ey States 100K : wAw N~~~~~~~~~~~~~~9~2~-1~-0~W~~~~~~~9~2~-0~-4~0~W~~~~~~~9~2-~0~-2~0~W~~~~~~~9~2-~0k-O~W~~~~~~~9~1~-~59~-~40~W~ 0 South America u North America zigi Hl i |ii i i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N N Ul '-I ii 8 z Map center: 43 33' 5" N, 92 0' 35" W $ Scale: 1:19,398 stare.oam22257 5 FS4IT|RE]E:i:: be 5 lth ilLiif 9gif 5 BzEe 3 EiEEeIXCHELFER 22gR:C 1ofPeElXi : b[E 25s 228c8 BEE Fiaoli 2-5558888 LiF 3 :5 oli Oo i :i EEE llsLi e zee 3 Beli |E EE ool] Gl ig dE iEcR:E = s HIrl]FE igEiilFs7i):s fP|esi|5a2al] 3<d% 2 EE HEjEL d ials:i Well Log Report- 00219436 Minnesota Unique Well No. 11 219436 11 County Quad QuadiD Fillmore Canton 4C MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 tziil Entry Date Update Date Received Date 12/1411991 05!191 1993 i5 LE i Well Name STEFFENRUD, PERCY Township Range Dir Section Subsections Elevation 101 10 w 14 DDBACC Elevation Method 3Ny 1305 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth 380 ft. urunn!! JVlcl noc Drilling Fluid -- Use Domestic Depth Completed 380ft. h>AtorJ IWell Hydrofractured? From Ft. to Ft. DYes Date Well Completed 04/2811959 D No 2 Well Address HARMONY MN Geological Material DRIFT PROSSER LIME DECORAH SHALE PLATTEVILLE GLENWOOD ST. PETER SHAKOPEE ROOT VALLEY Color Hardness i2 |cJ.-sszgas From 0 17 151 191 211 225 288 369 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes D !No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 8 in. to 289 ft. lbs./ft. 4 in. to 289 ft. lbs./ft. Open Hole from289 ft. to 380 ft. 1 To Screen NO Make Type 17 Diameter 151 Slot/Gauze Length 191 211 225 288 369 Static Water Level 380 278 ft. from Land sudace Date Measured 04/28/1959 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 23 g < Set Between REEEdD FEi1i4c|;E 2 G=lg=| 25 2 2 3 |S Pi sPSoondia 1P5 a8f1u1ig,iidind 18 fadliis 22222222.11330011 NO REMARKS Well Head Completion Pitless adapter manutacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No : : IiiElEi:? iii 1H: ; stare_o2m22258 Grout Material: Neat Cement from 0 to 289 ft. 0 ii% 3= Located Minnesota Geological Survev Method Digitized - scale 1:24,000 or larger (Digitizing Table) iH EoojoE E i:FEf ifiqdlisig dg [3rgEifY 1 Unique Number Verification Name on mailbox DateN/A Nearest Known Sourct.> of Contamination - feet - direction _type 5 System UTM- Nad83, Zone15, ]'vfeters X: 581331 Y: 4822057 ~Vl rn I 0 Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 00/00/1959 "4 4 ManufaL:lurer's name MEYERS Model number - HPL Volls Length of drop Pipe 300 ft. Capacity 12 g.p.m Type Submersible a Material 5 S24H 151d N 00 N ii 3i N file:/I/III1\1PCA/I Working/A0081-100%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/Harrnony/Well%20Log%20Report%20-%2000219436.htrn ( 1 of2)7/1/2008 9:36:41 Al\1 i : N Ul 00 J i i i3 xi T $i7l2z 5 i i51s biy % 3 fs i Well Log Report- 00219436 8 i515 JHiEg First Bedrock Galena Last Strat Shakopee/New Richmond Mbr County Well Index Online Report Aquifer Prairie Du Chien Group Depth to Bedrock 17 ft. if gr E|sli flslglf S51 Abandoned Wells Does property have any not in use and not sealed well(s)'! D Yes D ro Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Rowland Well Co. 23124 License Business Name Lie. Or Reg. No. Name of Driller 219436 I Printed 6/27/2008 HE-01205-07 ss fH 0 |o| : |o| Ils 2idg : 222222.113302 .2 ii 32 i 3i i ;i ii 7 8: z sate 02622259 ~Vl rn I 0 N 00 N N file:/I/III1\1PCA/I Working/A0081-100%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/Harrnony/Well%20Log%20Report%20-%2000219436.htrn (2 of2)7/1/2008 9:36:41 Al\1 N Ul \.0 Well Log Report- 00510182 IM'vofmmneessottsa LUinnigquuse WWeeill NNoo. S082] = oe 510182 Copopunptyy Quad QuadiD EE Well Name CANTON STATE BANK lis FFililtmhcorrse Harmony 5D Township Range Dir Section Subsections Elevation 010101010 Ww U14 BBBOBOBBBDB ElEelvevaattiioonn MMeetthhoodd MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WELLAND BORING RECORD WELL AND BORING RECORD ven Severcoger 1 Jl11nnesota Statute., Chapter 1031 EE Well Depth Depth Completed LMpbeaeeomee EFnnttrryy DDaattee. Update Date Received Date A10001 o01/v09e/19n92 05/19/1993 Date Well Completed 1335 ft. 178 ft. 178ft. 06/18/1990 7.5 minu!t: opeorihcmap(-- | DE MethodAi Kok topographic map (+/- = EI T 5feet) llrillim.- MPtho<l Air Rotary Drilling Fluid Well Ilydrofractured? DYes D No -- From Ft. to Ft. worse Well Address SANS 360 MAIN ST N HARMONY MN Use Monitor well CCoansdimnggTTyyppee SSteeell ((bbllaacckk corr llooww ccaarrbboonn)) JJoobinatt NNoo Ifnofromma1taitioonn DDrriivveeSShhooee?? CD1 Yees B0) NNoo AAbboveo/Bveloew 22 1f.t. Coy Casing Diameter Weight 12 in. to 26ft lbs/ft on oe or 8 in. to 58 ft lbs/ft [opefr Open Hole from 148 ft. to 178 ft. To Hole Diameter 12 1n. to 58 ft see: 8 in. to 148 ft Screen NO Make Type Geological Material ryCLAY ess FRACTURED LIMESTONE a jrOre LIMESTONE SHALY LIMESTONE Color Cw fe GRAY = BROWN E awE oe GRAY Hardness SOFT HARD HARD GRAY HARD From To Diameter fom0 26 4 2 26 43 T20i5Re 43 170 Slot/Gauze 170 178 Static Water Level 171 ft. from Land surface Date Measured Length 06/1811990 Set Between PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. anc Well Head Completion Pitless adapter manufacturer Model Dorrie 12 sore D Casing Protection D 12 in. above grade Des ves D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Eape er jp Located Minnesota Geological Survey llnique Number Verification Other, note in remarks MSeyntsetresmmUrT1\.f- NRaod8e3, Z2oanmer1t5, _---"lethod Digitized - scale I :24,000 or larger (Digitizing Table) Date N/A XXo: 5S79E98V8 :Y: 44882203228866 Grouting Information Wdl Grou!t:d? cnt wt ee Grout Matenal Neat Cement owns 0 Yt:s D No from 0 to 58 ft TETOR Grout Matenal Neat Cement from Nearest Known Source of Contamination Q_feet - direction Other type WWeelllddiisinsfecitednuuppfoonneccoocmmptpilceeitioodnn?? 0D YVeess 0 to 148 ft D0 NNoo mn 3.5 yrds 0 Pmnp D Not Instalkd Date Installed Manufacturer's name Model number - Loghordophpe Cac pps Tipe Matai Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material is eb err en mee toro Abandoned Wells Does property have any not in use and not sealed well(s)? D "Ow Yes D No smi swt Gam First Bedrock Galena [elope rm Last Strat Galena Aquifer Galena Depth to Redrock 26 ft. "County Well Index Online Report County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification | JE Draun Env Lab M0077 LARSON D on5511s0011e8822n iI Yo meri License Business l\ame Lie. Or Reg. No. Name of Driller Yes D 'lo Printed 6127/2008 HE-01205-07 file ://JIIIMPCA/1 \Vorking/A0081-l 00%20-%20PFC%20F oam/R ..manes;Harmony/Well%20Log%20Report%20-%200051 0182.htm 7/l/2008 9 36:40 Alvf 222222.113303 sStTaArTeE0_20228222226600 Well Log Report - 00524418 52244441188 || oie ten A1innesnta Unique Well Nn. County Quad Quad ID TT Well Name KWIK TRIP STORE MW-3 Fillmore Harmony 50 MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. fried WELL AND BORING RECORD Cimon Snes hes Wea Minnesota Statutes Chapter 1031 CBAC Well Depth Depth Completed Entry Date Update Date Received Date 12/06/1993 04/2112008 Date Well Completed Township Range Dir Section Subsections Elevation 101 10 w 10 DDDDDC Elevation Method Fr Imee 1330 ft. 7.5 minute topographic map (+I- 5 feel) 164 ft. 164ft. Dtilling Method Multiple methods used 10/291]993 Diilling Flnid Well Hydrofractured? DYes D No -- From Ft. to Ft. Use Abandoned Status Sealed wernasss Well Address 4151v1Air" AV N pri HARMOI"Y Ml~ 55939 commen Geological Material om TOPSOIL orn I~ORECORD SESEeammosy LIMESTOI~E/DOLOiviiTE WITH CHERT CorColor fet DK. BRN wen TAI~/GRY tress Hardness wwHARD Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below 0 ft. DYes IZl Caaing oan ow Casing Diameter Weight Hole Diameter Ton mn "hn mewn 3 in. to 70 It lbs/ft 12 ln. to 11 ft Open Hole from 70 ft. to 164 ft. ee Screen NO Make Type Dunes Sotais Diameter From To From To fom0 2 HI2 11 hw 11 164 Slot/Gauze 8 in. to 70 It Legh SxBetuen Length Set Between Static Water Level 77 ft from Land surface Date Measured ll/Olil993 PI:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. TT REMARKS WELL SEALED 09-22-2000 BY 34625 EA ORIGINAL USE MW- MONITOR WELL Well Head Completion iestm Nod Pit!ess adapter manufacturer Model Dcunminten DO12s D Casing Protection D 12 in. above grade 0 tpt mi Wlmd n v1) D At-grade (Environmental Wells and Borings 01\LY) r-- ine tn macs BY OI Groutin~ Information Well Grouted? IZJ Yes 0'lo Grout Material l~eat Cement from 0 to 70 It we 12 bags Located Minnesota Geological Survey he Nn 00 Unique Number Verification Other, note in remarks Sn ot Noles. System UTM- Nad83, Zonel5, _Meters Method Digitization (Screen)- Map (1 :24,000) pn Date 06/2212004 So STO 1 X: 579935 Y: 4823332 [r--rcm-- Nearest Known Source of Contamination TI_feet L direction Volatile organic comrotmds type re EE Well disinfected upon complelion? D Yes IZl No Pump D 1\ol Installed Dale Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does properly have any nol in use and nol scaled wdl(s)? D Yes IZl 1\o sirr eim" First Bedrock Galena Last Strat Galena SMpenit Aquifer Galena Depth to Bedrock 111 ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Braun Intertec Eng M0104 TAVES R. on he eaes Crk 1 emvDia License Business Natne Lie. Or Reg. No. Name of Driller wa I 524418 Yes D No Pnnted 6127/2008 HE-01205-07 file:i//IIIMPCA/1Workmg/A0081-100%20-%20PFC%20Foarn/R...rnaries!Harmony/Well%20Log%20Report%20-%2000524418.htm7il/2008 9:36:40 AM 22222222.11330044 SstTaArTeE__o0z2s82222226611 Well Log Report- 00721923 MMinni esotamUnnto iqsuceB s WelN laNo. II 721923 GCoouunnetyy Quad Quad ID FFiilllmmoorree Harmony 50 Well-"ame F, JAMES Township Range Dir Section Subsections Elevation 10011 1100 wWIS15 CCCCCCDDDDBB EFlleevvaattiioonn MMeetthhoodd BEE.Well Address RR 1 BOX5802 HARMONY MN 55939 GCCLLeAAoYYlogical Material LIMESTONE SHALE LIMESTONE SHALE Hee SANDSTONE DOLOMITE SANDSTONE [oDoOwLOoMuIvTeE BCBRRoOOloWArNN GRY/BRN BLUE BROWN GREEN =GRAY GRAY BROWN wGRyAY Hardness SFT-MED MEDIUM HARD MEDIUM #2 MEDIUM HARD MEDIUM wHe ARD MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING RECORD }lfinnesota Statutes Chapter 1031 EEnnttrryy DDaatete Update Date Received Date 0011/00442/2000066 02/16/2006 09/30/2005 Well Depth Depth Completed Date Well Completed 1344 ft. 485ft. 485ft. ((CUaSlcUGfSroS77m..55mOGmiEinMnSoorr | DDrriilllliinnggMMetethhoodd NonsTpecifiedRRotoatarryy 09/20/2005 equiv.) Drilling Fluid -- IWweelltl Hyayrdortoefaraccttuurreeadr? 0DYveess 0 Nnoo From Ft. to Ft. Lse Domestic a CCaassiinnggTTyyppee.StSeteeell ((bbllaacckkoor oloww ccaarrbboonn)) JJooiinntt WWeellddeedd DDrriivveeSShhooee?? 0 Y[reess 0ONoo AAbboovre/tBieloonw f0t. Casing Diameter Weight Hole Diameter 4 in. to 413 It lbs.lft. 10 in. to 19 ft. 8 in. to 413 ft. 0From T1b8oo 18 239 239 274 274 296 296 307 2 7 307 390 390 454 454 477 A 477 S485 Open Hole Screen NO Diameter from 413 ft. to 485 ft. Ma ake e Type Slot/Gauze Length Set Between Static Water Level 3[ 11 ft.RfroTmI EVLaEnP Td (surefI aoce aDnN datseuMrG feaacseu)red PUMPII\G LEVEL (below land surface) ft. after hrs. pumping g. p.m. 09/20/2005 Tn REMARKS PARCEL#R 14.0093.000 Located Minnesota Department of Health Unique Number Verification NiA [SyrsetenmeeUTM- Nad83, Zonel5, Meters Method GPS SAOff(averaged) Date 09/15/2005 X: - 578520 Y: 4821731 County Will Index Orie Report fat First Bedrock Last Strat DupoBedrock Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer MONITOR Model FEEDLOT DDl CcaassiinnggPPrroosteeccttiioonn D0 112270in..sabboowveeggrraaddee CS onaing orton WelE l Grit Yor 010 D3 AAtv-ggraede E(EnnvirvonmienrtaloWWelnelllssmsanneddBBnoorritinnggass OlNLYONLY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement from to 413 ft. Grout Material: Pearock from to 240 ft. 5.25 yrds. 1 yrds. 138 Ton NXdreticn Essar pe ."earest Known Source of Contamination lLfeet N_direction Feedlot type WWelelll dgisisnfecitednuuppootnnccooompmlopelteitdoionn?? 0 Yveess DOJ NNoo PPuummpp 0D NNoott Intustsalllleedd DDoavteeIInnssttaalllleedd 0099/22002/2000055 Manufacturer's name GRUNDFOS Model number 25S50-26 _ HPi_ Volts 230 Length of drop Pipe 336 ft. Capacity rL_g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees 0 NNoo Variance Was a variance granted from the MDH for this well? D No Yes 0 Well Contractor Certification Rowland Well Co. 23474 ROWLAND. .S_,_ EE Tjcense Business Name 721923 Tjc_ Or Reg. No. Name of Driller I Printed 6/27/2008 HE-0 1205-07 fll e:///I[/:\1PCA/! Working/A0081-l00%20-%20PFC%20Foam/R. ..maries/Harmony/Well%20Log%20Report%20-%2000721923.htm7I 112008 9:36:3 8 AM 222222.113305 STATE_02822262 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDoeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: HHiibbbbiinngg H2Hi3ibb2bb0iinnBggroFFoiikrreeiyDDneepDpraairrvttemmeenntt Hibbing, MN 55745 2320 Brooklyn Drive Hibbing, MN 55746 T2T1oo8nn-yy3PP6o2og-go5or9re6es6l,s, FFiirree CChhiieeff t2fpp1oo8gg-oo3rr6ee2lls-s5@@9c6cii6h.hibibbbiinngg.mmnn.uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 22332200 BBrrooookkllyynn DDrriivvee,, HHiibbbbiinngg OOtthheer:r: HHCCTT FF--550000 AAnnnnuuaallllyy LLeessss tthhaann 55 ggaalllloonnss. GGrroouunndd CCOltlaahssessrAA1::05g5gaagllalloolonnsn.ss Other: 10 gallons BBrryyaann LLaakkee,, 117/221to0 33/44 mmiilee ssoouutthheeaasstt a1/t4 too 11/33 mmiille eeaasstt LLeessss tthhaann 11/44 mmiilee ssoouutthh AApppprrooxxiimmaatteellyy 11//44 mmiillee nnoorrtthwweess!t 1"1 22222222..11330066 SSTTAATTEE0_022882222226633 HHIIBBBBIINNGG CCWWI ellWell MMaapp re BP I a,raesLeE eT 4t To ytptn ii aR ai iEAyL oR | he, = Lod]o Simin 1L) a oy oide b | il eWilne | on VA E YHIHN eS ET Or A Saal TEES onid No bpae it T | Y oa aR T Tsoasineh Ll CER SrBl Watney ell g AS e Ngee, $1StE edS i Ma EA A TRAA, gnin]d E ET m Es- | Ln Le 4 HE [orLA Ii Nb wy ~ T - o H EEE noied aA TEE A 0iebi a e A Tb+et Rh eR iy feasd] we ines ef LFE l JER TRE SOE S Ce l ax AIZ PLN Mla a: fille ) EPvo RAoa 1 ANP PRY id W Yes e = : : ow -- [He Ww ing eee WA CNEL topmpemmpengegencorsa MDB KH) SE Ete T osim eR 222222.113307 sStTaArTeE_208282222226644 [Hibbing What'sIn My NeighborhMoaopd If | Morag Te |For SR pe e BisnerT rept rm |boo Eprh Ll I SaIaTE, iE: > | Hae) 5 Ee | HEH hala Hy i I Hengman .S | || FelE}E res {ys iiikid' |Vi | PEAR IE re | | Erpapact iin IE Neiman PIBaa ol ----ee ~ 7 Frm fe bY -- ren i) { / i || | Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. [em of the information should be considered to be, or used as, a legal document. The information is subject to the express condition that the user knowingly waives any and all claims for damages J ||||| @Mmmosota Pollution Control Agency MPCA that may arise from the use ofthis data. || | | No portion provided against Sites. Sotapra Dt~ llfiiW: r.luJrtrftmiil W Phomm~niSiOdISo'ldIW<aJ st~s emasaengs l!ln~miiBCI Dun~ EY MFRAP toSuporiana m:attt Su~rftl nil fr e CEK.CLt:s Febmtuprina Q F'Mil:nl !lh.a~rhmcl + tat SnoraLuates &taM 0~ LaMIUb Vous ween V9ltnar~ llritm~~l'i I; Cta'IIWrt xBoRatE Faces um .... ~RA ra~111:1~ ERA statiGouanr s F:CRA l'rJ';tfii~PDI; ~ta'IIWJI' 4 Gin eossomort "'- SliM ~rMIII: 222222.113308 sStTaAreTE0_202882222226655 222222.113309 I 1 i 48 Hibbing Wetland Map = ww. . ATgae F Ms fz 2 Cor AF ji H gaan ta | iB BT. H i EJE 92-S?W 92-56W |i Ss fi iis r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N N 0"1 0"1 > Pu lg | z 3 2 Lge] |iB gl, AVNa: os TT 9 EjiEt . [i yy re] 3 Bo e: I JE awws \\ i : Pe 7.8 EN \ "lo { i gH |\ \ o [I f 2| w (VG ; <9or EiE d } & NG Ai cP .... "~"" m w 0 z 152g .... "~"" m 6 z YX 7 .... "~"" "w' 0 z .. .. .. .... .... , ..... IU"~"1" 6 z .... C' .Nw... 0 z oan axon aasson arson arn tal | 8iil i! 3 Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America oh |B & aud 8o )&3 = it: .3 $ 92-55W 92-54 w ? Map center: 47 25' 24" N, 92 55' 41" W Scale: 1:36,079 5 ViJREdIgiRUPLI Nag: [gp id a|5 Fry Joy Well Log Report - 00233188 Minnesota Unique Well No. 233188 CQQuouauadndty Quad ID HSHiti.bbLbbioinnuggis 294B Well Name HIBBING TH4 Township Range Dir Section Subsections Elevation 57 20 20 wWIRlS ADCCAD evan Viehod ADCCAD F:levation Method MINNESOTA DJ<:PARTMK\T OF HF:ALTH WWEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 UUEpnpdtdaraytteeDDDaataettee Received Date 0003231/12112112/12090080858 1463 ft opeprphic map 7.5 minute topographic map ( I/- 5 feet) Well Depth Depth Completed | D MethE CaleTool 243ft 243 ft. Drilling Method Cable Tool Drilling Fluid -- Lse Test well IWell Hydmfractmed? From Ft. to Ft. Date Well Completed 05!0011956 DYes D No Well Address HHIBBoINGmMNm55e746 Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. C`Caassiinngg DDiiaammeetteerr WWeiegighhtt HHoollee DDiiaammeetteerr Geological Material CLCCACLYALTYAITYLITLLILLL zTILL SAND CLAY SAND CLAY SAND CLAY & BOULDERS CLAY WHITE, BLUE, RED seLIGNITE CLAY SAND CLAY SLATE Color RRREEEDDDB/BRRNN Hardness mina REMARKS WELL DRILLED BY MCCARTY WELL CO. From To 01n3 11883 [OpOmpienlHoollee TfroommW ft. o to W ft. 1 i18 23 Screen Make Type 23 28 28 43 Diameter Slot/Gauze 43 63 63 68 68 88 Length Set Between 88 133 133 195 Static Water Level wonlrenere| 195 197 ft. from Dale Measured 197 208 PUMPING LEVEL (below land surface) 208 214 ft. after hrs. pumping g. p.m. 214 219 214 243 Well Head Completion Pitless adapter manufacturer Model DDO cCoassiinngg PPrroowteescttiioonn D[1 112210in.. abboonvee ggrraaddee Growing formation Wall Gooes? 0Yer 0No D03 AAvt-ggrraasdee ((EEnnvviirroonnmmeennttaallWWeelllls asnndd BBoorirnigsnOgNsLYONLY)) Gmuting Information Well Grouted? DYes D No L[socaattaedidMiicnmntessota GeoGlromgioicgiaal Survey llaMarrgegetehrro((dDDiigDgiititgiizziitininzggeTdTa-abblselc)ea)le 1:24,000 or Sem UTM Na. Zone ers Xs S628 Vs $1519 Unique Number Verification Information from owner DateN/A System UT1vf-Nad83, Zonel5, Meters X: 506218 Y: 5251929 First Bedmck Cretaceous,Undiff. Last Strat Virginia Formation Aquifer Depth to Bedrock 133 ft. County Well Index Online Report .'\carcst Known Source of Contamination Sagres sapeier 0 ve - feet - direction _type Well disinfected upon completion? D Yes Ovo D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.tn HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No V`Vaarriiaannccee WWaass aa vvaarriiaanncceeggrraatnteedd ffroomm tthhee MMDDHH ffoorr thhiiss wweellll?? [DJ YVeess D0nNoo Well Contractor Certification United States Geological Survey USGS License Business Name Lie. Or Reg. No. Name of Driller 233188 I Printed 6/27/2008 HE-0 1205-07 file:/1/IIIlv!PCA/!Working/A0081-1 00%20-%20PFC%20Foam/R. ..maries/Hibbing/Well%20Log%20Report%20-%2000233188 .htm7/1/2008 9:38:19 AM 2222222.11331100 STATE_02822267 Well Log Report- 00238655 Minnesota Unique Well No. 238655 County Quad Quad ID St. Louis Buhl 294A Well Name HIBBING TH6 Township Range Dir Section Subsections Elevation 57 20 20 wWIRIS ACCCCA ACCCCA Flevaton Viehod F:levation Method MINNESOTA DJ<:PARTMK\T OF HF:ALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 02/22/1988 0311112005 1480 ft opeprphic map 7.5 minute topographic map ( I/- 5 feet) Well Depth Depth Completed | D MethE CaleTool 200ft 200ft. Drilling Method Cable Tool Drilling Fluid -- Lse Test well IWell Hydmfractmed? From Ft. to Ft. Date Well Completed 00!0011956 DYes D No Well Address Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter HIBBING MN 55746 Geological Material CLAYTILL TILL SILT SAND, GRAVEL, CLAY TILL %SILT TILL SHALE Color RED Hardness {OpOepneiniHcoilee Tforomm ft. 0to ft. 1 From To Screen Make Type 0 18 Diameter 18 69 Slot/Gauze Length Set Between 69 87 87 90 90 125 fore.1] 125 140 140 155 Static Water Level 155 200 ft. from Dale Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. WELL REM WELL DRILLED ARKS DRILLED BBYY MMCCCCAARRTTHHYY WWEELLLL CCOO. . Well Head Completion Pitless adapter manufacturer Model DDO cCoassiinngg PPrroowteescttiioonn D[1 11221i.n. abboonvee ggrraaddee D03 AAvt-ggrraaddee ((EEnnvviirroonnmmeennttaallWWeelllls sannddBBoorriingns gONsLYONLY)) Grog Gmuting afomation Information Wels? Well Grouted? CD1Yveesr D0NNoo Tot Masons topo ay Sted Sedsk 1200 Method Digitized- scale 1:24,000 or Located Minnesota Geological Survey larger (Digitizing Table) Unique Number Verification Information from owner DateN/A System UT1vf- Nad83, Zonel5, Meters X: 505761 Y: 5251927 First Bedmck Cretaceous.Undiff. Last Strat Aquifer Depth to Bedrock 155 ft. County Well Index Online Report .'\carcst Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.tn HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No V`Vaarriiaannccee WWaass aa vvaarriiasnacceegrgaranntteedd ffroomm tthhee MMDDHH ffoorr thhiiss wweellll?? [DJ YVeess 0D nNoo Well Contractor Certification United States Geological Survey USGS SCHULTZ, C. License Business Name Lie. Or Reg. No. Name of Driller 238655 I Printed 6/27/2008 HE-0 1205-07 file:/1/IIIlv!PCA/!Working/A0081-1 00%20-%20PFC%20Foam/R. ..maries/Hibbing/Well%20Log%20Report%20-%2000238655 .htm7/1/2008 9:38:18 AM 2222.11331111 STATE_02822268 Well Log Report- 00239102 Minnesota Unique Well No. 239102 Quid County Quad Quad ID lHSiti.bbLbbaoingu.gis 294B Well Name HIBBING 01M3 Township Range Dir Section Subsections Elevation FN 57 20 wWE18 CARON CAACDR Feahtad Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WWEELLLL AANNDDBBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 UEUpnpdtdraaytteeDDDaataettee Received Date 03162001 02/22/1988 03/1612001 Well Depth Depth Completed Date Well Completed 1468 ft 7.5 minute pgp | DE Meth topographic map (+/- 5 feet) 256ft Drilling Method -- Drilling Fluid m I e -- 256ft. Well Hydmfractured? DYes DNo From Ft. to Ft. LSC Test well Casing Type Joint No Information Diive Shoe? DYes D No Above/Below ft Casing Diameter Weight Hole Diameter Geological Material CLAY GRAVEL CLAY EEGRAVEL & CLAY BEDROCK SEAMS OF FINE SAND Color Hardness To aries NO REMARKS Open Hole from ft. to ft. Screen Make Type From To Diameter Slot/Gauze Length Set Between 0 10 10 20 20 40 BAe.| 40 100 100 256 Static Water Level 256 256 ft. from Date Measured PUMPING LEVEL (below land su.-face) ft. after hrs. pumping g. p.m. Well Head Completion DOlcaingromcion 0 12i0 shove grade Pit1ess adapter manufacturer D Casing Protection D Model 12 in. above grade Crvatog ntormadon Wel Gove? 0 Yer CI D3 AAvt-ggrraadde e(En(Evnivriornomnmeennttaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information from owner DateN/A SSyesteom U3TM3- 0Nadd83, ZZoannele5, JMvfoetesrseBsXe: 5$00551999 Y9%: 522551173600 CountyWarde onne apart First Bedrock Virginia Formation Last Strat Aquifer Depth to Bedmck 256 ft County Well Index Online Report :-learest Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D No PPuummpp CDJ NNootttInnssstatliloedd DDaattee Innsstaallleedd Longihol bop Manufacturer's Length of drop Pi _1_Copocity name Model n Pipe ft. Capacity gprs umber g.p.m TipeHP - Type Motel Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWasaa a vvaarris iaannccee gwraanntteedd ffrroomm tthhee MMDDIHffoorr tihiss wweellll?? CDJ YYeess D0 Nxoo Well Contractor Certification United States Geological Survev License Business Name wi I 239102 USGS Lie. Or Reg. No. Name of Driller Printed 612712008 HE-0 1205-07 file:///I)/l'v!PCA/!Working/A0081-I00%20-%20PFC%20Foam/R...maries/Hibbing/Well%20Log%20Report%20-%2000239102.htm7il/2008 9:38:20 AM 2222222.11331122 STATE_02822269 Well Log Report- 00239103 ~Q:u::atym 0 II II lMvifinnnneessoottaa UUnn=iiqquuee WWe--ellll--NNe--o. 223399110033 County StSt. LLoouuiiss Quad. HHiibbbbiinngg ~-==================~- QuadiD 294B WaSr O RT Well Name USGS 18L-TH1 Towmaip Rang iSectionSubcom Ecvation Township Range Dir Section Subsections Elevation S120 57 20 wWIS18 CABBAB ElevationMethod CABBAB Elevation Method DDEEPPAARRTMTSMMIuENEENNNTSETSOOOOIFFTAAHHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD Reconeda RECORD MioSmescCshpttr1e31 Minnesota Statutes Chapter 1031 EEntnrtryyDDataete. UUppddaattee DDaattee Received Date n02n/22s/1s98s8 o 01/18/n 2003 ss WNoDneph DepCoamedie WpeCiosmet 1485 ft. 7o.p5omgrinauptheicmep topographic map i (+/- 5 feet) Well Depth Depth Completed | DnMethod Non esi oiey 124 ft. U ~lllln!! lVletnO 124ft. Rnt~rv Date Well Completed 07/25/1957 -DrDirlillliinnggFFluluidid. -- Fon Tt Ty WWelelll HHyyddrrooffrraaccttuurreedd?? [DJYveess 0D Nnoo From Ft. to Ft. Use Test well Casing Type JointNo rernatn Drive Shoe? 1 Yer 0 Casing Type Joint No Information Drive Shoe? DYes D noon 8. No Above/Below ft. Casing Diameter eg Tile Damar Casing Diameter Weight Hole Diameter cociogcalMatai Geological Material a CLAYTILL Gai CLAYTILL freee SAND &GRAVEL neTILL S08GRRL SAND &GRAVEL ayCLAY Color Color woRED Fede RED/BRN MHaadrdnneessss ro AEuanEs NO REMARKS -- a Open Hole from ft. to ft. oT Screen Make Type From To |Dameter SotGaze Length SetBeen From To Diameter Slot/Gauze on0 11 Wom 11 25 5 0% 25 35 5 ou 35 54 51 mwa 54 115 Static Water Level Tem Due Vest 115 124 ft. from Date Measured Length FUNPING LEVEL (ion Boe PUMPING LEVEL (below land surface) ater bes pup gpm ft. after hrs. pumping g.p.m. Set Between Poe apimmc Well Head Completion Pilless adapter manufacturer Moet Model DDl cCaassiinngg PPrrootteeccttiioonn D[J 11221imn.. aabboovvee ggrraaddee. I te armen Wels ad orgsONLY) D At-grade (Environmental Wells and Borings ONLY) Gratiog otormaton Welles 0 ves 0 v0 Grouting Information Well Grouted? DYes D No LitesMics Gogol Located Minnesota Geological Sr Survey Unique Nam Unique Number Verteston macnn Verification Information from owner or BTA, System UTM- Nad83, Zonel5, briny l\!Jeters Method Digit sole 124000 Method Digitized- scale 1:24,000 or re Digs Te, larger (Digitizing Table) Date NA Date N/A X: 505400 Y: 5251914 in Bock First Bedrock Lat ly Last Strat Clay Anite Aquifer Dept dock Depth to Bedrock ft. ET Nearest Known Source of Contamination Rr - feet - direction _type elt woncope? 0) ves Well disinfected upon completion? D Yes rump 0 Not nsaled Dutt Pump D Not Installed Date Installed 0 No D No osntone Tele Dos pats ea Tra et IST LMLeannegutfhanocoftfudgdrreroortp'psPPnihaippmeee f_ft\_. CCMaappoaadccieitltyynum_gbpge.rmp- m HTTPyypp-ee VMoMaltatsteerriiaall Abandoned Wells Does property have any not in use and not sealed well (s0)? 0D Yvees DO NNoo Vartnes avgaedr fom oi e c oree 0 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No aComCro ar Well Contractor Certification G ni so ues go sey USGS sock. United States Geological Survey Lis Disa Li OrReg No. NaofmDileler License Business Name USGS SCHOCK,O. Lie. Or Reg. No. Name ofDriller ARCA ORC 0m ng lL Sp 4SOI 37120853820 5 file:///li;MPC A/! WorkingiA0081-l00%20-%20PFC%20Foa...ies/Hibbing/Well%20Log%20Report%20-%20002391 03 .htm (I of 2)7/11200 8 9:3 8:20 AM 222222.113313 STSATATTEE0_208282222227700 Well Log Report- 00239103 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 223399110033 Printed 6/27/2008 HE-01205-07 A -- file:///li;MPC A/! WorkingiA0081-l 00%20-%20PFC%20Foa... ies/Hibbing/Well%20Log%20Report%20-%20002391 03 .htm (2 of 2)7/11200 8 9:3 8:20 AM 22222222.11331144 sSTtaAeT_Eo_z0s228222227711 Well Log Report- 00239104 Minnesota Unique Well No. 239104 Quad County Quad Quad ID Hibbs St. Louis Hibbing 294B Well Name HIBBING 01M1 Township Range Dir Section Subsections Elevation 5F7 M20Ww COA Pn Med 18 CRARDC Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WWEELLLL AANNDDBBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 UEUpnpdtdraaytteeDDDaataettee Received Date 03162001 02/22/1988 03/1612001 Well Depth Depth Completed Date Well Completed 1500 ft 7.5 minute pvc [Pr od topographic map (+/- 5 feet) 300ft Drilling Method -- Drilling Fluid T I T -- 300ft. Well Hydmfractured? DYes DNo From Ft. to Ft. LSC Test well Casing Type Joint No Information Diive Shoe? DYes D No Above/Below ft Casing Diameter Weight Hole Diameter Geological Material CLAY COARSE GRAVEL & BOULDERS CLAY EeFINE SAND CLAY WISMALL BEDROCK SAND SEAMS Color Hardness To aries NO REMARKS Open Hole from ft. to ft. Screen Make Type From To Diameter Slot/Gauze Length Set Between 0 20 20 80 80 85 Boe. 85 125 125 300 Static Water Level 300 300 ft. from Date Measured PUMPING LEVEL (below land su.-face) ft. after hrs. pumping g. p.m. Well Head Completion DOlcaingromcion 0 12i0 shove grade Pit1ess adapter manufacturer D Casing Protection D Model 12 in. above grade Crvatog ntormadon Wel Gove? 0 Yer CI D3 AAvt-ggrraadde e(En(Evnivriornomnmeennttaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information from owner DateN/A System UTM- Nad83, Zonel5, Jvfeters X: 505185 Y: 5251869 CountyWarde onne apart First Bedrock Virginia Formation Last Strat Aquifer Depth to Bedmck 300 ft County Well Index Online Report :-learest Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D No PPuummpp CDJ NNootttInnssstatliloedd DDaattee Innsstaallleedd Longihol bop Manufacturer's Length of drop Pi _1_Copocity name Model n Pipe ft. Capacity gprs umber g.p.m TipeHP - Type Motel Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWasaa a vvaarris iaannccee gwraanntteedd ffrroomm tthhee MMDDIHffoorr tihiss wweellll?? CDJ YYeess D0 Nxoo Well Contractor Certification United States Geological Survev License Business Name 104 I 239104 USGS Lie. Or Reg. No. Name of Driller Printed 612712008 HE-0 1205-07 file:///I)/l'v!PCA/!Working/A0081-I00%20-%20PFC%20Foam/R...maries/Hibbing/Well%20Log%20Report%20-%2000239104.htm7il/2008 9:38:20 AM 2222222.11331155 STATE_02822272 Well Log Report- 00239105 Minnesota Unique Well No. 239105 Quad County Quad Quad ID Hibbs St. Louis Hibbing 294B Well Name HIBBING 01M2 Township Range Dir Section Subsections Elevation FN 57 20 w 18 CA CRDRAR ned Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WWEELLLL AANNDDBBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 UEUpnpdtdraaytteeDDDaataettee Received Date 03162001 02/22/1988 03/1612001 Well Depth Depth Completed pvc [Pr od 1520 ft 7.5 minute topographic map 330ft Drilling Method -- 330ft. (+/- 5 feet) Drilling Fluid -- IWell Hydmfractured? From Ft. to Ft. Date Well Completed DYes DNo Usc Test well Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter =GGeoeloologgicicaall MMaatteerriiaall CLAY QUICKSAND CLAY GRAVEL & BOULDERS CLAY & A LITTLE SAND FINE SAND Sanrio SEAMS OF CLAY SAND paBEDROCK CCoolloorr HHaarrddnneesss.s To aries NO REMARKS mE Em Open Hole from ft. to ft. FFrroomm TToo S|cre<en Ma*ke Tyiple 0 25 Diameter Slot/Gauze Length Set Between 25 45 45 55 55 95 95 155 155 205 28 205 330 sr 330 330 Static Water Level ft. from Date Measured PUMPING LEVEL (below land su.-face) ft. after hrs. pumping g. p.m. Well Head Completion DOlcaingromcion 0 12i0 shove grade Pit1ess adapter manufacturer D Casing Protection D Model 12 in. above grade Crvatog ntormadon Wel Gove? 0 Yer CI D3 AAvt-ggrraadde e(En(Evnivriornomnmeennttaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information from owner DateN/A System UTM- Nad83, Zonel5, Jvfeters X: 505193 Y: 5251744 CountyWarde onne apart First Bedrock Virginia Formation Last Strat Aquifer Depth to Bedmck 330 ft County Well Index Online Report :-learest Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D No PPuummpp CDJ NNootttInnssstatliloedd DDaattee Innsstaallleedd Longihol bop Manufacturer's Length of drop Pi _1_Copocity name Model n Pipe ft. Capacity gprs umber g.p.m TipeHP - Type Motel Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWasaa a vvaarris iaannccee gwraanntteedd ffrroomm tthhee MMDDIHffoorr tihiss wweellll?? CDJ YYeess D0 Nxoo Well Contractor Certification United States Geological Survev License Business Name 105 I 239105 USGS Lie. Or Reg. No. Name of Driller Printed 612712008 HE-0 1205-07 file:///II/l'v!PCA/!Working/A0081-I00%20-%20PFC%20Foam/R...maries/Hibbing/Well%20Log%20Report%20-%2000239105.htm7il/2008 9:38:20 AM 2222222.11331166 STATE_02822273 Well Log Report- 00454653 A1innesnta Unique Well No. 454653 Somau fives 454653 County Quad Quad ID mTTT oo Well Name COUNTY COURT HOUSE St. Louis Hibbing 294B MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD. WELL AND BORING RECORD inc Se Cor 051 Minnesota Statutes Chapter I 031 ER Well Depth Depth Completed URpeieaDdwee Entry Date Update Date Received Date 1216002 11/15/1990 12/16/2002 Date Well Completed 5 mow 7 occ ose Township Range Dir Section Subsections Elevation 57 20 w 7 DCCBDC Elevation Method Zn | i ny 1485 ft. 7.5 minute topographic map (-!- 5 feet) 445 ft. Dtillhig Method Air Rota1y 445ft. i02/22/1989 Diillhig Fluid Bentonite IWell Hydrofracturcd? DYes D No From Ft. to Ft. Well Address Towner HOWARD ST HIBBII~G MN 557 46 crteo tri Geological Material oyCLAY haus GRAVEL/BOULDERS SoSAND Sms wD GRAVEL/BOULDERS WI SAI~D GRAVEL W/ Flr~E SNJD cave cra CLAY W/ GRAVEL Govt seduces GRAVEL &BOULDERS SR wine wo BOULDERS W/ FINE SAI~D CEME~JTED GRAVEL W/ BOULDERS Chron CLAY W/ GRAVEL vino CLAY STICKY CLAY W/ GRAVEL Cavviinoen CLAY STICKY reSLATE Newser SLATE W/ SOFT LAYERS poiSHALE seSLATE Shere TACONITE ColorColor Som BROWN Som BROWN Som BROWN Som BROWN Hardness Hardness wor MEDIUM wo.HARD Mow MEDIUM bm MED-HRD Fram To|0 CCaanienaTDseeteSrne1o0xtchaVn)mJot rcs VDoBeasnht?e Yr From To 8| San ae Gta oan mt 0 20 o%n 8 saw ws 20 38 38 45 8 & 45 60 Use Other (specifY in remarks) Casing Type Steel (black or low carbon) Joint Tlrreaded Drive Shoe? IZJ Yes D:\lo Above/Below I ft. Casing Diameter 6 in. to 261 ft Weight 19.45 lbs/ft Hole Diameter 9 in. to 261 ft 6 in. to 445 ft Open Hole from2Gl ft. to 445 ft. BROWN Eur wom Tw GRAY Gav dG howe SwiGaze Lena SeBetween GRAY Gi Whew wm GRAY GRAY Som we mow BROWN Gar wom GRAY OK. GRY Hgixam E me Dossee BLACK BE we BE [rem eemr BLACK Fo | BLK/GRY Gio Mm mm GREEI~ EO MDD 50| wie Compton BLACK Ga UR Bo S| a1ODliesnmeprtmm eanmii es n Bt1Nh2 mtsoe Bniemgtae8d) GRAY MEDIUM MED-HRD HARD MED-HRD HARD HARD HARD MED-HRD MEDIUM MED-HRD MED-HRD V.HARD 60 77 Screen NO Make Type 77 94 9~ 120 Diameter Slot/Gauze Length 120 130 130 175 175 183 183 214 214 220 Static Water Level 220 255 ft. from Date Measured 255 266 PrMPING LEVEL (below land surface) 266 290 ft. after hrs. pumping g. p.m. 290 332 332 430 Well Head Completion 430 445 Pitlcss adapter manufacturer Model D Casing Protection [2] 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Set Between ONLY ATI REMARKS ONLY ABOCT 15 GGPPMM (S1\EEEEDDSS 14500) HHOOLLEE TTOOBBEEABAABNADI\DOONNEEDD.. roti Grouting tomato Infonnation WWeellll Get? Grouted? BIZDJ Yveers 0D1NNoo USE OF WELL WAS FOR COOLING. ed ms Gogo Located Minnesota Geological Survey Sar Unique Number Verification Tnfonnation from owner tm Sa fot System UTM- Nad83, Zone15, 2'vfeters A Dt Sn Method Digitization (Screen)- Map (1:24,000) DSuiegn2s2200 Date 09/22/2004 Mars: 058 Vs S50 X: 505535 Y: 5252807 Grout Material. Bentonite from to ft CT Nearest Known Source of Contamination TS nn Sg dl ye ~feet L direction Sertic tank/drain field type orsetmtmcmo p B ve Eo Well disinfected upon completion? [2] Yes D No ramp 0 Nerina Doc motes Pmnp D 1\ot In<talled Date Installed Longing Manufacturer's Length of drop Fename Pipe _ f l . Cows Model n Capacity pa umber - _g.p.m TovHP - Type Mat Volts Material Abandoned Wells Does properly have any not in use and not sealed well(s)? D Yes [2] 1\o ow First Bedrock Lost Last Strat -- Aquifer Dipsbr 35 Depth to Bedrock 255 ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification rae BS Petersen Well Co. 69183 PETERSEN. 12_ con hin Names OB No Nae frie License Business Nmne Lie. Or Reg. No. Name of Driller 454653 I Yes D 1\o Pnnted 6!27/2008 HE-01205-07 file:i/lli/MPCA/1Workmg/A0081-100%20-%20PFC%20Foarn/R ..rnaries/Hibbing/Well%20Log%20Report%20-%2000454653.htrn711/2008 9:38:21 AM 22222222.11331177 SSTTAATTEE__0022882222227744 SSIITTEE SSUUMMMMAARRYY SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: HHooppkikninss. H1Ho0op1pk0kii1nn"ss FFSitirrreeeeDDteeSppaoarrtutmmeenntt Hopkins, MN. 55343 101 0 1st Street South Hopkins, MN 55343 D9Da5al2lee.5SS4pp8e.ec6ck4ke5en1n,, FFiirree CChheieff dd9.5ss2pp-e5ec4ck8ke-6ne4@n51@hohpokpinksimnns.ccomommn TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 110011117i"h AAvvee.. 5S.., HHooppkkiinnss TOTtrrhaaeiirnn:iinnggHCffooTaammF:-: 5330MM0 Other: HCT F-500 BBAi-nAnnunaulalllyy LLeessss tthhaanns5 ggaalllloonnss. SSttoorrmm sseewweerr CCTrllaaaissnssinAA:g: F11o00aggmaa:llllo1on0nssgallons TOOOttrtahhhieeenrrrin(((gCHChFhCeeoTmmaFmgg5uu:0aa01r)r0dd:g4A5an/8olBl)to:):nssp11e00ciggfaaillleloodnnss, Other (HCT F-500): not specified IIntteerrmmiittteenntt sttrreeama lleessss tthhaann 11//44 mmiilee eeaasstt 11/41t0o 117/33 mmiilee nnoorrtthhwweesstt TTrraaiinniinngg ssiitet iis llooccaatteedd iinn aa trraannsstitiioonn oor ccoovveerreedd Kkaarrsstt aarreeaa AApppprrooxxiimmaatteellyy 11//44 mmiilee wweesstt TTrraaiinniinngg ssiitee llooccaatteedd iinn WWeellilhneeaadd PPrrootteeccttiioonn AArreeaa 118 22222222.41331188 SSTTAATTEE__0022882222227755 omiss cuevop HOPKINS CWI Well Map i SB EaNn raJJs | 117) LLsEUK, RE ERE | Saale aX Raa dst A iB SA Eten e Ilred H SeERL EDS L DJeeold] ul) BoE eh tg ag pee aE SRE fi Pv i Jay by APTN al PEos SERESt, mh a aLs rau a H r E n i LEI Sr dp : SSE ip PTHC ee e Cr gn i Weeol ET io RoC AR Ne diz nahfle i BA SiR CTE 0IS er eat al a ENSEHE eat, E2I Nios Merma Congn o Jf RetAli 222222.113319 STATE_02822276 HopkinsWhat'sInMNy eighborMahpood| i iD IT gp REE e/ 2 t frimd L{ ship 4A | so!Fo C E Nn ET 2[rT7 lie i x | 7 { N p ] Elhin r | Fert 8 [r= 0 2a/ TEE \ A Ti i oily HE AX oT \ 7 | IA TM Nea"t onentaops1 Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion iti onarh sigh dents he oie etd| UNROMEIDNBS of the information should be considered to be, or used as, a legal document. The information is provided ESTEE IE ||teem subject to the express condition that the user knowingly waives any and all claims for damages against Wreormutans MPCA that may arise from the use ofthis data. Sites. Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP Stma:attottSSuup~errfftlunndil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl @Minnesota Pollution Control Agency &taM 0~ LaMIUb v+O rpoe eten um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ EF:RCRAAI0lv'r4J';1tf1ii~0PD&1I;C~1tha'a0IInW0JgI' A Ee"'- SliM ~rMIII: 222222.113320 STATE_02822277 %e mer [1% 4. IHidh gnhsc ||| dn) BsinEd,gi3iaibHeA slaiiln :|g amon smn smaon ssn aasedon aman 3 ah & ] A| FERLeli=av nt 4 47 = TT) 1485 0 zi; awl r S810 NTPNNs A --Tp =A FSH Wi Hopkins Wetland Map [EN Hl Qe at 2222.11332211 ANNFe Hae3 __,,.. &, OJ 6 z Vd 4 4 Legend __,,.. ;;' Interstate ~ Major Roads .0J,. Other Road z ;;' Interstate ,..v State highway ~US highway Roads "'__,,.. Cities &, r USGS Quad Index 24K ~ Lower 48 Wetland Polygons 0 z Ill Estuarine and Marine Deepwater Lig Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond __,,.. Lake ~ Othor Riverine 6 z Lower 48 Available Wetland Data i Non-Digital Digital No Data __,,.. Scan &_,., NHD Streams .J,. Counties 1OOK o 0 z States 1DDK South America o North America FE a EBo. e by ITH 3 ing "hm 8 a oa Tn e 33 g ald SF en HitB 43 & l|ii 3 _,. FLEi E I )<,1{!\}.!Ci'~~?'t'- ""~ FDiV:T'/tft]"Cf t ,g&:,2# ,, lf!jlF Ift" 93-26-0W 93-25-30W 93-25-0W IE r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N $ 93-24-30 w 93-24-0 w ~ Map center: 44 55' 15" N, 93 24' 55" W Scale: 1:24,537 00 N N N '-I 00 Well Log Report - 002045 59 I Minnesota Unique Well No. 200455Unt 9Ws J poG~::woy:tiy Jgto uoi II 204559 II ~-==================~- QuadiD Hennepin Hopkins 104B TT Well Name ROY TARASCH Town Ra Dt Sen Stns Elion Township Range Dir Section Subsections Elevation WW 3 COME Fest and 117 22 w 23 CDAADC Elevation Method MINNESOTADERARTNENT MINNESOTA DEPARTMENT FRET pypue csauin OF HEALTH WELLAND BORING Upiebue tation WELL AND BORING RECORD Rivet pus RECORD Mis Sue chp 101 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/24/1991 09/11/1991 95 Wienbs booCnomet DaeWCoT 955 ft. 7.5 minute pope | DES topographic map Tr (+/- 5 feet) Well Depth Depth Completed 138 ft. 138ft. Drilling Method -- Date Well Completed EE Drilling Fluid -- WweetlllHtyyddrrooffrarcatucrread?? 0DYveess 0D NNoo From J:it. to J:it. Use Domestic Couns aren no tomios Drveswr 0 vo Casing Type Joint No Infonnation Drive Shoe? DYes D nn No Above/Below 0 ft. GaaigDiameter We Toe Baer Casing Diameter Weight Hole Diameter Tow wa wn 4 in. to 126 It lbs./ft Wel Adaess Well Address ose 12000 SUNRISE inverouai MINNETONKA MN ocoogntisteral Geological Material Gn GRAVEL ero LIMEROCK Cobr Harness Color Hardness To arene NO REAIARKS From To From To om0 126 wo 126 138 Open Hole from 126 ft. to 138 ft. So WT Screen NO Make Type Dametsr Sitoaze Length Diameter Slot/Gauze Length Set Between Set Between Sw Static Water Level ft. from Date Measured FURNEVEL ti Taree PUMPING LEVEL (below land surface) San ne 0m 0 ft. after lrrs. pumping 50 g.p.m. Walled Compl Well Head Completion Pcs sot mamas Mod Pitless adapter manufacturer Oca tossn 0 12 stove D Casing Protection D Model 12 in. above grade 0 pee annmre Wels m Bergs 80.) D At-grade (Environmental Wells and Borings ONLY) Coionrm s Wet crwe? 0 ve Ov Grouting Information Well Grouted? DYes D No LocatedMims Gopal Located Minnesota Geological nsSurvey ae Naber Unique Number Vente 01 Verification N/A Spm UTM Nl T0015. System UTM- Nadf/3, Zone/5, ]o,feters Method Digi sce 2400 Method Digitized- scale 1:24,000 or frame larger (Digitizing Table) [A DateN/A Xx,: sss 465858 Y3: : soniso 4974506 Fi Bedrock Pitts First Bedrock Platteville Los Pati Last Strat Platteville quite Pei Aquifer Platteville Depohrc 126 1. Depth to Bedrock 126 ft. RET SrCRT Nearest Known Source of Contamination ene - feet - direction _type wasd pn coms pton. 3 ves vo Well disinfected upon completion? D Yes D No Pump 0 ot old Doced Pump D Not Installed Date Installed eminem Moka HL. Vos Manufacturer's name Model number - rio pe Coir apa wr Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material Reardon Wal Do Fame eB So TE Abandoned Wells Docs property have any not in usc and not scaled well 2 Ove Ow (s)? D Yes D No VarnesWeave geo te rt ) or Variance Was a variance granted from the MDH for this well? D Yes oD . D No ATCCT Well Cnntractnr Certificatinn sat ms Rogers Well Co. 27014 cman Name Or Yo Nameroir License Business Name Lie. Or Reg. No. Name or Driller ACA 10030 STC Sg Sher 0m AVR 00 0 file:l!/li;MPCAI! Working/AOOSI-1 00%20-%20PFC%20Foa...ies/Hopkins/Well%20Log%20Report%20-%20002045 59.htm (1 of 2)7/1!2008 9:40:06 AM 22222222.11332222 stareozsz2279 STATE_02822279 Well Log Report - 002045 59 County Well Index Online Report 204559 Printed 6/27/2008 HE-01205-07 file:l!/li;MPCAI! Working/AOOSI-1 00%20-%20PFC%20Foa... ies/Hopkins/Well%20Log%20Report%20-%20002045 59.htm (2 of 2)7/1!2008 9:40:06 AM 222222.113323 STATE_02822280 Well Log Report- 00204568 [e2s0U4rg5e v6ee8 r Jom T loi II 204568 II ~:::ty Minnesota Unique Well No_ 204568 Jn ih ~-==================~- QuadiD Hennepin Hopkins l04B TR VEST CORY Well Name WESTERN-OIL COMPANY omnis Rg DirSeton Scns Beson Township Range Dir Section Subsections Elevation WE W 3 DOOR Hon Mt 117 22 w 23 DCDDDB Elevation Method swesors MINNESOTA pra Ore - DEPARTMENT OF HEALTH pLLore, Snooncea au WELL AND BORING RECORD Wee RECORD Minne Sots Choir Minnesota Statutes Chapter i1031 Entry Date Update Date Received Date 08/2411991 06/03/2004 310 aabe DepaCrp aWa Ciomte 910 ft Sine 7.5 minute mgt | PENRO topographic map oh (+/- 5 feet) Well Depth Depth Completed 97ft 97ft JJ ~unn, 1Vlel no a -- Date Well Completed 01/00/1960 Vartan O ver O ve Drilling Fluid Fn fms -- Well Hydrofractured? D Yes D No From Ft. to Ft. Well Adress Well Address WeTr A MINNETONKA MN logic atin Geological Material aSILT Shiovo SANDY MUD Shove SANDY MUD woSAND InesLIMESTONE Color Madness Color ax BLACK SoGRAY SavGRAY fdGRAY Hardness To rman NO REMARKS From To From To Ha0 5 FI5 6 ow 6 88 sw 88 90 7 90 97 Use Commercial CounsTure Natoma veins? 0 ve 0 Casing Type Joint No Information Drive Shoe? DYes D Nr No Above/Below 0 ft Gasing Diameter Weigh Tow Damar Casing Diameter Weight Hole Diameter Tas on wn 4 in. to 91 ft lbs./ft. OT TTT ET Open Hole from 91 ft. to 97 ft. Sono We Toe Screen NO Make Type [Dames SotGmze Diameter Slot/Gauze Length Length SetBatveen Set Between [Sm Static Water Level Latie_Dote Mersast oun 17 ft. from Land surface Date Measured FONPING LEVEE flo arts PUMPING LEVEL (helnw land surface) 17 ater es pang 5 en 17 ft. after !Tis. pumping 25 g.p.m. 01/00/1960 We esd Compltn Well Head Completion Pict mamta Mode Pitless adapter manufacturer Model Dcnne rosin 0 1210 shone D Casing Protection D 12 in. above grade 0 rte in Wes a ins ONLY) D At-grade (Environmental Wells and Borings ONLY) Goto atormation We Gnas? 0 Yer Io Grouting Information Well Grouted? DYes D No LocateMims Geog Located Minnesota Geological smeSurvey Unie Number Unique Number Verheaion No Verification N/A Sem System _Meters UTM Natt UTM-Nad83, ZTnoenleSl5., Method Diese 240000 Method Digitized- scale 1:24,000 or ae Dine Toe) larger (Digitizing Table) pe HEA Date N/A x, sass vs sre X: 466256 Y: 4974293 FLiat sBtedkPcFilee First Bedrock Platteville Last Strat Platteville ADqewpirboBpeactike0 1 Aquifer Platteville Depth to Bedrock 90 ft eT Sr ER Nearest Known Source of Contamination Nr - feet - direction _type Weldwponconpioins 0 ver 0 No Well disinfected upon completion? D Yes D No vump 0 Nona Doms Pump D Not Installed Date Installed Nocturne Mobmrier IPD. os Manufacturer's name Model number - Loot pi Cone gps Te Main Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material LC Abandoned Wells Does property have any not in use and not sealed well 2 0 ve O (s)? D Yes D No Varian aaa rd rom NfoH r ee? 0) Variance Was a variance granted from the MDH for this well? D be 0 Yes D No AT CoCcr o Well Contractor Certification Kemshi sms ams Renner E.H. & Sons 27015 come Biss Nome_Lic rie. No Namco rte License Business Name Lie Or Reg. No. Name of Driller ig AL 0505 SC.Sg grt386 371 RD 08 50 file:///li;MPCA/!Working/A0081-100%20-%20PFC%20Foa...ies/Hopkins/Well%20Log%20Report%20-%2000204568.htm (1 of 2)7/1/2008 9:40:08 Al\1 22222222.11332244 sStTaArTeE__0022882222228811 Well Log Report- 00204568 County Well Index Online Report 204568 Printed 6/27/2008 HE-01205-07 file:///li;MPCA/!W orking/A0081-I00%20-%20PFC%20Foa.. .ies/Hopkins/Well%20Log%20Report%20-%2000204568.htm (2 of 2)7/1/2008 9:40:08 Al\1 222222.113325 STATE_02822282 Well Log Report- 00223878 Mets US TE Minnesota Unique Well No. II 222233887788 Gy County QQuuaadd QuadiD coin Hennepin `HHooppkkiinnss 104B Well Name WALTER REINSTRA Township Range Dir Section Subsections Elevation 117 22 w 24 DCCBAD ElPvation Method oo ! ; Well Address oe 101 8TH AV S HOPKINS MN =Geological Material SAND CLAY & GRAVEL WATER SAND moColor BROWN BROWN GRAY Hardness a er MINNESOTA DEPARTMENT OF HEALTH `WWEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 Bbw Entry Date UUppddaattee DDaatet:e Received Date main 08/2411991 W09/N11i1991 924 ft. 7.5 minute t((o+p/S-otg5rfaeepe)ht)ic map Well Depth 64ft. Drilling Method -- Depth Completed 64ft. Date Well Completed 07/2411972 0000 Drilling Fluid -- IWWeellll HHyyddrrouffiraaccttuurreeda?? JDYveess 0D NNoo From Ft. to Ft. Use Domestic Casing Type Joint No Information Drive Shoe? DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 4 in. to 59 ft. lbs.lft. pm em Open Hole tram tl to n. Screen YES Make Type stainless steel Diameter From To 2 Slot/Gauze 10 Length 6 0 26 om Set Between 0 ft. and ft. 26 41 41 64 Static Water Level 32 n. from Land surface Date Measured 07/24/1972 PUMPING LEVEL (below land surface) 32 n after hrs. pumping 20 g. p.m. vo Resins NO REJ'v!ARKS Well Head Completion Pitless adapter manufacturer Model DDO cCosaisnigng PPrrootteeccttiioonn 0D3 1122iinn.. aabboovveeggrraaddee Grouting tormatin WetlGroctt 01 ver Ov DDO AAtt-ggraasdede(En(Evmiirroonnmmmeernttaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Number Sem UTM Nah Zoel5. Verification Address verification System UT1'vf- Nad83, Zonel5, ]\/[eters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NIA X: rss; 467633 Y: ares 4974387 First Bedrock Last Strat Sand-gray AquifPr Quat. Buried Artes. Aquifer Depth tu Bedrnck ft. County Well Index Online Report NParPst Known SourcP of Contamination Well gifted wponcompiion" 1 ves CJ No - feet _direction _type Well disinfected upon completion? D Yes D No PpUuImIlpp [DJ NNoottlInnssttaallleedd DDaattee IInnssttaslllieodd Manufacturer's name LLengethoon ffdderg oppPPt iippesh_fft.. CCMaappoaadccieitltyynugmgb.ppe.rmm- HPQ_ TTyyppee Volts MMataetreiraiall Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No V`VaarriiaannccPe WWasasa avvaasriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHfoforrtthhiisswwelelll?? [DJ YVeess 0D NNoo WPll Contractor CPrtification DeQendable Well Co. 27143 License Business Name Lie. Or Reg. No. Name of Driller 223878 I Printed 6/27/2008 HE-01205-07 file:///Iji1v!PCA!!Working/A0081-100%20-%20PFC%20Foam/R...maries/Hopkins/Well%20Log%20Report%20-%2000223878.htm7/112008 9:40:08 Alvl 222222.113326 STATE_02822283 Well Log Report- 00224060 bos ig Minnesota Unique JiVe!! No. aresUA KIND II 222244006600 II L.!:.= = = = = = = = = : : : : ! . J . ~oQQ:uup:a:daptym Quad ID cnn HHHoeop1pkmkiiennpssin 10104B arm Well Name Towa Range DirScion Subcom Ection Township RangeDir Section Subsections Elevation WB 117 22 wOW 25 25 HDDIC BBDDBC Fixation Meth Elevation Method enasin WWeellll aAddddrreessss T13s15S5TTHHSSTTSS HOPKINS MN GGGReeAcoVtloEogLgiic8caRalOl CMtKaetrPeiLraiLall GPGGGPeEiRRoAaAAnrrTVVeoEELL & ROCK cu& CLAY FILL COARSE GRAVEL LIMEROCK COARSE GRAVEL CCoolloorr MHaarrddnneessss vo rEaREs NO REMARKS MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OF HEALTH Eb oun OF HEALTH "WWEELLLL AANNDD BBOORRIINNGG RECORD Rcaned Date RECORD MinncstoStes hap 1031 114inne,mta Statutes Chapter 1031 UUEpnpdtdaraytteeDDDaatatetee Received Date 0009891//211417//111999999111 wn WelslDnepth DepthsCohmpieed Date W1a0l01C9o7m3pied 902 ft. 7.5 minute opogaphcnap |DANTE Nod = topographic map ta (+/- 5 feet) Well Depth 145 ft. Drilling Ntei:hoJ~~ Depth Completed 145ft. Date Well Completed 10/06/1973 "Well Hyaroraturea? 0) ver 0 No Drilling Fluid From 1110 -- Well Hydrufractured? DYes DNo From Ft. to Ft. Cong Type Joint No forion DriveShoe? 0 ver 0 Use Domestic Casing Type Joint No Information Drive Shoe? DYes D No Above/Below 0 ft. CasingDiameter Casing Diameter Tne wt 4 in. to 140 ft. ean Weight Jeelbs./ft. HHoolles DDiiaammeetteerr From To From To 02 0 2 : on 2 25 Bw 25 130 Ww 130 132 Ws 132 145 Open Hole from ft to ft SS Screen Make Type [Dimer SovGauie Diameter Slot/Gauze Leng Length SSeettBBeettwweeeenn [Sewer Static Water Level Sh owLand wice_Dutc Meanaed_10061973 5 ft. from Land surface Date Measured FUNPING LEVEL ein Tan arc PUMPING LEVEL (below land surface) Sila tvs pumps 35 2pm 5 ft. after hrs. pumping 35 g.p.m. 10/06/1973 Wel HeadCompletion Well Head Completion Pils ior maine Mok! Pitless adapter manufacturer Model Dlcusig potion 0 12. sone ge: D Casing Protection D 12 in. above grade EJ Nome rine Wel nd rings ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Iormation Will Grow? 0 Yer 1 No Grouting Information Well Grouted? DYes D No Locust Minoura Geological Located Minnesota Geological sir Survey Une Nambr Unique Number Vernon Ads veriion Verification Address verification Systm UTM Noth, Zon. System UTM- Nad83, Zonel5, ,\,feters Method Digs 12400 Method Digitized- scale 1:24,000 or rks (Ding Toho) larger (Digitizing Table) DateN/A gn x; svrioos X: 467003 Y: 4973908 FLFiiersntwtBiBeendirodSckkind DAAqequuipiffeetrrBQQeuuact Bkurr1iiedd AresArtes. Apter Aquifer Last Strat Sand Depth to Bedrock ft. `CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt eT Row Sous oTCommon Nearest Known Source of Contamination Fa - feet - direction _type Wetwtonceompted 0 ves 0 No Well disinfected upon completion? D Yes D No Pup DO) Notiled Daclosaled Pump D Not Installed Date Installed Nmicursronme Mod mr PD. Vols Manufacturer's name Model number - LerwihordpPpe Copco gpri_Trpe_ Merial Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Py Abandoned Wells Does property have any not in use and not sealed well(s)? 0 ve Ow D Yes D No VarianceWasavanes gtd om be MDH fra! You Variance Was a variance granted from the MDH for this well? D Yes D0 x D No a Contract Core Well Contractor Certification Dpadeweco, 7143 DeQendable Well Co. 27143 cen Business Name Lic Or Reg No. Nae Drie License Business Name Lie. Or Reg. No. Name ofDriller | 22224400660 0] Fre Printed 6/27/2008 HE-01205-07 FTA BLO om. Vl gr 205000 50854008 file:///IIil\1PCN! Working/A0081-l00%20-%20PFC%20Foam/R...maries/HopkinsiWell%20Log%20Report%20-%2000224060.htm7/112008 9:40:08 AM 22222222.41332277 SSTTAATTEE0_202882222228844 Vetter Well Log Report - 00224075 beetnss tnee Minnesota Unique Well No. II 222244007755 II ~-==================~- QQ~u::a:duty QuadiD 100Hennepin HHooppkkinins.s 104B WaT FORT Well Name 0. PORT ToniRageDirSection Subactons Beaton Township Range Dir Section Subsections Elevation WT117 222 w W 323 DDCCHD DDCCBB HastnMethod Elevation Method MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT oFNEALTH Dube zune OF HEALTH W`WEELLLL AANNDD BBOORRIINNGG RECORD RecohedDate RECORD Manso Sten Chpter 1031 Minnesota Statutes Chapter 1031 Entry Date UUppddaattee DDaattee Received Date 08/24/1991 0099/N1111/1999911 wn Weal>lDeph DeCopomet DeWpalrCyomet 913 ft. 7.5 minute tomgaphensp | DEM topographic map Well Depth 67ft. Drilling Method -- Depth Completed 67ft. Date Well Completed 12/01/1958 (+/- 5 feet) Drilling Fluid -- Wataru O ver Ovo Well Hydrofractured? DYes D No Fon Ty From Ft. to Ft. Use Domestic Cong Type Jom Notatormaton Drvestoet 0 ver 01 Casing Type Joint No Information Drive Shoe? DYes D rekon 0 10. No Above/Below 0 ft. Casing Diameter Weg Tere Dimer Casing Diameter Weight Hole Diameter cab on wn 4 in. to ft. lbs./ft. shsuuporouro [WWelelll AAddddrreessss, 169 SHADY OAK RD HOPKINS MN ccctogica tert Geological Material Har STones HARD STONES porSAND Sova SANDY CLAY CCsooolloomrr WHaarradnneessss SavBROWN GRAY vo REsanns NO RElv!ARKS From To|DiemeVr SouTiTT LeT vngeth ST etBotweon From ow 0 uw 24 a a S ON0 PwaGsnyhLe IieEVnsELtp(nilpoto1e6ndgMpeasmrsy 12001958 66 [CrOapemnoHloele foromm fnt. wto wfto. Screen YES Make EVERDUR Type Diameter To 4 24 Slot/Gauze 20 Length 0 Set Between 0 ft. and ft. 66 67 Static Water Level 42 ft. from Land surface Date Measured 12/01/1958 PUMPING LEVEL (below land surface) 44 ft. after hrs. pumping 16 g.p.m. Wel He Completion Well Head Completion Pi pi am Mod Pitless adapter manufacturer Model DDO CCaassininggPPrrootteeccttiioonn D0 1122min..aabboovveeggrraaddee 3 Neamt Cviommen Wel nd Doings ONLY) D At-grade (Environmental Wells and Dorings ONLY) Grouting nrmation. Wel Grower? ver 0 No Grouting Information Well Grouted? DYes D No LactMimsts Gelgil Located Minnesota Geological ss Survey Unique Numer Unique Number Vea Oh cn Verification Other, note in remarks as ots System UTM- Nad83, Zonel5, Ve A!eters MethodDigi te 1 240000r Method Digitized- scale 1:24,000 or ne Di Ty larger (Digitizing Table) en DateN/A RAS X: 466316 Yds Y: 4974303 Laws Tl FFiirrsstt BBeeddrroocckk Last Strat Till DetpoBetdrohck 11 AAqquuiiffeerr QQuuata.t. WWaatteerr TTaabbllee AAqquuiiffeerr Depth to Bedrock ft. re oT Sr TCR Nearest Known Source of Contamination i - feet - direction _type Wel dt woncoms petion 0 ve 0 no Well disinfected upon completion? D Yes D No umn Not nl Dos ied. Pump 0 Not Installed Date Installed Mimics mano MYERS Mod minh $4751 Manufacturer's name MYERS Model number SA 75 A4 _ HP 0.75 Volts TenghooPipe 0. Capcity15gpm Length of drop Pipe 2Q_ft. Capacity li_g.p.m Ti Sumo ditgi Type Submersible Material sod Welk Dos op Te Te Te Abandoned Wells Does property have any not in use and not sealed well (ss)r? 0D Yvees DO NNoo Variance Wasa imei fom he MDH or tira? 1 Yr Variance Was a variance granted from the MDH for this well? D Yes Ow D No CoC Well Contractor Certification cone Bune am:_Lic Orc. NoNaat Dnt ReRnennneerrEEH.H,.&&SSoonnss 20710185 License Business Name Lie. Or Reg. No. Name of Driller ADC ing L190 FEC Fn. leg et 70240 1 7 965 408 AN file:///IIfMPCAI!Working/A0081-I00%20-%20PFC%20Foa...ies!Hopkins/Well%20Log%20Report%20-%2000224075.htm (1 of2)7/l/2008 9:40:08 i\_v[ 222222.113328 STSATATTEE0_208282222228855 Well Log Report - 00224075 County Well Index Online Report srs 224075 Printed 6/27/2008 HE-01205-07 file:/!/JiiMPCAI!Working/A0081-100%20-%20PFC%20Foa... ies!Hopkins/Well%20Log%20Report%20-%2000224075.htm (2 of2)7/l/2008 9:40:08 i\_v[ 222222.113329 STATE_02822286 Well Log Report- CJCJ2271l2 ---- rr _Minnesota Unique Well No. 2713] a~ eds 227132 County Quad QuadiD Hennepin Hopkins 104B a Well Name emiScabies Township Range Dir Section Subsections Elevation I117 222 wW 225 DCAD BCADDB Hert Metal Elevation Method paT pr ae won Ml'IINESOTADEPARTMENT OJ<' HEALTH WELLAND BORING RECORD Lpiacbue 1202304 WELL AND BORING RECORD tnaee Catttr Minnesota Statutes Chapter 1031 90 EfiE TEHa -- 900 ft 7.5 minute pesca | PAREN= topographic map (+I- 5 feet) Well Depth 363ft. i)rillinP" Method -- Depth Completed 363ft. Entry Date Update Date Received Date 08/24/1991 12/02/2004 Date Well Completed 06/06/1967 Drilling Fluid EI T -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Commercial Well Address 1202 5TH ST HOPKINS MN oon tet Geological Material FySAND =PEAT SooeSAND SAND ue es CLAY CLAY +STONES Sn LIME ROCK ri -- SHALE. SOFT LIMEROCK SANDSTONE eo GRAVEL LIMEROCK ST. PETER SANDROCK oNSHALE biSHALE ShSHALE Son SANDROCK Rr SHAKOPEE coColor Sy YELLOW fy BLACK oaeGRAY BROWN soeeBLUE BROWN arGRAY aoGRAY GRAY 2 BROWN WHITE aLIGHT RED =GRAY WHITE uoPINK ess Hardness owHARD FETT om REMARKS CASING: 12 TO 213; 10 TO 257. fom To |ionwOmTuenr TG From ul ey 0 ts _ 5 aFE x [EE 20 30 y5o 8 fuer soos oan owe 40 51 ho112 ow 116 120 z= 130 153 iE 183 BE RI ars 194 .196 Bom 215 2B te E DDlensrreeC ehoonmrsneT er nw0wierthsr: pentoo TT 250 Casing Type Below 0 ft. Joint No Information Dtive Shoe? DYes D No Above/ Casing Diameter Weight Hole Diameter To 12 in. to 213 ft. lbs./ft. 5 10 in. to 257 ft. lbs./ft 20 Open Hole from 257 ft. to 363 ft. 30 40 Screen NO Make Type 51 Diameter 112 Slot/Gauze Length Set Between 116 120 130 153 183 Static Water Level 194 65 ft. from Land surface Date Measured 06/06/1967 196 PUMPING LEVEL (below land surface) 215 90 ft. after hrs. pumping 600 g.p.m 250 363 Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No LLooccaatteedd MMiinnnneessoottaa Goleoolgoigcicaall SSuurrvveeyy eernetn ain--om owns Unique 1\umbcr Verification Information from owner System UTM- Nad83, Z<mel5, Meters MMeetthhoodd DDiiggiittiizzeedd -ssccaallee 113:244..000000 oor larger (Digitizing Table) SDooNoA 3S DateN/A X: 467041 Y: 4973662 First Bedrock StPeter Corser tection Wb th Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 153 ft. County Wel Index Online Report County Well Index Online Report RarOve Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes Dn D No OodaI re ststosc PPuummpp 01 NNoottlIanssttallilcedd DDaattee IInnssttaalllleedd Manufacturer's name JACUZZI Model number IOMSA5 BOWL _ HP'ill_ Volts Length of drop Pipe ft. Capacity g.p.m Type Turbine Material aed ets Dosey es or ater EF Abandoned Wells Does property have any not in use and not sealed well(s)? D be 0 Yes D No Variance Was a variance granted from the MDH for this well? No Well Contractor Certification Renner E.h. & Sons 02015 227132 I License Business Name Lie. Or Reg. No. Name of Driller 227132 D Yes D Printed 6/27/2008 HE-01205-07 file://ilj!MPCA/1WorkingiA0081-100%20-%20PFC%20Foam/R ..mariesffiopkins/Well%20Log%20Report%20-%2000227132.htm7/li2008 9:40:09 AM 222222.113330 sStTaArTeEo_z0228222226877 Well Log Report- 00242112 Minnesota Unique Well No. II 242112 County Quad Quad ID Hennepin Hopkins 104B Well :...arne THERMOTECH NO.I Township Range Dir Section Subsections Elevation 1W1772222 wW 2255 BBDOBBBBBEDD EFelevvaattiioonn MMeetthhoodd MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 103I Entry Date Update Date RPcPivPd Dati' 08/24/1991 10/1111995 900 ft. tt7oo.5ppoomggirrnaauppthbeiiccmmaapp (+/- 5 feet) Well Depth Depth Completed Date Well Completed 380 ft. 380ft. 08/29/1966 m I e | DUrrlollmne!! JMVeJtehtnooda =-- Drilling Fluid -- Well Hydrofractured? DYes 0No From Ft. to Ft. Cse Commercial Well Address EaHOPKNS MN 1202 5TH ST S HOPKINS MN GGeoeloologgiiccaall MMataeterriiaall CLAY GRAVEL BROKEN LIMESTONE SOFT SANDSTONE SHALE Blase HARD SANDSTONE SHAKOPEE JORDAN SANDSTONE CCoolloorr HHaarrddnneessss Casing Type Joint No Information Drive Shoe'! DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 12 in. to 222 ft. lbs.lft. CiFFrroomm TToo 0 115 115 132 132 190 190 214 OR 214 251 251 370 370 380 Open Hole Screen NO' Diameter rom 222 ft. to 380 ft. Make Tyopre Slot/Gauze Length Set Between Static Water Level 04 ft. from I"and surface Date Measured PUMPI:...G LEVEL (bPlow land surfacP) 79 ft. after hrs. pumping 550 g. p.m. OS/29119M GRGAAEMMMMMAAARLLKOOGGSGGEEDD+ + TTVV OONN 77--2200--8888.. SSWL=W120L.6~l20.6 FFTT.. GGAAMMMAMLLOOAGG "INGGDAAIMCMAMMTAAELSLOOGGGGEDED+ +TTVV OONN 77--202-808-.SS8WW8LL--112200.66FFT.T. GGAAMMMAA LLOOGG INDICATES OPDC. OPDC Well Head Completion Pitless adapter manufacturer Model DDcuCsaisinngg Pprroosteccctiioonn D0 1122min.. aabboovvee ggrraacdee: D03 AAvt-ggrraaddee ((EEnnvviirroonommeennttsall WWeellllss aanndd BBoosriinnggss OONNLLYY)) GGrroouuttiinngg; Ifnoforrmmataitioonn WWeelll GGrraoutteedd?? D1 YYeosr DOI N0o bLoooschatPd Minnesota gol Geological Survey anger (Digitizing Tobi) Method Digitized- scale larger (Digitizing Table) 1:24,000 or Unique Number naeNumbmeourn De NA Verification Information from owner Date N!A Systm UT- Nod, Zoe Meters Xs 467138 Vs 497376) System UTM- Nad83, Zone15, Meters X: 467138 Y: 4973769 Borehole Geophysics Yes County Wel index Oi Report First Bedrock StPeter Last Strat Prairie Du Chien Group AquifPr Multiple Depth to Bedrock 132 ft. County Well Index Online Report ~earest Known SourcP of Contamination yO Norm Dot i feet direction _type -WWeelll ddi-siinfsectiednuuppfoonnoccoocmmplipeletotiioodnn?? 0D Yveers D0 Pump D Not Installed Date Installed Lenghope p1 Copgpe Tope Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HPQ_ Type Nnoo Visi Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well 0 No W Pll Contractor CPrtification Renner E.h. & Sons 202112 License Business Name 242112 02015 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/27/2008 HE-0 1205-07 flle:///II!\1PCA/!Working/A0081-l 00%20-%20PFC%20Foarn'R. ..maries/Hopkins/Well%20Log%20Report%20-%2000242112.htm7/1/2008 9:40:09 AM 2222.11333311 STATE_02822288 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY HHooyytt LLaakkeess. HCHooiyttHLLaaalkkeess FFriree DDeeppaarrttmmeenntt CHHoiotyyyttHLLaaaklkleess,, MMNN 5555775500 SS2t1tee8vv.ee2S2St6ot.ok2ks0s,0,F0FirireeCChhiielf 218-225-2000 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: TMTreriipmplloeerbbiaaallllfDifeilvlddess, ooHronnyeetaarLraHHkoeosyy.tt LLaakkeess ffiirree hhaallll, 112233--117/22 KKeennnneeddyy Memorial Drive, Hoyt Lakes GCClllaaassssss AAA:-BBAHHniisEEuxxpepaannsisoionn:: JJeott-xx GCCOltllahaasessrsss:AAAD:::aASSwininltvsv-udeeliixxtseh soap Other: Dawn dish soap BBAi-mAnnunaulalllyy LLeessss tthhaann 5s ggaalllloonnss. GGrroouunndd AAClRRaA-sAFsFFAFE-F:B: lHleiessEssxttphhaaannnsi55ongg:aalllloo5nnsgs.allons. Class Class Class 4 20 gallons. A-B Hi Expansion: A: 20 gallons 5 gallons CCoollbbyy LLaakkee lleossss tthhaann 11//44 mimile nnoorrtthh LLeessss tthhaann 11//44 mmiilee nnoorrtthh--nnoorrtthheeaasstt LLeessss tthhaann 111/48 mmiilee wweesstt MMoorree tthhaann 11 mmiilee 1"1 22222222.11333322 SSTTAATTEE0_022882222228899 Sete nEERIT) vy HHOOYYTT LLAAKKEESS CCWWII WWeellll MMaapp H CgELeR AEe SpBE ggfroeyg!|Yi XCe ahdgte P er 2x e b AESeTrSe a Pw ol AT T IA EN ae detVis Ni No ea 3 Np ps 13 0 Co$m 10tNeNeEA: Na EAT Lh iao R]SeAS SI a pmgil 2 am Tdad!e ol Ary al Ny Thy L AaT laSEmRsmee SETA Cinatrpe ia pe 0 son] more dl AG pIifiAgI hedreSa SE HER ERRCR aItNeAa) DO | RET ey |e 3 v Sheu Cusine 7 Rs emeriysensN ing = net o8 foa En NO aa 222222.113333 ae STATE_02822290 preHyoyt LLaakkeess WWhhaatt's'IIsnn MM y NeighborhoodMap 7 Bae | fir z firey i 2 THE TW tt HE 5 2 FE og 14 ip pn Fas IL l = | Sh | SITHEEST St on LA az i ATi : 5} { \ i: Ps om 7 J a ay aie 5 hy i Spor} [I isms aE mp S eE re|| Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. initPoin CotAgi Sites Dra apr Dt~ llfiiW: r.luJrtrftmiil Pied nats hm~SOI'I<J~ -- l!ln~miiBCI Dun~ en MFRAP Stma:attottSSuup~errfftlunndil o coxcun e CEK.CLt:s +Femi Q F'Mil:nl !lh.a~rhmcl &taM 0~ LaMIUb 2 Rog TRD eced um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ FeRAmotaton Cran F:CRA l'rJ';tfii~PDI; ~ta'IIWJI' + Co srs "'- SliM ~rMIII: 222222.113334 sStTaArTeE_208282222229911 % g ge |h , dddh : hy || FA+aihi i , i VT]3 ER JEST | H EEE URE EY 2j4is 53 = ly A HeLa Hoyt Lakes Wetland Map 2222.1335 . me i i ~.......................................................... , ..................................................................~, . . , ......................................~~,7 ;............................................................................ ... ~ +IN~ 0 z Legend .0Ohlo_wet_scan D1 Out of range 11255919 191g IN! ow ....... ;!</ Interstate Major Roads ~ Other Road 6 ;!</ Interstate z .;./ State highway .;./ US highway Roads 1d | patN Tt p!iHi Ik = Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater ....... Estuarine and Marine Wetland w 0 Freshwater Emergent Wetland .J,. Freshwater Forested/Shrub Wetland 0 z Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital pr 2 5 ....w... ;::;:;:;t: .... ; . I;E 0 z No Data Scan NHD Streams Counties 1OOK States 1DOK 0 South America k u North America w w 92-9-20 92-9-0W 92-8-40W 92-8-20 H $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 92-8-0W 92-7-40W Map center: 47 30' 52" N, 92 8' 30" W Scale: 1:17,459 N 00 N N N \.0 N i Well Log Report- 00250638 nnn ton ms Minponneesnottas UCnioquge JiVBUNe!/ No. 250638] II 250638 omwism ue CCoouunnttyy Quad Quad ID SStt. LLoovuiiss Aurora 318C TommiRangDiSctnSbsciom Eton Well Name 8-Pl Township Range Dir Section Subsections Elevation 5S 8 W 14 wS8 COPCH Flevsdn Method CDDBCB Elevation Method NINESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELLANDBORING WELL AND BORING RECORD RECORD int Soe he 111 114inne,mta Statutes Chapter 1031 RUhpeienedopwoee EEnnttrryyDDaattee Update Date Received Date oi17i0n o04a/n222n/1999977 04117/2008 11446631 1.ft. pegrphiconp 7.5 minute topographic map Well Depth py38ft. | DIREMethod = Drilling Method -- wn Depth Completed 38ft. anaes Date Well Completed 07/07/1958 (+/- 5 feet) EE Drilling Fluid ps -Te Use Test well Wweellll HHyyadrruutfrraacctourrcead?? 0DYveess 0D NNoo :rrom ft. to ft. Couns Type Jonsson Deve? 0 ve 0 Casing Type Joint No Information Drive Shoe? DYes D en No Above/Below ft. Gonna Dames Vg Te Samer Casing Diameter Weight Hole Diameter coin aaa Geological Material nein sho GRAVELLY CLAY, SILT, SAND Sv SANDY TILL SALAETE sBEaDRROCrK a REMARKS CUTTINGS AT DNR-IIII3DING. Cor Hares Color Hardness wom BROWN From To From To om0 5 SE 5 37 37 38 emmre Open Hole from ft. to ft. a Screen Make Type Omer Sovomze Diameter Slot/Gauze Length SetBotusen Length Set Between SwtaticeWae terTLr eevel i Do eset ft. from Date Measured FNP AVE ion Toe PUMPING LEVEL (below land surface) sh br ergs" pp ft. after hrs. pumping g.p.m. [-- Well Head Completion Piper me Md Pitlcss adapter manufacturer Olcuemiction 0 12 donee D Casing Protection D Model 12 in. above grade 0 ope Eva Wel gsONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting norman. WetlGrosorr 0 ves 0 no Grouting Information Well Grouted? DYes D No Lot UnoSus Gogol Located United States Geological oeSurvey VUernetaembc er nomn ov Un:ique Number Verification Information from owner System UTM- Nad83, Zonel5, Spm UTM Nel ES lvfeters pMertheodyDitton St) op Method Digitization (Screen)- Map ( 1:24,000) DDaattee 1111/2211/22000055 Xx,: so: 564200 Y: sas: 5263232 County Wal Index Olin Report curing ve Cuttings Yes Fim First Bedrock Luasont Last Strat wie Aquifer DeBi 57 Depth to Bedrock 37 ft. County Well Index Online Report NNeeaarreesstt KKnnoowwnnSSoouurrccee ooff CCoonnttaammininaattiioonn A _feet - direction _type Wo divmscomtpo 0 Yer 0 to Well disinfected upon completion? D Yes D No Pump OJ Nottie Dec rll Pump D Not Installed Date Installed [re ET Manufacturer's name Model number - Lomafmab Coy 2p Te Mal Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material TT Tp Tr RT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No VarissWo vafoneteetl 0 Ye Variance Was a variance granted tram the MDH tor this well? D Yes Ow D No CoC Well Contractor Certification nimi U5 United States Geological Survey USGS ome Dees rf Yo Dlr License Business Name Lie. Or Reg. No. Name of Driller 250638 Re 250638 Printed 6/27/2008 HE-01205-07 a AL Cr seg Hb R418 file:/Iilii1\1PCN! Working/A0081-100%20-%20PFC%20Foam/R...smoyt%20LakesiWell%20Log%20Report%20-%2000250638.htm7/112008 9:43:26 AM sStTaArTeEo_z0s228222220933 222222.113336 Well Log Report- 00250639 250639 o~Qu:u:d:.atym Aus lMvifinnnneessoottaa=UUn--niqiqluuee WWel = elNl eNo. II 250639 II ~-==================~- County QuadiD SStt. LLoouuiiss A mora 318C WaT Well Name 8-Rl Towmabip Rang iSectionSubsections Eeation Township Range Dir Section Subsections Elevation 5=8 1144 wW 88 DDDDDDAADDCC EElelevvaattiioonnMMetethhoodd 1s1505 ft. DDEEPPAARRMTTSMMuINEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WELLAND BORING Updwebwie 1121305 WELL AND BORING RECORD Reconed ac RECORD MioSmescChspttr1e31 Minnesota Statutes Chapter 1031 EEntnrtryyDDaatete. Update Date Received Date o04a/n222/n195997 11/21/2005 WN Deph DepComedie WeComet Well Depth Depth Completed Date Well Completed Tn un moss 12 ft. 12ft. 07/07/1958 i 7t.o5pomgrianpuhtiec map topographic map (+/- 5 feet) | UDr~lillnlng!!MlVeltetnhOod DrDirlillliinnggFFluluidid. Use Test well Comte Jom Casing Type hin 1 Below ft. Joint Casing Diameter Casing Diameter Fon Tt Fy WWelelll HHyyddrrooffrraaccttuurreedd?? [DJYveess 0D Nnoo From Ft. to Ft. Drvesteet Drive Shoe? 0D Yer Yes 0D ho No Abe Above/ eg Weight Tile Damar Hole Diameter seciogica teria Geological Material SADSGEL SAND &GRAVEL coor Color HHaarrdnneessss TEREMARKS CUTTINGS AT DNR-HIBBING. FoFrroommwTToo 0 12 pe To TET Open Hole Toa Screen Dimer SolGauzs Diameter from ft. to ft. Slot/Gauze Length SetBetween Length Set Between Er Static Water Level om Dt ss ft. from Date Measured FUNPING LEVEL (lo Grd oe PUMPING LEVEL (below land surface) hr rv pp 90 ft. after hrs. pumping g.p.m. Well HewCompton Well Head Completion Pc pimando Mock! Pitless adapter manufactmer Model Dlcoigicin 01 12in shovense D Casing Protection D 12 in. above grade gd mens Wels ad Boris ONLY) D At-grade (Envirolllllental Wells and Borings ONLY) Croti atomation WelGrset? 0 ve O30 Grouting Information Well Grouted? DYes D No Lucted UntoSites Geog Located United States Geological srSurvey UniqueNome Unique Number Venheston oman Verification Information trom or owner wn BN System UTM- Nad83, Zonel5, ors _Meters Cuties Ye Cuttings Yes Fi dock First Bedrock LatStrat Sod ar Last Strat Sand & larger Method Dighton (Sn) Mp Method Digitization (Screen) - Map sto (1 :24,000) Dae 12172005. Date 11/21/2005 x sem vom X: 565183 Y: 5263232 ater Aquifer DeptBc. Depth to Bedrock ft. ar ears Co omair Nearest Known Source of Contamination on gla re - feet - direction _type edits pncoopiint 0 ve 0 No Well disinfected upon completion? D Yes D No Pump Not ncaled Dut mtd Pump D Not Installed Date Installed Nemmicucsrenans Nol nar HP ols Manufacturer's name Model number - Lenghot pe. Copy gi Toe Vato Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes D No VVaarriiaannccee WWaassaa vvaarriiaannccee ggrraanniteadl frrioormntLhhee MMDDHHfroorrtthhiisswweel1l1?? D[J Yveess Ow D No eTCo Cr Well Contractor Certification iid Ss Groot Svs 508 United States Geological Survey USGS Lie Buss Name LOirRe,gNo, Naof rei License Business Name Lie. Or Reg. No. Name ofDriller CA Wig L201, Wl350m 1500503158 file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Fo...yt%20LakesiWell%20Log%20Report%20-%2000250639.htm (I of 2)7/1/2008 9:43:27 AM 222222.113337 STSTAATTEE0_208228222229944 Well Log Report- 00250639 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 225500663399 Printed 6/27/2008 HE-01205-07 CA ORL 109016 ogSet S303 1303 5314 file:///li;MPCA/!WorkingiA0081-100%20-%20PFC%20Fo...yt%20Lakes/Well%20Log%20Report%20-%2000250639.htm (2 of 2)7/1/2008 9:43:27 AM 22222222.11333388 sSTTaArTeE__0022882222229955 Well Log Report- 00250640 lMvifinnnneessoottaaUUninSqiqueuleWWeelelll )NNo. County StSt.LLoouuiiss 250640 o~:u:d:.ty Aus II 250640 II Amora Quam ~-==================~- QuadiD 318C War TT Well Name 17-Dl Towmaip Rane iSectionSubsections Ecvation Township Range Dir Section Subsections Elevation 5S8 81414 w W 17 17 BEBDDA Elevation Method BBBDDA Elevation Method DDEEPPAARRTMTSMMuIENEENNNTSETSOOOOIFFTAAHHEEAALLTTHH WELLAND BORING Upduebwie 0730 WELL AND BORING RECORD Reconed ac RECORD ions Ses Chapter 1031 Minnesota Statutes Chapter 1031 EEntnrtryyDDaattee. Update Date Received Date a04n/222n/159997 04117/2008 WN Deph Dep Comedie WeComet Well Depth sn Yn on ovis topogphicmap | DTI Method 1458 ft. 7. 5 minute topographic map 39 ft. U ~lllln!! lVletnO i (+/- 5 feet) Depth Completed 39ft. Date Well Completed 07/08/1958 -DrDirlillliinnggFFlluuiidd -- py WWelelll HHyyddrrooffrraaccttuurreedd?? [DJYveess 0D Nnoo From Ft. to Ft. Use Test well Casing Trpe_JointNo norman Drive Shoe? I Yeu 1 Casing Type Joint No Information Drive Shoe? ron 0. No Above/Below ft. DYes D Casing Diameter eg Tile Damar Casing Diameter Weight Hole Diameter |GGeeoollooggiiccaallMMataetreiriaall RoR ROAD FILL presi SAND &GRAVEL arm CLAYTILL SADE GEL SAND &GRAVEL a SLATE? CoCloolro.r Reon RED/BRN HHaarrddnneessss FT EVTS RES IAG, REMARKS CUTTINGS AT DNR-HIBBING. pe To TET Open Hole from ft. to ft. oT Screen Make Type FFrroomm 2 0 7 2 To7 J 7 Er 38 TToo| DDiiaammeetteerr Slots/Gaaunze 2 7 7 38 3B9 hSftta. ticfoWrommaterDDLuaettveeeMMl eesassured ULoennggtthh ater bes pup gpm PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. SSeet tBBeettwweeeenn Poo apimma Well Head Completion Pilless adapter manufacturer Mkt Model DDI cCaassiinngg PPrrootteeccttiioonn D[J 11221imn.. aabboovvee ggrraaddee. I ate armen Wels ad orgsONLY) D At-grade (Environmental Wells and Borings ONLY) Growing formation WellGroiet? a 0 Yes 0 No Grouting Information Well Grouted? DYes D No Laced Unit Stes esol Located United States Geological SrSurvey [-- Unique Number Veriteston ems Verification Infom1ation from owner Sonn UTM ZmlS. System UTM- Nad83, Zonel5, Vom .Meters Meth Digizion (Sn) Mp Method Digitization (Screen) - Map atin; (1:24,000) Dae 11212005 Date 11/21/2005 3, or 5 $2# 0 X: 563779 Y: 5262931 Cun Yes Cuttings Yes FitBedrock First Bedrock Last Last Strat AgiAquifer Dept Bock 318 Depth to Bedrock 38 ft. ET Nearest Known Source of Contamination - feet - direction _type elupd on cos pe? 0) ves Well disinfected upon completion? D Yes rump 0 Not nsaed Dutt Pump D Not Installed Date Installed 0D No No Tred Wel Tropes, Be ST ae ot sa LMLeanengutfnhaoocfgtfdmdretroorp'pshPnaipmePipee f_ft\_. CCMaappoaacdcieitltyynum_gbpge.rmp- m HTTPyypp-ee VMoMaltatsteerriiaall Abandoned Wells Does property have any not in use and not sealed well (s0)? 0D Yvees DO NNoo Varian Wass rn rato fc om 0 MDH eit 01 Ye Variance Was a variance granted from the MDH for this well? D Yes 0 x D No a Comra Co Well Contractor Certification Gi so us bo sey 5s United States Geological Survey USGS Lis Dies tame__ LOirRegcNo. Naofmreer License Business Name Lie. Or Reg. No. Name ofDriller Fle CA ig 08101200. el Log R2p 5 0554t 3bm of 3713089038 1 file:///li;MPCA/!WorkingiA0081-100%20-%20PFC%20Fo...yt%20Lakes/Well%20Log%20Report%20-%2000250640.htm (1 of 2)7/1/2008 9:43:28 AM 222222.113339 STSTAATTEE0_208228222229966 Well Log Report- 00250640 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 225500664400 Printed 6/27/2008 HE-01205-07 TARA OR 1070 0.5 Wg Rpts205SOUL 71 R138 1 file:///li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Fo...yt%20LakesiWell%20Log%20Report%20-%2000250640.htm (2 of 2)7/1/2008 9:43:28 AM 22222222..11334400 SSTTAATTEE__0022882222220977 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY HHuuggoo H5H3uu2gg3oo 1FFi4irr0ee1DDSeetprpaoaerrtttmmN.eenntt Hugo, MN 5323 140 h Hugo, MN $5038 Street 55038 N. 6RR5oo1nn.4GG2rr9aa.yy.6,F3iF6ri8reeFFigighhtteerr 6hh5uu1gg-ifd4o2@@9cc-o6om3mc6ca6assttn.neett TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtaraiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 55222233 114400t0h SSUt.NN.. aanndd 44663300 FFaabbllee RRd COLt.NN,., HHuuggoo AAClRRaA-sAFsFFAFF:F:A: nAAgnnuggususs. Class A: Angus BB-i-AAmnnnuaulalllyy 551to01100ggaallloonnss GGrroouunndd AAGlRRaA-sAFsFFAFF:F::11110.002 ggaaglllalolonlnsosns Class A: 1 to 2 gallons ICInlnteteaerrmmwiiatttteeennrttCssrttrereeeakamm1ll4eess0ss tth1h1aa2nnm11i//e44 mmeaiisleet eeoaafssFttaoobflf e1144R00o1"ah dSSttirreeee.et ssiitee; Clearwater Creek 1/4 to 1/2 mile east of Fable Road site. wLLeeessstss tothfhaaFnnab11l/4e4 Rmmioillaeodeeasasist.tooff 1144001"h SSttrreeeett ssiitee:; lleossss tthhaann 111/44 mmiilee west of Fable Road site. TTrraaiinniinngg ssiittee iis llooccaatteedd iinn aa trraannssiitiioonn oor ccoovveerreedd Kkaarrsstt aarreeaa.. LLeessss tthhaann 11/44 mmiilee nnoorrtthh aanndd ssoouutthh ooff bbootthh ttrraaiinniinngg ssietess.. LlLoeecssasstetthdhaainnn W11e//44llmmhiieleeandnoorPrrttohhtoeofcft1i1o44n001"AhrSSettarreeeett ssiitee;; FFaabbllee RRooaadd ssiittee located in Wellhead Protection Area. 220 22222222.11334411 SSTTAATTEE0_202882222229988 HH UGOU CCWWIG IWWelelllO MMaapp. gE A Te okie IT nmr PU TONE To ee 7 ae) SLE ES ES { [1]SiG, amProtection 70i Thp= atfef B p/ H iy S e oL e Myi ToTipn E .dpe a alnSet es ToyaieE F E a e AESeRrR n 4Ta SE wisepeaty IC 1 wh N tll EiNe= EefH RO Pe|npl Ey or A Sate ii bea ta eke il] | NCEhR= = SIE gm a] pT iap rie sDLAE e pT am NlGR tasI EmiLed E|N0 R3 - ARC an - 3 Pa SN iJhSf 5) i. 29 o ser HB AEE DIR pel ALT yiE L 7, a ofFR0eEdigE]RJoha rotegiS n-- Lois agtef gfe Be [1 EE ase @= il EE Rt Sm rava enCorpo eaters a 222222.113342 snr STATE_02822299 [HugHuooWWhahta't'ssIInn MMyNeihbgohrhoboodMMraaphood i | i | i : ICE db | | TE SET Bi Tir abEieng ol =e fifi ai gi = heata fares | | | i! |a.vk # J SIf TA E-- B By fT iHiss x Pi fg i= poni SITE-- I wpPAi Z rmTE reia | Zils be | .J Ue { Frill Aig ne mas |fr net u : preteen ! er Io a ik = Se Sites | DDo~lni.oMtco:dlBmaattto~ C&uup~o~rrikulnMd DDicislclaamimerer.: :Mtvolagpsanodssitteiinnffoornmnaattiioonniissbbeelliieevveeddstoobbeeaaccccuurrastcebbuuttsaecccuurracyiisnnoolt gguusaeraanntceeedd..NNooppoorrttioan of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided FR EE] ------ subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost croepaimes,upwia A MPCA that may arise from the use ofthis data. REhVm EU~ P I St"IE KIWR .W IJn~ml!bd Dun1J15 NFRAP ammatw ~f~u,.g.vrrililund C:~RCL!fi. o f't\Je:nl SuptrfUnd `@Minnesota Pollution Control Agency * rr, !iune: Cboocl L.cmcHUI5! Vo!Unllr~ l'rW'I191'11:11'i Vor & Cb!lrwJ!o xRoRaATRFaces ..t. ltCRA 1!iD f'lt:ill:l~ PRAmespetonsCeara ~M Jrw-ut-kor-111 & ClfiiiW~ + sum eereomm ""- aum ~nw111 222222.113343 sStTaAtTeE0_208282222330000 22222.1133444 gi 1000 aThe2 "aRAE: |i S Hugo Wetland Map i3 aodkif6e oh A . SRT] |i : #, LE i BNEE NCToCi diEiEl: NU 8 ll |a 93-2W 93-1 w IiEE i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N w 0 I-' Hl 3 0 igs Epa i 5 RD ss BE 3 +5 am fe = pF) oh pa f J Tdd were en wes wen 7 | 2 00 3 (A : ] ~~ ltgA | Tend ia g TNPe .... '{' I~ 6 z "'<'fi ~ z .... ~ ~ .. ci{Ai)C;;;J~ z ;1..............:~0c~~~~~s~3~~~0l~ 0 z . . .,":::::{.::::!~ z he Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams II Counties 1OOK o States 1OOK South America o North America Htiind | s 3 o? FH :3 8 93-DW Map center: 45 8' 57" N, 93 0' 49" W $ |E |g Scale: 1:33,043 o0 H ||leBdyuE,dgiBHsiHaLibioen dlaiinkn g.i | Well Log Report- 00138918 [18018 1\Iinnesnta Unique Well 138918 N o . AT FO Well Name WALLS, ROBERT Gouat County Quad QuadiD Cionmets Washington Centerville 119A T o wn 31 s h i p R nw ange Dir Secti 21 w 30 o n ma Subsection BBDABD s teas Elevation Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD WELL AND BORING RECORD nro Su Giger 191 Minne.mta Statutes Chapter 1031 aC 921 ft. t 50iers | carr 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed 72ft. 721l. .orilfuJ.g t\i~th~d c~bi~ T~~l Entry Date ee ion Update DatP fone Received Date 09/21/1995 05/09/1996 ra Date Well Completed or03/IO!I9n enngres Well Address Sache 13958 ELMCREST AV ~I CEI~TERVILLE MN ocsagcanner Geological Material prCLAY Sibscane SAND & GRAVEL hconeeColor YELLOW mamas Hardness SOFT =SOFT Dtilling Fluid I Usc Domestic WellHydrofmctured? DYes D No From Ft. to Ft. Caine Tope Seercoy Teed eo Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0% oan 10 D '\lo Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 in. to 64 ft lbs/ft Be 0 Yes Er Open Hole Screen YES rom To| From a 0 LOE 34 Diameter To 4 34 4 72 Sk TT from ft. to ft. Make JOHNSO\l Type stainless steel S:Slot/Gauze 30 18 FTE SRSA Length 4 4 Set Between 0 ft and 72 f1 63 f1 and f1 Statk Water Level 5 ft. from Land surface Date Measured PI:MPING LEVEL (below land surface) 14 ft. after hrs. pumping 30 g. p.m. 03/10/1978 ro nr NO REMARKS Well Head Completion Pitlcss adapter manufacturer Model Dlcuin tion Tl 2insvepoe D Casing Protection D 12 in. above grade 0 ne ima et ri 030 D At-grade (Environmental Wells and Borings ONLY) [rr ------ Gmuting htfonnation Well Grouted? D Yes 0 No Lcd Monts obit ame. Located Minnesota Geological Survey ume si Unique Number Verification Address Stem UT verification System UTM- Nal,Nad83. el Zonel5. Meters hl Dd: ss 480 rae :VIethod Digitized- scale 1:24,000 or larger (Digitizing Table) 1 Date N/A XNe: ESV: 498753 Y: 707 4999671 Prk First Bedrock Lakin Sse Last Stmt Sand & larger er Qu. he rs ste Aquifer Quat. Buried Artes. Aquifer pn 2 Depth to Bedrock fl. County Well Index Online Report Se-- Nearest Known Source of Contamination ottgnosis 0 vo _feet _direction _type Well disinfected upon completion? D Yes 0 x D 1\o Pump 0 Not Installed Dale Installed 03/10/1978 Ae ee #73 ri Manufacturer's name JACUZZI Model number illQ__ Lorton 25 2pm te Length of drop Pipe :3Q_ft. Capacity Ii_g.p.m re pad Mati ni Type Submersible Material Galvani7ed HP L Volts 230 Avda Wel. Doers oy te bitter C1 Abandoned Wells Does property have any not in use and not sealed well(s)? D e Ow Yes D No Variance WasavariancegrantedfromtheMDIIforthiswell? D Well Contractor Certification Salvcrda Well Co pmeeins e License Business Nrune ED138918 ei 0ermk Yo. Lie. Or Reg. No. I me tSE r SALVERDA W. Name of Driller Yes D No Printed 6/27!2008 HE-01205-07 file://I[I/MPCAI1Working/A0081-100%20-%20PFC%20FoamiR .Summaries!Hugo/Well%20Log%20Report%20-%2000138918.htm7/l/2008 9:46:32 A_\1 22222222..11334455 STSATATTEE0_208282222330022 Cet1 Well Log Report- 00164674 Mfionnnestnsta [DN Unique Well Nn. 164674 CCoounnyty OQuueadd QuadiD bWiasnhigngotonn THuuggo ll8B IMEI MMII~NNNEESSOOTTAA DDEEPPAARRTTMMEENNTTOOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Miuue.mta Statutes Chapter 1031 EREpnnatrrydyDDaatatee Update Date Received Date 000773/0006631/1199988%)9 05/09/1996 Well Name JOHJ\SO'l. HARLEY nv 1 oo ie Township Range Dir Section Subsections Elevation 31 21 w 19 DDAAAC Elevation Method ZS 929 ft. 75 minute topographic map(+/- 5 feet) Well Depth 84ft. |ci Drilling "lethod Cable Tool Depth Completed 84ft. Date Well Completed 06/3011981 Drilling Fluid LA T I D D Use Domestic Well Hydrofractnred? Yes No From Ft. to Ft. Casing Type Steel (black or low carbon) .Joint Threaded Drive Shoe? a No Above/Below 1 ft. 0 Yes D Casing Diameter Weight Hole Diameter WeWelll AAddddrreessss. =mE 14196 FE~JWAY AV HUGO lv1N Geological Material FINE SAND CLAY WITH GRAVEL GRAVEL MUDDY FI~JE SAND GRAVEL LoColor BLU/GRY Cid Hardness From To 0 29 29 66 66 68 68 78 78 84 4 it n. to r79 It Open Hole from ft. to ft. Screen YES Make JOHNSON Diameter 4 Slot/Gauze 30 lbs/ft Type stainless steel Length 4 Set Between 79 It and 83 f1 Static Water Level 7 ft from I ,and surface Date Measured 06/10/1981 PUMPING LEVEL (below land surface) 11 ft after hrs. pumping 25 g.p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDOlcCuaisinnggpPrroteocticon 0D 11221imn. sabhoovvee ggroaddse. D0 Acprt-gGradae (EmnvirionmsentaolWWeelnlklsamanndd nBeroiritmnggssaOONNLlLYY)). Grouting Information Well Grouted? D Yes 0 1\o Located Minnesota Geological Survey Unique Number Verification Address verification Ssysetemm 737 UTM-Nad83, ZBoenell5, Mmeteers Method Digitized - scale 1:24,000 or larger (Digitizing Table) DateN/A X35: 52000801144 Y: : 5S060000236000 County Woh nd oie Rapor FFiirsrt BBeeddrroockc.k Last Strat Gravel (+larger) Aquifer Que. Buried Anes. Aquifer Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D No PPumupmp0] NNeomtaInastatlledd DDoastee Innsltallled 0066/3300/.119981 Manufacturer's name DEMING Model number 4AMN HP 0.75 Volts 230 D= D Length of drop Pipe :Q_ft. Capacity ~g.p.m Type Submersible Material Galvanized Abandoned Wells Does properly have any nol in use and nol sealed well(s)? Yes No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Shs Salverda Well Co. 63674 License Business Narne 164674 me MSALEVwE.RADA Lie. Or Reg. 1\o. Name of Driller I Printed 6127!2008 HE-01205-07 file: !III lf11PCA/! Vv'orking/A0081-1 00%20-%20PFC%20Foam!R... Summaries/Hugo/Well%20Log%20Report%20-%200016467 4.htm7/1/2008 9: 46: 30 AM 222222.113346 STATE_02822303 Well Log Report- 00194471 19 1 IM'vfomnmessota UUnntiqiuee BWeIllNNDo. 4471 CCooupnyty QQuuaadd QuadiD WWiaskhiingntogn CCeonmteervrilsle 119A MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Jl11nnesota Statute., Chapter 1031 EEnnttrryy DDaattee . UUppddaattee DDaattee Received Date 001V/0099/11999%0 0055/00991/1595966 Well Name LACASSE, DAVE BNW 3 CHAAR Few Mehad Township Range Dir Section Subsections Elevation 31 21 w 30 CBBAAA Elevation :VIethod Well Address 12487 ELMCREST AV HUGO MN pg map(- 952 ft. 7.5 minute topographic map (+/5 feet) Well Depth Depth Completed Date Well Completed | DNP ethd Ca od 14R ft. Cable Tool 148ft. 08/30/1983 [fI ree Drilling Fluid Well Hydrofractured? DYes D No -- From Ft. to Ft. TJse Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes 0D) NNoo AAbboover/Boeilocwl00o0nf.t. Casing Diameter Weight Hole Diameter 4 in. to 127ft lbs/ft G`SSAeANoNClCoYYgCCicLaALlY5M&ABaBOYtOeUUrLiLDaDElERRSS. SANDY CLAY & SAND LENSES SAND SANDSTONE SANDSTONE SeSHALE SANDSTONE SANDSTONE SANDSTONE RCEREDoDlor RED BROWN WHITE WHITE EeBLUE WHITE YELIWHT GRAY Hardness From 0 45 60 SOFT 65 HARD 100 HE108 SOFT 110 SOFT 125 HARD 130 - Open Hole from 127 ft. to 148 ft. To Screen NO Make Type 45 60 Diameter 65 Slot/Gauze Length Set Between 100 108 Es TE edan| 110 125 Static Water Level 130 41 ft. from Land surface Date Measured 08/3011983 148 PUMPING LEVEL (below land surface) 41 ft. after hrs. pumping 10 g.p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer BAKER Model SNAPPY D Casing Protection D 12 in. above grade DD0 At-garaddee E(EnnvirovnmientsalWWcelellolss ammniddBeBoocrinimnggtssOONaNLLYlY)). Grouting Information Well Grouted? DYes 0 No Located Minnesota Geological Survey Unique Number Verification Information from owner [Sen System GT.UTI'vf- Nabi Nad83, Shmts Zone15, es. Meters Method Digitized- scale 1:24,000 or larger (Digitizing Tabk) Date N/A NiS: X: 498603 3Y4 : 49900 4999110 County Wall nes rin Report asr First Bedrock St.Peter Last Strat St.Peter Dott Aquifer Depth to ins St.Peter Bedrock 65 ft. County Well Index Online Report Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No PPuummpp. 0 NNoottIInnssttaalllkadl_DDaatte IInnsstatlaleldle0d9/1003/11109-189833 Manufacturer's name STA RJTE Model number - Length of drop Pipe QQ_ft. Capacity lQ__g.p.m HPQJ_ Volts 220 Type Submersible Material Plastic AAbbaannddoonneedd WWeellllss DDuosesspprrooppeerrtyy hhaavvee aannyy nnott iinn ause sannddnenoott sseeaeledd wweelbl(ss)?? 0D Yes D No Variance Was a variance granted trom the MDH tor this well'' D Yes D "Jo Well Contractor Certification Barott Drilling 02303 BAROTT,B. Toit License Business 1\ame 194471 Lie. Or Reg. No. Name of Driller I Printed 6/27r2008 HE-01205-07 file :i/IIIIMPCA/1 Working/A0081-l 00%20-%20PFC%20Foam/R.. Summaries/Hugo/Well%20Log%20Report%20-%200019447l.htm711/2008 9:48 :20 AM 222222.113347 STATE_02822304 Well Log Report -00249661 249661 Afinnesota Unique Well No. 249661 Tm Well Name LOWELL, BILL County otQuad un- QuadiD 15Washington Hugo 118B Township Range Dir Section Subsections Elevation H 31 H21 W w B20 CCCDCDCAC EMleervtatoionn MMtehthoodd MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. Updmebue 0500s WELL AND BORING RECORD meas Sus Char 15 Wome Jl11nnesota Statute., Chapter 1031 Entry Date Update Date Received Date 05/18/1994 05/06/2005 - TTC Dao Well Depth Depth Completed Date Well Completed 931 ft. 110ft. Saal pomp mp 7.5 minute topographic map (+I5 feet) a -- Drilling Fluid -- 110ft. IWell Hydrofracturcd? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Casing Type Plastic Joint No Information Drive Shoe? D Yt:s D No Above/Below 1 ft. "GoingDametr Weg Taw Barer Casing Diameter Weight Hole Diameter Can wot wn 4 in. to 100 ft lbs/ft vWielll AAddrderessss 5444 140TH ST N rHUoGoO mMN ctor ater Geological Material GLACIAL DRIFT Ter NO RECORD Color tars Color Hardness FromFrom 0 Wo100 Open Hole from 100 ft to 110 ft. Screen NO Make Type DDiaiammeetteerr ToTo 100 Te110 SSlloott/GGaauuzzee LLeennggtthh SSeettBBeettwweeeenn Ry Si WELL I 10 FE.DEEP TV GAMERASHONEDOPS LE REMARKS DRILLER SAID WELL IS 110 FT. DEEP TV CAMERA SHOWED OPEN HOLE DI::LOW. HhGAMMA LOGGED AND TV 5-6-1994. IT IS ESTIMATED THE BEDROCK AT 100FT. WOULD BE THE PRAIRIE DU CHIEN. WELL SEALED BY 62028 ORIGINAL USE DO - DOMESTIC Lone Moms Gegattiny (35H S051 Located 'vlinnesota Geological Survey -- ue os Lnique Number Rotbton ai nous Verification Information limn owner Sam (73a, oe Mores S14: 497 System r!TM- Nad/?3, 7.one15, Meters Method Digitization (Screen) - Map (1:24,000) Date 05/28/2004 X: 500244 Y: 49999R7 Boeke Gps Ye Borehole Geophysics Yes FE First Bedrock Prairie Du Chien Group LoS Pr Dy reno Last Strat Prairie Du Chien Group ter 1 Aquifer Prairie Du Chien Group Depth to Bedrock 100 ft. County Well Index Online Report Static Water Level 10 ft. from Land surface Date Measured 05/06/1994 PUMPING LEVEL (below land surface) WPitpemnpias SAY ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer SNAPPY btModel 0 tone vinWelosd igs 0311) DDlcuCsaisninggmPorowtsecitioonn 0D 11221inm.sahboovveeggrraaddee. D At-grade (Environmental Wells and Borings 0\!LY) Grouting Information Well Grouted? DYes D 1\o Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion D Yes D No tre 0 Natoted Doatid Pump D Not Installed Date Installed Nmcrrnine + Nm 120 Sl Manufacturer's name 'vlodel number - Meheter Coy aa ha Smet Length ofdrop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material dma Does oe ee do wh 61 Abandoned Wells Does property have any not in use and not sealed well(s)? D he Ow Yes D No a Core Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Mitmesota Geological Survey me Bo Nami License Business Name aia I 249661 0 YoNotre MGS Lie. Or Reg. No. Name of Driller Yes D No Printed 6/27/2008 HE-01205-07 file :i/!IIIMPCA/IWorking/A0081-100%20-%20PFC%20Foam/R .. Summaries/Hugo:Well%20Log%20Report%20-%200024966l.htrn 711/2008 9 47:28 AM 2222222.11334488 STSTAATTEE0_208282222330055 [680] ogme Ewn" Well Log Report- 00427680 Minnesota Unique Well No. 427680 County Quad Washington Hugo Quad ID llSB "WELCL ANDEBOREINGRSECORD. MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 CEreRme Entry Date Update Date Received Date ion 01/09/1990 05/09/1996 Well Name BER'liER, TOM Township Range Dir Section Subsections Eh~vation 31 21 w 20 CCCCAD Elevation Method 932 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 126 ft. llrilling IVIethnd Drilling Fluid Bentonite Depth Completed Date Well Completed 126ft. 04/17/1987 . . Kotary IWell Hydrofractured? DYes 0No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 1 ft. Casing Diameter Weight Hole Diameter a Well Address 5326 140TH ST N HUGO MN =Geological Material SAND CLAY GRAVEL SANDSTONE LIMEROCK ee Color Hardness EEE From 0 ti 15 72 4 in. to 108ft Open Hole from 108 ft. to 126 ft. Screen NO Make Type To Diameter 15 72 91 Slot/Gauze lbs/ft 4 in. to 126 ft Length Set Between 91 101 101 126 Static Water Level 15 ft. from Land surface Date Measured 06/02/1987 PUMPING LEVEL (below land surface) 50 ft. after hrs. pumping 25 g.p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model D Casing Protection D 12 in. above grade ~Pl41UCI D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes 0 No Located Minnesota Geological Survey Unique Number Verification Address verification System UTM- Nad83, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 500135 Y: 4999971 First Bedrock St.Peter Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 91 ft. County Well Index Online Report Nearest Kno\\'n Source of Contamination iL_feet South West direction _type E 0 i Well disinfected upon completion? D Yes D No Pump Not Installed Date Installed 06/02/1987 Manufaclurds name RED JACKET Model number 50CNWO-CN9BC - HPQ2i_ Volts Length of drop Pipe '!:Q_ft. Capacity _g.p.m Type Submersible Material Steel (black or low carbon) Abandoned 'Veils Docs property have any not in usc and not scaled wcll(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Lauren McCulloucrh Well Drilling 82443 MCCULLOUGH L License Business Kame Lie. Or Reg. No. Name of Driller 427680 I Printed 6/27/2008 IIE-01205-07 file:/I/II/1,1PCA/!Working/A0081-100%20-%20PFC%20Foarll!R. .. Summane;;;/Hugo!Well%20Log%20Report%20-%2000427680.htm7/1/2008 9:4'7:54 .A...Vi 222222.113349 STATE_02822306 Well Log Report- JU427681 M i n n e s 427681 ota Unique Well 427681 No. Bon ETM County Quad Washington Hugo Quad ID 118B `WELi L AND BORING RECORD MINNESOTA DEPARTMEI\T OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 03! Unisime Entry Date Update Date Received Date oorion 01109/1990 05/09/1996 Well .\lame KOSTACH. JOHN aww commas emia Township Range Dir Section Subsections Elevation 31 21 w 20 CCBBAA Elevation Method Well Address 5342142ND ST N HUGO MN Ens 930 ft. 7. 5 minute topographic map (+/- 5 feet) Well Depth Depth Completed 126 ft. 126 ft. foi cn oe Drilling Method Non-specified Rotary Date Well Completed 06/15/1987 Drilling Fluid I Bentonite me u Domestic Well Hydrofractured'l D Yes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 1n. to 106 ft lbs 1ft 4 in to 126 It Open Hole from 106 ft. to 126 ft. Screen NO Make Type Geological Material SAND CLAY SAND CLAY & SAND & ROCK LIMEROCK Color Hardness From 0 42 80 94 104 To Diameter Slot/Gauze Length 42 80 94 104 126 Static Water Level 30 ft. from Land surface Date Measured 06/15/1987 PTJMPT'\IG LEVEL (below land surface) 0 ft. after hrs. pumping 0 g.p.m. Set Between sactnrigteg. S05 NO REMARKS Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) i Unique 1\umber Verification Information from owner DateN/A System UTM- Nad83, Zone15, Meters X: 500153 Y: 5000304 tore First Bedrock Prairie Du Chien Group Last Strat Pralrle Du Chien Group ote va Aquifer Prairi~ Du Chi~n Group Depth to Bedrock 104 ft. County Well Index Online Report Well Head Completion Pltless adapter manufacturer MONITOR Model D Casing Protection D 12 in. above grade 8PT.4TlJCT D At-grade (Environmental Wells and Borings 0.\IL Y) Grouting Information Well Grouted? DYes 0 No on Nearest TI_feet em SonnSakidire Known Source of Contamination North East direction SeQtic tank/drain field type Well disinfected npon completion? D Yes D No Pump 0 Not Installed Date Installed 06/16/1987 = D Manufacturer's name RED JACKET _ HPQ,_Q__ Volts Lcogth of drop Pipe 60 ft. Capacity Model mnnber BVC'751-7SC'\11 g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? Yes D No Variance Was a variance granted from the MDII for this well? D Yes D No Well Contractor Certification Lauren McCullough Well Drilling 82443 MCCULLOUGH L License Business Name Lie. Or Reg. No. Name of Driller 427681 I Printed 6/27/2008 HE-0 1205-07 file:/f/II/MPCA/!\Vork:ing/A0081-100%20-%20PFC%20Foam/R ... Smnmaries/HugotWell%20Log%20Report%20-%2000427681.htm7/1/2008 9 47 53 AM 222222.113350 STATE_02822307 Well Log Report- 00430366 M i n n e s 0366] ota Unique Well 430366 N o . ofaot County Quad QuadiD CSoeci Washington Centerville 119A "WELrLAeND BOaRINoG RE,CORD: MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 CWormepannn Entry Date Update Date Received Date ie 01/09/1990 05/09/1996 Well Name LACASSE, CHARLES C. Township Range Dir Section Subsections Eh~vation 31 21 w 30 BACBAC Elevation Method 93 7 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 126 ft. llrilling IVIethnd Drilling Fluid Bentonite Depth Completed Date Well Completed 126ft. 11/20/1986 . . Kotary IWell Hydrofractured? DYes 0No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 1 ft. Casing Diameter Weight Hole Diameter Well Address "rte 13905 ELMCREST AV N fda WHITE BEAR LAKE MN Er Geological Material [rey CLAY & SAND SAND SANDROCK see ROCK Go dws Color Hardness ram To From To ox 0 25 25 65 ios 65 105 105 126 4 in. to 105ft Open Hole from 105 ft. to 126 ft. TC Screen NO Make Type [Oe Seems Diameter Slot/Gauze lbs/ft Lown Length Static Water Level 30 ft. from Land surface Date Measured 11/20/1986 ase Set Between PUMPING LEVEL (below land surface) D ottEomiTt es son 100 ft. after hrs. pumping 30 g.p.m. Well Head Completion Pitless adapter manufacturer MONITOR sat wanes Model ~PL4IUCI 0 sm mit 53 D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Grouting Information Well Grouted? DYes 0 No ne amet trCi 7 e Located Minnesota Geological Survey Unique Number Verification Information from neighbor Method Digitized- scale I :24,000 or larger (Digitizing Table) Date N!A System UTM- Nad83, Zonel5, Meters X: 498882 Y: 4999685 SeNearest Kno\\'n Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 02/17/1987 [Nt aSN Manufaclurds name RED JACKET Model number 50CNI-CN9BC - HPQ_ Volts 230 [margin0 comin son Tipe hui silsisis Lengih of drop Pipe 60 ft. Capacity g.p.m Type Submersible Material Plastic tntet te mwrstr 20 Abandoned Wells Does property have any not in use and not sealed well(s)'? D Yes ow D No First Bedrock St.Peter Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 65 ft. County Well Index Online Report Variance Was a variance granted from the :rvt:DH for this well? D Yes D No Well Contractor Certification Lauren McCulloucrh Well Drilling 82443 MCCULLOUGH L License Business Kame Lie Or Reg. No. Name of Driller 430366 I Printed 6/27/2008 HE-01205-07 file://III/1,1PCA/! Working/AOOSl-1 00%20-%20PFC%20Foarll!R. .. Summane;;;/Hugo!Well%20Log%20Report%20-%2000430366.htm7/1 /2008 9: 46: 32 .A..V. i 22222222.11335511 SsTTaArTeE__0022882222330088 Well Log Report- 00440004 M i n n e s 430004] ota Unique Well 440004 N o . om County Quad Quad ID nn Washington Hugo llSB "WELL AND BORING RECORD. MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 Crimes Entry Date Update Date Received Date io 06/26/1990 05/09/1996 Well Name KOSTUCK, BRETT Township Range Dir Section Subsections Eh~vation 31 21 w 19 DDDACD Elevation Method 931 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 120 ft. llrilling IVIethnd Drilling Fluid Bentonite Depth Completed Date Well Completed 120ft. 10/19/1987 . . Kotary IWell Hydrofractured? DYes 0No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 1 ft. Casing Diameter Weight Hole Diameter CA e Well Address 14134 FENWAY AV N HUGO MN Geological Material SAND CLAY GRAVEL COARSE SANDROCK LIMEROCK ee Color Hardness BROWN MEDIUM GRAY SOFT YELLOW YELLOW SOFT HARD 4 in. to 93ft em From Open Hole Screen NO To Diameter TE from 93 ft. to 120 ft. Make Type Slot/Gauze lbs/ft 4 in. to 120 ft om Length Set Between 0 24 24 78 78 84 84 93 93 120 Static Water Level 10 ft. from Land surface Date Measured 10/19/1987 PUMPING LEVEL (below land surface) 40 ft. after hrs. pumping 25 g.p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model D Casing Protection D 12 in. above grade ~Pl41UCI D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes 0 No Located Minnesota Geological Survey Unique Number Verification Address verification System UTM- Nad83, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 500010 Y: 5000012 First Bedrock St.Peter Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 84 ft. County Well Index Online Report Nearest Kno\\'n Source of Contamination ~feet L direction SeQtic tank/drain field type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 11/01/1987 Manufaclurds name RED JACKET Model number 75U1-12BC HP0.75 Volts Length of drop Pipe 40 ft. Capacity g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Wll Contractor Certification Lauren McCullouah Well Drilling 82443 MCCULLOUGH L License Business Kame Lie. Or Reg. No. Name of Driller 440004 I Printed 6/27/2008 HE-01205-07 file://III/1,1PCA/! Working/AOOSl-1 00%20-%20PFC%20Foarll!R. .. Summane;;;/Hugo!Well%20Log%20Report%20-%2000440004.htm7/1 /2008 9: 4'7: 52 .A..V. i 222222.113352 STATE_02822309 Well LogReport-0051KlRR Minnesota Unique Well No. Mrmoct5s1U8SG3R8e 8KL No| owisyn acotninoien 518388 County Quad Quad ID Washington Centerville 119A SR TT Welll'\ame NICK MILLER CONTRACTING Tonnage cto ctoston Township Range Dir Section Subsections Elevation HH WN CHIDAC Heston 31 21 w 30 CBBDAC Elevation Method MINNESOTA DEPARTMENT OF EAT Eabwe oni HEALTH WELL AND BORING Unie oorsi WELL AND BORING RECORD eet RECORD nsSeu Chg 0 11Jinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 06/02/1993 09115/1997 5 eporr beCfoinmet DAWrCaomed 955 ft. 7.5 minute pi | PORE Sd id topographic map Well Depth 138ft. Drilling Method Depth Completed 138ft. Rotary Date Well Completed 01/14/1993 (+/- 5 teet) Drilling Fluid Bentonite IWell Hydrofractured? DYes D No From Ft. to Ft. wat gare Well Address pric 13455 ELMCREST AV N eon HUGO MN 55038 ios rn Geological Material En CLAY & GRAVEL free SANDROCK Sarai SANDROCK coor wHarmers Color Hardness SOFT Lse Domestic Coin ye Sot Oi ow ny So Tod Be? Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 bee Ot sme 0 Yes DNo Ahove/Relow 0 ft. Casing ite To Fae Dameer Casing Diameter Can mn wr Tan ok 4 in. to 104ft. Weight lbs./ft. Hole Diameter 7 in. to 104 ft. Pom To From To [A0 85 Bm 85 104 Wo104 138 Open Hole tfom 104 ft. to 138 ft. Sh eT Screen NO Make Type Guamewr Stns Diameter Slot/Gauze Leng Length Setetveen Set Between Static Water Level etpoy Sp 45 ft. from Land surface Date Measured PUMPIJ'\G LEVEL (below land surface) 80 ft. after hrs. pumping 20 g. p.m. 01/14/1993 otros NO REMARKS Located Minnesola GeologiLOal LsSurvey Ce Sane Unique Number en Ro csion Verification Address verification System UTM- Nad83, Zonel5, Spm UTM No3 2015. Meters Method Digilizalion (SLOreen)- Map pcr ' (1:24,000) owe cma Date 05/28/2004 X: sin 498560 Yve : as 4998979 Well Head Completion NET sary std Pitless adapter manufacturer SNAPPY Model Dering icin 0 121 sree D Casing Protection D 12 in. above grade DO pegCima ets mi hon D At-grade (Environmental Wells and Borings ONLY) Crating worms eGo Eve CI Grouting Information Well Grouted" 0 Yes 0No Gotta Gass Grout Material: Cuttings wn 0 1 . from 0 to ft. 0 Se SC ~earest Known Source of Contamination en en Sep al 2Q_feet Ldirection Sef!tic tank/drain field type wl prism repiion 01 vo Oo Well disinfected upon completion? D Yes D No Te ovina Doce Pump 0 Not Installed Date Installed 01/2711993 Stet METS Sd sei Manufacturer's name MEYERS Model number S3N52 _ HP Q.2_ Volts 230 Tohigh 0 Co1i05n90i Shari Length of drop Pipe RO ft. Capacity 10 g.p.m Type Submersible Not Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No ok Suc sgt sre First lledmck St.Peter fhetopeiv rn 35 1 Last Stnt St.Peter Aquifer StPeter Depth to Redrock R5 ft. County Wel Index Online Report County Well Index Online Report Variance Was a variance granted from the MDH for this well? No Well Contractor Certification MT esa L SANS Mccullough & Sons 82054 BEAUVIAS. l.2_ hi es Name 1 No metre License Business Name Lie. Or Reg. No. Name of Driller 513388 I 518388 D Yes D Printed 6/27/2008 IIE-01205-07 AAW SHS WA 201 4 flle:///IIIMPCA/! Working/A0081-100%20-%20PFC%20Foam/R...Summaries/Hugo/Well%20Log%20Report%20-%2000518388.htm7/1/2008 9:46:31 AM 22222222.11335533 sStTaArTeE__0022882222331100 233 , os Zi dle] oieo s IEFl ddaed 0 bi1 2H3gElEHF7 =E22 |5EREelEHEEEsL.EYEwla. FHsiEloE)s) HS3 E25fF9 8%|:EH SED20 pEllaeti]lEdilEzte flBiE:i BEsLEEs|2G1io2o8l58d 33 fell EEEz=L FiEE|. 2E5c2Ea|l2TE o[| |2|L)&E B[s5]e2 e E2EL 5 hi 3 Ei o 2i CHE a2 PEEEE. Well Log Report - 005 50876 lvfinnesotu Uniljue Well No. 33 11 550876 11 County Quad Quad ID irl Lal Washington Hugo llSB MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 11-finnesota Statutes Chapter 1031 x3d% Entry Date Update Date Received Date 06/2711996 03/11/2005 L 3 st: l: o> 2lSe seEsse o |: IAN EEIaY SE |Gfe Ei= Fi" Well Name LOWELL, BILL Township Range Dir Section Subsections Elevation 4gH4sH 31 21 w 20 CCADBC Elevation Method ii ii 931 ft. 7.5 minute topographic map (+/- 5 feet) : Well Depth Depth Completed 111 ft. 111 ft. Drilling Method Non-specified Rotary Date Well Completed 07/0711994 Drilling Fluid Bentonite Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. Well Address 5444 140TH ST N HUGO MN 55038 Geological Material SAND CLAY ROCK F3J2EHL8E8 Color BROWN GRAY REDNEL Hardness SOFT SOFT HARD 3558 i fas From 0 33 99 288E = Casing Type Steel (hlack or low carbon) Joint No Tnrormation Drive Shoe? INo Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 102 ft. 11 lbs./ft. 6.75 in. to 102 It 4 in. to 111 It Open Hole from 102 ft. to 111 ft. Screen NO Make Type DYes D : % Diameter Slot/Gauze Length To 33 99 111 Static Water Level 12 t1. trom Land surtace Date Measured 07/07/1994 PUMPING LEVEL (below land surface) 25 t1. at1er 1 hrs. pumping 20 g.p.m. Set Between : 3 Tolf5o ?234,33od:2e *os _ ig f3 813 B33E: g3id 222222.113354 z 2 Zoe tel 24 NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model SNAPPY D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No . ne i. 13 = 2% 3 fog4sd i3 =FEEEiB i: stateo2s22311 Grout Material: Neat Cement from 10 to 30 It bags i i3 s| 233] |0 g CJly:2 i2423543 fe E EnJiEOlEL :o [eF HzegAleBBiEdE 53 i oz i 1: LE siEi: g: ii 235 i fIri:: |:g Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or largerIrregular section (Digitizing Table) Unique Number Verification Tag on well DateN/A Nearest Known Source of Contamination ~feet __direction Se]2tic tank/drain field type ~Vl System UTM- Nud83, Zonel5, Meters X: 500250 Y: 5000013 rn I 0 N 00 Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ ft. Capacitv _g.p.m HP - Volts Type Material N : i 2 N : file:/iiii/MPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/Hugo/Well%20Log%20Report%20-%2000550876.htrn (1 of 2)7/1/2008 9:46:33 AM 1 w I-' I-' g: : BH HH Well Log Report - 005 50876 S1i1x5 235222 38 aH First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 99 ft. County Well Index Online Report gz ii 23 2 ii Hl gd 513.9% PE 2S:5E42EE 5e% IS li EEc2|033 i PEE 2 *| Z (Oo) D Abandoned Wells Does property have any not muse and not sealed well(s)? ~0 Yes 0 Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No Zuercher Well Co. 62028 ZUERCHER A_ License Business Name Lie. Or Reg. No. Name of Driller 550876 I == He Printed 6/27/2008 HE-01205-07 o |g rns 2222.1355 i{ i| 1|| | | : !i | ::a |i : state o2m22312 ~Vl rn I 0 N 00 N N file:/i!IIfMPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/Hugo/Well%20Log%20Report%20-%2000550876.htrn (2 of 2)7/1/2008 9:46:33 AM w I-' N Well Log Report -00550881 Afinnesota Unique Well No. 550881 uomaa 550881 County Quad QuadiD TTT Well Name THOMPSON, DENNIS Cooxtte Washington Centerville 119A HB NB san tei Township Range Dir Section Subsections Elevation 31 21 w 30 BCAACB Elevation Method MINNESOTA DEPARTVIENT OF HEALTH WELL AND BORING RECORD. pbc Doe 0311305 WELL AND BORING RECORD meas Sus Char 15 Md Jl11nnesota Statute., Chapter 1031 Entry Date Update Date Received Date 06/27/1996 03/11/2005 - SC WC Well Depth Depth Completed Date Well Completed Ean [PR 938 ft. 7.5 minute topographic map (+I- 64ft. ' 64ft. Rotary 07/20/1994 5 feet) Drilling Fluid Bentonite eUe se De omestic IWell Hydrofracturcd? DYes D No From Ft. to Ft. 1 Casing Type Plastic Joint No Information Drive Shoe? D Yt:s D No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 64ft lbs/ft 8 1n to 30 ft ae Well Address 13755 ELMCREST AV coogi rss HUGO MN 55038 Geological Material ane SAND &CLAY GRAVEL coColor om BROWN BROWN waness Hardness SoSOFT SOFT 6 1n to 64 ft rom To|DT uEm STGo Long SeR t BatweT an From Open Hole from ft. to ft. Screen YES Make Type slotted pipe Diameter To 4 Slot/Gauze 10 Length 10 Set Between 54 ft and 64 ft 00 50 50 64 -- NO REMARKS Locked MoGm eoeges hod Dien Stop (12400 | Located 'vlinnesota Geological Survey Method Digitization (Screen) - Map (1:24,000) ieNan on 52 3 Lnique Number Verification Tag on Date 05/28/2004 well tn UTM ToS. gre 3, wt oy System UTM- Nad83, Zone15, Meters X: 498743 Y: 4999471 Static Water Level 30 ft. trom Land surface Date Measured 07/20/1994 PUMPING LEVEL (below land surface) Wt Compl 36 ft. after 1 hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer MONITOR Model SNAPPY DDlcCasaisinngg Porwosteccitioonn 0D12i 12 in.sahboovveeggrraaddee. 0 store vim Wot mi mgr 0311) D At-grade (Environmental Wells and Borings 0\ILY) mt rman Strat 8 ver Ove Grouting Information Well Grouted? 0 Yes D 1\o Crates Nox Grout Matenal Neat Cement Cutis Sorin Grout Matenal Bentonite wou from 10 to 30 ft ot from to ft Ee Ce kd Nearest Known Source of Contamination ]j_teet ~direction Septic tank/drain t!eld type WWaellllddiisinsfecitednuupfpoonneccoocmmpltpeletetiioodnn'? 0 Yveos D0 NNoo Tom 7 bags Somerton corr spn Pump D Not Installed Date Installed Manufacturer's name 'vlodel number - Length of drop Pipe ft. Capacity _g.p.m Toe New liP - Volts Type Material nt ck tr os rit rs. Ai First Bedrock Lan ct Clyne eh Last Strat Gravel (+larger)-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. `CountyWellIndex Online Report County Well Index Online Report Abandoned 'Yells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification dapovac ga ATGaEL Zuercher Well Co. 62028 ZUERCHER A_ ice Dns ame Ore Yo Nami License Business "lan1e Lie. Or Reg. No. Name of Driller 550881 I 550881 Pnnted 6/27/2008 HE-01205-07 file://JIII1viPCA/!\Vorking/A0081-100%20-%20PFC%20Foam/R... Surnmaries/Hugo;Well%20Log%20Report%20-%2000550881.htm711/2008 9 46:32 Alvf 22222.1133556 STSATATTEE0_208282222331133 Well Log Report - 00572300 Minnesota Unique Well No_ 557722330000 provi County Quad Quad ID Washington Hugo ll8B Well '-'amP SWENSON, JACK Township Range Dir Section Subsections Elevation 31 21 w 19 DDDDCA Elevation :Method MlN_\l<:SOTA DEPARTMENT OF WWEELLLL AND HEAL AND TBBHOORRIINNGG RECORD 11finnesota Statutes Chapter 103I pies Entry Date Update Date RPcPivPd DatP 01312007 01/31/1997 01/3112007 935 ft. 7.5 minute topographic map (+1- 5 feet) Well Depth 84ft. Drilling Method Drilling Fluid Bentonite l:se Domestic Depth Completed R4 ft. . Rotary Date Well Completed OR/2R/1996 IWell Hydrofractured? DYes D No From Ft. to Ft. Casing Type Plastic Below ft. Casing Diameter 4 in. to 74 It Joint Glued Drive Shoe? Weight 2.13 lbs/ft DYes 0No Above/ Hole Diameter 6 in. to 84 ft. MvAdisss Well Address 14104 FENWAY AV N =HUGO MN 55038 Geological Material MEDIUM SAND CLAY COARSE SAND SEU Color BROWN Hardness SOFT From To 0 22 BROWN HARD 22 60 BROWN SOFT 60 84 Open Hole from ft. to ft. Sueen YI:S Make MONOI'LEX Type slotted pipe Diameter 4 Slot/Gauze 12 Length 10 Set Between 74 ft. and 84 ft. Static Water Level 15 ft. hom Land surface Date Measured PUMPING LEVEL (below land surface) 25 ft. after 2 hrs. pumping 40 g.p.m. 08128/1996 0 eraraens NU REMARKS LocatPd Minnesota Department of Health Unique Number Verification N/A System UTM- Nad83, Zonel5, Meters MPthod GPS SA On (averaged) DateN/A X: 500010 Y: 4999938 Court Wel eG por First Bedrock Last Strat Sand-brown Aquifer Qual. Buried Arles. Aquifer Depth to Bedrock ft. County Well Index Online Report WPil HPad ComplPtion Pitless adapter manufacturer BAKER Model SNAPPY 0D) CCaassiinngg PPrrooteecstiiocnn 0 1122inin..sahboovveeggrraaddee rC outing armeI n llores?I ves wo. 1D AAvt-ggrraadde e(En(EvnivriornomnmeennttaallWWelelllss anndd DDooirinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: High solids bentonite from to 30 ft. 1 bags ."earest Known Source of Contamination lill_feet North West direction Se[>tic tank/drain field type WWeellll ddisiinfsecitednuuppfoonnescoocmmptpleletetiioodnn?" [DJ vYeess 0D1 NNoo PPuummpp CD1 NNoott Ilnasstatlleedd DDaatte IInnssttaalllleedd Manufacturer's name Model number - HP - Volts Xiandoned Well Docs Length of drop Pipe _ft. Abandoned Wells Does propery ve Capacity _g properly have .aapnn.yymmnuol 5c Type in use 00 ot seed Material and nul sealed wweelll(sl)? 0D Yvees @0 wNn o Variance Was a variance granted from the MDH for this well? No Well Contractor Certification Martin Lake Garage S230 License Business Name 572300 02633 HAGLER. Lie. Or Reg. No. Name of Driller I D Yes 0 Printed 6/27/2008 HE-01205-07 flle:///Ij!\1PCAI!Working/A0081-100%20-%20PFC%20Foam!R... Summaries/Hugo/Well%20Log%20Report%20-%2000572300.htm7/l/2008 9:46:32 AM 22222.1133557 STATE_02822314 5 : c3i E|Eilioli- [gid PSE Zioold 8 [dE 3 iz z 230 Eri LEg2is5) 22zs4: f31]e| 2i2s eli CaelkS E eE g EEEsA CEE] fE3 ETse lEE:E- RE Lei fEE OLE | E Bal] 2 25%|2 o|[& [E-- 3 52838 i cof 1g FEE 5 S sE z [[gEeese os l|]:[3 i2 k a IERZeE , EFle S3B3I3S5E2 AHEERSHEkNf s EE Well Log Report- 00582671 A1innesota Unique Well No. 11 ss267t 11 County Quad Quad ID Washington Centerville 119A Sgg z 2. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne,wta Statutes Chapter 1031 t5i2f Entry Date Update Date Received Date 09/26/1996 09/15/1997 P s: Well Name GRAFF, TOM Township Range Dir Section Subsections Elevation 31 21 w 30 BCDBCA Elevation Method 960 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 201 ft. Drilling Method " Depth Completed 201 ft. Rotary Date Well Completed 05/22/1996 mb fr2e8e3s Drilling Fluid Bentonite Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. Well Address 13615 ELMCREST AV N HUGO MN 55038 |: Casing Type Steel (black or low carbon) Joint No Infonnation Drive Shoe? D No Above/Below 0 ft. Casing Diameter 4 in. to 112 ft. Weight lbs.lft. Open Hole from 112 ft. to 201 ft. Screen NO Make Type Hole Diameter 8 in. to 30 ft. 6 in to 112 ft DYes le i gg 2 2 is 38 2 5gi:z 12 % 38%82 5.348.303 Geological Material CLAY GRAVEL CLAY SHALE ROCK Color Hardness From 0 45 70 109 To Diameter Slot/Gauze Length 45 70 109 201 Static Water Level 60 ft. from Land surface Date Measured 05/22/1996 PUMPING LEVEL (below land surface) 80 ft. after hrs. pumping 30 g. p.m. . Set Between 2222222.113358 z so := o|zZo o2s desl 2022 HgdIHi: LFizEaH$E25E)fTR E|5EigE] C HEEEE E E EEHH FE 572 EB EEA 3 NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model 8PL41 0 D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No = i: sId T 23a I: gi i3 stare 02822315 Grout Material: Bentonite from 6 to 36 ft. iE .:3 iEsgl I sis 5 r 1:3 f% i3ii5 3i%i:t Located Minnesota Geological Survey LE Method Digiti/ation (Screen)- Map (I :24,000) H % Unique Number Verification Tag on well Date 05/28/2004 <E 3 5E3 fed I ~Vl System UTM- Nad83, Zonel5, Meters X: 498643 Y: 4999258 rn I 0 HE Nearest Known Source of Contamination i_feet South East direction Se12tic tank/drain field type Well disinfected upon completion D Yes D No N 00 N :z 5 i N : 3: { i5 3 i file:///II/MPCA/!Working/A0081-I00%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20SurnrnarieslHugo/Well%20Log%20Report%20-%2000582671.htrn (I of2)7/l/2008 9:46:33 AM w I-' Ul 2 bags : fi 5 le | 119 |g "El: |e 70 [5 LETEO asd]: |z i Well Log Report- 00582671 We i32 iz 1 $ ze 2% iBlEs ii:lH% 38 First Bedrock St.Peter-Prairie Du Chien Last Strat St.Peter-Prairie Du Chien County Well Index Online Report Aquifer Multiple Depth to Bedrock l 09 ft. E8V%IE 1E9;R 2EE2E 2PEEL2EE5] ]~ S27I}F:s EE ENEEZEE5(1Q ===[z20]| 3 Pump 0 Not Installed Date Installed 05/23/1996 Manufacturer's name STA-RlTE Model number lOSP4C02J-02 HPQ2_ Length of drop Pipe ft. Capacity g.p.m Type Submersible Material Volts Abandoned Wells Does property have any not in use and not sealed well(s)0 D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Lauren McCullough Well Drilling 82443 OTTEN D. License Business Name Lie. Or Reg. No. Name ofDriller 582671 I Printed 6/27/2008 HE-01205-07 g89s i 22 z 222222.113359 i 3: i 2 i35 3 i 1i 3 3 i E i ! i: i: : state_o2s22316 ~Vl rn I 0 N 00 N N fi1e:///II/MPCA/!Working/A0081-100%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries1Rugo/Well%20Log%20Report%20-%2000582671.htrn (2 of 2)7/1/2008 9:46:33 AM w I-' 0"1 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY HHuuttcchhiinnssoonn H2Hu0ut5tcc5hh"iinnAssvooenn. FFSiirrEee DDeeppaarrttmmeenntt Hutchinson, 205 3'd Ave. Hutchinson, MNSE MN 5855335500 JJ3a2am0m2ee3ss4PP.oo6pp6pp5,,3BBaattttaalliioonn CChhiieeff Ij3po2oo0pp-p2p@@3e4ci-i5.hh6uu5tt3cchhiinnssoonn.mman.u.uss. TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 220055 331rdd AAvv.. SSEE aanndd 11330000 AAddaammss SSI.t. SSEE,, HHuuttcchhiinnssoonn "AAFAFFRFFAF:F:F33FM:M LSLiiMgghhtLtiWWgheatrtWe,ar,tehhrii,ssttohoririsicctouurssiceeuse: Class A:Ansul Silex, current use AR-AFFF: 3M Light Water, historic Class A: Ansul Silv-ex, current use use QQuuaarrteerrlyy LLeessss tthhaann 55 ggaallolonnss. GGrroouunndd,, ssttoorrmm sseewweerr AAARFFCFFAF:F:lFelFes:sslsottshhasannt1h10a0ngga1al0llloognnasls.l,ohhnisiss,ttoohririiscctouurssieec use: Glass A: 10 gallons, AR-AFFF: less than Class A: 10 gallons, curent use 10 gallons, historic current use use CCunrrioodwweRniRtviivieeerdr aapppoppnrrdooxxeiimsmsaaettelhlyayn111//2/24mmmiillieeennwooerrtsthhteeaoafssttAoodffa33m'dsAASvvieerenneuuleessiseiit.te;; unidentified pond less than 1/4 mile west of Adams Street site. AAmpiplpperroSoxoxiuimmtahatwteeelslyyt11o7/f22mAmdiialeemnsnoorSrttthhreeeaeatssttsioof.f 33'%d AAvveennuueesstitee;; 11//441to0 11//22 mile southwest of Adams Street site. LmLieelssessottahhsaatnnof11A/14dmmaimilleesssSootuuetthehwwteeissctt.ooff 33'd AAvveennuuee ssiitte;; lleessss tthhaann 11//44 mile east of Adams Street site. 3m3i'dleAAvvneeonrntuuheeosfsiAiteedaloocmcaastteeSddteiinentWWeselill.lhheeaadd PPrrootteeccttiioonn aarreeaa;; 11//441to0 111/33 mile north of Adams Street site. 226 22222222..11336600 SSTTAATTEE__0022882222331177 HHUUTTCCHHIINNSSOONN CCWWII WWeellll MMaapp. aT Se CRE se {ETA S.C filNs EEee > IT w2 sT vel E {Par nn n HIiDeE HoeabeL5A += ifoecEy ibaat ibTeo L oeeas A BBdla ABmWLJ0a ATE NN S= BObM SB carE notL eoRT hna of NaT en A f UT EA SiEy S pi Lol = Le NeEm)Ng CL ah NRG Heeger ovecn armen |g So ER Ng ge el "RRSARE eetSan 2222.11336611 STATE_02822318 [HutHcuhtcihninssoonnWWhahta't'ss IInn MMy NeigbhobrohroohdoMoMadap | y 3 CEES | Er p= erla ns | : |= FA Lalo nl Foo HEE dyoF pt re | EE EN Jit aiEnE aE OY3 I|FLuiie figi: [Ee fak{\ ee | |Fa 8 | hs 1 2 \ \ \ TE| D Fa ----Sioa Sites | | [Ridin Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion ee er etal J et of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided BoDt~ino.Mtca:dl mtaattt~eS&uup~o~rrikulnMd hm~ St"IKIW.W IJn~ml!bd Dun1J15 | || ~ subject to tbe express condition that tbe user knowingly waives MPCA that may arise from the use of this data. SE any and all claims for damages against | [@monanrs Pollution Control Agency || | u NRA NFRAP Pe] maw ~~,..rill w . C:~RCL!fi. o f't\Je:nl SuptrfUnd o-- n !iune: Cboocl L.cmcHUI5! [tp Vo!Unllr~ lrW'I191'11:11'i & Cb!lrwJ!o "re ..t. ltCRA 1!iD f'lt:ill:l~ on a ~M Jrw-ut-kor-111 & ClfiiiW~ "A"-SatuamA~ eonrws1 em1I1m 222222.113362 sare.o2m2239 STATE_02822319 %e giyr | go Od HERR id ener come eo emer eon ny J] I 5H ; Ap LE pe) s ) Rss a i: / zl) IH Eat SIHE / |A gpereot 16: Flr Hutchinson Wetland Map \ 3 |M iBi 22222.1133663 ee FENCES gE NL Tecidifogme | e| 1 Hee J 1.zrtf7:c }d~~--j~--------~~~~~-----~-----c;~----~~~~~-~~ I~ :':(:f'+ ~ ic'f:lfFl'"i J~ 0 z "'........ I~ 0 z PP e ME CHES "'........ w 6 z "'........ "J,'. 0 z "'........ "~ ' 0 z ` i mn Lan Hi HHL Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America tal n le JE / "1, i 7 aren" ell | 73 ut : d |ii i : | 3 ik +R if 94-22-30W 94-22-0 w 94-21-30W i i is r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N w N 0 94-21-0W Map center: 44 52' 56" N, 94 21' 41" W $ Scale: 1:24,719 Well Log Report- 00112796 [11279 A1innesnta Unique Well 112796 N n . rm Well Name BETKER, MARK oprewv County Quad Quad ID v in e McLeod Hutchinson East 108A xo mon Tommie Townhip Range Dir Section Subsections Elevation 116 29 w 6 BCDBBA Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD Trina Disa WELL AND BORING RECORD nes Sis Cor 151 Wed Minnesota Statutes Chapter I 031 -- Wb BC PwC Well Depth Depth Completed Entry Date Update Date Received Date 04/11/1988 01/0612006 Date Well Completed 1070 ft. 27 0 | i Nes 7.5 minute topographic = Imeore map(+/- 5feet) 114ft. 114ft. Drilling Method Non-specified Rotary 11/13!1975 Drilling Fluid Well Hydrofractured? DYes D No -- Ee Use Domestic From Ft. to Ft. Cone ye Seti can Jom id eit Casing Type Steel (black or low carbon) Joint TI1readed Drive Shoe? 0 itt 3 D 1\o Above/Below 2 ft. IBZI vIYees Casing Diameter Weight Hole Diameter Well Address Te7HYE HICSS HUTCHII~SO~I MN 55350 coomcanmenss Geological Material w=SOIL &CLAY GrCLAY SAND CooColor osBLACK Siow YELLOW SwGRAY BROWN Means Hardness aHARD SOFT Pom To From To om0 1 Pon 1 13 Bom 13 109 109 114 4 in. to 111ft 11 lbs/ft Open Hole from ft. to ft. TTR TO TT Screen YES Make JOIINSON 304 Type stain!ess steel [owner Stowe Lergh Seseeen Diameter TIT we 4 Slot/Gauze 12 Length 3.5 Set Between 111 ft and 114 It Static Water Level 28 ft. from Land surface Date Measured 11/13/1975 oars NO REMARKS cad Mims Gol Located Minnesota Geological Survey ae Somer erent 3 Unique Number Verification N/A em Ut San, System UTM- Nad/!3, Lnnel5, srMeters Method ities 1 4000p "lethod Digitized- scale 1:24,000 or larger (Digitizing Table) ue NA Date "\J/A oot wv X: 391594 Y: 4971301 PI:MPING LEVEL (below land surface) 100 ft. after 3 hrs. pumping 10 g. p.m. Wels Compr Well Head Completion Pe ott Pitless adapter manufacturer Model Dlcuissrosion 0 12 soins D Casing Protection D 12 in. above grade 0 ti mmmVol dr oN) D At-grade (Environmental Wells and Borings ONLY) rin rn Gnas B ve Ov Grouting Information Well Grouted? IZI Yes D No Costs oun Grout Material Benton1te | Godot Sn Grout Material Cuttings wo onan from 0 to 50 It bon from to It TE CR Nearest Known Source of Contamination aren, tam 1 pe 2Q_feet l'i_direction SeQtic tank/drain field type a ttn opi? Byer Oo Well disinfected upon completion? IZI Yes D No 0 a 0.33 yrds TTernat Poi. Cosi 10s Pmup IZI 1\ot Installed Date Installed 12/26/1975 Manufacturer's name FLINT & WALLII\G Model number 5BA8 _ HP Ql_ Volts 230 Length of drop Pipe lQQ_ft. Capacity 1Q_g.p.m Type Submersible Material Galvanized nde Well Deprt bn mm ms eit ocr OF Abandoned Wells Does property have any not in use and not sealed well(s)0 D oO Yes D No Fraime First Redrock Lot Sebi Last Strat Sand-brown Antr Qut. utid itr Aquifer Quat. Buried Artes. Aquifer ete Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contrador Certification NAG, Gm WEE Heil Well Co. 43085 HIEL R. cone i ons rf No Noir License Business Name Lie. Or Reg. No. Name of Driller Te I 112796 Yes D 1\o Printed 6127/2008 HE-01205-07 file :IIIIIIMPCA/IWorkmglA0081-l 00%20-%20PFC%20F oam/Re...ries/Hutchinson!Weli%20Log%20Report%20-%2000 112796.htm 711/2008 9:50:27 AM 22222222..11336644 sStTaAtTeE0_208228222332211 Well Log Report - 00210083 210083 A1innesnta Unique Well Nn. 210083 pegben County Quad Quad ID McLeod Biscay 108D WELiLAoNnDSBuOnResINCoGupeRrE0C1ORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 WCpeewteouhee Entry Date Update Date Received Date ovovame. 04/11/1988 01/06/2006 Well Name PESSEK, HENRY To"nship Range Dir Section SubseLtions Elevation 116 29 w 8 DADCBB Elevation Method 1065 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed =m I ee 99ft. Drilling Method -- Drilling Fluid -- 99ft. 12/01!1956 Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Well Address RR2 Ronse HUTCHII~SO~I M~l 55350 ssomcanaens Geological Material 8TOP SOIL CLAY &CLAY Shoe SAND CLAY SAND orColor weBLACK YELLOW aiBLUE des Hardness Casing Type Steel (black or low carbon) .Joint No Information Drive Shoe? D Yeoss 0D NNoo AAbboover/Deeilodwo0n0 f8t. Casing Diameter Weight Hole Diameter 4 in. to 96 ft lbs 1ft fon 0 From To HE 0 3 3 20 8 20 80 FI80 96 96 99 SOcrepn en HEolSe fromMafkt.e JtoONftS. ON; Te Screen YES Make JOHNSON Type stainless steel lower sous logn Semen Diameter E] Ee 4 Slot/Gauze 50 Length 3 Set Between 96 ft and 99 f1 Static Water Level 36 ft. trom Land surface Date Measured PT:MPING LEVEL (helow land surface) ft. after hrs. pumping g.p.m. 12/01/1956 Well Head Completion Piehs mors WEDIACKET Nod Pitlcss adapter manufacturer RED JACKET Model Dui roncts 0 tree D Casing Protection D 12 in. above grade 0D0 Attr-garaddee B(Ennvviiorvonemmcennstatl WWelelssanlnddBBlooirnisnggss OONNLLY)Y.) NO REMARKS Grouting Information Well Grouted? DYes D No Coe Naber Seton X" ueE NA Located Minnesota Geological Survey Unique Nmnber Verification NiA "Iethod Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A System UTM- Nad83. z,mel5. Meters X: 194197 V: 4969111 First Bedrock Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report TCR Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 12/0111956 Manufacturer's name MYERS Model number SA50A4 HP Q,2_ Volts 230 Length of drop Pipe 71_ft. Capacity _g.p.m i Sarit tt Goris Type Submersible Material Galvanized ended Wah Ds rs ve ee ott Abandoned Wells Does property have any not in use and not sealed well(s)? D Yfees OD Nxo Variance Was a variance granted from the MDH for this well? D Well Contractor Certification 2210083 Fredericksons Inc. License Business Narne 43099 SYVERTSON R. Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/2712008 HE-01205-07 file:ll!lj!MPCA/1Working/A0081-100%20-%20PFC%20Foam/Re ..ries/Hutchinson!Well%20Log%20Report%20-%2000210083.htm7!1/2008 9:50:27 Alv! 22222.1133665 sStTaAtTeE0_202882222332222 Well Log Report - 00210084 PR Minnesota Unique Well No. 210084 | dowin 210084 County Quad Quad ID McLeod hon Biscay 1030108D SOT Well Name OLIVA, WAYNE Tout KDig Seton Suton Hesston Township Range Dir Section Subsections Elevation HOB ll(i 29 wWn8 DAC DACCCD Fen Elevation Ved Method won. 1050 ft MINNESOTA DEPARTMENT OF EOL Dawe ovis HEALTH WELL AND BORING Unebwe 0106300 WELL AND BORING RECORD Tecan Dae RECORD its Sure hte 13 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/1 ]/1988 0110612006 WoDepth Dep Competed Doel Compt Well Depth Depth Completed Date Well Completed on wn wa 187ft 187 ft. 09/28/1962 7.5 minute cry | PASh topographic map (+/- 5 feet) Drilling Method -- Drilling Fluid aFIPen hems -- Well Hydmfractured? From Ft. to Ft. DYes DNo Usc Domestic wewtadress Well Address RR2 hia HUTCHINSON MN 55350 A Geological Material Soran TOP SOIL aCLAY anvsnony CLAY STICKY Grimm sD CLAY LENSED WITH SAND anCLAY SooSAND ErCLAY coor Color Sox BLACK lion YELLOW pryBLUE aweBLUE BieBLUE hie VARIED aieBLUE artness Hardness vo Aranrs NO RF:MARKS Casing Type Plastic Joint No Information DI"ive Shoe? DYes D No Above/Below 0 ft Gasng Diameter Casing Diameter san wr 5.5 in. to 184 ft. rg Weight wnlbs.lft. Fe Damar Hole Diameter Open Hole from ft. to ft. From 1o [SIE NOON ScrNn YES From To Make JOHNSON Type stainless steel 0" 17 loameter Sovosuze Leng etsete 0 1 Diameter on |% = TST 1 23 4 now 23 80 Slot/Gauze 25 Length 3 Set Between 184 ft. and 187 ft. a80 110 on 110 178 Wm [Swe 178 187 Static Water Level We Daur 187 187 ft. from Date Measured PUMPING LEVEL (below land surface) P[ te sbic-- s maior. DUPLEX Mod ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer DUPLEX Model DDl CCaassiinngg PPrrootteeccttiioonn D3 1122i.n.sabboovveeggrraaddee J ae CommentWel md Hos LY) D At-grade (Environmental Wells and Borings ONLY) routes ormatan Wellowmet? 0 ver No Grouting Information Well Grouted? DYes D No SuSLruovrvceaeyyted Minnesota Geological ((MDDieiggtihittoiizzdiinnDgg iTTgaeibbtlilzee)e)d- scale 1:24,000 or *larger Unique Number Verification N/ A tm UTM Nol onelS. System UTM- Nad83. Z(mel5. ]vfeters Date NIA Xx.: 3s9p4a0r1s9 Y3: : eon 4969041 .'lcarcst Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 10/18/1962 Manufacturer's name BERKELEY Model number~ Tos vans = _ HPQ_j_ Volts ill ogh hoptp 4 Copy gpm geit Mord Length of drop Pipe 30 ft. Capacity _g.p.m Type Jet Material Abandoned Wells Does property have any not in use and not sealed well(s)'! rstk le Cut. rid Ar Agi First Bedrock Lunt Clr Doh vos 1 Last Strat Clay-gray Aquifer Qual. Buried Artes. Aquifer Depth to lledmck ft CountyWell Index Online Report County Well Index Online Report D Yes D No Varnes Wo svat ese on he fe? Val'iance Was a variance granted from the MDH for this well? 0D No Well Contractor Certification bes KIWKC Fredericksons Inc. 43099 PULKRABEK C cre Buses Name_Lic 1. Yo Names ile License Business Name Lie. Or Reg. No. Name of Driller 221100008844 I 0 Ver D Yes Printed 612712008 HE-0 1205-07 EAA SAP TRAE RN file:///II/l'v!PCA/! Working/A0081-l 00%20-%20PFC%20Foam/Re...ries!Hutchinson/Well%20Log%20Report%20-%200021 0084.htm7i 1/2008 9:50:26 AM 22222.1133666 STSATATTEE0_208228222332233 Well Log Report- 0021 0086 Minnesnta Unique Well Nn. 210086 TEWell Name TAYLOR, EARL rOmii n County Quad QuadiD cry McLeod Biscay 108D MI~NESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. pda 0106 WELL AND BORING RECORD [re oidte Miuue.ota Statutes Chapter 1031 CA Well Depth Depth Completed Entry Date Update Date Received Date 04/1111988 01/06/2006 Date Well Completed ie 5% oui Semis Township Range Dir Section Subsections Elevation 116 29 w 8 DABDBB Elevation Method Loren 1070 ft. 7 5 minute topographic map(+/- 5 feet) |g 185 ft. .tirilfu;ii "leth~d ~: .. 1S5 ft. OS/J211957 [rp-- Well Address weRR2 J-- HUTCHINSON MN 55350 -- Geological Material fe CLAY FILL CLAY ahCLAY anCLAY SAI~D avon CLAY (SANDY) ESSAI~D corColor by YELLOW YELLOW aiBLUE SYGRAY GRAY &GRAY aGRAY tren Hardness I I Drilling Fluid -- Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. Cote oe Se Sone on em Dove D7 0 No Aboneilo0n 8. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D:\lo Above/Below 0 ft. DYes er beter Weise Br Casing Diameter Tan ty on 4 in. to 182 ft Weight lbs/ft Hole Diameter om 10 [CST] From 6 fowmer some un swan 0 15 3 alt * Rawr 30 ah 97 110 a 112 wow 176 Open Hole Ji-mn ft. to ft. To Screen YES Make JOHNSON Type stainless steel 15 Diameter 30 4 97 Slot/Gauze 35 Length 3 Set Between 0 ft and ft 110 112 176 Static Water Level 185 21 ft. from Land surface Date Measured 08/1211957 PUMPING LEVEL (below land surface) [ NO REMARKS ft. after hrs. pumping g. p.m. Wath Compton Well Head Completion DRC onan ott Pitless adapter manufacturer RED JACKET Model Oui 0 iia seven D Casing Protection D 12 in. above grade ting ormaton Wart? 01 ver LI D0 Atg-grraaddee E(EnvvirionmsenotalWnWelemlllssnaanndtdBBeaorriinnlggss OONNLLYY).) Grouting Information Well Grouted? DYes D No et omerey Mit Dt 2 L t d oca e M. mnesota G eo 1ogJ.Ca1 S urvey Method Digitized- scale 1:24,000 or larger (Digitizing Table) ne Sener eenXu 1 Unique Nmuber Verification N/A Date N!A System UTM-Nad83, Zonel5, Meiers X: 394095 Y: 4969313 SCA Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No PPruumnpp 0 NNoott Imnastaalled DDoaete IInsntatlleed 05/22/19052721097 Nomina Nom SUE HOTS Via Manufacturer's name Q_ Model number 4AM15 HP 0.75 Volts 230 DS1 pr sis Ma Length of drop Pipe 36 ft. Capacity _g.p.m Type Submersible Material decd Wel ot ots rs etre west oats Yo 0 No Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No iirc uute oidAt it First Bedrock Irn ieee 1 Last Strat Sand-gray Aquifer Quat Buried Artes. Aquifer Depth to Bedrock ft. `CountyWell Index Online Report County Well Index Online Report Variance Was a variance granted from the MUH for this well'! D Well Contractor Certification Dusiita 022 MARL Fredericksons Inc. 43099 MAYER, B. ncaa ei repNo ere License Business Name Lie. Or Reg. l\o. Name of Driller 210086 I 210086 Yes D No Printed 6(27/2008 HE-0 1205-07 file: ///II/11PCA/! Vv'orking/A0081-1 00%20-%20PFC%20Foam/Re... ries!Hutchinso:n!Well%20Log%20Report%20-%200021 0086.htmi 11/2008 9:50:24 AM 222222.113367 STSATATTEE0_208282222332244 Well Log Report- 00210382 Mints A1innesnta Une Unique BEN Well Nn. 22110033882 oy County QQuuaadd Quad ID ste McLeod HHuuctchhiinnssconn EEaastt 108A MISNESOTA DEPARTAENT OF HEALTH MINNESOTA DEPARTMENT OF HEALTH WWEELLLLAANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 Ee UEUpnpdtdaraytteeDDDaataettee Received Date ours 000411//010815//212090080686 Well Name CITY OF HUTCHINSON Tm,nship Range Dir Section Subsedions Elevation 116 29 w 6 BCABDB Elevation Method 1080 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed 370 ft. 370ft. [TI roe Drilling Method -Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Inactive |GGeeoollooggiiccaallMMataetreiriaall cESANDY CLAY CLAY CLAY GRAVEL HARDPAN CLAY HARDPAN Soo SANDY CLAY HARDPAN CLAY BOULDERS HARDPAN ae MUDDY SA~ID FINE SAND SAND SAND GRAVEL SAND CCoolloorr HHaarrddnnesess.s HARD Casing Type Steel (hlack or low carbon) .Joint No Tnfonnation Drive Shoe? D Yejos 0D NNoo AAbboovvee/Dielliodwo0w0 ft. Casing Diameter Weight Hole Diameter FFrroomm TToo [ 1O2 iF n. to 3W20Eft =lbs,1ft ELE 0 8 8 65 Open Hole 65 78 Screen YES 78 100 100 116 Diameter from ft. to ft. Make LAYNE EVERDUR Type Slot/Gauze Length Set Between 116 175 8 40 320 ft and 360 ft 5 175 200 200 227 227 238 238 254 58 254 284 284 320 320 335 =| Static Water Level ft. trom Date Measured PT:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 335 345 345 370 Well Head Completion Pitlcss adapter manufacturer Model ---- REMARKS SCREEN TYPE "'SHUTTER SCREEN." USED 8" (PLAIN) EVERDCR PIPE BELOW SCREEN. ORIGINALLY DRILLED TO 390'. THE!\ BACKFILLED TO 370' AND GRAVELPACKED TO TOP OF SCREEN WITH 7 YDS. OF FILLER GRAVEL. CASIJ\G COMPLETED ABOVE GRADE. D Casing Protection D 12 in. above grade D00 Avt-agrradae ((EEnnvviieroonnmmoennttaall WWelelsaanlnddBBlroirnisnggss OONNLLYY)) Grouting Information Well Grouted? IZJ Yes D No Grout Material from 0 to 254 It Located Minnesota Geological Survey Utnuiqoue NRautmhbeerr VVeerrltfiecaattivonn Ilnffononatmionatfirtoomnioouownncneer System UTM- Nad83. ZnnP15. A1ewrs Nearest Known Source of Contamination _feet - direction _type Method Digitized- scale 1:24.000 or larger (Digitizing Table) Well disinfected upon completion? D Yes D No DDaattee NNIAA X: 391603 Y: 4971446 PPuummpp 0D NNoott Ilnesstaalllledd DDoatte oIntsatalleledd MMaamnauffaacctuurreerr'ss nmaammee MMooddeell nnuummbbeerr _ - Length of drop Pipe _ft. Capacity _g.p.m HHPPQO_ VVoolltss l"ype Material AAbbaannddoonneeddWWelelllss DDoocesspprrooppeerrttyyhhaavveeaannyy neottiinn uusee aannddmnoottsseeaableeddwweetllk(sy)?? 0D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification [ fieiovpe rpc re o21o03w8r 2 [ I m | FirstBedrock Last Strat Sand Aquifer Qual. Buried Arles. Aquifer Depth to Bedrock ft. County Well Index Online Report Minnesota DeQartment of Health MDH License Business Name Lie. Or Reg. No. Name of Driller Printed 6127/2008 IIE-01205-07 file :Il!li!MPCA/IWorking/A0081-l 00%20- %20PFC%20Foam/Re ..ries/Hutchinson!Well%20Log%20Report%20-%200021 03 82.htm 7!l/2008 9:50:24 Alv! 222222.113368 STATE_02822325 Well Log Report- 0021 0383 [2moa21s038s3 J a Tien Fat WELL ANDBORING RECORD Upbuebue 0105200 Minnesnta Unique Well Nn. County Quad QuadiD McLeod Hutchinson East 108A MINNESOTA DEPART-"IENT OF HEALTH WELL AND BORING RECORD Miuue.mta Statutes Chapter I 031 ee Well Name HUTCHINSON 2 Township Range Dir Section Subsections Elevation a Soren | strc 116 29 w 6 BCABOC Elevation .Vlethod 1075 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth 392 n. cao1e JooJ Depth Completed 265ft. Entry Date TJpdate Date Received Date 04/1111988 01/05/2006 Date Well Completed 08/0011954 Drilling Fluid -- IWell Hydrofractured? DYes D No From Ft. to Ft. BE. WT30eO0lGlGALEEdNId~SrSeTTsSSs HUTCHINSON MN 55350 GGeeoolologgiiccaallMMataetreiraiall woeCCoolloorr WHaarndenessss fFroomm Hr---- Use Abandoned Status Inactive Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yeos O0'lNoo AAbboovree/lBiedloown f0t.. Casing Diameter Weight Hole Diameter TToo | 172 into "ft olbsr/ft TOPSOIL CLAY Sharm CLAY & PEBBLES CLAY & COARSE GRAVEL CLAY & PEBBLES LSLeAEiIr"~ssDoO&FFGSSRADANVDsEL&GGRRAAVVEELL CLAY PLASTIC SAI~D & GRAVEL ici CLAY & GRAVEL FINE SAND Soa SAI~D & GRAVEL FINE SAND BLACK YELLOW GaBLUE BLUE GRAY GRNGRY GREEI~ GRr"/GRY GRr"/RED GRr"/GRY awGRAY GRAY aGRAY GRAY 0 2 2 25 Open Hole from ft. to ft. 25 195 Screen YES Make Type 195 203 5 5 [omer Sotuzs Legh 203 227 Diameter 227 257 12 wn m2 = 257 265 12 265 272 12 Slot/Gauze 25 30 40 Length 272 291 Static Water Level Fa291 298 33 ft from Land surface Date Measured 08/00/1954 298 322 PUMPING LEVEL (below land smface) 2% 322 362 81.41 ft. after 16 hrs. pumping 1000 g.p.m. a 362 392 SetBeween Set Between mot tt and It ft and It ft and It Well Head Completion Pitless adapter manufacturer Model DDlcCuaisninggrProotcecctioon 0D 1122iinn.sahboovveeggrraaddee OoJo ATION PRDNORWNELLL0G, 00TH PARK, 1208 IT, REMARKS NOTE ON LOCATION FRO.\{ DNR WELL LOG: SOUTH PARK, S-1/2 OF CITY. CONSTRUCTION. METHOD: DRTT J .ED (DETATT .S l TNSPFCTFTED). ORIGIN AT. I OG FROM FREDERICKSON'S WELL. CO. SHOWS WELL WAS ORIGINALLY DRILLED TO 392'; APPARENTLY RACKFTT .I .ED TO 261 '. D At-grade (Environmental Wells and Borings ONLY) Gmuting Infonnation Well Grouted? DYes D No DT Located Minnesota Geological Survey Uuique Nlll1lber Verification Information Soe UTM No ZnS Mere from owner System UTM- Nad83, Zonel5, Meters Method Digitization (Screen) - Map (1:24,000) Xe PGR Vs 0 Date 08/02/2005 X: 391624 Y: 4971434 mr. sme First Bedrocl< Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. Com Whiner Report County Well Index Online Report Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No mrtg CR Pmnp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abbaannddoenedd WWeelllls DDioess pprrooppertyhhaavveeaannyynntot isn uesesamndd onottssceableedd wweelll(s)?? D0 YVeess 0D x:\lo Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Fredrickson's OS317 221100338833 ITN License Business Name Lie. Or Reg. No. Narne of Driller Yes D No Printed 6127/2008 HE-01205-07 file:/I!IIf11PCA/!V\rorking/A0081-1 00%20-%20PFC%20Foam!Re... ries/Hutclunsonffi.lell%20Log%20Report%20-%200021 0383 htm711/2008 9 50 25 AM 222222.113369 STATE_02822326 Well Log Report- 00210385 210385] A1innesota Unique W 210385 e l l No. oim County Quad Quad ID hen McLeod Biscay 108D "WELLirAoNnD BSOoRsINcoGpeREC1ORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Toronieinre Entry Date Update Date Received Date oom. 04/11/1988 01/10/2006 Well Name KOSECK, HERB To"nship Range Dir Section SubseLtions Elevation 116 29 w 8 DBAABA Elevation Method 1085 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed =E I ee 130 ft. Drilling Method Cable Tool 130ft. 08/31!1961 Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic anes Well Address Ams RR21v1N HUTCHII~SO~I M~l 55350 Ca GGeeoollooggiiccaall MMataetreiriaall YELLOW CLAY FILL YELLOW CLAY BLUE CLAY FINE SAND Hisar BLUE CLAY Resa FINE SAND CCoolloorr HHaarrddnnesess.s on NO REMARKS Casing Type Steel (black or low carbon) .Joint No Information Drive Shoe? D Yeoss 0D NNoo AAbboover/Deeilodwo0w0 f1t. Casa rei Casing Diameter Tor3 in. to 127 ft ea Weight onlbs 1ft Hole Diameter ET oFromm TToo 0 6 6 35 35 80 80 81 go 81 125 =o125 130 foOpen Hole from ft. to ft. foun serous [ScTreTen Me ake e Type Diameter Slot/Gauze tng Length seen Set Between Static Water Level 29 ft. from Land surface Date Measured 08/31/1961 PI:MPING LEVEL (below land surface) 39 ft after 2 hrs. pumping 25 g. p.m. wt comps Well Head Completion piers Pitless adapter manufacturer Deamarin 0 2 doen D Casing Protection D Model 12 in. above grade mansion WaiGoant Ovo. Em D00 Avarta-g(rEadnev(iErnovinrmonemnetnatall WWelelsaanlnddBBelovriisnnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Lt emi Located Minnesota Geological Survey ie Seretn 55 Unique Number Verification NiA System UTM- Nad83, Zonel5, Meters Db 34000 "lethod Digitized- scale 1:24,000 or larger (Digitizing Table) oe DateN/A X: 39393G Y: 49G9382 SA Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP 0.75 Volts Type Jet :v!aterial Abandoned Wells Does property have any not in use and not sealed well(s)? D Yeos OD NNoo First Bedrock Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification ios Hcil Well Co. License Business Name 210385 43085 HElL C. Lie. Or Reg. No. Name of Driller I Yes D No Printed 6!27(2.008 HE-01205-07 file:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam/Re ..ries/Hutchinson!Well%20Log%20Report%20-%2000210385.htm7!1/2008 9:50:25 Alv! 2222222.11370 SsTtAaeT_Eo_z02s82222332277 Well Log Report- 00210436 210436 A1innesnta Unique W 210436 e l l Nn. oGnm" County Quad Quad ID nena McLeod Hutchinson East 108A WELLiAoNnDSBuOnResINCoGupeRrE0C1ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 fMreeteeh Entry Date Update Date Received Date 04/11/1988 01/05/2006 Well Name JENSEN, ALVIN Tm,nship Range Dir Section SubseLtions Elevation 116 29 w 6 ABBBDA Elevation Method 1045 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed =m I ee 112ft. Drilling Method Cable Tool 112ft. 07/10!1967 Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Well Address IRS 7 SH HUTCHII~SO~I M~l 55350 coomcarneis Geological Material irFILL CLAY oaCLAY [ro-- MEDIUM GRADE SAND oorColor ooYELLOW aBLUE Mss Hardness Casing Type Steel (black or low carbon) .Joint No Tnfonnation Drive Shoe? D Yeoss 0D NNoo AAbboover/Deeilodwo0w0 f1t. CamigDror Casing Diameter Ton me 3 in. to 109 ft Wo Weight anlbs 1ft TieBae Hole Diameter (OOepen Hole ww from ft. to ft. Pom To From To or 0 3 3 25 5 25 107 5 107 112 [owner Screen YES Diameter 3 SotGwze Make Type Slot/Gauze 16 rm Static Water Level LT egh See rge Length 3 Set Between 109 ft and 112 ft 26 ft. trom Land surface Date Measured 07/10/1967 PT:MPING LEVEL (below land surface) 36 ft. after 1 hrs. pumping 35 g. p.m. "We tent Compt Well Head Completion Pa sat Pitlcss adapter manufacturer Duress 0 i doves D Casing Protection D Model 12 in. above grade D0) Att-rgaraddee B(Ennvviiorovnemmcennstatl WWelelssanlnddBBlooirnisnggss OONNLLYY).) NO REMARKS Grouting Information Well Grouted? DYes D No Coe Naber Seton XCee NA Located Minnesota Geological Survey Unique Nmnber Verification NiA "Iethod Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A System UTM- Nad83. z,mel5. Meters X: 192254 V: 4971Sll First Redrock as Last Strat Sand Aquifer Quat. Buried Artcs. Aquifer pr Depth to Bedrock ft. County Well Index Online Report TCR Nearest Known Source of Contamination _feet - direction _type Well disintected upon completion? D Yes D No Pump D Not Installed Date Installed Manufa(.:turer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP Q_ Volts l"ype Material oO Abandoned Wells Does property have any not in use and not sealed well(s)'! D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Heil Well Co. 43085 HElL. C. License Business Narne Lie. Or Reg. No. Name of Driller 210436 I Printed 6!2712008 HE-01205-07 file:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam/Re ..ries/Hutchinson!Well%20Log%20Report%20-%2000210436.htm7!1/2008 9:50:25 Alv! 2222.11337711 STSTAATTEE0_208282222332288 Well Log Report- 00483415 W48I34S1]5 eat Minnesota Unique Well No. County Quad Quad ID McLeod Biscay 108D I Well Name ANDERSON. ROBERT TT am Township Range Dir Section Subsections Elevation 116 29 w 8 DDBABB Elevation Method ___wime 1068 ft. MINNESOTA DJ<:PARTMK\T OF HF:ALTH WELL AND BORING ore. Sm WELL AND BORING enn \. RECORD si gst Minnesota Statutes Chapter lfJ31 Entry Date Update Date Received Date 02/1011993 01/1012006 a WT Cogoet Well Depth Depth Completed Date Well Completed iy i Th 199ft. 198 ft. 05!15/1992 hres 7.5 minute topographic map ( I/- 5 feet) . Drilling Method Non-speLOified Rotary Drilling Fluid -- IWell Hydmfractured? DYes D No From Ft. to Ft. tas Well Address 1545 22 SH S ws HUTCHINSON MN 55350 -- Geological Material opsoL TOP SOIL `SSAANNDDYYCCLLAAYY i CLAYW/GRAVEL Sevens SANDY CLAY W/GRAVEL Trans SANDY CLAY W/STONES FyROCK - SANDY CLAY va SANDY CLAY 4SAND 2 SANDY CLAY roy DIRTY SAND fk SANDY CLAY oeSAND corColor arom BROWN YYEELLLLOOWW Eo YELLOW GRAY aGRAY os VARIED FyGRAY =GRAY ao VARIED =GRAY =GRAY =GRAY =GRAY Hanes Hardness Lse Domestic om To CFoTPg Dpamar VR Teomot From 0 8 [m om em 0 s5 von 17 37 fone Sotoune ram exten 23 yous a. 27 3 37 FA38 oa 75 2 8 [wa 82 Eh [ee evn crn 87 % I {aemeny 118 Bn [re 120 no CT tt 188 CCaasshiinngg TTyyppee PPllaassttiicc JJooiinntt NNooInInffoorrmmaattiioonn DDrriivvee Sshhooee?? [DJYYeess ODJ No Above/Below ft. Casing Diameter 4 in. to 194 ft. Weight lbs./ft. Hole Diameter 8.75 in. to 198 ft. To 5 Open Hole from ft. to ft. 117 [ScSrcereeenn VYEESS MMaakkee JJOOTHINNSSOONN 23 TTyyppee ssttaaimniloensssvseteeell 27 Diameter 37 4 38 Slot/Gauze 18 Length 4 Set Between 194 ft. and 198 ft. 75 82 87 Static Water Level 118 32 ft. from Land surface Date Measured 05/15/1992 120 PUMPING LEVEL (bl'low land surface) 188 42 ft. after hrs. pumping 100 g.p.m. 199 Well Head Completion Pitless adapter manufacturer Model DDl cCaassiinngg PPrroottescttiioonn D1212.in.aabboovveeggrraaddee. To triers NO REMARKS ocd Me Gg ses 8 Located Minnesota Geological Survey Ml'thod Digitization (Screen)- Map (1:24,000) fog A Uniqul' Numbl'r sien none Verification Information from owner Date 08/03/2005 lear pa Systl'm UT1vf- Nad83, Zone15, Meters X: 394217 Y: 4969024 D0] AAt-gratde-g(radEe (nEnvviroinmrentoalWWenlellmlssaanenddBnBoroirtinnggass OlNLYONLY)) Coratog etormton Wetroaest Ever Ive Grouting Information Well Grouted? 0 Yes 0No cosas cons [PT Grout Material: Neat Cement from 7 to 30 ft. ST .\"earest Known Source of Contamination Tn ~feet .!i_direction SeQtic tank/drain field type a 0 0 Well disinfected upon completion? Yes D No ee ------ First Bl'drock prong Rok sn Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Wl IndexOnline Report County Well Index Online Report Pump D Not In stalled Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned \VI'lls Does property have any not in use and not sealed well(s)" D Yes 0 No VVaarriiaannccee WWaassaa vvaarriiasnncceeggrraanntteedd ffrroommtthhee MMDDHH ffoorr thhiiss wweellll?? [DJ YYeess 0D NNoo Well Contractor Certification th | A LtQ EnterQrises 91353 NELSON. D. a418833. 441155 I1 License Business Name Lie. Or Reg. No. Name of Driller Printed 6/27/2008 HE-0 1205-07 file:/1/IIIlv!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/Re ...ries/Hutchinson!Well%20Log%20Report%20-%200048341 S.htm7/1/2008 9:50:26 AM 222222.113372 sate 02622329 STATE_02822329 Well Log Report- 00)42177 _Minnesota Unique Well No. Momo Une BIN =py. t=ect MINNEa SOTA DEPARTMENTOFaHgEALTH ABunb,ue ovo1s 554422117777 Que Comity Quad Quad ID MHHaucctLchehioinmdsooan EEasstt 108A M"WWINEE'lLELSLLOATAANNDDDEPBBAOORRRTMIINNENGGTRROEEF CHCEOOARRLDDTH Minnesota Statutes Chapter 1031 UEUpnpdtdaraytteeDDDaataettee Received Date 000114!!11!090/2/12090090656 Well Name PRINCE OF PEACE SR. APARTMENTS a ow i J Township Range Dir Section Subsections Elevation 116 29 w 6 DCADAD Elevation Method 1072 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed 26ft. . o~illiiig M~th~ .. c~bi~ r~~~. 26ft. Date Well Completed 10/28!!994 .... Ire BO Drilling Fluid -- Well Hydrofractured? DYes D From Ft. to Ft. Use Elevator a Casing Type Steel (black or low carbon) Joint No Information No Drive Shoe'! ree Bn wn rrr DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter 16 in. to 26 ft. 62.58 lbs./ft. Well Adress Well Address 301 GLEN ST LL HLJTCHINSON MN 55350 i Geological Material p=rSAND FINE CLAY WLColor J ABROWN Hardness YELLOW SOFT agl mp From To 0 12 12 26 -- noun Open Hole from ft. to ft. Screen Make Type Diameter Slot/Gauze Length tn Set Between Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. NO Rr-'MARKS Located Minnesota Geological Survey Method Digitization (Screen)- Map (1:24,000) sem UTM Nod Zw, pra ayes Unique 1\umber Verification Address verification System UTM- Nad83, z,mel5, Meters Date 08/08/2005 X: 391674 Y: 4971459 Bots 1 en Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade D1D) AAvt-ggrraaddee((EEmnvviisroonnmmcennatlalWWelelllssaanndd BBoarirnigsnOgNsLYONLY)) ets mana Grouting Information Well Grouted? 0 Yes D No Grout Material: from 24 to 26 ft. Nearest Known Source of Contamination Wet inpnscnpetinr 0 va - feet - direction _type Well disinfected upon completion? D Yes 0 no D No Pump D Not Installed Date Installed Manufacturer's name Model number - LonghoringPs Copsy 590 Tus Met Length of drop Pipe ft. Capacity _g.p.m HP - Volts Type Material AAbbaannddoonneedd WWeellllss DDoocesspprrooppeerrtyyhhaavvee aanyy nnoottiinnaussee aannddnnoott sseeaeledd wweellll(ss)?? 0D1 ri Yes D No Coty Wetnr rine ror FisFirstBderdraocchk Last Strat Clay-yellow AaAsqiuieferr Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDII for this well? No Well Contractor Certification DonGeDiling Loos Don Graves Drilling L0005 License Business Name Lie. Or Reg. No. Name of Driller sam I 542177 D Yes D Printed 6/27/2008 HE-0 120 5-07 file:///II/1!1PCA/!\Vorking/A0081-l 00%20-%20PFC%20Foam!Re..ries/Hutchmson/Well%20Log%20Report%20-%2000542177 htm?/1/2008 9:50:24 AM 222222.113373 STATE_02822330 Well Log Report- CJCJ7l73~2 ---- [-- Jo.,finnesota Unique Well No. 7382 | 3 er 737382 County Quad Quad ID McLeod Biscay 108D ETT HOSTIC Well Name 13UTE PROPERTIIS, LLC Toni oeDick Sabet Henin Township Range Dir Section Subsections Elevation He116 2B9 Ww 58 DDIBSBDIODAA Testor Elevation eth Method -- ti fone ox MINNESOTA DEPARTMENT OF HEALTH WELL AND BORINGRECORD UplaeDue 100837 WELL AND BORING RECORD pra : Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 03/29/2007 10/05/2007 01/23/2007 10611 efii Cie Ceat 1061 ft. 7.5 minute ier | PARE Nod Nd Roy topographic map or (+1- 5 feet) Well Depth 181 ft. Drilling Method Depth Completed 176ft. Rotarv Date Well Completed 09/13/2006 Drilling Fluid EIe] Bentonite Ew Use Domestic Well Hydrofracturcd? D Yes D No From Ft to Ft at Agarss Well Address "1Aon56 1467 ADAM ST SE freebie HUTCHINSON MN 55350 -- ea cre Geological Material SANDY CLAY Svein SANDY CLAY oSAND SANDY CLAY ,Serr Color YELLOW frGRAY foGRAY -GRAY dws Hardness Casing Type Plastic Below ft. Gain omer TTS Casing Diameter Tree wn man wn 4 in. to 172 ft. Joint Glued Drive Shoe? DYes 0 No Weight lbs./ft. Hole Diameter 6.25 in. to 181 ft. Above/ rom Toonl From To 0 11 om 11 171 hon 171 178 nr 178 181 Open Hole from fl. to fl. Sak TOT Screen YES Make JOHNSON [Dames SiiGauze Diameter 4 *Slot/Gauze 18 L3egh STeatn ownd 16 n Type stainless steel Length 4 Set Between 172 ft. and 176 ft. Sm ate poe eons 01570 Static Water Level 20 ft. from Land surface Date Measured 09/13/2006 PUMPING LEVEL (below land surface) rei TV() RF,MARKS I Located Minnesota Geological Method Digitization (Screen)- Map 46 ft. after hrs. pumping 50 g.p.m. WetComet Well Head Completion PET woNTOR a erssiss Pitless adapter manufacturer MONITOR Model 6PS45BS4 Dcaseimton Tin sve oe D Casing Protection D 12 in. above grade 0 tevin Wel gs0101) D At-grade (Environmental Wells and Borings ONLY) Crt abrasion. Welt? B Yo OT Grouting h1fonnation Well Grouted? 0 Yes D No ose enn Grout Material: High solids bentonite nan from 6 to 86 ft. um 3 bags Survey oe Ryenviin Uingiqoure NNuimnbeerr Verification Address verification a Ee System UTM -Nad83, Z(mel5, Meters (1:24,000) NE-- DDaattee 00771/1332/2000077 X: 393907 Y: 4969289 "e'aeraeressttKKnnoowwnnSSoouurrcceeooff CCoonnttaammiinnaattiioonn Al i Lfeet .!i_direction SeQtic tank/drain tield type vot btn er 8 ve 0 se Well disinfected upon completion" 0 Yes D No cat ATMO. Mot oeS350 PPuummpp DC1 NNoott IInnssttaalllleedd DDeaete IInnssttaalllleedd 0088//22!11/22000066 Manufacturer's name AERMOTOR Model number Sl2-50 _ Longo HPQ2 Length of dpe _ Volts i drop Pipe 3ll 63 ft. CCapaacpityc1122igtgp.py.mm TeSeber Type Submersible Mtr! Material ik itr Ot Bis Ae First Bedrock Der hy ma Dnt Last Strat Clay & sand-gray Aquifer Quat. Bmied A1tes. Aquifer Depth to Bedrock ft. GoutWlndoxGinoRopar County Well Index Online Report Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? No Well Contractor Certification | UPI 2 cane LTP EnterQrises Inc 2157 GRIMM G. ee Dimas Or No Name License Business Name Lie. Or Reg. No. Name of Driller mn I 737382 D Yes 0 Printed 6/2712008 HE-01205-07 file:///IIIlviPCA/! \Xiorking/A0081-l 00%20-%20PFC%20Foam/Re.. ries/Hutchinson/Well%20Log%20Report%20-%200073 73 82.htm7/1/2008 9 50:25 AI'vf 222222.113374 sStTaArTeE_0022882222333131 Well Log Report- CJCJ7l73~7 -- [-- Jo.,finnesota Unique Well No. 787 | Sn er 737387 County Quad Quad ID McLeod Biscay 108D ET Well Name RATII RACING Toni oeDi echo SenHesnin Township Range Dir Section Subsections Elevation He116 2B9 Ww 58 DDBIAACCCHB Peston Elevation eth Method -- ti fone ox MINNESOTA DEPARTMENT OF HEALTH WELL AND BORINGRECORD UplaeDue 100337 WELL AND BORING RECORD pra : Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 03/29/2007 10/05/2007 01/23/2007 10611 on Coonm TwAisCT 1061 ft. 7.5 minute ier | PARE Nol Nid Roy topographic map oo (+1- 5 feet) Well Depth 181 ft. Drilling Method Depth Completed 176ft. Rotarv Date Well Completed 09/25/2006 Drilling Fluid I Bentonite Ew Use Domestic Well Hydrofracturcd? D Yes D No From Ft to Ft nseaes Well Address ADAMS ST SE Arts HUTCHINSON MN econ awa Geological Material Seo pari] SANDY CLAY SANDY CLAY SANDY CLAY protind SANDY CLAY Irea SAND =SANDY CLAY SAND SANDY CLAY coorColor Son So BROWN GRAY BROWN aGRAY aGRAY SaGRAY 7GRAY -GRAY aves Hardness rei TV() RF,MARKS Casing Type Plastic Below ft. om Ge Casing Diameter Tree 4 in. to 172 ft. Joint Glued Drive Shoe? DYes 0 No TTS Weight wn man wn lbs./ft. Hole Diameter 6.25 in. to 181 ft. Above/ Open Hole from fl. to fl. From To [Foner OTT ST From To Screen YES Make JOHNSON Type stainless steel fyal Duman SovGauze Longh Sateen 0 11 11 56 Diameter a 2|7 3 Tah wd 6 56 68 4 Slot/Gauze 18 Length 4 Set Between 172 ft. and 176 8% 68 100 oR 100 102 hr 102 171 Static Water Level Ta171 177 20 ft. from Land surface Date Measured 09/25/2006 177 181 PUMPING LEVEL (below land surface) no 46 ft. after hrs. pumping 50 g.p.m. WetComet Well Head Completion PET woNTOR a erssiss Pitless adapter manufacturer MONITOR Model 6PS45BS4 Olu tion O13 sve ne D Casing Protection D 12 in. above grade 0 tevin Wel gs0101) D At-grade (Environmental Wells and Borings ONLY) Crt abrasion. Welt? B Yo OI Grouting h1fonnation Well Grouted? 0 Yes D No ose enn Grout Material: High solids bentonite PT from 6 to 95 ft. nft. . 3 bags Located Minnesota Geological Method Digitization (Screen)- Map Survey ne Number fp Unique Number ora veo et Verification Name on mailbox em TNL aw System UTM -Nad83, Z(mel5, Meters (1:24,000) Date 07/16/2007 X: 393927 Y: 4969269 SC "'earest Known Source of Contamination FL i ni 2Q_feet L direction SeQtic tank/drain field type et ints oncom B ver Oo Well disinfected upon completion" 0 Yes D No cr a At TOR Nt or 250 PPuummpp DC1 NNoott IInnssttaalllleedd DDeaete IInnssttaalllleedd 0088/22992/2000066 Manufacturer's name AERMOTOR Model number 12-50 Longo dpe 3 _ HPQ2_ Volts ill Length of drop Pipe 63 ft. Capc12igtpym Capacity 12 g.p.m TeSeber Type Submersible Mtr! Material ik ite Ot Bis Ae First Bedrock Der hy a Dnt Last Strat Clay & sand-gray Aquifer Quat. Bmied A1tes. Aquifer Depth to Bedrock ft. GoutWlndoxGinoRopar County Well Index Online Report Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? No Well Contractor Certification | UPI 2 cane LTP EnterQrises Inc 2157 GRIMM G. ee Dimas Oro Name License Business Name Lie. Or Reg. No. Name of Driller Tow I 737387 D Yes 0 Printed 6/2712008 HE-01205-07 file:///IIIlviPCA/! \Xiorking/A0081-l 00%20-%20PFC%20Foam/Re.. ries/Hutchinson/Well%20Log%20Report%20-%200073 73 87.htm7/1/2008 9 50:23 AI'vf 222222.113375 sStTaArTeE_0022882222333322 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY LLiinnwwoooodd L2Li2inn8ww1oo7ooTddyFFpiiorreeCDDreeeeppkaarrDtmmrieevnenttNE 2SSt2taa8cc1yy7,, MN 55079 Typo Creek MN 55079 Drive NE JJBi1im2m.SS8tt6oo8cck-ki1inn9gg2e6er,r, FFiirree CCaappltaainn 612-868-1924 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtaraiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: BBeehiinngd ssatattiioonn,, 2222887700 TTyyppoo CCrreeeekk DDrriivvee,, SSttaaccyy AAAFFRFFAFF:F:FS3EMM LL3iiMgghhtLtWiWgahttaetWerarlAAeTTrCCATC AR-AFFF: 3M Light Water ATC AAnnnnuuaallllyy 551to0 1100 ggaallloonnss GGrroouunndd AAAFRFF-FFAF:F:F55F1:to01511000 gga1al0lllogonanlsslons Glass A: 2010 25 gallons. AR-AFFF: 5 to 10 gallons Class A: 20 to 25 gallons UUnniiddeenntitiffiieedd ppoonndd lleessss tthhaann 11/44 mmiillee ssoouutthhwweesstt LLeessss tthhaann 11/44 mmiillee ssoouutthheeaasstt aanndd ssoouutthhwweesstt LLoessss tthhaann 11/44 mmiilee eeaasstt MMoorree tthhaann 11 mmiilee 221 22222222.11337766 SSTTAATTEE__0022882222333333 Are eae LLIINNWWOOOODD TTOOWWNNSSHHIIPP CCWWII WWeellll MMaapp VT i Resa LTB L Eng E OCI E C IE aeea | wwwdk Biter~lJ TNE=n LYhoS | m ei ye o nd 1 IHRE Ee NS S Unl e py TN0 af bo Coal aE wR Gg TR e t0- SeTdoa]An Wal: Li o : r GFEe RR CTeNA bea Co i Ghms itlGmermeiANp FToo w [OtTR pe?le3 dl+ek- er vA e JLalbEAi Uien-eTE, Garin Bale! ClEf get a pist |S S 4L3ESe.r S= ITEofeBa rt ig : Pl ULv7 Af ae PU es ee | Selig LT ol ST A ts s= h af Si set naTlPhCh SAeeaeenCTnR eins RE ah BE Te Ban DEAR A gmeiN L RE hy Sr Te TY a =T= NiE SSG unB nh A dfe len a eTak c AWl Eox EwetSsa S0T D E Akaaye CF dAee LA STm N SE R a NP eed NS Aw TapEe W Mmees . pleongnCaorto0aS lse Th | LEY TE Oreha 222222.113377 sSTtaArTeE__o0228m2222333%4 [LinLwinowoooddWWhahta't'ssIInn MMyNeigbohrhbooodrMMahapood vi 7# dinian pang 0 EaJe 1 nity i e i T T: o & et | i Leann oJ] - \ | CntrNE | Lon | | | Ne Geni nN giSE |Fnoee yp y greeepiielr SSIITTE-Ei. = Ly Tialy.2 md <i) Lo | a EylLa]: : Fos ia in : A 3 Lh EEE = | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion Le of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided ST TRIER subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost MPCA that may arise from the use of this data. @innesota Pollution Control Agency Er HEE =o sen Ra Sion Sites onttapo D~n.Mc:l matt~ &u~~rkl M rem hm~ St"IKIW.W Unpeentoabanpe IJn~ml!bd Dun1J15 NFRAP rimaw ~~,..rill w cones C:~RCL~fi. p---- o f't\Je:nl SuptrfUnd * rr, !iune: Cboocl L.cmcHUI5! Vo!Unllr~ l'rW'I191'11:11'i Yt & Cb!lrwJ!o xRoRATIDFace ..t. ltCRA 1!iD f'lt:ill:l~ nti ~M Jrw-ut-kor-111 & ClfiiiW~ +su rsevrm ""- aum ~nw111 222222.113378 sSTaAtTeE_0022682222333355 2222.1379 3FpYE A J W IWo)WiO at UTGY) el Linwood Township | f4a ||(5 2 2Et 93-7-0W 93-6-30W kwre0f5f 93-6-0W 93-5-30W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only, Data layers that appear on this map may or may not be accurate, current, or otherwise reliable, THIS MAP IS NOT TO BE USED FOR NAVIGATION, I 0 N 00 N N w w 0"1 i ff : LE Ww I. @ Aepr. ) ID on 4i i Ete Pep Aa IP A _,. "''f ""~"'~~l'F1~1~~SlC:'~~~"""""""""""""""""""""""""""""""""""""""""""""""""""""""I~ 0 z | _,. 'f "w ' 6 z /1 _,. 'f ""w'' 0 z i _,. "'"' "6 ' z 43 vy R _,. "'"' F'li~i~~1f~i ~,:"1 ~ . ,,, z 93-5-0W 93-4-30W Map center: 45 22' 32" N, 93 5' 41" W ey Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r , USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America : $ Scale: 1:29,227 woor|flet . h HELaLi oa [3 do . i q Well Log Report- 00151714 ns tn Minonnesseottsa UDniiqnuee JiVBERe!! No. County ~:::ty II 115511771144 II Quad Qaim L.!:.=========::::!.J. Quad ID 1AAnnookkaa TyTyppoo LLaakkee 135A WN OTT RAT Well Name ROBERT KENDAL Town RagsDir SeconSubsectionElston Township RangeDir Section Subsections Elevation 3B3 RO22 Ww 44 CAMA Flees Method CABBBA Elevation Method coma Geological Material ponies FINE SAND FRESDs cur FINE SAND &CLAY ryCLAY Glave cane CLAY &GRAVEL soso SAND & GRAVEL Color Mrdness Color Hardness a5BLwUeE RED 0 REArEs NO RElvfARKS MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH W`WEELLLL AANNDD BBOORRIINNGG RECORD Recehed Due RECORD Minot SsChapter 131 114inne,mta Statutes Chapter 1031 EEnnttrryy DDaatete. UUppddaattee DDaattee. Received Date 404n11155n/1999911 007/9049/19191 an WlTlbneph Dept oCohmpiaed De WJaloConp, l 911 ft. 7.5 minute topography |DPE Method = topographic map ptt (+/- 5 feet) Well Depth 128 ft. Drilling Ntei:hoJ~~ Depth Completed 128ft. Date Well Completed 10/2711978 Ding | wat thartrcanar 0 ve Ov Drilling Fluid : Fon 0 1 -- Well Hydrufractured? DYes DNo From Ft. to Ft. Cog Type ans No atorn Deve Shoe? 01 va 0) Use Domestic Casing Type Joint No Information Drive Shoe? DYes D No Above/Below 0 ft. CasingDiameter Casing Diameter Tow we 4 in. to 124 ft. We Weight wnlbs./ft. Tete Dar Hole Diameter Cpe Open Hole from ft ET to ft Screen YES Make JOHNSON Type From To |Dlameter SiotGauze Length From To en | 0 48 Diameter 4 Slot/Gauze 80 Length 4 ow 48 65 aT 65 110 To he 110 122 Static Water Level wo122 128 17 fL from Land surface Dale Measured PUMPING LEVEL (below land surface) i tr pups om ft. after hrs. pumping g.p.m. Welcas Compltn Well Head Completion Jian po Pitless adapter manufacturer Model SoTt BetTween stainless steel Set Between 124 ft. and 10/27/197R ee 128 ft. DDO CCaassiinngg PPrrootteeccttiioonn D1 1122imn.aabboovveeggrraede 0 ae inn Wold oengs ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Inormation WellGroued" 0 Yer 0 Ne Grouting Information Well Grouted? DYes D No Located Mims Gorogal Located Minnesota Geological ner Survey mr Unique Number VentoAndis srsion Verification Address verification Sym UTM Nod nS. System UTM- Nad83, Zone15. Jo.1eters Metod Digi cle :340001 Method Digitized- scale 1:24,000 or re Digi Toe) larger (Digitizing Table) ein DateN/A x. ns: sais X: 492566 Y: 5024869 FinaBeindk First Bedrock Luustrn Sad Last Strat Sand quire. uid Ares. Awe Aquifer Quat. Buried Artes. Aquifer Depo doh 1 Depth to Bedrock ft. Near So Como Nearest Known Source of Contamination REE - feet - direction _type Wels mncopteiry 0 ves 0 no Well disinfected upon completion? D Yes D No Pump Norited Dat nated Pump 0 Not Installed Date Installed min nmeMt CDONs ALD. Ned mater Manufacturer's name MCDONALD Model number L78 0s Volo _ HPQ2_ Volls TaaghotDGioep2 1. Cpaci_spm Length of drop Pipe '12_ft. Capacity _g.p.m 37 Mmrane Mert Type Submersible Material oonemed Wa To op RC A IT Abandoned Wells Does property have any not in use and not sealed well(s)? Ov Ow D Yes D No VVaarriiaannccee WWaassaa vvaarrisanncceeggaratnetedd ffrroommtthee MMDDHHffoorr tshwisewlelll?! LJ D YYeess 0D NNno elCoCmo a Well Contractor Certification nebo Johnson Bros. Well 62114 cone Ts Name Lic 0 Reg. No NaofDrsier License Business Name Lie. Or Reg. No. Name ofDriller ACA MOR 1070 ce Set 20H0s A R550 1 file:///I]/l\1PCN!Working/A0081-100%20-%20PFC%20Foa...ies/Linwood/Well%20Log%20Report%20-%2000 151714.htm (1 of2)7/l/2008 9:54:30 AM 22222..11380 STSATATTEE0_208228223233737 Well Log Report- 00151714 County Well Index Online Report 151714 Printed 6/27/2008 HE-01205-07 file:///IIil\1PCN!Working/A0081-100%20-%20PFC%20Foa... ies/Linwood/Well%20Log%20Report%20-%2000 151714.htm (2 of2)7/1/2008 9:54:30 AM 222222..138811 STATE_02822338 Well Log Report- IXJJ5g32'l terete _Minnesota Unique Well No. es J, 158325 County Quad Quad ID Anoka Typo Lake 135A TSO Well Name OSTLUND TomineSecosubcom Hevtin Township Range Dir Section Subsections Elevation Bm WG CKD Peso lod 33 22 w 4 CBCBBD Elevation Method wTe nrgrstsREEon Well Address 22343 TYPO CREEK DR |GGeeoollooggiiccaall MMataeterriiaall woSAND SAND anCLAY ea swo WATER SAND anCLAY Rocks cane ROCKS & GRAVEL EESANDROCK CCoolloorr gon BT BROWN BLUE aE oS BLUE BoE RED Bo Mw RED Wow wo BROWN wm YELLOW MHaadrdnneessss SOFT SOFT SOFT SOFT MEDIUM HARD HARD I NO REMARKS sor On poe outst Ml'IINESOTA DEPARTMENT OJ<' HEALTH WELL AND BORING RECORD ~~ {Fbscbwe| 0305202 WELL AND BORING RECORD prs _i',fimwsota Statutes Chapter 1031 910 Nonh Cao DvWo C 910 ft. 7.5 minute umpc | DRE Noid topographic map oR (+/- 5 feet) Well Depth 200ft. Depth Completed 200ft. ">' . Rotary Entry Date Update Date Received Date 04/15/1991 08/08/2002 Date Well Completed 05/23/1986 Drilling Fluid I = ] -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Coin Tre Se teow cate Jo Tord Dre Soe? Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? IZI bes Oi sion 13.1 Yes D No Above/Delow 1.8 ft. CnnDamen Ve ae Casing Diameter Weight Hole Diameter Ta tan wea sme mt 4 in. to 132 ft. 11 lbs./ft. 6 in. to 132 ft. tine mn 4 in. to 200 ft. FFrroomm TToo 0 0 0 10 10 40 bow 40 60 8 ow 60 80 8m 80 105 105 125 Row 125 200 Open Hole from 132 ft. to 200 ft. [owen |ScSreoeen iN0O Diameter sowcwme MMaakke TT)RpCe Slot/Gauze leon Length fr Static Water Level 15 ft. from Land surface Date Measured 05/23/1986 Serger Set Between PUMPING LEVEL (below land smface) WPeolslie Commtaene Mot 50 ft. after 2 hrs. pumping 50 g.p.m. Well Head Completion Pitless adapter manufacturer Model D0CaCsaisninggPPrrooctetcitioonn IZI 1122inin..sahboovvee ggrraaddee 0 ope iments Wath st srson) D At-grade (Environmental Wells and Borings ONLY) rms woman. Vac 0 Yo 0 30 Grouting Information Well Grouted? DYes D No rat Mimsy Located Minnesota Geological Survey Une Smtr VVUeenrriiiqfciucaeattiNioounnmITbnefnorrmiatrionmffrosommioowownnenerr Sm UTM Lo Ser System UTM- Nad83, Z<mel5, Meters eld DSn s Method Digitization (Screen)- Map (1:24,000) on DDoatee 0044/33002/20001 2 ID Xs S583 X: 492100 Y: 5024483 SET 5iNQ0ef_aorfeeoesttt SKSonououtwthhnFEaSasostut_rcddeiirroeecfcttCiiooonnntaSSmeeptQiinctaictittoaannnkkd/drraaiinnffiieslldd_ttyvppee sence BL to De Well disintected upon completion'! IZI Yes D No Tam BD teins Dus cans om Pump 0 Not Installed Date Installed 05/27/1986 ct RES ek mr S11 Manufacturer's name MYERS Model number SJ52-J511 _ HPQj_ Volts ill Tvl ta Com12e10y Length of drop Pipe :!I_ft. Capacity 11._g.p.m it ne Ne Cats Type Submersible Material Galvanized ho 0 x AAbbaannddoonneedd WWeellllss DDooess pprrooppeerrttyyhhaavvee aannynnoottiinnuusseeaanndd naoott sselaeledd wneellkls(sy?)? 0D Yes D No FiFrisrsttBBeeddrroocckk Fria Franconia Losi rs Dips 13 Last Strat Franconia aqui Aquifer Peon Franconia Depth to Bedmck 125 ft. CountyWel Index Online Report County Well Index Online Report Vatiance Was a variance granted from the MDH for this well? No Well Contractor Certification TomsoonAnSS Gz JORGERSONS. Torgerson Art & Son 02203 TORGERSON S. me mam: 1 re No amr License Business Name Lie. Or Reg. No. Name of Driller 158325 I 158325 D Yes D Printed 6/27/2008 HE-01205-07 file:///11/MPCA/! Working/A0081-1 00%20-%20PFC%20Foarn!R ..manes/Linwood/Well%20Log%20Report%20-%2000 15 8325.htm7/1 /2008 9:54 28 AM 2222222.11382 STSATATTEE0_208228222333399 Well Log Report- 00158338 Mon Cr Helo Minnesota Unique Well No_ 158338 J aomei 158338 County Quad Quad ID Anoka Tia Typo Lake 18135A ST STIR Well Name STEVE ERICKSON Tawi ge Di cto SbsctonsHsaon Township Range Dir Section Subsections Elevation 3W3 R22Nw 5 ANC ADRCRC Pete Elevation Ned Method Shane Well Address 6430 227TH AV NE MN oot Hater Geological Material SeSAND Ramo WATER SAND SooSAND ayCLAY mee WATER SAND coor Color Rom BROWN fon BROWN weBLUE WEBLUE ooBROWN Muomess Hardness SoSOFT sorSOFT soSOFT HARD REMARKS 0430 - 222TH AVE. NE. 912912 ft MINNESOTA DEPARTMENT OF EOL Dawe ovis HEALTH WELL ANDBORING [recat WELL AND BORING RECORD Tecan pae RECORD its Sure hte 13 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/15/1991 07/0411991 WeDo Do Com BNC Well Depth Depth Completed Date Well Completed To on wasn 70ft 70ft. 07/2211986 rg 7.5 minute topographic map re Drilling etd Method -- (+/- 5 feet) Drilling Fluid -- I atari 0 ve Ove Well Hydmfractured? DYes DNo Pon hms From Ft. to Ft. Usc Domestic Casing Type Joint No Information Drive Shoe? DYes D No Above/Below 0 ft Gasng Dameter Casing Diameter Taw st 4 in. to 65 It rate Damar Weight wnlbs.lft. Hole Diameter a Open Hole from ft. to ft. Cr VE VRE TRON Tye ST ScrNn YES Make JOHNSON Type stainless steel rom To |oametsr SiovGause Leng et Detween From To Diameter ow| th TE 0 10 2 won 10 30 Slot/Gauze 10 Length 4 Set Between 65 ft. and 70 ft. 0 8 30 45 55 45 52 52 70 Static Water Level =r 0 oy nd arse Mera 07331080 10 ft. from J.and snrface Date Measnred 07/22/19Sii PUMPING LEVEL (below land surface) P[ te sbmc-- s mamta Mode 30 ft. after hrs. pumping 20 g.p.m. Well Head Completion Pitless adapter manufacturer Model J ae Camm Welsmi igs 01) DDl CCaassiinngg PPrrootteeccttiioonn D3 1122i.n.sabboovveegrgaradde.e D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey ni ase amr Yrlimton Unique Number Verification N/ BA Sytem CT NaS 20015. System UTM- Nad83, Zonel5, 1v!eters Method Digitized- scale 1:24,000 or larger yy, sy (Digitizing Table) Date NIA x. X: soi 491727 xY: : 5s0u2z5s1i5s1si First Bedrock Cots Dt Last Strat Sand-brown Aquifer Quat. Water Table Aquifer Depth to Bedrock ft County Wall IndexOnline Report County Well Index Online Report Te ey .'lcarest Known Source of Contamination Tt >en Ss mm 4 .!QQ_feet Ldirection Se[>tic tank/drain field type Wel divi pos cmpcionr 0) ve Bo Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed _ MaHHnuPPfQaSc_tju_rerVV'soolnlttassm22e2300M. YERS - Model number : SJ52-J511P Teta Ad Gey1sm Length of drop Pipe ll.__ft. Capacity n__g.p.m Type Submersible Material ToneWed Pos Fry TI ST Abandoned Wells Does property have any not in use and not sealed well(s)? Ov Ox D Yes D No Ow VVaarriiaannccee WWaass aavvaarriiaannccee ggrraanntteeddfrfroommtthhee MMDDHHfoforrtthhiiss wweelll?? ODJ YYeess D No Well Contractor Certification Torgerson Art & Son 02203 License Business Name Lie. Or Reg. No. Name of Driller 115588333388 I Printed 612712008 HE-0 1205-07 ARCA tig AS10301 Cnn. ml med pt 5 931358 file://!11/l'v!PCA/!Working/A0081-l00%20-%20PFC%20Foam/R...maries!Linwood/Well%20Log%20Report%20-%2000158338.htm7/1/2008 9: 54:29 AM 22222.1133883 STSATATTEE0_208282222334400 Well Log Report- 00182835 ~i:::ety II II 182835 Mibnnaensoctea Uoniiqude JiVReE!!NNOo.. 182835 County Quad L.!:.=========::::!.J. Quad ID TET Well Name TOM MORRIS AAnnookkaa TyTyppoo LLaakkee 135A Township RangeDir Section Subsections Elevation 3B3 RO22 Ww 4 4 CABACH Flea Method CABACB Elevation Method MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH W`WEELLLL AANNDD BBOORRIINNGG rCOnD fie RECORD inane Stara fr 114inne,mta Statutes Chapter 1031 EEnnttrryy DDaattee. UUppddaattee DDaattee. Received Date n04s11n59/1999L1 0077/0044/1999911 er ey Compe TRC Well Depth Depth Completed Date Well Completed topography |DPE Method = 912 ft. 7.5 minute topographic map 61 ft. Drilling Ntei:hoJ~~ 61ft. 05/21/1982 (+/- 5 feet) EE Drilling Fluid -- `WWelelll HHyyddrrouffrraacctaurreedd?? 0DYYeesr 0DNNoo. From Ft. to Ft. Use Domestic CaCsaisinngg TTyyppee JJooiinntt NNooInIfnoforrmmatatiioonn DDririvveeSShhooee?? [DJYveess D0 No Above/Below 0 ft. Conn Dora Te T-- Casing Diameter Weight Hole Diameter Tere " 4 in. to 60 ft. lbs./ft. cists Geological Material SAND bsCLAY WWAATTEERRSSAHNDO cor Hato fom Color Hardness From 0 37 =52 ol REMARKS 6838 - 225TH AVE. NE. BICKS SHADYLAND BEACH BLK 8 LOT 8. SOUTH 0.5 SECT. Open Hole from ft. to ft. Screen YES J Diameter To [ 35 TE To 2.5 37 352 Make JOHNSON236 Type Slot/Gauze 18 Length 6 Set Between 55 ft. and 61 ft. PRTE e aV rr 861 SaStnateic wWaawterrTLoevveel 22 fL from Land surface Dale Measured 05/21/1982 PUMPING LEVEL (below land surface) 40ft. after hrs. pumping 15 g.p.m. ne Well Head Completion Pitless adapter manufacturer voModel DD OCaCsaisningg PPrroovteeccttiioonn D01 1122 iinn..aabboovveegrgarnaddee: arate vats Bye ON 0D AAtt-ggrraadede(E(nEvnivriornomnmeennttaall WWelelllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No LcdMiso Gog Mod Dir x 2400cr Located Minnesota Geological Method Digitized- scale 1:24,000 or aSurdvey Sumber Ves " lNaortgeenr {(DBiiggiitiizcinngg TYaebtlie)) nae ember Ng 1 ~nique Number Verification N/ Date N/A en Ct Nos nes. lM3vSe!yettseetrressm Ue TM- Naodd833., ZoZnoneel,5, Xx.: 44922558383Y:: 0502244881100 First Bedrock Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. NNeeaarreesstt KKnnoowwnnSSoouurrccee ooff CCoonnttaammiinnaattiioonn 5 dren Sct mda lvoe 22._feet - direction SeQtic tank/drain field type Welslon ciompen tion 01 ver 0 No Well disinfected upon completion? D Yes D No PPuummpp [00 NNoottiInnssttaallileodd DDaattee IInnssttaallleld pent Hac Manufacturer's name Model number - HPQ_ Length of drop Pipe :ill_fl. Capacity .l2_g.p.m Type Submersible Material Volts Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nxo VVaarriiaannccee WWaass aa vvaarriiaanncceegrgaranntteedd ffrroommtthhee MMDDHHffoorr tthhiiss wweelltl?? D[J YYeess 0D Nxoo Well Contractor Certification Mccullough & Sons 82054 License Business Name Lie. Or Reg. No. Name of Driller file:///I]/l\1PCN!Working/A0081-100%20-%20PFC%20Foa ... ies/Linwood/Well%20Log%20Report%20-%2000182835.htm (1 of2)7/1/2008 9:54:29 AM 222222.113384 sStTaAtTeE__o022s82222334411 Well Log Report- 00182835 County Well Index Online Report is182835 Printed 6/27/2008 HE-01205-07 file:///IIil\1PCN! Working/A0081-1 00%20-%20PFC%20Foa... ies/Linwood/Well%20Log%20Report%20-%2000 18283 5.htm (2 of 2)7/ 1/2008 9:54:29 AM 222222.113385 STATE_02822342 Well Log Report- 00195661 Minnesota Unique We// No. II 195661 i County Quad Anoka Typo Lake QuadiD 135A Well Name ROBERT STAUMM Township Range Dir Section Subsections Elevation 33 3 222 Ww 55 AACCBBCCAAAA EElleevvaattiioonn MMeetthhoodd webrowsG MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 1lfinnesota Statutes Chapter 103/ Ga Entry Date Update Date Received Date A 04115/1991 07104/1991 w.-nD.-pth D.-pth Compl.-t.-d Dat.- W.-ll Compl.-t.-d 911 ft. 64ft. 64ft. 09/22/1983 mIee fot7op.5poogmrgarinappuihtveeic mmaapp |DrDirlillliinngg MMeetthhoodd -(+/- 5 feet) Drilling Fluid Well Hydrofractured'! DYes D No -- From Ft. to Ft. Use Domestic CCaassiinngg TTyyppee JJooiinntt NNoolInnffoorrmmsattiioonn DDrriivveeSShhooee?? JDYveess 0D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 4 in. to 62ft. lbs.lft. ms on Geological Material Color Fem SAND CLAY WATER SAND RED Hardness onFrom 0 48 51 [fTr T TT LE Open Hole from ft. to ft. Screen YES Make JOHNSON236 Type stainless steel Diameter To 2.5 Slot/Gauze 18 Length 6 Set Between 58 ft. and 64 ft. 48 51 64 Static Water Level 13 ft. from Land surface Date Measured 09/22!1983 PUMPING LEVEL (below land surface) 40 ft. after hrs. pumping 15 g. p.m. REMARKS 6256- 227TH AVE, STACY Well Head Completion Pitless adapter manufacturer Model DDOcCasasiinngg PPrrootseecctiioonn 0D 11221min.. aabboovveeggrraaddee. 0D) AAvt-ggrraaddee ((EEnnvviirroonnmmeenntatallWWelelllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Method Digitized - scale 1:24,000 or Survey larger (Digitizing Table) Sem UTM Nit ZS. x, son) WUanligqeureNNuuamnhbeeer Vreriificcaationn N9/ gDy ateN3/0Ar A System UTM-Nad83, Zonel5, }vfeters X: 491411 vY:: sons 5025184 Ffeirestt BSe.-ldtroocckk Last Strat Sand-red AAqquuiiffeerr QQuusta.t. WWaatteerr TTaabbllee AAqquuiiffeerr Depth to Bedrock ft. NNeeaarreessttKKnnoowwnnSSoouurrcceeooff CCoonnttaamminiantaitioonn' Wel dito sponcompsion?_0) vex 0) No 100 teet - direction Septic tank/drain field type Well disinfected upon completion? D Yes D No PPuummpp 0 NNoottIInnssttaalllleedd DDuattee IInnssttaalllleedd Manufacturer's name RED JACKET Model number BVC751 [crater doped 8 _ HP0.75 Volts 230 Length of drop Pipe :!Q_ft CCoappaacciityy l125_ gg.pp.mm Type Submersible Material 0 ve ON Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No VVaarriiaannccee WWaass a vvaarriiaannccee ggarannkteedd ffrroomm tthhee MMDDHHffoorr tthhiiss wweelltl?? 0D YYeess 0D Nxoo Well Contractor Certification M-- ccull-- ough--& Sons 8822005544 License Business Name Lie. Or Reg. No. Name of Driller file:/IiJI/1\lPCA/1 Working/A0081-100%20-%20PFC%20Foa.. .ies/Linwood/Well%20Log%20Report%20-%2000 195661.htm (1 of 2)7/ 112008 9:54:29 AM 22222..113866 STATE_02822343 ro Well Log Report- 00195661 County Well Index Online Report 195661 Printed 612712008 HE-01205-07 file:/IiJI/1\lPCA/1 Working/A0081-100%20-%20PFC%20Foa.. .ies/Linwood/Well%20Log%20Report%20-%2000 195661.htm (2 of 2)7/ 112008 9:54:29 AM 222222.113387 STATE_02822344 Well Log Report- 00536'130 _Minnesota Unique Well No. 536530 uuaa Hi1m 536530 Comtty Quad QuadiD Anoka Linwood 135D STIR TROT TT Well Name OSTLUND, HAROLD & MARLYS Tommi Rare Di ScionSubcom Fcsion Township Range Dir Section Subsections Elevation 3B3 OH22 Nw 4 COC Reon 4 CCDDDC Elevation Method MIN-"ESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD WELL AND BORING RECORD Monae Sis Ctr 151 Minnesota Statutes Chapter 1031 515 8. NTa Cao 909 ft. 7.5 minute tomy | DRE Ned ol Rey topographic map Well Depth 175 ft. Drilling Method Depth Completed 175ft. Rotary Entry Date Upimeowe 0201000 Update Date Weed pa Received Date 08/11/1994 02/04/2004 DNC Date Well Completed pi 06/15/1994 (+/- 5 feet) ne Drilling Fluid Btmlonit~ Iben BR Well Hydmfractured? DYes D No From Ft. to Ft. ehaginen Well Address ro Repke 22261 TYPO CREEK DR NE WYOMING MN 55092 Use Domestic Cat Tope Se kr) etm Toned Drv sit Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? Ov omotiion a D No Above/Below ft. Cong Domeer Wa Tie Be Casing Diameter ee WrwA opmraenao)m 4 in to 131 ft Weight 10.79 lbs/ft Hole Diameter 6.75 1n to 131 ft 4 in. to 175 ft Open Hole tram 131 ft. to 175 ft. Br 0 Yes Geological Material FINE SAND CLAY FINE SAND RED CLAY, GRAVEL, ROCKS ESo to SANDSTONE mee SANDSTONE Color Hardness BLUE RED Bw ree T BRN/BLK wn YEUWHT Screen NO Make Type From To 0 36 Diameter Slot/Gauze Length 36 41 41 69 69 123 wo 123 144 144 175 Static Water Level Bd I Ah o Lec Need 0618170 10 ft. from Land surface Date Measured 06115/1994 PUMPING LEVEL (below land surface) Welle Compton ft. after 2 hrs. pumping 40 g.p.m. Well Head Completion Pitless adapter manufacturer WHITEWATER Model Duns tmiien 13m sn ie D Casing Protection D 12 in. above grade 0 sorte mente mitre) D At-grade (Environmental Wells and Borings ONLY) Set Between NO REMARKS Grouting Information Well Grouted? 0 Yes D "lo Uru orbs Ce pn Located Unique 1'\umber Verification Information from owner Method Digitization (Screen) - Map (1:24,000) DateN/A System UTM-Nad83, Zone15, Meters X: 492085 Y: 5024456 fii First Bedrock Franconia Last Strat Franconia Dnt Aquifer Depth to re Franconia Bedrock 123 ft. County Well Index Online Report Grout Material Bentonite from 0 to 30 ft TSC Nearest Known Source of Contamination - feet _direction _type Well disintected upon completion? [2] Yes D No Nnommabipepnsp0SECARp 3Moksi mpht, W111AVt tain PPuummpp DC] NNoott Innssstallleedd DDaatteolInnssttalllledd 0066//1166//11999944 Manufacturer's name STA-RITE Model number - HPL Volts Length of drop Pipe 42 ft. Capacity 20 g.p.m Type Submersible Material he AAbbaannddoonneedd WWeelllss DDoocess pprropoerptyhehaarvveetaanynyy nnoottiin ussee aanndd nnoottssceaalleeddwweellkl(ssy)?? DJ Yes [2] No Variance Was a variance granted from the MDH for this well? D No Well Contractor Certification Johnson G. Well Co. 13539 KRINGLE M License Business Name Lie. Or Reg. No. Name of Driller Yes D 536530 I Pnnted 6/27/2008 HE-01205-07 file://ili!MPCA/1 Working/A0081-l 00%20-%20PFC%20Foam/R .. maries!L inwood/\:Vell%20Log%20Report%20-%200053 653 0.htm71112008 9 54:29 AM 2222..11338888 STSTAATTEE0_208282222334455 Well Log Report- 00655266 Mm gea lle. Minnesota Unique Well No_ 66555522666 QCQuouauadndty Quad ID ATIynypopokoalLsakkee 135A Well '-'amP Township Range Dir Section Subsections Elevation 33 22 w 4 CBBBAA Elevation :Method 281 TRO Well Addre 22521 TYPO sCCsRREEEEKK ODRR LINWOOD MN See Geological Material SAND SAND CLAY SjANnD wee Color TAN Hardness SOFT GRAY SOFT GRAY SOFT RBRoOWmN SsOoFmT ET MlN_\l<:SOTA DEPARTMENT OF HEALTH W"WEELLLL AANNDD BBOORRIINNGG RECORD 11finnesota Statutes Chapter 103I [a EUUpnpdtdraaytteeDDDaatateete. ono 06/13/2001 0311912007 RPcPivPd DatP 01/08/2001 910 ft. 7.5 minute topographic map (+1- 5 feet) Well Depth 69ft. Drilling Method Drilling Fluid Bentonite l:se Domestic Depth Completed 69ft. . Rotary Date Well Completed 10/21/2000 IWell Hydrofractured? DYes 0 No From Ft. to Ft. Casing Type Plastic Joint Glued Drive Shoe? DYes 0No Below ft. Casing Diameter Weight Hole Diameter 4 in. to 60 It lbs/ft 8.5 in. to 30 ft 6.5 in. to 69 ft Open Hole from ft. to ft. Sueen YI:S Make JOilNSON Type stainless steel Above/ ome? From To Diameter 0 19 2 7Slot/Gauze 7 Length 8 knw Set Between 60 ft. and 69 ft. 19 34 34 50 %50 69 [SSetateic W Waarteesr LTeevveetl 10 ft. hom Land surface Date Measured 10121!2000 PUMPING LEVEL (below land surface) ft. after 1 hrs. pumping 40 g. p.m. 0 eraraens NU REMARKS LocatPd Minnesota Department of Health Unique Number Verification N/A System UTM- Nad83. Zonel5. Meters MPthod GPS SA Off(averaged) DateN/A X: 492204 Y: 5024878 Court Wot ean por FFiirrsstt BBePddrroocckk Last Strat Sand-brown AAqquuiiffeerr QQuuaatt. BBuurriieedd AArrtteess.. AAqquuiiffeerr Depth to Bedrock ft. County Well Index Online Report WPil HPad ComplPtion Pitless adapter manufacturer MONITOR Model 8PL41UC1 D0] CCaassiinngg PPrrooteecstiioenn 0 1122inin.. asbhoovveeggrraaddee rE outing oormaR ton lloras? ver vo D0 AAvt-ggrraadede(En(EvnivriornomnmeennttaallWWelelllssaandd DDiovriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: High solids bentonite from 0 to 30 ft. Grout Material: Cuttings from 30 to 60 ft. 3 bags .'\earest Known Source of Contamination &_feet .!i_direction SeQtic tank/drain field type WWeellllddisisiinnffeecctteedd uuppoonnccoommplpelettiioonn"" 0 YYeeos DO Nwoo PPuummpp CDJ NNoott Ilnnssttaallleedd DDaatee IInnssttaalllleedd11110!0662/2000000 Manufacturer's name AERMOTOR Model number T 1250 _ HPQ.2_ Volts 230 Length of drop Pipe '!Q__ft. Capacity !Q_g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variancc Was a variance granted from the MDH for this well? No Well Contractor Certification MpearrkkWeelllCCoo. 655266 License Business Name 655266 c02e6s58 i THOMPSON ~ Lie. Or Reg. No. Name of Driller I D Yes 0 Printed 6/27/2008 HE-01205-07 flle:///Ij!\1PCAI!Working/A0081-l 00%20-%20PFC%20Foam/R...maries/Linwood!Well%20Log%20Report%20-%2000655266.htm7/1/2008 9:54:28 Alv! 22222..11389 STATE_02822346 Well Log Report- 00664728 Mc gea elle. Minnesota Unique Well No. 666644772288 QCQuouiuadndty Quad ID ATlynypopokoalLaakkee 135A Well '-'amP Township Range Dir Section Subsections Elevation 33 22 w 4 BCBD Elevation :Method Well Address Genin 6660 227TH AV LINWOOD MN NE Geological Material SAND CLAY CLAY CLAY, GRAVEL SAND Color TAN GRAY BROWN BROWN TAN Hardness SOFT SOFT SOFT SOFT SOFT ET MlN.\J<:SOTA DEPARTMENT OF HEALTH "WWEELLLL AANNDD BBOORRIINNGG RECORD 11finnesota Statutes Chapter 103I Erybue EUUpnpdtdraaytteeDDDaataettee RPcPivPd DatP c0202 011722//0221111122200000026 920 ft. 7.5 minute topographic map (+1- 5 feet) Well Depth 128 ft. Drilling Method Drilling Fluid Bentonite l:se Domestic Depth Completed 12R ft. . Rotary Date Well Completed OR/27/2001 IWell Hydrofractured? DYes 0 No | From Ft. to Ft. Casing Type Plastic Joint Glued Drive Shoe? DYes 0No Below ft. Casing Diameter Weight Hole Diameter 4 in. to 120 It lbs/ft 8.5 in. to 15 ft TE Soke TT Sr Open Hole from ft. to ft. SCI"een YI:S Make JOIINSON 6.5 in. to Type stainless steel 120 ft. Above/ From To Diameter Slot/Gauze Length Set Between 0 58 2 58 78 7 8 120 ft. and 128 ft. 78 105 105 118 118 128 Static Water Level 20 ft. hom Land surface Date Measured 08127/2001 PUMPING LEVEL (below land surface) ft. after 1 hrs. pumping 25 g. p.m. 0 eraraens NU REMARKS LocatPd Minnesota Department of Health MPthod Digitization (Screen)- Map (124.000) Spm UTM Nad Zoli UniquP Number Verification N/ A SystPm UTM-Nad83, Zone15, Meters DateN/A X: 492235 x: sonst Y: 5025171 Coty Wlenn Ror First Bedrock Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report WPll HPad ComplPtion Pitless adapter manufacturer MONITOR Model SNAPPY DDOcCasaisninggPPrroottecetiionn 0 1122inin.. sahboovveeggrraaddee GS rowing ntcmR ton Wall Groet? 2 ver OI ve 0D AAvt-ggrraaddee ((EEnnvviirroonnmmeennttaallWWelelllssaanndd DDooirinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: High solids bentonite from 0 to 30 ft. Grout Material: Cuttings from 30 to 120 ft. 3 bags .\"earest Known Source of Contamination Won dntopsentcoempten B ves 0 vo _feet - direction _type Well disinfected upon completion" 0 Yes D No PPuummpp CDJ NNoott Ilnasstaallleedd DDaatee IInnssttaalllleedd00883/3002/200001I Manufacturer's name GOULDS Model number IOSBOS-422 _ HPQ.2_ Volts 230 Length of drop Pipe '!Q__ft. Capacity !Q_g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? No Well Contractor Certification Mork Well Co. Inc. Soi72s License Business Name 664728 02730 BECKWORTH D. Lie. Or Reg. No. Name of Driller I D Yes 0 Printed 6/27/2008 HE-01205-07 flle:///Ij!\1PCAI!Working/A0081-l 00%20-%20PFC%20Foam!R...maries/Linwood!Well%20Log%20Report%20-%2000664728.htm7/1/2008 9:54:30 Alv! 22222.1133990 STATE_02822347 Well Log Report- CJCJ6647lCJ 64730 6 Mme SeRL I'vfinnesota Unique Well No. oComunety QQuuaadd Quad ID Aknoska TTyyppoolLaakkee 135A MMININN-E"ESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH W"WEELLLL AANNDD BBOORRIINNGG RREECCOORRDD 11finne.wJta Statutes Chapter 1031 EEnnttrryy DDaattee UUppddaattee DDaattee Received Date 1111/0033/22000001 0033/1199/22000077 09/17/2001 Well Name BROW 4 BO Hlth Township Range Dir Section Subsections Elevation 33 22 w 4 BCACBB Elevation Method ny 917 n. 7.5 minute topographic map (+1- 5 feet) Well Depth Depth Completed | DO Soi 149ft. Drilling Method -.- 149ft. Rotary Date Well Completed 07/02/2001 Drilling Fluid Bentonite i Use Domestic Casing Type Plastic Below ft. Casing Diameter IWell Hydrofractured? From Ft. to Ft. Joint Glued Drive Shoe? Weight D Yes 0 No ry DYes 0 No Above/ Hole Diameter 4 in. to 140 It lbs/ft 8.5 in. to 30 ft i Snes omen Well Address 6720 227TH AV NE LINWOOD TOWNSHIP MN Geological Material Color meHardness TE NT TT m ST Open Hole from ft. to ft. Screen YES Make JOHNSON 6.5 in. to 149 It Type stainless steel From To Diameter Slot/Gauze Length Set Between SAND CLAY CLAY Gav cue CLAY, GRAVEL RRSAND, GRAVEL TAN SOFT 0 46 2 10 GRAY BROWN om sa wm BROWN J Ei TAN SOFT SOFT SOFT SOFT 46 74 74 100 100 138 138 149 Static Water Level 21 ft. from Land surface 8 140 ft Date Measured 07/02/2001 and 149 It PUMPING LEVEL (below land surface) ft. after 1 hrs. pumping 40 g.p.rn. NO REMARKS Well Head Completion Pitless adapter manufacturer S:\JAPPY Model 8PL4UCI D0)CaCsasiinngg PPrrootveccttiiocnn 0 1122inin.. asbhoovvee ggrraaddee DDO) At-ggrraaddee E(Eanvviiroomnemnetnsta!l WWeellllsssannddBBoorrinigsnOgNsLYONLY)). Grouting Information Wdl Grouted? 0 Yes D No Located Minnesota Department of Health Unique -"umber Verification N/A System UTM- Nad83, Zonel5, Meters Method GPS SA Off(averaged) Date :\!/A X: 492353 Y: 5025174 County Well ces oni Ror Fint Bedrock Last Stmt Sand & larger-brown Aquifer Quat Buried Artes. Aquiter Depth to Bedl'ock ft. County Well Index Online Report Grout Material High solids bentonite Grout Material Cuttings from 0 to 30 ft from 30 to 140 ft 3 bags Nearest Known Source of Contamination l__feet L direction Sertic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed 07/06/2001 Manufacturer's name AERMOTOR Model number T1250 _ HP Ql_ Volts 230 Length of drop Pipe 40 ft. Capacity lQ_g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D No Yes 0 Well Contractor Certification .MVoIsorkk WWeellll CCoo., Ilnoc.. p027e30 Gem0 License Business Name 664730 Lie. Or Reg. No. I BBEECCKKWWOORRTTHH, l2_ Name of Driller Printed 6/27/2008 HE-01205-07 file:i/IIIIMPCA/1 Working/A0081-100%20-%20PFC%20Foam/R .maries/Lmwoodi\Vell%20Log%20Report%20-%2000664730.htm711/2008 9:54 31 AM 222222..139911 STATE_02822348 Well Log Report- CJCJ6g'CJ2g IM'vfoinmneosotaLUneique BU Well No. 66885500228 CCoounmty QQuuiadd Quad ID Aknoaka TTyyppoolLaakkee 135A MMININN-E"ESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH W"WEELLLL AANNDD BBOORRIINNGG RREECCOORRDD 11finne.wJta Statutes Chapter 1031 EEnnttrryy DDaattee UUppddaattee DDaattee Received Date 0011/2299/22000083 1122/2210/2200066 Well Name BR WA bCCOR Elma Township Range Dir Section Subsections Elevation 33 22 w 4 BCCCDB Elevation Method Well Address 22541 TYPO CREEK DR MN rl Geological Material SAND CLAY FIRM Foray SAND ROCKY CLAY rose fiSAND SAND/GRAVEL gor tees Color TAN Hardness SOFT RED ww RED SOFT RED HARD EE mBROwWN S5O3F)T BROWN SOFT pope <m; n. 7.5 minute topographic map (+1- 5 feet) Well Depth Depth Completed | PE thd 128 ft. Drilling Method Siry128ft. -.- Rotary Date Well Completed 11/06/2002 Drilling Fluid Bentonite Use Domestic Casing Type Plastic Below ft. Casing Diameter 4 in. to 118 It I 0 Well Hydrofractured? DYes No From Ft. to Ft. Joint Unknown Drive Shoe? D Yes 0 No Weight lbs/ft Hole Diameter 6.5 in. to 128 It Above/ To From To 0 20 20 50 t 50 80 80 110 I4110 120 2120 128 Open Hole from ft. to ft. oe Screen YES Diameter soos Make BIGFOOT Slot/Gauze 4 8 Loran Seen Type plastic Length Set Between 10 118 ft and 128 It FR r S [ StaticwWaa tervLr eevel 25 ft. from Land surface Date Measured 10/16/2002 PUMPING LEVEL (below land surface) 80 ft. after 1 Ius. pumping 20 g.p.tn. NO REMARKS Well Head Completion Pitless adapter manufacturer BAKER Model SNAPPY DDOcaCsaisningg PPrroottetciticonn 0D 11221min..sahboonveeggrraaddee. DDO) At-ggrraaddee E(Eanvviicroonmmenetnsta!l WWeellllsssannddBBoorrinigsnOgNsLYONLY)). Grouting Information Wdl Grouted? 0 Yes D No Located Minnesota Department of Health Unique -"umber Verification N/A System UTM- Nad83, Zonel5, Meters Method GPS SA Off(averaged) Date 'l/A X: 492175 Y: 5024931 First Bedrock i Last Strat Sand & larger-brown Aquifer Quat. Buried Artes. Aquifer DSeppthitorBeedroa ck ft. County Well Index Online Report Grout Material High solids bentonite Grout Material Cuttings from 0 to 30 ft 2 from 30 to 118 It Nearest Known Source of Contamination lQQ_feet !L_direction Sewer type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed 11/06/2002 Manufacturer's name AERMOTOR Model number SD-12-50 _ HP Ql_ Volts 230 Length of drop Pipe 60 ft. Capacity 11_g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D No Yes 0 Well Contractor Certification fon SamQson Bros Well License Business Name 685028 62670 FRAUGHT S Lie. Or Reg. No. Name of Driller I Pnnted 6/27/2008 HF.-01205-07 file:i/IIIIMPCA/1 Working/A0081-100%20-%20PFC%20Foam/R .maries/Lmwoodi\Vell%20Log%20Report%20-%2000685028.htm711/2008 9:54 30 AM 222222.113392 STATE_02822349 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY LLiissmmoorree LPLiiOssmBmooorrxee 1FFi8irr8ee DDeeppaarrttmmeenntt LPLiiOssmmBoororeex,,1MM88NN 5566115555 J5Ja0a7mm.ee9ss20WW.e7ei2did0ee8rrtt Jj5kw0w7ee-ii9dd2ee0rt-r@7i2@m0m8yyclceiaerwaarvvean. vneeett TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreessttwwaatteerrwwelelll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: BBaarmn ffirree,, BBiirrkkeetttt && 1177001th0 SSUt. NNoott ssppeecicfifiieedd,, 33MM ffooaamm uussee aassssuummeedd OOnnee t1o0 ttwwoo ttiimmeess ppeerr yyeeaarr LLeessss tthhaann 55 ggaalllloonnss GGrroouunndd NNoott ssppeecciifieedd IIntteerrmmiittteenntt ssttrreeaamm lleessss tthhaann 11//44mmilileewweesstt 11/441t0o 111/22 mmiilee ssooutuh MMoorree tthhaann 11 mmiillee MMoorree tthhaann 11 mmiilee 116 22222222.11339933 SSTTAATTEE0_022882222335500 LLISMIORSECCMWWIOIWWeleRlllMMEsapp TN gee cy reer Thame Moor palHe ah 2 o : al " iE { 7L/S S E ios he } Ye, TERT ) S"a EtsRREEEN : AYe E)T CT : ST =a v VIOA BN ; oO A TT aETv re ENwe h A]N A LT wl A i| fy. => fNg, tm AND aid oN LS Pa oo Tar el A CSAoMamrgymCeom L[RST wi Ao wT PAGEAm il; -- ` N_ Cpe IT YEE / i : Fs Cn HPs : cid ov Rel del y al Foal io oa Ser of Lo pe Lines =) Ra f HS Fr, 7 iC i 7" : ~. Lon cr A McaOmpminann.Ovendeme.Coro 1 + [I A 222222.113394 sStTaAtTeE__o0z2s82222335511 | Liissmmorre WWhhaat't's IInn MMyyNNeeiighgbohrbhooodrMMhaaoppod | ' ) | SITE -~1...1.. '..1... .J.I. .1. .~.:..~ | | |f & -- ||| tm mst rennet | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided | icr de ea vi li gs subject to tbe express condition that tbe user knowingly waives any and all claims for damages against ||| MPCA that may arise from the use of this data. | | @-aivnnnn@olwnsi&non!sotsoaot:taa ~ pottutionpolution Gontrol ne genc."y' Pollutiion"-"vn-.~u~".l.ig.t.r&niCY || Sites DB~n.oMc:tlSmaatotto~St&uup~o~orrikuldnMd. Pasmora a hm~ St"IKIW.W manatee INJnR ~ml!bd Dun1J15 NFRAP rimaw ~~,..rill w cones C:~RCL~fi. remsuperia o f't\Je:nl SuptrfUnd i dicsppmnnd vousssn !iune: Cboocl L.cmcHUI5! Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o 4..t. 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Non-Digital ........ ~ Digital .r.!.,. 0 No Data z Scan i =o 32 96-1-40W 96-1-20W 96-1-0W 96-0-40W 1i2s ut r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N w Ul w ii ,d ii 96-0-20W 96-0-0W i: i Map center: 43 44' 49" N, 96 0' 44" W F NHD Streams Counties 1OOK States 1DOK 0 South America u North America $ Scale: 1:19,891 stare 02822353 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY LLiitttleloforrkk LPLiiOtttlkeBffooorxrkkF3Fi8ri7reeDDepeapratrtmmeenntt Litefork. MN PO Box 387 Littlefork, MN 5566665533 M2Mi1icc8hh2aa7el8l 6LL6aaC5l6laii,r, SSeeccrreettaarryy 218-278-6666 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerr trraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree hhaall,l, ccoormneerr ooff MMccPPhheerrssoonn aanndd 33'd AAvveennuuee,, LLiitttlleffoorrkk NNoott ssppeecciiffiieedd,, 33MM ffooaamm uussee aassssuummeedd AAnnnnuuaallllyy LLeessss tthhaann 5s ggaalllonns.s SSttoorrmm sseewweerr NNoott ssppeecciifieedd LLiitttleeFFoorrkk RRiivveerr loessss tthhaann 11//44 mmiillee wweesstt OOnnoorr aaddjjaacceenntt ttoatiraniniinngg ssittee OOnn oorr aaddjjaacceenntt ttoo ttraaiinniinngg ssittee MMoorree thhaann 11 mmiilee 1199 22222222.11339977 SSTTAATTEE__0022882222335544 A)Te1nFt otwd LITTLEFORK CWI Well Map 3tua A CpiEeasn e 2m Sth ONT Pie Wie,Spas sez=N 4 EE NN R| A BRL fz . aay iSL m 0% F R e L ) Z( INI a pra i] 2222.1398 STATE_02822355 | LLititttlleeffoorrkk WWhhaatt''ss IInnMMyy NNeeiigghhbboorrhhoooodd MMaapp | ||| A 3 i BS 5 [ Alem 0 | mE || o /, | [Caer || | 5 14 --e || Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion | FRIE N SL E IS R EI | of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost |||RR Ie mss R an been | MPCA that may arise from the use of this data. || @#innesota poiution Control Agency ||| Sites Botta Saporusa D~n.Mc:l matt~ &u~~rkl M =Pumasomite h UIJnnm p~om~ rlt!ebSddt"BDIKuunInW1Jg1.5W w WNFRRAAPP mtayw ~R~u,g..orritlluwnd coroun C:~RCL!fi. Ey ---- o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! a Vo!Unllr~ l'rW'I191'11:11'i Tey & Cb!lrwJ!o & reRAPaTc S ..t. ltCRA UD f'lt:ill:l~ PORAMGestpatonaCratas ~M Jrw-ut-kor-111 & ClfiiiW~ 2 swrsosoomnns ""- aum ~nw111 22222222..11339999 sSTTaAeT_E0_208282222335566 4 abr |, An | |Wee 1%E, lHdi aLnng 3 1g 8 r Lyr, Yo ROT 2 Arn p) Lo " 1 7 Sy 2 i "= 3 Jp ae ee NC|,S| Littlefork Wetland Map 2222.1400 i oi 2B |i ii I BEE A Aw [1g Oo ot 2 93-34-30W 93-34-0 w 93-33-30W 93-33-0W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N w Ul '-I "re LAY | <P ~ ~ ~ ~ N ~ ~~~~~~~~~!;-~~~ ~ ,.:., ::.................. ,..... ~...........~,~!~ 0 z ;p ~ ~1 ~ 0 z II Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK II States 100K D South America D North America } [is : $ 93-32-30W 93-32-0 w Map center: 48 23' 51" N, 93 33' 13" W Scale: 1:28,460 Well Log Report- 00677424 mst67U7n4iie24el CQuoandny II II ~::~ty lvfinnesota Unique Well No. 677 424 Quai ~-==================~- QuadiD Kochicing Koochichng Luk Littlefork tsa405A Waa Well Name MWTonsaip Range Die Scion Subcctons Erato Township Range Dir Section Subsections Elevation @68 25 25 Ww 9 9 DDAA BDAA ElrstnMohad Elevation Method MINNESOTA MINNESOTA prea or DEPARTMENT OF HEALTH Eau oss HEALTH WELLANDBORING piuedsie 05072007 WELL AND BORING RECORD Received Date 0411205 RECORD inne Stas Chapter Minnesota Statute.~ Chapter Toit1031 Entry Date Update Date Received Date 05/05/2003 08/07/2007 04111/2003 nan Doenp DehaCoomnpieed Date oWeluCsompe 1113 ft. C(USeGSm7SDmIinMer |DNingR Methheodd Auge (onpiies Calc from DEM (USGS 7.5 min or sn) equiv.) Well Depth Depth Completed 20ft. 20ft. Drilling Method nu5 v, v Date Well Completed 04/03/2003 Walttanucurea? 0 ver No Drilling Fluid Fron Tt Ft -Toe Viorel Use Monitor well Well Hydrufractured? DYes 0No From Ft. to Ft. CoinaType lots doit Tied Drives 0 Yeo 0 Casing Type Plastic Joint Threaded Drive Shoe? DYes D Abel No Above/Below ft. "Gating Diameter VIegiole Damar Casing Diameter Weight Hole Diameter Zan oh 0% an sma 00 2 in. to 10 ft. 0.69 lbs/ft 8.25 in. to 20 ft Geological ater Color Geological Material sho wow SAND Curwsr wow CLAY W/SILT Color BROWN BROWN TEVASREESPANTIE REMARKS \\'ELL 4TH AVE & SPRUCE STREET LLLoooccsaatteedd Mimo Minnesota Deparment of Department of UHUSneoinaqlilquteheumeNNuUumTmbMb-eerNr VVoeedrri,iffiiccaantteiiloonn NNIM/AAors System UTM- Nad83. Zonel5, Meters HMHaearDrddUnnMeessss MOM MEDIUM MEDIUM CT TT Open Hole from ft. to ft. Seren YES ake MONO Tope 7s Screen YES Make MONOFLEX Type plastic Diameter SiotGauzs Length Set Between Diameter Slot/Gauze Length Set Between 2 0 Won mw 2 From To From To 10 10 10 ft and 20 ft. 0 1 0 19 %19 20 Site Water Tne Static Water Level 150 from Lan sae_Dute Mesnard 0403208 15 ft. from Land surface Date Measured 04/03/2003 FONIFING LEVEL (ef andre) PUMPING LEVEL (below land surface) aero pnp p10 n afler hrs. pumping g.p.m. Well Head Completion Well Head Completion Pile spor mamas Mel Pitless adapter manufacturer Model Casing postion YB 12in shove pre 0 Casing Protection Y 0 12 in. above grade 3 Arye ome Wetsn rings OL) D At-grade (Environmental Wells and Borings ONLY) Grouting norman. Well Groot?-- 2) verT0TNo Grouting Information Well Grouted? 0 Yes D No Grout: Hot Comet fon 0bSE 3 bem Grout Material: Neat Cement from 0 to 8 ft 3 bags Mety hod GPn S SA Off evened Method GPS SA Off (averaged) Date (4302003 SRST Date 04/30/2003 Xe 4505. Yo 5360779 |Nb0VevWLaeauiriomnionpead@0nomlcnoenefdgvWsnWapegeossatbaiahtrvmspaenoaDrhni0iocceBenossdCrMmeoootpdrpdDeeoytormoagemam0sbeptoordMSvDesHT1Tfyo0preeoVTolNNlot?tes 0)T X: 458445 Y: 5360779 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes 0 No Variance Was a variance granted from the MDH for this well7 D Yes 0 No file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foam...s/Littlefork/Well%20Log%20Report%20-%2000677424.htm (1 of2)7/1!2008 9:58:02 AM 22222222.11440011 SSTTAATTEE__0022882222335588 Well Log Report- 00677424 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Matrix Environmental M0175 PAQUETTE_ G License Business Name Lie. Or Reg. No. Name of Driller 677424 I Printed 6/27/2008 HE-0 1205-07 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foam...s/Littlefork/Well%20Log%20Report%20-%2000677424.htm (2 of2)7/1!2008 9:58:02 AM 222222.114402 STATE_02822359 Well Log Report- 00677426 mst67U7n4iie26el CQuoandny II II ~::~ty lvfinnesota Unique Well No. 677 426 Quai ~-==================~- QuadiD Kochicing Koochichng Luk Littlefork tsa405A Waa WellNameMW Tonsaip Range Die Scion Subcctons Erato Township Range Dir Section Subsections Elevation @68 25 25 Ww 9 9 ACCA ACCA ElrstnMohad Elevation Method MINNESOTA MINNESOTA prea or DEPARTMENT OF HEALTH Eau oss HEALTH WELLANDBORING piuedsie 05072007 WELL AND BORING RECORD Received Date 0411205 RECORD inne Stas Chapter Minnesota Statute.~ Chapter Toit1031 Entry Date Update Date Received Date 05/05/2003 08/07/2007 04111/2003 sn Doenp DehaCoomnpieed Date oWeluCsompe 1115 ft. C(USeGSm7SDmIinMer |DNingR Methheodd Auge (onpiies Calc from DEM (USGS 7.5 min or sn) equiv.) Well Depth Depth Completed 20ft. 20ft. Drilling Method nu5 v, v Date Well Completed 04/03/2003 Walttanucurea? 0 ver No Drilling Fluid Fron Tt Ft -Toe Viorel Use Monitor well Well Hydrufractured? DYes 0No From Ft. to Ft. CoinaType lots doit Tied Drives 0 Yeo 0 Casing Type Plastic Joint Threaded Drive Shoe? DYes D Abel No Above/Below ft. "Gating Diameter VIegiole Damar Casing Diameter Weight Hole Diameter Zan oh 0% an sma 00 2 in. to 10 ft. 0.69 lbs/ft 8.25 in. to 20 ft Geological ater Color Hardness From To SCDe2iraemenTteYrES aSki0ToetGMaTuzOs NOLeWngtThoopSeen7t sBetwmeenw Geological Material Fy wow MeDUM 0 1 SAND survey wow MOM % SiF1Ot5N0eIaFWIaefNtrGeormrLoLTEanVenpELsn(apeef_Dpaut1ne0dMersnea)rd 0403208 SILTYCLAY Color BROWN BROWN Hardness MEDIUM MEDIUM Open Hole from ft. to ft. Screen YES Make MONOFLEX Type plastic Diameter Slot/Gauze Length Set Between 2 From To 10 10 10 ft and 20 ft. 0 19 19 20 Static Water Level 15 ft. from Land surface Date Measured 04/03/2003 PUMPING LEVEL (below land surface) n afler hrs. pumping g. p.m. TEWARES WP3eilllCeHAaessirapndgyoCproeommsptloaietominmonaYB es We1Mt2iesnlns-- hroivengpsrOeTL)T REMARKS LOCATION. 41AVE & MAINST LITTLEFORK. MN Grouting oormatn. WetiGroact? B) ves EI No LOCATION: 4TH AVE & MAIN ST. LITTLEFORK, MN Well Head Completion Pitless adapter manufacturer Model 0 Casing Protection Y 0 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No LLocaated Mimo Deparment of Located Minnesota Department of Health Unique Number Verification NA Unique Number Verification N/A Sym UTA Ns ont, Mere System UTM- Nad83, Zonel5, Meters Grout: Hot Comet fon 0bSE 3 bem Grout Material: Neat Cement from 0 to 8 ft 3 bags Mety hod GPn SSAOf evened Method GPS SA Off (averaged) Date (4302003 SRST Date 04/30/2003 956700 Yi waste |Nb0VevWLaeaurimniopead0@nomlcnoenefdgvWsonWpegeosisabnaiahtrvmspaenoaDrhniwiocceBeenossdCrMmeoootpdrpdDeeoytormoagemam0bsepteoordMSvDesHTHTfyoPp0reeoVTolNNlot?tes 0)T X: 458720 Y: 5360576 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes 0 No Variance Was a variance granted from the MDH for this well7 D Yes 0 No file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foam...s/Littlefork/Well%20Log%20Report%20-%2000677426.htm (1 of2)7/1!2008 9:58:02 AM 22222222.11440033 SSTTAATTEE__0022882222336600 Well Log Report- 00677426 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Matrix Environmental M0175 PAQUETTE_ G License Business Name Lie. Or Reg. No. Name of Driller 677426 I Printed 6/27/2008 HE-0 1205-07 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foam...s/Littlefork/Well%20Log%20Report%20-%2000677426.htm (2 of2)7/1!2008 9:58:02 AM 222222.114404 STATE_02822361 Well Log Report- 00677427 mes6t7U7n4iie27el CQuoandny II II ~::~ty lvfinnesota Unique Well No. 677427 Quai ~-==================~- QuadiD Kochicing Koochichng Luk Littlefork tsa405A Waa WellNameMW Tonsaip Range Die Scion Subcctons Erato Township Range Dir Section Subsections Elevation @68 25 25 Ww 9 9 CAAC CAAC ElrstnMohad Elevation Method MINNESOTA MINNESOTA prea or DEPARTMENT OF HEALTH Eau oss HEALTH WELLANDBORING piuedsie 05072007 WELL AND BORING RECORD Received Date 0411205 RECORD inne Stas Chapter Minnesota Statute.~ Chapter Toit1031 Entry Date Update Date Received Date 05/05/2003 08/07/2007 04111/2003 106 0. ellpDyepth DepthCoonmpeted Date PWaIll Competed 1086 ft. C(USeGSm7SDmIinMer |DNingR Methheodd Auge (onpciies Calc from DEM (USGS 7.5 min or sn) equiv.) Well Depth Depth Completed 18 ft. 18ft. Drilling Method nu5 v, v Date Well Completed 04/02/2003 Walttanucurea? 0 ver No Drilling Fluid Fron Tt Ft -Toe Vora Use Monitor well Well Hydrufractured? DYes 0No From Ft. to Ft. CoinaType lots doit Tied Drives 0 Yeo 0 Casing Type Plastic Joint Threaded Drive Shoe? DYes D Abel No Above/Below ft. "Gating Diameter VIegiole Damar Casing Diameter Weight Hole Diameter Zan on 0% bn sin 2 in. to 8 ft. 0.69 lbs/ft 8.25 in. to 18 ft Geological ater Color Hardness From To SCDe2iraemenTteYrES aSkiTeouGMaTuOzeNOLengtThopeSe7EtsaBemtweeetns Geological Material py WOW MEDUM 0 1 SAND survey wow MOM SiF1Ot3NeIaFWIaefNtrGeromrLoLTEanVenpELsn(apeef_Dpaut1ne0dMersnea)rd 0402208 SILTYCLAY Color BROWN BROWN Hardness MEDIUM MEDIUM Open Hole from ft. to ft. Screen YES Make MONOFLEX Type plastic Diameter Slot/Gauze Length Set Between 2 From To 10 10 8 ft and 18 ft. 0 17 17 18 Static Water Level 13 ft. from Land surface Date Measured 04/02/2003 PUMPING LEVEL (below land surface) n afler hrs. pumping g. p.m. TEWARES WP3eilllCeHAaessirapndgyoCproeommsptloaietominmonaYB es We1Mt2iesnlns-- hroivengpsrOeTL)T REMARKS LOCATION: IND AVE & MCPIERSON ST LITTLEFORK My | Growing Information. Wel Grose? ves D0 no LOCATION: 2ND AVE & MCPHERSON ST. LITTLEFORK, MN Well Head Completion Pitless adapter manufacturer Model 0 Casing Protection Y 0 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No LLociated Mimo Deprmest of yi cnc Grout: Hot Corot fm 0o6t 25 ba Located Minnesota Department of Method GPS SA Of evened Health Unique Number Verification NA Date (302003 RR TE Unique Number Verification N/A Sytem UTM- Nod, nel, Moers Xc 1SK7%. Yo S303 b0VevWLNaeauP rmniaopead@0nomlcnoenefugR vWnWpergeossabaiahtrvmspN aenoDrheniioccBendossCrMmeoootpdrpdDeeoytormoagemam0sbeptoordMSvDesHTHTfyoPp0reeoVTolNNlot?tes 0)T System UTM- Nad83, Zonel5, Meters Grout Material: Neat Cement from 0 to 6 ft. 2.5 bags Method GPS SA Off (averaged) Date 04/30/2003 X: 458378 Y: 5360341 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes 0 No Variance Was a variance granted from the MDH for this well7 D Yes 0 No file:/i/II/MPCN!Working/A0081-100%20-%20PFC%20Foam...s/Littlefork/Well%20Log%20Report%20-%2000677427.htm (1 of2)7/1!2008 9:58:01 AM 22222222.11440055 SSTTAATTEE__0022882222336622 Well Log Report- 00677427 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Matrix Environmental M0175 PAQUETTE_ G License Business Name Lie. Or Reg. No. Name of Driller 677427 I Printed 6/27/2008 HE-0 1205-07 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foam...s/Littlefork/Well%20Log%20Report%20-%2000677427.htm (2 of2)7/1!2008 9:58:01 AM 222222.114406 STATE_02822363 Well Log Report- W0020016 lMvfiinmneessoottaaUUnniiaqquuee WWeellll NNoo. 36W0020016 || oQwu'am II 36W0020016 II C~o:u:n~ttyy . QuadiD KKoooocchhiicchhnngg tukiok Littlefork 052405A Warne Well Name Tonsaip RangeDie Scion Subcctions Erato Township Range Dir Section Subsections Elevation G23 68 25 Ww 9 9 DICBAC ElersmMabod DBCBAC Elevation Method sinwisors MINNESOTA DDEEPPHAAHERREATTALMULTEETNHNHTT OOFF WELLANDBORING Updue bate 01725 WELL AND BORING RECORD RecehedDac RECORD inst Sse Chap Minnesota Statute.~ Chapter oir1031 EEntnrtryy DDaatete. Update Date Received Date 0044/22227/22000033 01/07/2005 Dep Deh Compiaed Dae W Compe Well Depth non w 1102 ft. ft. CCaallec ffrroomm DDIEMM | DDrriilllliinngg MMeetthhoodd (SGT mmr (USGS 7.5 min or sn) equiv.) Depth Completed ft. Date Well Completed Drilling Fluid I Fw 1 0 -- Use ConTre_it_Drie sort) ver Ovo Avnet Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter weWlelll HWyyddrmofferaaccttuurreedd?? D0 Yveees DO NNoo From Ft. to Ft. Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter pe Open Hole from n. to n. Sever Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGeeoollooggiiccaall aMtaoteiraiall CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS From To From To Swe TeT Static Water Level on Docs ft. from Date Measured FUNPING LEVEL (bon Find aricey PUMPING LEVEL (below land surface) ae pumping gp: ft. at1er hrs. pumping g.p.m. Wel Hes Compton Well Head Completion Piles pes members Mel Pitless adapter manufacturer Model Ocampo 0 12in sores D Casing Protection D 12 in. above grade 3 pre Gmimmenl wl nd orgs ONLY) Grouting Inormation Wel Groued? 0 ves 0 No D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No id sis Located Minnesota Department of Health nia Number Unique Number VVeerriiffiiccaattiioonn NNI/AA Sem UTM Nah Zonet. System UTM- Nad83. Zonel5, A1eters Method GS Diy Corsi] Method GPS Differentially Corrected weDpate ate NN/AA x, ys, syoni2 X: 458590 Y: 5360212 Fin Birk First Bedrock Lesion Last Strat DAeaupttr eich Aquifer Depth to Bedrock ft. Nar Know Sore Co Nfeefeeaetrtest__ddKiinrreeoccwttiinoonnSou__rttcyyeppoeef Contamination - ests iprmcomeions_0) ves 0 vo Well disinfected upon completion? D Yes D No romp DO) Noting Dvir Pump D Not Installed Date Installed Manufacturer's name Model number - LonlhofPieo_pL_Coporiy pi Tye Mea Length of drop Pipe _ft. Capacity _g.p.rn HP - Volts Type Material Rrandoncd Wal Dooney Wve FT ee TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varn Wo vans ged fo te DT Gr rt? D1 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No Coa Co Well Contractor Certification cme Rs Nae _1i Or Reg No. Naofmriet License Business Name T,ic Or Reg. No. Name oC Driller REA fig ORL 0200 Lo VL pot 20% NO 375085580 1 file:/i/II/MPCN!Working/A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020016.htm (1 of2)7/112008 9:58:02 AM 222222.114407 STSATATETE0_208228222336644 Well Log Report- W0020016 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 3366WW00002200001166 Printed 6/27/2008 HE-01205-07 RCA NR 015020 Rar 20 ONGCof 3789 82 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020016.htm (2 of2)7/112008 9:58:02 AM 22222222.11440088 SSTTAATTEE0_208228222336655 Well Log Report- W0020017 Quam II lMvfiinmneessoottaaUUnniiaqquuee WWeellll NNoo. 3366WW00002200001177 |II Cq~o:uu:na~ttyy . QuadiD 052Lieto KKoooocchhiicchhnngg Littlefork 405A Warne Well Name Tomb Range Die ecto SubeconsErsthn Township Range Dir Section Subsections Elevation 62 68 25 Ww 9 9 ODODAA Els Mabod BDDDAA Elevation Method sinwisors MINNESOTA DDEEPPHAAHERREATTALMULTEETNHNHTT OOFF WWEELLLL AANNDD BBOORRIINNGG RECORD Recon Duc RECORD inst Sse Chap Minnesota Statute.~ Chapter oir1031 EEnUptndrtrayyteDDaDataetet.e Update Date Received Date 000414/02272272/22000000533 01/07/2005 Dep Deh Compiaed Dae W Compe Well Depth Hin w 1114 ft. ft. CCaallec ffrroomm DDIEMM | DDrriilllliinngg MMeetthhoodd (SGT mar (USGS 7.5 min or sn) equiv.) Depth Completed ft. Date Well Completed Drilling Fluid I Fw 1 0 -- Use ConTre_it_Drie sort) ver Ovo Avnet Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter weWlelll HWyyddrmofferaaccttuurreedd?? D0 Yveees DO NNoo From Ft. to Ft. Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter pe Open Hole from n. to n. Sever Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGoeoollooggiicaall lMitaeteiraiall CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS From To From To Swe TeT Static Water Level on Docs ft. from Date Measured FUPING TEVEL (on icy PUMPING LEVEL (below land surface) ae pumping gp: ft. at1er hrs. pumping g.p.m. Wel Hes Compton Well Head Completion Pest mamta Misel Pitless adapter manufacturer Model Ocampo 0 12in sores D Casing Protection D 12 in. above grade 3 pe Gmimmenl wl nd orig ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Inormation Wel Groued? 0 ves 0 No Grouting Information Well Grouted? DYes D No od eo Located Minnesota Department of Health nia Number Unique Number VVeerriiffiiccaattiioonn NNI/AA Spm TNS System UTM- Nad83. A1eters Fin Birk First Bedrock Lesion Last Strat 21S Zonel5, Method GS Diy Corsi] Method GPS Differentially Corrected weDpate ate NN/AA suas: sos X: 458525 Y: 5360554 DAeaupttr eich Aquifer Depth to Bedrock ft. Norm Sov Come Nfeefeeaetrtest__ddKiinrreeoccwttiinoonnSou__rttcyyeppoeef Contamination Wetstonceompdton 0 veo 0 no Well disinfected upon completion? D Yes D No romp DO) Noting Dvir Pump D Not Installed Date Installed Manufacturer's name Model number - LonlhofPieo_pL_Coporiy pi Tye Mea Length of drop Pipe _ft. Capacity _g.p.rn HP - Volts Type Material Rrandoncd Wal Dooney Wve FT ee TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varn Wo vans ged fo te DT Gr rt? D1 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No Coa Co Well Contractor Certification cme Rs Nae _1i Or Reg No. Naofmriet License Business Name T,ic Or Reg. No. Name oC Driller ACA ER 0750007S.e SOE 7 3583501 1 file:/i/II/MPCN!Working/A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020017.htm (1 of2)7/112008 9:58:01 AM STSATATETE0_208228222336666 22222..11409 Well Log Report- W0020017 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 3366WW00002200001177 Printed 6/27/2008 HE-01205-07 REA fig ORL 0250 Lo VL pot 204 ONO L357 5085 580 1 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020017.htm (2 of2)7/112008 9:58:01 AM 22222..11410 STSTAATTEE0_208228222336677 Well Log Report- W0020018 lMvfiinmneessoottaaUUnniiaqquuee WWeellll NNoo. 36W0020018 || oQwus'am II 36W0020018 II C~o:u:n~ttyy . QuadiD KKoooocchhiicchhnngg tukiok Littlefork 052405A Warne Well Name Tomb Range Die ecto SubeconsErsthn Township Range Dir Section Subsections Elevation G23 68 25 Ww 9 9 ACCOAD Eleva Mabod ACCDAB Elevation Method sinwisors MINNESOTA DDEEPPHAAHERREATTALMULTEETNHNHTT OOFF WELLAND BORING Updwcuc 017205 WELL AND BORING RECORD Recon Duc RECORD inst Sse Chap Minnesota Statute.~ Chapter oir1031 EEntnrtryy DDaatete. Update Date Received Date 0044/22227/22000033 01/07/2005 Dep Deh Compiaed Dae W Compe Well Depth wisn w 1115 ft. ft. CCaallec ffrroomm DDIEMM | DDrriilllliinngg MMeetthhoodd (SGT mmr (USGS 7.5 min or sn) equiv.) Depth Completed ft. Date Well Completed Drilling Fluid I Fw 1 0 -- Use ConTre_it_Drie sort) ver Ovo Avnet Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter weWlelll HWyyddrmofferaaccttuurreedd?? D0 Yveees DO NNoo From Ft. to Ft. Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter pe Open Hole from n. to n. Sever Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGoeoollooggiicaall lMitaeteiraiall CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS From To From To Swe TeT Static Water Level on Docs ft. from Date Measured FUPING TEVEL (on icy PUMPING LEVEL (below land surface) ae pumping gp: ft. at1er hrs. pumping g.p.m. Wel Hes Compton Well Head Completion Pest mamta Misel Pitless adapter manufacturer Model Ocampo 0 12in sores D Casing Protection D 12 in. above grade 3 pre Gmimmenl wl nd orgs ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Inormation Wel Groued? 0 ves 0 No Grouting Information Well Grouted? DYes D No od eo Located Minnesota Department of Health nia Number Unique Number VVeerriiffiiccaattiioonn NNI/AA Spm TNS System UTM- Nad83. A1eters Fin Birk First Bedrock Lesion Last Strat 21S. Zonel5, Method GS Diy Corsi] Method GPS Differentially Corrected weDpate ate NN/AA ssn: sso X: 458692 Y: 5360559 DAeaupttr eich Aquifer Depth to Bedrock ft. Norm Sov Come Nfeefeeaetrtest__ddKiinrreeoccwttiinoonnSou__rttcyyeppoeef Contamination ests iprmcomeions_0) ves 0 vo Well disinfected upon completion? D Yes D No romp DO) Noting Dvir Pump D Not Installed Date Installed Manufacturer's name Model number - LonlhofPieo_pL_Coporiy pi Tye Mea Length of drop Pipe _ft. Capacity _g.p.rn HP - Volts Type Material Rrandoncd Wal Dooney Wve FT ee TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varn Wo vans ged fo te DT Gr rt? D1 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No Coa Co Well Contractor Certification cme Rs Nae _1i Or Reg No. Naofmriet License Business Name T,ic Or Reg. No. Name oC Driller ACA ER 0750007. e30e0n 7 3583501 1 file:/i/II/MPCN!Working/A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020018.htm (1 of2)7/112008 9:58:01 AM STSATATTEE0_208228222336688 2222.11441111 Well Log Report- W0020018 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 3366WW00002200001188 Printed 6/27/2008 HE-01205-07 RCA NR 015020 Rar 20 ONGof 3789550 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020018.htm (2 of2)7/112008 9:58:01 AM 22222222.11441122 SSTTAATTEE0_208228222336699 Well Log Report- W0020019 lMvfiinnneessotUanUinqi3uquee Bll Well NoNo. Coumry II 3366WW00002200001199 |II QQ~:u:au~atay . QuadiD Kooelictng Lites Koochichng Littlefork 0s405A TWWoaewrlalsNhaimpeRangeDir Section Subsections vation Township Range Dir Section Subsections Elevation @68 225 Ww 9 9 ACHCAC ElevationMethod ACBCAC Elevation Method MINNESOTA DHrEAeLTiH or MINNESOTA DEPARTMENT OF EunDue ous WWEELLLLRAAHENENCADDLOTBBRHOODRRIINNGG ReUEUcpnpedtdiraayvtteeeDdDDaataDettaeete 0041/02722/2000053 01/07/2005 MiMninnensesooRttaaESSCtuaustOutitRes.~DCChhaapptteerr Received Date sn 1031 WelnDepth Well Depth Depth Depth CCnoommppil ced eted Date Well Competed Date Well Completed a(C1l1Ua1leSc5OfrSrfoot7.mmSDDmEEiMnMo{ r Di rillingft.Mtehthood ft. a) (USGS 7.5 min or equiv.) Drilling Fluid WwFaemlll HtFyyidwmrtFfsrLaccuturreead?? 0 D ver Yes 0 D No No EE Use From Ft. to Ft. -- CCoansinggTTyyppee Jdooiinnt `CasingDiameter D_DrirvievSeshhoWoee?eizg_hD0t) Yveers D0 NNoo AAbbomvoe/lBeeiloown_tft. Holo Diameter Casing Diameter Weight Hole Diameter COSpepreenonHoele Tofrom TT n. to n. Diameter Screen Diameter SSiloott/GGaauuzzee LLeonnggtthh SSoettBBoettwweeoenn GeGoeloolgoigcicaall MMataetreiraiall CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS FFrroomm TToo SER war ToT SFftUta.tNicPfiW rIomNmaGterLDDLEoaeVttveEeMMlLee(aasoruerwed Farid) PLUaMtPeIrNGfLoEsVpEumLpi(bneglow gp land surface) ft. at1er hrs. pumping g. p.m. WWPielelllllsHHeeaaoddpeCCroommmplpaelettmiioonnas Model Ocompowion 0 Pitless adapter manufacturer i2Minodsehl owcase DD1 CasignrgadPeroEtemcitinoonnmenDa W1e2liln.aanbdoBveignrgadeONLY) GrDoutAint-ggIrandoer(mEantviiroonnmeWnetallGWreolulseadn?d B 0oringsveOsN 0LY) No Grouting Information Well Grouted? DYes D No FLaocnstted Mesos Dpto Located Minnesota Department of Health Une Number Verification NIA Unique Number Verification N/A Sem UN nS. System UTM- Nad83. Zonel5, rs }deters Meytihod nGc15 wed Method GPS SA On (averaged) Date NA NTS CTT DateN/A samy | Well gSstrspoonnomepiion? 0 ves X: 458603 Y: 5360720 Nearest Known Source of Contamination - feet _direction _type Well disinfected upon completion? D Yes ump. DJ Not rsa ote raed Pump D Not Installed Date Installed D0 Nnoo FLFaiirsstttBBeeesddtrroocckk Last Strat ADAqquuetifeerrp0Betimchk_ Depth to Bedrock ft. Manufacturer's name Model number - LowdtuphPiope f__Capoiy gpoi Type Matt Length of drop Pipe _ft. Capacity _g.p.rn HP - Volts Type Material RvanGone Wels Tes oper he ay Tie an ot eae wT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove ON D Yes D No Variance Was varios grated from he MDFfortiswe? 0 Yes Variance Was a variance granted from the MDH for this well? D Yes D x D No eT Contract Coron Well Contractor Certification cee sis Name Or Reg No. Noor Diller License Business Name T,ic Or Reg. No. Name oC Driller Fl ARCA ing R110. Lok lL 08 109m1 7 89462 1 file:/i/II/MPCN!Working/A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020019.htm (1 of2)7/112008 9:58:02 AM 22222222.41441133 SSTTAATTEE0_208282222337700 Well Log Report- W0020019 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 3366WW00002200001199 Printed 6/27/2008 HE-01205-07 RCA NR 015020 Rar 20 ONEof 37 R952 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020019.htm (2 of2)7/112008 9:58:02 AM 22222222.11441144 SstTaAtTeE0_208228222337711 Well Log Report- W0020023 lMvfiinmneessoottaaUUnniiaqquuee WWeellll NNoo. 36W0020023 || oQwu'am II 36W0020023 II C~o:u:n~ttyy . QuadiD KKoooocchhiicchhnngg tueiok Littlefork 052405A Warne Well Name Tomb Range Die ecto SubeconsErsthn Township Range Dir Section Subsections Elevation G23 68 25 Ww 9 9 DAUD Els Mabod DABBCD Elevation Method sinwisors MINNESOTA DDEEPPHAAHERREATTALMULTEETNHNHTT OOFF WELLAND BORING Updwcuc 017205 WELL AND BORING RECORD Recon Duc RECORD inst Sse Chap Minnesota Statute.~ Chapter oir1031 EEntnrtryy DDaatete. Update Date Received Date 0044/22227/22000033 01/07/2005 AD DeCampied De eRComin Well Depth 10s w 1106 ft. ft. CCaallec ffrroomm DDIEMM | DDrriilllliinngg MMeetthhoodd (S075 mar (USGS 7.5 min or sn) equiv.) Depth Completed ft. Date Well Completed Drilling Fluid I Fw 1 0 -- Use ConTre_it_Drie sort) ver Ovo Avnet Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter weWlelll HWyyddrmofferaaccttuurreedd?? D0 Yveees DO NNoo From Ft. to Ft. Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter pe Open Hole from n. to n. Sever Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGoeoollooggiicaall lMitaeteiraiall CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS From To From To Swe TeT Static Water Level on Docs ft. from Date Measured FUPING TEVEL (on icy PUMPING LEVEL (below land surface) ae pumping gp: ft. at1er hrs. pumping g.p.m. Wel Hes Compton Well Head Completion Pest mamta Misel Pitless adapter manufacturer Model Ocampo 0 12in sores D Casing Protection D 12 in. above grade 3 pre Gmimmenl wl nd orig ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Inormation Wel Groued? 0 ves 0 No Grouting Information Well Grouted? DYes D No od eo Located Minnesota Department of Health nia Number Unique Number VVeerriiffiiccaattiioonn NNI/AA Spm UT NaS System UTM- Nad83. A1eters Fin Birk First Bedrock Lesion Last Strat 21S. Zonel5, Method GS Diy Corsi] Method GPS Differentially Corrected weDpate ate NN/AA sss: sow X: 458972 Y: 5360380 DAeaupttr eich Aquifer Depth to Bedrock ft. Norm Sov Come Nfeeeatrest_dKinreocwtinonSou_rtcyepoef Contamination - feet _direction _type Wetstonceompdton 0 veo 0 no Well disinfected upon completion? D Yes D No romp DO) Noting Dvir Pump D Not Installed Date Installed Manufacturer's name Model number - LonlhofPieo_pL_Coporiy pi Tye Mea Length of drop Pipe _ft. Capacity _g.p.rn HP - Volts Type Material Rrandoncd Wal Dooney Wve FT ee TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varn Wo vans ged fo te DT Gr rt? D1 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No Coa Co Well Contractor Certification cme Rs Nae _1i Or Reg No. Naofmriet License Business Name T,ic Or Reg. No. Name oC Driller ACA ER 0730001e . S 7 5835081 file:/i/II/MPCN!Working/A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020023.htm (1 of2)7/112008 9:58:03 AM STSATATTEE0_208282222337722 222222.114415 Well Log Report- W0020023 CCoouunnttyyWWelelll IInnddoexx OOnnlliinnee RReeppoorrtt 3366WW00002200002233 Printed 6/27/2008 HE-01205-07 RHA I AARP APRA file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020023.htm (2 of2)7/112008 9:58:03 AM 2222222.11416 [p-- STATE_02822373 Well Log Report- W0020026 lMvfiinmneessoottaaUUnniiaqquuee WWeellll NNoo. 36W0020026 || oQwu'am II 36W0020026 II C~o:u:n~ttyy . QuadiD KKoooocchhiicchhnngg tukiok Littlefork 052405A Warne Well Name Tomb Range Die ecto SubeconsErsthn Township Range Dir Section Subsections Elevation G23 68 25 Ww 9 9 ACHCAD Eleva Mabod ACBCAB Elevation Method sinwisors MINNESOTA DDEEPPHAAHERREATTALMULTEETNHNHTT OOFF WELLAND BORING Updwcuc 017205 WELL AND BORING RECORD Recon Duc RECORD inst Sse Chap Minnesota Statute.~ Chapter oir1031 EEntnrtryy DDaatete. Update Date Received Date 0044/22227/22000033 01/07/2005 AD DeCampied De eRComin Well Depth wisn w 1115 ft. ft. CCaallec ffrroomm DDIEMM | DDrriilllliinngg MMeetthhoodd (SGT mmr (USGS 7.5 min or sn) equiv.) Depth Completed ft. Date Well Completed Drilling Fluid I Fw 1 0 -- Use ConTre_it_Drie sort) ver Ovo Avnet Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter weWlelll HWyyddrmofferaaccttuurreedd?? D0 Yveees DO NNoo From Ft. to Ft. Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter pe Open Hole from n. to n. Sever Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGoeoollooggiicaall lMitaeteiraiall CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS From To From To Swe TeT Static Water Level on Docs ft. from Date Measured FUPING TEVEL (on icy PUMPING LEVEL (below land surface) ae pumping gp: ft. at1er hrs. pumping g.p.m. Wel Hes Compton Well Head Completion Pest mamta Misel Pitless adapter manufacturer Model Ocampo 0 12in sores D Casing Protection D 12 in. above grade 3 pe Gmimmenl wl nd orgs ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Inormation Wel Groued? 0 ves 0 No Grouting Information Well Grouted? DYes D No od eo Located Minnesota Department of Health nia Number Unique Number VVeerriiffiiccaattiioonn NNI/AA Spm TNS System UTM- Nad83. A1eters Fin Birk First Bedrock Lesion Last Strat 21S Zonel5, Method GS Diy Corsi] Method GPS Differentially Corrected weDpate ate NN/AA isn: sons X: 458593 Y: 5360763 DAeaupttr eich Aquifer Depth to Bedrock ft. Norm Sov Come Nfeefeeaetrtest__ddKiinrreeoccwttiinoonnSou__rttcyyeppoeef Contamination Wetstonceompdton 0 veo 0 no Well disinfected upon completion? D Yes D No romp DO) Noting Dvir Pump D Not Installed Date Installed Manufacturer's name Model number - LonlhofPieo_pL_Coporiy pi Tye Mea Length of drop Pipe _ft. Capacity _g.p.rn HP - Volts Type Material Rrandoncd Wal Dooney Wve FT ee TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varn Wo vans ged fo te DT Gr rt? D1 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No Coa Co Well Contractor Certification cme Rs Nae _1i Or Reg No. Naofmriet License Business Name T,ic Or Reg. No. Name oC Driller ACA ER 0730001e . S 7 983501 file:/i/II/MPCN!Working/A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020026.htm (1 of2)7/112008 9:58:03 AM STSATATETE0_208228222337744 222222.114417 Well Log Report- W0020026 CCoouunnttyyWWelelll IInnddoexx OOnnlliinnee RReeppoorrtt 3366WW00002200002266 Printed 6/27/2008 HE-01205-07 HOH AI RAR APRA file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa...!Littlefork!Well%20Log%20Report%20-%20W0020026.htm (2 of2)7/112008 9:58:03 AM 2222222.11418 [Ep-- STATE_02822375 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY LLoorreetttoo L2Loo5rr9ee,tttoo MFFeiirrdeeiDnDeaeppSaatrrrtetmmeteenntt Loretto, UN 55357 259 N. Medina Street Loretto, MN 55357 JJ7ee6f3fff-LL4ee7vu6ee-rr3,,0AA3s6sssiissttaanntt FFiirree CChhiieeff 7lloo6rr3ee-t4ttot7po9up-b3ul0bic3lwi6oowrkosr@ksh@oottmmaaiil.ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 225589 MMeeddiinnaa SSttreeeett NN.., LLoorreettttoo AAFFFFF:: I3MW AAnnnnuuaallllyy 55 ggaalllloonnss SSttoorrmm sseewweerr 55 ggaallloonnss IIntteerrmmiittteenntt ssttrreeaamm 11/4/t4too 117/33 mmiilee nnoorrtthhwweesstt AApppprrooxxiimmaatteellyy 111/44 mmiilee nnoorrtthhwweesstt U1/a4 ttoo 11/33 mmiille eeaasstt TTrraaiinniinngg ssittee llooccaatteedd iinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 118 22222222.11441199 SSTTAATTEE__0022882222337766 seoo BhAaNsS aO eoe Ta LRTI rn LORETTO CWIWell Map ainda HUE SA 00RI Bd CL mt RE Sleppieneiia i S a. E ANNT A ae Sey Freese Aik PE Eo fe) an KF lo oe Sep Br 2 Ri Ly i bo APE hy Rl 1 =SiE gi opie] iy JN? syARSel = Ne : ori LLLER EENe a (SEL TT eAe E rdTiBe a HmEe ree LED Al et i) NA oN AE Wo Meme Oeenenaiot,veneer phd an rz Cd 0, WE Ba 4 Coen |= EM A ye len ll 222222.114420 STATE_02822377 LoLroertetttooWWhahta't'ss IInn MMyNeigbohrhbooodrMMaahpood , oT | \ | {~ i . = | 3 Bi ho | : se | oa ; | ea | |a] m Sm E -- E --R -- | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost MPCA that may arise from the use of this data. @innesota Pollution Control Agency Fm J y Siem , > Sites Botan port D~n.Mc:l matt~ &u~~rkl M Ponaeasaan hm~ St"IKIW.W UnpreuaSurpe IJn~ml!bd Dun1J15 | NFRAP soa upa maw ~~,..rill w o rman C:~RCL!fi. roam o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! : oi pn Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o roRaTRE race ..t. ltCRA UD f'lt:ill:l~ [enti ~M Jrw-ut-kor-111 & ClfiiiW~ + su poco ""- aum ~nw111 222222..142211 sSTaArTeEa_z0s28a2z2a3r7e8 oy fey lB, gy Hil 5 gd gi0hy3 SE | 39 FH | :| sl /7 4/4 4 Loretto #a 3 93-38-30W 93-3HJW "tn'" ~ 6 -~~--~--~~~~~.-~-{:~~~~~~--~~~~~~~~"""~~~-~z r |, ai pi o htinhdipifftllaihigaialiitg :& 4B , t 1a 2222222.11422 EET EE LUE nfel Fig8 | z Va lBBi|i iHH 3 ii 93-39-0W 93-38-30W 93-38-0W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only" Data layers that appear on this map may or may not be accurate, current, or otherwise reliable" THIS MAP IS NOT TO BE USED FOR NAVIGATION" I 0 N 00 N N w '-I \.0 [lz i i :i 1| i! a FA af 2 FE dg ISTE COL FC 3 Eyl hE ? &F | 94i id -i be iy! | ,Y----,s-------------- 3 .. II ~ Legend Ohlo_wet_scan .0 z D1 Out of range w ~ """""""""""""'~'!~ z ;; Interstate Major Roads II ;; IOnttehresrtaRtoead ,/'/' Stat~ highway ,;vi US hrghway Roads Cities r " USGS Quad Index 24K Lower 48 Wetland Polygons "w'"tn Ill Estuarine and Marine Deepwater z Estuarine and Marine Wetland 6 Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine "'" Lower 48 Available Wetland Data ztn ~ Non-Digital ~ Digital 0 No Data Scan NHD Streams Counties 1OOK States 1DOK 93-37-30 w \}}27& :;1"t'~n" 93-37-0~ Map center: 45 3' 12" N, 93 38' 6" W 0 South America u North America $ Scale: 1:22,823 i Well Log Report- 00121641 Afinnesota Unique Well No. 121641 Qpruonga 1ecvs 121641 County Quad QuadiD Hennepin Rockford 121C TT Well Name GLEN FRY Touma DrScion Stes Hein Township Range Dir Sedion Subsedions Elevation BEB W 7 BNCC Heston Method 118 23 w 7 BBBBCC Elevation Method paonrn Well Address 497511 CR MAPLE PLAIN MN MINNESOTA DEPARTMENT OF HEALTH WEANDLBORL ING RECORD Cpe asi WELL AND BORING RECORD osSes Chops 01 [rv MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 08/24/1991 07/24/2003 1601 1. C Ne a om NesCoa 1001 ft. 1 EES|i thd orp Riis 7.5 minute topographic map (+/- 5 feet) Well Depth 158ft. Depth Completed 158ft. . Rotary Date Well Completed 04/30/1979 Drilling Fluid = Imeee -- Well Hydrofmctured? DYes D No From Ft. to Ft. Use Domestic Cong Tye ok eo cae) J Tis Dove Be Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 00 tivo 1 D No Above/Below 1 ft. IZJ Yes Casing Diameter Weight Hole Diameter 4 1n. to 152 ft 11 lbs/ft aE TT Open Hole from ft. to ft. Screen YES :VIake JOHNSON Type stainless steel Geological Material Ea CLAY CLAY WATER SAND Color Hardness FE YELLOW GRAY GRAY MEDIUM MEDIUM SOFT From To Diameter I0 22 22 142 142 158 Slot/Gauze 12 Length 4 Set Between 152 ft and 158 ft Static Water Level 65 ft. from Land surface Date Measured 04/30/1979 PUMPING LEVEL (below land surface) 65 ft. after 2 hrs. pumping 25 g. p.m. Torrens NO REMARKS Led Nemogory StdDit ke 2s Located Miunt:sola Gt:ological Survt:y rae er J, l"nique Number cotati msn ov Verification Information from owner Sm US nf MX: 0161 V4 System UTM- Nad83. Zonel5. Meiers Method Digitized- scale 1:24.000 or larger (Digitizing Table) DateN/A X: 449164 Y: 4988735 irs Well Head Completion Pitless adapter manufacturer haModel mig rn Gras? B Yer Ov DDlcuCsaisningghPorottsecciticonn BIZl1212iinn. sabhoorve rgraadde: D00 AAtv-rgarade((EnnvirovnmientaclWWemlellslsmaandedHBornoirinngtgssOOaNNLLlYY)) Grouting Infonnation Well Grouted? IZJ Yes D No Costes sors Grout Material Bentonite erren fran 0 to 20 ft ST ET Nearest Known Source of Contamination PS Q_feet L direction Sertic tank/drain field type rm ESD Wdl disinft:clt:d upon complt:lion? D Yes D 'lo ae Stabe _ Pump IZl Not Installed Date Installed LavPa pe l Cap 3si pn Manufacturer's name STA-RITE Model number Length of drop Pipe 2Q_ft. Capacity .li_g. p.m - 171. V2 TT HPL Volts 220 Type Submersible Material Plastic Ow AAbbaannddoonneedd WWeellllss D1xocesspprrooppeerrtyyhhaavvee aannyy nnoott iinn uussee aanndd ncott sseeaaleedd wweeltl(ss)?'I DJ Yes D No Variance Was a variance granted from the MDH for this well? D Yes D 'lo Well Contractor Certification [com | m ear | I o] n FirstBedrock Lfahset Sitorart ySsand-gray Aquifer Quat. Buried Artes. Aquifer Dreptyh to Bedrock ft. County Well Index Online Report Drilko 27264 URAN J. T.icense Business Name T.ic. Or Reg. 1\o. Name of Driller 121641 Printed 6/27/2008 HE-01205-07 file:///IIfMPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R...maries/Loretto/Well%20Log%20Report%20-%2000121641 htm 7il/2008 9:59:39 AM 2222222.11442233 STSTAATTEE0_208282222338800 Well Log Report- 00127454 nest1a2U7si4ge5e 4ei No Qui II 127454 II ~::~ty Minnr>sota - Uniqur> Wr>ll No. County Gua ~-==================~- QuadiD R1occka HHeennenceppiinn Rockford 121C ST RVSTA Well Name STEVE KVISTAD onnbiRansDi Schon Suction Fevsion Township Range Dir Section Subsections Elevation US WL DACCAD FlerMethod 118 24 w 1 DACCAD Elevation Method Well address Well Address "oa ran 5082 FERN DR pri INDEPENDENCE MN clea aera Geological Material anCLAY SincaneL SAND +GRAVEL Color Haraness Color Hardness FO RENARES NO REMARKS MINNESOTA DEPARTMENT wae OOFF HHEEAALLTTHH WELL AND BORING Unisabue 211191 WELL AND BORING RECORD Received Due RECORD ast SusChapter 131 11Jinnesota Statutes Chapter 1031 EEntnrtyryDDaattee Update Date Received Date 0088/22441!1999911 09!11!1991 won Npeoby o opi oCnome Da WjuAinC 1010 ft. 7.5 minute toogpicnp | DENebo topographic map Pay (+/- 5 teet) Well Depth 140 ft. Drilling Method -- Depth Completed 140ft. Date Well Completed 07/30/1984 EE Drilling Fluid -- WWelelll Hyiyrdorfoefsraccttuurreedd?? 0DYveess 0DNNoo From Ft. to Ft. Use Domestic CCaassiinnggTTysppPe_ JSootinnttNNoo ITnnftoorrmmaatitioonn. DDrirviweSShhooeP?? D OJYveess ODJ Menai 0 No Above/Below 0 ft. Ging Diameter Weg Fk Damar Casing Diameter Weight Hole Diameter ran wan 4 in. to 136 ft. lbs./ft. pT TTT Open Hole from ft. to ft. Son NRE JOTON Tse SR Screen YES Make JOHNSON Type stainless sled Obmeter SltGauze Length SetSetwen Diameter From To | 4 o TT wn From To 4 ow 0 50 9 ie 50 140 Slot/Gauze 10 Length 4 Set Between 136 It and 140 It Sew Static Water Level SV tn Lag tee Menard 1301988 75 t1. from Land surface Date Measured FUNFING EVEL (eto anata) PUMPING LEVEL (below land surface) TEA ev pumping am 75 ft. atler l1rs. pumping 20 g.p.m. 07/30/1984 Well Head Compein Well Head Completion Pcp mami Moki Pitless adapter manufacturer Model DDOcCusaisinnggPProrottsescitioonn D1 1122iinn.aabboovveeggrraaddee: 0 tte momen Wet nd orgs ONY) D At-grade (Environmental Wells and Borings ONLY) onto wormaton ll Goes? 2 ver 00 Grouting Information Well Grouted? 0 Yes D No Located Minus Geogiel Method Digs sce 1340006 Located Minnesota Geological save ie Brg Tig) Survey Method Digitized- scale I :24,000 or larger (Digitizing Table) Uniqs Nmber Veriton Np 0 Unique Number Verification N/ +A DateN/A SyUmT Not, Tel, soy, ames System UTM-Nad83, Zonel5, ,'vfeters X: 448847 Y: 4989295 FistBdrk First Bedrock Lusi Smt Last Strat Sand aqui Gut. tri Unt. Age Aquifer Quat. Buried Unconf. Aquite pttbirch 1 Depth to Bedrock ft. eT SrCRT Nearest Known Source of Contamination EE- feet - direction _type wo tines pnp 0) ver Well disinfected upon completion? D Yes 0 no D No Pump 0 Not Installed Date Installed iirc rame BONER od Manufacturer's name PIONEER Model oTvies d7omn spies.Va 2Capacity 12 gpm number - HP 0.75 Volts 230 Length of drop Pipe 2i_ft. Capacity ll__g.p.m Type Submersible Material I Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Variance Was variance gramed fom the MDH for tis well? 0) Yer Variance Was a variance granted from the MDH for this well? D Yes 0 x D No eT Corr Cr Well Contractor Certification Sok WalCo 2172 Stodola Don Well Co. 27172 cone Dns ame Or RegNo. Naorrer License Business Name Lie Or Reg. No. Name of Driller file:/I;JII1\1PCA/I Working/A0081-1 00%20-%20PFC%20Foam...ries/Loretto/Well%20Log%20Report%20-%2000127454.htm ( 1 of 2)711/2008 9:59:39 AM 222222.114424 STATE 02822381 STATE_02822381 Well Log Report- 00127454 County Well Index Online Report 127454 Printed 6/27/2008 HE-01205-07 file:/I;JII1\1PCA/I Working/A0081-1 00%20-%20PFC%20Foam...ries/Loretto/Well%20Log%20Report%20-%2000127454.htm (2 of 2)711/2008 9:59:39 AM 222222.114425 STATE_02822382 Well Log Report- 00145412 CUts s WeNe A1innesnta Unique Well Nn. 145412 opp QCQuouauadndty Quad ID cmcgin RHRooeccnkknffeooperitdn 121C MISNFSOTA DEPARTMENT OF HEALTH M"WIWNENELELSLLOATAANNDDDEPBBAOORRRTMIINNENGGTRROEEF CCHEOOARRLDDTH Minnesota Statutes Chapter I 031 owe EUUpnpdtdraaytteeDDDaatateete. Received Date os2un 000282//0024441/212090090144 Well Name DEMPSEY, MARK WED WG DADCCD Bowen Ntbod Townhip Range Dir Section Subsections Elevation 118 23 w G DADCCB Elevation Method Well Depth Depth Completed Date Well Completed 1010 ft. STOR| i Nop By 7.5 minute topographic E I a map(+/- 5 feet) 220ft. 220ft. Drilling Method Non-specified Rotary 07/27!1978 Drilling Fluid Well Hydrofractured? DYes D No -- EUTse Domestic From Ft. to Ft. -- Casing Type Steel (black or low carbon) Joint TI1readed Drive Shoe? IZI Yes D 1\o Above/Below 1 ft. rreo et W4Q2eU0l0lOAHHLdIdNIErNeRRsEDDs LORETTO lv1N Geological Material Color CLAY YELLOW aso CLAY CLAY WATER SAND RomBLUE RED BROWN pe pep Hardness From To MEDIUM 0 5 WB om MEDIUM MEDIUM SOFT 5 158 158 199 199 220 Casing Diameter Weight Hole Diameter 4 in. to 216 ft 11 lbs/ft 6.75 in. to 216 It TReRTeO Open Hole from ft. to ft. Screen YES Make JOIINSON Diameter Slot/Gauze 4 15 T oTm4 in. to 220 It Type stainless steel Length Set Between 0 216 It and 220 It Static Water Level 95 ft. from Land surface Date Measured PI:MPING LEVEL (below land surface) 109 ft. after 4 hrs. pumping 354 g.p.m. 07/26/1978 NO REMARKS Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D00 Atg-grraaddee((EEnevvirionnmoennmtaalWnWetleallllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? IZI Yes D No Located Minnesota Geological Survey Unique Number Verification Information from neighbor System UTM- Nad83, Znnel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Grout Material Benton1te Grout Material Cuttings from 0 to 216 It from to It Date NIA X: 450557 Y: 4989273 Nearest Known Source of Contamination 2Q_feet North West direction SeQtic tank/drain field type Well disinfected upon completion? IZI Yes D No Nimes Pmup IZI Manufacturer's 1\ot I nan1e UCDONALD nstalled Date MCDONALD I +nsta l l oaJS) ed 08/0 li1978 Model number 1607563 B _ HP L Volts 220 Length of drop Pipe 138 ft. Capacity 1Q_g.p.m Type Submersible Material~ black or low carbon) AAbbaannddoonnedWWelelllss DDiooses pprrooppeerrttyy hhaavveeaanyy ncott iinn uussee aanndd noottsseeaeleddwweelll(s?)0 0D First Redrock Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedro~k ft. Yes D No Variance Was a variance granted from the MDH for this well? D Yes D 1\o Well Contrador Certification RUQ[)ert & Son 27086 RUPPERT G. License Business Name Lie. Or Reg. No. Name of Driller County Well Index Online Report 145412 I Printed 6127/2008 HE-01205-07 file :IIIIIIMPCA/IWorkmglA0081-1 00%20-%20PFC%20F oam/R ..maries/Loretto/Well%20Log%20Report%20-%2000145412.htm 7!1/2008 9:59:38 Alvl 222222.114426 STATE_02822383 Well Log Report- 00181991 feo ge e_ gL Minnesota Unique Well Nn_ QQ~:uu:i:atym R1ecins II II 181991 ~-==================~- QuadiD Hennepin Rockford l21C WN TERRY TROT Well Name TERRY BRO\~iN Tomi RagsDi ScionSbsctons Ecaion Township Range Dir Section Subsections Elevation US118 2M4 Ww l1 DDAAAACCCCAA EElluevtaitioonnMMeebthaodd MINNESOTA DEPARTMENT OF HEALTH bbe os20001 HEALTH WELL AND BORING UndacDue 11191 WELL AND BORING RECORD RecivedDoe RECORD MinneSuseChapter 131 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/24!1991 09/ll/1991 ow WeTboenrn Dep Coon ed De WpanCeopied 1000 ft. 7.5 minute pope | DFR Mth topographic map Se (+/- 5 feet) Well Depth 170 ft. lJrlllm!! JVIetnoc -- Depth Completed 170ft. Date Well Completed ll/19/1981 Dring Fad IWetyirncorer 0 vor 0 No Drilling Fluid Fm By -- Well Hydrofractured? DYes 0No From Ft. lo Fl. Well Address Well Address arsonseria 4875 SUNSET LA PORE wis INDEPENDENCE MN 55357 ecioica otriat Geological Material arCLAY Sra SANDY CLAY Sova SANDY CLAY protaod SANDY CLAY Fro FAIR SAND aneCLAY Cp GOOD SAND+ GRAVEL os e CLAY Use Domestic Caine Type Jot Notation ve Shor? 0 Yer OF Casing Type Joint No Information Drive Shoe'! DYes D o rvton 0 No Above/Below 0 ft. Casing Diameter Tiegh Fol Diameter Casing Diameter Weight Hole Diameter fan mn wn 4 in. to 150ft. lbslfl Color Color wow BROWN BROWN How BROWN ow BROWN Tow BROWN cnrGRAY ghGRAY CRGRAY Hardness From To [SeOrenpVES ToMokTe oJOTTSSON Te wr Hardness sort ow SOFT = 5 |oametr Siouauwe Length setgetween SOFT Sort w|? 4 tee sn SOFT Sort SOFT sort now SOFT sor BU mr SOFT m SOFT MRM E0 E EVER E le nary MEDIUM Open Hole from ft. to ft. From To Screen YES Make JOHNSON Type other 0 20 20 40 Diameter Slot/Gauze Length Set Between 40 60 2 20 4 150 ft. and 154 It 60 70 70 75 75 145 Static Water Level 145 158 68 ft. from Land surface Date Measured 11!19/1981 158 170 PUMPING LEVEL (below land surface) Vo REMARKS NO REA-lARKS 69 ft. after hrs. pumping 15 g. p.m. WeldCompletion Well Head Completion hdc sips amiss Model Pitlcss adapter manufacturer Model Dlcainstotston 0 12in shove gn D Casing Protection D 12 in. above grade 0) pe Evert Wels nd ings ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting ntormatn Well oroses? Yer LIne Grouting Information Well Grouted? 0 Yes 0No Lect Manca Geological Method giz scl | 4000orlarr Located Minnesota Geological er (vgs Ta) Survey Uni Number Verfcston Np Unique Number Verification N/ A Sytem UTM Nod ZoelS. x anv: ao System UTM- Nad83, Zonel5, 1'vfeters Method Digitized- scale l :24,000 or larger (Digitizing Table) DateN/A X: 449001 Y: 49894fi0 County Well Index Online Report FiLnoBsrtackTilgns First Bedrock Last Strat Till-gray Aqwlr Qt. Dari Ars Avie Aquifer Quat. Buried Artes. Aquifer DepthtoBedrock Depth to Bedrock ft. County Well Index Online Report es RiSear Coon Nearest Known Source of Contamination a ion nee - feet - direction _type ohditeet wonconpieion? 0) ver 0 No Well disinfected upon completion? D Yes D No ump 2] Yetlols Dt td Pump 0 Not Installed Date Installed Vamos ne EATIANKS MORSE. Mock Manufacturer's name FAIRBANKS MORSE Model mber 03Vola230 number - HPQj_ Volts 230 Lerhot dp Pe 0a 1 Cap_gpsm Length of drop Pipe l.QQ_ft. Capacity _g.p.m To Subic Marl Type Submersible Material a Abandoned Wells Does properly have any nol in use and nol sealed well(s)? Ove 0 D Yes D No VarianceWo arn gratedfom the MDH oc wl? 01 Ver Variance Was a variance granted from the MDH for this well? D Yes 0% D No NVConcCoer Well Contractor Certification ngesisEng. ass Ingleside Engr. 27355 cme sin Name OrNo.Ne asof. Dee License Business Name Lie. Or Reg. No. Name ofDriller 181991 I eT 181991 Printed 612712008 HE-01205-07 RCA cig ANAL ECF. rs Veh Spt 49 208555 0 file:i//[li1\IPCA/!\Vorking/A0081-100%20-%20PFC%20Foam/R. ..maries/Loretto/\Vell%20Log%20Report%20-%2000181991.htm7/1/2008 9:59:40 A_v[ 22222222.11442277 SSTTAATTEE__0022882222338844 Well Log Report- 00434317 Meso4s3U43g17Wel Xo.|| ows II 434317 II ~::~ty Minnr>sota ee Uniqur> Wr>ll No. County Gua ~-==================~- QuadiD m1ecson HHeennenceppiinn Rockford 121C Ta AREY TT Well Name VARNEY. JEFF onnbiRans DiScton Suction Fein Township Range Dir Section Subsections Elevation 1U1S8 2233 wW 77 BBAAAABBEBDD FlEelevvaattiioonnMMetethhoodd wn1020 ft. MRC DINED MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING Uinebue 07343000 WELL AND BORING RECORD Received Due RECORD inn Sour Chapter 131 11finnesota Statutes Chapter 1031 EEntnrtyryDDaattee Update Date Received Date 0088/22441/1999911 07/24/2003 WD Dv Compe De Wal Compe Well Depth Depth Completed Date Well Completed poy on pracy 168 ft. 168ft. 05/28!1987 Th 7.5 minute ttooppooggnrpaphhiicc mmaapp |DDrirlillliinngg MMeetthhoodd Non-specifed . RRoowtarryy (+/- 5 teet) Drilling Fluid -- `WWelelll HHyyddrroorfsraccttourreedd?? 0DYveess 0DNNoo From Ft. to Ft. Use Domestic Ca Tope Ps Jom Rooms Deve svor 0 vor Casing TypE> Plastic Joint No Information DrivE> ShoE>? DYes D ton 8 No Above/Below 0 ft. Coong Damoter Vi Tio Damar Casing Diameter Weight Hole Diameter Tam wm tn daw te 4 in. to 153ft. 1.89 lbs.lft. 4 in. to 168 ft. Wotan Well Address 462511 CR Seam MEDINA MN coast ater Geological Material nrCLAY Gove GRAVEL ERs WATER SAND NO Lact Miss Gelogal Located Minnesota Geological rer Survey Uniave Naber Unique Number Veneaton Aes eosin Verification Address verification Sem UTA alts ZeelS. System UTM- Nad83. Zone15. }vfeters coor wanes o FhsroomoimTo| S FOESH A7UbNmFenTIoNfrw GyA EEoVENnLaTkA (eStiTOitGTTooaiRN erOMsena)TrLodon1Tg3281STotrBetwaeen Color Hardness Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless sled Diameter From To 2 0 110 Slot/Gauze 15 Length Set Between ft. and ft. 110 155 155 168 Static Water Level 98 t1. rom Land surface Date Measured 05/28/1987 PUMPING LEVEL (below land surface) 115 ft. after 3 hrs. pumping 12 g. p.m. EE. WPrD0ealiltlcicHnueagarmdptdCumoemmsapaiilnmeootioninomnWeen0lW1WGH2oIasTeEtnoW?dAnoTrE2ggRssYOor8M1o0)d10 REMARKS Well Head Completion Pitless adapter manufacturer WHITEWATER Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Met Digs|24100cx Gots NestGamt fon 0 m0 Method Digitized- scale 1:24,000 or re Grp Ti larger (Digitizing Table) Dae nn eR T RG y Se CR DateN/A x. sis vi aon VLNoitmeoyhhitironiaNoeontlLcMoEYeneE.psRiSido+CDnootepaNit3edsBmmy2e20r010vHoPL Vols X: 449805 Y: 4988794 Grout Material: Neat Cement from 0 to 153 ft. Nearest Known Source of Contamination - feet _direction _type Well disinfected upon completion? 0 Yes D No Pump 0 Not Installed Date Installed 07/2111987 Manufacturer's name MYERS Model number - HPL Volts PrtBarok Aqui ut Bcd Arn Agr First Bedrock Lust Sind Dept bck Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. `County Well Index Online Report County Well Index Online Report Length of drop Pipe l]Lft. Capacity _g.p.m Type Submersible Material Plastic Risdon Will Ts oss Fre ST Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varace Wasavanegamed fom VD ee 0 ver Variance Was a variance granted from the MDH for this well? D Yes Ox D No eT Cara Cr Well Contractor Certification Toca I oD Torgerson Well Co. 2705() OTTEN D cone BissName_Li. Or Rg. No. Name rir License Business Name Lie. Or Reg. No. Name ofDriller 443344331177 Foor Printed 6/27/2008 IIE-01205-07 file:/I;JII1\1PCA/I Working/A0081-1 00%20-%20PFC%20Foam/R...maries;Loretto/Well%20Log%20Report%20-%2000434317.htm7/1/2008 9:59:40 AM 222222.114428 STATE 02822385 STATE_02822385 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMaannkkaattoo M7Ma1an0nkkFaratotoontFFSrirTeereDDeeetppaarrttmmeenntt Mankato, MN 56001 710 Front STreet Mankato, MN 56001 AA5l0I 7RR-aat3zt6zl7olaf-ff8f,,7D0De3eppuuttyy DDiirreeccttoorr,, FFiirree 5aar0raa7tt-zz3loo8ff7if@-@8e7cti0yty.3.mmaannkaktaoto..mmnn.uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree ssatattiioonn ##11,, 330000 MMaaddiissoonn AAvveenneue,, MMaannkkaattoo AAARFFAFFFF:F: E33:MM,,AhnhiigsstutoosrriiccAaalllcouussseeeal, curren use Glass A: Ansul Sv, curren use AR-AFFF: Angus Alcoseal, current Class A: Ansul Silv-ex, current use use AAnnnnuuaallllyy 551to01100 ggaatlloonnss SSttoorrmm sseewweerr AAARFFAFFF:FF: E55:1to05111000gga1al0llloognnassl,,onhhisiss,ttoocrruiirccraaellnuutssueese Class A: 5galons AR-AFFF: 5 to 10 gallons, Class A: 5 gallons current use MMiinnnneessoottaa RRiivveerr 11/7221to0 22/13 mmiilee wweesstt MMoorree tthhaann 11 mmiilel TTrraaiinniinngg ssiittee aappppeeaarrss ttoo bbee Iinn aann aaccttiivvee kkaarrsstt aarreeaa AApppprrooxxiimmaatteellyy 117/22 mmiilee wweesstt MMoorree tthhaann 11 mmilee 1199 22222222.11442299 SSTTAATTEE__0022882222338866 -- MANKATO CWI Well Map Ce oo "AALRb hb PVLe sbatsaedn TE ne e hIeNll Reffaoee Erma Fi aRTo Jf CORT lief Ly 8 Soll = op GT Se ail A mer ell Jy ean 4 a way,ei aaaipklkea WE (EiB 5RA.G4 S eM kp segsBLYE0RLthie HEOtRSt eteak ARPIUSREE SeLsrBeh oo i fi ey (2.SRS "a ANIA ShCma vin? NT EL HY oer ind pA Nee S: aoJie A Tidhrhn oE ta ie i neh) iN he 1 ACE T l : ar a fie TT AH =A,(Y17 RSE e Es sgeL n Ti EX: k a 222222.114430 woe caszer STATE_02822387 MManaknakattooWWhahta't'ssIInn MMyyNNeeigihgbohrhboood rMMahappood| 4 A \: ha aeo mL Nie [ Sex AE LA \ ; LON on bi ETT Ne rie " \ = PW= piTr)T| eas iaST.L Ns =ke A1 E= G JN ei ---IH pdf min HSLLE The Ho] RR BC IN Sv 7 Mp TafellrSY AH amh% ftaat lg +] sn NIE eee 7p a rFrmLeeTe h as iN eeaSllet iteen eel TE Nd fant Ais eta Pgi N {: Sis Sites Cotes toons D~n.Mc:l matt~ &u~~rkl M DDinisccalaiimmeerr,: :Mtvolappaanndd ssiittee iinnfoornmnaaitioonn iis ebellieevveadftoo bbeeaaccccuurraattee bbuutaaccccuurraaccyy iis onokt guraraancteeedd.. NNooppoorrtticonn of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost MPCA that may arise from the use of this data. ~ @HinnosotaPollution ControlAgency REhVm EU~ P I St"IE KIWR .W IJn~ml!bd Dun1J15 NFRAP mwaew w ~f~u,.g.vrrililund copie, C:~RCL!fi. reamsupia o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! + oa Ssovibensile YE Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o & reRAPaTc S ..t. ltCRA 1!iD f'lt:ill:l~ PRAmespetonsCeara ~M Jrw-ut-kor-111 & ClfiiiW~ + sum eereomm ""- aum ~nw111 2222.11443311 sStTaArTeE0_20228223263888 Mankato Tn. le ey lB, gy HE 5 gd 5 dEitthiiifllaihihailig a g Lfi i 7 ofrd % |_ rome en wn en} FF Tl PRN GEE | |i Pp 2 #49 rT 4aa4R3e8e 14 J d Aa N IVE 3L a ei]8 iiB a108ieladmULUIGI 22222.1144332 ouhel ;| Tod bed 83 Fe i Cat NEHRE TALE fi Po Fy . ,,,,,,,,,,,,,,,,,.,,,,,,,,,,.,,,,,,,,, !"'" . . ~~ 0 z "-!'"" 0 ,(., 0 z Legend .0Ohlo_wet_scan D1 Out of range ;!</ Interstate Major Roads Other Road ;!</ Interstate .;./ State highway .;./ US highway RAIN +E E FATGRIFEC - ad SHOE | Nh A O G= fd Roads ~::,,,,,,,,""""""""""c"""""""c~''""""""""""""""""'"'"::,,,,,,,,,i,,,,,~,,,,~~~r:,,,,,,,~~:~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,i,,,,,,,,,,,,,,,,,,,,,,,,,,J~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,s;,,,,,,,,,,,,J,,,,,,,,,,,,,,,,,.t~!\QI(2~,,,,,,,,,,,,,,,,t,,, ~ 11r Cities "USGSQuadlndex24K Lower 48 Wetland Polygons use AH horeErel fi PE TeAd AEfH 19 83 , " " " " " " " ' 1.\:1.,!~;,:.; $'.!:.1..,. '",I~ z Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland II ~~:~ne Freshwater Forested/Shrub Wetland Freshwater Pond Lower 48 Available Wetland Data Non-Digital Digital F r7Ht, No Data Scan ""w''"" ...... !:' ...............,...,'1,(., 0 z NHD Streams Counties 1OOK States 1DOK 0 South America u North America LE .3 94-0-30W 94-0-0W 93-59-30W 93-59-0W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only, Data layers that appear on this map may or may not be accurate, current, or otherwise reliable, THIS MAP IS NOT TO BE USED FOR NAVIGATION, I 0 = i i a i Map center: 44 10' 5" N, 93 59' 43" W $ Scale: 1:23,646 N 00 N N w 00 \.0 :5 somos Well Log Report- 00209390 Minnesota Unique Well No. 209390] oumm Nini 209390 County Quad QuadiD Blue Earth Mankato East 55B ST Well :'\lame STANDARD BREWI\.JG CO. TmtS estos To"nship Range Dir Section Subsections Elevation Tn wT canbe Hees 108 26 w 7 CAAADC Elevation Method Well Address MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Una unin WELL AND BORING RECORD [ras ei Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 06/17/1997 07/07/1997 -- C pe pa 778 ft. Zorn eC 7.5 minute topographic map (+/- 5 feet) Well Depth 525 ft. Cable Tool Depth Completed 525ft. Date Well Completed 1903 Dl'illingFluid I -- Er Use Industrial Well Hydrofractured? DYes D No Prom Pt to H. Co Toe tinor okv amine peer ve C:aing Type Steel (hJack or low carbon) .Joint No Tnfonnatlon Drive Shoe? DYes [Ty D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 10 in. to f1 lbs/ft MANKATO MN 56001 econ Geological Material DRIFT Siro SANDSTONE UNKNOWN SANDSTONE oe UNKNOWN Tr REMARKS COPIED FROM U.S.G.S. con wats Color Hardness rom To From To 0 110 wom 110 111 111 300 300 301 oe 301 525 Open Hole from ft. to ft. oun Screen Make Diameter pW Type Slot/Gauze Length Static Water Level ft. from Date Measured PUMPI:'IIG LEVEL (below land surface) WRilAh rSapeT oar 0 ft. after hrs. pumping 50 g.p.m. Well Head Completion Pitless adapter manufacturer 'vlodel D Casing Protection D 12 in. above grade tt mad eh matin) D At-grade (Enviromncntal Wells and Borings 01\LY) reg termes Velie: 0 Ye 0170 Grouting Information Well Grouted? DYes D No Set Between cd Mcrae12460 ep Located Minnesota Geological Survey oem ens monn Unique l'umber Verification Information from neighbor mm UP Natt ne 0 Ve System UTM- Nad83, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 420049 Y: 4891604 SE --" Nearest Known Sonrce of Contamination _feet - direction _type re ve Well disinfected upon completion? D Yes Os D No Pump D Not Installed Date Installed l\1anufaliLun::r's namt: Model number - HPQ_ Volts Length of drop Pipe _ft. Capacity _g.p.m Type Material bedWee Dos pts ey mt me mts ir Ve Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 D No So Cob i First Bedrock Franconia Last Strat Cambrian,Undifferentiated County Well Index Online Report inet 1 1 Aquifer Depth tu Bedrock 110 ft. Variance Was a variance granted from the IVWH for this well? D Well Contractor Certification me tLe Or Yo ome tite United States Geological Survey USGS License Business Name Lie. Or Reg. No. Name of Driller 209390 I Yes D .\Jo Pnnted 6/27/2008 HE-01205-07 file:/f/IItMPCA/!Work:ing/A0081-100%20-%20PFC%20Foam/R ..maries/Mankato!Well%20Log%20Report%20-%2000209390 htm7/1/2008 10:04:01 A\1 22222222..11443333 STSTAATTEE0_208282222339900 Well Log Report - 00255277 AMfionneersosta DUnOique WelBl NRo. 225555227777 8 CCooutnyty QQuuaadd QuadiD iBlnue EEaarrth MMaannkkaattoobaEsatst 55B Well Name MANKATU-KASUTA STUNE 1 Township Range Dir Section Subsections Elevation JOg 26 w 7 ACACCB Elevation Method EASED MMIINNNNEESSOOTTAA DDEEPPAARRTTVMIEENNTT OOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Jl11nnesota Statute., Chapter 1031 EE EEUnpnedtrrayteDDaDatateete Update Date Received Date 000583/111815/232000000050 03/1112005 790 ft. 7.5 minute topographic map(+/5 feet) Well Depth 90ft. ------ Drilling Fluid -- Use Commercial Depth Completed 90ft. Date Well Completed IWell Hydrofmcturcd? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below ft. Casing Diameter 5 in. to ft Weight lbs/ft Hole Diameter otis [WWaleltl AAdddrderaess.s YMAANwKAATOOIMNS5R60I01 Geological Material NO RECORD on an Color Hardness 1mFrom SOSecprreeenennHole MMtafaokkmee ft. TTyotoppee ft. DiDaimameteeterr `SSlloott/iGGaauuzzee To 0 90 LLeennggtthh SSeett BBeettwweeeenn REMARKS 'v!ANIFOLDED WITH WELL N0.2. So WELL PUMPED AT 65 GPM Located 'vlinnesota Geological Survey tm on Lnique Numbet Verification Information from neighbor System UTM- Nad83, Zone15, Meters Method Digitization (Screen)- Map (1:24.000) 5 30 32s) DateN/A X: 420320 Y: 4891889 La First Bedrock Indeterminate Last Strat Bi Aquifer Indetenninate Depth to Bedmck ft. County Well Index Online Report Static Water Level ar ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer 'vlodel D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings 01\LY) Grouting Information Well Grouted? DYes D No Nearest Known Source of Contamination Pr_feet Well d - i s direction infected u p _t on yp co e m p l e t i o n ? REE D Yes D No Pump D Not Installed Date Installed Manufacturer's name 'vlodel number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Minnesota DeQt. of Natural Resources MNDNR License Business Name Lie. Or Reg. No. Name of Driller 255277 I Printed 6/27/2000 HE-01205-07 file :iill j!MPCA/1 W orking/A0081-l 00%20-%20PFC%20F oam!R...m ariesftv!ankatoN/ell%20Log%20Report%20-%2000255277.htm 711 12008 10:04:01 AM 222222.114434 STATE_02822391 Well Log Report- CJCJ2'1'12n 255278 I'vfmnesota Unique Well No. 255278 Oud" Comtty Quad NiuEan Blue Earth Mankato East Quad TD 55R Well Name MANKATO-KASOTA STONE 2 Township Range Dir Section Subsections Elevation 108 26 w 7 ACACCD Elevation Method SpoE WellAddress. Well Address MANKATO MN 56001 Geological Material NO RECORD ee Color Hardness WELL AND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 1lfinnesota Statutes Chapter 1031 Vriebwe Entry Date Update Date Received Date ovat 05/15/2000 04/03/2008 790 ft. 7.5 minute topographic map (+/5 feet) Well Depth 260 ft. Drilling Method -- Drilling Fluid -- Use Commercial Depth Completed 260ft. Date Well Completed IWell Hydrofractmed? DYes D 'lo From Ft. to Ft. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below ft. Casing Diameter 6 in. to It Weight lbs/ft Hole Diameter anos when [Ow Oppaen Hole Tfrowm fw t. to ft. w" Screen Make Type Diameter Slot/Gauze Length Set Between From To 0 260 REMARKS 'v!ANIFOLDED WITH WELL '.!0.1. [I SoPl TMPED AT 225 GPM Located Minnesota Geological Survey Unique Nmnber Verification Information from neighbor System UTl'vf- Nad83, Zone15, l'vfeters ad Method Digitization (Screen) - Map (1:24.000) DateN/A X: 420361 Y: 4891897 First Bedrock Last Strat 'lo Record Aquifer Indeterminate Depth to Bedrock ft. County Well Index Online Report Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Pi st mts Well Head Completion Pitless adapter manufacturer Nol Model D0 CCaassiinnggPPrrootteeccttiioonn 1D 1122min..aabboovvee ggrraaddee D00AAtet-ggrraaddee ((Emvnivniroonnommceenttaall WWeellllss aanndd BBeoirinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Nearest Known Source of Contamination - feet - direction _type Well disinfected npon completion? D Yes D No Pmnp D Not Installed Date Installed Mannfacturer's name Model nnmber - Length of drop Pipe ft Capacity g.p.m HP - Volts Type Material Abandoncd Wells Does property have any not in nse and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Minnesota Der>t of Natural Resonrces MNDNR License Bnsiness '\arne Lie. Or Reg. No. Name of Driller 255278 I Printed 6/27/2008 HE-01205-07 file :i/ili!MPCA/' Working/A0081-1 00%20-%20PFC%20Foam/R .. maries!Mankato/Well%20Log%20Report%20-%2000255278 .htm711/2008 10 04:01 AM 2222222.11435 STATE_02822392 Well Log Report - 00255877 Mn US Copy pti Afinnesota Unique Well No. 2577 || Soearin toin 255877 County Quad QuadiD Blue Earth Mankato West 56 A TET Well Name MANKATO COLD STORAGE Township Range Dir Section Subsections Elevation a 108 26 w 7 CAABAB Elevation Method ssoTy pT OF HEAT MINNESOTA DEPARTMENT OF HEALTH WEANDLBORL ING RECORD WELL AND BORING RECORD iver Se Cope 30 ~Minnesota Statutes Chapter 1031 EE Well Depth Depth Completed babe Entry Date Cone Update Date Wedte Recei~ed Date St2o0ns3a0m2 12/04/2002 03/1112005 Date Well Completed 785 ft. 580 ft. 580ft. 10/18/1945 7.5 minute topographic map (+/5 feet) EIET LaDle 1001 Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Cone Te Skce boce) Jot een Det 01 Casing Type Steel (black or low carbon) Joint l\o Infonnation Drive Shoe? D Oe sotto Yes D No Above/Below ft. Casing Diameter Weight Hole Diameter Well Address 216 ELM ST W Tsaown MANKATO MN 56001 , Geological Material CT SAND, CLAY, AND GRAVEL LIMEROCK pres. HARDROCK &SHALE fain SANDROCK SHALE &SANDROCK SANDROCK oo. r rte Color Hardness From To FONT 0 68 68 110 To om 110 260 =260 340 340 475 475 580 12 in. to 68ft 8 in. to 110ft Open Hole from 116 ft. to 580 ft. [Fes Screen NO Make Type eer Sots Diameter Slot/Gauze lbs/ft lbs/ft Leng Length Se seven Set Between Static Water Level -21 ft. trom Land surface Date Measured 10/1Ul945 PUMPING LEVEL (below land surface) SEELAL DRIDLLREDY BENSON AND BERGHE REMARKS WELL DRILLED BY BENSON AND BERGREN. SEALED UNDER IIH193433. cst ombpam Located :Vlinnesota Geological Survey ter Preans Lniquc Nmnbcr Verification Information from owner vemrte----_--. System UTA- Nad83, Zone15, Meters ed Diino Method Digilit:alion (Screen) - Map iy (1:24,000) Be A DateN/A Te 5 oo" X: 420015 Y: 4891642 ttt Conn ft. after hrs. pumping 60 g.p.m. Well Head Completion Pitless adapter manufacturer Dcricgtacion Bl 120 hove D Casing Protection 0 Model 12 in. above grade 0 st miami ip 00 D At-grade (Environmental Wells and Borings 0"\ILY) Grown orion We Grewst Grouting Information Well Grouted? Sots sor Grout Matenal Neat Cement ves Iso 0 Yes D 'Jo fm 0008 from 0 to 110 ft SS SC Nearest Known Som-ce of Contamination To- feet - direction _type Sgncopie 0 vo No Well disinfected upon completion? D Yes D No as D1 Nao und Pmnp D Not Installed Date Installed Manufacturer's nan1c Model number - Vonghoting Pe 0 Coin pan Tie win Length ofdrop Pipe _ft. Capacity _g.p.m HP - Volts Type Material endeedt cers on i ve tt oi 0 Abandoned Wells Does property have any not in me and not sealed well(s)? D be 0 Yes D No [A ur oe Fil"st BedJ"ock St.I.awrence Ls Sn Dr ro Last Strat Mt.Simon Aquifer :Vlultiple Depth to Bedrock 68 ft. Cr County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contmctor Certification mated Nos. Minnesota Geological Survey MGS ieame 1 crf Yo mori I.icense Business Name I.ic. Or Reg. No. Name of Driller wm I 255877 Yes D No Printed 6/27/2008 HE-01205-07 file :/ill IIMPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R... maries/Mankato/Well%201 og%20Report%20-%20002558 77.htm 711/2008 10:03:59 AM 22222222.11443366 sSTTaAeT_E0_208282222339933 Well Lng Report- CICI'l~72CI7 Jo,finnesola Unique Well No. 558877220077 onan | ow' Coun Quad t y Quad ID roses Blue Earth Mankato West 5GA Wer AERO CHASTIE Well Name MANKATO CITIZENS TELE. Towmbi Ras Di Scan Scions Fevsion Township Range Dir Section Subsections Elevation WE 2 WIR BACACH hewn Metod 108 26 w 18 BACACB Elevation Method MINNESOTA DEPARTMENT OF mu ins NRSoEeonCgsORCDhaps 10D31epCoonmpeRecon DDeacWpaiComnpiend 792 ft. 7.5 minute ppc | POORGES R topographic map pi toy (+/- 5 feet) WWEELLLL AAHNNEADDLTBBHOORRIINNGG RECORD Minnesota Statutes Chapter 1031 plueDate Entry Date Update Date Received Date 01162003 ll/ll/1997 01;16/2003 Well Depth Depth Completed Date Well Completed 55 ft. 55 ft. ll/11/1996 Cable Tool Drilling Fluid FT T I ee -- a-- Use Elevator Well Hydrofractured? DYes D No From Ft. to Ft. Cun Type Sd (korocarr mt Wend Dives? 1 Yor Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes 0 so some D No Above/Below ft. Coan Dimer Tea Tore Gamer Casing Diameter Daw Bt me wan 20 in. to 55 ft. Weight 78.6 lbs./ft. Hole Diameter mfeae e Well Address 215 HICKORY STE MANKATOMN capi nates Geological Material PIT hoSAND Se SHALE oor Wgness Color wom sort BROWN Gar oad GRAY Hardness SOFT HARD From To From To 0 13 boa 13 41 aE 41 55 Open Hole from ft. to ft. So Tin Screen Make Type ume Sousa Diameter Slot/Gauze LLeennggtthh SSeett SBaertwweeeenn FONO REMARKS ced MimowtaGol Located Minnesota Geological Survey Unique Number Verb Adds isin Verification Address verification Sp UT Na Toc. System UTM- Nad83, Lonel5, Meters Met Method Dison Digitization Sen) (Screen)- MMoapp (1:24,000) D4 NA Date N;A sss ve acs X: 419866 Y: 4890596 Static Water Level 23 ft. from Land surface Date Measured llill/1997 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. J -- Well Head Completion Tensis manta Mol Pitlcss adapter manufacturer Model 0 Cog Pion 12m severe D Casing Protection D 12 in. above grade ID te vimment Weloops 01.1) D At-grade (Environmental Wells and Borings ONLY) Crating temas Wel Groct B Yor Grouting Information Well Grouted? 0 Yes D No Goat want Grout Material: Neat Cement fon ssn from 53 to 55 ft. so 3 bags "'earest Known Source of Contamination i - feet - direction _type wat dts oncom 3 ves 0 wo Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Volts Length of drop Pipe ft. Capacity g.p.m Type Material waned Wel spr hve an mt de cd wr 1 Abandoned Wells Does property have any not in use and not sealed well(s)? D ve Ow Yes D No is Bede Saves First Bedrock StLawrence Mr Stave Aquifer StLawrence CountyWell Index Online Report Last Strat StLawrence Depth to Bedrock 41 ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? No NF Ca Co Well Contractor Certification Mibssbil Leo: Midwest Drilling L0004 UTONW FULTON. W. License Business Name 558877220077 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/27/2008 HE-01205-07 file:///I llvlPCA/! \Norkmg/A0081-l 00%20-%20PFC%20Foam/R... maries!lv1ankato/\Vell%20Log%20Report%20-%2000587207.htm711/2008 10:04:01 AJ'-..1 22222222.11443377 SSTTAATTEE__0022882222339944 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMaarrsshhaalll M2M0aa1rrssEhhaalSllaFFriiarrteeoDDgeaeppaarrttmmeenntt 2MMa0ra1srhsEahl.alSl,l,aMMraNNtog55a66225588 M5Ma0ra7ro-c5K3iK2alat.ih5th,1,4Fi1FrireeCChhiieelf 5mma0ar7rs-s5hh3aa2ll-lff5irr1ee4@@1iwiw..nneett TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uussee ppeerr ttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: MMMaaarrrssshhhaaallll MMeerrirtit CCeennteter,r, CCoouunnttyy RRooaadd 3333 ((11000011 WW.. EErriiee RRooaadd),), Marshall AATrRRaAi-AFniFFnEFg.Ff:oa33mMM:,,Tuurassieenoiinln ttrraaiinniinngg nnoott ssppeecciiffiieedd Training foam: Trainol QQuuaatrteetrlyy LLeessss tthhaann 55 ggaalllloonnss. GGrroouunndd GAAlRRaAs-AsFFAF:FFF.:nonntoottssspppeeeccciiiffeiiededd Training Class A: Training ffonoaaommt:s: p11e55cgigafilaelldloonnss OOnn oorr aaddjjaacceenntt ttoo ssiittee OOnn oorr aaddajacceenntt ttoo ssittee U1/d4 ttoo 11/22 mmiillee eeaasstt MMoorree thhaann 11 mmilee 221 22222222.11443388 SSTTAATTEE__0022882222339955 mal CRS PIR] 0a Tun 2 ny When kev J MMAARRSSHHAALLLL CCWWII WWeellll MMaapp CJENNTTTS 2 Ri A TT Qu Re Ser We NN OL S, Ef NE TRF Ag Soy 2pr dSe rME IE SE - Go 0 7 Ly eV Ja Hy a : - wre Gam S| LENT ce EY eo fireBe fo cfm VD TET 1 YSSAo eRl)TMSdpe RlSr Soel 0ndTi Ni 42 53 TRL 252, 5 Gn tommy 4 1 SLi OL apyYo eTtYneR rg S5 NHoEEP SEigs iA NEL JANG A R{G AE ep FRAd A 7 <n ~ NES SE oo Fo PSraeye Gk oThnne El e iL( 7t OAR Gun AvLi R EN N RS eTY | Sr ba 7 Ny STa a spy Gr SA etDUN NN Vl ind TeEpee I4 N {iomsp RSEET S eag Ea e 5 remy. sg Som n 5 A 222222.114439 sStTaArTeE_0022882222339966 [MarsMharaslhalll | ||| | i || }i| | | WWhhaatt's'IIsnnMMyy | NNeeiighgbhobrhoorohd oMMoaadpp 1. ; f 7il Is h4 ei] 77 i i || | SSIITTEE~SNE ne F P | HE soars || 3 n :eeeom F|I a 2%~ 7 +; sri . hE Sate i i hd | Botta fuporuna | 1 SSiitteess. D~n.Mc:l matt~ &u~~rkl M Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion maepe | of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost J || MPCA that may arise from the use of this data. mandengo Phomn~ nSSiotl"nIKWIeWag.dWe IJn~ml!bd Dun1J15 NFRAP mtawy ~R~u,g..orritlluwnd Cc:e~ReCLo!ufis. | ||@minnesota Potuton Gente ageney | || o Pfe't\dJea:nll SSuuppstrrfiUunnd !iune: Cboocl L.cmcHUI5! omoe Vo!Unllr~ l'rW'I191'11:11'i ety & Cb!lrwJ!o xRoRATIDFace ..t. ltCRA UD f'lt:ill:l~ "RRA Iestgaton Chap ~M Jrw-ut-kor-111 & ClfiiiW~ + stam peorsom ""- aum ~nw111 222222.114440 sSTatAeT_Eo_20s282222339977  weor lE gp B HiHl O gn |: id -- p= p= 0 || h [ 32 || g Fl 3 Z| 2gl || ii i pe Marshall Wetland Map fi iJf z ~w ~w l'"''"d'"'''" ''"" ""'"'"'""""''""""""'""""""''" '"""'"'"'" """"" "''""''"" ""'"""'"""""'""""'"'"'''" i ~w ~w ~w t | """""""""'":""""'"l"' ""''"""'"" ''"'"""'" """'" ''"''"""''" ''"'"""'"''"'""'""''"''""''" """'"":~i"'t'l""''""""" ,,,,,,,,1~ z w] r Ld 2222.11444411 HERR ---- , | t , ............. ,......... ,,1~ Legend II ;;' Interstate Major Roads i J Z Other Road ;;' Interstate ,..v State highway ~US highway // Roads / tal | e 7 iX gfe I NEN )v /a 4an in Cities r , USGS Quad Index 24K ... Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater ;(; Estuarine and Marine Wetland z0> Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond J Lake Othor Riverine Lower 48 Available Wetland Data - ... z I=N r-- ,,,,,,,,,,,,,,,,:,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,::c,,,<,,,,,,,,,,,,,,,,,,~;:=;=========:::::===:::;:;;;;;=!t N ~ "z"" po mn Non-Digital Digital No Data Scan NHD Streams Counties 1OOK RE)i States 1DDK o South America o North America 1 | | [FRg E3 jLose Z } I{4 (BR | Pole Je 2 g 3 i] Coqst Is Co] fe [C OFE |i 95-SOW 95-49W 95-48W i2 H i il r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only, Data layers that appear on this map may or may not be accurate, current, or otherwise reliable, THIS MAP IS NOT TO BE USED FOR NAVIGATION, I 0 N 00 N N w \.0 00 95-47W 95-46W Map center: 44 28' 5" N, 95 48' 1" W $ 3 5 le Scale: 1:50,563 Well Log Report- 00222350 ~~=2=2=2=3s=o====:::!JII ~:::ty Minnesota Unique Well No. 222350 ~ Quad . Quad ID Lyon MMaarrsshhaallll 82A Well Name HAHM, TIM Township Range Dir Section Subsections Elevation 1W1e2 4A1 Ww 333 BDBACCBHDDAA EHleesvattoionn MMeetthhoodd MlN_\I<:SOTA DEPARTMENT OF oo HEALTH W"WEELLLL AANNDD BBOORRIINNGG RECORD 11finnesota Statutes Chapter 103I EUUpnpdtdaraytteeDDDaatateete. Received Date 0I14010/212411101191998228 Well Depth Depth Completed Date Well Completed senpopncrsp | DOE 115 I ft. 7.5 minute topographic map 114 ft. Drilling Method -- 114ft. 00/00/1956 (+/- 5 feet) Drilling Fluid -- IWell Hydrofractured? DYes D No From Ft. to Ft. (ol:see DDoommeestsic ---- 1 CCaassiinnggTTyyppee JJooiinntt NNooInInffoorrmmaattiioonn DDrriivvee SShhooee?? [DJYveess [DJ No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 0 in. to 67 It lbslft GGeeoollooggiiccaall MMataetreiriaall TOPSOIL & CLAY SANDY CLAY CLAY SAFE FINE SAND & CLAY WATER CLAY (FEW PEBBLES) BEARING CCoolloorr HHaarrddnneessss Open Hole from ft. to ft. SCI"een YES Make Type FFrroomm TToo| DDiiaammeetteerr SlSolovtG/Gaauuzzee LLeennggtthh SSeett BBeettwweeeenn 0 12 12 32 32 61 Pon] 61 70 70 114 Static Water Level ft. from Date Measured PUMPING LI<:VI<:L (below land surface) ft. after hrs. pumping g.p.m. ro trains NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDO CCasasiinngg PPrrootteeccttiioonn D1 1122iinn..asbboovreeggrraaddee Grout ormaton Wellorones? 0) ver Oo D0 AAtg-grraaddee(EnEnvviiroronnmmeennttaall WWeelllls aanndd BBroirinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Method Digitized - scale 1:24,000 or larger (Digitizing Table) Systm UTM Nod, Zone, Mrs Xe GSS. Vs IRS Unique Number Verification Information from owner Date NiA System UTM- Nad83, Zone15, Meters X: 277655 Y: 4927863 First Bedrock Last Strat Pebbly sand/silt/clay Aquifer Quaternary Undiff. Depth to Bedrock ft. County Well Index Online Report .'\earest Known Source of Contamination Wot dituopen competion 0 ver _feet - direction _type Well disinfected upon completion? D Yes 0 no D No PPuummpp [DJ NNoott IInnssttaalllleedd DDaattee IInnssttaalllleedd Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D0 Yvees DOnNo Variance Was a variance granted from the MDH for this well? D Yes D0 Nnoo Well Contractor Certification United States Geological Survev USGS License Business Name Lie. Or Reg. No. Name of Driller 222350 I Printed 6/27/2008 HE-0 1205-07 flle:///Ij/l'v!PCAI!Working/A0081-1 00%20-%20PFC%20Foam!R...aries/l'vfarshall!Well%20Log%20Report%20-%2000222350.htm7/1/2008 10:08:59 AM 2222222.11442 STATE_02822399 Well Log Report- 00222351 Minnesota Unique Well No. w2223m 51 om Nia 222351 County Quad QuadiD TR WeD :'\lame ALFALFA PELLET PLA'lT Lyon Marshall 82A WW 0 Renn Heese To"nship Range Dir Section Subsections Elevation 112 41 w 33 BDCCDD Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WELn L AND BORn ING RECORD WELL AND BORING RECORD Minnesota Statutes Chapter 1031 a Well Depth Depth Completed fEroRdcigri Entry Date Update Date Received Date 04/!l/1988 ]0/24/1992 Date Well Completed 1152 ft. ge| rr 7.5 minute topographic map E E E I r y e (+/- 5feet) 86ft. Cable Tool 86ft. 0010011963 Drilling Fluid -- Use Domestic Well Hydrofractured? DYes D No Prom Pt. to Pt. Casing Type Steel (black or low carbon) Joint No Information Drivl' Shol'? DYes s-- o Well Address MARSHALL MN 56258 Geological Material =C:l AY SAND SOUPY SHALE THIN LAYER SANDSTONE & Fl NE SAND Color wmYFII OW GRAY GREEN Hardness D No Aboveffielow 0 ft. afFrom To ii 0 1R 18 66 66 85 85 86 Casing Diameter 5 1n. to 84ft -- ----. _-- Open Hole from ft. to ft. om St'rl'l'n Make Type Weight lbs/ft Hole Diameter Diameter Slot/Gauze Length Set Between Static Watet Level ft. from Date Measured PUMPI:'IIG LEVEL (below land surface) ft. after hrs. pumping g.p.m. rEmom Well Head Completion tlre Pitless adapter manufacturer 'vlodel D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Grouting Information Well Groutcd0 DYes D No Located Minnesota Geological Survey Unique 1\"umber Verification Information from owner System UTM- Nad83. Zonel5, Meters Method Digitized- scale I :24,000 or larger (Digitizing Table) DateN/A X: 278029 Y: 4927304 mare Centar First Redrock Cretaceous,Undiff. Last Stmt Cretaceous,Undiff. prover Aquifer Crctaccous,Undiff. Depth to Redrock 66 ft. County Well Index Online Report Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Ee Si min, Pump D Not Installed Date Installed I\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)0 D Yes D No Variance Was a variance granted from the 1\!DH for this well? D Well Contractor Certification Minett Well Drilling 59234 Lilit:nst: Busint:ss ~amt: Lie. OrR~g. No. Nam~ of Drilkr 222351 I Yes D No Printed 6/27/2008 HE-0 1205-07 file:/IIII!MPCA/!Work:ing/A0081-100%20-%20PFC%20Foam/R ..aries/Marshall/\Vell%20Log%20Report%20-%2000222351.htm7/1/2008 10:08:59 AM 2222222.11444433 sso STATE_02822400 Well Log Report- 00222352 [22235| Minnesota Unique Well No. 222352 oEma County Quad Quad ID Mow Lyon Marshall 82A Well Name SONSTEGARD. GOODWIN Township Range Dir Section Subsections Elevation 112 41 w 32 DADACA Elevation Method _ so Well Address MARSHALL MN56258 "WELLT,ANRDBOERINSG RSECORD. MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statute., Chapter 1031 TEoRe Entry Date Update Date Received Date hi04/1111988 10/24/1992 1151 ft. 7.5 minulc topographic map (+i- 5 feet) Well Depth Depth Completed Date Well Completed = e I ro 76ft. . iirilii;,g M:~th;;<i c;t;i~ :r;;;;1 76ft. 00/00/1974 .... Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0DNsoo AAbboovve/eBreltowi0t0o0fnt. Casing Diameter Weight Hole Diameter 6 in. to 76ft lbs/ft DYes Open Hole from ft. to ft. Screen Make Type Geological Material CLAY & ROCKS CLAY TO SHALE LAYERS OF FINE SAND & SHALE WATER, FINE SAND Color YELLOW GRAY TAN GREEN Hardness From To Diameter Slot/Gauze Length 0 25 25 60 60 75 75 76 Static Water Level 20 ft. from Land surface Date Measured 1974 PUMPING LEVEL (below land surface) 40 ft. after hrs. pumping 5 g.p.m. Set Between NO REMARKS Located Minnesota Geological Smvey Unique Number Verification Name on mailbox System UTM- Nad83, Zonel5. Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NIA X: 277440 Y: 4927045 iB rind First Bedrock Crelaceous,Undiff. Last Strat Cretaeeous,Undiff. tr Crm Aquifer Cretaeeous,Undiff. Depth to Bedrock 60 ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model 00 Ayr (imentWellsad ingsONLY). D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Infonuation Well Grouted? DYes 0No pg Nearest Kno\\'D Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Hera 0 Compe Tt Nites Pump D Not Installed Date Installed J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variancl' Was a variance granted from the MDH for this well? D Nehibie mu Well Contmctm Certification Minett Well Drilling 59234 mc MINETT C. License Business Name Lie. Or Reg. No. 1\ame of Driller 222352 I Yes D No Prrnted 6127/2008 HE-01205-07 file:!IIII/1,1PCA/!Working/AOOSl-1 00%20-%20PFC%20Foam/R. .. ane;;;!T'v1arshallJWell%20Log%20Report%20-%2000222352.htm7/1 /2008 10: 08:58 AM 222222.114444 STATE_02822401 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMaayynnaarrdd MPMaOayBynnoaarxrdd1FF5ii4rree DDeeppaarrttmmeenntt MPMaOayynBnaraodrxd,1, 5UM4NN 5566226600 SS3t2tee0vv3ee6nn7.LLi2inn1dda4qu0iusits,t, FFiirree CChhiief 320-367-2140 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: MMaabbliee SSttrreeeett aanndd SShheernmnaann,, MMaayynnaarrdd OGOtlthahesers:r:ACC'hhSeeimmkg-ugeauxra.drcd.u, nhheiisnstttoorruiisccaeall uussee,, ttyyppee AAFFFFFF aassssuummeedd Class A: Silv-ex, current use BBAi-mAnnunaulalllyy LLeessss tthhaann 5 ggaalllloonnss SSttoorrmm sseewweerr GOolttahhseesrr::Ann:oottnssoptpeesccpiieffciieiedfdied Class A: not specified UUnniiddeenntitiffiieedd ccrreeeekk aapppprrooxxiimmaatteellyy 11//44 mmiillee wweesstt a1/t4 too 117/22 mmiilee ssoouutthheeaasstt LLeessss tthhaann 11//44 mmiilee eeaasstt MMoorree tthhaann 11 mmiilee 7 7 22222222..11444455 SSTTAATTEE__0022882222440022 ST Fo MMAAYYNNAARRDD CCWWII WWeellll MMaapp Ny AL % ANY HEE I. 30 1223 SN oo 3 ond, = ' a) % BR) Us \ J! Ih i WeSa oSrl {LxC N edIT bmp E [Re Bh A ELAonN ONSITE PT | le { A 29 -A . I A bust | ri d ' I| a sae |` EEE ID SN aha EE Ya NH 7 - Vg ESE TTT i. or oa [dh Mapu : A i wSwoNOSWSEN RA TEP EEe l e l s da os sAd Wbio SAT (iD / 3 ont, ` 2O1 m giNS BJAeyREEaT dVlHAF ge 0NsFpag 2A RAEAN Cr A| C 31ND Fn AN BC Tee Pee A abo SAA A ALam eNee IGsLL aTnN TG Y pe. ntaenpsn- corre. | {ove AhLo NhgJ 222222.114446 [Ep-- STATE_02822403 [MayMnaaynradrd WWhahta't'ss IInn MMyy NNeeiigghbhobrhoorohdMoMoaadpp i | I I UH | 5) {| i | i | Si 2 I|F SITES KelisSCor", I nb _Caft oo fs 1 | || | . | | es | I || 1i a I | - | a a i | i i =--Sis Sites || Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion (ERE IAN IR N | of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages against || mn i int lo os MPCA that may arise from the use of this data. | BDon~no.tMsc:dlSmtaattt~oS&uup~o~rriklurMd Femara tn hm~ St"IKIW.W iInJpno~mmnli!nbeddDDuunm1Jp15 WNFRRAAPP om aps maw ~~,..rill w Cc:e~RnCLo!ufis. oFef'dt\eJrea:nll SSuuppetrrfiUunndd |||| @mimnosota Pollution Control adAgency l * !iune: Cboocl L.cmcHUI5! Vo!Unllr~ l'rW'I191'11:11'i Toga & Cb!lrwJ!o raTai ..t. ltCRA 1!iD f'lt:ill:l~ mmmer--ei ~M Jrw-ut-kor-111 & ClfiiiW~ "A"- SaummA~enrw e1 mI1R1 222222.114447 STATE_02822404 o s2 gBr |i iuidl !| fit din Sani 574 wsson aston i\ \ i f 2 3s 2< 3 bese Maynard Wetland Map .---------~~~~-----------------~-~-~-~.~. --------------~~~~----------------~-.~-~-~.~. --------------~~~~~--~t ~ ~ 6 z 222222.114448 hy } 1i2 Sn | 5J9 95-29-DW 95-28-30W 95-28-DW E bieE suit Hl [Ilhil r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N .j:>. 0 Ul : iis WNeg =% NB Te | PIT AO NED An A i Uf SG RE : NE i \ PogEe 3 e .& wsison wsan 2:, a H ........ ~ l.. 0 z ........ .~... ~ 0 z ........ ~ Pe:~iiFCl1 ~~ril6 z ........ w ~ l.. 0 z .... tw ~ ~ 0 z wsrion amon gE, b Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America : ifi $ 95-27-30 w 95-27-DW # Map center: 44 54' 7" N, 95 28' 3" W Scale: 1:24,601 :: Well Log Report- 00102055 [02100205555] 3 on wm Minnesota llnique Well Nn. County Quad Quad ID a Welll'\ame AEIKENS, MRS. HENRY Chippewa Maynard 112B mn one sm Township Range Dir Section Subsections Elevation 117 38 w 32 BDAAAB Elevation Method "WELLmAoNDeBtORIoNgGeReE0C1ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD ftfiuue.wJta Statutes Chapter 1031 nmr 1030 ft. 7.5 minute topographic map(+/- 5 feet) |e er Well Depth 98 ft. Drilling Method Drilling Fluid -- Depth Completed 94ft. . Rolarv IWell Hydrofractured? From Ft. to H. Entry Date rieome otoaion Update Date nee Received Date 04/07/1988 03/06/1997 TT Date Well Completed Sr 00/00/1976 DYes D "lo Use Domestic Casing Type Skel (black or low carbon) Joint Threaded Drive Shoe? No Above/Below 0 ft. DYes 0 Well Address Casing Diameter 5 1n. to 89 It Weight lbs/ft Hole Diameter ca onnor MAYNARD MN 56260 Geological Material DIRT CLAY ZCLAY SANDY CLAY SANDY CLAY FINE SAND W/CLA Y LAYERS SAND SANDY CLAY Color BLACK YELLOW BLUE GRN/BLU BLUE BLUE or NO REMARKS | Hardness From Open Hole from n. to n. To Screen YES Make HOWARD SMITH IRR Type stainless steel i 0 2 2 15 Diameter 15 16 4 Slot/Gauze 20 Length 0 Set Between 89 It and 94 ft 16 28 28 70 70 90 Static Water Level 90 94 ft. from Date Measured 94 98 PUMPII\G LEVEL (below land surface) ft. atler hrs. pumping g.p.m. Re Well Head Completion TE us Pitless adapter manufacturer Model Decors 0 tmsos D Casing Protection D 12 in. above grade Bat D At-grade (Environmental Wells and Borings 0'-JLY) == Grouting Information Well Grouted? DYes 0 No St My Located Minnesota Geological Survey foo sember et er Unique Nu1nber Verification Infonnation from neighbor Fre zn System UTM- Nad83, Zone15, Meters dP 240 Method Digitized- scale 1:24,000 or larger (Digitizing Table) RE DateN/A A Soa: ih fe Ei ire Sa ciimbbppitir, X: 305527 Y: 4974951 Nearest Known Source of Contamination 11Q____feet :t:J...._direction Sqltie tank/drain field type Well disinfected upon completion? D Yes D No Lote40 0 Copy 10 pn Tope Smee Mao Pats Pump 0 Not Installed Date Installed 03/30/1976 Manufacturer's name BURKS Model number 5SN8B HPQj_ Volts 230 Length of drop Pipe 40 ft. Capacity 10 g.p.m Type Submersible Material Plastic OoAbandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No First Bedrock Aquifer Quat. Buried Artes. Aquifer Last Stmt Clay & sand-gray Depth to Bedrock ft. [oCoouumnytywWoenlnl IsnedexxoOnnilimneerReeppoornt Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Thein S.e. Well Co. 12013 WEIS M. License Business Name Lie. Or Reg. No. Name of Driller | w1a0e20s55s [ I E EE Printed 6/27/2008 HE-01205-07 file:/IIII/11PCA/! V.jorking/A0081-l 00%20-%20PFC%20Foam/. .. aries/l'vfaynard!Well%20Log%20Report%20-%20001 02055.htrn7/1/2008 10: 18:52 AM 22222222..11444499 sStTaArTeE0_208228222440066 52 5 Iz T28]HE5% giFl licEE do E12 5L3I$)E3 EEEsEiT2 PACES SLE o 2 Well Log Report- 00241494 lvfinnesotu Uniljue Well No. 11 241494 11 County Quad QuadiD Chippewa Maynard ll2B Well Name MAYNARD 2 Township Range Dir Section Subsections Elevation 117 38 w 29 Elevation Method gzzs EH mn 2E:H ES. BErleei sec lE-z], 2; 3fEE |= |% i572 12 MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD .Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 0911711992 05/06/2005 xl 2H: 3 1026 ft. Calc from DEM (USGS 7.5 min or equiv.) : g Well Depth 87ft. Drilling Fluid Depth Completed 87ft. Date Well Completed 00/00/1951 IWell Hydrofractured? D Yes D No From Ft. to Ft. o||Z|3 2 FIER: Use Abandoned Status Sealed o Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D jNo Above/Below ft. Casing Diameter Weight Hole Diameter 12 in. to ft lbs./ft. = El F v fe E 2liSef|: e |] 5 [F752 ff flac LF . fE fE00R 8 JEE2 E-E-| SZHiEoEo|f < es Well Address MAYNARD MN 56260 Geological Material NO RECORD Color Hardness REMARKS WELL SEALED 06-04-2004 BY 34625 ORIGINAL USE PC- COMMUNITY SUPPLY := From 0 Open Hole from fl. to fl. Screen Make Type PE Diameter Slot/Gauze Length To 87 PILEE BE | 1048 BREIREE Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Envirom11ental Wells and Borings ONLY) Grouting Information Well Grouted? D Yes D No 4d 44: i| E2i2ili0em EH i Set Between *5 ' i 53i BiigEs 22222.1144550 3. 3ix 7 i 7 EE ol FsCOHE72ES42 iE : =LiiX:s 13053%:d sFiiZ f3Eds [p-- Located Minnesota Department of Health Method GPS SA On (averaged) UE ELE TE HEH HE =FEH 5s2 3i| Ea303 Unique Number Verification N/A DateN/A Nearest Known Source of Contamination i System UTAf- Nud83. Zonel5. ,l,[eters X: 305234 Y: 4975514 _feet _direction _type ~ D D Vl Well disinfected upon completion? Yes No rn Pump D Not Installed Date Installed I 0 Manufacturer's name Model munber HP Volts N 00 Length of drop Pipe ft. Capacity _g.p.m Type Submersible Material N 2 i; N $i : file:/i!IIfMPCAI !Working/A0081-1 00%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries!Maynard/Well%20Log%20Report%20-%2000241494.htrn (1 of 2)7/1!2008 10:18:50 Al\1 J i i:i .j:>. 0 '-I HHH z 2 iI3E3 iyz g : 3 i i 18 Well Log Report- 00241494 HE First Bedrock Last Strat Unknown deposit type Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. |g HE = County Well Index Online Report 2, 53 o |g 5 zLoEE Ez P1 E 2a5 PE: 5 1:E53 $El: lz Sli: ERE] D D Abandoned Wells Does property have any not muse and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Mi1mesota De12artment of Health MDH License Business Name Lie. Or Reg. No. Name of Driller 241494 I Printed 6127/2008 HE-01205-07 2222.11445511 z ii 3 iii i 3 i 3 ii 31i i 3: 3 : i i : : stare 02822408 ~Vl rn I 0 N 00 N N file:/i!IIfMPCAI !Working/A0081-l 00%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries!Maynard/Well%20Log%20Report%20-%2000241494.htrn (2 of 2)7/1!2008 I 0:18:50 Al\1 .j:>. 0 00 Well Log Report- 00505477 505477 || Go~::wu~tay MMiinnnnre>ssoottaa UUnniiqqu-ure> WWer>llll NNoo.. II 505477 II ~-==================~- County QuadiD h13e0ss CChhiippppeewwasa Maynard 112B eR ST WATT RIT ANT Well Name WASTE WATER TRTMNT PLANT onnbiRansDi Scton Suction Fevstion Township Range Dir Section Subsections Elevation 1U177 3388 wW 3322 BBCCBBDDAADD FlEelevvaattiioonnMMetethhoodd wn 1022 ft. MMNINNNEEVSOOOOTFFTAAHHDEEDEAAELSLPTTAAHHRR.TTMMEENNFT WELL AND BORING Uninebue Ohi? WELL AND BORING RECORD Received Due RECORD inn Sour Chapter 131 11finnesota Statutes Chapter 1031 EEntnrtyryDDaattee Update Date Received Date 0011/22881/1999911 03/06/1997 Nebo Oop Come Do WaComnd Well Depth Depth Completed Date Well Completed -- oy Hs 86 ft. 86ft. 07/12!1989 Th 7.5 minute totoppooggrraapphhiicc mmaapp |DDrirlillliinngg MMeetthhoodd Non-spec.iRRfoouetardryy (+/- 5 teet) Drilling Fluid Bentonite WWelelll Hydyrdorfoefsraccttuurreedd?? 0DYveess 0D NNoo From Ft. to Ft. WotAddress Co GoiTnogpt DieamaPters8 Jom a oWreagte DrFeesiDea?ma0r Ys Well Address ano unser Con mn wh ew tt MAYNARD MN 56260 pT TTT GGeoeloologgiiccaall Cour ped on LOAM a Www 2 ot |oameter SktGawe Length SotBetween CLAY ar wo wo oa ox |% - al TT CLAY ar Wor wow xm CLAY Gove Som 2 0% GRAVEL oss Woe wo % CLAY So Tw D5 [em SAND aay ax 2% [TN ambit Due Mesure 07131) CLAY So [ 30" eOLsEVN ELptouriP nT0arG gipm SAND MMataeterriiaall CoCloolorr BLACK TAN RED BLU/GRY BROWN BLU/GRY TAN BLUE HHaarrddnneessss MEDIUM HARD MEDIUM HARD Use Domestic Casing TypE> Plastic Joint No Information Driw ShoE>? No Above/Below 1 ft. DYes 0 Casing Diameter Weight Hole Diameter 6 in. to 66 ft. lbs/ft. 10 in. to 86 It FFrroomm 0 2 24 26 29 30 41 52 62 TToo[SOrpen HTolSe fromMafkt.e JtoONSft.ON Screen YES Make JOHNSON 2 TToyppee ssitamirnlleessss sveleeld 24 Diameter Slot/Gauze Length Set Between 26 6 29 12 20 66 It and 86 It 30 41 52 Static Water Level 62 7 ft. from Land surface Date Measured 0711211989 86 PUMPING LEVEL (below land surface) 30 ft. after hrs. pumping 200 g.p.m. TE [ PD0ltcnuierp mpmdraaec msat-- inmooonnameGn0eM1WA2sXsSetSnod onrM8goeslvOer841120) REMARKS SCREEN: TOP 12-12-12-18 BOTTOM. Well Head Completion Pitless adapter manufacturer MAASS Model 6J2 D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Laced Mims Googil Method Dihzd-sctc |3400cx Cts Nest Comet wmobwr 2m LocatE-d Minnesota Geological hs ne Dring Ti Survey VSeremammato monies Due xn eee Se earn Unique Number RE Verification Information from owner Sptem UTM-Nadss Z0elS. x, sous: arash Well ssinvitaomcopiciont 0 ves B No System UTM- Nad83, Zone15, VoTiemTtynhoihsosradrsoaoonietlp)sAYe0 ACDCDaOocNcALDt1.0edsomN18id aber 0 }vfeters ME-thod Digitized - scale 1:24,000 or larger (Digitizing Table) Date NIA X: 304923 Y: 4974854 Grout Material: Neat Cement from 0 to 66 ft. 2 yrds. Nearest Known Source of Contamination ill___feet Yf_direction Body of water type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 0711811989 Manufacturer's name A.Y. MCDONALD Model number K50 _HPQ2_ Volts 230 Length of drop Pipe L!L_ft. Capacity lQ_g.p.m PrtBorek First Bedrm:k Lusi Sit Last Strat Sand Aquifer out Bid Are Agitt Aquifer Quat. Buried Artes. Aquifer Detbedrock Depth to Bedrocl< ft. Type Submersible Material Galvanized pCAbandoned Wells Does property have any not in use and not sealed well(s)'! Ove Ow D Yes D No Vartace Wana med fom Dr ea? 0 ver Variance Was a variance granted from the MDH for this well? D Yes Ow D No eT Cami Cr Well Contractor Certification SMM NAIC) a STIILM Steffl M.j. Well Co 34480 SIEHL M. cone Biss Name_Li. Or. No. Nare rrr License Business Name Lie. Or Reg. No. Name ofDriller ARCA P13 FCS me Ylfhe25 317 1 7 0020 file:/I;Jji1\1PCA/I Working/A0081-100%20-%20PFC%20Fo...es!Maynard!Well%20Log%20Report%20-%2000505477.htm (1 of 2)7! 112008 10: 18:52 AM 22222..11452 STATE 02822409 STATE_02822409 Well Log Report- 00505477 County Well Index Online Report 505477 Printed 6/27/2008 HE-01205-07 file:/I;JII1\1PCA/I Working/A0081-1 00%20-%20PFC%20Fo ... es!Maynard!Well%20Log%20Report%20-%2000505477.htm (2 of 2)7! 112008 10: 18:52 AM 222222.114453 STATE_02822410 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMiinnnneeaappooliliss RMMioinnonnmeea2ap3p0oo,lissCFFiiiyrreeHDaDleelppaarrttmmeenntt MRMioinnonnmeeaap2op3lo0il,iss,C, iMMtyNNHa55l55l 441155 WW35aa0ll5t.LLeee5e,1, CCSiaarpeptotala,iinn,R, oEEnonggmiinn2ee3e0er.riinngg OOffffiicceerr,, FFiirree: 3M6Mi15in2n0n.nSe6ea.7ap25po.ohl2liiS0ss5t,r9eMMeoNNtf,fiR55ceo55o44m1155230 w666a111l222t.--e677r711l838e.--o211@088c555.999 mcocioeflnflillnceeapolis mn.us. walter.lee@ci.minneapolis.mn.us TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreessttwwaatteerrwwelelll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 2255337ih" AAvveennuuee NNEE,, MMiinnnneeaappooliliss AAClFFaFFsF:s:A33: MMAnsul Class A: Ansul AAnnnnuuaallllyy LLeessss tthhaann 5s ggaalllonns.s GGrroouunngd AAARFFAFFF:FF: Faap:ppprrnoooxtxiimsmpaeatcteielfyli5ey5dggaalllloonnss Class A: approximately AR-AFFF: not specified Class A: approximately 5 ggaalllloonnss MMiissssiissssiippppii RRiivveer lleessss tthhaann 11//44 mmiillee wweesstt U1/d4 ttoo 117/22 mmiitlee wweesstt TTrraaiinniinngg ssiittee iis llooccaatteedd iinnaatrtaransnistitiioonn oorr ccoovveerreedd Kkaarrsstt aarreeaa AApppprrooxxiimmaatteellyy 117/22 mmiilee ssoouutthheeaasstt MoMroree thhaann 11 mmiilee 1199 22222222..11445544. SSTTAATTEE__0022882222441111 MMIINNNNEEAAPPOOLLIISS CCWWIIWWelelll MMaapp . pre " ET I SE ih : 0 L i Sd Ee PE sng REICEED ILEE e0 Tep l Sh (EF A a Nea de = TERT ITE =i o Le TNE CCL lW em m froeo 2222.1455 STATE_02822412 MMi inneanolisn WWhahtae 't'ssIInna MMyp Neigo hboorrl hhooooddi MMaaps| ras spe ign NN EE pe TORN Ee TTR de Shatin ERNE Lee fel, ne bEEoo jToTniT Ry cTgT i: rl te, HLT rr Lh EE i /a {a it rr T e EmNn MLT emI ehi Ha erTeF l m UE I RtTe LY Cr hae Halll [1 A els WeEEn | mel ay a meHG ER Th ep LA CT ETpTRd bV eee ts Ue ERT The C S RETE SE IS LI NS|| Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost MPCA that may arise from the use of this data. Sites errs D~n.Mc:l matt~ &u~~rkl M r-- hm~ St"IKIW.W uInJpno~mmli!sbdd BDuunm1pJ1s5 |e NFRAP seri maw ~~,..rill w C:~RCL!fi. + Penta o f't\Je:nl SuptrfUnd `@Minnesota Pollution Control Agency pnChote !iune: Cboocl L.cmcHUI5! EC Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o Jes ..t. ltCRA 1!iD f'lt:ill:l~ cam ts ~M Jrw-ut-kor-111 & ClfiiiW~ pi ""- aum ~nw111 222222.114456 STATE_02822413 + i E>fels1 WEfad ir 85 i 8 sian ib coudBn EPRI 8 Z| PT o[3 2:3 T = r -- SSp a} =] g il HHEER 93-17-40W !;- Minneapolis Wetland Map 93-17-20W 8| do ii i Hi H:ilh 0z ge Lh ns we =i il 222222.114457 z .... ~~~ "'~ .J,.. ,N;, 0 "" z Legend .0Ohlo_wet_scan D1 Out of range dREan REE Lg gg vos ]doce : NL; ;/'/ Interstate wasn z ....~ , ................................... '!~'!~ Major Roads Other Road ;/'/ Interstate z 0 .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons i A 3 = (iiE Ill Estuarine and Marine Deepwater , io \ Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland sson .... z ~ Freshwater Pond 0 c-!. N 6 Lake ~ z Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan i :3 arn NHD Streams Counties 1OOK IF 8 5 HE 3| py : iik z ! iVdJ w ,;,~----------------------~----------~~--~------------~ 93-'f?-40 93-17-20W 93-17-0W 2 i .... ~ .J,.. ~---9-3-~16--4-0-w----------------9-3--16--~20-w---------~0z son States 1DOK 0 South America u North America $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 Map center: 45 2' 14" N, 93 16' 54" W Scale: 1:15,236 N 00 N N .j:>. I-' .j:>. [Ep-- Well Log Report- 00147455 ~:::ty II II lMvifinnnnSeessoeottaa UUnniiqquuee WWel elNl eNo. 114477445555 County Quad Quam 1p RECORD ReconedDac ~-==================~- QuadiD HHeenrmneeppiinn MMiinrnmeeaappoolliiss NNoorrtthh 120D DDEEPPAARRMTTSMMIuNEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD EEntnrtryyDDataete. UUppddaattee DDaattee Received Date 0088/22441/1999911 m 09/11n /1991 MioSmescChspttr1e31 Minnesota Statutes Chapter 1031 WANE SOT WHT WA Deph Dep Comedie WeCoed Well Name MD.O.T. WELL A Well Depth Depth Completed Date Well Completed Towmaip Ran iSectionSubsections Ecvation son on wn sins Township Range Dir Section Subsections Elevation 840 ft. 70ft. 70ft. 75mints 29 2244 wW 33 BBCCBBCCAADD ElEelveavtatiioonnMMetehthoodd tot7o.pp5oogmgriranappuhhtieicc mmaapp | U Filling ~lllln!! lMVelettnhOod i (+/- 5 feet) 10/05/1985 Drilling Fluid -- Pom 110 1 WWelelll HHyyddrrooffrraaccttaurreedd?? ODJYveess 0D Nnoo From Ft. to Ft. _ [WWeollnAdedrdress oScToPiegaicOa STteOrNiaE MMIINNNNEEAAPPOOLLIISSIMNN Geological Material ST. PETER SANDSTONE CCoolloorr HHaarrddnneessss Use Other (specify in remarks) CatngType Joint Norton Drives 0 Yoo 01 Casing Type Joint No Information Drive Shoe? DYes D ooo 0 1 No Above/Below 0 ft. "CosingDiameter Weg Tile ameter Casing Diameter Weight Hole Diameter Hw 71 wan 24 in. to 17 ft lbs./ft. PETE wn 16 in. to 35 ft lbs./ft. Open Hole from ft. to ft. ScSrcreeeenn YVIESS MMaakkee JJOOHNNSSOONN TTyyppee sstaainmleoss seteeell Froom nTo wDDiiaammeetteerr 16 From To 0 70 SSlloott/GGaauuzzee ST EA mn a LLeennggtthh SSeett BBeettwweeeenn 35 35 ft and 70 ft REMARKS om CASING 24 TO 17~ 16 TO 35. WEL SEAAFTLEROECD WELL SEALED AFTER PROJECT. Static Water Level 12 ft from Land surface Date Measured FONPING LEVEL (ios ni rf PUMPING LEVEL (below land surface) 0 ah oe purging" pm ft. after lns. pumping g.p.m. 10/05/1982 Walled Completion Well Head Completion Piesses mane Model Pitless adapter manufacturer Model Ocumemocim 0 12in some D Casing Protection D 12 in. above grade 0 ete viomens Wels ons ONLY) D At-grade (Environmental Wells and Borings ONLY) Covington Wc: 0 ver 0 Grouting Information Well Grouted? DYes D No LocatedMiso Located Minnesota Goi Geological Surveeyy [a Unique Numher Vesbeuton omsionfion, Verification Information from Mi owner Sot UTM Nel Zl. System UTM- Nad83, Zonel5, M_eit\1eetrerss: LaFitnStBriatckSPSsv First Bedrock St.Pctcr Last Strat SL.Peter Meth Method Did se Digitized- scale 1240 1:24,000 xor Dae NIA Vlaorggee(r (Di igitig zing Tkaibale}) DateN/A mss vs aisi2 X: 477383 Y: 4986362 qDeupetrBsudre Aquifer St.Peter Depth to Bedrock ft. NNeeaarreesstt KKnnaowwnn SSouro ceoofu fCCoonr ntatammicninaate tiioonn Son pescavero - feet - direction _type wesc spncompitonr 1 ve 0 xo Well disinfected upon completion? D Yes D No Pun 0 ot aled Dumtd Pump D Not Installed Date Installed `MManaunfuafcatcutruerrer''ssnnaammee MMooddeell nmuammbbeerr LitdghPowo. 1_Copsy Te aml Length of drop Pipe ft. Capacity g.p Ill HHPPQO_ VVoollttss Type Material ee Abandoned Wells Does property have any not in use and not sealed well 2 Ove Ox (s)? D Yes D No Variance Wes vanes grated fom to or tt C1 Variance Was a variance granted from the MDH tor this well'1 D be O x Yes D No Cor CRa Well Contractor Certification lesewaice 20 Lavne Well Co. 27010 cone sins Name Lic Ox Xo. Name titer License Business Name Lie. Or Reg. No. Name ofDriller CA AL A020 Co. pel Hla es 20075 of T1208 015286 fi1e:///li;MPCA/!WorkingiA0081-100%20-%20PFC%20Fo...inneapolis/Well%20Log%20Report%20-%2000147455.htm (I of 2)71112008 10:21:32 AM 222222.114458 STSATATTEE0_202882222441155 Well Log Report- 00147455 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 114477445555 Printed 6/27/2008 HE-01205-07 Fl CA Wig O03. nel Ne pet 01 35m 2 37120 02132 5 fi1e:///li;MPCA/!WorkingiA0081-100%20-%20PFC%20Fo...inneapolis/Well%20Log%20Report%20-%2000147455.htm (2 of 2)71112008 10:21:32 AM 22222222.11445599 SSTTATAETE0_208228222441166 Well Log Report- 00147456 ~:::ty II II lMvifinnnnSeeessoottaa UUnniiqquuee WWel elNl eNo. 114477445566 County Quad Quam 1p RECORD ReconedDac ~-==================~- QuadiD HHeenrmneeppiinn MMiinrnmeeaappoolliiss NNoorrtthh 120D DDEEPPAARRMTTSMMIuNEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD EEntnrtryyDDataete. UUppddaattee DDaattee Received Date 0088/22441/1999911 m 09/11n /1991 MioSmescChspttr1e31 Minnesota Statutes Chapter 1031 Wa SOT WHT WN Deph Dep Comedie WeCoed Well Name MD.O.T. WELL B Well Depth Depth Completed Date Well Completed Towmaip Ran iSectionSubsections Ecvation in on wn oso: Township Range Dir Section Subsections Elevation 841 ft. 70ft. 70ft. 75mints 29 2244 wW 33 BBCCBBBBAADD ElEelveavtatiioonn MMeetthhoodd tot7o.pp5oogmgriranappuhhtieicc mmaapp | Fling U ~lllln!! lMVelettnhOod i (+/- 5 feet) 10/05/1982 Drilling Fluid -- Pom 110 1 WWelelll HHyyddrrooffrraaccttaurreedd?? ODJYveess 0D Nnoo From Ft. to Ft. _ [WWeollnAdedrdress SToReoEiToEgRicSa OStTeOrNiaE MMIINNNNEEAAPPOOLLIISSIMNN Geological Material STPETER SANDSTONE CCoolloorr HHaarrddnneessss Use Other (specify in remarks) CatngType Joint Norton Drives 0 Yoo 01 Casing Type Joint No Information Drive Shoe? DYes D ooo 0 1 No Above/Below 0 ft. "CosingDiameter Weg Tie lamer Casing Diameter Weight Hole Diameter Hw 71 wan 24 in. to 17 ft lbs./ft. PETE wn 16 in. to 35 ft lbs./ft. Open Hole from ft. to ft. ScSrcreeeenn YVIESS MMaakkee JJOOHNNSSOONN TTyyppee sstaainmleoss seteeell From Tmo wDDiiaammeetteerr 16 From To 0 70 SSllott/GGaauuzzee ST EA mn a LLeennggtthh SSeett BBeettwweeeenn 35 35 ft and 70 ft REMARKS om CASING 24 TO 17~ 16 TO 35. WEL SEAAFTLEROECD WELL SEALED AFTER PROJECT. Static Water Level 12 ft from Land surface Date Measured FONPING LEVEL (ios ni rf PUMPING LEVEL (below land surface) 0 ah oe purging" pm ft. after lns. pumping g.p.m. 10/05/1982 Walled Completion Well Head Completion Piesses mane Model Pitless adapter manufacturer Model Ocumemocim 0 12in some D Casing Protection D 12 in. above grade 0 ete viomens Wels ons ONLY) D At-grade (Environmental Wells and Borings ONLY) Covington Wc: 0 ver 0 Grouting Information Well Grouted? DYes D No LocatedMiso Located Minnesota Goi Geological Surveeyy [a Unique Numher Vesbeuton omsionfion, Verification Information from Mi owner Stem UTH- NSS 2015. System UTM- Nad83, Zonel5, M_eit\1eetrerss: LaFitnStBriatckSPSsv First Bedrock St.Pctcr Last Strat SL.Peter Meth Method Did se Digitized- scale 1240 1:24,000 xor Dae NIA Vlaorggee(r (Di igitig zing Tkaibale}) DateN/A x, ory, sonst X: 477372 Y: 4986461 qDeupetrBsudre Aquifer St.Peter Depth to Bedrock ft. NNeeaarreesstt KKnnaowwnn SSouro ceoofu fCCoonr ntatammicninaate tiioonn Son pescavero - feet - direction _type wesc spncompitonr 1 ve 0 xo Well disinfected upon completion? D Yes D No Pun 0 ot aled Dumtd Pump D Not Installed Date Installed `MManaunfuafcatcutruerrer''ssnnaammee MMooddeell nmuammbbeerr LitdghPowo. 1_Copsy Te aml Length of drop Pipe ft. Capacity g.p Ill HHPPQO_ VVoollttss Type Material ee Abandoned Wells Does property have any not in use and not sealed well 2 Ove Ox (s)? D Yes D No Variance Wes vanes grated fom to or tt C1 Variance Was a variance granted from the MDH tor this well'1 D be O x Yes D No Cor CRa Well Contractor Certification lesewaice 20 Lavne Well Co. 27010 cone sins Name Lic Ox Xo. Name titer License Business Name Lie. Or Reg. No. Name ofDriller CA AL A020 Co. pel Hla es 20ST of T1208 015286 fi1e:///li;MPCA/!WorkingiA0081-100%20-%20PFC%20Fo...inneapolis/Well%20Log%20Report%20-%2000147456.htm (I of 2)71112008 10:21:32 AM 22222..11460 STSATATTEE0_208228222441177 Well Log Report- 00147456 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 114477445566 Printed 6/27/2008 HE-01205-07 Fl CA Wig O03. nel Ne pet 35m 2 37120 02132 5 fi1e:///li;MPCA/!WorkingiA0081-100%20-%20PFC%20Fo...inneapolis/Well%20Log%20Report%20-%2000147456.htm (2 of 2)71112008 10:21:32 AM 22222222.11446611 SSTTATAETE0_208228222441188 Well Log Report- 00147457 ~:::ty II II lMvifinnnnSeessoeottaa UUnniiqquuee WWel elNl eNo. 114477445577 County Quad Quam 1p RECORD ReconedDac ~-==================~- QuadiD HHeenrmneeppiinn MMiinrnmeeaappoolliiss NNoorrtthh 120D DDEEPPAARRMTTSMMIuNEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD EEntnrtryyDDataete. UUppddaattee DDaattee Received Date 0088/22441/1999911 m 09/11n /1991 MioSmescChspttr1e31 Minnesota Statutes Chapter 1031 WANE SOT WHT WA Deph Dep Comedie WeCoed Well Name MD.O.T. WELL C Well Depth Depth Completed Date Well Completed Towmaip Ran iSectionSubsections Ecvation won oe on oso: Township Range Dir Section Subsections Elevation 836 ft. 70ft. 70ft. 25mints 29 2244 wW 33 BBBECCCCCCAA ElEelveavtatiioonnMMetehthoodd tot7o.pp5oogmgriranappuhhtieicc mmaapp | Fling U ~lllln!! lMVelettnhOod i (+/- 5 feet) 10/05/1982 Drilling Fluid -- Pom 110 1 WWelelll HHyyddrrooffrraaccttaurreedd?? ODJYveess 0D Nnoo From Ft. to Ft. _ [WWeollnAdedrdress oScToPiegaicOa STteOrNiaE MMIINNNNEEAAPPOOLLIISSIMNN Geological Material ST. PETER SANDSTONE CCoolloorr HHaarrddnneessss Use Other (specify in remarks) CatngType Joint Norton Drives 0 Yoo 01 Casing Type Joint No Information Drive Shoe? DYes D ooo 0 1 No Above/Below 0 ft. "CosingDiameter Weg Tile ameter Casing Diameter Weight Hole Diameter Hw 71 wan 24 in. to 17 ft lbs./ft. PETE wn 16 in. to 35 ft lbs./ft. Open Hole from ft. to ft. ScSrcreeeenn YVIESS MMaakkee JJOOHNNSSOONN TTyyppee sstaainmleoss seteeell Froom nTo wDDiiaammeetteerr 16 From To 0 70 SSlloott/GGaauuzzee ST EA mn a LLeennggtthh SSeett BBeettwweeeenn 35 35 ft and 70 ft REMARKS om CASING 24 TO 17~ 16 TO 35. WEL SEAAFTLEROECD WELL SEALED AFTER PROJECT. Static Water Level 12 ft from Land surface Date Measured FONPING LEVEL (ios ni rf PUMPING LEVEL (below land surface) 0 ah oe purging" pm ft. after lns. pumping g.p.m. 10/05/1982 Walled Completion Well Head Completion Piesses mane Model Pitless adapter manufacturer Model Ocumemocim 0 12in some D Casing Protection D 12 in. above grade 0 ete viomens Wels ons ONLY) D At-grade (Environmental Wells and Borings ONLY) Cote moms Wc: 0 ver 0 Grouting Information Well Grouted? DYes D No LocatedMiso Located Minnesota Goi Geological SSuervyey [a Unique Numher Verbeuion omsionfion, Verification Information from Mi owner Sot UTM Nol Z015. System UTM- Nad83, Zonel5, M_eit\1eetrerss: LFainStBriatckSPSsv First Bedrock St.Pctcr Last Strat SL.Peter Meth Method Did se Digitized- scale 1240 1:24,000 xor Dae NIA Vlaorggee(r (Di igitig zing Tkaibale}) DateN/A yy, anessy X: 477370 Y: 4986537 qDeupetrBsudre Aquifer St.Peter Depth to Bedrock ft. NNeeaarreesstt KKnnaowwnn SSouro ceoofu fCCoonr ntatammicninaate tiioonn Son pescavero - feet - direction _type wesc spncompitonr 1 ve 0 xo Well disinfected upon completion? D Yes D No Pun 0 ot aled Dumtd Pump D Not Installed Date Installed `MManaunfuafcatcutruerrer''ssnnaammee MMooddeell nmuammbbeerr LitdghPowo. 1_Copsy Te aml Length of drop Pipe ft. Capacity g.p Ill HHPPQO_ VVoollttss Type Material ee Abandoned Wells Does property have any not in use and not sealed well 2 Ove Ox (s)? D Yes D No Variance Wes vanes grated fom to or tt C1 Variance Was a variance granted from the MDH tor this well'1 D be O x Yes D No Cor CRa Well Contractor Certification lesewaice 20 Lavne Well Co. 27010 cone sins Name Lic Ox Xo. Name titer License Business Name Lie. Or Reg. No. Name ofDriller CA AL A020 Co. pel Hla es 20075 of 312080213 56 fi1e:///li;MPCA/!Working/A0081-100%20-%20PFC%20Fo...inneapolis/Well%20Log%20Report%20-%2000147457.htm (I of2)7/l/2008 10:21:31 AM 22222..11462 STSATATTEE0_202882222441199 Well Log Report- 00147457 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 114477445577 Printed 6/27/2008 HE-01205-07 CA AL A020 Co. pel Hla es20ST of 12080213 56 fi1e:///li;MPCA/!Working/A0081-100%20-%20PFC%20Fo...inneapolis/Well%20Log%20Report%20-%2000147457.htm (2 of2)7/l/2008 10:21:31 AM 22222222.11446633 STSTAATTEE0_208228222442200 Well Log Report - 00200205 MMiimnenseseoitna tUhniiquee WPeelll NNoo. II 200205 Quid Nionepoli Nort County County Quad HHeennneeppiinn Minneapolis North Quad ID 120D S WELL ANDRBORING HEALTH MINNESOTA Dl<:PARTMI<:NT HEALTH OF WELL AND BORING RECORD }lfinnesota Statutes Chapter 1031 Unda EEnntteryy DDaattee Update Date Received Date 911101 a08w/2244111999911 09/ll/1991 Well ~arne NORTHTOWN 2 Township Range Dir Section Subsections Elevation 229 224 wW 33 AAAADDCCCCAA EElelevvaattiioonn MMeetthhoodd [wWeell aAddadaressss Well Depth Depth Completed Date Well Completed 845 ft. t7to.o5ppoomggrirnaapuphtehiiccmmaapp (+/- 5 feet) 619ft. |.. bP~riiilnkigi iM\e1t~htho~dd ~~ 619ft. 05/00/1913 .... Drilling Fluid TeI me] -- prCsee mInadustrial Well Hydrofractured'! DYes D No From Ft. to Ft. eyCCaassiinngg TTyyppee JJooiinnttNNooInInffoorrmmataitoion.n DDrriivveesShhooee?? [DJYeess [DJNnoo Below 0 ft. `CCaassiinnggDDiaiammeteeterr' WWeiegighhtt HHoloeleDDiaiammeteeterr AAbbooneve/ = -- MINNEAPOLIS MN GGeoeollooggiiccaall mMataeterriiaa:l CINDERS FILL SAND SOAPSTONE AND LIMESTONE ST. PETER SANDSTONE SHALE ST. PETER SANDSTONE SANDSTONE AND SHALE LIMESTONE AND SANDSTONE SkERgesve SHALE AND SANDSTONE SANDSTONE SHALE AND SANDSTONE CCoolloorr HHaarrddnneessss BROWN HARD F=Crom To E From To 0 1 1 7 10 in. to 80 ft. 8 in. to 195 ft. Open Hole from ft. to ft. Screen Make Type lbs.lft. lbs.lft -- 7 8 Diameter Slot/Gauze Length Set Between 8 80 80 125 125 175 175 187 187 270 Static Water Level @ Sheena 270 525 10 ft. from Land surface Date Measured 05/00/1913 525 605 PUMPI~G LEVEL (below land surface) 605 619 ft. after hrs. pumping g. p.m. fab REMARKS CASING: 010 TO 0080;008 TO 0195. Well Head Completion Pitless adapter manufadurer Model DDO cCoassiinngg Prroostcesctiioonn D0 1122inin.. asbhoovveeggrraaddee. D3 AAtv-ggrraaddee ((EEnnvviirroonnmmenetnatlalWWelelllss aanaddBBoorriinnggss OONNLLYY)) GGrroouuttiinngg IInnffoorrmmaattiioonn WWeellll GGrroouvteed?? [DJYYeess 0DNNoo Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification NIA Date N!A System UTM- Nad83, Zone15, feMaetrerss X: 478750 Y: 4986516 First Bedrock Platteville Last Strat Cambrian,Undifferentiated Aquifer Multiple Depth to Bedrock 7 ft. County Well Index Online Report .'\earest Known Som-ce of Contamination - feet - direction _type WWeellll ddisiinfsectiedunuppteonneccoomcmplipelteetiioodnn"? [DJ Yveess D0 NNoo PPuummpp 0D NNoott Ilnnsstsalllleedd DDaattee IInnsstsallleedd LMLeanngeutfhaoconftfuddrrergoor'ppsPPnt iaigpmeeehft. C_M_aCopopadocceiilttyynumgb.pge.rmp- m HTTyPypQpee_ VMMaoatlettesrriiaall Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification License Business Name Lie. Or Reg. No. Name of Driller 200205 I Printed 6/27/2008 HE-0 1205-07 fll e:///I[/:\1PCA/! Working/A0081-1 00%20-%20PFC%20Foam;R. .. es!MinneapolisiWell%20Log%20Report%20-%2000200205 .htm7/112008 10:21 :31 AM 22222..11464 STATE_02822421 Well Log Report- 00200RR3 [2008J8o3o Jo,finnesolu Unique Well No. 200883 County Quad Quad ID bicnienens Hennepin Minneapolis North 120D MINNESOTA DEPARTMEl\T OF WELL AND BORIN0G HEALTH WELL AND BORING RECORD Minnewta Statutes Chapter 1031 Coe Entry Date Update Date Received Date iin 08/24/1991 09/11/1991 Well Name NORTHTO\VN LOCOMOTIVE SUP Township Range Dir Section Subsections Elevation 229 224 wW 33 AAAADDDDCCDD EHlleevvaattioonn MMeetthhoodd 860 ft. iot7po.o5pgomrgarinappuhhtieicc mmaapp (-i- 5 feet) Well Depth 978ft. | DDriYlliEng MMeetthhoodd -- Depth Completed 978ft. Date Well Completed 1110111946 Well Address MINNEAPOLIS MN io Geological Material Hrs reer SAND PLATTEVILLE LIMESTONE AND CLAY STPETER SANDSTONE STPETER SANDSTONE SHAKOPEE-ONEOTA LIMESTONE 2JORDAN SANDSTONE SANDY CLAY CLAY EySHALE AND FINE SAND VERY FINE SAND AND CLAY =CLAY AND SHALE &CLAY iCLAY 2Bo., SHALE SAND AND SHALE SANDSTONE AND SHALE SANDSTONE SAND AND SHALE SANDSTONE (FFiINeE SSAaNiDTSTuOeNE MT. SIMON SANDSTONE EHeSANDSTONE E. SANDSTONE COARSE SANDSTONE VERY FINE SANDSTONE Ex sSAaNDvYcCLLaAyY QUARTZ GRIT EiCLAY VERY STICKY CLAY REMARKS CASING 018 TO 0097;010 TO 0844. Color waliesI TT Hardness Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft Use Industrial From To 0 8 Casing Type Joint No Information Drive Shoe? DYes D No 8 22 Below 0 ft. Above/ ow EE WHITE GREEN omBan E2 Ho oepieom mw o on ] BLUE m0 EgE GRAY iiE:i GREEN 22 97 97 170 Casing Diameter Weight Hole Diameter 170 290 18 in. to 97 ft. lbs.lft. 290 370 10 in. to 844 ft. 370 521 lbs.lft. 521 535 Openiiole from ft. to ft. 535 600 600 616 Screen Make Type 616 638 Diameter 638 650 Slot/Gauze Length Set Between 650 657 657 666 666 694 694 758 WHITE 758 768 768 782 Static Water Level =OF EfE BROWN ees PINK PINK PINK EEE REREDD WHITE w BE RED 782 794 141 ft. from Land surface Date Measured 07/08/1948 T 794 S815[NPUPMIPNINGG LLEEVVEELL (b(ocetolwow llaanndd surfsuraf ce) 815 823 823 837 234 ft. after hrs. pumping 465 g.p.m. 837 844 844 848 Well Head Completion 848 850 Pitless adapter manufacturer Model 88500 99400| D[CaCsaisningg PPrrootteeccttiioonn 0 D 1 12 in2 . sabbooi nveeggr. raaddee 940 959 959 960 D At-grade (Environmental Wells and Borings ONLY) HARD 960 978 Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification N/A DateN/A System l!TM- Nadii3, 7one15, Meters X: 478842 Y: 4986485 FFiirsstt dro Bedrock Plaenle Platteville Last Strat Mid.Proterozoic Sedimentmy AAqquuiitfeerr Mali Multiple Depth to Redrock 8 ft. 'lcarcst Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HPQ_ Volts Type Material AAbbaannddoonneedd WWeellllss DDoocessprporopperetrtyy hhaavvee aannyynnoott iinnuusseeaannddancott sseeaalleedd wweellll(ss)?? CD1 Yes D No Variance Was a variance granted from the MDH for this well? D No LavoeWellCo 2010 Well Contractor Certification Layne Well Co. 27010 License Business Name Lie. Or Reg. No. Nmne of Driller Yes D flle://,1 /MPCAi! Working/A0081-l 00%20-%20PFC%20Fo.. .inneapolis/Well%20Log%20Report%20-%2000200883.htm (I of 2)7/1/2008 10:21:31 AM 222222.114465 STATE_02822422 Well Log Report- 00200RR3 County Well Index Online Report EI) 200883 Printed 6/27/2008 HE-01205-07 flle://,1 /MPCAi! Working/A0081-1 00%20-%20PFC%20Fo.. .inneapolis/Well%20Log%20Report%20-%2000200883.htm (2 of 2)7/1/2008 10:21:31 AM 222222.114466 STATE_02822423 Well Log Report- 00203576 wiesesora MINNESOTA 203576 | Go~:wu:l~atym lMvfiinmneessoottaaUUnniizqquuee WWeellll NNoo. County II 203576 II ~-==================~- QuadiD Maewistetn HHeeannneeppiinn Minneapolis North 120D TT Well Name W. BARNES Tones RensDir ecton Socom lr. Township Range Dir Section Subsections Elevation 85838 ft. DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING piaebae oii WELL AND BORING RECORD Rhett RECORD imc Se Cer Minnesota Statute.~ Chapter Tot1031 EEntnrt ryy DDaattee Update Date Received Date 0o8R/2244/11999911 09/11/1991 eke Po Coed De WeR ed Well Depth Depth Completed Date Well Completed is en 315ft. 315ft. pei 111S8 2211 Ww 1122 DDCCCCAADDBB EElelevvaattiioonnMMetethhoodd to7top.5poogmgrrianappuhhtieicc mmaapp | DDrriillliinngg MMeetthhoodd -(+/- 5 feet) Drilling Fluid -- Fon we Wweellll HHyyddrrauffrraaccttuurreedd?? 0DYveess 0DNnoo From Ft. to Ft. wa naross Well Address somaov 4558 LYNDALE AV N pret MINNEAPOLIS MN GGeeoollooggiiccaall MMataetreiriaall SoerseTOP SOIL CLAY he GRAVEL Sra ST. PETER SineSHALE Sree ST. PETER pSeaur DOLOMITE JORDAN wrCCoolloorr BLUE HHaarrddnneessss Use CaCsaisinnggTTyyppee JJooiinntt NNoo IInnffoormmaattiioonnDrDirivvee SShhooee?? D [JYveess ODJ en 0 No Above/Below 0 ft. ig Samer WaT Casing Diameter Weight Hole Diameter Copies fA 4 in. to ft. lbs/ft TET Open Hole from ft. to 315 ft. FFrroomm TToo [SSccrereenenNNOO MMaakkee TTyyppee U[a 5 foumeer siosonas Longin 0 9 Diameter 9 32 Slot/Gauze Length % 8 32 53 ia 53 82 FI82 88 FE88 146 a 5g ears 146 271 Static Water Level 271 315 ft. from Date Measured TURPCTEVER feta Grey PUMPING LEVEL (below land surface) Vn i pope 13 pm 0 ft. after l1rs. pumping 150 g.p.m. weHetcompen Well Head Completion ee tit Pitless adapter manufacturer Model Seton-- Set Between TERRES REMARKS PA85-6194. OD CCaassiinngg PPrrootteeccttiioonn D[J 11221min..aabboovveeggrraaddee. ring normaton Wotcrosesr 0 vo Ov 0D AAtt-ggrraadede(En(Evnivriornomnmeennttaall WWelelsaanlnddBBloorriisnnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No rLocnated Miss Gil Located Minnesota Geological Smvey Veritcation NIA UDoniidqiuee NNaudmhbeerr Verification N/A Mim System A1eters UUTTMM:- NNaadd8i3,. ZZ0on1e3l5., nMeethoi d DidTssys 24050 Method Digitized- scale 1:24,000 or larger (Digitizing Table) DDaatteeNNi/AA Xx:: s477r7a4i122. YYs: waza 4987222 Well gsiwioncsompietidon? ves 01 No oct _dirtion. ype N"NeeaarrcessttKKnnoowwnnSSoouurrccee ooff CCoonnttaamminiantaitoion.n - feet - direction _type Well disinfected upon completion? D Yes D No PPuummpp 0 NNoott IInnssttaalllleedd DDaattee IInnssttaalllleedd minnntDEMsING. + Nimes 100. ok Manufacturer's name DEMING Model number - mints Cy em on Moca Length ofdrop Pipe _ft. Capacity _g.p.m Type HPQ_ Volts Material me Ten Fe TT Abandoned Wells Does property have any not in use and not sealed well (os)r? 0D Yvees DO NNoo ho 0 V`Vaarriiaannccee WWaass aa vvaarriiaanncceeggraranntteedd ffrroommtthhee MMDDHHffoorr tthhiisswwelelll?? DCJ Yes D No BCA ol LOR ag 3S TRO file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Fo...inneapolis/Well%20Log%20Report%20-%2000203576.htm (1 of2)7/li2008 10:21:32 AM 222222.114467 stare_ozs22024 STATE_02822424 Well Log Report- 00203576 Fit Beto Surr First Bedrock StPeter Latta tan Last Strat Jordan tr wine Aquifer Multiple Deh Bd 55 1 Depth to Bedrock 53 ft CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt Co Ca Well Contractor Certification Renae 2286 Renner Max Well Co. 27246 cee ho Nae. 0 eg No Nama Dre License RLL~iness Name Lie. Or Reg. No. Name of Driller 220033557766 I Printed 6/27/2008 HE-01205-07 Aig TR OTE. WPRT p 0S OTR ESS fi1e:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Fo...inneapo1is/Well%20Log%20Report%20-%2000203576.htm (2 of2)7/li2008 10:21:32 AM 22222222..11446688 sStTaArTeE0_208282222442255 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMoonntetevviiddeeoo. MoPMnOotBnetovexividd5ee1oo7FiFriree DDeeppaarrttmmeenntt MPMoOonntBteeovvixidd5ee1oo7,, MMNN 5$66226655 RiRrooebbdbbeGpGiiill@kkmeeoyyntevideorn org firedept@montevideomn .org TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree ssttaattiioonn,, 110033 CCaannttoonn AAvveennuuee,, MMoonntteevviiddeeoo GAAlRRaCs-AAsFFFAFF:F:A:n33sMMulLLSiigghhhtot WWxaatteerr AATTCC 33%%--66%% Class A: Ansul Silv-ex "W"Whheennwwee hhaavvee aa loott ooff fooaarm"" S5ggaallolonnss. GGrroouunndd AAARRR-A-AAFFFFFFEEF (((3A3MnMsuLLliiggthhett3WW3a)a:tteer0:)g: a22lggoaanllsloonnss lass A: approximatel1y gallon AR-AFFF (Ansulite 3x3): 0 gallons Class A: approximately 1 gallon CChhiippppeewwaa RRiivveerr elessss tthhaann 11//44 mmiilee wweesstt LLeessss tthhaann 11/44 nnoorrtthh 21/126t0o11 mmiilee ssoouutthheeaasstt MMoorree tthhaann 11 mmiilee 1id7 22222222..11446699 SSTTAATTEE__0022882222442266 MMOONNTTEEVVIIDDEEOO CCWWII WWeellll MMaapp See CAGE eS oe ho] SESE dh Le Eeo AT h ot see Sige yi Re (3 cB fs SEE jErUge SIR ER NE SATE[R RS Y 1 5 S Sh ETa NA en Sine Lf FIT 1) ME 3 LE . pJTE edes 1 14)ie CE At ERE Ny Anpi ir LaTbRE Aa SiY be e[lleks gLlEi 2 I etl tel, A RAW LSLo gee iE eg Sse sha yo Bie. A Be me os an E TERE ae aetddN o Ne fen or ELT fer 2 NeImTpElGieuBe iEg Eee l I TN C E SERRE eee i LOUNGE PR ed bp Ted TE \ N\ Naa pe SRA ESE, I Wreo" mnov.e mPgIENmTL coW J ts Sah ElePe ACMSONST1EHa LIDEA G Ls 222222.114470 snare STATE_02822427 MoMnotnetevviiddeeooWWhahta't'ssIInn MMyyNNeeigihgbohrhbooodrMMhaapop od| | ETI"a i Eu q 2i id | i iLoy ae | | | of 3 i > af | i Af EE Yi erent mr | ; { fos ; | 7% fy / sermpl 4 Q wiA i SRE | ahbdi Th ie) | i | Shs EE el) i$ a SERRI Ei,SN T N\Sk a ili La Ne SL toms | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion [RE of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against OE ny ae om mm Sm bmi | MPCA that may arise from the use of this data. @WinnesotaPollution Control Agency SStIWes... ota Superior Dflll!tt-cl mzm SUIDfriUM Pimasoma Pvmlltt Stottt~Wmm mmamatueye m wewap IJn~m~ 1n1n~ llrnAP hmSu~rftmiil cmon cmcLm o Ffe'dt\eJrfanllSSuUppstrrifUuInKdI run,:=~ LcmdiU~ Vom V~l'umiWjt t.wtslkQII~ft &Cbmrw~t +roparanraces .._ R.CRA 1!m F'!K'"IIIikH RSRAMestiaCtooanns R:CRA hwul~kolll& Cltl!lrwJl' + su ecseom ""- 511W~mlll 2222.11447711 sStTaArTeE__o0z2s82222442288 ald Se Mgei I|g E, (HHiE 5 mp all || BBEiRgNhaFiEEilaiH beH iiH g |, 3 / i 7 0 EA 2S| b[BnE.D 0FeFAE N E25s E= = :LIE he asnsYass L Sga \ | / HE 2 Ely 2,2 Montevideo Wetland Map blr ae 2222222.11472 = ' / &/ & &| / Ary) rv wsrson "'...... "w"" 0 z Legend - ;;' Interstate Major Roads assion | I --~ .fCSS1/E;fu!'p'l_,. &; .'."'';.,!':+ '6fo"!b f f Other Road ;;' Interstate ,..v Stat~ highway ~ US hrghway tal X 2 /8 z Roads ;. .. , t_ 0, ..... I~ o Z aassaon Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams wson * II t Counties 1OOK o States 1DDK ~ South America o North America 5 gf paar &A ASH a7 to 2 A i: # SF oi] JEBo : [3 ; |i 95-45-0W 95-44-30W 95-44-0W 95-43-30W 5B2 H|i iE] Hd r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N .j:>. N \.0 3 $ 95-43-0W 95-42-30 w 3 Map center: 44 56' 42" N, 95 43' 39" W Scale: 1:26,986 Well Log Report- 00216817 Minnesota Unique Well No. 216817 County QQuuiadd Quad ID Chippewa MMooantteevviddeeoo 113B Well '-'amP MONTEVIDEO TW Township Range Dir Section Subsections Elevation 117 40 w 17 BCBDDD Elevation :Method Well Address IZnMONTEVIDEO MN 56265 Geological Material CLAY GRAVEL FINE SAND CLAY MEDIUM AND FINE SAND CLAY SOAPSTONE aCLAY owe GRANITE Color BLUE Hardness BLUE weBLUE BLUE MlN.\J<:SOTA DEPARTMENT OF HEALTH "WWEELLLL AANNDD BBOORRIINNGG RECORD 11finnesota Statutes Chapter 103I EUUpnpdtdraaytteeDDDaataettee RPcPivPd DatP ovis 04/07/1988 0 l/15/2002 978 ft. 7.5 minute topographic map (+1- 5 feet) Well Depth Depth Completed Date Well Completed 162 ft. lli2 ft. 00/00/1943 a FIE Drilling Method -- Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. LSI' Test well Casing Type Joint No Information Drive Shoe? DYes D No AbovPIBPlow ft. Casing Diameter Weight Hole Diameter iIEE Open Hole from ft. to ft. From To Screen Make Type 0 38 38 50 Diameter Slot/Gauze Length Set Between 50 59 59 89 89 108 108 134 134 136 Static Water Level Bore. 136 162 ft. from Date Measured 162 162 PUMPING LEVEL (bPlow land surfacE') eee1 ft. after hrs. pumping g.p.m. ro trainee NO REMARKS Well HPad Comp!Ption Pitless adapter manufacturer Model DDO cCoassiinngg PPrrootteeccttiioonn D[1 112210in.. asbhoovveeggrraaddee Grating ourmaton ell Groset? 0) Ver C1 No DD0 AAvt-ggrraadede(En(Evnivriornomnmeennttaall WWeellllsaanndd BBorriingns OgNsLYONLY)) Grouting Information Well Grouted? DYes 0No LLooccaattPedd MMiinnnneessoottaaGGeleoolgoigciaclalSSuruvrveeyy MMeetthhoodd DDiiggiitzizeedd-- ssccaallee1:21244..000000oorr larger (Digitizing Table) Unique Number Verification Information from owner DatP N/A vSysntem US2T4M. - NNadd83. Z5on,el5. MAertesrs X5: 225865588413. Y:ii499850220437 Court Wolo ono For First BPdrock Cretaceous Regolith Last Strat Montevideo Gneiss Aquifer Depth to Bedrock 134 ft. County Well Index Online Report .'\earest Known Source of Contamination _feet - direction _type Well disinfected upon completion" D Yes D No PPuummpp CD1 NNoott Ilnasstatlleedd DDeatte IInnssttaalllleedd Manufachuer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D0 Yvees DO Nxoo VariancE' Was a variance granted from the MDH for this well? D No Yes D Well Contractor Certification Minnesota GeologiLOal Surve)! L i 267 cense Business 216817 N a m e I MGS Lie. Or Reg. No. Name of Driller Printed 6/27/2008 HE-01205-07 flle:///Ij!\1PCAI!Working/A0081-l 00%20-%20PFC%20Foarn.IR.. .ies/Montevideo/Weli%20Log%20Report%20-%2000216817.htm7/1/2008 10:23:28 AM 2222222.11447733 STATE_02822430 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMyytrltlee MMMyyytrttclee,FFMiirrNee DD5ee6pp0aar7rt0tmmeenntt Myrtle, MN 56070 NNoott pprroovviiddeedd TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: MMyytrttlee bbaallll ofiellda NNoott ssppeecicfifiieedd,, uussee ooff 33MM AAFFFFF aassssuummeedd Amal Annually LLoessss tthhaann 5 ggaalllloonnss GGrroouunndd NNoott ssppeecciifieedd IIntteemrimtittteenntt ssttrreeaamm llooccaatteedd 117/221to0 33//44 mmiillee wweesstt MMoorree tthhaann 11 mmiilel TTrraaiinniinngg ssiittee aappppeeaarrss ttoobbee llooccaatteedd iinn aann aaccitivvee Kkaarrsstt aarreeaa 117/22 t0o337/44 mmiilte eeaasstt MMoorree thhaann 11 mmiilee 177 22222222.11447744 SSTTAATTEE__0022882222443311 MMYYRRTTLLEE CCWWII WWeellll MMaapp 1 | i i i -_-. on IN > | A, ~LFi~ 3taf tl if oh iid edi FU ? L LS o~ y TX 2. Y Sea A ot " <a EN i SY fl mbm Ll ee 17 spn SE ? SENEETSITEi i 4 ! | | 3 | No dg S o E| E 1 LT =]demi1 N Fhe 7 o 7fs ---- i| / pis io Sy oo | of1a hd TV ~~T.o j - 1! tt! A son nefy oF -| IB | 2 SpirSeiaangaen campercommon _{{138 (| Oto 222222.114475 [p-- STATE_02822432 [MyrMtylrtele WWhhaat't'ssIInn MMyy NNeeiigghhbboorrhhoooodd MMaapp i || i || ii |1|| a | |k Dp | || m wall | {| ko Ed Gil SITE | 2 i||| . ,. | |||| || ||| ii! mh 5 - .j ns fi " || |A 1 temm------ I Sites. SIW.. | [or m-- zm Dflll!tt-cl SUIDfriUM | Pumas Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion [EERE | | et of the information should be considered to be, or used as, a legal document. The information is provided Pvmlltt Stottt~Wmm IJn~m~ 1n1n~ || subject to the express condition that the user knowingly MPCA that may arise from the use of this data. waives any and all claims for damages against | ||[@iYmne--sota potutoncontrol AgeAgnenccy || | llrnAP ssauporuna hmSu~rftmiil o corcum cmcLm oFef'dte\Jrfanll SSuUppetrrifUunIKdI. run,:=~ LcmdiU~ ore obeymtatication V~l'umiWjt t.wtslkQII~ft &Cbmrw~t roRaTE rane .._ R.CRA 1!m F'!K'"IIIikH RoRAmssmions.Coan R:CRA hwul~kolll& Cltl!lrwJl' "A"-S5w11AWe~ ormel emlIlm 222222.114476 sStTaAreTE0_208282222443333 222222.114477 h3 ers Myrtle Wetland Map 93-10-0W 93-9-30W z , z z .9.. M ~ a M;trtle z Dir;titaf 0 ...'f M M,ry z 0 <')' ...M M,ry x 2 ie i3 |fs hil |i]ii 93-10-30W 93-10-0W 93-9-30W i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N w.j:>. .j:>. 2 2 |g i5 n i ii 32 1E i5y3 3 i = ix 3 :2 iof 1 93-9-0W 93-8-30W .w... .w... l.. 0 z |pmemEoemulone d man toan :3J PUBF . (5, .w... w Legend .... ,(, ;;' Interstate 0 z Major Roads HERR Other Road ;;' Interstate ,..v State highway .... ~US highway '.w.f.. Roads 6 Cities z r USGS Quad Index 24K Lower 48 Wetland Polygons ii i 3 Hid isi Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland ~ Freshwater Emergent Wetl1:md w 111 FrAshwater Forested/Shrub Wetland w Freshwater Pond l.. 0z LOatkheor Riverine Lower 48 Available Wetland Data Non-Digital ....w Digital No Data 8,(, Scan mn 0 z NHD Streams Counties 1OOK States 100K o South America .w... o North America w w 6 z 3 id 93-9-0W 93-8-30W Map center: 43 33' 49" N, 93 9' 29" W $ 3 le 3 Scale: 1:24,908 4 ar mee id gr |sm 3 Well Log Report- 00166667 1\Iinnesnta Unique Well Nn. ee EI 166667 County Quad QuadiD Freebom Myrtle 9C Tr-- Well Name SVENSON, ALVIN Township Range Dir Section Subsections Elevation me ween 101 20 w 1 DDDADC Elevation Method MINNESOTA DEPARTMENT OF HEALTH TIa Thaoe Sm WELL AND BORING RECORD Minne.mta Statutes Chapter 1031 a 1265 ft. Se |e cre = 7.5 minute topographic map(+/- 5 feet) Well Depth 142 ft. Depth Completed 142ft. . Rotary Entry Date Update DatP Received Date 04/08/1988 07/27/2000 Date Well Completed 09/1S!I979 Dtilling Fluid -- IWell Hydrofractured? DYes D No From Ft. to Ft. Usc Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes D No Above/Below 2 ft. Casing Diameter Weight Hole Diameter 5 in. to 132 ft 15 lbs /ft GGeoeloologgiiccaall MMataeterriiaall yuTOPSOIL CLAY CLAY &SAND CLAY LlrviESTOI~E SHALE LlrviESTOI~E CCoolloorr ESBLACK YELLOW BLUE HHaarrddnnesess.s roren NO REMARKS 1FFrroomm 0 i2 18 30 50 125 135 135 2 rm Open Hole from 132 ft. to 142 ft. TToo [ScrSeeNn NCO MSkakee TTyepee 2 Diameter Slot/Gauze Length == 18 30 50 125 135 Static Water Level 135 39 ft. from Land surface Date Measured 09/18/1979 142 PI:MPING LEVEL (below land surface) 46 ft. after 2 hrs. pumping 100 g.p.lll. Well Head Completion YET Pitless adapter manufacturer Model Bee Dkr D Casing Protection D 12 in. above grade 0D0 AAvt-ggrraatdee (EEnnvirownmientsalWWoelellnlss aaennddBcBooiorninggstsOOaNNLLlYY)) eto format Wet Gact? Ove 0 Grouting Information Well Grouted? DYes 0 No sn Set Between A FE , Located Minnesota Geological Survey Method Digitized- <cale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information DateN/A from neighbor TE Nearest Known Source of Contamination ZQ_feet !:i_direction SeQtic tank/drain field type System UTM- Nad/?3, Zrme /5, Meters X: 486289 Y: 4824574 Well disinfected upon completion? 0 Yes D No Pmnp D Not Installed Date Installed Manufacturer1s name Model number - Soeripry0e Contpi Tov Mae Length of drop Pipe _fl. Capacity _g.p.m HPQ_ Volts Type Material Abandoned Wells Does prope1ty have any not in use and not sealed well(s)? D rEYes D No First Bedrock Cedar Valley Group Last Strat Cedar Valley Group Aquifer Cedar Valley Group Depth to Bedmck 125 ft County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Morrison Well Co. 24001 MORRIS0"\1 l2... License Business Name Lie. Or Reg. No. Name of Driller 166667 I Yes D No Pnnted 6/28/2008 HE-01205-07 file :1//fi/MPCA/1 Working/A0081-l 00%20-%20PFC%20FoamIR .mm ariesf\Ayrtle/Well%20Log%20Report%20-%2000166667.htm71112008 I 0:25: 12 A_\1 22222.1144778 STATE_02822435 Well Log Report- 00166671 Cee 1M\Iinonesnmta UDeniiqeueBWt0ells0Nn. (L 166671 14,CCoouunnttyy QQuuaadd QuadiD Frreeecbtoom MMyykrtele 9C a MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH W`WEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minne.mta Statutes Chapter 1031 Enrtryy DDaattee UUppddaattee DDaattPe Received Date 0044/00881/1998888 2077/2270/200000 Well Name BELSHAN, CALVIN WT BAD Heston Med Township Range Dir Section Subsections Elevation 101 19 w 17 BBBBAD Elevation Method Well Depth Depth Completed Sy 1251 ft. 7. 5 minute topographic map(+/- 5 feet) 140 ft. 140ft. . Rotary Dtilling Fluid -- IWell Hydrofractured? From Ft. to Ft. Date Well Completed 10/02!1979 DYes D No Usc Domestic `mm Well Address RR1 GLEIWILLE MN 56036 CasingDametr Ve Foe Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes D No Above/Below 2 ft. Casing Diameter Weight Hole Diameter 5 in. to 100 ft 15 lbs /ft =tnt Geological car TOPSOIL CLAY CLAY NESTON SHALE LllviESTOI~E SHALE LllviESTOI~E S- SHALE ese LllviESTOI~E SHALE Sesioe LIMESTOI~E er Material oEr Color YeLow BLACK YELLOW BLUE LIGHT GREEN GRAY gEGREEN &rGRAY GREEN &GRAY wines Hardness fom To From To Open Hole from 100 ft. to 140 ft. 0 2 Screen NO Make Type 2Cis EOe Te 2 15 15 80 Diameter Slot/Gauze 8905 95 125 125 127 127 135 iE 135 136 won 136 137 137 138 noe 138 140 form Static Water Level 40 ft. from Land surface Date Measured PI:MPING LEVEL (below land surface) 48 ft. after 2 hrs. pumping 75 g.p.m. aLength 10/02/1979 Set Between NO REMARKS Pi btmonde Well Head Completion Pitless adapter manufacturer Mol Model D Casing Protection D 12 in. above grade D00 Agtr-garatdee (nEnvvironi meno talWWenlelllsssaannddo BBroirtninggssa OONNLl LYY)) Grouting Information Well Grouted? DYes 0 No [oode Mimobot Dt le 2400 cbr Located Minnesota Geological Survey Method Digitized- <cale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information DateN/A from neighbor System UTM- Nad/?3, Zrme /5, Meters X: 488068 V: 4822748 ETE Nearest Known Source of Contamination !.QQ_feet .:Jj_direction SeQtic tank/drain field type Well disinfected upon completion? 0 Yes D No Pmnp D Not Installed Date Installed SomgoiPioyn0g Manufacturer1s name Length of drop Pipe _fl. Copy pp Model number - Capacity _g.p.m Te HPQ_ Type Maw Volts Material AlAmbuanddoonndehdWWeelllss DDooesspprrooppee1ttyy hhaavvee aannyy nnott iinn uussee aanndd nnott sseeaableedd wweellll(ss)?? D1 Yes D No First Bedrock Cedar Valley Group Last Strat Cedar Valley Group ins Aquifer Cedar Valley Group Depth to Bedmck 80 ft County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Morrison Well Co. 24001 MORRIS0"\1 l2... License Business Narne Lie. Or Reg. No. Name of Driller 166671 I Yes D No Pnnted 6/28/2008 HE-01205-07 fi1e:i//fi/MPCA/1Working/A0081-100%20-%20PFC%20FoamiR .mmariesf\Ayrt1e/Well%20Log%20Report%20-%2000166671.htm71112008 10:25:13 A_\1 222222.114479 STATE_02822436 Well Log Report- OU2264l9 Minnesota Unique Well No. 226419 oim Ae 226419 County Quad QuadiD Freeborn Myrtle 9C ETI WeD :'\lame PRAUTUER, MILO Toma rs Drcon Sct hv To"nship Range Dir Section Subsections Elevation WW 6 Cre eee 101 19 w 6 CCCCAD Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD Uicbue 7300 WELL AND BORING RECORD [Lr Merete Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/08/1988 07127/2000 15 aarno a an oa 1265 ft. 2S | 7.5 minute topographic map (+/- 5 feet) Well Depth 160ft. -- Depth Completed 160ft. Date Well Completed 09/0111960 Drilling Fluid =-- I ree -- -- 1 Use Domestic Well Hydrofractured? DYes D No from ft. to Pt. CnrTo Se kr cre Jo mtn, Bvt 1 Yo Casing Type Steel (black or low carbon) Joint No Information Drivl' ShoP? OC mim on D No Aboveffielow 0 ft. DYes Casing Diameter Weight Hole Diameter [ocsbmeamrs Geological Material TOP SOIL SAND FoBROWN ROCK EE SAND YELLOW ROCK SOFT LIMESTONE 4 in. to ft lbs/ft GowColor womBROWN dots Hardness Fon To EgS uE n TSeiden From 0 3 hI 110 Open Hole from ft. to ft. Screen NO Make Type To Diameter 3 110 112 Slot/Gauze Length Sesame Set Between ER112 YELLOW SOFT 124 150 rE. 124 150 Static Watet Level 160 ft. from Date Measured PUMPING LEVEL (below land surface) 40 ft. after hrs. pumping g.p.m. [PyNO REMARKS Well Head Completion Ponsbwirmanions Nod Pitless adapter manufacturer 'vlodel Dammann 0 12msmncont D Casing Protection D 12 in. above grade 1 see oan Wek mits 00) D At-grade (Environmental Wells and Borings ONLY) rvtng toma, WG 0 va 0 Grouting Information Well Groutcd0 DYes D No LM o onit suny Located Minnesota Geological Survey 300d Dinter Method Digitized- scale 1:24,000 or larger (Digitizing Table) Sm Nat aro ts Unique 1\"umber Verification Information from neighbor System UTM- Nud83. Zrmel5, Meters DateN/A X: 486465 Y: te 4824474 NPart'st Known Sourcl' of Contamination erste vo _feet - direction _type Well disinfected upon completion? D Yes 8 vo D No Pump D Not Installed Date Installed I\1anufacturer's name Model number - Longhorn ope Na Length of drop Pipe n. Capacity g.p.m HPQ_ Volts Type Material needWl Drs ey ve mei esr 5 vo Abandoned Wells Does property have any not in use and not sealed well(s)0 D Yes oo D No Variance Was a variance granted from the 1\!DH for this well? D Yes D No i de Coit te Code ity Gr Nom. 01 MONSNWILL First B<>drock Cedar Valley Group mse teva Gg. rp tr 1 memset Noes Last Stmt Cedar Valley Group Aquifer Cedar Valley Group Depth to Redrock 124 ft. [w Comm m en |I]| County Well Index Online Report Well Contractor Certification Morrison Well Co. 24001 MORRISON WELL Lilit:nst: Busint:ss ~amt: Lie. Or Reg. No. Name ofDrilkr 226419 Printed 6/28/2008 HE-0 1205-07 file:/IIII!MPCA/!Work:ing/A0081-100%20-%20PFC%20Foam/R ..mmaries/Myrtle!Well%20Log%20Report%20-%2000226419.htm7/1/2008 10:25:13 AM 22222222.11448800 SSTTAATETE0_208282222443377 Well Log Report- 00714596 Minnesota Unique Well No. 714596 County Quad Quad ID Freeborn Myrtle 9C MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 11Jinnesota Statutes Chapter 1031 Entry Date l:pdate Date Received Date 02/04/2005 11126/2007 OR/27/2004 Welll'\ame CREWS, ROGER Township Range Dh Section Subsections Elevation 101 19 w 8 CBBABC Elevation Method 1255 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 115 ft. Drilling Method Depth Completed 115 ft. R.otary Date Well Completed 08/23/2004 Drilling F1uid Bentonite IWe-ll Hydrofracturc-d? From Ft. to Ft. DYes IZ] No rm l:se Domestic CCaassiinngg TTyyppee SSitcee!l ((blabckoolr llooawwccacarrbokomn)) .JJooiinntt TThhrreeaaddeedd DDrriivveeSShhooee?? Yreos ODINNoo AAbbuonveer/Bbeelloown ft. Casing Diameter Weight Hole Diameter 1 IZ1 w=Seeon W3856e00l89l 33AW1d4Sd5TTreHHsSSsTT GLENVILLE MN Geological Material SOIL CLAY SAND CLAY SAND reve SHALE LIMESTONE 5 in. to 94 ft. 15 lbs./ft. 8 in. to 94 ft. = oIm NIN Jv. oa Color Hardness To Open Hole Screen NO from 94 ft. to 115 ft. Make Type From To Diameter Slot/Gauze 5SiEn. sto 115 ft. Length Set Between BLACK SOFT 0 2 YELLOW SOFT 2 12 LT. GRY SOFT 12 90 EE EE meetan | DK. GRN BROWN SOFT MED-HRD 90 94 94 115 Static Water T.eveI 37 ft. from Land surface Date Measured 08/23/2004 PUMPIJ'\G LEVEL (below land surface) 37 ft. after 2 hrs. pumping 20 g.p.m ro errors NO REMARKS Located Minnesota Department of Health Unique- Numbc>r Vc>rification N/A System UTM- Nad83, Zonel5. Meters Method GPS SA Off(averaged) Date- N!A X: 488059 Y: 4823538 County Wet nde oie eps First Bedrock Last Strat Aquifer Cedar Valley Group Depth to Bedrock 90 ft. County Well Index Online Report We-ll Head Completion Pitless adapter manufacturer MONITOR Model DULLDOG GSoing lRero Wert? Yer Oe DD0 CCaassiinnggPPrrootteesctiioonn IZ] 11221i.n.aabboovveeggraraddee. D03 AAvt-ggrraaddee ((EEnnvviirroonnmmeennttaallWWelelllss aannddBBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? IZ] Yes D No Grout Material: Cuttings from 50 to 94 ft. Grout Material: High solids bentonite from to 50 ft. 2.5 bags :\earest Known Source of Contamination 22._feet L direction Sq;~tic tank/drain field type WWeellll ddisiinfsectiedunuppfoonneccoomcmplpteletetiioodnn?? D[J Yveeos ODJ NNoo PPuummpp 0D NNoott Ilnasstuallloedd DDoatee IInnsvtaallliedd 0088/22332/2000044 Manufacturer's name AERMOTOR Model number 12T 75 _ HP0.75 Volts 230 Length of drop Pipe 60 ft. Capacity 12 g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees IZ1 NNoo Variance Was a variance granted trom the MDH for this well? D No Yes IZ1 Well Contractor Certification Martin Well Co. 714596 Tjcense Business Name 714596 22109 MARTIN G. Tjc. Or Reg. No. Name of Driller I Printed 6/28/2008 HE-0 1205-07 flle:///IIIMPCA/! Working/A0081-100%20-%20PFC%20Foam/R...mmaries!l\Iyrtle/Well%20Log%20Report%20-%2000714596.htm7/112008 10:25:10 AM 222222..148811 STATE_02822438 SSiitteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiitee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY NNoeww RRiicchhllaanndd NNPNPeeOOewwwBBRRRooixiixccahh08il77naaanndd, FeFire WN DDeeppaarrttmmeenntt 56072 New Richland, MN 56072 5B5SB00rtri77aoa.-nbn44o66SSd55vva.-ood33bb@77ooH00dd0i0aac((khooomymieeecpphhhoonnneee))(home emai) Svoboda4@Hickorytech.net (home e-mail) TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn rtraaiinniinngg:: Foam taining requency: Foam training frequency: FFooaamm uussee ppeerrttraaiinniinngg eevveenntt: SSppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrftaaccee wwaatteerr:: NNeeaarreesstt wweettilaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr welwell: NNeeaarreesstt WWeellllhneeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: GGGorrsaaessssstyylcloorotonosns seeaaessttt ssii1dd5ee1 oSoffefeiree hhNaalE,l, 220030 BBrrooaaddwwaayy AAvveennuuee NN..,, closest cross street 1st Street. NE OOtthheer:r: CChheemmqguuaarrdd,, produ product petype nonot ssppeeccififiieedd,, trraaiinniinngg nnoott Fost specified Class A: ans Ansul sive Silv-ex [ree--" Bi-Annually 5Sggaatlloonnss Garroouunnd OOGlttahhseesrr:Annootttesssppseetccaiifineeds8 gators Class A: less than 5 gallons Intent Intermittent ssttrreeaamm lleessss tthhaann 181/8 iemile ssoouuthh ito 1/4 to 11/3 mmiilee eeaasstt TTrraainniinngg sesite is llooccaatteedd iinn aa ranston transition oorr ccoovveerreedd artkarst aarreeaa LLeessss tthhaann 181/8 memile nnoorrtthh MMoorree thhaann 11 memile 113 22222222.11448822 SSTTAATTEE0_202882222443399 Ca NNEEWW RRIICCHHLLAANNDD CCWWII WWeellll MMaapp Fn CSLNP gt VRfT pm ei abi CL oo ~ . B i RN otJpoehl fi uy 4 fe . -, ~ 0 V [2 oTh d$ enh ifn ! NPoE l wi -L aXba a 9 =] so Te p Ea Eii New[Richland| "1 A WAlTJEeonseeLady d le |qinel a J Renin PEE BYE Cog | TEE Ee ST H REE EE AANo Ta yf OTR OTTO) * fv) t inl t A Hi \ a Sitm J 2h wiudsFlA e Ll eyhool LLL oul UITE ENEES eek J ELDo Tmt oT Pod CET (es AW 0 Tit [J Mimfna dt. r. CeO0 | PC A -- 222222.114483 stare oas22040 STATE_02822440 |" NNeeww RRiicchhllaanndd WWhhaatt's'IIsnn MMyy NNeeiigghhbboorrhhoooodd MMaapp _ i| 4: | | i | lit | | Ed 1 i | Lime | ne | (SITE | wal tH || {! || ; | | Fre | | || 4 |i I|| Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion [Hert s e| of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages against ||| SRSSSE MPCA that may arise from the use of this data. ||@minnesota Potuton Gente ageney || || SSiitteess. Botta fuporuna D~n.Mc:l matt~ &u~~rkl M =Pomiara soar hm~ St"IKIW.W tennaerge IJn~ml!bd Dun1J15 ma NFRAP mtawy ~R~u,g..orritlluwnd Cc:~rRCeL!wfis. o Pfe't\dJea:nll SSuuppstrrfiUunnd !iune: Cboocl L.cmcHUI5! pti Vo!Unllr~ lrW'I191'11:11'i Ey & Cb!lrwJ!o xRoRaATRFaces ..t. ltCRA UD f'lt:ill:l~ "RRA Iestgaton Chap ~M Jrw-ut-kor-111 & ClfiiiW~ 4 sum foossonmez ""- aum ~nw111 222222.114484 sSTatAeT_Eo_z0s28a2z2e4a411 3 dMerJt wr e |gZ o. FHH i ddDio pEcl og | | ila HHS lg asin sun san san nan sson (r 31 =HE z3 : zg rte New Richland Wetland Map ;; 93-30-30 w l l10 ,!, "" 5 93-30-0W 93-29-30W i2 93-29-0W 93-28-30W .w... .&.... .J,.. 0 z 222222.114485 z .w... ~ ~ 0 z ixL # 3| iEI Lill r. .w... ~l""""""""""""""""""""""""""~~""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""'""""""""""""""""""""""""""""''""""""""""""""'"""""""""""""""""""""""""""""""l"""""""""""""""""""""""""""""""""""""""""""""''""""""""""""""""""""""""'""""""""""&"". z z .... 'I' "w ' .J,.. 0 z | - .w... &w . ~ 0 z i z 'i' ~ M w "' 10 ,!, 6 "" z Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r , USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America e LH5 PEMA : 1i fi |B s7 w 93-30-30 93-30-0W 93-29-30W 93-29-0W 93-28-30W i2 [ll] 2 $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only, Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable, THIS MAP IS NOT TO BE USED FOR NAVIGATION, I 0 Map center: 43 53' 45" N, 93 29' 20" W :& H Scale: 1:24,828 N 00 N N .j:>. .j:>. N :33 Well Log Report- 00213135 A f i n 213135 nesota Unique W 213135 e l l N o . QGuaim N5o0wcas County Quad QuadiD Waseca New Richland 32B Tomi re DrSto cts Hn Well Name DUNWOODY+ CORSON MILL Township Range Dir Section Subsections Elevation W053 105 22 w W 17 17 DCADAD lesan Method DCADBD Elevation Method WELLmeAwNnD BSOtRsICNhGoRpsE1C41ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne.wJta Statutes Chapter 1031 UWneciwdee Entry Date Update Date Received Date olism 04/17/1988 01/19/1992 1540 py on 1184 ft. 7.5 minute pepo | DBE thd GcabeiefTaoaki topographic map (+!- 5 = He feet) Well Depth 110ft. i:irilling; iVieiilo"t~ Dtilling Fluid S I l -- Depth Completed 110ft. Date Well Completed .... Well Hydrofractured? DYes D No From Ft. to Ft. Use Commercial wtaos [-- Well Address NEW RICHLAND MN cogent ar Geological Material SOIL Sumismosrons TILL WITH SAND STREAKS TILL hoSAND SANDSTONE oO xo svmottton 0. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter CorColor euon YELLOW oeBLUE YELLOW anes Hardness HARD Open Hole from ft. to ft Screen Make From 10| omar From To Diameter 0 2 FY 2 32 32 98 FY 98 100 socaze Type Slot/Gauze 100 110 Static Water Level ft. from Date Measured PUMPING LEVEL (below land smface) ft. after hrs. pumping g.pm Legh Length seseen Set Between TERE REMARKS ABANDONED foteitiarnsSE Well Head Completion Pitless adapter manuhtcturer Model DDlcuCsaisningg Phruostescetiionn D1 11221i0n..sahboonveeggrraatdee rote torr Vet roast 0 Yor OI DD0 AAvrta-g(rEadnev(iErnvoirmoenmntenatlal WWeellllssaanndd BBoorisnigsnOgNsLYONL)Y) Grouting Infonnation Well Grouted" DYes D No Located al Minnesota Geological Survey Lnique Number Verification Information from owner System UTA- Nad83, Zone15, Meters Method Digiti~ed- scale 1:24,000 or larger (Digitizing Table) Date NIA X: 460467 Y: 4860226 re" First Bedrock Galena Last Strat Galena or Aquifet Depth to Bedrock 100 ft. County Well Index Online Report Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Lorioreg Pen Cups sper Noe Noi Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material miedopops i et itn Abandoned Wells Does property have any not in use and not sealed well(s)? D he Ov Yes D No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Hans I Minnesota Geological Survey License Business Name 213135 MGS Lie. Or Reg. "lo. Name of Driller Yes D "To Printed 6/28/2!J08 HE-01205-07 file:i/III!MPCA/1Working/A0081-100%20-%20PFC%20Foam/... ew%20R!chlandJWeli%20Log%20Report%20-%2000213135.htrn711/2008 10:27:06 AM 2222..11448866 STSTAATTEE0_208282222444433 Well Log Report- CJCJ4)9609 ------ Jo.,finnesota Unique Well No. 1~==44=55=996=6009=9==~11 a C~:ocmy WN.oee e ~ . Quad ID Waseca New Richland 32B Sa TRISTE Well Name HERBST. GLEN Tommi Rens he ect SbciFeorsinon Township Range Dir Section Subsections Elevation WS 3 OW 17 ACKOD Mente tnd 105 22 w 17 ACBCDB Elevation Method MINNESOTAAoDEPARTMENT OF funbu oimm MINNESOTA DEPARTMENT OF HEALTH WELL ANDRORING RECORD Lpbeine 327072 WELL AND BORING RECORD ion Stu her 11 ee Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 01/28/1992 03/27/1992 w-on Npyg Coonm Drna Coompe 1176 ft. 7.5 minute gi | DOR Nd Nee Fy topographic map I (+1- 5 feet) Well Depth 152ft. Drilling Method Depth Completed 152ft. Rotarv Date Well Completed 05/01/1990 Drilling Fluid al I Bentonite Well Hydrofracturcd? DYes D No From Ft. to Ft. Cse Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 WalAgaess Well Address aRR2 NEW RICHLAND MN 56072 [ eu --r Geological Material =SOIL hyCLAY Shor cuveyor SANDY+ GRAVELY CLAY CLAY Shoreur SANDY CLAY Girone LIMESTONE aie LIMESTONE Color tamness ram To Color woe sor 0 2 BLACK Seow sor [I YELLOW Rion sor Poh YELLOW BLUE BE amo om BLUE lon wwe mn YELLOW LC GRAY Hardness SOFT SOFT SOFT SOFT SOFT M.HARD M.HARD From To 0 2 2 6 6 14 14 90 90 111 111 121 121 152 Yes D No Above/Below 0 ft. Gong Damar Casing Diameter Taw mn 4 in. to 111ft. Wen Weight WAlbs.lft. ioe Bameter Hole Diameter Tae mt 7 in. to 111 ft. sno mn 4 in. to 152 ft. Open Hole from 111 ft. to 152 ft. [STO Ve Tw Screen NO Make Type Joumewr Sotowze Diameter Slot/Gauze Leng Length Sete Set Between fem Static Water Level 37 ft. from Land surface Date Measured 05/01/1990 PUMPING LEVEL (below land surface) 40 ft. after hrs. pumping 15 g. p.m. Welles Compion Well Head Completion hensoe mami: Mod Pitless adapter manufacturer Model Doig Fcin 0 2m sonc pe D Casing Protection D 12 in. above grade 0 re Como Wel dings ONLY) D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Grouting Information Well Grouted? 0 Yes D No Located Minnesota Geological Survey Crue Somber CPRe IA Unique Number eration oeeirnm.s Doe 63 Verification Other, note in remarks pm UMN ZolS x, ar vs wos System UTM-Nad83, Z<mel5, Meiers Method Digitization (Screen)- Map (1:24,000) Date OG/26/2004 X: 460181 Y: 4860986 deck Cs tr Gin First Redrock Galena Losi Gorn Dept rc 11 Last Strat Galena Aquifer Galena Depth to Bedrock 111 ft. CoWeul InndetxOnlyine Report County Well Index Online Report SESE 'learest Known Source of Contamination 2 So Grin lc dnd 7..Q___feet South East direction ScQtic tank/drain field type wt gipof ncompt ton" 0) ver Ovo Well disinfected upon completion? D Yes D No Manuratm FcLINuT <rWALrLIsNG Pump 0 Not Installed Date Installe Manufacturer's name FLINT +WALLING d 0 Mode 5/0111990 Model nuummb eberr S4FE1100BB005s Tos Vanda _ HPQ2_ Volts 230 Tagihordon Pie $1. Cosi10span Length of drop Pipe &_ft. Capacity l.Q_g.p.m To Simei Movil Gan Type Submersible Material Galvanized bam Wels hespeers bv mt re dt debt? OF Abandoned Wells Does property have any not in use and not sealed well(s)? D 0 ON Yes D No Variance Was a variance granted from the MDH for this well? No NTC Cr Well Contractor Certification no. we pons Born Well Co. 81162 BORN R. hic ios Names 0ego Namo License Business Narne Lie. Or Reg. No. Name of Driller 159609 I 459609 D Yes D Printed 6/28/2008 HE-0 120 5-07 file://ilj!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/... ew%20R!chlandiWell%20Log%20Report%20-%2000459609.htm7!1/2008 10:27:25 AM 22222222.11448877 SSTTAATTEE__0022882222444444 SSiitteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY NNeewwlfooklddeenn NPNeOewwBfooodxldee1nn88FFiirree DDeeppaarrttmmeenntt NPNoOewwoBfloodlxdee1nn8,,8IMNN 5566337788 2KKe1ei8itt.hh87RRu4ud.d,7,1FF3ii5rreo CChhiioeff kaud@wiktel com 218-874-7135 krud@wiktel.com TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree hhaallll ((eexxaacctt llooccaatiioonn nnoott ffoouunndd,, aassssuummeedd iinn ttoowwn)) OOtthheer:r: OOxxffoorrdd 222299 WWeettitinngg AAggeenntt,, uusseedd nin ttrraaiinniinngg nnoott ssppeecciiffiieedd AAnnnnuuaallllyy LLeessss tthhaann 5s ggaallonn.s GGrroouunndd GOOltatnhesers:r:A:55gg5aa1ll0loonn10ss gallons Class A: 5 to 10 gallons MMiiddddllee RRiivveerr rruunnss aalloonngg ssoouutthh eeddggee ooff ttoowwnn 11/441t0o 117/33 mmiilee ssoouutthhwweesstt aanndd eeaasstt ooff toowwnn, 11/4441to0 117/22 mmiilee ceaasstt aanndd wweesstt ooff ttoowwnn. MMoorree tthhaann 11 mmiilee 7 7 22222222..11448888 SSTTAATTEE__0022882222444455 7 af 2 NEWFOCWLIDelEliNp NEWFOLDEN CWI Well Map a RN Sout \ Co ERE \, od Ra .N | fo Ny iN Vr fa ES Vs ; | \ NT i - to, | i al! Cop ffeh BHyL 5 oS i ji }: 1 . \ | EG 5 Leo DUNmoL wh AML LO TTY frcnT1] RPE T TET RAEET 1 i 2 1 oFf ou iihek SE EEN | SLTRE Te EOWA J Ti i F|ih n Lie J"odN phA Nyeg1S d,s N He. 8 {SEaaEnrNe,|PEa N or et wl E Cy 4hoENEON ;i Vo GamEETERRNE i ot HEN me fA i% memocrensnen vmdmeninom Coro fis Lf emma gam 222222.114489 stare oas22048 STATE_02822446 | NNeewwffoollddeenn WWhhaat't's IInn MMyy NNeeiighborrhhood MMaapp || is ; | ae \ | - | \ | | 3 | \ A | t \: | \: || | = ||| | iiiiod FN / HiINN LIA || aad| FEN % Sour | | | | || 4 ne I | | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion (ER IAN IR N | of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided |EEETE EAI TI | subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost {|||||||| @winno@wsionntesaota potutonncontrol geney' MPCA that may arise from theuse ofthis data. | Sims. Sites BotetsataSuporuna D~n.Mc:l matt~ &u~~rkl M h Pomm~nSSiotl"IdzKWIaeWs.tdWe iInJpno~mmnli!nbeddDDuunm1Jp15 map NFRAP aeSuporton maw ~~,..rill w ceroue C:~RCL!fi. Foam Superuna o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! coer Vo!Unllr~ l'rW'I191'11:11'i he & Cb!lrwJ!o A RERATSGFacies ..t. ltCRA 1!iD f'lt:ill:l~ SRAmestatonaCras ~M Jrw-ut-kor-111& ClfiiiW~ + sum rooseom: ""- aum ~nw111 22222..11490 STSTAATTEE0_208282222444477 % 1iy U de | thi ndd iilitalinieiiy :|g oe wmson i \ , velyd gHlE, pre iasit 23 / oe : s $j 4 or mr i? i! 5 Newfolden Wetland Map z ~r~ 9~;"~ w ,_ '"it 9~-~~w ~ i,:, ~~:,?Y~~ "'~ ~ 96-1,9~W 'l~ ~ 2222.11449911 1 "Ng2 wimon ,.z 'i' <P N ~~ N 6 &g Legend ()() z ;;' Interstate Major Roads iiii arson anon g Pc1 4 Other Road ;;' Interstate z ~ ,..v State highway 0 '? m ~US highway ~ w ;:::; Roads ,.cb 0 z Cities r USGS Quad Index 24K \ Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland z ~ Freshwater Emergent Wetl1:md 7' 111 FrAshwater Forested/Shrub Wetland ~ Freshwater Pond 6 Lake Othor Riverine i2 Fn7 ii Lower 48 Available Wetland Data : gow { a? isi , ,lcc PABKGx , .................................................................................................................... +~! m ~ ~ FCF>>~J~ 0 z waman Non-Digital Digital No Data Scan NHD Streams Counties 1OOK 5 PUBGx States 1DDK o South America o North America amon I | .lHJi i iig Ii iir m ~ :r'~c"~ 6 z 96-21 w 96-20W i it r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N .j:>. .j:>. 00 : 96-19W Map center: 48 21' 12" N, 96 19' 49" W $ 33 Scale: 1:34,158 Well Log Report- 00683985 i ~::~ty lMvfiimninmeesosooottaa UUnniiqqDuuuneee WBeO lWell NNoo. . County II 683985 II Quad ~-==================~- QuadiD MMaarrsshhaallll NNeewwffoollddeenn 416D Well Name KNUTSON, RANDY Township Range Dir Section Subsections Elevation 115566 4444 wW 99 BBAAAABBDDBB EElelevvaattiioonnMMetethhoodd MINNESOTA iwECe oRD ger DDEEPPHAAHERREATIALMMLTEETNHRHTTOOFF W`WEELLLL AANNDD BBOORRIINNGG RECORD Minnesota Statutes Chapter 1031 Nh EEnnttrryy DDaattee UUppddaattee DDaattee Received Date 0446//026/020050.5 0055/00991/22000066 01/31/2005 Well Depth Depth Completed 10()6 ft. 85 ft. 83ft. (C(UUaSlScGGfSSro77m..55DmmEiimMnoorr | DPirillliinnggMMeetthhoodd 1N'-. on-'speciRfRoiottacarrdyy equiv.) Date Well Completed 01/11/2005 DrDirlillliinnggFFlluuiidd Renlonile WWelelll HHyyddrrooffrraaccttuurreedd?? JDYveess. 0 NNoo From Ft. to Ft. Use Domestic CaCsaisinngg TTyyppee PPllaassttiicc JJooiinnttNNoo IInnffoorrmmaattiioonn DrDirvieveSShhooee?? [DJYYeess. 0 NNoo_AAbhvueve//BBeelloun~ fftt. Casing Diameter Weight TT Hole Diameter 4 in. to 78 ft. 1.5 lbs./ft. 8 in. to 30 ft. WeWlelll AAddddrreessss 12615 330TH ST NW NEWFOLDEN MN 56738 coogcarers Geological Material TOP SOIL ae CLAY- STONES 2%SAND coor vanes Color BLACK 2 Ee GRAY ome GRAY Hardness SOFT MEDIUM SOFT Open Hole from ft. to ft. S6.2p5 iin.nto s85 tft. Screen YES Make JOHNSON Type rom 0 |OT Stowe Lona From To Diameter 3 0 1 1s 1 75 Lk 75 85 Slot/Gauze 12 E-- Static Water Level Length 5 Setoowen Set Between 78 ft. and 83 ft. 12 ft from Land surface Date Measured 01/03/2005 PUMPING LEVEL (below land surface) 75 ft after 2 hrs. pumping 7 g. p.m. vo Reaanrs NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model BULLDOG 0D CCaassiinngg PPrrootteeccttiioonn. 0 1122iinn..aabboovveeggrraaddee. 0D) AAvt--ggrardaed(eEn(Evnivriornomnmeennitaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) `Growing Inormation Wel Grout? 8 ves 0 vo Grouting Information Well Grouted? 0 Yes D No cnt pn non Grout Material High solids bentonite from to 40 ft. Tun1 bags Located Minnesota Department of Health Method GPS SA Ott (averaged) Unique Number Verification N/A System UTM- Nad83, Zonel5, Meters Date 12/22/2005 X: 254434 Y: 5361240 Nearest Known Source of Contamination 100 feet L direction SeQtic tank/drain field type WWeellllddisisiinnffeecctteedduuppoonnccoommplpelettiioonn?? 0 YYeess 0D NNoo PPuummpp ODJ NNoottinInssttaallileedd DDaattee IInnssttaalllleedd 0011/0033//22000055 Manufacturer's name STA-RITE Model number lOSP40C2J _ HP 0.5 Volts 230 Length or drop Pipe TI_rt. Capacity !.Q_g.p.rn Type Submersible Material Abandoned Wells Does properly have any nol in use ami nol sealed well (ss)r? 0D Yveess 0 NNoo. Variance Was a variance granted from the MDH for this well? D Yes 0 No file:/i/II/MPCA/!Working/A0081-100%20-%20PFC%20Fo .. .!NewfoldeniWell%20Log%20Report%20-%2000683985.htm (1 of2)711/2008 10:29:09 AM 222222.114492 STATE_02822449 Well Log Report- 00683985 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Davidson Well 45664 DAVIDSON L License Business Name Lie. Or Reg. No. Name of Driller 683985 I Printed 6/28/2008 HE-01205-07 file:/i/II/MPCA/!WorkingiA0081-I00%20-%20PFC%20Fo .. .!NewfoldeniWell%20Log%20Report%20-%2000683985.htm (2 of2)711/2008 10:29:09 AM 222222.114493 STATE_02822450 Well Log Report - 007123 51 [mo7tEoiULrsgEe Bslot oJaadiw II 712351 II ~:::ty Minnesota Unique Well No_ ~-==================~- QuadiD roMarshall Newvionden Newfolden 416D aT ROTOT Well Name ANDERSON, ROB Townes Rane ir econ Subsections Berton Township Range Dir Section Subsections Elevation 115566 444 wW 8% BBBESBSBDDCC EElleevvaattiioonnMMetethhoodd MingsoTA MINNESOTA DrpAROFTRENACTT DEPARTMENT OF HEALTH Uniiowe oso WELL AND BORING VE Rn ECORC D Rteneee outs RECORD Minnie SatesChair Minnesota Statutes Chapter nt1031 Entry Date Update Date Received Date 08/02/2006 04114/2005 abet Der Comet Doe Wa Comet Well Depth Depth Completed on es A onan 1093 ft. 112ft. 110ft. Cae om DOM (C(UaSlUcGfSrSo7mS.G5mDmSEmiMn?ror | DDrriillningg MMeetthhoodd N1o'-n-sp~ ecifed RRooatarryy Sen equiv.) Date Well Completed 03/01/2005 Dag | welfare" 0 ver v0 Drilling Fluid fy Fon to Bentonite Well Hydrofractured? DYes 0 No From Ft. to Ft. CaineType Pie Jott No lomnain Briveshoe? I ver Use Domestic Casing Type Plastic Joint No lntormation Drive Shoe'! D Yes ooogcamamin Well Address Well Address pr 330TH ST NW NEWFOLDEN My 56738 NEWFOLDEN MN 56738 Geological Material ToPooL. TOPSOIL CoavSTones CLAY-STONES SIND FINE SAND-FINE ColorColor Fr BLACK Gav GRAY Gray GRAY Haines Hardness SOFT eww MEDIUM SoFT SOFT 0 NNoo_AAbboovvee//BBeellooww Cong Diameter Weight Casing Diameter Simo on 15 ban 4 in. to 100 ft. fftt.. Weight 1.5 lbs/ft Tire Diameter Hole Diameter CE TT Open Hole from ft. to ft. Somer VIS ke JOTRSO Tie Screen YES Make JOHNSON Type From To | One Sodom Longin Setgktveen From To 0 1 1 ds 1 95 9s am SFTNOOehNeFItmNeG oL3EVWEsfLopm(aoitomisopnF_a3Dduse2iM0remsesed 3012003 95 112 Diameter 3 Slot/Gauze Length Set Between 10 10 100 ft. and 110 ft. Static Water Level 10 ft. from No Information Date Measured PUMPING LEVEL (below land surface) 30 ft after 2 hrs. pumping 35 g.p.m. 03/01/2005 Walled Compeion Well Head Completion les iat andor MONITOR Mode! BULLDOG Pitless adapter manufacturer MONITOR Model BULLDOG To rewinrs NO REMARKS Lacted Mimo eprint cts Method GPS SA OF vod) Located Minnesota Department of Healfu Method GPS SA Off (averaged) Unique Number Vrtaton NA Dae 12222005 Unique Number Verification N/A Date 12/22/2005 Sym UTM. alk, Zonet Mts X, 320% : sizes System UTM- Nad83, Zone15, lvfeters X: 252198 Y: 5361266 0D 0CCaassiinngg PPrrootteeccttiioonn 0 1122inin.. aabboovvee ggrraaddee 0) Avge mim Wend Bong ONLY) D At-grade (Environmental Wells and Borings ONLY) Grotng ormation Well Gronet? 1B ver 0 v0 Grouting Information Well Grouted? 0 Yes D No Grout Grout MMataeteririaall ighsosbetonte High solids bentonite fomfrom 881t0o 6600 ft. 22 bbaaggss [NewmSourr RCnooawnwe Nearest Known Source of Contamination 160 ot Nin Scie wid ite 100 feet ]',J__direction SqJtic tank/drain field type wedswponsonpiins 8 ver 0 No Well disinfected upon completion? 0 Yes D No Pump C1 Nol Dc ned00s Pump D Not Installed Date Installed 03/01/2005 Nites ans SATII Mote mms 05Pi0C22 Manufacturer's name STA-RITE Model number 1OSP40CJ2 Tras vos _ HP 0.5 Volts 230 ergthor dp ped. Capo 10_g pn Lengtl1 ofdrop Pipe :!Q_ft. Capacity lQ_g.p.m To Sumeiibie Mea Type Submersible Material Risdon lh Toes pore Te Fo RT SST Abandoned Wells Does property have any not in use and not sealed well 0 Ove Bw (s)? D Yes 0 No Variance es avarice gamed fn MD or el? 01 Variance Was a variance granted from the MDH for tl1is well? D be Bn Yes 0 No TARR ORL 10135 ECS Nowe We p70 1 7508103004 file:///lj;MPCA!!Working/A0081-l 00%20-%20PFC%20Fo...A!ewfolden/Well%20Log%20Report%20-%2000712351.htm (I of 2)7/1/2008 10:30:04 AM 222222.114494 STATE 02822451 STATE_02822451 Well Log Report - 007123 51 FoBeak First Bedrock LacsLast Strat Awe Aquifer DevtBede 1. Depth to Bedrock ft. CoCuonutntyyWWelelll IInnddeexx OOnnlliinnee RReeppoorrtt AE Co Well Contractor Certification Dogan ties Davidson Well 45664 771122335511 I License Business Name Lie. Or Reg. No. Name of Driller Printed 6/28/2008 HE-0 1205-07 file:///lj;MPCA!!Working/A0081-l 00%20-%20PFC%20Fo...A!ewfolden/Well%20Log%20Report%20-%2000712351.htm (2 of 2)7/1/2008 10:30:04 AM 2222222.11449955 sSTtaArTeE__0022882222445522 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY NNootrthh SSt.t. PPaauull N2No4or0rtt0hh MSSattr..gPPaaaruuelltFFiSiirreceeDeDeteppaarrttmmeenntt 2NNo4or0rtt0hh St.Paul Margaret St. Paul, SMMtNNree55t55110098 J8Ja5as1so.o7nnM4M7a.la2ill5nin5gg2eerr, DDepeutpyFiFruireeCtChihyeieff ij6mm5aa1ll-li7inn4gg7ee-rr2@@5e5ci2i.nnoorrhth-s-saaiinntt-ppaauulI.mmnn .uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraainniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: NNoorrtthh SSt.t. PPaauull PPuubblliicc WWorokrkss,, 22330033 11st SSttrreeeett NN.,., NNoorrtthh SSt.t. PPaauull CAAlFFaFFsFsF::A:33MM3MLLiiggLhhitgthWWtaaWtateetrrer (GFF) Class A: 3M Light Water (SFFF) SSeemmii-AAnnnnuaulalllyy 551to0 1100 ggaallloonnss GGrroouunndd CAAlFFaFFsFsF::A:55 gg1aa5lllgooannlsslons Class A: 15 gallons UUnnnnaammeedd ssttrreeaamm leessss tthhaann 11//88 mmiilee nnoorrtthheeaasstt 111/4d ttoo 11/22 mmiille wweesstt TTrraaiinniinngg ssiitet iis oloccealteedd iinn aa ccoovveerreedd kkaarrsstt aarreeaa LLeessss tthhaann 11/44 mmiillee ssoouutthhwweesstt TTrraaiinniinngg ssiittee llooccaatteedd iinnoorr aaddjjaacceenntt ttoo WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 228 22222222..11449966 SSTTAATTEE__0022882222445533 NNOORRTTHH SSTT PPAAUL CWWII WWeellll MMaap 718s + Lid #id| Sema Tt bE AA o ppm RE Th rsa| fe TT akan ee G So Earheeea |nL Sreeee aE E ee Fye TLAEs Calin NORTH ST[PAUL HAT AIR Js al ill oA met Esa| wis Ain1t2% Li Eagle I FL part Tele Fadhn E 7 rpAt US eT d epi be ZE t) eALL rr elle Fagi ) aT e | c ar nFioinnt r Ue Rm EAy GoRp) E REER ETe yo IPadME 4pf ee el EmL asi 0UIE GRY |e Mere Omran dies Dum oExromieri veh Congo2, $10) LOWAY 3 MVE plier mnDsm 2222.1497 STATE_02822454 NNoorrtthh SStt.. PPaauull RRiicchhllaannddWWhahtat''ss IInnMyNeighbboorrhhoooodd | l HE ik ie 7) dl. > feelinbed ) { | fhe | ee pad ) he PN ill; if Bl i 4 4 ji 5 ih | - +BE iE --7 - 4 e remrssr Ea LL nls LA Ie Flivasess | = I= Ey di ol he sj | i S SA hy |e ~ |e | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion eT pe ete I of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided RATHI | subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost =MPCA that may arise from the use of this data. @Minnesota Pollution Control Agency SisSites [e-- D~n.Mc:l matt~ &u~~rkl M -- hm~ St"IKIW.W IJn~ml!bd Dun1J15 e= e NFRAP maw ~~,..rill w ctncin C:~RCL~fi. Foams o f't\Jtnl SuptrfUnd !iune: Cboocl L.cmcHUI5! ` oi pn Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o raTai ..t. ltCRA UD f'lt:ill:l~ mmmer--ei ~M Jrw-ut-kor-111 & ClfiiiW~ Smpeers ""- aum ~nw111 222222.114498 [Ep-- STATE_02822455 North St Paul Se Tr "6 Hoe 3 | IE, (Hil 5 mp A iia H8IREEEE] g \\ ; iaBl{ :IEE(23 ae 9 @ 1: 222222.114499 PETE N \ W TIiEggt ofT T3S 3 a NTYal \ogrt' mJrFLiy 4 A Bde 1 i NEE 2 2% 5| IN N\T}EeeEl[ie igs | f \& Np | & \|g RCA I 3 f A = w 53 r sm E5 ien i ...~ ......................7~/c ................ c.lw 0 z Legend ... ~ 6 z <'fi 6 ~ z ..."' !i\i!!l"'~ z ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America tal ~ 145s "Re 4 4d Fee] aLi (iSs > 03 \--2 : sl. f ...... (n I 4JoJ.s a PEivi 1ISS 1Fh I RU8FX::,t I ~ 7 3 |i 3 fig 93-1 w 93-0 w Hi i ii r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N $ 92-59 w ~ Map center: 45 0' 42" N, 92 59' 51" W Scale: 1:31,802 N .j:>. Ul 0"1 [3 :& Ep-- Well Log Report- 00200440 ge Xo Minnesota Unique We// No. II 220000444400 CCoouumntyy QQuuaadd QuadlD Ray RWWahmitseh eBByeeaarri LLaakkeet FEaasstt m;c HEALTH MINNESOTA DEPARTMENT OF HEALTH WWEELLLL AANNDDBBOORRIINNGG RECORD BunDue UUEpnpdtdaratyteeDDDaataettee Received Date 0814191 0001811!111444/2/12090090414 Afinnewta Statutes Chapter 1031 Well Name CLYDE CROSSLEY Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation 2299 222 wW 1133 AAAAAAAAAABB EElleevvaattiioonn MMeetthhoodd 1005 ft. 7.5 minute totoppooggrarapphhiicc mmaapp (-/- 5 feet) 200 ft. |DDririllliinnggMMetehthoodd -- 200ft. 08/30!1936 Drilling Fluid -- Use Domestic Well Hydrofracturcd? DYes D No From Ft. to Ft. oe Well Address NNBOOCRRRTTHHSSTTPPAAUULLMMNN cnocicai n Geological Material BOULDERS+ GRAVEL+ CLAY SAND GRAY CLAY, GRAVEL AND SAND BOULDERS+ SAND+ CLAY CLAY+ SAND SANDa ROCK Casing Type Joint No Information Diive Shoe? DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 2 in. to 180 ft. lbs./ft. {OOpepnenbiHookle fforomm Wft. oto Wft. 1 color trtoess Eom 0 | pur svcmze Color Hardness From To 0 27 Screen Make Diameter Type Slot/Gauze Largh SetBenoon Length Set Between 27 30 GRAY 30 56 GRAY 56 121 121 131 1331 2200]0 S112t2a0t0ic8ft.WfafrrtoeomrmLLLeaavnneddl ssuurffaaccee DDaatteeMMeaeassuurreedd 0088/0000/1199336 PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. REMARKS WELL ABANDONED Well Head Completion Pitless adapter manufacturer Model DDOcaCsaisinngg PPrroosteecctiioonn 0D 1122iinn.. aabboovveegrgaraddee. 0D0 AAvt-ggrraaddee(En(lviinrvoinromnmeennttsall WWeelllls aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Method Digitized- scale 1:24,000 or Survey larger (Digitizing Table) Sem UTM ods Ze. x sonny: soem mUnaiqeue NNoummbbeerr VVeerriiffiiccaattiioonn NN/ DpateNy/oAn A System UTM- Nad83, Zonel5, ?vfeters X: 501191 Y: 4983690 County Well nde Onn er First Bedrock StPeter Last Strat StPeter Aquifer StPeter Depth to Bedrock 131 ft. County Well Index Online Report NNeeaarreesstt KKnuoawnn SSoouurrccee ooff CCoonnttaammiinnaattiioonn wetsinwocnsomtpieitont 0) ve 0 _feet - direction _type Well disinfected upon completion? D Yes D PPuummpp 0D NNoottiImnssttaallleodd DDaattee IInnssttaalllleedd Manufadurer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Type NNoo Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nwoo V`Vaarrikaannccee WWaass aa vvaarriiaanncceegrgaranntteedd ffrroommtthhee MMDDHHffoor thhiisswwelelll?? D[J YYeess 0D Nnoo Well Contractor Certification Keys Well Co. 200440 License Business Name 200440 62012 Lie. Or Reg. No. Name of Driller Printed 6/28/2008 HE-01205-07 file://ill/l\1PCA/~ Working!A0081-100%20-%20PFC%20Foam/...h%20St%20Paui!Well%20Log%20Report%20-%2000200440.htm7;1/2008 10:31:00 AM 22222..11500 STATE_02822457 Well Log Report- 00208225 ~~=2=o=s2=2=s====::::!.JII ~:::ty Minnesota Unique Well No. 208225 ~ Quad . Quad ID RWWhahimittseeeByBeearrLLaakkee EFaasstt 118C MINNESOTA DEPARTMENT OF HEALTH "WWEELLLL AANNDD BBOORRIINNGG RECORD 1\finnesota Statutes Chapter 1031 EUUpnpdtdaraytteeDDDaataettee Received Date 0001811/1114442//12090090014 Well Name STANDARD CONVEYOR CO. BW 1 CONCH Henin Nehod Township Range Dir Section Subsections Elevation 29 22 w 12 CDBCCB Elevation Method ogy 970 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed Date Well Completed 360 ft. | POE Sd i);:iiih;g ~~~th~d -- 360ft. 11100/1953 Drilling Fluid e I T -- Well Ilyd.-ofractmed? DYes 0No From Ft. to Ft. Ee -- Lse Domestic Casing Type Joint No Information Drive Shoe? DYes D No Above/Helow 0 ft. Casing Diameter Weight Hole Diameter -- w [WWeekllaAddrderessss MN Geological Material SAND+ GRAVEL CLAY SHALE PLATTEVILLE LIMEROCK RRR ST PETER SANDROCK SHAKOPEE LIMEROCK Color Hardness From 0 18 40 53 &83 243 A 10 in. to 54 It lbs.lft. 8Sinw. to m212nft. Blbsa.lmft. Open Hole from ft. to ft. Screen Make Type To Diameter 18 Slot/Gauze Length Set Between 40 53 83 %243 360 Static Water Level 84 ft. from Land surface Date Measured 1110011953 PUMPING LEVEL (below land surface) 92 ft. after hrs. pumping 200 g.p.m. EeTOWe S 08 TOO REMARKS CASING: 010 TO 0054:008 TO 0212. Well Head Completion Pitless adapter manufacturer Model DDOcoCmaisinngg PProrteoLiOotionn D0 11221imn.. sahboonvee ggrraaddee. Growing ntormaton. WetGrres? 0ver 1No 3D AAt-vgrgadee(En(Evnivriornomnmeennttsa)l WWeelllls anndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No Located Minnesota Geological Survey Unique Number Verification N/ Sym UTM Nat Zoel5. A System UTM- Nad83, Zone15, 1Vfeters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NIA x, anny, sao X: 500034 Y: 4983934 First Bedrock Decorah Last Strat Prairie Du Chien Group Aquifer Multiple Depth to Bedrock 40 ft. County Well Index Online Report "'earest Known Source of Contamination wodiuge on pis on? 0 vo _feet _direction _type Well disinfected upon completion? D Yes Bo D No ManufancomtsuAOrSMeIrTIsL Mod number Pump 0 Not Installed Date In stalled Manufacturer's name A.O. SMITH Model number - Length of drop Pipe lll_ft. Capacity 1760 o.p.m Type Turbine Material 1HPP1Sl.i_ VVoollts22200 Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nxo Variance Was a variance granted from the MDH for this well? D Yes 0D Nnoo Well Contractor Certification Keys Well Co. 62012 LiLOense Business Name LiLO. Or Reg. No. Name of Driller 208225 I Printed 6/28/2008 HE-0 1205-07 file:///1[/l'v!PCA/! Working/A0081-l 00%20-%20PFC%20Foarn/...h%20St%20Paui!Well%20Log%20Report%20-%2000208225.htm7I li2008 10:3 2:08 AM 222222..150011 STATE_02822458 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY NNoorrtthhllaanndd N7No2or7rt1thhllHaainngddhFFwriareey D5D3eeSpp.aarrttmmeenntt Canyon, MN 55717 7271 Highway 53 S. Canyon, MN 55717 NNoott pprroovviiddeedd,, bbaacckk ppaaggee ooff qquueessttiioonnnnaaiirree nnoolt ccoommpplleetteedd TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree hhaail,l, 77227711 HHiigghhwwaayy 5533,, CCaannyyoonn NNoott ssppeecciiffiieedd Amal Annually LLeessss hthaanns5 ggaalllloonnss. GGrroouunndd NNoott ssppeecciiffieedd,, uussee ooff 331M1 AAFFFFFF aassssuummeedd HHeellliwiigg CCrreeeekk,, 11//44 t1o01t 111/33 mmiilee ceaasstt 11/44 ttoo 11/22 mmiitlee wweesstt MMoorree tthhaann 11 mmiillee MMoorree thhaann 11 mmiilee 122 22222222..11550022 SSTTAATTEE0_022882222445599 Py : my SEE, | ie NNOORRTTHHLLAANND CWWII WWeellll MMaap A x Sn El aye iif eg ------r ati Hg hae| Fe i iE Tin: TI 7 L{Malay Far | biikasin yol or fa . oe raEd Sr ed NS 20 IE ! 17 / J pi lj Bieta \ fini ERTL "EES Ie Lii haG Slil ngtia ed = 1 un 7 Jp CE 7 7 AS la dr p= ElEe TEST PY 2 : EE Yi id bi ) 3 5 HED NILES 5 A agbeSnsTLeengt ee wo lehae [fn : Telapiin lai car] A a | EE eee N0V"RRE eeen n a SBirr a 2s 2 EthyeShAV iE a) Hui E A ? Ll e@* ms seiihee el m iE AP eB [8h =F 222222.1155003 sStTaArTeE0_208282222446600 |___ NNoorrtthhllaanndd WWhah t'sIIa nnMMyt yNNe' eiigghhs bboorrhhooooddMMaapp | | i | + | | i { a i { | - STE SITE~ Iie Fig L --_-- | | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion J TL A of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost | SRSSSE MPCA that may arise from the use of this data. |1 | @Hinnesota Pollution Control Agency | Sites BoDl~ino.Mtco:dlSmtaattto~ S&uu~p~orrkiluMnd a as tg h Pomm~nSSiotl"IdzKWIaeWs.tdWe UIJnnp~omrlt!ebdd BDuunm1pJ1s5. NFRAP maw ~~,..rill w reams Cc:r~RrCLo!ufis. o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! e vn,wn --a--sn Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o x reATsBFaces ..t. ltCRA UD f'lt:ill:l~ [enti ~M Jrw-ut-kor-111 & ClfiiiW~ + spu oco ""- aum ~nw111 22222..11504 sSTatAeT_Eo_z0s28a2z2e46611 2222222.1155055 keee gHef E PF P|: Northland Wetland Map z Wed 25s eerttt . =3 UCiB C2 =v Tg. . 9 FH Ai TaelY |: iii 92-29-30W 92-29-0W 92-28-30 w 92-28-0 w i : | [iE r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N .j:>. 0"1 N :Z i? 2% HIE i JNn ...___, w w 0 z a AAE Y 0 ...___, Legend ct> 0 ;;' Interstate z Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities ...___, r USGS Quad Index 24K "w'0 Lower 48 Wetland Polygons z Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine ...___, Lower 48 Available Wetland Data "'z6 Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK ... o South America "7:. o North America w 0 z iH n h% | jz 92-27-30W 92-27-0W Map center: 47 2' 24" N, 92 28' 14" W $ Scale: 1:28,922 ?fiH r * 5ihl i 33 iWhinod di dinHillhaiLo ed1 Li SSiittee NNaammee:: FiFriree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY NNoorrtthhrroopp NPNOorotBhororxpF2iFt0ri8reehDDeeprpaarorttmmepenntt Nortop, MN PO Box208 Northrop, MN 5566007755 C5Co0or7rr.rii3ee0MM6a.ar3tr2tii2nns8soonn,, FFiirree CChhiielf 5nni0fdd7fii-r3ve9ed9dp-p@3@2yy2aa8hhoooo..ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraainniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerr trraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: BBeehhiinndd ffiiree hhaallll,, 221111 NN.. BBrriiddggeemmaann,, NNoorrtthhrroopp. OOtthheer:r: PPyyrrooccoomm SSttiicckk BBAi-nAnnunaulalllyy LLeessss tthhaanns5 ggaallloonnss. GGrroouunndd OOtthheer:r: 11 ssttiicckk LLaakkee CChhaarlrloottttee,, mmoorree tthhaann 11 mimile ssoouutthhwweesstt MMoorree tthhaann 111/44 ttoo tthhee eeaasstt aanndd wweesstt LLeessss tthhaann 11/88 mmiillee ssoouutthheeaasstt TTrraaiinniinngg ssiitee llooccaatteedd iinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa "11 22222222..11550066 SSTTAATTEE__0022882222446633 NNOORRTTHHRROOPP CCWWII WWeellll MMaapp Hk, OWAT N SYEE LT : or wi e a i Ts ee |Coeae de im [El see <i TR Ie Neel { oSann e0 Ud HI A - oNyF T. ess+ a I|Ra INh ( fi:e C. lT1 EEL Sg Neonh at~Grp e TN as Lo ! TTT ET Ben Yor 3 7 Haag nme me LER ea ) v -- a. i 7 y \ .. IANN AE wie - Too ee EY te i c a2 aRBN { | "17 A Ng = 4< a NwAir Np 0 oe ; ektieen= [= - i oo i stron 1: Wp obo fe EO es Meare. OvenofmerCao no n| RON as i ln S-- Ee { (meo,e of. IBryA : N Lo HT) ro i h Sf Tea dm 222222..11507 sSTTaArTeE__o0z2s82222446644 NortNhorrothpropWWhahta't'ssIInn MMyy NNeeiigghhbboorrhhooooddMMaapp | w | {i | ; | || TkET | SITE=S | | | | || 9 i r : r ABE CRE SIrI T h L iI E iN nS|| Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages against ~ MPCA that may arise from the use of this data. @ Minnesota Pollution Control Agency | Sion Sites Sosa sors D~n.Mc:l matt~ &u~~rkl M Pomaeasean hm~ St"IKIW.W uInJpno~mmli!sbdd BDuunm1pJ1s5 a an NFRAP mwayw R~u~,g.e.rriillawnd cones C:~RCL!fi. roms o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! * oi pn Vo!Unllr~ lrW'I191'11:11'i & Cb!lrwJ!o romATAB cs ..t. ltCRA UD f'lt:ill:l~ nti ~M Jrw-ut-kor-111 & ClfiiiW~ +su rsevrm ""- aum ~nw111 22222..11508 sate_o2s22465 STATE_02822465 Se gKf le ww Vj idi J i 52 3sd 2 3 214 5 z. 2 Northrop Wetland Map 94-27W 94-26W Rl te arti ea3 il 2222222.11509 Flaiiiigitiinlal |g wont om eum sew sew PEMAd ... w J,.. ~~C7 .. 1, 6 z Legend ;;' Interstate Major Roads Lig iifil :i | i i i18 I g ot | SE ......................................................................................................................................................................................................................................... ... w J,.. llt 0 z 5 Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons ~.., ..0 ...................................................................................................................................................................................................: ...................................... ,! f................................................. tJ I ::k 6 z Ill Estuarine and Marine Deepwater II Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital ...w No Data J,.. w Scan w 0 z NHD Streams Counties 1OOK : : UL NE 2| States 100K o South America ... o North America w |] 3 IE ofa LE| CE | ii o z ' .... ,., ... , ........... "''''"'''''"''""'ij~~FM""""'"'''''''"'"''~~"''''''''''''''"""'''''"'""'''""''''+"'" | , ......... J,.. 6 IW ~----------------------------------~--~------------------------~----------~ 94-27W 94-26W 94-25W Bd i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 3 3 Map center: 43 44' 10" N, 94 26' 12" W $ i Scale: 1:33,256 N 00 N N .j:>. 0"1 0"1 Well Log Report - 00217097 217097 Minnesota Unique Well No. 217097 --County Quad Quad ID -- Martin Fairmont 14B Well Name NORTHROP #1 Township Range Dir Section Subsections Elevation 103 30 30 w W 9 9 DICADA Heaton Med DBCADA Elevation Method Well Address NORTHROP MN GGeoeloologigcicaall MMaateterriiaall TOPSOIL CLAY FED CLAY FINE SAND CCoolloorr YELLOW re BLUE WHITE HHaarrddnneessss MINNESOTA DEPARTMENT OF WWEELLLL AAHNENADDLBTBOHORRIINNGG RECORD Minnesota Statutes Chapter 1031 iu. Entry Date Update Date Received Date 04/13/1988 07/10/2007 1146 ft (050875 mir Calc from DEM (USGS 7.5 min or cquiv.) Well Depth | DPE Method 145 ft. ri~iiih"g \\i~ti~~d Drilling Fluid -- Depth Completed Cl Tod c~bi~ T~~~ 145 ft. IWwaellll Iilyyddrrootfrraaccttmureedd?? From Ft. to Ft. Date Well Completed 09/00/1955 0DYveess 0OJNxoo. Lse Abandoned Status Sealed Casing Type Joint No Information Diive Shoe? DYes D No Above/Below ft Casing Diameter Weight Hole Diameter 12 in. to ft. lbs.lft. Open Hole from ft. to ft. Screen YES Make JOHNSON Type FFrroomm TToo | DDiiaammeetteerr 0 3 12 SSllootv/GGaauuzzee 12 3 21 ST 21 119 119 145 Static Water Level LLeennggtthh SSeettBBeettwweeeenn 20 0 ft. and ft. 76 ft. from Land surface Date Measured 09/00/1955 PUMPING LEVEL (below land su.-face) 95 ft. after 10 hrs. pumping 200 g. p.m. TEREMARKS WELL SEALED 11-27-2002 BY 46191 Well Head Completion Pit1ess adapter manufacturer Model DDO cCosasiinngg PPrrootetcetiionn D0 11221min..sabboorveeggrraaddee cronig ornsion WatGomes Dl vor ET 0D0 AAvt-ggrraadde e(En(Evnivriornomnmeennttaall WWeellllss anndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes DNo Located Minnesota Geological Survey Unique Number Verification N/A System UTM `-Nadti3, L.one15, -Jo,;leters Method GPS SA On (averaged) DateN/A :X: 384368 Y: 4843567 County ll nde OnnRepr First Bedrock Last Strat Sand-white Aquifer Quat. Buried Artes. Aquifer Depth tu Bedrock ft. County Well Index Online Report iow .\eare _feet lien st Known S _direction o te urce of _type C o n t a m i n a t i o n WWeellllddisiinfesLOilednuuppfoonnecwocmmppltleeteliioodnn?? [DJ Yveers [DJ NMoo Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does propertv have any not in use and not sealed well(s)? D Yes D No V`Vaarritaannccee WWaassaa vvaarriiaanncceegrgaranntteedd ffrroommtthhee MMDDIHfoforr tthhiiss wweellll?? 0D Nnoo Well Contractor Certification 217097 License Business Name 217097 BROWN K. Lie. Or Reg. No. Name of Driller I [D JYees Printed 612812008 I IE-0 1205-07 file:///II/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R .. aries/Northrop/Well%20Log%20Report%20-%2000217097 .htm7IJ/2008 10:35:21 AM 222222..1510 STATE_02822467 Well Log Report- 00419658 MMinnmesoota UUrnnigqo uaeBWiIelNlsNGo. II 419658 CCoouunnetyy Quad Quad ID MMaarritinn 148 Well-"ameABEL,ROYCE Township Range Dir Section Subsections Elevation 110303030 wW 1166 DDAAAAAADDDD EHlleevvaatiioonn MMeetthhoodd SR HEALTH MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date o04/1i3/1i988 09/12/2002 1149 ft. t7lo.o5ppomgorignaipuphteiccmmaapp (+/- 5 feet) Well Depth Depth Completed Date Well Completed eI r 170ft. 169ft. .. LiGaidll SS bdili~i-i\i~th~d N~;;:~P~~;ti~d R~tary 10116/1986 .... Drilling Fluid -- Well Hydrofractured"! DYes D No From Ft. to Ft. Use Domestic Dr ---- Casing Type Plastic Joint No Information Drive Shoe? DYes IZ1 No Above/Below 2 ft. Casing Diameter Weight Hole Diameter 5 in. to 164 ft. lbs./ft. 9 in. to 170 ft. Geological Material TOP SOIL CLAY CLAY SAND {OOppreiniHnoilee fforomm &ft.w to R ft. 1 Screen YES Make JOHNSON Type stainless steel Color BLACK YELLOW BLUE BROWN Hardness SOFT SOFT SOFT SOFT Diameter From To 5 0 1 1 13 Slot/Gauze 20 Length 5 Set Between 164 ft. and 169 ft. 13 152 152 170 Static Water Level 45 fl. from Land surfaLOe Dale Measured 10/16/1986 PUMPI-"G LEVEL (below land surface) 80 ft. after 1 hrs. pumping 20 g. p.m. To nraines NO REMARKS Well Head Completion Pitless adapter manufacturer SNAPPY Model 5" DDl Ccaassiinngg PPrroosteeccttiioonn D0 1122i.n.sahboovveeggrraaddee J gat imaWmetssnd ings LY) D At-grade (Environmental Wells and Borings ONLY) Grouting formation Wal Gross? ves Cv Grouting Information Well Grouted? IZJ Yes D No Located Mankato State University Method Digitization (Screen)- Map (1:24,000) Unique Number Verification Information from owner Date N!A System UTM- Nad83, Zonel5, Meters X: 384173 Y: 4842893 Coury Wile Grin por rFisrtst Bededrroocckk Last Strat Sand-brown AAqquuiiffeerr QQuuaa,t. BBuurriieedd AArretess.. AAqquuiiffeerr Depth to Bedrock ft. County Well Index Online Report Grout Material: Bentonite from 0 to 150 ft. 1.5 yrds. ."earest Known Source of Contamination .Lfeet YL_direction _type Well disinfected upon completion? IZ1 Yes D No PPuummpp 0D NNoott tInusstsalllleedd DDaattee IInnssttasllleedd 110011616-/1199886 Manufacturer's name GRUDFOS Model number SP2-10 _ HPQ.2_ Volts 230 Length of drop Pipe lill_ft. Capacity lQ_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MlJH for this well'! No Well Contractor Certification BBsesemmaeerrWWelelll CCoo,. 419658 License Business Name 419658 466110911 Lie Or Reg. No I Ks OLLAu SCH L1. Name of Driller D Yes D Printed 6/28/2008 HE-0 1205-07 fll e:///II/:\1PCA/! Working/A0081-1 00%20-%20PFC%20Foam;R. ..aries!Northrop/Well%20Log%20Report%20-%200041965 8.htm7! 1/2008 10:35 :20 ~VI 2222.11551111 STATE_02822468 SsiitteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY PPaayynneessiviilllee PBPaoayxynn3ee4ssvviilllee FFiirree DDeeppaarrttmmeenntt PPBaaoyyxnne3es4vsivlilele,, UMNN 5566336522 JJ3aa2cc0kk24WWi3ni.nt3tee7rr,1, 4FFiirree CChhiieeff Jj3wu2ii0nn-tte2er4r@3@-ll3aa7kk1ee4ddaalleeliinnkk.nneett TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: CCiittyy aaiirrppoortr,t, PPaayynneessuviiltlee AACRlR-a-sAAsFFFAF:FF:A:nCCshuhelemmSggiuulaaerrxdduAAsRRe3S%in t((uruassieeniiinnngtrnraaoitinnisinpngegcinnfooitessdpp)eecciiffiieedd)) Other Class Other: Pytocom A: Ansul S Pyrocom TSEco (use ilv-ex (use in TS-Eco (use in training nt training not sp in training not specif) ecified) specified) BBAi-mAnnunaulalllyy LLeessss tthhaann 55 ggaalllloonnss GGrroouunndd GAAlRRaAs-AFsFAF:FFF::nollteesssspsettchhiaafnnie11d ggaallloonn Other not speciied Class A: not specified Other: not specified NNoorrtthh FFoorrkk oofftthhee CGrrooww RRiivveerr., lleessss thhaann 11//44 mmiiklee nnoortthh ooff aaiirrppoorrtt LLeessss tthhaann 11/44 mmiilee nnoorrtthh LLeessss tthhaann 11/88 mmiillee ffroomm aaiirrppoorrtt TTrraaiinniinngg ssiitee llooccaatteedd iinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 116 22222222.11551122 SSTTAATTEE0_022882222446699 PPAAYYNNEESSVVIILLLLEE CCWWII WWelelll MMaapp EN an wis dei Lee pg ae GTwAelTlhesd =~ TES ETO TA Wy BEoe L CRIREETp i gr RC Ea ET waa ERE Nb En I iE is TE |TTT HiaIg oIiLL EIEEEEEOS dy Wel Lg fen LL ee Tih has Err a] ne fhe = fy lL e ml t mE PI er = wyesiess EOC | lo Ae 222222.115513 STATE_02822470 | PPaayynneessvivlillle WWhhaatt''ss IInn MMyy NNeeiigghhbboorrhhoooodd MMaap | efssrenen, | | ra } i a) | / {z ; iY || TCT for ||| br"S"ISITT;,"E&E--~ >si g Lid he ||| . a. ||| ||| | i i 1|||| . iil fe ||| i \\ |& :i 1 | DostanSueporaun b - t 0 e) \ SStIWes... Dflll!ttd mzm SUIDfriUM | = Pe ymanast onaWann Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided |EEATIAS NS ISIIR | | subject to the express condition that the user knowingly waives any and all claims for damages against | MPCA that may arise from the use of this data. Pvmlltt Stottt~Wmm IJn~m~ 1n1n~ llrnAP fhumtSeuS~urgfotrmtiuinld | o cence cmcLm | Farm Superuna o f't\Jfnl SUptrfUIKI | isteChosaLancs run,:=~ LcmdiU~ | @Minnesota Pollution Control Agency ogg V~l'umiWjt t.wtslkQII~ft &Cbmrw~t | +ronan rane .._ R.CRA 1!m F'!K'"IIIikH | RCRAmestimton Chap R:CRA hwul~kolll& Cltl!lrwJl' | +su reoreomm: ""- 511W~mlll 222222.115514 STSTAATTEE0_208228222447711 * Mey ||%8.q,; bith gToLo [sansa SR AR r| anon d haH 3 iHH] 1a 3 >1 Fait 3g| [8Bie aow 2i z7 ! =3,Lim (Er i iepee | ih re YR <8 Paynesville Wetland Map z .... ..-~~~~~~~~~~~~~~~-~~-~--~~~~~~~~~~~~~~~-~~,~-~-~~~~~~~~~~~~~~~-~~~-~-~-~~~~~8"w' 0 z i,A i 2222.1515 AF RE \ a= re HET i) [ "'.... "' w 6 z "'.... "' "w' 0 z % !I ...:c~c .. ,..~.. .... + 'c~~ ~ J~ 6 z Ag Td .... ',.r>::::: tw"~' 0 z sam snow wasn op sig l tdy Hd Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America i Lig NR E aaon 2 5 i: aB \\4 SA h hio \VG co Slii? Le |i x <f ~ w 94-45W 94-44 i ik fi $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 6 94-43W z Map center: 45 22' 14" N, 94 44' 18" W i Scale: 1:32,917 N 00 N N .j:>. '-I N JR---- Well Log Report- 00232277 II II T~::i:tny MMiinnnnre>ssoottaa UUnniioqquhur>e WWerl>ill NNoo.. 233222277177 ~-==================~- County Quad QuadiD SStteeaamrns.s LLaakkee KKoorroonniiss 141C Well Name ROTHSTEIN. DENNIS Township Range Dir Section Subsections Elevation 12222 3322 wW 1177 CCCCDDDDCCAA EElleevvaattiioonnMMetehthoodd i Well Address RR 3 BOX60 Ew PAYNESVILLE MN A Geological Material TTOOPPSSOOIILL come onne. COARSE GRAVEL aCLrAyY CCOOAARRSSEE SSAANNDD. ric SAND MIXED WI CLAY iCLAY COARSE SAND ene CLAY LLCOARSE SAND & GRAVEL arColor somBROWN BBLuUeE RBRoOWmN =BLUE +]BLUE BROWN onBLUE BROWN ws Hardness vni a MMIINNNVEESSOOOOFFTTAHHAEEDDAAEELLPPTTAAHHRRTTMVEENNTT WWEELLLL AANNDD BBOORRIINNGG RECORD 11Jinnesota Statutes Chapter 1031 A. EEntnrtryy DDaattee UUppddaatteeDDatatee: Received Date 0022/11331!1998899 8082/0201!9199933 Well Depth Depth Completed Date Well Completed 1182 ft. 141 ft. to7p.5ogmrianpuhtiecmap |DDrirlillliinngg MMeetthhoodd ---topographic map 141 ft. 06/23!1974 (+/- 5 teet) a Er Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. fe Use mIarrtigiaotionn 1 pom 7 "CC ai si TyEp)e Jott No tntormaion"Drive soeT? o0 vTer 01 From 0 0 3 fom soos ten servo 1 9 s 20 1: 38 Pf 52 82 > 3 98 5 0[mtpe 101 Casing TypE> Joint No Information Driw ShoE>? DYes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 12 in. to 26 ft. lbs./ft. 12 in. to 125 ft. lbs.lft. Open Hole from ft. to ft. To 11 Screen YES Make Typv e 9 Diameter 2L0 EE]12 388 | 1n2 52 Slot/Gauze 1225 1"s25 Length 122 1.6 82 98 Static Wate1 Level 101 12 ft. from Land surface Date Measured 141 PUMPING LEVEL (below land surface) Set Between E 26 It E and X 38 ft. 12255 ft aenndd 1W41 Rft. 06/2311974 0 ft. atter hrs. pumping 650 g. p.m. 20 REHITES NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDcaCsaisningg PPrrootteeccttiioonn D[1 1122min..aabboovveegrgaradde.e Growing formation. Well Grows? 0)ves C1Ne 0D0 AAtt--ggrardaede(EnEnvviiroronnmmeennttaall WWeellllss aanndd BBoorriinnggssOONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Number Sym UTX ZnS. Verification Information from owner System UTM-Nad83. Zonel5. }vfeters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NIA nt x: asin X: 363861 Y: 5025494 FiFrisrsttBBederdorcokck AAaquuiifeerr Mic Multiple CountyWel Index Online Report Last Strat Sand & larger-brown Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination ot duiiposnctopiototns 01 ves - fed - direction _type Well disinfected upon completion? D Yes 1 Na D No PPuummpp. 0 NNoott IInnssttaalllleedd DDaatteeIInnssttaalllleedd Manufacturer's name LLengethoon ffddrrg ooppPPt iippeeh_ft_ CCMaappoaacdcietiltyynug_mgp.bpem.rm- HP :'!.l_ Volts TyTyppeeTuTsuhrbiinnee MMaateterriiaall AbandonE-d WE-lls Does property have any not in use and not sealed well(s)? 0D Yvees O D nNo VVaarriiaannccee WWaassaavvaarriiaanncceeggrarnainetdedffrroommtthhee MMDDHHffoorrtthhiiss wweellll?? [D1 YYees.s 0D No AssweilCo 0 Well Contractor Certification Aaa Well Co. 73107 232277 License Business Name 232277 Lie. Or Reg. No. Name of Driller a Printed 612812008 HE-01205-07 file: II11111\1PCA/I Working/A0081-100%20-%20PFC%20Foam/Re...ies/Paynesvillei\Vell%20Log%20Report%20-%2000232277.hlm7/1/2008 10:37:31 AM 222222.115516 [p-- STATE_02822473 Well Log Report- 00242890 lMvfiinmneessoottaaUUnniiqquuee WWeellll NNoo. County 242890 | o~::w~ty II 242890 II Quam ~-==================~- QuadiD SStteeaamms.s paiekos Lake Koronis TC141C WN COONSTTS GOTT COURS Well Name KURUNIS HILLS GULF CUURS Tomb Range Die ecto Sbecions Ents Township Range Dir Section Subsections Elevation 112222 3322 Ww 2200 AABBDDCCDDBB EElleevvaattiioonn MMeetthhoodd sinwisors MINNESOTA DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upc bate 08201593 WELL AND BORING RECORD Recon Duc RECORD inst Sse Chap Minnesota Statute.~ Chapter oir1031 EEntnrtryyDDaattee Update Date Received Date 0066/3301/1999922 08/20/1993 we ADa DesCanmped DeWneloCmomp 1227 ft. 75 mime 7.5 minute totoppooggrraapphhiicc mmaapp a (+/- 5 feet) Well Depth 125 ft. | DDrriilllliinngg MMeetthhoodd Depth Completed 125ft. Date Well Completed 07/10/1990 Drilling Fluid EC ----Faw 0 Use Irrigation Coys Jot Dress? O Yer D No Above! Casing Type fim 10 Below ft. Joint Casing Diameter ag Wow Diameter Casing Diameter WweletllHHydyrdoruffrraaccuturreead?? 0DYveess OD nNoo From Ft. to Ft. Drive Shoe? D Yes D No Above/ Weight Hole Diameter Wetngenss AE Well Address oBOXs55 sem PAYNESVILLE MN 56362 Gocogcaltiteial Geological Material Color Hardness Color Hardness Ope TT Open Hole from ft. to ft. eClasmetsr Soto: DScialreammeenetteerr Slot/Gaauuzzee From To From To Longitnh SoottBetween Length Set Between wo Revanns NO REMARKS Static Water Level ft. from Date Measured TUNLEVEPL(ioIn mNy G PUMPING LEVEL (below land surface) str bs pumping gp ft. after hrs. pumping g.p.m. Wala Compltn Well Head Completion Picasa Nil Pitless adapter manufacturer Model Dcargrosin 12in hve ge D Casing Protection D 12 in. above grade 0 re ven wll snd ergs ONLY) D At-grade (Environmental Wells and Borings ONLY) Growing tormation Vellore 0 Yer 0 vo Grouting Information Well Grouted? DYes D No Located Ninos Located Minnesota Goneine ures Geological Survey Uniae Nomber Unique Number VereatonNa cn aio Verification Name on mailbox sim cv. SSyysoteemm UUTTMM- NNaodd8,3, Zonel5, }vfeters Methad Die se 12400x Method Digitized- scale 1:24,000 or re ag Ts larger (Digitizing Table) Date A DateN/A x oats x: ss X: 364615 Y: 5021255009940 er Sar Em Nearest Known Source of Contamination gha - feet _direction _type sisi won compen 0 ves WWeellll didsiisnifnefecctteedduuppoonnccoommplpelettiioonn?" D YYeess D NNoo PPuummpp DOJ NNoottIInnssatalllleedd DDaattee IInnssttaalllleedd Nts me Node mar HP. Vos Manufacturer's name Model number - LedgpPhe Coy pp Te Nest Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Rianne Wale osFo Weve FT ne ST le Abandoned Wells Does prope1iy have any not in use and not sealed well ww 0 ve Ox (s)? D Yes D No VVaarriiaannccee WWaass aa vvaarriiaannccee ggrraanntteedd ffrroomm tthhee MMDDHHffoorr thhiisswweellll?? D1 YYeess. 0x D No REA ALCPye Be NeL t 2030 En Lo 208103731 file:/i/II/MPCN!Working!A0081-I00%20-%20PFC%20Foa...Paynesville/Well%20Log%20Report%20-%2000242890.htm (I of2)711/2008 10:37:31 AM 222222.115517 STSATATTEE0_208282222447744 Well Log Report- 00242890 First Bedrock Aquifer County Wolo Gris Rapa LastStrat Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Minnesota DeQt. of Natural Resources 202890 T,icense Busi 242890 n e s s Nam I e MNDNR T,ic. Or Reg. No. Name or Driller Printed 6/28/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000242890.htm (2 of 2)711/2008 I 0:37:31 AM 222222.115518 STATE_02822475 Well Log Report- 00433231 133231 Minnesota Unique Well No. 433231 County Quad Quad ID Dame Steams Lake Koronis 141C Well Name l:lUERMAN. DUANE Township Range Dir Section Subsections Elevation 112222 322 wW 2200 BBDDAABBAACC EElleevvaattiioonn MMeetthhoodd seWell Address 29866 23 SH PAESHLE WS PAYNESVILLE MN 56362 Geological Material GRAVEL & BOULDERS CLAY CLAY SANDY CLAY snoaCLnAY SAND Color YELLOW YELLOW BLUE BLUE nieBaLUeE BLUE Hardness MINNESOTA DEPARTMENT OF WWEELLLL AND HEAL AND TBBHOORRIINNGG RECORD Minnesota Statutes Chapter 1031 i Entry Date Update Date Received Date -- 04/22/1991 08/20/1993 1242 ft. 7.5 minute totpoopgograrpahphicicmmaapp (+I- 5 feet) Well Depth Depth Completed Date Well Completed 129ft. 129ft. 08/08/1987 Ee I ro |.DD~riiliill~IgMie\it~thio~~dd NN~o;a;s~p~ePc~i~fiific~ddRR~o~a;ryy Drilling Fluid Well Ilydrofractmed? DYes 0No Bentonite From Ft. to Ft. ee 0 Lse Domestic Casing Type Plastic Joint No Information No Above/Below 1 ft. Casing Diameter Weight Drive Shoe? DYes Hole Diameter 5 in. to 119 ft. lbs./ft. 9 in. to 129 ft. Open Hole from ft to ft. Screen YES Make .JOHNSON Type stainless steel From To 0 51 Diameter 51 82 4 Slot/Gauze 18 Length 10 Set Between 119 It and 129 ft. 82 90 90 95 =95 119 1119 129 SStaetic 80 ft eepsec WWaarteesr LTeevveetl from Land surface Date Measured ww08/0811987 | PUMPING LEVEL (below land sul"face) ft. after hrs. pumping g. p.m. To rraeers NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDl cCuassiinngg Pprrootteecction D0 1122inin..sahboorveegrgaraddee. Grouting oormaton Well Groet? vor Dlve 0D AAt-ggrradea(EnEnvviiroronnmmeennttaallWWelelllss aanndd BBorriingns OgNsLYONLY)) Grouting Information Well Grouted? 0 Yes 0No Located Minnesota Geological Survey Unique Number Verification Address verification Sysetemm UUTTMM: - NNaadd8i3, ZZoonneellS5., 1v!eters Method Digitized- scale 1:24.000 or larger (Digitizing Table) Date N!A Xx;: 3y6oi4220044 VVs : 5s0o2a5s0o1ns9 First Bedrock Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Grout Material: Neat Cement Grout Material: Cuttings from 0 to 30 ft. 0 from 30 to 119 ft. 0 :\earest Known Source of Contamination QQ._feet South West diredion Tanks type WWelelll ddisiinfsectiedunuppfoonneccoocmmpltpeletetiioodnn?? 0D Yveers ODJ NNoo Pump 0 Not Installed Date Installed 08/08/1987 Manufacturer's name A.Y MCDONALD Model number_ HP Q.2_ Volts230 Length of drop Pipe lQQ_ft. Capacity lQ_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nxoo VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHfoforr thhiisswweellll?? [DJ vYees.s 0D nNoo Well Contractor Certification Stem M.j. Well Co 34480 STEFFL M. License Business Name Lie. Or Reg. No. Name of Driller 433231 I Printed 6/28/2008 HE-0 1205-07 file:///1]/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/Re .. .ies/Paynesville/Well%20Log%20Report%20-%2000433231.htm7/J/2008 10:37:30 AM 22222.1155119 STATE_02822476 Well Log Report- 00433242 Minnesota Unique Well No. 433242 County Quad Quad ID Steams Lake Koronis 141C Well Name GNlFFKE, KENNETH/MARlL YN Township Range Dir Section Subsections Elevation 112222 322 wW 2200 BBDDBBAADDAA EElleevvaattiioonn MMeetthhoodd =Well Address RR3 PAESULE WS PAYNESVILLE MN 56362 Geological Material GRAVEL & BOULDERS CLAY CLAY SAND 2)CLAY SAND & SAND STREAKS Color YELLOW BROWN BLUE BLUE suBLUE BLUE Hardness MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/22/1991 08/20/1993 1241 ft 7.5 minute totpoopgograrpahphicicmmaapp (+I- 5 feet) Well Depth Depth Completed Date Well Completed 147ft. 147 ft. 08/29/1987 Ee I ro |. DD~rillllll~IgMie\it~thio~~dd NN~o;a;s~p~ePc~i~fiifcid~dRRo~t~a;ryy Drilling Fluid Bentonite Well Ilydrofractmed? DYes 0No From Ft. to Ft. a 0 Lse Domestic Casing Type Plastic Joint No Information No Above/Below 1 ft Casing Diameter Weight Drive Shoe? DYes Hole Diameter 5 in. to 137 ft. lbs./ft. 9 in. to 147 ft. Open Hole from ft to ft. Screen YES Make .JOHNSON Type stainless steel From To 0 64 Diameter 64 70 4 Slot/Gauze 12 Length 10 Set Between 137 It and 147 ft. 70 94 94 97 mpoe m my | 97 125 Static Water Level 125 147 80 ft from Land surface Date Measured 08/2911987 PUMPING LEVEL (below land sul'face) ft. after hrs. pumping g. p.m. To rraeers NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDl CcuassiinnggpPrrooeteccitiioonn D0 1122iinn..aabboovveeggraradde.e Grouting oormaton Well Groet? vor Dlve D0 AAt-ggrardea(EnEnvviiroronnmmeennttaallWWelelllss aanndd BBorriingns OgNsLYONLY)) Grouting Information Well Grouted? 0 Yes 0No Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Grout Material: Neat Cement Grout Material: Cuttings from 10 to 30 ft. 0 from 30 to 147 ft. 0 Unique Number Verification Name on mailbox Sysetemm UUTTMM:- NNaadd8s33, ZZoonneellS5., 1v!eters Date NIA Xx:: 336441111(6) VVs : 5s0o224499m(6) First Bedrock Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. :\earest Known Source of Contamination QQ._feet N_direction Ser;,tic tank/drain field type WWelelll dgisisnfenctedfuuppeoonncccoommtplpeleettiioodnn?? D0 Yveers DOJ NNoo `Manufocurers name AY MCDONALD. Model Pump 0 Not Installed Date Installed 08/29/1987 Manufacturer's name A.Y MCDONALD Model number_ HP Q.2_ Volts230 Length of drop Pipe lQQ_ft. Capacity lQ_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? D0 Yveees DO Nxoo VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHH ffoorr thhiiss wweellll?? [DJ Yveess. [D= No Well Contractor Certification Stem M.j. Well Co 34480 STEFFL M. License Business Name Lie. Or Reg. No. Name of Driller County Well Index Online Report 433242 I Printed 6/28/2008 HE-0 1205-07 file:///1]/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/Re .. .ies/Paynesville/Well%20Log%20Report%20-%2000433242.htm7/J/2008 10:37:31 AM 2222222.11520 STATE_02822477 Well Log Report- 00444144 f~::o~try lMvfiinmnieessootataUUnnii2qquuee WWeellll NNoo. County II 444444114444 II Quid ~-==================~- QuadiD SStteeaammss PPaayynneewsivlilllee 141B Well Name Q-PETROLEUM CORP. Township Range Dir Section Subsections Elevation 122 32 w 17 ACDD Elevation Method -- MINNESOTA DDEEPPAAHHRREETTAAMMLLEETTNNHHTT OOFF W`WEELLLL AANNDD BBOORRIINNGG RECORD RECORD iments oper Minnesota Statute.~ Chapter a1031 Weta EEntnrtryy DDaattee UUppddaattee DDaattee Received Date 1111/0033/11999922 0053/00662/2000055 Cle rom DIM 1177 ft. Calc from DEM (USGS 7.5 min or equiv.) Well Depth ring thea 22ft. Drilling Method Depth Completed 19ft. Date Well Completed 03/08/1988 Drilling Fluid Wweellll HHyyddrrauffrraaccttuurrecda?? 0DYveess 0DNnoo From Ft. to Ft. Use Abandoned Status Sealed hey CCaassiinngg TTyyppee Below ft. JJooiinntt DrDirivvee sShhooee?? [DJ Casing Diameter Weight RaYveess 0D NNoo AAbbnoveer/ Hole Diameter ------ Well Address awitnosr 907 MINNESOTA ST W cucpuntets PAYNESVILLE MN Geological Material Gor Haanass Color Hardness REMARKS MWl V.iELL SEALED 04-26-1991 BY M0054 ORIGINAL USE MW- MONITOR Vo/ELL Open Hole iScreen S2ow Seton Diameter from ft. to ft. Slot/Gauze Longeh es eren. Length Set Between Fm To From To ST Static Water Level 18 ft. from Land surface Date Measured 03/17/1988 PATRI PUMPING LEVEL (below land surface) n. at1er hrs. pumping g.p.m. Well Head Completion rete Pitless adapter manufacturer O casing Proesion 0 121mshovegrade D Casing Protection D Model 12 in. above grade 0D3 AAtt--ggrardaed(e(tEanwviirroonnmmeennttaall WWeelllssaanndd BBoorriinnggss OONNLLYY).) Grouting Information Well Grouted? !Zl Yes D No Located Minnesota Department of Health Unique Number Verification N/A SSyysstteemm UUTTMM-- NNaaddS833,. ZZoonneellS5,, MMeetteerrss Method GPS SA Off (averaged) Nearest Known Source of Contamination Date 10/18/2004 XX:: 336644666611 YY:: 55002266333311 ~feet North West direction Tanks type WSeOll dsisiianlfoencteduuppoSn coomnplnetieon? D JYees D NNeo PPuummpp [DJ NNoottlInnssutaalllleedd DDaattee IInnssttaalllleedd Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does pmpe1ty have any not in use and not sealed well (ss)r? 0D Yveess DO NNoo VVaarriiaannccee WWaassaavvaarriiaanncceegrgarannteteddffrroommththee MMDDFHffoor thhiisswweellll!? D Yreees DO NNoo file:/i/II/MPCN!WorkinglA0081-1 00%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000444144.htm ( 1 of 2)711/2008 10:37:30 AM 2222.11552211 sStTaArTeE_208282222447788 Well Log Report- 00444144 First Bedrock ne a Last Strat Aquifer Depth to Bedrock ft County Wolo Gris Rapa County Well Index Online Report es Well Contractor Certification Dpra M 0 0 54 4w44a1i44 I License RLL~iness Name Lie. Or Reg. No. Name of Driller Printed 6/28/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000444144.htm (2 of 2)711/2008 I 0:37:30 AM 2222..115522 STATE_02822479 Well Log Report- 00444145 lMvfiinmnieessootataUUnnii2qquuee WWeellll NNoo. County 144145 o~:w:n~ty II 444145 II Gui ~-==================~- QuadiD SStteeaammss ree Paynesville 15141B STRETTON OR Well Name Q-PETROLEUM CORP. -- Township Range Dir Section Subsections Elevation BW 7 ADD EssienMh 122 32 w 17 ACDB Elevation Method wiswesora MINNESOTA DDEEPPAAHHRREETTAAMMLLEETTNNHHTT OOFF WELLANDBORING Upisebue bSiians WELL AND BORING RECORD Reebda RECORD nese Sues Caper Minnesota Statute.~ Chapter ir1031 EEntnrt ryy DDaattee Update Date Received Date 1111/0033/11999922 05/06/2005 (wOeST Smner | DWReEolNnehooCnod De WTarCoome Cle rom DIM 1177 ft. Calc from DEM (USGS 7.5 min or Toa equiv.) Well Depth ring thea 23 ft. Drilling Method Depth Completed 22ft. Date Well Completed 03/08/1988 Drilling Fluid TT aFea hy wh Use Abandoned Wweellll HHyyddrrauffrraaccttuurrecda?? From Ft. to Ft. Status Sealed 0DYveess 0DNnoo CaCsaisninggTTyyppee JJooiinntt bow 1 Below ft. Cosy mer Casing Diameter DDrriivveesShhooee?? 0D YYeess 0D NNoo AAbbaovvees/ Weight FleHole mer Diameter SWWSoeellhlAmAadndesdnsereosesnssssstn 907 MINNESOTA ST W SeolgictMatra PAYNESVILLE MN Geological Material Color Hardness Color Hardness TETARRS REMARKS MW2 V.iELL SEALED 04-26-1991 BY M0054 ORGINAL USE 1 MONTTOR WELL ORIGINAL USE MW- MONITOR Vo/ELL CRE TTT Open Hole Kak Screen Si--meter stotoven Diameter from ft. to ft. Slot/Gauze Longinn Length Sotsaren Set Between From To From To Sr Static Water Level 19 ft. from Land surface Date Measured FO LEVELfN or G arin) PUMPING LEVEL (below land surface) FE n. at1er hrs. pumping g.p.m. 03/12/1988 WetHeadCompl Well Head Completion Tis strir does Mod O casing Proesion 0 121mshovegrade Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade ring rman WellGoaes? 8 Yo On CD3 AAtt--ggrardaed(e(tEanwviirroonnmmeennttaall WWeelllssaanndd BBoorriinnggss OONNLLYY).) Grouting Information Well Grouted? !Zl Yes D No Une NumberVerfaton NA Located Moss Daten of Located Minnesota Department of Health Unique Number Verification N/A SSyysstteemm UUTTMM-- NNaadds833,. ZZoonnee]l5,, MMeetteerrss ying Gs 5a Of (averaged | eres RwSours TComeamimation Method GPS SA Off (averaged) Date 1018201 En Tsk we own Date 10/18/2004 E mLeiestusPeo.e CNopeoygpte r 1T1i olMtsee ht XX:: 336644664499 YVY:: 55002266334477 Nearest Known Source of Contamination _;Q___feet Ldirection Tanks type WWeellll ddiissiinnffeecctteedduuppoonn ccoommplpelteitioonn?? D YYees D PPuummpp [DJ NNoottiInnssutaalllleedd DDaatteeIInnssttaalllleedd Manufacturer's name Model number - HP - Length of drop Pipe ft. Capacity g.p.m Type NNoo Volts Material Abandoned Wells Does pmpe1ty have any not in use and not sealed well (ss)r? 0D Yveess DO NNoo VVaarriiaannccee WWaass aa vvaarriiaanncceeggrranatednffrrtoommettdhhee MMDDFHffoortthhiisswweelllt? D Ypreess DO NNoo file:/i/II/MPCN!WorkinglA0081-1 00%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000444145.htm ( 1 of 2)711/2008 10:37:31 AM 222222.115523 sStTaArTeE0_208228222448800 Well Log Report- 00444145 First Bedrock ne a Last Strat Aquifer Depth to Bedrock ft County Wolo Gris Rapa County Well Index Online Report es Well Contractor Certification Dpra M 0 0 54 License RLL~iness Name Lie. Or Reg. No. Name of Driller waanis I 444145 Printed 6/28/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000444145.htm (2 of 2)711/2008 I 0:37:31 AM 2222..115524 STATE_02822481 Well Log Report- 00450012 350012 Minnesota Unique Well No. 450012 County Quad Quad ID Dame Steams Lake Koronis 141C Well Name FASEN. MARVIN/BERNADINE Township Range Dir Section Subsections Elevation 112222 332 wW 2200 BBDDBBCCAADD EElleevvaattiioonn MMeetthhoodd Well Address 29992 23 SH PAYNESVILLE MN 56362 sGeecoilooggiccaal Mmaatteerriiaal GRAVEL CLAY CLAY & GRAVEL STREAKS CLAY COARSE SAND CLAY COARSE SAND [essa CLAY SAND STREAKY CCoolloorr ORANGE ORANGE YELLOW BLUE BLUE BLUE BLUE BLUE BLUE HHaarradnneessss SOFT HARD SOFT SOFT MINNESOTA DEPARTMENT OF WWEELLLL AND HEAL AND TBBHOORRIINNGG RECORD Minnesota Statutes Chapter 1031 i Entry Date Update Date Received Date a 05/07/1991 08/20/1993 Well Depth Depth Completed Date Well Completed 1242 ft. ISS ft. 155 ft. 07/08/1988 Er e I r t7ot.Spoopmgogirnarupathpehicicmmaapp (+I- 5 feet) |.DD~riiliill~IgMie\it~thio~~dd NN~o;a;s~p~ePc~i~fiifcid~dRRo~t~a;ryy Drilling Fluid Well Ilydrofractmed? DYes 0No Bentonite From Ft. to Ft. Lse Domestic Casing Type Plastic Joint No Information Drive Shoe? No Above/Below 1 ft. DYes 0 Casing Diameter Weight Hole Diameter 5 in. to 145 ft. lbs./ft. 9 in. to 155 ft. FFrroomm TToo. 0 16 Typ Open Hole from ft to ft. Screen YES Make .JOHNSON Type stainless steel 16 25 Diameter 25 70 4 70 119 Slot/Gauze 18 Length 10 Set Between 145 It and 155 ft. 119 121 121 129 129 130 Static Water Level vo130 143 ft from Date Measured 143 155 PUMPING LEVEL (below land sul"face) ft. after hrs. pumping g. p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDl cCuassiinngg PPrrootteecction D0 1122inin..aabboovveegrgaraddee. 0D AAt-ggrradea(EnEnvviiroronnmmeennttaallWWelelllss aanndd BBorriingns OgNsLYONLY)) Grouting Information Well Grouted? 0 Yes 0No Located Minnesota Geological Survey Unique Number Verification Address verification Sysetemm UUTTMM: - NNaadd8i3, ZZoonneellS5., 1v!eters Method Digitized- scale 1:24.000 or larger (Digitizing Table) Date N!A Xx;: 3y6o4a0oa2nS VYs : 5s0o2n4a9o4u3n First Bedrock Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report :\earest Known Source of Contamination ?.Q_feet Yi_diredion SeQtiLO tank/drain field type WWelelll ddisiinfsectiedunuppfoonneccoocmmpltpeletetiioodnn?? 8D Yveers ODJ Nnoo Pump 0 Not Installed Date Installed 07!09/ 1988 Manufacturer's name A.Y MCDONALD Model number_ HP 0.75 Volts230 Length of drop Pipe llQ___ft. Capacity lQ_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees O D NNo VVaarriiaannccee WWasasaa vvaarriiaanncceeggrraanntteeddfrfroomm tthhee MM DHffD oorr thhiissH wweelll?? [DJ vYeess 0 D No Well Contractor Certification Stem M.j. Well Co 34480 STEFFL M. License Business Name Lie. Or Reg. No. Name of Driller 450012 I Printed 6/28/2008 HE-0 1205-07 file:///1]/l'v!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/Re .. .ies/Paynesville/Well%20Log%20Report%20-%2000450012.htm7/J/2008 10:37:30 AM 222222..1525 STATE_02822482 Well Log Report- 00450835 T45083T 5 pErong Every Minnesota Unique Well Nn. 450835 County Quad Quad ID Welll'\ame PAYNESVILLE II.S. Steams Lake Koronis 141C Township Range Dir Section Subsections Elevation 122 32 w 17 DDCCBB Elevation Method WELEL ANND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD ftfinne.mta Statutes Chapter 1031 Well Depth Depth Completed Entry Date TEemEe oui I:pdate Date Received Date 07/31/1991 08/20/1993 a Date Well Completed 1182 ft. 140 ft. 124ft. 08/16/1988 7.5 minute topographic map(+/- 5 feet) Drilling Method ~"'"rv JDrilling Fluid Bentonite Use Irrigation I nT Well Hydrofractured? DYes From Ft. to Ft. D No wB atassrnsn Well Address HWY23 PAYNESVILLE MN 56362 OC oven 0 en Casing Type Steel (black or low carbon) Joint No Infonnation Drive Shoe? 0No Above/Below 0 ft. Casing Diameter Weight Hole Diameter DYes Bums SGeenoltooggicialaMtmataertiaal DIRT SAND & GRAVEL SAND BLUE CLAY -oCoolor BLACK BLUE wHarednsess fFroomm To 0 1 1 28 28 30 8 i"n. to 111ft Open Hole from ft. to ft. Screen YES Make JOHNSON lbs/ft ee Type stainless steel MEDIUM TO COARSE SAND CLAY CLAY BLUE YELLOW 30 42 Diameter 42 72 8 72 94 Slot/Gauze 40 Length 13 Set Between 111 ft and 124 f1 SAND Ft CLAY SAND CLAY DIRTY SAND NICE SAND MEDIUM TO COARSE SAND YELLOW YELLOW BLACK 94 96 tee 96 99 99 100 Static Water Level 100 112 21 ft. from Land surface Date Measured 08/16/1988 112 115 PUMPII'\G LEVEL (below land surface) 115 124 46 ft. after hrs. pumping 150 g. p.m. 124 140 Pe mimi MERRILL Well Head Completion Pitkss adapter manufacturer l\1ERRILL Siokt Model DDlcCuaisninggrPorwoctetcitioonn 0D 1122iinn.sahboovvee ggrraatdee D00 Att-rgaraddee((EnEvirovnmientarlWWemlelllssmsanndedBBoovnirinngtgss OOaNNLLlYY)) NO REMARKS Grouting Information Well Grouted? 0 Yes D No ea Located Minnesota Geological Survey Unique Number Verification Information from owner Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A System UTM- Nad83, Znnel5, Meters X: 364755 Y: 5025524 Fil'st Bedmck Last Strat Sand-black Aquifer Quat. Buried Artes. Aquifer Depth to BedJ"ock ft. County Well Index Online Report SEGrout Material Neat Cement from 8 to 110ft 0 Nearest Known Source ofContmnination PEiB0 t 1Q___feet - direction Septic tank/drain field type Well disinfected upon completion? D Yes D No Pump Not Installed Date Iustalled 08/18/1988 Manufacturer's name GOULDS Model number !SOH! 0-4 HPlQ_ Volts 230 Length of drop Pipe 102 ft. Capacity _g.p.m Type Submersible Material Steel black or low carbon) Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes D0 nNoo Variance Was a variance granted from the MDH for this well? D Well Contractor Certification wows Thein Well Co. License Business Name 450835 34050 THEIN R. Lie. Or Reg. No. Name of Driller I Yes D No Pnnted 6/28/2008 HE-01205-07 file:///II/11PCA/!V.jorking/A0081-l 00%20-%20PFC%20Foam/Re.. ies/PaynesvilleM'ell%20Log%20Re:[X)rt%20-%2000450835.htm7 /1/2008 10: 3'7 :32 A1'v1 2222222.11526 STATE_02822483 Well Log Report- 00511855 511855 GG~:ou:a~datym MMiinnnnre>ssoottaa UUnniiqqu-ure> WWer>llll NNoo.. II 511855 II ~-==================~- County QuadiD LiecRonis SSwtearamrns.s Lake Koronis 141C Ta TERT GT Well Name HEINEMAN. GARY onnbiRansDi Scion Suction Fevsion Township Range Dir Section Subsections Elevation 11222 3322 wW 2200 BBDOBBDDBBAA FlEelveavtaitioonnMMeetthhoodd wn 1241 ft. MMNINNNEEVOSOOOFTFTAAHHDEEDEAAESLLPTTAAHHRRTTMMEENNFT WELL AND BORING Upiuedue 08201 WELL AND BORING RECORD Received Due RECORD inn Sour Chapter 131 11finnesota Statutes Chapter 1031 EEntnrtyryDDaattee Update Date Received Date 0044/22221/1999911 08/20/1993 Well Depth Dee Compl De WelCompt Well Depth Depth Completed Date Well Completed poy on i 187 ft. 187ft. 11/07/1989 pe fot7po.o5pgomrgarinappuhhtieicc mmaapp | DDrriilllliinngg MMeetthhoodd Nowspecified .RRoottaarryy (+/- 5 teet) Drilling Fluid -- `WWelelll HHyyddrroorfsraccttourreedd?? 0DYveess 0DNNao From Ft. to Ft. Well Address aTiontng Dimwamneter8 Wewagn Tk Damar Well Address arne son CT TTT 29958 23 SH Pes m seer Sn Nake STITT TT PAYNESVILLE MN 56362 tagcat atria Color argness From To [Diameter SlouGauws Length SotBetween Geological Material ne ow |S % Tee GRAVEL ar FI CLAY Gover Wow GRAVEL Foss PE CLAY ers Woe [F2OUnNSFaINoeeGpEahVwnEmpLpu(uiptoe1a3enpMomers)t 1071089 WATER SAND Color Hardness Use Domestic CCaassiinnggTTyyppEe> PPliassttiec JJooilnttNNoo IInnffoorrmmaattiioonn DDrriivvEe>SShhooEe>?? 0DYYeess ODJ No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 4 in. to 182 ft. lbs./ft. Open Hole from ft. to ft. Screen YES Make SMITH Type stainless sled From To Diameter Slot/Gauze Length Set Between 0 91 0 91 100 15 0 0 ft. and ft. 100 140 140 170 170 187 Static Water Level 45 t1. rom Land surface Date Measured 11107/1989 PUMPING LEVEL (below land surface) 0 ft. after hrs. pumping 12 g. p.m. ro rewes G[P D0oilncrguirmpdpaeec srmtain--tomoons rmen0llW1WGHe2oIlmeTsEssnW?tAooTrEn2gRessvOer8M1o0)d0 NO REMARKS Well Head Completion Pitless adapter manufacturer WHITEWATER Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Cont ort es Cement fon 010201 . Grout Material: Neat Cement from Oto30ft. 0 Looted Mims Geogisl Method Iii scte | 2400x Located Minnesota Geological foo oer ang To) Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unie Naber ous eT RG Se Unique Number evasion nematon mores gl Verification Information from owner Sym UTM ads ZoclS. x. amy vz sist ot hinontconepiidont 0) ver 0 vo System UTM- Nad83. Zone15. vNPToobminpitdsTonTrNoSacnoel1A0VeNolTs0s. CDWooAcpLmLaNtG.d 1010Nod }vfeters Date NIA X: 364081 Y: 5024957 Nearest Known Source of Contamination - feet _direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 1011311989 Manufacturer's name FLINT & WALLING Model number - HP 0.75 Volts Length of drop Pipe l_E)Q_ft. Capacity _g.p.m Type Submersible Material Plastic PrtBoek First Bedrm:k Laura Sond Last Strat Sand quite out Bid Are Agitt Aquifer Quat. Buried Artes. Aquifer DepoBedrock Depth to Bedrocl< ft. Abandoned Wells Does property have any not in use and not sealed well(s)'! Ove Ow D Yes D No Vartace Va gamedfoa m Drn ea 0 ver Variance Was a variance granted from the MDH for this well? D Yes Ow D No eT Com Cr Well Contractor Certification Torn lCo, 0% TORGIRSON.S Torgerson Well Co. 27056 TORGERSON S. coe Bis Name Li. rR. Name Dns License Business Name Lie. Or Reg. No. Name of Driller file://11II1\1PCA/I Working/A0081-100%20-%20PFC%20Foa...Paynesville/Well%20Log%20Report%20-%2000511855.htm (1 of 2)7/1/2008 10:37:32 Al\1 22222..11527 STSATATTEE0_208282222448844 [Comimi| nweo|me me]r WellLogReport-00511855 County Well Index Online Report 511855 Printed 6/28/2008 HE-01205-07 file://11II1\1PCA/I Working/A0081-100%20-%20PFC%20Foa...Paynesville/Well%20Log%20Report%20-%2000511855.htm (2 of 2)7/1/2008 10:37:32 Al\1 222222.115528 STATE_02822485 Well Log Report- 00589697 m Mim e ie Vr ela J aaro II 589697 II ~:::ty Minnesota Unique Well No_ S697 |e ~-==================~- QuadiD PTnete Steams Paynesville l4lB aT STROTS TARVER, Well Name STRODTMAN,HARRY&THERESA Towesbip RangDie Scion Subsections Elston Township Range Dir Section Subsections Elevation 112222 3322 wW 1177 BBDICCCC EElleevvaattiioonn MMeetthhoodd sivEsoTs MINNESOTA DARIO NENT DEPARTMENT OF HEALTH EDSoRING, UEnmiiueowe nloorens WELL AND BORING RECORD a. RECORD Minne Sites Chapter Minnesota Statutes Chapter i1031 Entry Date Update Date Received Date 09/3011998 10112/2004 be Der Comes Be Wl Compe Well Depth Depth Completed wn Wr wn wan 1177 ft 117ft 117 ft Cam DEM ((CUUaSSlGcGSfSro77m.S5DmmEniMnoorr | DDrriillllingMMetethhoodd Noo-speciRfRoitoatcardryy pro equiv.) Date Well Completed 04/2311997 Dali on | wentarstacaret" 0 ver v0 Drilling Fluid Dene a Bentonite Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic WvaonlaAddrareossss 0 x vvomm_n Well Address 514 GRAND ST PANESLE WSS Casing Damotor Weg Fei Diameter PAYNESVILLE MN 56362 coctogcat ates color Hardness From To tab mt mn saw 1h Geological Material Tor wo we o Ope ET LOAM aae WOoHw oMEwU 11 1 ve SR OTN To ST GRAVEL CLAY Sap stor ELON 5 7 | oimotr Joe seo ay SAND CLAY 18 SLOT Shap stor Tar Fa SAND 18 SLOT pret oy wow sn CLAY Gar Geo Meow nw CLAY Sa 2stor i 0 8 [Swe SAND 12 SLOT prs Tout MEDUM 82 100 {YN Lino tac se Mod 042vim CLAY aCrLAnY cCSaALANrYD Color BLACK YELLOW YELLOW sue YELLOW BLUE TAN GRAY GREEN TAN TAN/GRN GGGRRRAAAYYY Hardness MEDIUM MEDIUM MEDIUM wMEoDIUwM MEDIUM MEDIUM MEDIUM VMEEDIUUM SSOOFFTT ro rewanns GWlDreecoluonlsmgerespwootCerosmmmctpoiieoeinonnm eWe0llMOI1rlR2olRissInesLsnL?doBc2emiMioncvdeegsls OONLY)vo NO REMARKS CaCsaisinngg TTyyppee PPllaassttiicc JJooiinntt NNooIInnffoorrmmaattiioonn DDririvveeSShhooe?? [DJYveess D No Above/Below ft Casing Diameter Weight Hole Diameter 4 in. to 112 ft lbs/ft 8 in. to 117 ft From To 0 1 Open Hole from ft. to ft. 1 18 18 25 Screen YES Make JOHNSON Type stainless steel 7 x [5 soy igth: 34 See 7 2 25 27 Diameter Slot/Gauze Length Set Between 27 30 4 12 5 112 ft. and 117 ft. 30 44 44 74 74 81 81 82 Static Water Level 82 100 15 ft. from Land surface Date Measured 11000 111122 IFPUUMMPPIINNGG LLEEVVEELL ((bheelolwo lTaanndd ssuurrffaaccee)) 11w1127 ow111177 40 ftb. aafhter 0.5 hxrs. ppunmppiingv$g500 g.p.m. 04/2311997 Well Head Completion Pitless adapter manufacturer MERRILL Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Gotti Opec fm 0401 Lo Grout Material: Other from Oto40ft Lacted Micon eprint Hh thd GPSSA Of sng| Grro t: Gains fam 0187 1 Located Mirmcsota Department of Health Method GPS SA Off (averaged) Grout Material: Cuttings from 40 to 117 ft Unigne NumberVertaton NA Dae 10132001 Unique Number Verification N/A Date 10/18/2004 Srv UTA Nos, el Mors X, 3000 : onan | NTaraetn KnNowaStreoeoTCSeonommbomn 15 System UTM- Nad83, Zanel5, Meters X: 364043 Y: 5026270 Nearest Known Source of Contamination 130 feet .tL_direction SeQtic tank/drain field type Weldsonsompitont 8 ver Ono Well disinfected upon completion? 0 Yes D No 4 bags PPuummpp [DJ NNoottInInststaalllleedd DDaattee IInnssttaalllleedd 0044/2222/111999977 Nic ms LOWARA. Mil nit 101503 Manufacturer's name LOWARA Modelnumber101S05 Ths. Voi _ HPQ2_ Volts 230 Leth ped. Cops 10_g pm Length of drop Pipe :ill_ft. Capacity l.Q_g.p.m 1 Sumeta. Moa! Type Submersible Material Risdon lh Toes ory Fre Fo Te eel Abandoned Wells Docs property have any not in usc and not scaled well 0 Ove Bw (s)? D Yes 0 No Variance Wes vanes ged fn Nor et? C1 Variance Was a variance granted from the MDH for this well? D be @ x Yes 0 No TAR ORL 1010S. ym Wl Spe 54M | 27 OR I03733 A file:///l);MPCA/!Working/A0081-l00%20-%20PFC%20Foa...Paynesville/Well%20Log%20Report%20-%2000589697.htm (1 of 2)7/1/200 8 10:37:32 AM 22222..11529 STSATATTEE0_202882222448866 Well Log Report- 00589697 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Steffl M.J. Well Co 34480 DAHL, J. License Business Name Lie Or Reg. No. Name of Driller 589697 I Printed 6/28/2008 HE-01205-07 file:///li;MPCA/!Working/A0081-l 00%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000589697.htm (2 of 2)7/11200 8 I 0:3 7:32 AM 222222.115530 STATE_02822487 Well Log Report- 00599745 Eei~::~.ty lMvfiimnineessoottaa UUnniiqquuee WelWell NNoo.. County II 599745 II ~-==================~- QuadiD TSStteeaammss Paynesville 141B Well Name IVIEAGHER, PATRICK Township Range Dir Section Subsections Elevation 1w2m 2 3322 wW 1177 CCBBAJ\AA EElelevvaattiioonn MMeetthhoodd MINNESOTA DDEEPPAAHHRREETIAAMMLLEETTNRHHTTOOFF WELLANDBORING WELL AND BORING wECoRD RECORD ieger Minnesota Statutes Chapter 1031 Lthemos. EEnnttrryy DDaattee Update Date Received Date eh 0099/03300/11999988 01/16/2002 1174 ft. Calc from DEM ((UUSSGGSS77..55mmininoror | equiv.) Well Depth Depth Completed 64ft. 64ft. DPirillliinnggMMetethhoodd 1N'-. on-'speciRfRoiottacarrdyy Date Well Completed 05114/1998 DrDirlillliinngg FFlluuiidd Bentonite WWelelll HHyyddrrooffrraaccttuurreedd?? ODJYveess 0D NNoo. From Ft. to Ft. Use Domestic CaCsaisinnggTTyyppee PPllaassttiicc JJooiinntt NNooInInffoorrmmaattiioonn DDririvvee SShhooee?? [DJYYeess. 0D NNoo AAhbuovvee/rBBeelluo~n f1t. ----eo Well Address 30078 CEMETARY RD cooncmecarors PAYNESVILLE MN 56362 Geological Material FINE SAND CLAY GRAVEL COARSE 2co%orColor BROWN GRAY WHITE wanes Hardness MEDIUM Casing Diameter Weight Hole Diameter I] 4 in. to 44 ft. Open Hole from ft. to ft. lbs./ft. 8 in. to 64 ft. rJim om 2To |0TN Screen YES From To Diameter 0 8 Stns Make EAGLE Slot/Gauze 16 Laman Seton Type plastic Length 20 Set Between 44 ft. and 64 ft. E-- 8 38 38 64 Static Water Level 15 ft from Land surface Date Measured 05114/1998 PUMPING LEVEL (below land surface) 45 ft after 2 hrs. pumping 25 g.p.m. vo Reaanrs NO REMARKS Well Head Completion Pitless adapter manufacturer IVIERRlLL Model SPK 0D CCaassiinngg PPrrootteeccttiioonn D[J 1122 iinn..aabboovveeggrraaddee 0D) AAvt--ggrardaed(eEn(Evnivroirnomnmeenitaall WWeellllss aanndd BBoorriinnggss OONNLLYY)) `Growing Inormation Wel Grout? 8 ves 0 vo Grouting Information Well Grouted? 0 Yes D No erentpete -- Grout Material: Bentonite from Oto33ft. Located Minnesota Department of Health Method GPS SA Ott (averaged) Unique Number Verification N/A System UTM- Nad83, Zonel5, Meters Date 10118/2004 X: 363884 Y: 5026202 Nearest Known Source of Contamination 2L_feet 'fl__direction Sej)tic tank/drain field type WWeellllddisisiinnffeecctteedduuppoonnccoommplpelettiioonn?? 0 YYeess 0D NNoo PPuummpp ODJ NNoottinInssttaalllleedd DDaattee IInnssttaalllleedd 0055//11881/11999988 Manufacturer's name GRUNDFOS Model number_ HP Q2_ Volts 230 Length or drop Pipe :.Q_rt. Capacity _g.p.rn Type Submersible Material Abandoned Wells Does properly have any not in use ami not sealed well (ss)r? 0D Yveess 0 NNoo. Variance Was a variance granted from the MDH for this well? D Yes 0 No file:/i/II/MPCA/!Working/A0081-100%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000599745.htm (1 of2)7/l/2008 10:37:33 AM 2222.11553311 STATE_02822488 Well Log Report- 00599745 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Don's Plllll & Well 61584 MEULEBROEK, D License Business Name Lie. Or Reg. No. Name of Driller 599745 I Printed 6/28/2008 HE-01205-07 file:/i/II/MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa... Paynesville/Well%20Log%20Report%20-%2000599745.htm (2 of2)7/l/2008 10:37:33 AM 222222.115532 STATE_02822489 SSiitteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY PPeelcicaann RRaappiiddss P7Pe0el9lii5cc"aa1nnSRRtarapepeiitddssSEFFiirree DDeeppaarrttmmeenntt Pelican Rapids, UN 709 5 h Street SE Pelican Rapids, MN 5566557722 TT2r1ree8v-vo8or6r3SS-tt5ec2ee1vv1eess,, FFiirree CChhiieeff prid@oretel net 218-863-5211 prfd@loretel.net TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraainniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 22"d AAvveennuuee NNWW aanndd 441" SSttrreeeet,t, PPeelliiccaann RRaappiiddss h GAAlFFaFFss:F:AUU:S.AS.n.sFFuiilrssSt SSottrxikkee Class A: Ansul Silv-ex BB-i-AAnnnnuaulalllyy LLeessss tthhaann 5 ggaalllloonnss GGrroouunndd,, ssttoorrmm sseewweerr CAAlFFaFFss:F:4:55 gg5aaglllalootnnoss.rs Class A: 5 gallons PPeelliiccaann RRiivveer,r, lleessss tthhaann 11//44 imlilee ssoouutthh LLeessss tthhaann 11/44 memile ssoouutthh AAltoorr aaddjjaacceenntt oto rtraaiinniinngg ssiittee TTrraaiinniinngg sesite llooccaatteedd iinn WWeeflllhheeaadd PPrrootteeccttiioonn AArreeaa 11s6 22222222..11553333 SSTTAATTEE0_202882222449900 PPEELLIICCAANNRRAAPPIIDDSSCCWWII WWeellll MMaapp E PR by ttol (atU e W RSS CLE Re ee mun SE SRA a Rt | EN ea e FEea,reCRE oeD n baRSFa Raban i a Lo aS rr TRdES EfTSBeECpA t bpkraifWielstthein og n: i ff uo Se i Bn [50 an 2 A 8] A Toyo B EASEe TE fyEenCHE a be Ete aSCOR] d fo E SUlaee plRR eae ds Hrs bal] Uh CSI ARR FS fNeLe, OSaLmEi TE UNe E eae d Eerrnh A580a | Aa em eeTR FH Fe E l Clings E BGPiR nEe lSyG, S EpLE A TO A Se| lPienen Mapids 7 LsE peAE eilR o CIfTyE FRE TT 0 U we hNA e FREEET oN ad) 7 LY 222222.115534 stare oases STATE_02822491 [PePleilcicaann RRaapiiddss WWhhaatt''ss IInn MMy Neigbhobrhoorohd MoMaoapd |-- i | fi N - \| ve= s) \ { | em. LAS || iJ 4 | i : | as _SSIITTEE~-- ! |& ind | Fifi |||| Aig HTi bid wd : | L | | i i | |||1a ko ~[BRa=itSdsiocaipnr Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion J ngornittedBumps. of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided EE EE | subject to tbe express condition that tbe user knowingly waives any and all claims for damages against | o comm w | MPCA that may arise from the use of this data. Sites D~n.Mc:l matt~ &u~~rkl M hm~ St"IKIW.W IJn~ml!bd Dun1J15 NFRAP mtawy ~R~u,g..orritllund C:~RCL!fi. | oFef'dt\eJre:anll SSuupptsrfrUinudt ||| @MimmosotaPortion Controt AgencAgen:y | | !iune: Cboocl L.cmcHUI5! rmmae n Vo!Unllr~ lrW'I191'11:11'i Von, ysevion & Cb!lrwJ!o romTia ..t. ltCRA 1!iD f'lt:ill:l~ on a ~M Jrw-ut-kor-111 & ClfiiiW~ "A"-SatuamA~ eonrws1 em1I1m 222222.115535 STATE_02822492 g 32 %gr | mi AYE |8 g ifeh ee T2 r C sahd i f Be"4 TET. |1 iy 8 : 52 | . ; Letraset: i Pelican Rapids Wetland Map 96-6-30W !;- .".9z.0.'. """""""""""""""")'*"""" """""" """""""""""""""""""""""""""" -I.6wz"..'. M """" """""""""""""""""""""""""""" """""""" <<<"" """""""""""""""""""""""" ""<< """"""""""""""""""""""""""""" <<;<<<<"""" """""""" """""""""""""""""""" <><<<<<"" \) """""""""""'~'~"""" ""<- OJ 22222.1155336 ; z .0... ~ M ~ =o | ||| z 9 ~ ~ 9 |i o ERE e | i 3 vO | i[i=E z ait Hi Hl 2, [iE |_|}i 96-6-30W 96-6-0W 96-5-30W Hd r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only" Data layers that appear on this map may or may not be accurate, current, or otherwise reliable" THIS MAP IS NOT TO BE USED FOR NAVIGATION" I 0 N 00 N N .j:>. \.0 w ELAS) 3 | : 'e % El .... .wO..J. ~ 0 z .... .wO..J. ,z, 0 z | AH : ~ ~ 6 z 96-5-0 w w.... OJ w J,. 0 z 96-4-30W :3 Map center: 46 34' 20" N, 96 5' 29" W em cw aw: efi lue T BE2 ii! il L i oni i Poh thiif2llaihfhaifeltiigd & Legend .0Ohlo_wet_scan D1 Out of range ;!</ Interstate Major Roads Other Road ;!</ Interstate .;./ State highway .;./ US highway Roads Cities r " USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K 0 South America u North America $ Scale: 1:20,224 i3 somos Well Log Report- 00146347 Afinnesota Unique Well No. 146347 aQuw Snoote 146347 County Quad QuadiD Otter Tail Pelican Rapids 239D ST Well Name SWAN, PAUL Towbin DrScion Stes Heion Township Range Dir Sedion Subsedions Elevation Be 0 W 2 ANIDCD eoston Method 136 43 w 28 AABDCD Elevation Method MINNESOTA DEPARTMENT OF HEALTH WEANDLBORL ING RECORD Upiebue ou170 WELL AND BORING RECORD osSes Chops 01 Wend he MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/17/1988 08/17/2000 131 1 T on C on aNMasCryoa 1311 ft. 15 EES |i ath orp is 7.5 minute topographic map (+/- 5 feet) Well Depth 80ft. Depth Completed 80ft. . Rotary Date Well Completed 10/30/1978 Drilling Fluid = p I ees -- Well Hydrofmctured? DYes D No From Ft. to Ft. Use Domestic Well Address rasPELICAN RAPIDS MN Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 No Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 1n. to 70ft 11 lbs/ft DYes ReSperm Open Hole from ft. to ft. Screen YES :VIake JOHNSON Type stainless steel Geological Material TOPSOIL SANDY CLAY CLAY re SAND SAND FINE TO MEDIUM Color Hardness From To BLACK 0 2 YELLOW BLUE = YELLOW or GRAY 2 21 21 24 24 40 40 80 Diameter 4 Slot/Gauze 12 Length 4 Set Between 70 ft and 74 ft Static Water Level 15 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 18 ft. after 2 hrs. pumping 25 g. p.m. 10/30/1978 Torrens NO REMARKS Ltt Mm isn Located Minnt:sola Gt:ological Survt:y rae er l"nique Number Verbotene Verification Information from neighbor System UTM- Nad83, Zonel5, Meiers eh Dts ce Method Digitized- scale 1:24,000 or larger a (Digitizing Table) J, DateN/A X: 262650 Y: 5162005 fermenSE Well Head Completion Pitless adapter manufacturer Model mig rn Groat? Yer DDlcuCsaisningghPorostsetciticoan D012121ins. abboove rrgraasdde: D00 AAtv-rgarade((EnnvirovnmientaclWWemlellslsmaandedHBornoirinngtgssOOaNNLLlYY)) Grouting Information Well Grouted? 0 Yes D No Costes sors Grout Material Bentonite wn snot fran 8 to 50 ft SCRA Nearest Known Source of Contamination a - feet - direction _type Wdl disinft:clt:d upon complt:lion? 0 Y~s D 'lo Pump 0 Not Installed Date Installed 11/08/1978 opiate crmnio sem ne stmt vast wt Manufacturer's name FLINT & WALLING Model number 5BA8 _ HP Qj_ Volts 230 Length of drop P1pe i._ft. Capacity lQ_g. p.m Type Submersible Material Steel black or low carbon) he O x AAbaannddoomncedd WWeelllls DDoocess percoppeerrtyyhhaavvee aannyy nneott iinn wusse aanndd neott ssecaaleedd wweellll(ss)?? D01 Yes D No [aIr First Bedrock Last Strat Sand-gray Drmy Aquifer Depth to r1 y Quat. Buried Artes. Bedrock ft. Aquifer County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certilication oione 0 oe trl Robertson Well Co. 26144 CATOE. R. License Business Name Lie. Or Reg. 1\o. Name of Driller 146347 I Yes D 'lo Printed 6/28/2008 HE-01205-07 fi1e:i/lllfMPCA/1Working/A0081-100%20-%20PFC%20Foam/. .. ican%20Rapidsl\\lell%20Log%20Report%20-%2000146347.htm711/2008 10:39:50 AM 2222222.11553377 STSTAATTEE0_208282222449944 Well Log Report- 00146383 Afinnesota Unique Well No. 146383 apwrSeo t 146383 County Quad QuadiD Otter Tail Pelican Rapids 239D RTT TOR TRTR Well Name LUNDHAGEN, NORMA:\! Towbin Dr ct veces Heion Township Range Dir Sedion Subsedions Elevation Be OW 2 ANAC eoston Method 136 43 w 28 AABACB Elevation Method MINNESOTA DEPARTMENT OF HEALTH WEANDLBORL ING RECORD Upiebue ou170 WELL AND BORING RECORD osSes Chops 01 Wend he MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/17/1988 08/17/2000 107 1 TC on aNoriCoa 1307 ft. 15 EES|i ah orp Riis 7.5 minute topographic map (+/- 5 feet) Well Depth 75ft. Depth Completed 75ft. . Rotary Date Well Completed 11103/1978 Drilling Fluid = p I ees -- Well Hydrofmctured? DYes D No From Ft. to Ft. Use Domestic Well Address PELICAN RAPIDS MN Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 No Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 1n. to 71 ft 11 lbs/ft DYes Open Hole from ft. to ft. Screen YES :VIake JOHNSON Type stainless steel Geological Material TOPSOIL Ea CLAY SAND FINE SAND MEDIUM Color Hardness BLACK = YELLOW GRAY GRAY From 0 1 22 65 To Diameter 1 4 22 65 Slot/Gauze 18 Length 4 Set Between 71 ft and 75 ft 75 Static Water Level 12 ft. from Land surface Date Measured 11/03/1978 PUMPING LEVEL (below land surface) 25 ft. after 2 hrs. pumping 20 g. p.m. Torrens NO REMARKS Ltt Mm isn Located Minnt:sola Gt:ological Survt:y rae er l"nique Number rts essen st Verification Information from neighbor eh Dts ce Method Digitized- scale 1:24,000 or larger pisokeen (Digitizing Table) J, DateN/A eer Well Head Completion Pitless adapter manufacturer hdModel mig rn Groat? Yer DDlcuCsaisningghPorostsetciticoan D012121ins. abboove rrgraasdde: D00 AAtv-rgarade((EnnvirovnmientaclWWemlellslsmaandedHBornoirinngtgssOOaNNLLlYY)) Grouting Information Well Grouted? 0 Yes D No Costes woes Grout Material Bentonite tn ont from 8 to 45 ft TS o T ERAT Nearest Known Source of Contamination - feet - direction _type System UTM- Nad83, Zonel5, Meiers X: 262602 Y: 5162141 a ood Deon LT Wdl disinft:clt:d upon complt:lion? 0 Y~s D :\Jo Pump 0 Not Installed Date Installed 11/08/1978 ha at aa" muMmnabneiurf_ascturHHerP'sPQn.Sa2m_Ve VFiLolsItNs T2233A00ND WALLING: Length of drop P1pe i._ft. Capacity lQ_g. p.m Type Submersible Material Galvanized Model he O x AAbaannddoonneedd WWeellllss DDoocesspperooppeerrtyyhhaavvee aannyy nnoottiinn ussee aanndd ncott ssecaaleedd wweeltl(ss)?? D01 Yes D No [aIr First Bedrock Last Strat Sand-gray Drmy Aquifer Depth to r1 y Quat. Buried Artes. Bedrock ft. Aquifer County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certilication oiones 0 Xo Ne tr Robertson Well Co. 26144 WAGNE)1 W. License Business Name Lie. Or Reg. 1\o. Name of Driller 146383 I Yes D :\Jo Printed 6/28/'2!J08 HE-01205-07 file:i/lllfMPCA/1Working/A0081-100%20-%20PFC%20Foam/. .. ican%20Rapidsl\\lell%20Log%20Report%20-%2000146383.htm711/2008 10:39:51 AM 2222..11553388 STSATATTEE0_202882222449955 Well Log Report- 00256411 ~Q:u::atym nigue WIN Coup lMvifinnnneessoottaaUUninqiqueueWWelelll NNo. II II 225566441111 Quad. ~-==================~- QuadiD Otis Ta Otter Tail P`Peelliiccaann RRaappiiddss 2239D Waa SRT Well Name USGS 133 Towmaip Rang iSectionSubsections Ecvation Township Range Dir Section Subsections Elevation 136 136 45 43 w W 221 DDDDCC ElevationMethod DDDDCC Elevation Method DDEEPAPRMTSAMIuNEERNNSETTSOOOOIMFFTAAHHEEEAANLLTTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD Reconed ac RECORD ions Ses Chapter 1031 Minnesota Statutes Chapter 1031 EEqnttrryyDDaattee UUppddaattee DDaattee Received Date 0099/0202/2000044 wisn WN Deph DeppoC,omedie WTeCoonmet 1318 ft. to7.p5ogmripnuhtiec map topographic map i (+/- 5 feet) Well Depth | DIREMethod 17 ft. U ~lllln!! lVletnO Depth Completed 17ft. Date Well Completed 08/01/1979 -DrDirlillliinnggFFlluuiidd -- Fon Tt Fy WWelelll HHyyddrrooffrraaccttuurreedd?? [DJYveess 0D Nnoo From Ft. to Ft. Use Scientific Investigation CasingTvpe_JointNo norman Drive Shoe? J Yer 1 Casing Type Joint No Information Drive Shoe? DYes D noon 0. No Above/Below ft. Casing Diameter erght Tile Diameter Casing Diameter Weight Hole Diameter GooiogicalMatos Geological Material ROL ROAD FILL Til omer TILL, SANDY CCoolloorr snBRoOWwN HHaaardnneessss 70 REHIERS NO REMARKS F[0FI rroomm2TT2oo 2 17 pe To TET Open Hole from ft. to ft. oT Screen Make Type Diameter SiotGmse Diameter Slot/Gauze Length Length Eomr Dt ess Static Water Level ft. from Date Measured ater bes pup gpm PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. SetBetween Set Between Pies np mma Well Head Completion Pilless adapter manufacturer Mkt Model DDI cCaassiinngg PPrrootteeccttiioonn D[J 11221imn.. aabboovvee ggrraaddee. I ate ment Wels ad orgsONLY) D At-grade (Environmental Wells and Borings ONLY) Growing formation WellGroust? 0] Yes 0 No Grouting Information Well Grouted? DYes D No Luce rit Stes cogs Meth Digna Located United States Geological Sr prev Survey Unique Nam i. Unique Number Verteston emanate 09372008 Verification Information from owner or BT, System UTM- Nad83, Zonel5, briny ORT: sen l\!Jeters Method Digitization (Screen) - Map (l :24,000) Date 09/27/2004 X: 262827 Y: 5162208 La Stet Tiron FiFrirssttBBeeddrroocckk Last Strat Till-brmNn Daprock AAauqiutifeerr Depth to Bedrock ft. ET Nearest Known Source of Contamination Ca - feet - direction _type welpont conts en? 0 ves Well disinfected upon completion? D Yes rump 0 Not nsaled Dutt Pump D Not Installed Date Installed 0 No D No osntoneT ele Dos pats Hea Tra Eo TET LMLeanengutfnhaocofgtfuddrretroorp'pshPnaipmePipee f_ft\_. CCMaappoaadccieitltyynum_gbpge.rmp- m HTTPyypp-ee VMoMaltatsteerriiaall Abandoned Wells Does property have any not in use and not sealed well (s0)? 0D Yvees DO NNoo Varian Wass rnc rato fom 0 MDH frit 01 Ye Variance Was a variance granted from the MDH for this well? D Yes 0 x D No Cor Co a uGniossavtesigicSvas Well Contractor Certification United States Geological Survey UUSsG.S Lis Disa Li OrReg No. Naofmrlel License Business Name Lie. Or Reg. No. Name ofDriller ARCA OR 1000 RalLCR 504 SOSA 3130810303050 file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Fo...n%20Rapids/Well%20Log%20Report%20-%2000256411.htm (I of 2)7/112008 I 0:39:50 AM 22222..11539 STSATATTEE0_208282222449966 Well Log Report- 00256411 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 225566441111 Printed 6/28/2008 HE-01205-07 CA Wig L201. loSee 0 SOU 371810303080 file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Fo...n%20Rapids/Well%20Log%20Report%20-%2000256411.htm (2 of 2)7/112008 I 0:39:50 AM 22222222..11554400 SSTTAATTEE__0022882222449977 Well Log Report- 00418128 1\Iinnesnta Unique Well Nn. [_amsizs oo ui k a is 418128 County Quad Quad ID TTT Well Name EVENSON, KERRY Otter Tail Pelican Rapids 239D en ac Hebmtnes Township Range Dir Section Subsections Elevation 136 43 w 28 AADCBB Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD WELL AND BORING RECORD nro Stu Cops 11 Minne.mta Statutes Chapter 1031 NC Well Depth Depth Completed Ieest Lo cana 1304 ft. 7. 5 minute topographic map(+/- 5 feet) 80ft. gon. .orilfuJ.~ t\i~th~d 'N~;;.~~r~~ifieci R~t~ry .. Drilling Fluid -- IWell Hydrofractnred? From Ft. to Ft. Entry Date Ce apn Update Date Med Received Date 04/17/1988 03/1112005 har Capt Date Well Completed SE os/23!ln6 .... DYes D No Use Domestic eases Well Address rues PELICA~I RAPIDS Ml~ 56572 ocsogarmern Geological Material oe TOPSOIL SoCLAY SAND SeSAND pore" SILTY CLAY ooewColor BLACK YELLOW "Elon YELLOW aGRAY orGRAY twine Hardness ofFroommm eTToo 0 1 50 1 16 16 30 ios 30 65 `or 65 80 Co Wo Tie Satr Casing Type Below n. Joint No Information Drive Shoe? Casing Diameter Weight DYes 0 No Above/ Hole Diameter 4 in. to 58 ft lbs/ft : . Open Hole from ft. to ft. [Soiree Screen YES Make JOHNSO'J fone Soom img Semen Diameter pe w ET 4 Slot/Gauze 10 Type stainless steel Length 4 Set Between 58 It and 62 It ho Ente ened 0133100 Static Water Level 15 ft. from Land smface Date Measured 05/23/1986 ASC CASINGKINA TILK 11077 REMARKS PLASTIC CASING RIVERREST BLK 1 LOT 7 PI:MPING LEVEL (below land surface) fl. after hrs. pumping g.p.m. [---- Well Head Completion RST sour wet Pitless adapter manufacturer MONITOR Model Ocean. 0 1300 sve D Casing Protection D 12 in. above grade 0 tpi br et mteg 031 ) D At-grade (Environmental Wells and Borings ONLY) romnginormaton. Winco? ve Ll ee Grouting Information Well Grouted? 0 Yes D No oct mc ry penDec 2000 cr Located Minnesota Geological Survey Method Digitized - scale 1:24,000 or larger (Digitizing Table) re ume Vttn stmt Unique Number Vcrification Information DateN/A from owner Lisanti System UTM- Nad/?3, Zone /5, Meters X: 262691 Y: 5161g9g Grout Material Bentonite from 10 to 50 ft ES CSR Nearest Known Source of Contamination ~feet !'L_direction SeQtic tank/drain field type Well disinfected upon completion? 0 Yes D l\o Pump 0 Not Installed Date Installed 05/28/1986 Manufacturer's name PLINT-WALLING Model number 4PlOD05-30K ay Le _ HP Q,2_ Volts 230 Length of drop Pipe l2_ft. Capacity lQ__g.p.m RTat CRA Type Submersible Material Galvanized red Web Do vy re oemeteor Abandoned Wells Does property have any not in use and not sealed well(s)? D = Yes D No L nth nnt sins First Bedrock Last Strat Unknown deposit type-gray DAiOv dutDkr e Agife Aquifer Quat. Buried Artes. Aquifer Depth to Hedrock n. County Well Index Online Report Variance Was a variance granted rom the MDH tor this well? D | iEbmiondIoyme 0ms oCoatton Well Contractor Certifi~ation Robertson Well Co 26144 CATOE R. License Business Name Lie. Or Reg. No. '\lame of Driller 418128 I Yes D No Printed 6/2812008 HE-0 120 5-07 file:/IIII/11PCAI! W orking/A0081-1 00%20-%20PFC%20Foam1... ican%20Rapids/\Vell%20Log%20Report%20-%2000418128 .htm7/1 /2008 10:39:52 AM 22222222..11554411 STSATATTEE0_208228222449988 Well Log Report- 00429921 MMminenreostotsaDUtniqsue WBellNNo. II 429921 CCoouunnetyy Quad Quad ID OOttterTTaialil Pelican Rapids 239D Well-"ame MAGNUSSON. MIKE 6 BW 2 CCOAC let Netnd Township Range Dir Section Subsections Elevation 136 43 w 22 CCCDAC Elevation Method Well Address PEPPLEOILIC.CBAAONNXRR5A0APPIIDDSSMMNNS58655722 Seep Geological Material CCCLLLAAAYYY-GGRRAAVVEELL GRAVEL SAND 5GRAVEL CLAY SAND CLAY SAND flo, Jus Color YBBELLUULLEEOW Hardness HASHOARRFDDT GRAY SOFT EE GRAY BROWN BROWN HARD SOFT SOFT SR HEALTH MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 1031 EEnnttrryy DDaattee. Update Date Received Date a011/313/1v99I1 02/04/2004 Well Depth Depth Completed Date Well Completed gic | PREtS n tay 1341 ft. 7.5 minute topographic map 107ft. 107ft. .. bdili~i.i\i~th~d N~;;:~P~~;ti~d R~tary 06/21/1988 .... (+/- 5 feet) Drilling Fluid I Bentonite Well Hydrofractured'! DYes D No From Ft. to Ft. Use Domestic CCaassiinnggTTyyppee PPllaassttiicc JJooiinntt NNoolIanffoomrmataiticonn DDrriivveesShhooee?? [DJYveess 0D Ik, No Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 in. to 103 ft. lbs./ft. 6.75 in. to 107 ft. {OOppeeiniHnoilee ffroomm&ft.w to R ft. 1 m T | olameter ~~ SiovGauze Length SetBetween Screen YES From To 0 21 Diameter 221 =32 [4+ Make JOHNSON Type stainless steel Slot/Gauze 12 Length *4 Set Between 1W03hft. awnd e107bft. 32 52 a 52 84 84 102 Static Water Level 102 107 15 fL from Land surfaLOe Dale Measured 06/21/1988 PUMPI-"G LEVEL (below land surface) 107 ft. after 1 hrs. pumping 60 g. p.m. LL REMARKS PLASTIC CASING RJ MILLER ADDN LOTS 3-5 Located Minnesota Geological Survey UJingiqeune NSrumbebepr Verification Information from owner System UTM- Nad83, Zone15, Meters lMlaarreggteehrro((dDDigiDgitiiitgizziitniingzgedTTaa-bbsllceea))le 1:24,000 or DDaatteeNN/AA X: 263092 Y: 5162238 First Bedrock Last Strat Sand-brown Aquifer Quat Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer MONITOR Model 7PSB4554Cl DDlcCasasiinnggPPrrootteeccttiioonn D0 1122i.n.sahboovveeggrraaddee 0 Avra momen Wells sdBains OLY) D At-grade (Environmental Wells and Borings ONLY) GGrroouuttiinngg IInnffoorrmmaattiioonn WWeellll Grroowuetedd?? v0 eYres ODJ Nnoo Tr Grout Material: Neat Cement from to ft. .N"eeaarreesstt KKnaowwan S Souroceoofu fCCoomrnttaammc ininaate tiioonn lQQ_feet South East direction SeQtic tank/drain field type Well disinfected upon completion? 0 Yes D No PPuummpp. 0 NNoott Innstsalleed DDaatteeIInnssstalllleedd 0066/2222/111998888 Manufacturer's name STA-RITE Model number 8P4C02S _ HPQ_2__ Volts 230 Type Subneniie Length of drop Pipe Type Submersible Matoia lill_ft Material Posie Capacity Plastic lQ_g.p.m Abandoned Wells Does property have any not in use and not sealed well(s)? 0 Yes D No Variance Was a variance granted from the MDH for this well'! D No Well Contractor Certification AnAtnotonnsseennWWelelll CCoo. 566118322 ws DAVE& JERRY License Business Name Lie Or Reg. No Name of Driller Yes D 429921 I Printed 6/28/2008 HE-0 1205-07 fll e:///II/:\1PCA/! Working/A0081-1 00%20-%20PFC%20Foami.. .ican%20RapidsiWell%20Log%20Report%20-%2000429921.htm7/1/2008 10:39:52 AM 22222..11542 STATE_02822499 Well Log Report- 00438366 rr pein fone oui Minnesota Unique Well No. 138366 | wSii 2retin: WELLRAENCDORBDORING URrieeivmee 1300 II 438366 County Quad Quad ID Otter Tail Pelican Rapids 239D TTT OT sonDSaetshCtr103C1 ored Da WTC Well Name PATJLSON, CHUCK Tob Dec iet ctosEstbn1318 1 jy on oe Township Range Dir Section Subsections Elevation rime former = 136 43 w 28 AAABCD Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne~ota Statute~ Chapter 1031 Entry Date Update Date Received Date 01/31!1991 08117/2000 1318 ft. 7.5 minute topographic map Well Depth 80ft. Drillin: Method -- Depth Completed 80ft. Date Well Completed 09/01/1987 (+/- 5 feet) Drilling Fluid -- Iheryavreeanets Ove On Well Hydrofractured? DYes DNo from ft. to ft. etAdes Well Address BOX 1 F=lckinsroswesz PELICAN RAPIDS MN 56572 Geologist Geological ToTOP SOIL aCLAY SooSAND uoSAND 0CLAY Material CowColor rdBLACK Salo YELLOW SaGRAY ShyGRAY fdBLUE ones Hardness Use Domestic Cone Type som orion tre vr Dive 8 Casing Type Joint No Information Drive Shoe? DYes 0 Re 1 No Above/Below 1 ft. Gang Damtar Weg Be Casing Diameter Weight Hole Diameter Can wn [A 4 in. to 69 ft. lbs.lft. 8 in. to 80 ft. m mm re] Open Hole rom n. to n. THE TOT To TT Screen YES Make JOHNSON Type stain!ess steel From To [Dame SicuGas Lang Set seeen From To Diameter ome 5 rial rat 0 1 4 Poa 1 28 Slot/Gauze 20 Length 4 Set Between 69 ft. and 73 ft. ah 28 51 5a 51 75 hE [we 75 80 Static Water Level I om Fie Messed 09011987 20 n. from Land surtace Date Measured 09/0111987 FRCL eo Baas PUMPING LEVEL (below land surface) Tce REMARKS PLASTIC CASING be Ses Nocated Mi.nnesota Geologi.c! Survey MMeetthhoodd DDiiggiittiizzeedd --sscaacle 11::2244,.00000 oorr Located Mmnesota Geologtcal Survey larger (Digitizing Table) [narwiagmber Due Nn Unique Number Verification Information from owner Spm UTM Nah 2S. 202 vs suas System UT1'vf- Nad83, Zonel5, ]\/[eters DateN/A X: 262742 Y: 5162108 Foe ik First Bedrock Laon Cogs Last Strat Clay-gray Aer Qt ate re Ani Aquifer Quat. Buried Artcs. Aquifer pi lnk 1 Depth to Bedrock ft. 30 ft. after 1 hrs. pumping 15 g. p.m. Wel HeGrmpion Well Head Completion Ph mete MONITOR td Pitless adapter manufacturer MONTTOR Model Olcuingromtsn Dl 12 shoregmic D Casing Protection D 12 in. above grade IE pe ens ls gs0411) D At-grade (Environmental Wells and Borings ONLY) Croan woman Wel Gronest ver Tv Grouting Information Well Grouted? 0 Yes 0No Gotta setts Grout Material: Bentonite fom 0018 from 10 to 50 ft. SS STC Nearest Known Source of Contamination A ren `Spada ore ll2._feet '!f.._direction SeJ2tic tank/drain field type arsine 8 ve 0 no Well disinfected upon completion? 0 Yes D No PT ---- Pump 0 Not Installed Date Installed O'J/17/l '!87 buses AERMOTO. Ml AL2 0 Manufacturer's name AERMOTOR Model number Al2B-50 TE _ IIPQ2_ Volts 230 enone1. Cape 125pm Length of drop Pipe :Q_ft. Capacity R__g.p.m Type Submersible Material Plastic ET Abandoned Wells Does property have any not in use and not sealed well(s)? Oe @ D Yes 0 No Vee Wo rtm one on A sn 0 Yo Variance Was a variance granted trom the MDH tor this well? D Yes Ow D No Well Contractor Certification Tool, Mls GATOR. Robertson Well Co. 26144 CATOE R. Lice isNae OreNo. meor ur License Business Name Lie. Or Reg. No. Name ofDriller County Well Index Online Report 438366 I Aig BF SR Sag SST ROP 8 file:///Ij/l\!PCA!!Working/A0081-I00%20-%20PFC%20Foam/...ican%20Rapids/Well%20Log%20Report%20-%2000438366.htm7/1!2008 10:39:52 AM 22222222.11554433 Printed 612812008 HE-0 1205-07 sare 02822500 STATE_02822500 Well Log Report- 00530740 Miot5s3U0M740TENS Minnesota Unique Well No. II 530740 op County QuadQuad Quan QuadiD ov Tal Otter Tail Rem pte Pelican Rapids 29>239D aT FOR TAT Well Name KONICKA, BERNARDINE TowsipRangeDirScionSuction Ecstion Township Range Dir Section Subsections Elevation 136 43 w 27 BBCACB ElPvation Method on 1301 ft. MINNESOTA DEPARTMENT OF WEALTH En bue 2i HEALTH WELL AND BORING Updae Due 713200 WELL AND BORING RECORD Recon Duc RECORD Mineo Sues rapier 1051 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 06/2211994 07/1312004 Wellboth Doph Gompied Do We Coed Well Depth Depth Completed Date Well Completed on et wz 65 ft. 65ft. 09/2211993 7.5 minute Il~illi~gM~th~dN~~~sp~cified Rotary 0000 topographic map (+/- 5 feet) Dri Fo Drilling Fluid Pairc Bentonite IWellin? 0 ver 0 No Well Hydrufractured? DYes D No Fo 1 TL From Ft. to Ft. Cin Type Tove Jon Git DeveSh? Use Domestic Casing Type Plastic Joint Glued Drive Shoe? 01 Yer DYes E0 oNo Amer Abovp/ Below ft. Gating Diameter Casing Diameter in gn 4 in. to 57 ft. Vie Weight wRlbs./ft. Fe Gmeter Hole Diameter omen 6b 6.25 in. to 65 ft. Behvhpc v-- e Well Address 620 108 HY PELICAN RAPIDS MN 56572 ecogia atria Geological Material per) GRAVEL & ROCK Shove SANDY CLAY AiEcons0 FINE CLEAN SAND Color Hargness Color a fr GRAY joGRAY feGRAY Hardness SOFT SOFT SOFT From To| SOR1laoementeri SABeSW.ioItGRaWuSCC zOa TToSLeTrngw th SSeoEetBemtweesn From og 0 os 40 sow WFSeUl0NlPHW IeosNmtGCoLbamoTEspnNlTpFedutLmiep(oisnongir ganmdMaenrceyt 922198 45 forme Open Hole mre trom tl to n. Screen YES Make WESCO Type stainless steel Diameter To 4 40 Slot/Gauze 6 Length 8 Set Between 57 ft. and 65 ft. 45 65 Static Water Level 6 ft. from Land surface Date Measured 09/22/1993 PUMPING LEVEL (below land surface) ft. alter hrs. pumping g. p.m. Well Head Completion PT, NO REJ'v!ARKS Locwed Miso Dormer MethodDigitization Seren) Mop Located Minnesota Department hen (ST of Health Uniqs Nomber Vestn Np 10 Unique Number Verification N/ A = A Sytem UTM Nath ZwlS, x, 200: 161910 System UT1'vf- Nad83, Zonel5, ]\/[eters Method Digitization (Screen) - Map (124,000) Date 07/12/2004 X: 263001 Y: 5161910 Pitless adapter manufacturer MAASS Model 4JCLP Dcosigosion 0 12in ston nie D Casing Protection D 12 in. above grade D1 Ate Emo WeandlBrilngss ONLY) D At-grade (Environmental Wells and Borings ONLY) Goats tormatin Well Groen 2 ver OI vo Grouting Information Well Grouted? 0 Yes D No Gratt Batn Grout Material: Bentonite fonfrom T0808 7 to 50 ft 20s 3 bags Neer Sore Como NParPst Known SourcP of Contamination 130 Tt Wckon. Ba ofa ye UQ_feet Yf_direction Body ofwater type Wa inset wpenconmicioe Byer 0 No Well disinfected upon completion? 0 Yes D No Pap D1 Notlnales Du oss 201953 PUIIlp D Not Installed Date Installed 09/29/1993 MutcrtuneuGReUNtDECsS Meu nes51045. Manufacturer's name GRUNDFOS Model number JS10-05 Tiros vn _ HPQ2__ Volts220 Toho1. Coney 10 som Length of drop Pipe :!Q_ft. Capacity lQ_g.p.m Type Submersible Material a Abandoned Wells Does property have any not in use and not sealed well(s)? Ove @ x D Yes 0 No Vartanr ee ues grate fo te MDH ct? Ver VariancP Was a variance granted from the MDH for this well? D Yes 0 x D No FLFisiutstBiBeetndrrooccSkkank DAAuaqwupiifeeorr bQQuouaato. BTkuiriedd ArcsArtes. Acute Aquifer Last Strat Sand-gray Depth to Bedrock ft. CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt Well Contractor Certification OunWelDillzs 12 oLsoNR Olson Well Drilling 14229 OLSON P. cre uses amOreRetg NoNamef Drier License Business Name Lie. Or Reg. No. Name ofDriller 553300774400 I Ta Printed 612812008 HE-01205-07 Cin OR 17295. Sp NHf e3S 3 0 105311 file:///IJI1v!PCAI!Working/A0081-100%20-%20PFC%20Foam/.. .ican%20Rapids/\Vell%20Log%20Report%20-%2000530740.htm7/1!2008 10:39:51 AM 22222222.11554444 SSTTAATTEE__0022882222550011 Well Log Report- 00586574 Minnesota Unique Well No_ 558866557744 Quad County Quad Quad ID POPoetlltiieccriaTanaRRilaappides 239D Well Name FARNAM, DUANE B. Township Range Dir Section Subsections Elevation 136 43 w 28 AAABDB Elevation Method Well Address HY 108 W OF PELICAN MN EEE Geological Material CLAY SAND CLAY CLAY GRAVEL SAND Color YEUBRN BLUE BLU/GRY GRAY Hardness HARD HARD SOFT SFT-HRD CLAY SAND GRY/BLU HARD FINE SAND GRAY SOFT SAND GRAY SOFT FINE SAND GRAY SOFT SAND GRAY SOFT MINNESOTA DJ<:PARTMK\T OF WWEELLLL AAHFNN:ADDLTBBHOORRIINNGG RECORD Minnesota Statutes Chapter lfJ31 UEUpnpdtdraayteeDDDautaietee Received Date 07112000 05/021!997 07/1412004 1315 ft 7.5 minute topographic map ( I/- 5 feet) Well Depth 99ft_ Depth Completed 99ft. , Drilling Method Non-speLOified Rotary Date Well Completed 11/29/1996 Drilling Fluid Bentonite IWell Hydmfractured? DYes D No From Ft. to Ft. Lse Domestic CCaassiinngg TTyyppee PPllaasstiicc JJooiinnttNNoolInnffoorrmmaattiioonn DDrriivveesShhooee?? D [JYYeess 0 No Above/Below ft. Casing Diameter 4 in. to ft. Weight lbs.lft. Hole Diameter 8 in. to 30 ft. From 0 16 25 37 50 60 81 88 95 6. 75 in. to [OpoleFm TeRTT Open Hole from ft. to ft. To Screen YES 16 Make JOHNSON Type stainless steel 99 ft. 25 Diameter 37 4 50 Slot/Gauze 15 Length 5 Set Between 94 ft. and 99 ft. 60 81 88 Static Water Level 95 8 ft. from Land surface Date Measured ll/29/1996 99 PUMPING LEVEL (bl'low land surface) 99 ft. after I hrs. pumping 75 g.p.m. ro rrairrs NO REMARKS Locatl'd Minnesota Department ofllealth Sem UTM NalSh Zone Uniniqquuel' NNuummbbelr'r VVelr'riiffiiccaattiioonn NN// iyA Systl'm UT1vf- Nad83, Zone 15, ]vfeters Ml'thod Digitization (Screen)- Map (124,000) Dpratei' 0077/11332/2000044 x. 206 vs sicaise X: 262766 Y: 5162134 Eo ren ee FFiirrsst BBerdorocckk I.ast Strat Sand-gray Aquier Qu. Barisd Ares. Agi Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer MONITOR Model 7PS45B54CO DDO Ccaassiinngg PPrroowteeccttiioonn D011221i.n.aabboovvee ggrraaddee: GOroutinRg norEman. WollGroses 2 vor Ino D0 AAssatd-g(radEe (nEnvviroinmrentoalWWenlellmslsaanenddBnBoosritinnggass OlNLYONLY)) Grouting Information Well Grouted? 0 Yes 0No Grout Material: Bentonite from 0 to 31 ft. Wot dsniupoonctompeeiotnr B ves no .N"eeaarreesstt KKnnoowwnn SSoouurrcceeooff CCoonnttaammminaattiioonn 620Qf_efecett WY_'!_ddiirreeccttiioonn SSe2teic ttpaannkkd/tdrraaiiinn ficeld tfiycldp_tyepe Well disinfected upon completion? 0 Yes D No PPnummpp CD0 NNootttnInstsatalllleodd DDuaste Ilnnsstaallloedd 1122/00001!11999966 Manufacturer's name STA-RITE Model number 15P4D02J |_LLenHe gPtho0on .r7f5ddrri ooppVPPoiic lpptesed2'i3h 0ll0__nft.. CCaappaacciittyy l1Q0__gg.pp.mm Type Submersible Material Plastic Abandoned \Veils Does property have any not in use and not sealed well(s)'' D0 Yvees 0 NNoo VVaarl'iiaannccle' WWaass avvaarriiaanncceegrgaranntteeddffrroomm tthhee MMDDIII ffoorr tthhiiss wweellll?? (DJ YYeess 0@ nNoo Well Contnctor Certification AAnnttoonnsseenn WWeellll CCoo.. Se License Business Name 586574 5e6118322 Lie. Or Reg. No. I i AANTi ONS. EN 12_ Name of Driller = Printed 6/28/2008 HE-0 1205-07 file:/1/II!lv!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/.. .ican%20Rapids/Well%20Log%20Report%20-%2000586574.htm7/1/2008 I 0:39:53 AM 2222..11554455 STATE_02822502 Well Log Report- 00613323 Minne6so61ta13U3n33iq2u2e33Well No. QQuuiam 2Po)len Rants County Quad Quad ID Otter Tail Pelican Rapids 239D NorTR Well Name BERG. MIKE fr -- Township Range Dir Section Subsections Elevation Be136 043 WI w 28 MACDDFlerston Method AAACDD Elevation Method MINNESOTA DJ<:PARTMK\T OF HF:ALTH WELL AND BORING UpdmeDuie 03112008 WELL AND BORING RECORD ReedDre RECORD istSite Cape1031 Minnesota Statutes Chapter lfJ31 Entry Date Update Date Received Date 04/06/1999 0311112005 0 0, WelplaDyepth Dep Conompete jWe Ciompe 1301 ft. 7.5 minute peggy | DA Std Non Ry topographic map pik) ( I/- 5 feet) Well Depth Depth Completed 81 ft. 81ft. . Drilling Method Non-speLOified Rotary Date Well Completed 06119/1998 Drilling Fluid Bentonite I 0 Well Hydmfractured? DYes No From Ft. to Ft. Use Domestic Cotn Tye aie Jom Notwormaion Drive shoe? ) ver Casing Type Plastic Joint No Information Drive Shoe? ho Wore belo No Above/Below ft. DYes 0 Casing Dameter Vie Foie Diameter Casing Diameter Weight Hole Diameter Taw rn Twn Taw 6 4 in. to 77 It 2 lbs./ft. 7 in. to 81 ft. cage Geological Material noSAND FrCLAY CORSE GRAVEL BOUDERS COARSE GRAVEL BOULDERS anCLAY Seco COARSE SAND Color Wartness Color veuow sor YELLOW Vow SH YELLOW re ow RED Ble wow BLUE CE GRAY Hardness SOFT SOFT MEDIUM MEDIUM SOFT fm om en Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel From To|Dlameter SiotGauze Length SetBetween From To Diameter 0 [8 0 mame 0 1 4 Slot/Gauze 12 Length 5 Set Between 77 ft. and 81 It 2M 2 34 x35 46 6 fee 48 61 Static Water Level 62 81 10 ft. from Land surface Date Measured 06/19/1998 PUMPING LEVEL (bl'low land surface) 10 ft. after 2 hrs. pumping 40 g.p.m. To triers NO REMARKS Locxied Missa Dune Mth Digan(Sr)Mop Locatl'd Minnesota Department (ete 300, ofllealth UnieNmber Seitinton Np 11320 Uniqul' Numbl'r Vl'rification N/ +A Sym UTM Nath ovIS. amy, scans Systl'm UT1vf- Nad83, Zone15, ]vfeters Ml'thod Digitization (Screen)- Map (124,000) Datl' 07/12/2004 X: 262779 Y: 5162014 Well Head Completion Reads manors, MONITOR Nob 40 Pitless adapter manufacturer MONITOR Model 4BO Dcoing rosin 12. shve gre D Casing Protection 0 12 in. above grade J ee viWm lsd igs ONLY) D At-grade (Environmental Wells and Borings ONLY) rotng ormtion Wat Groaesr Yer Ove Grouting Information Well Grouted? 0 Yes 0No Crt Sects Grout Material: Bentonite fonfrom 069 0 to 30 It 3 3 oebags esrRr Se AC .'\earest Known Source of Contamination en Wn Sankdpmoit 7c 2.Q_feet Y'!_direction Se2tic tank/drain field type Woh stogorncoempcidonr B ver BI no Well disinfected upon completion? 0 Yes D No Tomp Noted Doe lcd io 8 Pnmp D Not Installed Date Installed 06/19!1998 [ost ordopripeds 0. capsins 12 som Manufacturer's name AERMOTOR Model number Tl2 50 _ HP Q.2_ Volts 230 Length of drop Pipe 'ill_ft. Capacity n___g.p.m Type Submersible Material ThundonsdWel De ore Trea 7 FT ATR Abandoned \Veils Does property have any not in use and not sealed well(s)'' Dv Bw D Yes 0 No Val"iancl' Was a variance granted from the MDII for this well? D Yes 0 No Fink Aqwer Qust Bari Arcs Acuitr First Bedrock JEI.ast Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County ill ner in Raper County Well Index Online Report Well Contractor Certification Nossrweip owe LNnDAY Krueger WelllJrll 03669 LINDSAY JIM ces Bess Name Li Or Reg No. Namen Dr License Business Name Lie. Or Reg. No. Name of Driller GE I 613323 Cig AHFC fe 05S Jn 39515 file:/1/Ij!lv!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/...ican%20Rapids/Well%20Log%20Report%20-%2000613323 .htm7/1/2008 I0:39:51 AM Printed 6/28/2008 HE-0 1205-07 22222222.11554466 SSTTAATTEE__0022882222550033 Well Log Report- 00617113 617113 Minnesota Unique Well 617113 No. QGuoadan SPoyn Rie County Quad Quad ID Otter Tail Pelican Rapids 239D AT ROT STE Well Name AHOKAS, STEVE Tanti ange DeSeton SeseconsHevsion Township Range Dir Section Subsections Elevation B93 AMCHC Fein ehod 136 43 w 28 AAACBC Elevation Method MINNESOTA DJ<:PARTMK\T OF HF:ALTH WELL AND BORING UplaDae 07132000 WELL AND BORING RECORD. Needte RECORD ingotsSuse Chr 1031 Minnesota Statutes Chapter lfJ31 Entry Date Update Date Received Date 07/15/1999 07/1312004 on, Neooko Dep Conod BoCnom 1310 ft 7.5 minute pogmpinnp | DE thd Nor iy topographic map Te ( I/- 5 feet) Well Depth Depth Completed 70ft. 70ft. . Drilling Method Non-speLOified Rotary Date Well Completed 09/11/1998 Drilling Fluid Bentonite IWell Hydmfractmed? DYes 0 No From Ft. to Ft. WetAdes Well Address TosoPOBOX149 Feanspos 52 PELICAN RAPIDS MN 56572 ge-ns Geological Material SANDY CLAY ShoSAND Shiver SANDY CLAY se FINE SAND Lse Domestic Cans Tope Pore Jot a rmain Deveshrt 01 ver 01 Casing Type Plastic Joint No Information Drive Shoe? DYes D non. No Above/Below ft. Goung Dimer We Fe ameter Casing Diameter Weight Hole Diameter Tan an wn 4 in. to 60 It lbs.lft toor SeWongness omfom 30To[m oS|[2DoBpmoesmnr VTESisoTuaRiOe N Le a eghTTSetTBetween Color BROWN om sor wom BROWN om won 8 BROWN Gor 8% he GRAY Hardness HARD SOFT HARD SOFT Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel From To Diameter 0 18 4 Slot/Gauze 10 18 28 28 59 59 70 Static Water Level Length 10 Set Between 60 ft. and 70 It 45 ft. from Land surface Date Measured 09/ll/1998 PUMPING LEVEL (bl'low land surface) 52 ft. after I hrs. pumping 15 g.p.m. FTEEWAITRES REMARKS SWAN CIRCLE Lcd Mme Dont Method Ditton Se) Ho Located Minnesota Department Method Digitization (SLOreen)- Map of Health nae Numer Vesston Np 1132005 Unique Number Verification N/ IsA Spm UTM Na Zonet sms: sumer System UTM- Nad83. Zonel5. ]\l[eters (124,000) Datl' 07/12/2004 X: 262722 Y: 5162062 Well Head Completion Pitsire mnt Mod Pitless adapter manufacturer Model Dlcuintmesion Tl tn dovegric D Casing Protection D 12 in. above grade 3 vas vinWelse nd igs s OMY) D At-grade (Environmental Wells and Borings ONLY) p------ Bo oO On Grouting Information Well Grouted? 0 Yes 0No Goatees Bots Grout Material: Bentonite fon 0601 so from Oto40ft 3 bags .'\earest Known Source of Contamination it Nem re tdi 5140 ~feet North East direction SeJ:>tic tank/drain field type Wat busisitvpencompere B veo Ovo Well disinfected upon completion? 0 Yes D No ek itr Out. rid Ares Avie First Bl'drock Unis Snes Degas eh 1 Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. CountyWell IndexOnline Report County Well Index Online Report Pump D Not In stalled Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned \VI'lls Does property have any not in use and not sealed well(s)" D Yes 0 No Varnes Wess vate etd om he MDH fo a! Variance Was a variance granted from the MDH for this well? xo 0 No Well Contractor Certification dCs BKC Vareberg Well Co. 03424 KRAFT. C. icons Bins Nair eg No Noma rr License Business Name Lie. Or Reg. No. Name of Driller 617113 I 617113 D1 ver D Yes Printed 6/28/2008 HE-0 1205-07 TAT HRA TNR RIES file:/1/IIIlv!PCA/!Working/A0081-l 00%20-%20PFC%20Foam/...ican%20Rapids/Well%20Log%20Report%20-%2000617113 .htm7/1/2008 I0:39:52 AM 22222222..11554477 STATE 02822504 STATE_02822504 SSiiteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY PPiieerrzz PPPliOeerrBzzoFFxriree34DD0eeppaarrttmmeenntt PPPlOieerrzzB,,oUMxNN3405566336644 3BBr2rii0aa-nn46JJ8aa.yy6BB6o0oe8xre,r, FFriree CChhiieeff 3ppi2iee0rr-z4zfi6fre8i@r-6e6m@0my8ywwddoo..ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: IInntteerrsseeccttiioonnooffHHiigghhwwaayyss 2255 aanndd 2277,, PPlieerrzz.. LLaasstt ttrraaiinniinngg iinn22000055.. AAFFFFFF:: 33MM BBAi-nAnnunaulalllyy LLeessss tthhaann 55 ggaalllloonnss GGrroouunndd CAAlFFaFsFsF::Ann:oott2ss5ppegecaciliflfiioeendds Class A: 25 gallons SSkkuunnkk RRiivveer,, lleossss tthhaann 11//88 mmiilee eeaasstt LLeessss tthhaann 11//88 mmiillee ssoouutthheeaasstt AApppprrooxxiimmaatteellyy 11/44 mmiillee wweesstt MMoorree tthhaann 11 mmiilee 1ia7 22222222..11554488 SSTTAATTEE0_022882222550055 ER Cielap pre i Ce i PIERZ CWI Well Map SreEER Ei En eA WedL A mdf lESETTIBN ol 0 EEA Comibs fononfhie#s7004 Food . i Lo pois BGoy EN 50ND veSathe 5 i LOX lope fa TT i f ee od 7 EE . Ole - yd J Te re SE a oR AT TAT . 7 / WE I ne TE gFE its (= ae al) Fa Mit 7 LL a Tae "of or mle eed LTo a ro 7 L ThT al ae SNE Geno|[l#a74575 iw Liu as fre lTgp"eT if, BT % F oye e / Da " | AE Arno ago------------ . ff 22222.1155449 sore crn STATE_02822506 | PPieierrzz WWhahta't'ssIInnMMyyNNeeiigghhbboorrhhooooddMMaapp || 4 | |||Fd iis | \\ . / ety ` L: ay jf rr | | 1 i arenas | | Br 1 i | rt Merl | | Yr py. 4 7ns i 3 i |i | : { Bs i Ia i | i na me---- BE SSiitteess. | | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion [I ERES m stedE eT ns en || of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided BoDt~ino.Mtca:dl mtaattt~eS&uup~o~rrikulnMd Pama sonar hm~ St"IKIW.W ipornedenge IJn~ml!bd Dun1J15 subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost || MPCA that ~may arise from the use of this data. cPmee in ] NFRAP maw ~~,..rill w C:~RCL!fi. | oFfa'td\Jee:nnl SSuuppstrrfiUunndd !iune: Cboocl L.cmcHUI5! | pose Vo!Unllr~ l'rW'I191'11:11'i eo & Cb!lrwJ!o | romATAB cs ..t. ltCRA 1!iD f'lt:ill:l~ | tm crn ~M Jrw-ut-kor-111 & ClfiiiW~ ""- aum ~nw111 222222.115550 sSTatAeT_Eo_20s282222550077 somone raza2222.1551 2 : : 3 fZl ]JE va rrrBie| t .S Emr g Pierz Wetland Map z: B=E ? | 4SkPol A | 3 ut g PlJil 94-7-30W 94-7-DW 94-6-30W jo i iE r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only" Data layers that appear on this map may or may not be accurate, current, or otherwise reliable" THIS MAP IS NOT TO BE USED FOR NAVIGATION" I 0 N 00 N N Ul 0 00 i~ 1i: t; > 2\ i - To Nad Ep o i fii gi "'.... 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"' "J",.' 0 z , g 94-6-DW 94-5-30W Map center: 45 58' 15" N, 94 6' 32" W Legend .0Ohlo_wet_scan D1 Out of range ;!</ Interstate Major Roads Other Road ;!</ Interstate .;./ State highway .;./ US highway Roads Cities r " USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K 0 South America u North America I fd $ Scale: 1:22,262 aivd {Ddaoainnnalnid{ilg larthsuiiHliEigS3 mer ||F8 4. |W 1 i Well Log Report- 00135966 1\Iinnesota Unique Well No. 135966] oSmm rThen 135966 County Quad Quad ID TTT ------ Well Name GCLDEN, LEROY Morrison Pierz 175A mw ceemee tins Township Range Dir Section Subsections Elevation 40 30 w 8 CCCDCC Elevation Method -- MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD. Caio oi WELL AND BORING RECORD amos avesCoges Wea Minnesota Statutes Chapter 1031 Ce Well Depth Depth Completed Entry Date UpdatP Date Received Date 04/13/1988 03/09/1999 Date Well Completed Smt 1169 ft. 7. 5 minute topographic map ( 1/- 5 feet) eIe] 73ft. lrillm!! !Vlethod Drilling Fluid -- 73ft. 1nt"rv 06/1011977 Well Hydrofractnred'! DYes D No Prom I't. to I't. Use Domestic ra Well Address RR3 PIERZ lv1N 56364 [---- Geological Material GRAVEL & BOULDERS frySAI~D CLAY GRAVEL &INATER Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? IZJ Yes D No Above/Below 1 ft. Teen Casing Diameter 6 in to 73 ft Sen Weight 19 lbs/ft can mn Hole Diameter 6 in. to 73 It cop Color BROW I~ mone of BROWN Hardness HARD HARD From 0 5 YELLOW HARD 45 67 Open Hole from 73 ft. to 73 ft. [Se Screen 'JO To Diameter Seow Make Type Slot/Gauze an Length 5 45 67 73 Static Water Level 25 ft. rom Land surface Date Measured 06110/1977 sas Set Between PUMPING LEVEL (below land snrfaCP) 45 ft. after hrs. pumping 25 g.p.m. or NO REMARKS PieWell Head Completion Pitless adapter manufacturer ott Model Dcaarronon 0 iz snes D Casing Protection D 12 in. above grade 0 tt Oem et iting 81 ) D At-grade (Environmental Wells and Borings ONLY) ane rms Netra 0 ve Be Grontin~ Information Well Grouted? DYes IZJ No a Memb Located Minnesota Geological Survey SdDd 20h Method Digitized - scale 1:24.000 or larger (Digitizing Table) en to oi Hass 56 Ye S015 Unique Number Verification Infonnation DateN/A from neighbor System UTM- Nad83, Zonel5, Meters X: 413823 Y: 5091329 rene Dr Nearest Known SonrCP of Contantination TI_feet L direction Ser>tic tank/drain field type Well disinfected upon completion? D Yes D 'Jo Pump D Not Installed Date Installed Manufacturer's name Model number - VonPegn Cope gps Ts Str Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material iele ery nt i tty ve Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes ov D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification [em t13o596m 6 | I a ] First Bedrock Last Strat Gravel (+larger) Aquifer Quat Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Donabauer Well Co. 73061 DONABAUEB, G. License Business Nrune Lie. Or Reg. No. Name of Driller Printed 6/28/2008 HE-01205-07 file:/IIII/1'vfPCAI!Working/A0081-1 00%20-%20PFC%20Foam/R... ummaries/Pierz/Well%20Log%20Report%20-%2000135966.htm'7 /1/2008 10:41:38 AJ\1 22222222.11555522 SstTaArTeE0_208228222550099 Well Log Report- 00148454 Afinnesota Unique Well No. 148454 iw h1ek 148454 County Quad QuadiD Morrison Pierz 175A TO Well Name BRAUSEN, GARY TowbinDrives Hoon Township Range Dir Sedion Subsedions Elevation WWE CCOCDC BosthmMabad 40 30 w 8 CCCCDC Elevation Method MINNESOTA DEPARTMENT OF HEALTH WEANDLBORL ING RECORD Cpe min WELL AND BORING RECORD osSes Chops 01 Wend he MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/13/1988 03/09/1999 1168 1 C a a a NLhCeoa 1168 ft. LITT{i ibd Nei iy 7.5 minute topographic map (+/- 5 feet) Well Depth 87ft. Depth Completed 87ft. . Rotary Date Well Completed 04/11/1978 Drilling Fluid = p I ees -- Well Hydrofmctured? DYes D No From Ft. to Ft. Use Domestic Well Address PIERZ MN 56364 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? DYes 0 No Above/Below 1 ft. PEt Casing Diameter 4 1n. to 79ft om x Weight 10.89 lbs/ft Hole Diameter Open Hole from ft. to ft. Screen YES :VIake JOHNSON Type stainless steel Geological Material GRAVEL E ode CLAY &ROCKS DIRTY SAND SAND (FINE) Color Hardness BROWN E Gnx BROWN BROWN GRAY SFT-HRD SOFT SOFT To rranns NO REMARKS From To 0 20 U [I 1 20 71 71 79 79 87 Diameter 2 Slot/Gauze 12 Length 8 Set Between 79 ft and 87 ft -- Static Water Level 29 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 49 ft. after hrs. pumping 15 g. p.m. 04!!1/1978 eer Well Head Completion Pitless adapter manufacturer ShaModel mig rn et Graet? 0Yer Be DDlcuCsaisningghPorottsecciticonn D012121ins. abboove rrgraasdde: D00 AAtv-rgarade((EnnvirovnmientaclWWemlellslsmaandedHBornoirinngtgssOOaNNLLlYY)) Grouting Information Well Grouted? DYes 0 No Lcd imo Grid Located Minnesota Geological srSurvey Ce Nbr Seton 086 l"nique Number Velification Other, ena note in remarks Stem UTM-NaSsZelS. System UTM- Nad83, Zonel5, Meters thd Die 34000 :VIethod Digitized- scale 1:24,000 or larger fret von (Digitizing Table) po1 Date 1\/A i arimg vz son X: 4B7R9 Y: 5091:Bl SCT ERAT Nearest Known Source of Contamination SR. ~feet South East direction Sertic tank/drain field type oltinap tcceopeidor 0 vo 0 No Wdl disinftx;led upon completion? D Yes D 'lo Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Volts anton Wel Drs peers vey et nd moi lo? OF Length of drop Pipe ft. Capacity _g.p.m Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yeoso O D nNo rs First Bedrock Last Strat Sand-gray er Aquifer Quat. Buried Artes. Depth to Bedrock ft. Aquifer County Well Index Online Report Valiance Was a variance granted from the MDII for this well? D Well Contractor Certification rst North Star Drilling License Business Name 148454 48038 FLICKER D. Lie. Or Reg. 1\o. Name of Driller I Yes D 'lo Printed 6128/2008 HE-01205-07 fi1e:l/lllfMPCA/1Working/A0081-100%20-%20PFC%20Foam/R...ummaries!Pierz/Well%20Log%20Report%20-%2000148454.htm7/li2008 10:41:38 AM 2222222.11555533 STSTAATTEE0_208282222551100 Well Log Report- 00224514 Afinneso/a Unique Well No. 24514 | uowme no 224514 County Quad QuadiD Morrison Pierz 175A TI Well Name VERNIG, LEO Tomato eon Township Range Dir Sedion Subsedions Ele~ation 0 Ws Demo moe Nett 40 30 w 8 DCBBDD Ele~ation Method MINNESOTA DEPARTMENT OF HEALTH WELLAND BORING RECORD Cie ain WELL AND BORING RECORD iw Ses Chg 15 Wein MinnewJta Statutes Chapter 1031 Entry Date l"pdate Date Received Date 04/13/1988 03/09/1999 11 T oy C or eonC 1170 ft. TS EE | 7.5 minute topographic map(+/- 5 feet) Well Depth 66ft. -- Depth Completed 66ft. Date Well Completed 00/00/1969 Drilling Fluid rIr] -- Well Hydmfractured? DYes DNo From Ft. to Ft. Use Domestic Well Address rem PIERZ MN 56364 ccogon sein Geological Material TOPSOIL GRAVEL BROWNISH-GRAY CLAY SAND Com Manes Color Hardness -- NO REMARKS be 0 soi Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 66ft lbs/ft mom To S[ohweerre SwGwie From Open Hole tiom 66 ft. to 66 ft. Screen NO Make Type To Diameter Slot/Gauze gh Length sagen Set Between 0 3 3 47 47 66 66 66 Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. et et comten Well Head Completion Pie rons ott Pitless adapter manufacturer Model Dlcui cin 0 iia see D Casing Protection D 12 in. above grade 0 se nem eth tp D At-gradt: (Environmrntal Wdls and Borings ONLY) rat terms across Ov Ove Grouting Information Well Grouted? DYes D No ae iG ry Located Minnesota Geological Survey l"nique Number CE cpm Verification Information from neighbor en CT System UTM- Nad83, Zonel5, Meters Method Digitized - scale 1:24,000 or larger ed Dtci 34p0cn (Digitizing Table) Date NIA Xe 45: S16 Crasa0 ve 0 X: 414593 Y: 5091632 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material oO Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No ett borer Jietoys First Bedrock Last Strat Sand pm Aquifer Depth to ar 1 Quat. Buried Artes. Bedrock n. Aquifer Coumy Wal nde oni Faprt County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification United States Geological Survey om Dam License Business Name 3514 I 224514 tie org No Note lJSGS KAHT.HAMMER M Lie. Or Reg. No. Kame of Driller Printed 6/28/'2fJ08 HE-01205-07 fi1e:1/I[I!MPCA/1Working/A0081-1 00%20-%20PFC%20Foam/R. .. ummaries/PierzN/ell%20Log%20Report%20-%20002245 14.htm 711/2008 10:41 :39 AM 222222..11554 sStTaAeT_Eo_z02s82222551111 Well Log Report- 00427329 sorge Wl Minnesota Unique Well No_ 427329 CQoumiry r.==ll==42=7==32=9=::::::;]11 ~::~ty Quam ~-==================~ QuadiD Morn Morrison piePierz 175175A Wea CHING FORT Well Name LUCKING, KURT Tova Rane Di SectionSabsctins Elestion Township Range Dir Section Subsections Elevation 40 3o0 ww 177 BB EElelevvaattiioonn MMeetthhoodd MisgsoTs MINNESOTA DEPARTOMFREEANLTTH pons DEPARTMENT OF HEALTH ED aD boolRTl Ugnadyebbtaee o0t3i1s105 WELL AND BORING Reconed ate RECORD MinncsoteStatues Chr Minnesota Statutes Chapter ih1031 Entry Date Update Date Received Date 04/05/1989 03/1112005 el Depth Depth Compt Date Wall Coed Well Depth Depth Completed rn Tn Py Torsone 1161 ft. 78ft. 76ft. Glemabin |e (C(UaSlcUGfSr7oS7m..55DmGmiEinMnSoorr | DrDirlillilningg MetMehthoodd Non specif .Roetayry Date Well Completed 10/25/1986 equiv.) Ding Fad Drilling Fluid Doone Bentonite | wet parton? 0 vex 0 Well Hydrofractured? DYes D No Pom 10 14 From Ft. to Ft. Use Domestic Cotne Tyre Pate ootNo oman Drvestoe? 0 Ys Casing Type Plastic Joint No Information Drive Shoe? D Yes No Anon 1 1 0 No Ahuve/Beluw 1 ft. Coing Diameter Wag File Diameter Casing Diameter Weight Hole Diameter fap nt wn 4 in. to 72 ft. lbs./ft. [---- Color Geological Material ROCKS GAY ROCKS Car Gn CLAY So Sn SAND Color GRAY GRAY GRAY foTHANE SW, LITTLE FALL7S REMARKS 601 -7TH AVE. SW, LITTLE FALLS(?) Laced Located Unique Namber Vetcaton Adds Unique Number Verification Address Sym UT ds, zoel ers vveerriiffiiccaattiioonn System UDvf- Nad83, Zonel5, Meters Mardness Hardness HARDHARD wow MEDIUM wow MEDIUM fm om o Open Hole from ft. to ft. Sheen VIS ke TOTO Type oe eT Screen YES Make JOIINSON Type stainless steel Diameter SotGauze Leng SetBetween Diameter From To| 7 % TR ee From To 2 om0 30 Slot/Gauze 12 Length 4 Set Between 72 ft. and 76 ft. ww 30 62 mn 62 78 Sew Static Water Level Sy Late hic Mesa 10251586 20 rt rrom T.and surrace Date Measured 10/2511986 FUNFING LEVEL (or Ton sore PUMPING LEVEL (below land surface) 70 er pi 3 gpm 27 rt after 1 hrs. pumping 20 g.p.m. Well Hesd Completion Well Head Completion is shir memoir MANSS Mot J Pitless adapter manufacturer MAASS Model J Dlcanspowcon 0 121m shove pie D Casing Protection D 12 in. above grade 0 Avge mimo Wel a Borings ONLY) D At-grade (Envirom11ental Wells and Borings ONLY) Grong ormaton Wei Grose? Yer 01 he Grouting Information Well Grouted? 0 Yes D No Gots: NotCrest Grout Material: Neat Cement Meher on cg| Method GPS SA On (averaged) fon 0 01. from 30 to 10 ft. 4130 Ye soras Date N/A X: 413860 Y: 5090748 NNeaerareessttKKnnoowwnnSSoouurrcceeooff CCoonnttaamminiantaitoionn. | het deco Sept mee 100 feet _direction SeQtic tank/drain field type elation open? 8 vee 0 to Pump 0) Notlnstaled De stalled [105198 Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed 11105/1986 Nira ALIOTON | Mak] na 12-50 Manufacturer's name AERMOTOR Model number SD12-50 TDS vanes _ HP0.5 Volts 230 Langhorn3e 0 Capcity 8 gpm Length of drop Pipe R__ft. Capacity Lg.p.m pe Smetana lsc Type Submersible Material Plastic Tismioned Well Toc og Be Fo TT TT Abandoned Wells Docs property have anv not in usc and not scaled well 0 Ove Bw (s)? D Yes 0 No Variance os avaioes ped fom to MDM or vel? Variance Was a variance granted from the MDH for this well? D Ybees DO NNoo file:/i/li/MPCA/!Working/A0081-I00%20-%20PFC%20Foa... aries1Pierz/Well%20Log%20Report%20-%2000427329.htm (I of 2)7/112008 I 0:41:39 AM 222222.115555 STSTAATTEE0_208228222551122 Well Log Report- 00427329 First Bedrock Aquifer Coury Wall dx On Ror Last Strat Depth to Bedrock ft County Well Index Online Report Well Contractor Certification North Star Drilling 48038 License Business Name Lie. Or Reg. No an I 427329 BACKOWSKI, M. Name of Driller Printed 6/28/2008 HE-01205-07 file:///li/MPCA/!Working/A0081-100%20-%20PFC%20Foa... aries1Pierz/Well%20Log%20Report%20-%2000427329.htm (2 of 2)7/112008 10:41:39 AM 22222..11556 STATE_02822513 Well Log Report- 00522900 mesaetts UniUeneDINt Yo CQouuiry II 522900 II ~::~ty lvfinnesota Unique Well No. Quam ~-==================~- QuadiD rion Morrison PasPierz 173175A eWTelaol NamwmReeaCGnRgsReITDZIhiMrTSAieCcItHpiEConR,SuJTOObFsEection Elevation Township Range Dir Section Subsections Elevation W030 40 30 wWS8 DAD DAD Elerion Method Elevation Method MINNESOTA MINNESOTA il DEPARTMENT OF HEALTH Erba onsen HEALTH WELLAND BORING Updebute 010205 WELL AND BORING RECORD Received Date RECORD MinnesotaSnesChapter Minnesota Statutes Chapter ih1031 Entry Date Update Date Received Date 07/31/1993 01/06/2005 sn WelplyDepth DepsChompl De WceollnCsoemp;leted Wl4 ft. catomnin | Calc from DEM (USGS Srumor | DIRMehadNoid oy (USGS 7.5 min or Well Depth Depth Completed 75 ft. 75ft. Drilling Method 1'-. ' Rotary Date Well Completed 06/08/1993 equiv.) DAF Drilling Fluid enki Renlonile | WwFrleollnl HHTdyydrrtorfrcTatactrueredd?? 0 ver DYes 0 D No No From Ft. to Ft. Well Address Well Address "3RR3 emis PIERZ MN 56364 GGceloealoologgiiccaall atarat Material CLAY Gane GRAVEL scalaoSAND ssoCLAY SAND CCGoolOloorWr HHHaEarrDddnneessss BROWN SOW BROWN GBarrow BROWN HARD HARDHARD wSFRTSOFT GBRrAoYw SFTHARD BROWN SOFT vo Reaanrs NO REMARKS Use Domestic CrimeType Plats Joint No forion DriveShoe? 0 vor Casing Type Plastic Joint No Information No Amon 0 No Ahuve/Belu~ ft. "Casing Diameter Taght Fila Diameter Casing Diameter Weight "an nn smn ben a 4 in. to 71 ft. 3 lbs/ft. Drive Shoe? DYes Hole Diameter 8 in. to 75 ft. CT Tr ET Open Hole from ft. to ft. Seren YES Nake COOK Tre oes eT Screen YES Make COOK Type stainless steel From To| gr otGauze . From To Diameter 0woosfo [Camels SiuGaue Length Seigeteen 0 10 3 10 35 Slot/Gauze 12 FE35 48 8 @ 48 68 & 7% [Sewers 68 75 Static Water Level Length 4 Set Between 71 ft. and 75 ft. S00 om Lonburice_ Dot Mesnrsd_ 06081591 40 ft from Land surface Date Measured 06/08/1993 PUNPING LEVEL (elo Td roc) PUMPING LEVEL (below land surface) ane bv panping 10- gp ft after hrs. pmnping 10 g.p.m. Well Head Complion Well Head Completion Pusadapmaniacs MARSS Ml 411 Pitless adapter manufacturer MAASS Model 4J-l Ol casing Potion. 01 121m above D Casing Protection D 12 in. above grade D1 Ate minum Wes ad rings ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting normation Well Groot? 8 ver 0 No Grouting Information Well Grouted? 0 Yes D No Locsed Mathod GPSSA Onmsg Gothia: Sart fo OBO Sen Located Unique NombrVerification NAA Date NA Unique Number Verification N/A Sytem UTM Nott, Zone]. Mrs, 415287 Vs sorsss | NearerKos Sareeof Comtamtentior System UTM- Nad!\3, Zone15, Meters Method GPS SA On (averaged) DateN/A X: 415287 Y: 5091358 Grout Material: Bentonite from 10 to 40 ft. Nearest Known Source of Contamination 5 bags - feet - direction _type Welditponctomplio?_B1 ves 0 No Well disinfected upon completion? 0 Yes D No Pump 0 Notlnsalled Dt nsaled Pump D Not Installed Date Installed Nimticuramse Mode manber_ HP_ Vols Manufacturer's name Model number - LonguphPagoe t Copa gp Tf: Motel Length of drop Pipe ft Capacity g.p.m HP - Volts Type Material Roendoned Wells Doc Fropes Bove sry re ocd TT Abandoned Wells Does property have any not in use and not sealed well 0 0 ve ON (s)? D Yes D No Variance Wes avai rnd rom oe MDH for welt. 0 Variance Was a variance granted from the MDH for this well? D be O wo Yes D No Fl ARCA AS140001 is i WL Rpt 3S bn 371398 1041360 file:/i/II/MPCA/!Working/A0081-I00%20-%20PFC%20Foa...aries/PierziWell%20Log%20Report%20-%2000522900.htm (I of2)7/l/2008 10:41:36 AM 22222222.11555577 SSTTAATTEE__0022882222551144 Well Log Report- 00522900 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Northland Well Co. 49397 HENSE,R. License Business Name Lie. Or Reg. No. Name of Driller 522900 I Printed 6/28/2008 HE-01205-07 fi1e:/i/II/MPCA/!WorkingiA0081-100%20-%20PFC%20Foa... aries/Pierz/Well%20Log%20Report%20-%2000522900.htm (2 of2)7/1/2008 10:41:36 AM 22222..11558 STATE_02822515 Well Log Report- 00524201 teeine Jo,finnesolu Unique Well No. 2401] 524201 om'County Quad heMorrison Pierz E ToR e m NoEn Quad ID 175A Well Name PREIMESBERGER.TOM&JACKIE Township Range Dir Section Subsections Elevation 40 30 w 8 DDD Elevation Method 0 1184 ft. MINNESOTA DEPARTME.\IT OF TE boy sain HEALTH WELL AND BORING cin WELL AND BORING RECORD Reovtoae RECORD nso a hoes 01 Minnewta Statute~ Chapter 1031 Entry Date Update Date Received Date 06/22/1994 06/01/2001 A TTI Well Depth Depth Completed Date \Veil Completed iy a ee 62ft. 62ft. 04/13/1994 Calc from DEM (USGS 7.5 min or equiv.) = E I ET Drilling Method Dri' Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic wages Well Address aE 626 PARK AV SE ts PIERZ MN 56364 eon ian Geological Material SAND & ROCKS Boson ROCKS& CLAY Sool SAND, GRAEL & WATER Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below Ging Sone Casing Diameter Te 4 in. to 58 ft. ft. TT Weight Tun tae an 11 lbs./ft. Hole Diameter 4 in. to 62 ft. coor wines fom To Color BROWN roe on 3 GRAY oe umon2 BROWN Hardness HARD HARD SOFT From To 0 28 28 58 58 62 Open Hole from ft. to ft. RTI Screen YES Make JOHNSON [OST Suu Legn sssenmen Diameter 4 Slot/Gauze 20 Type stainless steel Length 4 Set Between 53 ft. and 62 ft. Static Water Level ris paras 2R ft. from Land surface Date Measured PUMPING LEVEL (below land surface) er pe 1 to 50 ft. after 1 hrs. pumping 15 g.p.m. CTS04/13!1994 N 0 R.6'MARKS Pes ademamas Well Head Completion Pitless adapter manufacturer Mk! Model Dr Wo po 1 D00 CCaavsiinngg PPrrootteeccttiioonn 0 1122iinn.. sabhoovvee ggrraaddee D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes 0 No Located i Unique Number Verification Infom1ation from owner tm Tt. Ni, amet. is Nears vse |100 fe A Senstn k ranere System UTM- Nad83, Zone15, Jo,feters Method GPS SA On (averaged) DateN/A X: 415282 Y: 5091384 'llearest Known Source of Contamination lQQ_feet _direction SeQtic tank/drain field type WWeelllldidsisiinnffeecctteedd uuppoonn ccoommpplleettiioonn?" 0 YYees D0 a oom 1 PPuummpp 0D NNoott IInnssttaalllleedd DDaatee IInnssitaalllleedd Mannfacturer's name Model number - liP - Length of drop Pipe ft. Capacity g.p.m Type NNoo YlVolts Material AAbbaannddoonneedd WWeellllss DDooeesspprroopperetrtyyhhaavvee aannyy nwoottiinnuusseeaannddmnoott sseeaalleedd wweellll(ss)?? D01 YYeeos 0@ NNoo tos itr First Bedrock Lav i 5 Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report Variance Was a variance granted from the MDH for this well 0 No CC Well Contractor Certification br poumuie Donabaner Well 73668 DONABAUER. G. moma 1s te ao License Business Name Lie. Or Reg. No. Name of Driller 552244220011 I D Yes D Printed 6/28/2008 HE-0 1205-07 FE ------ flle://,1/MPCAi!Working/A0081-100%20-%20PFC%20FoamiR...ummariesiPierz/Well%20Log%20Report%20-%2000524201.htm7/1/2008 10:41:38 AM 222222.115559 sSTtaArTeE__o0z282222551166 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY PPiinnee RRiivveerr PPPiiOnneeBRRoixivve4er4r4FF.iirree DDeeppaarrttmmeenntt PPPiOinneeBRRoiixvve4er4,r,4MMNN 5566447744 2KKe1ei8itt-hh56FF7aa.r2nm1aa3m,1, FFiiree CChhiieeff 2pp1rrf8di-5d56s84s777-2441@@3y1yaahhoooo .ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinnttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: FFaaiirr ggrroouunnddss aannddsscchhooooll ggrroouunnddss oonn 1fsstt SSttrreeee,t, PPiinnee RRiivveerr CAAlRRa-s-AAsFFFAFF:F::AnAAsnnussluulSliiltteev-((euuxssee iinn rtraaiinniinngg nnoott ssppeecciiffiieedd)) Class A: Ansul Silv-ex LLeessss tthhaann BBii--AAnnnnuuaallllyy 551to0 1100 ggaallloonnss GGrroouunndd CAAlRRaCs-AAsFFFAFF:F.3: 0nnoogttasslppleoecncisiffiieedd Class A: 30 gallons gNNroootruwwnaadysy;LL1aa1kk4eetooouu1ttl1ee2t,,ilfeeessssettahhsaatnnof11/t/44hemmifialeegreeaoasusttnodofsft.thhee sscchhooooll grounds; 1/4 to 1/2 mile east of the fairgrounds. LeLaeessstssotthhaafhnen 11f//4a4immgiirlleoeueenaadssst.tooff tthhee sscchhooooll ggrroouunnddss:; 11/4/tt4oo 117/22 mmiillee east of the fair grounds. NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 11/4441to0 111/22 mmiillee wweesstt ooff bootthh ttrraaiinniinngg ssihteess rFFaoaiuirrgngrdroosuunnlddoscsalltooeccdaatatededdjaiicnneWWneteltlllohhWeeaeaddlhPPerraootdteeccPttriiooonencAAirireeoaan:;Assrcecahh.ooooll grounds located adjacent to Wellhead Protection Area. "14 22222222..11556600 SSTTAATTEE__0022882222551177 S PETev EGRA PINE RIVER CWI Well Map VELA NO) SE =Sm- eole- I SOETIN 3 ome 00 le cs re 3 fat he) NOt wo Ziti N hss i NL t| = SITE: 0 freebie Id 2 0 IRN f= ! Z=.opJeENmh q aN : 20% : I : TaveT 0 : pa EB RTT Lf ATR 2 TM 1 ol EN BS Fst & eed| pe TL (J | \ BARELY Te IW 0 IAN LL yo efeaty mE EEE 2 E Be : Jia OR BY:i gb. 4 PineRiv fp rop[=OT NTS 5 Hr -- ENGRe eat | NOE AFT PI S EST i Wn gers | RE pkAN AA compe oP I oe re 2222.1561 woe cases STATE_02822518 PPinineeRRiviveerrWWhahta't'ssIInnMMNyeighbobrhooord MMhaaop od| | | | ] : -- x 1 | NJ SSIITTEE---JI 4 ij i ::1 " |i ofeol oy aaV es=F ama i \ OS \ Ee | Ranh gy hy 4 7 i ; AL 4= /A BRS Th Ete|| Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. @HMinnesota Pollution Control Agency | | a- Sites Bontarntps D~n.Mc:l matt~ &u~~rkl M Pomaeasean hm~ St"IKIW.W ieporadDonge IJn~ml!bd Dun1J15 u wp NFRAP astg maw ~~,..rill w cones C:~RCL!fi. remsuperia o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! * Vo!Unllr~ lrW'I191'11:11'i YE & Cb!lrwJ!o xRoRATIDFace ..t. ltCRA 1!iD f'lt:ill:l~ nti ~M Jrw-ut-kor-111 & ClfiiiW~ +su rsevrm ""- aum ~nw111 222222.115562 sStTaArTeE0_20228225251199 i 5 Rr ifre > 1 ipladd p iBiH{li,llarLithLouiitlnigd+ Tea A| poS ; g Woimv 7 19400 Ji|B glJ1 |= 0 Pine River Wetland Map N| E 22222..11563 nl |i ... (J) ::: ........It 6 z Eon in ! ...(J) .... 1:1~ 0 z Legend .0Ohlo_wet_scan D1 Out of range ;/'/ Interstate Major Roads g ) oe y bS E E48ChC]L |n raTroe e ar A | 1|fi sh aerT tEh CIOXTiAdY Ta oe A. )|i: d| ak ret 0 ....(.J..) PEMilJfll"l ~ z Other Road ;/'/ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland ... Freshwater Pond ....(J) Lake w Othet 6 Riv~rine z Lower 48 Available Wetland Data Non-Digital Digital : No Data Ye al Cg |i ... Scan (J) NHD Streams !:; Counties 1OOK .... States 100K 0 z 0 South America u North America w 94-25-0W 94-24-30W 94-24-0W 94-23-30 $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 . Map center: 46 43' 22" N, 94 24' 16" W Scale: 1:21,649 N 00 N N Ul N 0 : p-- Well Log Report- 00228983 -- [mow], Minnesota Unique Well No. 228983 County Quad QuadiD =Cass Pine River 232B "WELaLANnD BORING RECORD MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statute., Chapter 1031 T[rEaeh Entry Date Update Date Received Date aim. 07/22/1992 05/16/2006 Well Name PGIE RIVER 1 Township Range Dir Section Subsections Eh~vation 137 29 w 6 Elevation Method 1297 ft. Calc limn DEM (USGS 7.5 mln or equlv.) Well Depth Depth Completed 311 ft. 32ft. llrilling IVIethnd Drilling Fluid -- C:ahle Tool IWell Ilydrofractured? From Ft. to Ft. Use Abandoned Status Scaled Date Well Completed 09/00/1952 DYes DNo memo Well Address PINE RIVER MN oGceoolooggiccaal mMeartearinal FINE SAND SAND COARSE SAND CLAY & SAND aTwee sos car DRIFT W/FINE SAND & CLAY CLEAN SAND DRIFT W/FINE SAND & CLAY Ei FINE SAND FAIRLY CLEAN CLAY Eiorn FINE MUDDY SAND SAND & CLAY FINE SAND "MARL" ROCK, UPPER PART SOFT EE IRI REMARKS WELL SEALED 06-18-1998 BY 34050 ORIGINAL USE MU - MUNICIPAL CCoolloorr BLUE nrGRAY GRAY = BLUE a=eGRAY WHITE GREEN HHaarrddnnesess.s MEDIUM FFrroomm wTo 0 15 15 25 25 37 37 43 om 43 127 127 130 130 170 i170 178 178 268 FEIR268 275 275 285 285 307 307 309 309 311 wa EE Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0D0Nx0o AAbbmoever/tBeelloown ft. Casing Diameter Weight Hole Diameter 8Bein.ato 224aft olbsn/ft Open Hole from ft. to ft. Screen YES Make JOIINSOI\ EVERDUR Type Diameter Slot/Gauze 30 Length 8 Set Between ft "or and ft Static Watet Level 17 ft. from T,and surface Date Measured --p--a PUMPING LEVEL (below land surface) 9 ft. after 3 hrs. pumping 165 g.p.m. Well Head Completion 09100/1950 Pitkss adaplcr manufacturer Model DDlcCuaissinggiPortoetescitioonn 0D 1122 min.sahboonvee ggrraatdee "oromng emt lla? 0 ver De D00 Agtr-garaddee (E(nvEiroanmvenitanlWWeolellmlssaamnnddeBBonorriintnggssaOlNLYONLY)) Grouting Infonnation Well Grouted? DYes D No DYes a Located Minnesota Department of Health Unique Number Verification N/A System UTM- Nad83, Zonel5, I'vfeters -- Method Digitization (Screen) -Map (1 :12,000) Date 09/19/2000 X: 392434 Y: 5174751 rotating First Redrock Weathering Residuum Last Stl'at Weathering Residuum County Well Index Online Report re Aquifer Depth to Bedrock 307 ft. TS Nearest Known Source of Contamination _feet - direction _type WWeellld disinfecten dwuppomnscoos mmpplietoionn"? 0D Yvoers 0D Nwoo Pump D Not Installed Date Installed Lfeototgatge 0 CCooentey 2o0t0 Ts Tbe Atal J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Turbine Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes 0D Nxo Variance Was a variance granted from the MDH for this well? D Well Contractor Certification l'vfUELLER A,_ 223985 Lilit:nst: Busint:ss Kamt: 228983 Lie. Or Reg. No. "lame ofDrilkr I Yes D No Printed 6/28/2008 HE-01205-07 file:///II;'1-1PCA/! Working/AOOSl-1 00%20-%20PFC%20Foarll!R. .. s/Pine%20RivenWell%20Log%20Report%20-%2000228983.lltrn7/112008 10:43:49 AM 222222.115564 STATE_02822521 Well Log Report - 00610961 ~p::~toy le Minnesota Unique Well No_ II 610961 II ~-==================~-QuQauaddiIDD Cass Pine River 223322B8 MINNESOTA DEPARTMENT OF HEALTH WHLANDBORNG WELL AND BORING RECORD RREECCOORRDD Minnesota Statutes Chapter 1031 fo Entry Date Update Date ReRceeceiivveedd DDaattee oe 03/16/2000 01/18/2008 Well Name MW-2 Well Depth Depth Completed Date Well Completed 9B W 6 BBA Elevation Method | (USGS7 minor | DPI Method Fo Sic Ao ver Township Range Dir Section Subsections Elevation 137 29 w 6 BBA Elevation Method 1295 ft. Calc from DEM (USGS 7.5 min or 25 ft. 25ft. Drilling Method Hollow Stem A1rger equiv.) 03/17/1999 EE Drilling Fluid -- `WWelelllHHyyddroroffrraaccttuurrecda?? 0DYYeess 0 NNoo From Ft. to Ft. Use Abandoned Status Sealed DI CaCsaisinngg TTyyppee PPllaassttiicc JJooiinnttNNooIInnffoorrmmaattiioonn DDririvveeSShhooee?? D [JYYeess 0 NNoo_AAbboovvee//BBeellooww ffit.. Casing Diameter Weight Hole Diameter 2 in. to 15 ft. lbs./ft. 7.25 in. to 25 ft WeWlelllAAddddrreessss. MILL ST PINE RIVER MN 56474 Sven |GGeeoolologgiiccaall MMaateteririaall SAND W/ TR GRAVEL cn CoCloolror YEL/BRN tesHHaarrddnneessss SOFT fOpOepnefniHoolle TforomwT ft. o to fn t. Screen YES Make IIORIZON Type plastic fon 1 FFrroomm 0 Diameter TToo| 22 25 Slot/Gauze 1wo0 Length 10 Set Between S15 eft. aanmd s25 ft. Static Water Level 20.6 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 04/26/1999 Well Head Completion Pitless adapter manufacturer Model B0D CCaassiinngg PPrrootteeccttiioonn YY 0D 1122 min.aabboovveeggrraaddee TE Grin tormaton Nemes ver One REMARKS \VELL SEALED 12-29-1999 BY 75330 ORIGINAL USE MW- MONITOR WELL LocatedMines DSBS yp G15 ial Cones CJ o ee pioene Located Minnesota Department of Health Unique Number Verification N/A Sytem UTM NaS ZoelS. x, sony: sir wel sisitot poncompitiory 0 ves @ no System UTili- Nad83, Zonel5, _ilvfeters Method GPS Differentially Corrected Date N/A X: 392592 Y: 5174723 0D0 AAtt--ggrardaede(En(Evnivriornomnmeennttaall WWelelllss aanndd BBoorrinigsnOgNsLYONLY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement Grout Material: Bentonite from 0 to 4 ft. from 4 to 11 ft. Nearest Known Source of Contamination 500 feet North East direction Volatile organic comotmds type Well disinfected upon completion? D Yes 0 No Ppuummpp [DJ NNoottiInnssttaalllleedd DDuatee IInnssttaalllleedd Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yveess 0 NNoo VVaarriiaannccee WWasaa avvaarriis aannccee ggrraanntteedd ffrroomm tthhee MMDDHH ffoorr ttlhliiss wweellll?? [DJ Yes 0 No file:///l]/MPCA/!Working/A0081-I00%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%2000610961.htm (I of2)7/l/2008 10:43:49 AM 22222.1155665 STATE_02822522 Well Log Report - 00610961 First Bedrock Last Strat Aquifer Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Valnes Well Co. 75330 EVINK,K. License Business Name Lie. Or Reg. No. Name of Driller 610961 I Printed 6/28/2008 HE-01205-07 file:///li/MPCA/!W orking/A0081-I00%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%200061 096l.htm (2 of 2)7/1/2008 I 0:43:49 AM 222222.115566 STATE_02822523 Well Log Report- 00631611 mea6t31U6n:i1an1e el o CQoutiy II 631611 II ~::~ty lvfinnesota Unique Well No. Quam ~-==================~- QuadiD CasCass Pixivr Pine River 252232B NWTealol NmawmeReeaSSnHgsTAeMDAhiPr,SAiReRcCtCpiHoEnIESubsection Elevation Township Range Dir Section Subsections Elevation Bow 138 30 w 36 Elvin Method Elevation Method MMIINNNNEESSOOTTAA D E HEALTH PARTMENT HEALTH iOlF Enda 199 WWEELLLLRAAENNCDDOBRBOODRRIINNGG ReUEUcpnpedtdiruayvteeeDbdDautDateatetee 0311205 1111111999 03/11/2005 MMiinnnneessooRttaaESSCitnaOhteutRessDCChhaapptteerr Received Date Be WW1e0elTl3ll1nDDeepptthh Dep oCaompl Depth Completed DeDate Wi Weellll CCeoommplpeletteedd Cc(13aa1lcU6tfrof7otS.mn5nDmGiiEnMnSor | |DPE53 Drilling Moft. Meth dod Non sa 53ift. dtiny " 07/23/1999 (USGS 7.5 min or 1'-. ' Rotary equiv.) DAF Drilling Fluid enki Bentonite | WwFrleollnl HHTdyydrrtorfrcTatactrueredd?? 0 ver DYes 0 D No No From Ft. to Ft. WWBeoelxlll 1AAdzdddrreessss PIERNERMNS474 BOX 12 PINE RIVER MN 56474 sGhGeoeoloologgicicaall aerial Material SSSSAAnoNNDDovYvaCeLLAArYY saoSANDY SAND CLAY Color Color GROW BROWN OW BROWN GEN GREEN Gen GREEN Hardness Hardness SOFTSOFT WOW MEDIUM wow MEDIUM wow MEDIUM Use Domestic CrimeType Plt Joint No formion DriveShoe? 0 vor Casing Type Plastic Joint No Information Drive Shoe? DYes 0 xo amnomeon 1 D No Ahuve/Belu~ ft. Casing Diameter Taght Fila Diameter Casing Diameter rr smn ben mn 4 in. to 45 ft. Weight 3 lbs/ft. Hole Diameter 8 in. to 53 ft. CT Te ET Open Hole from ft. to ft. Seren YES ke JOTRSON Tope Tomes eT Screen YES Make JOHNSON Type stainless steel From To [Diameter SioUGauze Langih Set Between From To Diameter Slot/Gauze "Els 2 enw n 0 15 3 12 5 2 15 26 3% 26 45 6 8 45 53 Sewer Static Water Level Length 8 Set Between 45 ft. and 53 ft. 30 om Lonbarice_ Dot Mesrsd_ 0723159 24 ft from Land surface Date Measured 07/23/1999 PUNPING LEVEL (elo Td roc) PUMPING LEVEL (below land surface) iss pnp gn ft after lrrs. pmnping g.p.m. vo Reaanrs NO REMARKS WWPeuellllsHHaeedaaaddpCCmooammpnpllieitioaonncs MARS Mal 411 OlPitlescsasaidnagptPeromtiaonunf.acturer01MA12J1\mS abovMe ge odel 4J-l DD1 CAasitng PerotedcitimoinnumetDal Wes12 in. aabdoverginragdseONLY) D At-grade (Environmental Wells and Borings ONLY) GGrroouuttiinngg Innofromrmataitioonn WWeellll GGrroouotetd?? 20 Yveers D0 NNoo LLeoocctasteedd Missa Minnesota Dptost Department of of HUUSnenelaialeqtuhuemeNNuUumTmbMeb-errNVVeetrriiffiiccZaaottniieootnn. NNMA/AAors System UTM- Nad83, Zonel5, Meters Gothia: Barts fam D3 Grout Material: Bentonite from Oto35ft. vind OavsFSSSAA0Oavsvgee)| Method GPS SA Ott (averaged) Date Nk NeSTC DateN/A Xo 391663 Yo SUT |0L P$NTaWT0ieuromluetpbTi0d hooefStrhmWm.vi 0IaoiePldpOipsNaet cpSogy nehtoecolnM4SVnm0cAt ao.Blul1Rolwi1sSIeml2eIdsppEo 0Clt.Diaun?sstbna2ln1M10og(d7ievlpe2dsn3y10p9e 0No X: 391662 Y: 5176118 Nearest Known Source of Contamination 2Q_feet 'fl__direction Sej)tic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed 07/23/1999 Manufacturer's name STA RITE Model number_ HP Q2_ Volts 230 Length or drop Pipe :.Q_rt. Capacity !.Q_g.p.rn Type Submersible Material Abandoned Wells Does properly have any not in use ami not (s)? D Yes 0 No 4"bo bags sealed well Variance Was a variance granted from the MDH for this well? D Yes 0 No ling A034 Co Mer VlRog r 500i611 1 3712008 106.0 file:/i/II/MPCA/!Working/A0081-100%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%2000631611.htm (1 of 2)7/112008 10:43:49 AM 22222222.11556677 SSTTAATTEE__0022882222552244 Well Log Report- 00631611 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Northland Drilling, Inc. 49697 KERSTING, ROB License Business Name Lie. Or Reg. No. Name of Driller 631611 I Printed 6/28/2008 HE-01205-07 file:/i/II/MPCA/!WorkingiA0081-I00%20-%20PFC%20Fo... ne%20River/Well%20Log%20Report%20-%2000631611.htm (2 of 2)7/112008 10:43:49 AM 222222.115568 STATE_02822525 Well Log Report- 00631612 mea6t31U6n:i1an2e el o CQoutiy II 631612 II ~::~ty lvfinnesota Unique Well No. Quam ~-==================~- QuadiD CasCass Pixivr Pine River 252232B NWTealol NmawmeReeaSSnHgsTAeMDAhiPr,SAiReRcCtCpiHoEnIESubsection Elevation Township Range Dir Section Subsections Elevation Bow 138 30 w 36 Elvin Method Elevation Method MMIINNNNEESSOOTTAA D E HEALTH PARTMENT HEALTH iOlF Enda 199 WWEELLLLRAAENNCDDOBRBOODRRIINNGG ReUEUcpnpedtdiruayvteeeDbdDautDateatetee 0311205 1111111999 03/11/2005 MMiinnnneessooRttaaESSCitnaOhteutRessDCChhaapptteerr Received Date 0 WW1e0elpl3ll1hDDeepptthh Dep Depth ChCooommplpeteld DeDate Wi Weellll CCeoommplpeletteedd Cc(13a2alcU0 fnrf7otS.mn5DmoGiEnnMSor|| DPE Mod 47ft. Drilling Method Non sa 47ift. dtiny " 07/23/1999 (USGS 7.5 min or 1'-. ' Rotary equiv.) DAF Drilling Fluid enki Bentonite | WwFrleollnl HHTdyydrrtorfrcTatactrueredd?? 0 ver DYes 0 D No No From Ft. to Ft. WWBeoelxlll1AA2ddddrreessss PRERNERMN BOX 12 PINE RIVER MN 550647744 sGhGeoeoloologgicicaall aerial Material SSSSAAnoNNDDovYvaCeLLAArYY saoSANDY SAND CLAY GCCRoolOloorWr BROWN HGEONW BROWN Gen GREEN GREEN Hardness Hardness SOFTSOFT WOW MEDIUM wow MEDIUM wow MEDIUM Use Domestic CrimeType Plats Joint No forion DriveShoe? 0 vor Casing Type Plastic Joint No Information Drive Shoe? DYes 0 xo amnomeon 1 D No Ahuve/Belu~ ft. Casing Diameter Taght Fila Diameter Casing Diameter "ao an smn ben an 4 in. to 42 ft. Weight 3 lbs/ft. Hole Diameter 8 in. to 47 ft. Oo Tr TT Open Hole from ft. to ft. Seren YES Nake WISCO Tope Ie Screen YES Make WISCO Type stainless steel From To [Diameter SioUGauze Langih Set Between From To Diameter Slot/Gauze ow| San wean 0 14 4 15 WB 14 29 mW 29 41 AW 41 47 Sewer Static Water Level Length 5 Set Between 42 ft. and 47 ft. 30 fo Lond tos_Dote Mossad 0733199) 30 ft. from Land surface Date Measured 07/23/1999 UNPING LEVEL (elo Td roc) PUMPING LEVEL (below land surface) iss pnp gn ft. after lrrs. pmnping g.p.m. vo Reaanrs NO REMARKS WWPeuellllsHHaeedaaaddpCCmooammpnpllieitioaonncs MARS Mal 451 OlPitlescsasaidnagptPeromtiaonunf.acturer01MA12J1\mS abovMe ge odel 4J-l DD1 CAasitng PerotedcitimoinnumetDal Wes12 in. aabdoverginragdseONLY) D At-grade (Environmental Wells and Borings ONLY) GGrroouuttiinngg Innofromrmataitioonn WWeellll GGrroouotetd?? 20 Yveers D0 NNoo LLeoocctasteedd Missa Minnesota Dpatost Department of of HUUSneinlasialtqtuheuemeNNuUumTmbMeb-errNVVeetrriiffiiccZaaottniieoolnn5 NNMA/AAors System UTM- Nad83, Zonel5, Meters Gothia: Barts fam Do Grout Material: Bentonite from Oto30ft. vind OavsFSSSAA0Oavsvgee)| Method GPS SA Ott (averaged) Date Nk NeSC DateN/A Xs 39758 Ye $1760 |0L P$NTaWTi2euromlu.etpbi0d io0etSrmm5vi h0Paoiepdl0prsNaept 5oegy netoenclnM3SVm5ct o.BlAiul1olwS1sRemlp2dIspto 0ClDinau?sstnna2l1M10og(df7elvlpe2drn_3p10e90No X: 391758 Y: 5176131 Nearest Known Source of Contamination 2L_feet L direction Se]Jtic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed 07/23/1999 Manufacturer's name STA RITE Model number_ HP Q2_ Volts 230 Length or drop Pipe .l~__rt. Capacity !.Q_g.p.rn Type Submersible Material Abandoned Wells Does properly have any not in use ami not (s)? D Yes 0 No 4b 4 bags sealed well Variance Was a variance granted from the MDH for this well? D Yes 0 No Fl MPC A034 CSF Mer Vl08gg or 01611 6 3712008 068 file:/i/II/MPCA/!Working/A0081-100%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%2000631612.htm (1 of 2)7/112008 10:43:51 AM 22222222.11556699 SSTTAATTEE__0022882222552266 Well Log Report- 00631612 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Northland Drilling, Inc. 49697 KERSTING, ROB License Business Name Lie. Or Reg. No. Name of Driller 631612 I Printed 6/28/2008 HE-01205-07 fi1e:/i/II/MPCA/!WorkingiA0081-100%20-%20PFC%20Fo ... ne%20River/Well%20Log%20Report%20-%2000631612.htm (2 of2)7/112008 10:43:51 AM 222222.115570 STATE_02822527 Well Log Report- 00631613 lMvfiinnnneessoottaa UUnniiqquuee WelWell NNoo. County 631613 Q~:u:i~ty II 631613 II Quam ~-==================~- QuadiD Posie CCaassss Pine River 232B Tae STR ATT Well Name SHAMP, ARCHIE ovRnangaeDiirSectpion Subcom lation Township Range Dir Section Subsections Elevation 1B38 o30ww 3% 36 Elevation Method Elevation Method MixvEsoTs MINNESOTA DEPARTMENT WHEEAALLTTHH aOdF WELLAND BORING piss bate 0311205 WELL AND BORING RECORD ReceivedDre RECORD MinceSotutesChapter Minnesota Statutes Chapter nt1031 EEnnttrryy DDaattee Update Date Received Date 111n11m1n1s19s9y9 03/11/2005 Depts Deh Complete Wal Copied Well Depth Depth Completed cuarcnnonom | on 7 on ie" (U7S.5mGinSor |DPS Method Nor pectedRoary 1317 ft. Calc from DEM (USGS 7.5 min or 52 ft. Drilling Method 1'-. 52 ft. ' Rotary Date Well Completed 07/23/1999 equiv.) Romie DrDirlillliinngg FFlluuiidd Bentonite Fon Tt 14 WWelelll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D Nnoo From Ft. to Ft. Well Adress Well Address cz BOX 12 fe PINE RIVER MN 56474 Geological atarat Geological Material SS4AN0D CarCLAY Saveur SANDY CLAY povided SANDY CLAY fsSAND Color Color SBRUOWNN mom BROWN rs BROWN Ge GREEN Sen GREEN Hardness Hardness SOFT wD MEDIUM MEDIUM uo MEDIUM wow MEDIUM Use Domestic CainsType Pate JuitNoleorution Deveshoe? 01 Yeu Casing Type Plastic Joint No Information Drive Shoe? DYes 0 ve anoint D No Ahuve/Belu~ ft. Casing Diameter Teg File Damar Casing Diameter fap un smn ten 21 4 in. to 44 ft. Weight 3 lbs/ft. Hole Diameter 8 in. to 52 ft. Open Hole from ft. to ft. Sheen 15 NAR TOTON To Soe Screen YES Make JOHNSON Type stainless steel From To| pameter Site Length SetBetween From To Diameter 5 2 90 26 3be 6 23 Slot/Gauze 12? 23 31 aw 31 44 u 5% [www 44 52 Static Water Level Length Set Between 8 4"4 nft. aadnd 252 ft. 26 ft from Land surface Date Measured 07/23/1999 FUMING LEVEL (ri on aro) PUMPING LEVEL (below land surface) i she be ppg pn ft after lrrs. pmnping g.p.m. Well HesdCompletion Well Head Completion Piessat mans MARS Mode 411 Pitless adapter manufacturer MAJ\S Model 4J-l vo nears NO REMARKS DDO cCaassiinngg PPrrootteeccttiioonn D[J 1122inin..aabboovveeggrraaddee 3 vga momen ils ad Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Grostng tration Sli Grooetr B Yer Ovo Grouting Information Well Grouted? 0 Yes D No oLoecsted Miso Isroeol Located Minnesota Department of Health Unigue Number Verification NA Unique Number Verification N/A Seem UTM. Nod Zunch, Mors System UTM- Nad83, Zonel5, Meters tr Stn foonEt Grout Material: Bentonite from Oto35ft. vmod 65 $4 Of-- ne Method GPS SA Ott (averaged) Date NA I ---- DateN/A Xe 9625 Yi 5176199 | so dation 0% X: 391629 Y: 5176199 Nearest Known Source of Contamination - feet - direction _type sb 5 bags WWeelllddiissiinnffeecctteedduuppoonnccoommplpelettiioonn"? 0 YYees OD NNoo Pun 0) Notlntlod Due rset 023199 Pump D Not Installed Date Installed 07/23/1999 NicenesSIAtIIE. Model Manufacturer's name STA RITE Model antes IPDS Vos20 number_ HP Q2_ Volts 230 Teng rope 351 Cpt 10g pm Length or drop Pipe .l~__rt. Capacity !.Q_g.p.rn Te Suet Maa Type Submersible Material RR De Ca Sl Abandoned Wells Does properly have any not in use ami not sealed well oO ve Bw (s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes 0 No le TAC fing S135 FTC 0. lt Rae 371308 10435100 file:/i/II/MPCA/!Working/A0081-100%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%2000631613.htm (1 of 2)7/112008 10:43:51 AM STSATATTEE0_208228222552288 2222.11557711 Well Log Report- 00631613 First Bedrock Aquifer CountyWalindes ine Ropar Last Strat Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Northland Drilling, Inc. 49697 KERSTING, ROB License Business Name Lie. Or Reg. No. G63 I 631613 Name of Driller Printed 6/28/2008 HE-01205-07 fi1e:/i/II/MPCA/!WorkingiA0081-100%20-%20PFC%20Fo ... ne%20River/Well%20Log%20Report%20-%2000631613.htm (2 of2)7/112008 10:43:51 AM 222222.115572 STATE_02822529 Well Log Report- 00699343 i"me69t9s3g4e3 lrne Qui II 699343 II ~::~ty lvfinnesota Unique Well No. Quam ~-==================~- QuadiD Cass Pixivr Pine River 252232B WWTeleol NaawmeReaHTnUgOseNTTDhiUOrTSTieILcTtIpiTEoInERSSuGGbRsROeOcUtiPon Elevation Township Range Dir Section Subsections Elevation B80 138 30 w W 36 DOAC DCAC Elevation Method Elevation Method DDEEMMPPAIAIA NNRRNNTTEEMMSSEEOONNTTTTAAOOFF fone WWEELLLLRAAHENENCADDOLTBRBHOODRRIINNGG ReUEUcpnpidtdrvtayteeeDbdDautDateatetee 000559/222550/22200000066 MMiinnnneessooRttaaESSCitnaOhteutRessDCChhaapptteerr Received Date 09/24/2003 C112a(0)6t0oft.mnin 1031 Well Depth Well Depth | on57 ft. Dep Compl Depth Completed a Su57 ft. DeDate oWW0e9el/1llnl2CC/22ooa0mm0p3lpeletteedd (USGS Calc from DmiEnMor | DEM Non I sidR oy Drilling Method 1'-. Rotary (USGS 7.5 min or ' equiv.) DAF Drilling Fluid enki Bentonite | WwFrleollnl HHTdyydrrtorfrcTatactrueredd?? 0 ver DYes 0 No No From Ft. to Ft. wWI oeolll AddrAdedrsesss PRRevensie PINE RIVER MN 56474 Geological aera! Geological Material Toot TOPSOIL snoSAND saoSAND Sore SANDY CLAY saoSAND SCCooollooMrr BROWN sGhoarw BROWN GRAY Shar GRAY Gar GRAY HSHOaaFrrTddnneessss SsSSoOOorrFFtTTT SOFT SWoDtHARD SOFT From To|CO SCa"ersgriiarNemnonoebgTYDyAEipSbaesmnenTctPrleBkaritosentGJJaoeiuOnzTtTeRNSoiOTgfNehortmiToopen TDFossromiiavmeeesnaSDhieooa.Tem?et.5oe0r0n vor From og [Gamelr Sedoaze Leng Se 0 is 2 [ 15 7 2 37 % 5 [SF155U1N0SPIfoNrfwGlmL1LEeoVnbEdrsLap(tueamlpoi_ngDTo0de rMgoopscms)ad 09117003 50 Use Domestic Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Ahuve/Belu~ ft. Casing Diameter Weight Hole Diameter 4 in. to 53 ft. 1 lbs/ft. 8.25 in. to 30 ft. 6.25 in. to 57 ft. Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel To Diameter 2 4 15 Slot/Gauze 15 37 50 57 Static Water Level Length 4 Set Between 53 ft. and 57 ft. 19 ft from Land surface Date Measured 09/11/2003 PUMPING LEVEL (below land surface) 52 ft after 1 hrs. pumping 20 g.p.m. vo Reaanrs NO REMARKS PWWieellell HHcseaapddoCCroommmpapllneidtoiaonntes MONITOR Model SNAPPY Ol casing Potion.) 121m above Pitless adapter manufacturer MONITOR D Casing Protection 0 12 in. above eeModel grade SNAPPY DD1 Ate At-grade (Endvimirionnummeenttaall Wes Wells adand Borriinnggss OONNLLYY)) GGrroouuttiinngg Innofromrmataitioonn WWeellll GGrroouotetd?? 80 Yveers D0 NNoo LLeoocctasteedd Missa Minnesota Dpto Department of HUnelaaltuhe NumberVerification NA USynsitqeume UTA Numbe Nod. r VerifiZon! cation NM/eAters System UTM- Nad83. Zonel5, Meters Gonna grids setnts fon 06D 3 bags Grout Material High solids bentonite from 0 to 30 ft. 3 bags vind OarsFSSSAA0OF eassp) Method GPS SA Ott (averaged) Date 04092004 TTT Date 04/09/2004 Xi 91761 Ye S175116 |0TP1TNWTi1eeuar0oelgnHwetp0d hsttoofcoeStnisemedvi eh0Naoroe)WpVsslPholmNept aoWp2moteBelnnM40noS0lct as.TBld0Aowie1rRimdoIl_cpgTo eEhClr.aDoipsas?|cSTioetnyep2a1oM1a0oyddevnlp(ems1na2kn2eb0e0eiri0e710dNPoIvCCee21T X: 391764 Y: 5175116 Nearest Known Source of Contamination llQ_feet North West direction Se]Jtic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed 09/12/2003 Manufacturer's name STA-RITE Model number 1OP4C02J _ HP 0.5 Volts 230 Length or drop Pipe :.Q_rt. Capacity !.Q_g.p.rn Type Submersible Material Abandoned Wells Does properly have any not in use aml not sealed well (s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes 0 No MPC ing A034 Co Mer VlSRgg or 0501617 371208 06501 file:/i/II/MPCA/!Workingii\.0081-100%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%2000699343.htm (1 of 2)7/112008 10:43:50 AM 22222222.11557733 SSTTAATTEE__0022882222553300 Well Log Report- 00699343 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Elsner Well Drilling, Inc. 29383 SMITH, B. License Business Name Lie. Or Reg. No. Name of Driller 699343 I Printed 6/28/2008 HE-01205-07 file:/i/II/MPCA/ !WorkingiA0081-l 00%20-%20PFC%20Fo... ne%20River/Well%20Log%20Report%20-%2000699343.htm (2 of 2)7/112008 10:43:50 AM 222222.115574 STATE_02822531 Well Log Report- DCJ749622 774499662222 Gouti I'vfinnesota Unique Well No. County Quad Quad ID wT Well Name CITY OF PINE RIVER Pek Cass Pine River 232B 19 3 WG DOUOR FeatonNiethl Township Range Dir Section Subsections Elevation 137 29 w 6 BBBBDB Elevation Method MIN-"ESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD WELL AND BORING RECORD pm 1Vfinnesota Statutes Chapter 1031 " a Well Depth Depth Completed (S087 Smincr | DIE Sth ewido 1293 n. Calc from DEM (USGS 7.5 min or 308 ft. Drilling Method 308ft. Rotary n Updwebue g 1317300 Entry Date Update Date Received Date OG/21/2007 12117/2007 05/03/2007 Date Well Completed 04/10/2007 equiv.) Drilling Fluid Bentonite I 0 Well HydrofractUI"ed? DYes No From Ft. to Ft. -- Well Address ae 160 PINE ST N PPIMNEE RRIVVEERRUMNNS56647744 Use l'est well Casing Type Steel (black or low carbon) Joint No Infonnation Drive Shoe? 5, Bir frre = DYes 0 No Abo~e/Below ft. Come Woo Br Casing Diameter d4 nin.pto 2Z96tft Weight 100.m79 lEbsn/ft Hole Diameter a8.2m5 a1nnto 50 0 ft GGeoeloologigcicaallMMataetreiriaall TOPSOIL SAND I SANDY CLAY SAND Soran SANDY CLAY aeSAND an SANDY CLAY SAND aCLAY 5SAND CLAY X&SAND CoCloloorr HaHradrndensess.s BROWN BROWN EE HE GRYIRED GRYIRED om GRYIRED Fr GRYIRED a om GRYIRED SOFT SOFT HARD SOFT HARD SOFT HARD oFronm TToo| 0 1 Open Hole 1 34 Screen YES x ELT 34 96 96 104 Diameter a oat 104 134 4 134 146 mos 146 153 TET Tee from ft. to ft. Make JOHNSON Slot/Gauze 15 E 6.25 e 1n to cw sEaTte Type stainless steel Length 12 Set Between 296 ft and GRYIRED EE GRAY & ER [mie ewes GRAY GRAY %oomBE Z2 REfvate meeee0oLttp GRAY SOFT HARD SOFT HARD SOFT 153 163 Static Water Level 163 211 10 ft. from Land surhtee Date Measured 04/10/2007 211 225 225 249 PUMPING LEVEL (below land surface) 249 308 295 ft. after hrs. pumping 200 g.p.m. Well Head Completion Pitless adapter manufacturer Model 3m08sIt 308 It -- NO REMARKS et Smee Located Minnesota Department of Health Unique -"umber Verification N/A vm OT a. out ts System UTl'vf- Nad83, Zonel5, Meters So GSA el Method GPS SA otl(averaged) Date 06/21/2007 pl X: 392374 Y: 5174783 DDO CCaavsiinnggPPrroosteeccttiocnn E0 1212iinn. aabboovvee ggrraadcee De -------- D At-grade (Enviromnental Wells and Borings ONLY) rottnraston Wetcwst Bie DT Grouting Information Well Grouted? 0 Yes D No -- - emt Grout Malerial Bentonite from lo 50 ft -- Nearest Known Source of Contamination Q_feet - direction _type iti sasior 8 vo 0 Ne Well disinfected upon completion? 0 Yes D No frat e ra e Pump D Nul Installed Dale Installed 04/11/2007 om6 bags Manufacturer's name FRANKLIK 5 HP Model number TESTPUMP _ HP _ Volts Length of drop Pipe ft. Capacity g.p.m Type Submersible Material bo @ AAbbaannddoonneedd WWeellllss DDoosesspprrooppeerrttyy hhaavvee aannyynnoottiinn ausseeaanndd nneott ssecaalleedd wweellll(ss))?? JD Yes 0 No i er ps First Bedrock pool ans Last Strat Aquifer Depth to Bedrock n. "County Well Index OnlineReport County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification ivi mu ns Elsn~r Wdl Drilling Inc. 1374 ELSKER l eae. hy 1 License Business Name Lie. Or Reg. No. Name of Driller 749622 I 749622 Printed 6/28/2008 IIE-01205-07 file://ili/MPCA/1 Working/A0081-l 00%20-%20PFC%20Foam;R .. s/Pine%20River;Well%20L og%20Report%20-%2000749622 htm7!1/2008 10:43:50 AM 2222222.11575 SstTaArTeEo_z0228225253322 Well Log Report- 00753571 lmvfiennraeostto7ota5UDUn3oina5kiqn7eue1WelellNNoeo. II 753571 II CQ~o:uu:ni~ttyy ~-==================~- Quam QuadiD CoCass Pixivr Pine River zn232B eWTelaol NamwmReeaCCnIIgTTseYYDhOOiFrFSiPPeIcRNtEpiEonRRISIVuVbEsERection Elevation Township Range Dir Section Subsections Elevation 5730 137 30 w W 1 1 AADAAC Elevation Method i\ADAAC Elevation Method MINNESOTA MINNESOTA il DEPARTMENT OF HEALTH Enda sna HEALTH WELLAND BORING Updebute 03052008 WELL AND BORING RECORD RecivedDate 0716207 RECORD MinnesotaSnesChapter Minnesota Statutes Chapter ih1031 Entry Date Update Date Received Date 06/21/2007 03/05/2008 07/16/2007 an WelylDyepth Dep hCyompl Wtelel Cnomspleted 12()3 ft. Catonnin | Calc from DEM (USGS minor | DPITEMIRO Non sid oy (USGS 7.5 min or Well Depth Depth Completed 38ft. 38ft. Drilling Method 1'-. ' Rotary Date Well Completed 06/05/2007 "CDCearGsne iiaNmAknoepgTiyADFpw leaammtePtleaorts|nJowFirlnotlnNHoTdTWyerfugtohrmrtcTitaornedF?iDarlime0veaDsihnvaoemere?twer0eNovor 1 equiv.) Drilling Fluid Renlonile Use Test well Well Hydrofractured? DYes 0 No From Ft. to Ft. Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Ahuve/Beluw ft. Casing Diameter Weight Hole Diameter 6 in. to 28 ft. 1 lbs./ft. 9.25 in. to 38 ft. -- Well Address "=RR PRE RNIENS0R74 PINE RIVER MN 56474 SGseeoootlooggiicaall hMaatteerraiall SAND CCsoololoorwr HSHaFarTrddnneessss BROWN SOFT SeCOrpeennTHYolEeS fTroemNhfEte. BtoRTADfYt. Screen YES Make BRADY Olameter Diameter ~~ SSilootl/GGaauuzzee F"Frrooomm wTToo| 6 220 0 38 Tope Fe Type plastic Length Set Between Length FT Bane 10 Set Between 28 ft. and 38 ft. vo Reaanrs NO REMARKS Siewert Static Water Level 150 Lond ata _Dute Mossad 060s? 15 ft from Land surface Date Measured FUNPING LEVEL (elo nd roc) PUMPING LEVEL (below land surface) 2710 ofl 20 bes puns 150 gpm 27 ft after 24 hrs. ptunping 150 g.p.m. 06/05/2007 Well Head Complion Well Head Completion Pussdpor mandates Model Pitless adapter manufacturer Model Ol casing Potion.) 12in above ee D Casing Protection 0 12 in. above grade D1 Ave diminumeta Wes ad rings ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting normation Well Groot? 8 ver 0 No Grouting Information Well Grouted? 0 Yes D No LeoctsedMies Dprtost of Located Minnesota Department of Health Unlgue NumberVerification NA Unique Number Verification N/A Seem UTM- Nt Zonel5. Mors System UTM- Nad83. Zonel5, Meters Goa: Sart fm o;E Se Grout Material: Bentonite from to 28 ft. 5 bags cg Gaps15SSAAOOasp) Method GPS SA Ott (averaged) Date 06212007 NeSC Date 06/2112007 Xs 39269 Yo 5174614 |Nb0RVP0eiLWaeuoemrmJleioiopa0d ntnsocncenuetWgi v0wruaieWopsseohlPnsplNatsoa.ovgpnteoDeilfnomct cBl0olNmFrepoCdlMpniooeo?dnDd_psuBey1cBrsonaograbvleopnerey Mov0DewrHHnTfPfos0_r:woeVoMNldlootst.eel 0T X: 392269 Y: 5174614 Nearest Known Source of Contamination Q_feet - direction _type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed Q Manufacturer's name Model number - HP - Volts Length of drop Pipe ft Capacity g.p.m Type Material Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes 0 No Fl ARCA oi NOS 10754 01C 0We. l 0gR0 e m 71208 10350 0 file:/i/II/MPCA/!Working/i\.0081-100%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%2000753571.htm (1 of 2)7/112008 10:43:50 AM 22222222.11557766 SSTTAATTEE__0022882222553333 Well Log Report- 00753571 Fist Back First Bedrock Last Last Strat AADqquuietifeerrp0Betdrohck 1. Depth to Bedrock ft CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt el Contractor Cericaton Well Contractor Certification piervel rtiog ne. 134 ELSNER Elsner Well Drilling, Inc. 1374 ELSNER, J. License Business Name _Lic. Or Reg. No Naeof Drill License Business Name Lie. Or Reg. No. Name of Driller 753571 I 753571 Printed 6/28/2008 HE-01205-07 ling A034 Co Mer VlSRgg or 0550785 i 2. 371208 06501 file:/i/II/MPCA/!WorkingiA0081-l00%20-%20PFC%20Fo...ne%20River/Well%20Log%20Report%20-%2000753571.htm (2 of 2)7/112008 10:43:50 AM 22222222.11557777 SSTTAATTEE0_208228222553344 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY PPoorrtteerr P5Po0or5rtteeMrrapFFilirreee DDeeppaarrttmmeenntt Porter, UN 505 Maple Porter, MN 5566228800 Pa5Pt0ar7tir.ic2ck0kV6Vi.al4am4mi7ni5ncckk,,FFirireeCChhiielf 507-296-4475 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree hhaall,l, 330011 LLoonnee TTrreeee SSttrreeeet,t, PPoorrtteerr GAAlRRaAs-AsFFFAFF:F.:AnCCshuhelemmSgiguvua-aerrxdd Class A: Ansul Silv-ex SSeemmiiA-Annnunaulalllyy LLeessss tthhaanns5 ggaalllloonnss. SSttoorrmm sseewweerr CAAlRRas-AAsFFAFF:.F:5g55agglaaollnllosonnss Class A: 5 gallons NNootrthh BBraannchh oofftthhee YYoellllooww Modine, Medicine River, ssless hthaann 14k 1/4 mile east AApppprrooxxiimmaatteellyy 11/44 mmiille ssoouutthh AApppprrooxmimataetellyy 11 mmiilee nnootrthheeaasstt MMoorree tthhaann 11 mmiilee 9 s 22222222.11557788 SSTTAATTEE__0022882222553355 PPOORRTTEER CWI ell Vip R CWI Well Map y A Seis | / - Hy CRweeaam Ii IN TEAR vae) d"1o ED ~N SA = "N4 A OB ) aU SC INe Y oe<! WFoXe Te ptr 5| i: fom ( ~~ | 3 hea33)rPo 1 [hiit i| y ~~ Ap ; T : Ww 1 Sloe J FAX WE Je Z Zoo 0 Oh jERE E A PE SYEANN) WhSon - es - a, y, || F sm h ALMls< 2 Ne | NO AREER me NL Ne TWD i# hE WpArR AAp e a eL de 222222221.1557799 STSATTAET_E0_20828222255336 [PorPtoerterr WWhhaatt''ss IInn MMyyNNeeiigghhbboorrhhooooddMMaapp | SITES | i [i= |& | =1 iSia tes | orto porns D~n.Mc:l matt~ &u~~rkl M | ramasonar Errno pte Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. of the infonnation should be considered to be, or used as, a legal document. The infonnation is otNo portion provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost E [ T owsuprns MPCA that may arise from the use ofthis data. hm~ St"IKIW.W UInJpno~rmmilt!tbedd BDuumn1pJ1s5. NFRAP maw ~~,..rill w | coroun C:~RCL!fi. | roamituria o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! Grate romans genes wa Vo!Unllr~ l'rW'I191'11:11'i | me & Cb!lrwJ!o y A..t. R ltCRAC TUSDOR Faf'cliti:A itlile:sl~ | [erP-- ~M Jrw-ut-kor-111 & ClfiiiW~ l 4 swreossomnm ""- aum ~nw111 222222.115580 sStTaAreTE_208282222553377 T29 2f 2B|39 8 3By srr /terrier ieg r !{ { {i / {a // Porter Wetland Map FiB 96-11-0W z 9 m ,,M;.. 96-10-30W 96-10-0W i gsgy z 0 '?()() ,,M;.. / II'NsO / Bo wi s/f F/Eg | ald : Log Eke rl / |{ / j8 96-9-30W '] / z| [EF iB | 7 i 96-9-0W /4 Fp po ] fr ||BBaEgiHiaHiLb:elninn -96--8-3,0W w A A <D 6 z er wn Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads sll Cities r USGS Quad Index 24K Lower 48 Wetland Polygons + II A Ill Estuarine and Marine Deepwater w Estuarine and Marine Wetland 0> Freshwater Emergent Wetl1:md 6 111 FrAshwater Forested/Shrub Wetland z Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America gor % aad 3 2222.11558811 T 5 Tz J3 i z i& : Pol fo i iH P:ol | stare oama2s3s 96-11-0W 96-10-30W 96-10-0W 96-9-30W 96-9-0W 96-8-30W i |g iii iE ii r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N ii i Map center: 44 38' 5" N, 96 9' 50" W $ 3 Scale: 1:27,524 00 N N Ul w 00 Well Log Report - 0050722.) MMininesomtaUeUnNriqueoBWueLll NsNoo. 507223 CCoonunntyy Quad Quad ID YYeelolonwMMedeidciciinnee Porter 100R A MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING RECORD 11Jinnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 1122/0077/1199990 01/21/1997 Welll'\ame MILLER, ROBERT Township Range Dir Section Subsections Elevation 11144 4#44 OwW 2277 CCBBOCBBDDCC EElelevvaattiioonn MMeetthhoodd 1192 ft. tot7op.5poogmgrrianappuhthieicc mmaapp (+/- 5 feet) Well Depth Depth Completed 115 ft. 115ft. | DDeriilnliengMMetehthooddNorspeciied . RRoottaarryy Date Well Completed 03/21/1990 Drilling Fluid Bentonite IWell Hydrofractured? From Ft. to Ft. DYes 0No BEEWell Address RR 1 BOX93 PORTER MN 56280 SGceoiloogincalMMaartenriaal TOP SOIL CLAY SAND FINE CLAY CLAY GRAVEL CLAY pherte CLAY SAND FINE CCoolloorr BLACK YELLOW RED YELLOW BLUE GRAY BLUE orBLUE GRAY HHaarrddnneessss MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM HARD Lse Domestic CCaassiinnggTTyyppee PPllaasstiicc JJooiinntt NNoolIanoforrmmaaiticoan DDrriivveesShhooee?? D JYveess DOJ No Above/Below I ft. Casing Diameter Weight Hole Diameter 5 in. to 105 ft. lbs.lft. 9 in. to 20 ft. 8 in. to 115 ft. FFrroomm 0 {w OopenpHoeleofromwft tow ft. ] TToo [SScrGeen YVEiSs-- -V"ilakkee EEVVEIRRFILLOOWW TTyyppeeppllaassiticc 2 2 6 Diameter Slot/Gauze Length Set Between 6 9 5 15 10 105 ft. and 115 ft. 9 21 21 27 27 37 37 85 Static Water Le"el vores 85 101 30 ft. from Land surface Date Measured 03/21/1990 101 115 PUMPIJ'\G LEVEL (below land surface) 60 ft. after hrs. pumping 20 g.p.m ro eraors NO REMARKS Located Minnesota Geological Survey Method Digitized - scale I :24,000 or larger (Digitizing Table) Unique Number DateN/A Verification Information from neighbor System UTM- Nad83, Zonel5, ~Meters X: 249964 Y: 4948902 CountyWa nde Grine Report First Bedrock Cretaceous,Undiff. Last Strat Cretaceous,UnditT Aquifer Cretaceous,Undiff. Depth to Bedrock 37 ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer MAASS Model 5Jl-76 DDosCiasningg PPrrootteecctiioonn D[1 1122min.. aabboovveeggrraaddee GS rout orm Wal GE ros? 8 ver Ove DD3 AAvt-ggrraadede(En(Evnivroirnomnmeennttasl WWeellllss aanndd BBoovriinnggss OONNLLYY)) Grouting Information Well Grouted" 0 Yes 0No Grout Material: Neat Cement from 10 to 40 ft. 0 Grout Material: Cuttings from 40 to 100 ft. 0 :\earest Known Source of Contamination Q__feet Nmih East direction Other type Well disinfected upon completion? D Yes D No PPuummpp 0 NNoottlaInststaalllleedd DDaatete nInssitaallleedd 0033/22111111999900 Manufacturer's name GOULD Model number IOEJ05412 _ HP Q.2_ Volts 220 Length of drop Pipe @_ft. Capacity lQ_g.p.m oamdoned Well Type Submersible Abandoned Wells Does property avs ay Material Plastic Does property have any 0 not in uCsoe 3andd not ed sealed eT well(s)'! 0D Yvees O D nNo Variance Was a variance granted from the MDH for this well? No Well Contractor Certification Jacobs & Grant Well ss License Business Name 507223 12073 GRANT, A Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/28/2008 HE-01205-07 flle:///IIIMPCA/! Working/A0081-100%20-%20PFC%20Foam/R...mmaries/Porter/Well%20Log%20Report%20-%2000507223.htm7/1/2008 12:20:39 PM 22222..11582 STATE_02822539 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY PPrreessttoonn PPPrrOeeBssttoooxnn F2Fi1irr6ee DDeeppaarrttmmeenntt Preston, MN PO Box216 Preston, MN 5555996655 JJ5ee0r7rrr.yy76OOl5lss.oo3nn8,0, 1FFiirr(eeroCChhhiiaeelff) J555o000l777s.--7o77n6660555o-.-33z38@330c221e77n(((tfhhuirooremmyheiea)l)lnl)et jolson002@centu rytel. net TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraainniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FF12ii,lllmmPoorrereestCCooonuunnttyy FFaaiirrggrroouunnddss,, FFiilllmmoorree SSttrreeeett && CCoouunnttyy HHiigghhwwaayy 12, Preston AATrRRa-iAAnFiFnFFgEFF:oa33mMM: Clarey's First Sire Training Foam: Clarey's First Strike TTwwoo ttiimmeess iinn alasstt 1155 yyeeaarrss 55ggaalllloonnss. GGrroouunndd GAAlRRaCs-AAsFAFF:FFF.:5g55algglaaollnlloosnnss Training Class A: Training Foam: 5 gall Foam: o n55gsaglallloonnss S`fSaooiuurttghhroBBurrnaadnnscchh oofftthhee RRoooolt RRiivveerr llooccaatteedd aaddjjaacceenntt nnoorrtthh oofftthhee fairgrounds AAddjjaacceenntt eeaasstt ooff ffaaiirrggrroouunnddss TTrraaiinniinngg ssiittee iiss llooccaatteedd iinn aann aaccttiivvee kkaarrsstt aarreeaa AAttffaaiirrggrroouunnddss LLeessss tthhaann 11//44 mmiilee ssoouutthhwweesstt 228 22222222..11558833 SSTTAATTEE__0022882222554400 PRECSWTWeOllNNip PRESTON CWI Well Map Bil SHERI he NE EL VE MASI Son G53e B rN et L EAfe 1h LYN2 BNTd] F=E4 E= RE med T ey OO NA aTS r N # a Ni NE oR Sn RNTee wh Eon NON dey a a A " Eeeat Zi Eb TM a | pp Ls LX at 7 AR Ra SIE raeiol 0X eFNoL r"RPParNirElasEeEgL yRE T 0nLAE(NT\O(NS i Taare id IU frei SEE Tie RNELORS. AT yom ee eid RNY No nC ameAy kg SH a NV 2 eb NO a sh al) we YL oN 2 momma bayertoposDE 4 al Li 222222.115584 STATE_02822541 [PresPrtesotonn WWhhaatt''ss IInnMMyy NNeeigihgbohrbhooord MhMaoappod | , | / L| e JJ | ; | Th || | & aehvv ~ Be | Ei . L| AS HeSI: TES | ent | Fae L i | fone YE | i N int | i \ LS fem |bLo d! tr } |4 { \ -- I Sie 1 l pense ---- Sites | | Pama sonar Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion m [EEE T e Rn IEe R|| ete of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided BDot~no.tMoc:dlSmaattto~S&uup~o~rrikulnMd. hm~ St"IKIW.W IJn~ml!bd Dun1J15 subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost || MPCA that may arise from the use of this data. asupra NFRAP w atecus maw ~~,..rill C:~RCL!fi. | oFef'dt\eJer:anll SSuupptsrfrUinudt |-- | | | Pollution Control Agenec:y rn omATABi cse Gna * !iune: Cboocl L.cmcHUI5! oVob!iUnallnr,~ l'rWs'iI19m1'1o1:1n1'i & Cb!lrwJ!o ..t. ltCRA UD f'lt:ill:l~ ~M Jrw-ut-kor-111 & ClfiiiW~ "A"-SatuamA~ eonrws1 em1I1m 222222.115585 [p-- STATE_02822542  GE [mBehr c5l gld Z| s /7 "2d.s of { 45 Hig. . ifAg 5 E21144 5Lor Preston Wetland Map 222222.115586 _,. w il~ 6 z 2 |B , i ofhil ii ty. hiifHliillaL ihLhe ailiidgea Ny &Ng T 2 R i 8 38 gE SNiEn Lo i di) JTEaRS[143] . pi S15 we 8 AY gs Legend .0 ~ Ohlo_wet_scan ~ ~ D 1 z Out of range ;!</ Interstate Major Roads / y b / _,. w J,. 0 ~ 0 z 17 3 8 lif2,~?ri>FRc>~cr :.~~Af~K .......................... l'"i~!fr "~ g ,~~,~~... c~~~~SS~~:, ......... J ~ :~~~~ 6 z aa Other Road ;!</ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine ii id s i t ig Li t AEJi .g if <|i8 Fl 92-5-30W 92-5-0 w 92-4-30 w ii s5i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N Ul .j:>. w ;: zi 92-4-0 w V i& =I 2 Eg w_,. w tD J,. 0 z 92-3-30W Map center: 43 40' 16" N, 92 4' 21" W : B ae Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DOK 0 South America u North America 3i $ Scale: 1:23,038 stare_o2s22543 Well Log Report- 00156956 [150956]om' A1innesota Unique Well No. 156956 County Quad Quad ID hewnFillmore Preston SA WELL AND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 031 forbes Entry Date Update Date Received Date Hrd 12/17/1991 05/19/1993 Well Name SACKETT. CLIFFORD 0% on testes Township Range Dir Section Subsections Elevation 102 10 w 6 ADCCAA Elevation Method Well Depth Depth Completed Date Well Completed I 050 ft. mses |ea san > 7.5 minute topographic a I map(+/- 5 feet) 410ft. Dtillhig Method Drilling Fluid -- 410ft. Rntm-v 06/]511979 Well Hydrofracturcd? DYes D No From Ft. to Ft. a 0 Use Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below 1 ft. Casing Diameter Weight Hole Diameter Yes D 4 ln. to 345 ft lbs/ft 0 in. to 410 ft Well Address Wel Adtran PRESTO~! M~l Et - Geological Material Color Hardness From To DRIFT BROWN SOFT 0 11 DOLOMITE TAN HARD 11 326 SANDSTONE RED SOFT 326 410 Open Hole Screen NO DDiaiammeetteerr from 345 ft. to 410 ft. Make Type SlSolottG/Gaauuzzee. LLeennggtthh Static Water Level 103 ft from I .and surface Date Measured PI:MPING LEVEL (below land surface) 110 ft after hrs. pumping 20 g.p.m. 06/15/1979 SSeett BBeettwweeeenn. NO REMARKS Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D00 At-pgrraodse ((EnmvirovnmientnalWWaolellelssaanmnddBnBroirnninggsssOONaNLLlYY)) Grouting Information Well Grouted? 0 Yes D No -- Located Minnesota Geological Survey Unique Number Verification Information from neighbor System UTM- N ad83, Zonel5, }'vfeters =Method Digitized - scale 1:24,000 or larger (Digitizing Table) DateN/A X: 574717 Y: 4835347 ee Grout Material r~eat Cement Nearest Known Source of Contamination from 0 to It TI_feet - direction SeQtic tank!drain field type Well disinfected upon completion? D Yes D No 7 yrds Pump D 1\ot Installed Date Installed Length Manufa Length dp cturer's of drop Ppename Pipe ft. CopaModel Capacit _gpr number - y g.p.m Type HPQ_ Type Mort Volts Material AAbbaannddoonneeddWWelelllss DDooesspprrooppeerrtyy hhiavvee aannyy nncokt iinnwuese saondd mnoott sseesableodd wweelll(s?)? CDJ Yes D 1\o Ltsi Jin First Bedrock Prairie Last Strat Jordan Du Chien Group County Well Index Online Report Degtodek 11. Aquifer .Jordan Depth to Bedrock 11 ft. Variance Was a variance granted from the MDH for this well? D Well Contractor Certification RoRwolwalanndd WWeellll CCoo.. ice DnsNamOveBeg.No Name Del License Business Name 2a 3124 RROOWMLAANNDD l'i... Lie. Or Reg. No. Name of Driller iso I 156956 Yes D No Pnnted 6/28/2008 HE-01205-07 file://III/1viPCiV!Workmg/A0081-100%20-%20PFC%20Foam/R... maries/PrestoT11Well%20Log%20Report%20-%2000156956.htm7/l/2008 12:24 11 PJ\1 222222.115587 STATE_02822544 Well Log Report- 00219440 Sr Se Te py pre I'vfmnesota Unique Well No. GQuuiim ota 219440 County Quad QuadiD Fillmore Preston SA ACT TOR Well Name GEO. A. HORMEL CO. emg ccs Township Range Dir Section Subsections Elevation KEW SBC Haste Meted 102 10 w 5 BBBACC Elevation Method MINUESOTA DEERTNENT OF HEALTH Toe 12711 MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Upducbuie 0319159 WELL AND BORING RECORD itSte Che 151 Reed Duc Jl11nnesota Statute., Chapter 1031 Entry Date Update Date Received Date 12/17/1991 05/19/1993 75 en PSiC n Dar Cwwomes 955 ft. 7.5 minu!t: opp: | DE Nod topographic map(+/- fii rIr] 5feet) Well Depth 235 ft. llrillim.- MPtho<l -- Drilling Fluid Depth Completed 235 ft. Date Well Completed 09/09/1971 Well Ilydrofractured? DYes D No -- From Ft. to Ft. buing tre Jom Sater Sever 0 ve ve Ne Use Industrial Casing Type Below 0 ft. .Joint No Tnfonnation Drive Shoe? DYes D No Above/ Casing Diameter Weight Hole Diameter 6 in to 43ft lbs/ft 0 in to 235 ft Well Address c-- onn PRESTON MN coir ert Geological Material DRIFT CLAY eon ONEOTA JORDAN Color Harness Color Hardness From To From To 0 41 "oom 41 227 227 235 [E eymm Open Hole from 43 ft. to 235 ft. Se Neo Screen NO Make Type [-- SotGaze Lonth SetBatveon Diameter Slot/Gauze Length Set Between Static Water Level 36 ft. tram Land surtace Date Measured 09/09/1971 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Wats compen Well Head Completion Piotr mts Nod Pitkss adapt~r manufacturt:r Mudd Oca cion 0 12m orcs D Casing Protection D 12 in. above grade DO ss mcm nets 0) D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Grouting Infonnation Well Grouted? DYes D No Located Minnt:sota Gt:ological " ge Survey Ung ant Den Lnique Number Re she. Verification Other, note in remarks emUT Nl Zot, ra; airs System UT:'vf- Nad83, Zonel5, Meters "lethud Digitizt:d - scalt: 1:24,000 or largt:r (Digitizing Table) Date N/A X: 575135 Y: 4835972 aEteEhi First Bedrock Prairie Du Chien Group Last Strat Jordan County Well Index Online Det Aquifer Depth to Report irk 1 Prairit: Du Chit:n-Jordan Bedrock 41 ft. RSCR Nearest Known Source of Contamination og _feet _direction _type enim opier 0 ve 0 xo Well disinfected upon completion? D Yes D No ro Norns Dama Pump 0 Not Installed Date Installed MNetmiiecraipncedgtsCEoDACKET p+a spsn" ipe JkCr 3. Vt Manufacturer's name RED JACKET Model number - 9R- C - HPQ_j_ Volts Length of drop Pipe ft. Capacity 30 g.p.m Type Material andre We Dopey be tm mt 1 Abandoned Wells Does property have any not in use and not sealed well(s)? D he O Yes D No Variance Was a variance granted tram the MDH tor this well? D Well Contractor Certification 2E194I40 I United States Geological Survey License Business Name USGS Lie. Or Reg. No. Name of Driller Yes D No Printed 6/28/2008 HE-01205-07 file :iIii IIMPCA/1 W orking/A0081-100%20-%20PF C%20F oam/R .. m anes/Preston!Well%20Log%20Report%20-%2000219440.htm7/)/2008 12:24: 10 PM 22222222.11558888 SSTTAATTEE0_208282222554455 Well Log Report- 00226665 2 IM'vfommneosotaUUnnigque Be Well No. 222266666655 CCooutnyty Quudad Quad TD FFiilllmloerse pPrreessttoonn SA i MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD. ,'lfinnesota Statutes Chapter 1031 EUEnpntdtrrayytDeDaDatateete Update Date Received Date 01125/211791/1199m951 05/19/1993 Well Name LAUNGUNN, A. H. WN 6 ADR Deon ets Township Range Dir Section Subsections Elevation 102 10 w 6 ADBCBB Elevation Method Well Depth Depth Completed Date Well Completed pg| TORE 955 ft. 7.5 minute topographic map (-/- 41 ft. -- 41 ft. 10/23/1963 PD o a I w oeoe r 5feet) Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. TJse Domestic itasien. Well Address PRESTON MN os Geological Material CLAY & DIRT SAND &GRAVEL &CLAY HARD ROCK ctr som Color Hardness From 0 15 WHITE 19 Vo REMARKS NO REMARKS Casing Type Below 0 ft. Joint No Infomution Drive Shoe? Casing Diameter Weight 6 in. to 21 ft lbs/ft DYes D No Hole Diameter 0 in to 41 ft Above/ fobrrmmrSee tato Open Hole rom 21 ft. to 41 ft. Screen NO Make Type Diameter Slot/Gauze Length Set Between To 15 19 41 Static Water Level 21 ft. from Land surface Date Measured 10/23/1963 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Pith me Well Head Completion Pitless adapter manufacturer NodModel DDcuCiansignrgrPorowtcecitoionn TDO121i2nin.. sahboowsve grraaddee Groutng formation Well Grant? 0 vor OI No D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No rLetroMimoets Gog Suvcy Located Minnesota Geological Survey Unique Numbet Verification Information from neighbor System UTAf- Nad83, Zone15, Meters MolbnDesstoe 124000 Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 574608 Y: 4835564 First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group Aquifer Prairie !Ju Chien Group Depth to Bedrock 19 ft. County Well Index Online Report ------ Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipc ft. Capacity g.p.m HPQ_ Volts Type Material io 0 Abandoned Wells Does property have anv not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDII for this well? D Yes D 1\o Well Contractor Certification Nelson Bros. Well Co NELSO License Business 1\ame Lie. Or Reg. No. Name of Driller 226665 I Printed 6/28/2008 HE-01205-07 file :i/IIIIMPCA/1 Working/A0081-1 00%20-%20PFC%20F oarn/R.. rnaries/Preston!Well%20Log%20Report%20-%2000226665 .htrn 711/2008 12:24:10 PM 22222222..11558899 STATE_02822546 Well Log Report- 00409492 _Minnesota Unique Well No. 40942 | out eee 409492 County Quad Qua- d ID Fillmore Preston 5A Well Name GOSI, JOE re Township Range Dir Section Subsections Elevation 103 10 w 31 DCDCAA Elevation Method Ml'IINESOTA DEPARTMENT OJ<' HEALTH WELL AND BORING RECORD WEMLAiLnfinmeArseNsootDtaaSStBtaatOtuuttReessICCNhhaGapptteRerrE110C033O11 RD |Well Depth Depth Completed Entry Date Lrdaebue 721101 Update Date i Received Date 01!1 0/1992 07/2111994 a Date Well Completed 1030 ft. 7.5 minute topographic map (+/- 5 feet) 360ft. i)rillinP" Method Drilling Fluid -- 360ft. 08/27/1985 IEET ~r Rotary Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic ams Well Address 52 HYS eso PRESTON MN 55965 i" is Geological Material nYeCLAY nLIMESTONE E2ESANDSTONE LIMESTONE SANDSTONE p mon asa n3 Color Ll BROWN EBEE BROWN Hardness MEDIUM MEDIUM From To 0 20 20 55 55 80 BROWN MEDIUM 80 280 GRAY MEDIUM 280 360 Casing Type Below 0 ft. Joint Welded Drive Shoe? DYes D No Above/ Casing Diameter Weight Hole Diameter 8 in. to 25 ft lbs./ft e fo T stom 4 in. to 327 ft. lbs./ft Open Hole from 327 ft. to 360 ft. Screen NO Make Type Diameter Slot/Gauze Length seen Set Between pr Static Water Level 80 ft. lrom Land surface Dale Measured PUMPING LEVEL (below land smface) ft. after hrs. pumping g.p.n1. 09/04!1985 NO REMARKS LLoocautedd Minnesota Geolo4g%ical Survey einen sifo om in gor Unique I\umber Veritication Information rom neighbor System UTM- Nad83. Z<mel5, Meters lMlaarreggteehrro(dD(DiiDggiiittgiizizitininzggeTdT-aabbsllceea))le I :24,000 or PH NA DateN/A X: 574483 Y: 4836142 SeA o First Bedrock Shakopee/Willow River Mbr Last Strat Jordan Couonutnty Well Ininddeexx OOnnlliinnee RReeppoorrt Aquifer Jordan Depth to Bedrock 20 ft. Well Head Completion Pitless adapter manufacturer WHITEWATER Model DDO) CCaassiinngg PPrroostseccitioonn. 0D1 1122inin.. aabboovveeggrraaddee. D At-grade (Environmental Wells and Borings ONLY) rime Grouting Information Well Grouted? [2] Yes D No Grout Material: Neat Cement from 0 to 327 ft. om5 yrds. ay Nearest Known Source of Contamination _feel _direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 09111/1985 Manufacturer's name WEBTROL Model number 352S2012B _ HP .._ Volts 230 TegthT o pp 165 Y 1. Copy 5 sm Length of drop Pipe l.Lft. Capacity &_g.p.m Type Submersible Material Galvanized Abandoned Wells Does property have any not in use and not sealed well(s)? D Ey Yes D No Variance Was a variance granted trom the MDH for this well? No Well Contractor Certification fr Thein Well Co. License Business Name 409492 55079 VANHOUTEN D Lie. Or Reg. No. Name of Driller I D Yes D Fi ri Printed 6/2812008 HE-01205-07 file:///II/1!1PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R...maries/Preston/\Vell%20Log%20Report%20-%2000409492 htm7/1/2008 12:24:09 PJ'v1 22222..11590 STATE_02822547 Well Log Report- 00511181 A1innesota Unique Well No. 511181 Tm Well Name CITY OF PRESTON Saow County Quad Quad ID Fillmore Preston SA 0% 6 Aon Dstt Township Range Dir Section Subsections Elevation 102 10 w 6 ADAABB Elevation Method MINNESOTA DEPARTMENT OF HEALTH TET ro WELL AND BORING RECORD ime Sti Cvtr 131 Meta Minne.mtaStatutes Chapter 1031 -- i Cd Bar ACod Well Depth Depth Completed Entry Date Update Date Received Date 01/08/1992 05/0612005 Date Well Completed ZS |Er 930 ft. 7.5 minute topographic map(+/- 5 feet) 17ft. Drilling Method Drilling Fluid -- m I r Pv ,_, ~u5-. 17ft. 11/02/1990 Well Hydrofracturcd? DYes D No From Ft. to Ft. Use Abandoned Status Sealed rst Well Address 609 FILLMORE ST PRESTO~I MN coma Geological Material SILT 8hSILTY SAI~D POORLY GRADED SA~JD aorColor BLACK EoGRAY LT. BR~J ams Hardness SOFT SOFT SOFT rom To From To 0 8 oh 8 13 13 17 REMARKS ASAD vitor WELL SEALED 07-09-1993 BY M0104 'ORIGINAL USE MW- MONITOR WELL Located Minnesota Geological Survey cagUnique Number Vetification Address verification em7.5 mt. ss System UTM- Nad83, Zonel5, Meters :VIethod Digitized- scale 1:24,000 or larger (Digitizing Table) at DateN/A x: 73 vs sss X: 574899 Y: 4835655 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 l\o Above/Helow 2.5 n. Casing Date Casing Diameter Tan Te 2 in. to 7 It TowGn Weight wa was me lbs/ft Hole Diameter 10 in. to 17 ft DYes Open Hole from ft. to ft. [OTe Screen YES Diameter 2 Sow Len sagen Make HOWARD SMITH Type stainless steel Slot/Gauze 1 Length 10 Set Between 7 It and 17 It Static Water Level 13 ft. from Land surface Date Measured 11/02/1990 PLMPING LEVEL (below land surlace) tC ft. after hrs. pumping Well Head Completion g. p.m. Pitless adapter manufacturer Dcuinrescien Tl 12pso D Casing Protection D Model 12 in. above grade 0 spot Orwti mi e417) D At-grade (Fnvironmental Wells and Borings 0\JLY) ruta atomatn WetlGoaet? Bes EJ vo Grouting Information Well Grouted? 0 Yes D No rt: ttc tm 0020 o Grout Material ~"eat Cement Cot: rn bn anon o Grout Material Bentonite from 0 to 2 ft 0 from 2 to 5 ft 0 Nearest Known Source of Contamination TE ~feet 'K._direction Tanks type wt ttsntrpm coin 0 ve Well disinfected upon completion? D Yes 0D xoNo Pump D Not Installed Date Installed Manufacturer's name Model number - TengivorompPe Coepy Ty Mera T.ength of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material FT Ey = Abandoned Wells Does property have any not in use and not sealed well(s)? D oO Yes D 1\o ma First Bedrock Lt Sdn Last Strat Sand-brown PT ---- Aquifer Quat. Water Table Aquifer pie tnt Depth to Bedrock ft. Variance Was a variance granted from the MDII for this well? D Yes D No Well Contmctor Certification tomsin, dom BIG Braun Intcrtcc Env. nei Nm. 30 ert License Business Name M0109 THRONSON. Q,_ Lie. Or Reg. No. Name of Driller County Well Index Online Report 511181 I Pnnted 6/2812008 HE-01205-07 file://III/1viPCiV!Workmg/A0081-100%20-%20PFC%20Foam/R... maries!PrestoTl!Well%20Log%20Report%20-%200051118l.htm711/2008 12:24:09 PJ\1 22222222..11559911 STSATATTEE0_208228222554488 Well Log Report- 00511182 A1innesota Unique Well No. 511182 Tm Well Name CITY OF PRESTON Saow County Quad Quad ID Fillmore Preston SA 0% 6 An mts Township Range Dir Section Subsections Elevation 102 10 w 6 AADDCB Elevation Method MINNESOTA DEPARTMENT OF HEALTH TET ro WELL AND BORING RECORD ime Sti Cvtr 131 Meta Minne.mtaStatutes Chapter 1031 -- i Cd Bar ACod Well Depth Depth Completed Entry Date Update Date Received Date 01/08/1992 05/0612005 Date Well Completed ZS |Er 930 ft. 7.5 minute topographic map(+/- 5 feet) 17ft. Drilling Method Drilling Fluid -- m I r Pv ,_, ~u5-. 17ft. 11/02/1990 Well Hydrofracturcd? DYes D No From Ft. to Ft. Use Abandoned Status Sealed rst Well Address 609 FILLMORE ST ewwnon rs PRESTO~I MN Geological Material SILT SILTY SAI~D POORLY GRADED SA~JD CSoe Color OK. BR~J BROWN BROWN Sdoues Hardness SOFT SOFT SOFT rem To oy From To 0 5 5 13 13 17 REMARKS WELL SEALED 07-09-1993 BY M0104 ORIGINAL USE MW- MONITOR WELL an Located Minnesota Geological Survey UniqueNumberVertcnton Ades pC Unique Number Vetification Address verification em7.50 mt. ss x: 9m vss System UTM- Nad83, Zonel5, Meters :VIethod Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 574916 Y: 4835694 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 l\o Above/Helow 2.3 n. Casing Date Casing Diameter Tan Te 2 in. to 7 It TowGn Weight wa was me lbs/ft Hole Diameter 10 in. to 17 ft DYes Open Hole from ft. to ft. [OR Screen YES Diameter 2 Seow Ln samen Make HOWARD SMITH Type stainless steel Slot/Gauze 1 Length 10 Set Between 7 It and 17 It Static Water Level 13 ft. from Land surface Date Measured 11/02/1990 PLMPING LEVEL (below land surlace) tC ft. after hrs. pumping Well Head Completion g. p.m. Pitless adapter manufacturer Dcuinrescien Tl 12pso D Casing Protection D Model 12 in. above grade 0 spot Orwti mi e417) D At-grade (Fnvironmental Wells and Borings 0\JLY) Grouting Information Well Grouted? 0 Yes D No tt Sot Grout Material ~"eat Cement Grout Material Bentonite bn anon o from 0 to 2 ft 0 from 2 to 5 ft 0 wt ttsntcrmppm 0 ve Te Sai en seconTaman Nearest Known Source of Contamination Zi__feet South West direction Tanks type Well disinfected upon completion? D Yes 0D xoNo Pump D Not Installed Date Installed Manufacturer's name Model number - TemperTien0g Coe spe Tov Marat T.ength of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material FT Ey = Abandoned Wells Does property have any not in use and not sealed well(s)? D oO Yes D 1\o ma First Bedrock Lt Sdn Last Strat Sand-brown PT ---- Aquifer Quat. Water Table Aquifer pie tnt Depth to Bedrock ft. Variance Was a variance granted from the MDII for this well? D Yes D No Well Contmctor Certification tomsin, dom TRG Braun Intcrtcc Env. nei Nm. 30 ert License Business Name M0109 THRONSON. Q,_ Lie. Or Reg. No. Name of Driller County Well Index Online Report 511182 I Pnnted 6/2812008 HE-01205-07 file://III/1viPCiV!Workmg/A0081-100%20-%20PFC%20F oam/R... maries!PrestoTl!Well%20Log%20Report%20-%2000511182.htm711/2008 12:24:10 PJ\1 22222222..11559922 STSATATTEE0_208228222554499 Well Log Report- 00571139 571139 Minnesnta Unique Well 571139 Nn. prvi County Quad QuadiD Fillmore Preston SA Welll'\ame WOODWARD, MARK A. Tenmaiy on iSooner ee Township Range Dir Section Subsections Elevation ow vx comes, emma 102 10 w 5 CBBCCD Elevation Method WELL AND BORING RECORD MINNESOTA DEPARTME:'I/T OF HEALTH WELL AND BORING RECORD Tine, Entry Date Update Date on 06!02/2000 03!11 /2005 ftfinne.mta Statutes Chapter 1031 Received Date we 1058 ft. omrmeres 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed rt P 453 ft. 453 ft. | on D~llll.;-g ~Ieth~d N~~~~r~~ifi~cl'R~t~ry Date Well Completed 05/01/1997 Drilling Fluid =TI rreore-- -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below ft. 0 Yes D Well Address 206 Ll NCOLN ST gestions PRESTON MN 55965 Geological Material CLAY GRAVEL W/SAND COARSE GRAVEL DOLOMITE SANDSTONE oe DOLOMITE V SOFT SANDSTONE WIG RAVEL ise SANDSTONE proce SHALY DOLOMITE conn ron Color Hardness From BROWN SOFT 0 BROWN SOFT 13 VARIED SOFT 24 TAN MEDIUM 51 YELLOW SOFT 132 Ga wow we GRAY MEDIUM 149 BROWN V.SOFT 354 Ser Eel GRAY SOFT 395 oem GRAY MEDIUM 450 Casing Diameter Weight Hole Diameter 8 in. to 51.5 ft lbs/ft [BETTE 4 in. to 414.6 ft lbs/ft Open Hole from 415 ft. to 453 ft. To Screen NO Make Type 13 24 Diameter Slot/Gauze Length Set Between 51 132 149 354 395 Static Water Level seer 450 119 ft. from Land surface Date Measured 05/0[/1997 453 PUMPING LEVEL (below land surface) eee ft. after hrs. pumping g.p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer WHITEWATER D Casing Protection D 12 in. above grade Model PAT 260 D At-grade (Environmental Wells and Borings ONLY) Groutin~ Information Well Grouted? 0 Yes 0:\lo Located Winona Unique Number VSetraitfeiUcantiivoenrsiTtayg oa well Unique Nuntber Verification Tag on well System UTM- Nad83, Zonel5, Meters pr Method GPS Differentially Corrected DateN/A X: 575033 Y: 4835289 Drives First Bedrock Prairie Du Chien Group Last Strat StLawrence County Well Index Online Report So Aquifer Depth to 2 Jordan-St.Lawrence Bedrock ft. Grout Material Neat Cement from 0 to 415ft I Grout Material Pearock from to ft Nearest Known Source of Contamination lQQ____feet L direction Segtic tank/drain field type Well disinfected upon completion? 0 Yes D No 10.75 yrds 5 yrds Ser Pe1a70 Co1 y Te ah Nek Pump D Not Installed Date Installed Manufacturer's name GRUNFOS Model number 10S07-12 HP 0.75 Volts 230 Length of drop Pipe 147 ft. Capacity 10 g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D 0 No Variance Was a variance granted from the lv!DH for this well? D Well Contractor Certification Yes 0 Rowland Well Co. 23124 ROWLAND :\1. License Business Name Lie. Or Reg. ~o. Name of Driller Yes No 571139 I Printed 6/2812008 HE-01205-07 file:///II/11PCA/!Vv'orking/A0081-1 00%20-%20PFC%20Foam/R ..maries/Preston1Well%20Log%20Report%20-%2000571139.htm7/1/2008 12 24:10 PM 2222..11559933 STATE_02822550 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY RRoocchheesstteerr R2R0oo1cc4hhee1sSsttteerrer eFFtiirreeS&DD,eeppRaaorrottmmmeen1nt0t Rochester, MN 55904 201 4 h Street SE, Room Rochester, MN 55904 10 D5D0aa7nn.3SS2llaa6vv.ii2nn8,,1DD3eeppaultyy FFiirree CChhiieeff dd5ss0il7aa-vv3iin2n@ 8@-r2roo8cc1hh3eesstteerrmmnn .ggoovv TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 22002211 4411st SSttrreeeett NNWW,, RRoocchheesstteerr ClAAaFFsFFsF::A3IWM3M COOtlthahesersr:: HC A: 3M HCT FF--550000 eemmuluslisfifiieerr AAnnnnuuaallllyy 55 ggaalllloonnss GGrroouunndd CAAlFFaFFsEsF::4:55 gg5aagllallolonnossns Otner' 25 gallons Class A: 5 gallons Other: 25 gallons IInntteerrmmiittteenntt ssttrreeaamm 11//44 ttoo 117/33 mmiillee wweesstt 11/221t0o11 mmiilee wweesstt TTrraaiinniinngg ssiittee iiss llooccaatteedd iinn aann aaccttiivvee kkaarrsstt aarreeaa LLeessss tthhaann 111/44 mmiilee ssoouutthh TTrraaiinniinngg ssiitee llooccaatteedd iinn WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa 225 22222222..11559944, SSTTAATTEE__0022882222555511 RROOCCHHESETSERT--E4411Rs*t S Stret et NNrWWCe CWWe IIWWetellll MMaapp NC peLN wleT ER gine er TIS a VCUh UeReEW N we y e EeEGElT pE GIST Ee ooCe akNN T G de A Jeams.vain Criemee NJEILE C CoEbs WoPCr ea ri NSEmaf Rg eeElE) Y= = HeaAtAN peamtay ih Ti H JAEIaRe GrERREe (FLesN)ATWERmeL TT) TR) AElTaEy I TrR iy T C Se H de |mwyakmsa=oNtS Seiwd on rs | HRY Tora Ww B PeER eE p NE E IN pl SnA iE EE Ew m opsn cots Foe gLBEE 222222.115595 sore azszzss2 STATE_02822552 | RRoocchheesstteerr WWhhaat't's IInn MMyy NNeeiighborrhhood MMaapp EB UL, so P | e tNyett Vv ~\/ 3 FL f t ess fo <) fa |i| sry 6 Ng tee ie gneet SeSabi ay HBZ#r Ey EN HELE 2? [Eis bei Nf ee pedi Sent LinE ir StE= FhTy ] || ea T xedi T--e -- | Bad \*\ E CiAr N e HE Nos eC [ek A oe heniiad a | | Rh SU \Nil3 aTnxd> Aelisa. \\ 4 i\ i RX ran RXN EnFoA rSL At in Let a i I||1TA Z Le N Fra : RN \12H -- Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion ET of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided | EEE ALS | subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost ||||| @mmesa otto cont agony MPCA that may arise from the use ofthis data. ||| XT l aSims. er Sites BotetsataSuporuna D~n.Mc:l matt~ &u~~rkl M =Pamasora hm~ St"IKIW.W UnIpJonr~mmilt!sbeddBDuunn1pJ1o5 ye NFRAP sawsupra maw ~~,..rill w ceroue C:~RCL!fi. ram superun o f't\Je:nl SuptrfUnd itCosaLaname !iune: Cboocl L.cmcHUI5! [tp Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o A RERATSGFacies ..t. ltCRA 1!iD f'lt:ill:l~ SRAmestatonaCras ~M Jrw-ut-kor-111& ClfiiiW~ +sum rooseom: ""- aum ~nw111 22222..1159%6 STSTAATTEE0_208228222555533 222222.1155997 6 3 |i HH :i 1 ie .Hl|i hil ii1il ] A = elil #o 3 2 _ Rochester z ~I il t \ <: = + f a ab | { n 92-31 w 92-3DW r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N Ul Ul .j:>. z | iEnE | 5He 33 5i [| Bil CHRla ith pemnag lg 92-29W 1 SNoed _fTTREJ aason pe .!Jill' ........ I~ z II ;;' Legend w........ Interstate l.. Major Roads 0 z Other Road ;;' Interstate ,..v State highway ~US highway Roads wson aasmn wien II ........ l.. b z II........ w w 0 z H II Cities r . USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America : gn |: 3 92-29W Map center: 44 3' 54" N, 92 29' 47" W $ 138 3 Scale: 1:34,575 i 3 tial i BsilHl p or Gsr s[IE Well Log Report- 00249984 Minnesota llnique Well Nn. [249984] om wih 249984 Tr------f--ig-- Welll'\ame II3M 813-W County Quad Quad ID Olmsted Rochester 49C nn oat Tenner Township Range Dir Section Subsections Elevation 107 14 w 21 AADACC Elevation Method -- MINNESOTA DEPARTMENT OF HEALTH "WELLANDBORING RECORD. WELL AND BORING RECORD ets StCpt 11 ftfinne.WJta Statutes Chapter 1031 Co Well Depth Depth Completed Entry Date froin Update Date eto Received Date 05/29/1995 05/31/1995 Dara Date Well Completed 1072 ft. |e -- mo 7.5 minute topographic Pr E I d map(+/- 5 feet) 168 ft. Drilling Method -- Drilling Fluid -- 168ft. 00/00/1968 Well Hydrofractured? DYes D "lo From Ft. to H. Coe oe Smtr eine rns par ve Use Monitor well Casing Type Skel (black or low carbon) Joint No Information Drive Shoe? D Y~s 0DNsia AAbboovveer/BBeetlooww 00 f1t.. Casing Diameter Weight Hole Diameter cosas Geological Material GLACIAL DRIFT ST. PETER SANDSTONE PRAIRIE DU CHIEN GROUP com as Color Hardness rom 10 From To 0 59 59 62 62 168 RJ:.'MARKS DEEPENED TO 168' IN 1968. RABEHL FARM WELL AT NORTH SIDE OF IBM SITE. NEAR MAIN ENTRANCE GUARD L Beet Ma aati Geetsuey Located Minnesota Geological Survey rrr Unique Number Verification Other. note in remarks I wetSE el IT Method Digiliz~d- scak 1:24.000 or larg~r (Digitizing Table) Date NIA System UTM- Nad83, Zonel5, Meters X: 540044 Y: 4878957 First Bedrock StPeter Last Strat Prairie Du Chien Group County Well Index Online Report Aquifer Depth to Bedrock 59 ft. Emr] Open Hole from ft. to ft. Dunes Soonze Screen Make Diameter Type Slot/Gauze Lug Saseen Length Set Between Static Water Level ft. from Date Measured PUMPII\G LEVEL (below land surface) D ota cE oupes eso ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D00 AAtt-rgoraddee ((EnvvirionmrenmtalmWWeeetllsstsanndadBBoloirninggss O0'N-JLLYY)) Grouting Information Well Grouted? DYes 0No rE Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No frrerrsitim ivrule oi) Pump D Not Installed Date Installed J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material oe Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes D No Variancl' Was a variance granted from the MDH for this well? D Well Contractor Certification Minnesota Geological Survey MGS Biome License Business Name 249984 Lie. Or Reg. No. "lame of Driller I Yes D No Printed 6/29/2008 HE-01205-07 file:/IIII/11PCA/! V.jorking/A0081-1 00%20-%20PFC%20Foam!Re... aries/Rochester/Well%20Log%20Report%20-%2000249984 htm7/1 /2008 12: 42:08 PM 22222..11598 sStTaArTeE0_202882222555555 Well Log Report - 00428183 efitmUre WN A1innesnta Unique Well Nn. 442288183 Well Name MW-R21W opppy QCQuouauadndty Quad ID ed DODolomuggstleasds SOD Townhip Range Dir Section Subsections Elevation 1I07 1M4 Ww 231 AABBAAAABBDD EFlleevvaattioonn MMeetthhoodd MISNFSOTA DEPARTMENT OF HEALTH M"WWINEENLLESLLOATAANNDDDEPBBAOORRRTMIINNENGGTRROEEF CCHEOOARRLDDTH Minnesota Statutes Chapter 1031 owe EUUpnpdtdaraytteeDDDaatateete. Received Date 0213 000523//001663!/212009008539 1065 ft. ASPOR 7.5 minute topographic map(+/- S feet) Well Depth Depth Completed Date Well Completed =e I e 63ft. 62ft. | i Drilling MicietNhodoNonr-spevcifieadRRootltaarryy 08/21!1987 Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed GGeeoollooggiiccaall MMataeterriiaall Sonus LEAl~ CLAY SILT SANDY LEAl~ CLAY SAND CLAYEY SAI~D SANDY LEAl~ CLAY a oe a SILT FAT CLAY SAND SANDY LEAN CLAY LIMESTONE CCoolloorr HHaarrddnnesess.s Gon BROWN LT. BRN BROWN MBA SOFT MEDIUM MEDIUM BROWN MEDIUM GRAY GRAY HARD GRAY GRAY EaERE GRAY om GRAY HARD HARD HARD LT. BRN HARD FFrroomm TToo bl 0 1 1 17 17 21 21 23 23 24 24 36 36 38 8 of 3 38 41 41 42 42 48 48 63 Casing Type Stainless Steel Joint Tirreaded D1ive Shoe? DYes D Caring Dameter No Above!Helow 2.2 ft. Casing Diameter Woh Weight Fawomer Hole Diameter 4 in. to 52 It lbs/ft 10 in. to 47 It 8 in. to 63 ft Open Hole from ft. to ft. [owe Screen YES Diameter 4 sovomm Make JOHNSON Slot/Gauze 10 Lean seven Type stainless steel Length Set Between 10 52 ft and 62 ft Static Water Level [FCT(im od a 19.9 ft. from Land surface Date Measured PI:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 08/21/1987 J ---- REMARKS WELL SEALED 10-17-1997 BY 2705g ! ORIGINAL USE MW- MONITOR WELL Well Head Completion Pitless adapter manufacturer Model ovat tert NetGear 8 ve Tne D Casing Protection D 12 in. above grade D00 Atg-grraatdeeE(Envnivriroonnmmenentatall WWeelllssaanndd Boorriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Got Grout Material tre~aeattCCoemmerenst ffroomn 0 0 to a 48 ft 0 Unique amberVerfonOtton, Located Minnesota Geological Survey Unique Number Verification Other, note in remarks px. Method Digitization (Screen)- Map (1:24,000) DateN/A ere NearestRKanownSSeoaurrceooTf CCoonntamination _feet - direction _type System UTM- Nad83. Zane IS. Meters X: 539671 Y: 4879215 Well disinfected upon completion? D Yes D No First Bedrock Prairie Du Chien Group Aquifer Prairie Du Chien Group A Last Strat Prairie Du Chien Group Dl'pth to Bl'drock 48 ft. County Well Index Online Report Pnmp D Not Installed Date Installed Lsvgherhien1p Manufacturer's name Length of drop Pipe ft. Co3pw Model number - Capacity g.p.m Te HPQ_ Type Meters Volts Material AAbbaannddoonneeddWWalelllss DLoosesspprroopperetrtyyhhaavveeaamnyy noott iinn ausseeaaned noottsseeaeleddwweelll(s?)'' D Yeos OD NNoo Varian""' Was a variance granted from the MDH for this well? D Yes D l\o Well Contmdor Certification Braun Eng Testing MOODS LILJA M. ais License Business Narne 428183 Lie. Or Reg. No. Name of Driller I Printed 6/29/2008 HE-01205-07 file :IIIIIIMPCA/IWorkmgiA0081-1 00%20-%20PFC%20F oam!Re... aries!Rochester/Well%20Log%20Report%20-%2000428183.htm 711/2008 12:42: 10 PM 22222..11599 STATE_02822556 Well Log Report- 00510136 MMiinmneesota UUnneiquuce WBeUll NNeo. 55110011336 CCoouupnrtyy QQuuiadd Quad ID OOllmmsstteedd RRoocchheesstteerr 49C Welll'\ameMW Township Range Dir Section Subsections Elevation 110077 1W4 Ww 2222 BBAABBCC EElelevvaattiioonn MMeetthhoodd [VWolell AAbdvdereas,s 4001 19TH AV NW ROCHESTER MN Geological Material CLAY SILT Color BROWN GRAY Hardness SOFT SOFT EE MINNESOTA DEPARTMENT OF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD 11Jinnesota Statutes Chapter 1031 EEnnttrryy DDaattee UUppddaattee DDaattee: Received Date 0012/285119199933 11o/0w9/22000077 09/2R/1990 Well Depth Depth Completed Date Well Completed 1040 ft. 15 ft. 14ft. 09/19/1990 =TI em ((CUaSlcUGfSro7S7m..55mGDmiEniMnSoorr | DDrriillningg MMeetthhoodd PPoosweerrAAuuggeerr equiv.) Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Lse Abandoned Status Sealed Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D From 0 8 Yes 0No Ahove/Relow 3 ft. Casing Diameter Weight Hole Diameter 2 in. to 3.5 ft. lbs./ft. 10 in. to 14 ft. on Open Hole tfom ft. to ft. Screen YES "lake JUHNSUN Diameter Slot/Gauze Type stainless steel Length Set Between To 2 10 10 4 ft. and 14 ft. 8 15 Static Water Level 4.6 ft. from Land surface Date Measured PUMPIJ'\G LEVEL (below land smface) ft. after hrs. pumping g. p.m. 09/19/1990 SURFACE FLEVATION 101+S BASED ONUSGS 75 QUAD FEWAFEY REMARKS SURFACE ELEVATION I041 +/- 5 BASED ON USGS 7.5' QUAD "ROCHESTER MN". WELL SEALED 05-08-1995 BY M0104 ORIGINAL USE MW- MONITOR WELL Well Head Completion Pitless adapter manufachuer Model DDO cCuaisinngg PPrroosteecstiioonn D0 1122min..sabboovvee ggrraaddee: D3 AAvt-ggrraaddee ((EEnnvviinroonmmmeennttsall WWeellllss aanndd BBoorriinnggss OONNLLYY)) GGrorroootuiutngitningg IInnffoorrmmaattiioonn WWeellll GGrroouutetd?? [00 Yveess oO0JNnoo. Grout Material: Bentonite Grout Material: Neat Cement from 1 to 3 ft. from to 1 ft. Located Minnesota Department of Unie amber Veron $5 Health Unique Number Verification Site Pvloaln System UTM- Nad83, Zonel5, Meters Method Digitization (Screen)- Map 13005 (l: 12,000) Date 05/18/2005 X: 540541 Y: 4879072 rc Avie First Bedrock Last Strat Aquifer Depth to Bedrock ft. Coun it nde onie Report County Well Index Online Report .'\earest Known Source of Contamination wat dito vpen compton 01 vo BI vo lQ_feet Yi_direction Volatile organic comQotmds type Well disinfected upon completion? D Yes 0 No PPuummpp 0D NoNtoltaIsntstlallloedd DDaattee IInnsstsallileedd. Manufachtrer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes 0 No Vatiance Was a variance granted fium the MDH for this well? No sn Well Contractor Certification Braun Interlet: Env. M0109 S103 License Business Name 510136 Lie. Or Reg. No. I SH THRONSON Q_ Name of Driller D Yes D Printed 6/29/2008 HE-01205-07 fll e:///IIIMPCA/! Working/A0081-100%20-%20PFC%20Foam/Re... aries/Rochester/Well%20Log%20Report%20-%2000510136.htm7i 1/2008 12:42:09 PM 22222..11600 STATE_02822557 Well Log Report- 00511174 511174 Jo,finnesolu Unique W 511174 e l l N o . ponedt" igenRsecher County Quad Quad ID Olmsted Rochester 49C Se WeliNameMW Tori om DSc becom ron Township RangeDir Section Subsections Elevation WH W 3 BEAD heatonMebed 107 14 w 22 BBAD Elevation Method MINNESOTA DEPARTME.\IT OF HEALTH WELL AND BORING Cmeome oaor WELL AND BORING RECORD Kiet pte RECORD ance Sea hoe 10 Minnewta Statute~ Chapter 1031 J<:ntry Date Update Date Received Date 01/25/1993 11/09/2007 1001 rors peCfoiopiapiCaompt 1040 ft. Calc from DEM (05007 maar | DPFoN ne (USGS 7.5 min or equiv.) Well Depth Depth Completed 13 ft. 13ft. Drilling Method Power Auger Date Well Completed 09/2l/1990 Drilling Fluid I I -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D Yes 0 No Above/Below 2.6 ft. ig Dameter Casing Diameter Weight Tan ash wn 2 in. to 2.5 ft lbs./ft. VoD Hole Diameter am nn 10 in. to 13 ft. Well Address Wweolvaeddnress. 400119TH AV NVV ROCHESTER MN [---- Geological Material CLAY aSILT coor vatness Color BROWN aE GRAY Hardness SOFT SOFT rom To|OTumeEwr SowRersTTLT engTO STuture as From 0 fh 8 Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel Diameter To 2 8 13 Slot/Gauze 10 Length 10 Set Between 2.5 ft. and 12.5 ft. Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. ORrLianSEiALUY Oo 0 M9O8BNYO8 NiEsLL SR USURLRF~FA!ACA CEERK EELLSEEVVAATTIIOONN 11004411++/-/- $5B BASEA DOONNUS USSGGSSE 77..55''QQD UUAADD. ''ROCHESTER MN". WELL SEALED 05-08-1995 BY M0104 ORIGINAL USE MW- MONITOR WELL es Mn pm etpss og Located Minnesota Department of Method Digitization (Screen) - Map Health nie amber Vestn SKC 1s Unique Number Verification Site PPlaan en TNs mr System l!TM- Nadii3, 7one 15, Meters (1:12,000) Date 05/1812005 X: 540523 Y: 4879072 _---- wr First Bedrock tn tt Last Strat Aquifer Depth to Bedrock ft. County WR rrGrn Rr County Well Index Online Report Pte stermanor Nok! Well Head Completion Pitless adapter manufacturer Model 0 sey Cina Vadgs 01.) D0 CCaasminig PPrrootteeccttiioonn 1D 1122min.. aabboonveeggrraaddee. D At-grade (Environmental Wells and Borings ONLY) -- nt GOrroouvtionggiInnffoorrmmaetiro,n WWeelllcGoromuetedd?? Grout Material: Bentonite Grout Material: Neat Cement fe troae B0YvYeers D vNeo from 1 to 2 ft. from to 1 ft. [SE 'llearest Known Source of Contamination l Lfeel N_direction Volatile organic compounds type wt dnt someon 0 ves B No Well disinfected upon completion? D Yes 0 No Motte Noo wr Ppuummpp 0D NNoott Innssattalleled_d DDaatete Innssttlallloedd Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m 0 Vn HP - Volts Type Material ve @ AAbbaannddoonneedd WWeellllss DDooeesspprrooppeerrttyyhhaavveesaanyywnoottiinnuusseeaanndd nnoott sseesakleodd wweellll(ss)?? D01 Yes 0 No Variance Was a variance granted from the MDH for this well 0 D Yes D No Well Contractor Certification ominate, | Map TESOL Braun Intcrtcc Env. M0109 THRONSON Q,_ cme ass mec 0Bo No Maneater License Business Name Lie. Or Reg. No. Name of Driller si I 511174 Printed 6/29/2008 HE-0 1205-07 A---- flle://,1 /MPCAi! Working/A0081-1 00%20-%20PFC%20Foam!Re...aries/Rochester/Well%20Log%20Report%20-%2000511174.htm7/1/2008 12:42:08 PM 222222..160011 sSTTaArTeE__o0z2s82222555588 Well Log Report- 00511175 II 5S111i75 Minnesota Unique Well No. County Quad Quad ID Olmsted Rochester 49C Tr" Well-"ameMW vm Township Range Dir Section Subsections Elevation 110077 1M4 Ww 222 BBBEAADDDDAA EFlleevvaattiioonn MMeetthhoodd WeWlelll aAddddrreessss pi i400119TH AV NW ROCHESTER MN res Geological Material %=CLAY CLAY 2&Color BROWN GRAY won Hardness ti MINNESOTA DEPARTMENT OF HEALTH weiNbiowe GE WELL AND BORING RECORD . }lfinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 0112511993 11109/2007 09/28/1990 Io a 4 pi Well Depth Depth Completed Date Well Completed 1041 ft. 13ft. 13ft. ((CUaSlcUGfSroS77m..55mDGmiEniMnSoorr | DDrriilllliinnggMMetethhoodd PPomw"e'r"AAuugge<'r" 09/2111990 equiv.) Drilling Fluid -- IWweelltl Hyayrdortoefaraccttaurreeadr? 0DYveess 0D Nnoo From Ft. to Ft. Lse Abandoned Status Sealed eu Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D Yes 0No Above/Below ft. Casing Diameter Weight Hole Diameter 10 in. to 13 ft. Open Hole from ft. to ft. Ceee e-- Screen YES Make JOHNSON Type stainless steel qe ge pm spp Diameter pou 3? Cal ol From To 7 3 0 10 vy 10 13 Slot/Gauze 10 Length 10 Set Between 3 ft and 13 ft. Static Water Level ft. from Date Measured PUMPII'IG LEVEL (below land smface) ft. after hrs. pumping g. p.m. SURSRUEFRMAFACACERE KEELLSEEVVAATTIIOONN 11004411++-/- $5 BBAASSEEDD OONN UUSSGGSS 77..55' QQUUAADD "RWWEOELCLLHLSESESEATALELREED, DM0N055"-.0.8-019895.BBY1YM9MO09I108O4 ORIGINAL USE MW- MONITOR WELL Well Head Completion Pitless adapter manufacturer Model DDl Ccaassiinngg Pprrootteeccttiioonn D011221i.n.sabboovveeggrraaddee D03 AAvt-ggrraaddee((EEnnvviirroonnmmeennttaall WWeellllsssannddBBoorriinnggss OONNLLYY)) GGrroouuttiinngg Ilnnftoorrmmaattioonn WWelelll Grreoutte?d? v0 eYses ED vNoo GrGorouuttMMearteiria:l: BBeeontrodneit.e Grout Material: Neat Cement ffroomm 11t0o 221ft from to 1 ft. mae emer LLooccaatteedd MMininncnsessottsaDDepeapratrtmmenenttooff Health Unique Number VVeeriifeictaitioonn SShitee Pvilan System UTM- Nad83. Zonel5. Meters I. MMeetdhoddDiDgiigtiitzizaattiioonn ((SSccrreseen))-- MMaapp. (1 12,000) Date 06/14/2005 X: 540532 Y: 4879086 oes - First Bedrock Last Strat Aquifer Depth to Bedrock ft. County rari pt County Well Index Online Report wots pnconpiiet 0) vo B vo a ren amen " ~earest Known Source of Contamination 2Q_feet L direction Volatile organic compounds type Well disinfected upon completion? D Yes 0 No PPuummpp 0D Nwoott Intnsstaatllieodd DDoastee IInnssttaalllleedd Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees 0 NNoo Variance Was a variance granted from the MDH for this well'! No Mets ton Well Contractor Certification BBrraauunn IntteerrteecFEnn.v. A M0109 TSTHRONSON. Q_,_ sis License Business Name 511175 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/29/2008 HE-0 1205-07 flle:///II/:\1PCA/! Working/A0081-100%20-%20PFC%20Foam/Re...aries/Rochester/Well%20Log%20Report%20-%2000511175.htm7/1/2008 12:42:08 PM 22222..11602 STATE_02822559 Well Log Report- 00524408 524408 | So~::wo~tmy lMvfiinmnieessootataUUnnii2qquuee WWeellll NNoo. County II 524408 II ~-==================~- QuadiD foe OOllmmsstteedd Rochester 49C ST Well Name MWFS Township Range Dir Section Subsections Elevation Wl W 2 AKC ElvadonMethod 107 14 w 22 BABCCA Elevation Method wiswesor MINNESOTA DDEEPPHAAHERREATTALMMLTEETNHNHTT OOFF WELLANDBORING Upiseue 110030 WELL AND BORING RECORD Nevada 1230159 RECORD nese Sues Caper Minnesota Statute.~ Chapter ir1031 EEntnrtryyDDaattee Update Date Received Date 0022/12200/11999955 11/09/2007 12/23/1993 won Veloen ho Conoed De WsamCsome 1040 ft. (0ST Smor | DPE NEB Age ei CCaalcfforommIDE)M (USGS 7.5 min or Toa equiv.) Well Depth Depth Completed 15 ft. 15ft. D"DrrilillilngingMMetehthoodd nAuu5 v, v ified) Date Well Completed 10/12/1993 Drilling Fluid TS -- Use Abandoned Status Sealed Fou hw Wweellll HHyyddrrauffrraaccttuurrecdd?? 0DYveess D0 NNoo From Ft. to Ft. WetAgaess Well Address rraams 400119TH AV NW ROCHESTER MN Geologic ateial Geological Material Tossan TOPSOIL Gane, GRAVEL Wore SANDY CLAY coor Hardness Color Soc sort BLACK i TAN Jom wn BROWN Hardness SOFT HARD SOFT CaCsaisinngg TTyyppee PPllaasstiicc iBelow ft. Casing Oar TaBe Casing Diameter Tne in Wn mmo Ba 2 in. to 4.8 ft. JJooiinntt TThhrreeaaddeeddDrDirivvee SShhooee?? 0DYYeess 0 Weight lbs/ft. Hole Diameter 10 in. to 15 ft NNoo AAbboovvee/ CEE ETT Open Hole from ft. to ft. ST- T:OT Screen YES Make TIMCO Type plastic Diameter SilGauzs Longin SetBetveon Diameter From To| TSR From To 2 00 1 Slot/Gauze 10 Length 10 1 6 86 15 Ee Static Water Level oo sad ft. from Date Measured FFG LEVEL (on TTT PUMPING LEVEL (below land surface) Set Between 5 ft. and 15 ft. [ Pit c-- hr me--ntos Moki n after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model TTEWTE RRSE REMARKS \\'ELL SEALED 05-08-1995 BYM0104 CRIGHAL USE ONTOR WELL ORIGINAL USE MW- MONITOR \\'ELL Loci Moa Located Minnesota meena Department of Health :JVVUeaerniriiigfqfieiucceeaattNRiiooaunnmmSeSibrtiete.er PPllaann yen UTA Nod, ZZSSootyennmseettel5.m, }MUUdeetTteeTMrrss- NNaodt8h3, 0Me1t5h5o0d)Ditton Srp Method Digitization (Screen) -Map (112,000) DDawaettee 0066/oa/n1144//22/00x00i558 XX:: 5$440053664 YY:: 44R8T7H900S866 in nrmaton Wet crosesa @ Yo Oo Ave(Fm rommental Wels and Brings ONT Y) 0 CCaassiinngg PPrrootteeccttiioonn YYJD 1122iinn. aabboovvee ggrraaddee D At-grade (Environmental Wells and Borings ONT.Y) Grouting Information Well Grouted0 0 Yes D No Crate tomar Grout Material: Neat Cement fon 11 from to 1 ft. RET roySore TCHR Nearest Known Source of Contamination l125Q0 _ffeeeett SSoouutthh WWeesstt _ddiirseeccttiioonn VVoloaloattiillee oorrggaanniiccccoommpo]Juonudnsd.s_ttyypwee Welwlencg onpito ion?_ 0) ves No Well disinfected upon completion? D Yes 0 No MLebmermg Pme 0. CMpeoadtgipas 1TPi_ VoMliish PPuummpp 0D NNoottIInnssatallileedd DDaatteeIInnssutallileedd Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material AAbbaannddoonneedd WWeellllss DDoocess pprrooppeerrttyy hhaavveeaannyy nnoott iinn uussee aanidd nnoott sseeaalleedd wweellll(ss)?? DCJ Yes 0 No VVaarriiaannccee WWaassaavvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHffoorr tthiiss wweellll?? 0D Yveess 0D No AE ARN TS ESR HI file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa...s/Rochester/Well%20Log%20Report%20-%2000524408.htm (1 of2)711/2008 12:42:09 PM 222222.116603 sSTaArTeE0_208228222556600 Well Log Report- 00524408 Fis Beto Awe First Bedrock Last Deh Bick 1 Last Strat Aquifer Depth to Bedrock ft CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt Co Ca Well Contractor Certification Santee MOS QUADS Brann Intertec Eng M0104 QUANDT, S. son Noes Org No Nama Dr License Business Name l,ic. Or Reg. No. Name of Driller 524408 I 524408 Printed 6/29/2008 HE-01205-07 RCA lg 05.3 CS Rot Pog hp 034 oR 2420 file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa...s/Rochester/Well%20Log%20Report%20-%2000524408.htm (2 of2)711/2008 12:42:09 PM 22222222..11660044 sStTaArTeE0_208228222556611 Well TDg Report- 00589849 oste Bs Minnesota Unique Well No. 589849 County QQuuiadd Quad ID es ORRoolmcchhseetessdteerr 49C Welll'\ame P7:-2 07 HW COOCCC Han Netlod Township Range Dir Section Subsections Elevation 107 14 w 14 CBCCCC Elevation Method Tm MINNESOTA DEPARTMENT OF HEALTH WWEELLLL AANNDD BBOORRIINNGG RECORD Minne.mta Statutes Chapter 1031 J UEUpnpdtdraaytteeDDDaataettee 011511//020885//222000000737 Received Date 05!05/2003 pg 1020 ft. 7.5 minute topographic map (+1- 5 feet) Well Depth Depth Completed Date Well Completed 60.7 ft. | DURES Gi , Drilling Method Auger 60.7 ft. 04/03/2003 Drilling Fluid E I T -- Well Hydrofractured? DYes 0No From Ft. to Ft. Lse Piezometer CCaassiinngg TTyyppee.SSetelel ((bbllaacckkooxr looww ccaarrbbconn)) JJooiinntt TThhrreeaaddeedd DDrtiivveeSShhooee?? [DJ Yrees 0ENNoo AAbboorveer/Bbeelloown ft. Casing Diameter Weight Hole Diameter Well Address "R2R0OO1CC4HHTEHESSSTTTEERRSEMMNNS55569004. 2 in. to 50.7 ft. lbs./ft. 10 in. to 16.5 ft. [OOppetniHcolse ftoromm ft. 0to ft._-- 1 ScrE-E-n YES MakE> JOHNSON TypE> stainless steel (Emusiie Geological Material FILL LEAN CLAY STIFF CLAYEY SAND icmee SAND WITH Sl LT LOOSE DOLOSTONE arom Color BROWN BROWN Hardness soe From To 0 5 5 6 BROWN SOFT 6 13 men BROWN BROWN HARD 13 17 17 61 |?Diameter 2 Slot/Gauze 10 EELength 10 Set Between 50.7 ft. and 60.7 ft. Static Water Level 49.5 ft. from Land surtace Date Measnred PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 03/26/2003 NNOO RRFE:MMAARRKKSS WE-ll HE-ad ComplE-tion Pitlcss adapter manufacturer Model 0 Casing Protection Y 0 12 in. above grade 0D AAst-ggrraadede(E(nEvnivriornonmmeennttaall WWeellllss aanndd BBoroirnignsgs OONNLLYY)) GGrroouuttiinnggIInnffoorrmmaattiioonn WWeellll GGrroouutteedd?? [0 veYres O0JNNoo Located Minnesota Geological Survey Unique Number Verification Tag System UTM. Nh ZonelS. on well System UTM- Nad83, Zonel5, Meters Method Digitization (Screen)- Map (124,000) Date 01/13/2004 xX: s5u4i17n4a5s ,Y: 4s8u7p9oe6s5t7 County Wit nde Orta Rep First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Grout Material: High solids bentonite from 1.5 to 42.5 ft. 2 bags ~earest Known SourcE> of Contamination el _feet Well ineuntcoempdto - direction _tvpe disinfected upon completion? n?D) Yveess 1D Nnoo Pump D Not Installed Date Installed MLLeanngeutfhoaocnftfuddrrregoor'ppsPnPitapipmeehe_f1t _CoCMpaupocadicetiltyynu_gmg.pbpe.mrm- HTTPyypp-ee VMoMlatastterriiall AAbbaannddoonneedd WWeellllss DDooeess pprrooppeerrttyy hhaavveeaamnyymnoott iinnuusseeaannddmnoodt sseoalleedd wweells(s)?? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes 0 No WE-ll Contractor CE-rtification American Engineering Testing L i s59849 cense Busines 589849 s N a m e I MOl 56 JOHNSON. K. Lie. Or Reg. No. Name of Driller Printed 6/29/2008 HE-01205-07 file:/I/IIIMPCA/! Working/A0081-l 00%20-%20PFC%20Foam/Re...aries/Rochester/Well%20Log%20Report%20-%20005 89849.htm7/112008 12:42:09 PM 22222..11605 STATE_02822562 Well Log Report- 00677832 I'vfmnesota Unique Well No. 677832 ua Robo 677832 OSINGHSGI Well Name PZ-4 Comtty Quad Quad TD Olmsted Rochester 49C Township Range Dir Section Subsections Elevation 07107 14 w IS 15 DAD DADE Eheaton Mehed Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD WELL AND BORING RECORD 1lfinnesota Statutes Chapter 1031 rT Well Depth Depth Completed Entry Date LPs wus Update Date Received Date 05106!2005 02/02/2004 Ta Date Well Completed (U7SSmGeSr | DIRE Method NonspiRsoriy 1020 ft. Calc from DEM (USGS 7.5 min or 52.2 ft. 52.2 ft. Driinfiii M.etho!l..i\i0D.~sreC!ieCi R.oi:ary.. 07/18/2003 equiv.) Drilling Fluid -- IWell Hydrofmctmed? DYes D No From Ft. to Ft. Use Piezometer Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below ft. Casing Diameter 2 in. to 42.2 ft Weight lbs/11 Hole Diameter 6 in. to 522 ft Geological Material pap-- SILTY CLAY WEATHERED LIMESTONE LIMESTONE Color som BROWN BROWN TAN Hardness wD SOFT HARD HARD re ne Open Hole from ft. to ft. Screen YES Make JOHNSO"l Diameter Slot/Gauze Type stainless steel Length Set Between From To 2 F50E 5 7 10 10 42.2 II and 52.2 ft 7 52 Static Water Level ft. from Date Measured PUMPING LEVEL (below land surfare) ft. after hrs. pumping g. p.m. CLL -- REMARKS AET 1111-02323.2, SB 21 (114) Located Mimets Depry Ditonto Sap 112000) Located Minnesota Department of Health Method Digitization (Screen)- Map (I: 12,000) Unique Nmnber Verification Site Plan Date 05/06/2005 System UTlvf- Nad/!3, 7:one 15, Meters X: 541623 Y: 4879783 Well Head Completion Pitless adapter manufacturer Model 0BD CCaassiinngg PPrrootvecttiioonn vY 0E1212iimn,. asbhoovveeggrraaddee DD3 Att-ggarad(e (mEnvvironimerntao lWWelnelllsssmannddeBBoronirinnggtss OOsNNLLlYY)) roto tortion Wall Grail? 2 Yor 00 Grouting Information Well Grouted? 0 Yes D No nes oie Grout Malena! Neal Cement from 0.5 to 25.8 ft Nearest Known Source of Contamination - feet - direction _type Well disintected upon completion? D Yes D No Pmnp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HP - Volts Type Material 4 bags ioFirst Bedrock Last Strat A ae Aquifer Depth to Bedrock ft. Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification American Engineering Testing License Business Name Lie. MOl 56 Or Reg. No. Sots JOHNSON K. "lame of Driller County Well Index Online Report 677832 I Printed 6/29/2008 HE-01205-07 file:i/IIJIMPCA/'Working/A0081-l 00%20-%20PFC%20Foam!Re ..aries/Rochester/Well%20Log%20Report%20-%2000677832.htm7/li2008 12 42: 10 PM 222222..11606 STATE_02822563 Well Log Report- 00719411 Minnesota Unique Well No. 719411 QCQuouiuadndty Quad ID ORRoolcmchhseetsesidteerr 49C MINNESOTA DEPARTMENT OF Si HEALTH WWEELLLL AANNDD BBOORRIINNGG RECORD Minne.~ota Statutes Chapter 1031 UEUpnpdtdraaytteeDDDaatatetee Received Date 1o1/0w9/22000077 11/12/2004 Welll'\ame MW-4 Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation 107 14 w 22 BCAA Elevation Method 1059 ft. CCaaekflroommDDEEMM | (USGS 7.5 min or 20ft. 18ft. ing Viehod Avg (on-spciied) ~UO~' 09/28/2004 equiv.) Drilling Fluid -- IWWeetll Hydyrdomtefraaccttuurreedd?? 0DYveess 0Nnoo. I'rom I't to n ers Well Address BE... 2110 37TH ST NW ROCHESTER MN 55904 i Geological Material %aca NO RECORD SANDY SILT Blom NO RECORD SANDY SILT MED-COARSE SAND rAm I) Lse Monitorwcll Casing Type Plastic Joint Threaded Drive Shoe? DYes D No Below ft. Casing Diameter Weight Hole Diameter 2 in. to 3 ft. lbs./ft 8.25 in. to 20 ft. rr pm og FEF 0 Color eT eo arp oGwReAY oer | GRY/BRN Hardness From To wms 2 SOFT 0 5 5 7 7 8 SOFT 8 10 Open Hole fiom ft. to ft. Screen YES Make JOIINSON Diameter 2 0Slot/Gauze 10 Type plastic Length 15 Shown Set Between 3 ft and 18 ft Above/ NO RECORD 10 13 FeMED COARSE NO RECORD SILTY CLAY SAND CLAY W/ C SAND oo BRN/GRY SOFT GRAY SOFT 13 15 Static Water Level 15 18 ft. from Date Measured 18 20 PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. TrREMARKS MW-4. 04-E-19307 Located Minnesota Department of mie Health Unique NNuummbheerr VVeerriffiiccaatioonn SHSite Spm UT NaS 21S. Plan System UTM- Nud83, Zunel5, Meters Method Digitization (Screen)- Map p,1,0502005 (l 12,000) Date 05/09/2005 sassy: ans X: 540454 Y: 4878786 CountyWa nde GrinReport First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model DDOcCasasiinngg Pprrootteeccttiioonn D0 11220i0n.. sabhoorveeggrraaddee Ccrow entormarton aWoC? 8 vermLI veom 0 At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes DNo Grout Material: High solids bentonite from to 2 ft 1 bags ere "'earest RKnown SorooF Coma Source of Contamination Wot tees sen compieior _teet _direction _type Well disinfected upon completion? D0) ver Yes D 0 wo No PPuummpp 0D NNootttInnssstialllleedd DDuatee Ianssitallileedd LeonfdrgopPtipeh0_Copwity spi Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HTTyPypp-ee VMoMaltatsteerriiaall Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? No Well Contractor Certification Bergerson-Caswell Tio License Business Name 719411 27058 LENZMEIER, D. Lie. Or Reg. No. Name of Driller I D Yes 0 Printed 6/29/2008 HE-0 1205-07 file:/I/Ij/MPCA/! Working/A0081-1 00%20-%20PFC%20Foam/Re...aries/Rochester/Well%20Log%20Report%20-%2000719411.htm7/1/2008 12:42:07 PM 2222..11660077 STATE_02822564 Well Log Report- 00719412 cei tigre Minnesota Unique Well No. I'--==7=17=91=94=4112=2===::::!.JII ~ . Q~:u:i:dty QuadiD OKRoolcmchhseetessdtterr 49C Well '-'amP MW-6 Township Range Dir Section Subsections Elevation 110077 1M4 Ww 222 BBCCAABB EElelevvaattiioonn :MMetethhoodd ARF MIN_\ESOTA DEPARTMENT OF HEALTH "WWEELLLL AANNDD BBOORRIINNGG RECORD 11finnesota Statutes Chapter 103I ae EUUpnpdtdraaytteeDDDaataettee RPcPivPd DatP war ll/09/2007 11112/2004 Well Depth Depth Completed 1061 ft. 20ft. 1R ft. ((CUaSlcUGfSroS77m..55mDGmiEinMnSoorr | DDrriilllliinngg MMeetthhoodd AAuuggeerr (nom-specificd) equiv.) Drilling Fluid -- IWell Hydrofractured? From Ft. to Ft. Use Monitor well Date Well Completed 09/lR/2004 DYes 0 No Well Address Foose 2110 37TH ST NW ROCHESTER MN 55904 Casing Type Plastic Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter 2 in. to 3 It lbs/ft 8.25 in. to 20 ft. EE ES Open Hole from ft. to ft. Screen YES Make JOHNSON Type plastic Geological Material NO RECOVERY RUBBLE/ROCKS SLIGHTLY SANDY SILTY CLAY SILTY CLAY SILTY CLAY Color Hardness BROWN BRN/GRY GRAY MEDIUM MEDIUM MEDIUM MEDIUM From To 0 5 5 7 8 10 13 15 18 20 Diameter 2 Slot/Gauze 10 Length 15 Static Water Level ft. tfom Date Measured PUMPI'-'G LEVEL (below land surface) ft. after hrs. pumping g. p.m. Set Between 3 ft. and 18 ft. RET REMARKS MW-6. 04-E-19307 ooLrfotHceeaaatlletdh Minnesota Goon : Department Method Digitization (112,000) : (SLOreen)- Map Sen UTM Nadi Zone. UJniiqgue NSmhnebeet Verification Site Plan System UTM- Nad83, Zonel5, Meters DDaattee 0055/00992/2000055 x. up x: asin X: 540424 Y: 4878781 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report WPll Head Completion Pitless adapter manufacturer Model DDlcCoassiinngg PPorotteecctiioonn D0 112210in.. sahboovveeggrraaddee CCron taIrmaton Tll Gronet?Tves 0 vo 0 AAtt-ggrraadde e(En(Evnivriornomnmeennttaall WW ellsae annddBBol orriinnggsss ONLYONLY)) Grouting Information Well Grouted? 0 Yes 0No Grout Material: High solids bentonite from to 2 ft. 1 bags "N'eeaarreesstt KKnnoowwnnSSoouurrcceeooff CCoonnttaammiinnaattiioonn won in uponcomc petes 0) ver _feet - direction _type Well disinfected upon completion? D Yes 0 No D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. CapaLOity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees 0 NNoo VVaarrliaannccee WWaassaa vvariaancreggirraannaiteeddnffrroocmmtehthee MMDHfD foorr thhiiH sswwetel?l? [DJ YYees.s 0 No Well Contnctm Cettification Rergerson-Caswell 2705R T"ENZMETER D License Business Name Lie. Or Reg. No. Name of Driller 719412 I Printed 6/29/2008 HE-01205-07 flle:///I]!\1PCAI!Working/A0081-1 00%20-%20PFC%20Foarn!Re... aries/Rochester/Well%20Log%20Report%20-%2000719412.htm7/1/2008 12:42:08 PM 22222..11608 STATE_02822565 Well Log Report- 00719413 719413 -- J| mQuiam R5ete MWINENLELSORATENACDDOBERPOADRRTIMNEGNT RUepcinaeedbDueae 111019222200078 lvfinnesota UniiqueaWell No. County OOllamnssttecdd Rochester 49C Wer Mime StWoeksDeCphtahpter10D3e1pCompt Do WelComin Well Name MW-3 Toni RangDi ction Scions Eston 0 0 on ps ns Township Range Dir Section Subsections Elevation Cpayfm DEM 110077 1144 wW 2222 BBCCAAAA ElEelveavtatiioonnMMetethhoodd MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 EEntnrtryy DDaattee. Update Date Received Date 11/09/2007 11112/2004 Well Depth Depth Completed 1059 ft. 20ft. 18ft. (U(CUSaSlGcGSfSro77mS.5mDmiEniMnoorr | DDrriillinngg MMeetthhoodd AAuuggeerr (on-speifid) equiv.) Date Well Completed 09/28/2004 Veartdmrcarest O ver B 0 Drilling Fluid Fon 0 -Te Vim Use Monitor well Well Hydrofractured? DYes 0 No From Ft. to Ft. Cag Te hai Jot No toms Deve She? 01 vex Casing Type Plastic Joint No Information Drive Shoe'! DYes WeilAdress 0Gas0ngDaiammetmero Vo ole ameter Well Address rer 2am 31 wn aman 2 2110 37TH ST NW RoCSTER S04 ROCHESTER MN 55904 [re p-- Color Hardness From To[[SoempenmVES meNORnE oTOTN+SON Tope Geological Material Tore os NO RECORD SRovSLT wom sor 5 7 [oamesr Sewoaws Lewin SetBoween SANDY SILT TORE Toe? ET Thee NO RECORD SaDvSTsvesr mom sor B SANDY SILT, SILTY CLAY oR vow NO RECORD SECT wom sr Bw SILTY CLAY rs HE ee NO RECORD Rn sw sor LPiUm NPtIeNG LDEVapELer(ielnosn eonnray SILTY CLAY D No Above/Below ft. Casing Diameter 2 in. to 3 ft Weight lbs/ft Hole Diameter 825 in to 20 ft Color Hardness BROWN SOFT BROWN SOFT BROWN SOFT GRAY SOFT Open Hole from ft. to ft. From To Screen YES Make JOHNSON Type plastic 0 5 5 7 Diameter Slot/Gauze Length Set Between 7 8 2 10 15 3 ft. and 18 ft. 8 10 10 13 13 15 15 18 Static Water Level 18 20 ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. TEVITRESn GWPOoacuiaAlanrgregalcmCroeommmspotEieimctnniisn W0meG1r2eoMseo?asd crevrOBrNLYO) NOw REMARKS MW-3, 04-E-19307 Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade 0 At-grade (Enviromnental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Lot Miso Dipsrne. Methad Dion (Sr Mep Grit ih tri fon 028 1 tae Located Minnesota Department Method Digitization (Screen)- Map ny hii ofHealth (112,000) Unie Number [op-- Nero Cor Unique Number Veriton So in ll Verification Site Plan Date 05/09/2005 Spm THN ZS Sis x: axon wesc poncompiont 0 ver 0 no System UTM- Nudfi3, Zone/5, X: 540458 Y: 4878801 _i\1eters Fi Beth aauie b0PVeNLaaoDirRemiompaOiCim@nscefvecnoaWCe1wmsoopotnnlve@iNmsCyamrleeaiee rosaarldCMeoo2o drd0yf8mopmer pMltisDLDAA1THIfuPoE_ertLiVsDMo.otori 0) First Bedrock Last DepoBirch. cons mie Name Lis Or ReNo. Noofmreer Last Strat Aquifer Depth to Bedrock ft. Grout Material: High solids bentonite from to 2 ft. 1 bags Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturers name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volls Type Material Abandoned Wells Does property have any not in use and not sealed well (s)? D Yes 0 No Variance Was a variance granted from the MDII for this well? D Yes 0 No Well Contractor Certification Bergerson-C aswell 27058 LENZMEIER D. License Business Name Lie. Or Reg. No. Name ofDriller file:///li/MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa... s/Rochester/Weli%20Log%20Report%20-%2000719413.htm (I of 2)7/1/2008 12:42:07 PM 22222..11609 STSATATTEE0_208282222556666 Well Log Report- 00719413 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 771199441133 om Printed 6/29/2008 HE-01205-07 file:///li/MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa... s/Rochester/Well%20Log%20Report%20-%2000719413.htm (2 of 2)7/1/2008 12:42:07 PM 22222.1166110 sStTaArTeE0_208228222556677 Wetton ee crs Well Log Report- 00719414 ostgge e Minnesota Unique eiWell inNo. 719414 iQCouuimny OORlolmmcssthteeodd n Rochester 49C TWWoaweTnllsNhiampReaMngWe-D5irSection Subsection Elevation Township Range Dir Section Subsections Elevation WWW 107 14 w 222 DCAD BCAB EersdonMethod Elevation Method ---- Well Address Zi ITHSTIW 2110 37TH ST NW ROCHESTER isso ROCHESTER MN 55904 GGpeoeilosol;oggiiiccaaell MMaateteririaall NHSSAOOwNRoREDEvCYCSOSORiIRLDTTD. SHNNSAOOONRRYDEEYSGCSOOLIRRLTTDDSSILLTYY CCLLAAYY SUTYOAY NO RECORD SILTY CLAY CCoolloorr wom BROWN wry BRN/GRY oGRaArY HHaarrddnneessss serSOFT sSoOFFTT sSoOrFtT FLEVEERES R REMARKS M\V-5, 04-E-19307 DAvest MINNESOTA DEPARTMENT OF HEALTH EunDue cass OF HEALTH WELLANDBORING Upinebuie 1007 WELL AND BORING RECORD Recoved Dae 11/122104 RECORD insta Sissies haps 1051 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 02/28/2005 11/09/2007 11112/2004 in WelpDyepih Dep oCanmpieied Dat WTellsCoompeed 1062 ft. Cal fon DEM Calc from DEM (USGS7Sminor |DP Meh Auger (ronspied (USGS 7.5 min or Sie) equiv.) Well Depth Depth Completed 20ft. 18ft. Drilling Method Auger ~ Date Well Completed 09/29/2004 Wethsartmauresz 0 ver No Drilling Fluid From Fo -Tor Vow Usc Monitor well Well Hydrofractured? DYes 0 No From Ft. to Ft. Cog Type Paste Jott No nomsion, DeveShoe? 0 ves 01 Casing Type Plastic Joint No Information Drive Shoe? DYes D io AboreBion 1 No Above/Below ft. Casing Diameter Vieight Hole Diameter Casing Diameter Weight Hole Diameter Zab at mn aman 20 2 in. to 3 ft. lbs./ft. 8.25 in. to 20 ft. From To SeCrpenToVrIS TonNakTe TJOTTRSON Type pe From To m 1 [oameter siouGaze Length setsetween 0 5 sn? w wma 5 10 ow 10 13 Bon 13 15 J rT Ba 15 18 FaUNPrINGrLEVpEuLmp(icngin gTdperocy 18 20 Open Hole from ft. to ft. Screen YES Make JOHNSON Type plastic Diameter 2 Slot/Gauze 10 Length 15 Set Between 3 ft. and 18 ft. Leret Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Well Head Completion Fis sper manor Mod Pitless adapter manufacturer Casing Prosion YE) 12in. above sade 0 Casing Protection Y 0 Model 12 in. above grade D0 ode Envionmerts Wells Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Growing Information ell Grows?Dv.Yer OnNo Grouting Information Well Grouted? 0 Yes D No Locted Misnceta Dermat MethodDison (Seren) Map Located Minnesota Department orca a2) ofiiealth VUenriqiunecNaounmeSirc P" Date 05092"008 Unique Number n Verification Site Plan Seem UTM Nod Z0elS. sup: assem System UTM- Nad83, Zone15, A1eters Method Digitization (Screen)- Map (1:12,000) Date 05/09/2005 X: 540416 Y: 4878803 Outil Grout Material: Highscore High solids bentonite fonfrom oB2SH 0 to 2.5 ft. 11 tambags Nee om Sree oT Cram Nearest Known Source of Contamination a - feet - direction _type wel iswnoncoompettion? 0) ves 01 No Well disinfected upon completion? D Yes D No Pump 0 Notlled Dic rtd Pump D Not Installed Date Installed Namfscunsmrse Modi number Pals Manufacturer's name Model number - Longino kopPipe fi Copy gp Tope Merial Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material hanna Docs rope ve sy 7 ve oT ot eee Abandoned Wells Does property have any not in use and not sealed well Fi Bedruck First Bedrock Law so Last Strat AquiAquifer Dep0Betdrohck Depth to Bedrock ft. (ss)p? 0D YYees 0 NNoo Variance Wo vance ged rom the MDH for hel? Yer Variance Was a variance granted from the MDH for this well? D Yes No 0 No eT Comrsctor Craton Well Contractor Certification BogenComsl | 2038 LENMEELD. Bergerson-Caswell 27058 LENZMEIER. D. ice Basics Ne Lic. OreNo. Nef rr License Business Name Lie. Or Reg. No. Name of Driller FCA Waring 11070on Rohe Nel eet 23506 371 508 2210 file:///li;MPCAI!Working/AOOSI-1 00%20-%20PFC%20Foa...s/Rochester!Well%20Log%20Report%20-%2000719414.htm (I of 2)7/l/2008 12:42:I0 PM 22222222.41661111 SSTTAATTEE0_202882222556688 eontenants Well Log Report- 00719414 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 771199441144 Printed 6/29/2008 HE-01205-07 CA king 1070 SEC.Rh Nel See 5507160 L37130812210P file:///li;MPCAI!Working/AOOSI-1 00%20-%20PFC%20Foa...s/Rochester!Well%20Log%20Report%20-%2000719414.htm (2 of 2)7/l/2008 12:42:I0 PM 22222222..11661122 SSTTAATTEE__0022882222556699 Well Log Report- 00719415 Minnenstotoa UUnniiqgueee WBelAl NNEn. II 719415 CCoouuentyy Quad QuadiD OOllmmsstteedd Rochester 49C Well Name MW-2 Township Range Dir Section Subsections Elevation 107 14 w 22 BCAB Elevation Method wean MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 EnEtnrtryyDDaattee Update Date Received Date 11/09/2007 11112/2004 1061 ft. Calc from DI:M (USGS 7.5 min or equiv.) Well Depth Depth Completed 20ft. 18 ft. Drilling Method Auger Date Well Completed 09/28/2004 DrDirlillliinngg FFlluuiidd -- Iwell Well HHyyddrrooffrraaccttuurreedd?? [DJYveess E0 NNoo. From Ft. to Ft. Use Monitor well Well Address gome 2110 37TH ST NW ROCHESTER MN 55904 Geological Material NO RECORD SAND, SANDY SILT NO RECORD SANDY SILT, SAND, SILTY CLAY NO RECORD SILTY CLAY TonNO RECORD SH SILTY CLAY Casing Type Plastic Joint Threaded Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter 2 in. to 3ft. lbs./ft. 8.25 in. to 20 ft. = me Color Hardness BRN/GRY SOFT pe Open Hole from ft. to ft. From To Sueen YES Make JOHNSON 0 5 5 7 Diameter 7 8 2 Slot/Gauze 10 Type plastic Length 15 Set Between 3 ft. and 18 ft. GRY/BLK SOFT 8 10 EE Poel GRY/BRN SOFT GRAY MEDIUM 10 13 13 15 15 18 18 20 es Static Water Level fl. from Dale Measured PUMPING LEVEL (beluw land surface) ft. after hrs. pumping g.p.m. Eighism REMARKS 11\V-2,04-E-19307 Located Minnesota Department ofiiealth Unique Number Sem UTM Nhs 2001S. Vedfication Site Plan System UT.TII- Nad83, Zonel5. 1\Ieiers Method Digitization (Screen)- Map (1: 12.000) Date 05;09/2005 x: saps vs a X: 540433 Y: 4878806 First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manutiwturer Model DDlcCasasiinngg PPrrootteeccttiioonn 0D 11221in.. sabboovveeggrraaddee. CCrvstngIwormaTton IWoot? Eves DI 0 At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes 0No Grout Material: High solids bentonite from to 2 ft. 1 bags Nearest Known Source of Contamination Wel distedsonconption? 0) Yoo - feet _direction _type Well disinfected upon completion? D Yes 0 No D No PPuummpp CD1NNoott IInnssttaalllleedd DDaattee IInnssttaalllleedd Manufacturer's name Model number - Length of drop Pipe tl Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? Varnes Was 2 vata gate fom oe MOH or eves LJ Vex 0D Yvess @0 Nxo Variance Was a varianee granted from the MDH for this well? D Yes B0D NNoo Well Contractor Certification Bergerson-Caswell 27058 LENZMEIER, D. Liceme Business Name Lie. Or Reg. No. Name of Driller 719415 I Printed 6/29/2008 HE-0 1205-07 file:i/l[li1\1PCA/!\Vorking/A0081-I00%20-%20PFC%20Foam/Re... aries/RochesteriWell%20Log%20Report%20-%2000719415.htm7/112008 12:42:07 PM 222222.116613 STATE_02822570 Well Log Report- 00719416 719416 GQ~:uu:a~datym MMiinnnnre>ssoottaa UUnniiqqu-ure> WWer>llll NNoo.. II 719416 II ~-==================~- County QuadiD xRobes OOllmmsstteedd Rochester 49C ST WellNameMW-1 obenDi Scton Suctpivotn Township Range Dir Section Subsections Elevation 110070 1144 wW 2222 BBCCAAAA EElelevvaattiioonnMMetehthoodd MMNINNNEEVOSOOOFTFTAAHHDEEDEAAESLLPTTAAHHRRTTMMEENNFT WELL AND BORING Uinebue 10207 WELL AND BORING RECORD Read bute 11133000 RECORD iancot Ses Chpter 131 11finnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 11!09/2007 11!12/2004 Nebo opi Comodo WaComnd Well Depth Depth Completed wo vy pv ph 1059 ft. 20ft. 18ft. calc nom Est (C(UaSlcUGfSro7S7m..55DGmmiEinMnSoorr | DDrriilllliinngg MMeetthhoodd AAuuggeerr("nomspocifed) Date Well Completed 09/28/2004 equiv.) Drilling Fluid -- `WWelelll HHyyddrroorfsraccttourreedd?? 0DYveess [ZJ NNoo From Ft. to Ft. RomesTseoR WelAddress W221eH1l00l IA37TdTHHdSrSeTTssNNWW. ROCHESTER MN 55904 [---- Geological Material Soren `CCNOOOAARRRSESECEOSSRAADNNDD,. SSAANNDDYYSSIILLTT Lorcons NO RECORD Sopra SANDY SILT NoREcons NO RECORD SarairCuversur SANDY SILT CLAYEY SILT NorEoRD NO RECORD CLvAYeErY sSILaT Color Color BBRRNNI/GGRRYY wnGRAY GnGRAY Hardness Hardness MMEEDDIUUMM srSOFT srSOFT = GRAY wSOwFT Coto Toe Prise Jot Nonorton Deve shor Ove OF Use Monitor well Casing Type Plastic Joint No Information Drive Shoe? DYes D No Abuve/Beluw ft. ing Diameter Veg Fo Dimer Casing Diameter 2mm an " nts 2 in. to 3ft. Weight lkbas/dft Hole Diameter 8o.2s5 in. to 2B0 eIt pT TET Open Hole from ft. to ft. From To[Seren YI Noe JOTRSON Tipe Iie From To Screen YES Make JOHNSON Type plasli(; ong 505 571 | DDiiaammeetteerr oe Be 7 8 2 SSlloott/GGaauuzzee 10 LLeennggtthh 15 SSeett BBeettwweeeenn 3 ft. and 18 It aw 8 10 Won 10 13 hs fee 13 15 Static Water Level Be se 15 18 ft. from Date Measured 18 20 I PF UMPU ING N ELEVVEELP L((ebleI loownTlaaN nnddssuurG rffaaccee)) en pangs ft. after hrs. pumping g. p.m. [p-- Well Head Completion Picanto Mol Pitless adapter manufacturer Model er REMARKS MW-1, 04-E-19307 iLanc Minis Depre MetBhooodn)Digi Sn) Mop. Located Minnesota Department Method Digitization (Screen) - Map of Health (1: 12,000) DDcaCsaisinngg PPrrootteeccttiioonn D01212inin.. aabboovveeggrraaddee Agden Welnd orgs ONLY) IZl At-grade (Environmental Wells and Borings ONLY) matey atrmaton WetGrose? 2Yer C10 Grouting Information Well Grouted? [ZJ Yes D No Crt art hid ee Grout Material: High solids bentonite on wrk from to 2ft. 1 bags NUeniiqquuee NNuumaeberr VerificationSic Pan Vl'l"ification Site Plan Spon UTA alts ZeelS. System UTM- Nad83, Zone15, }vfeters DDaattee 0055/00992/2000055 x: suoas2 : asin X: 540452 Y: 4878807 NNeeaarreesstt KKnnoowwnn SSoouurrccee ooff CCoonnttaammimnaattiioonn Te dietion - feet _direction _type ot hinantconepiidont 0) vo 0 No Well disinfeded upon (;Omplelion? D Yes D No mp D1 Noe Doe tis Pump D Not Installed Date Installed County Well Index Online Report FistBirk First Bedrock Lusi Last Strat aster Aquifl'r Dep to Brn. Dl'pth to Bedrock ft. County Well Index Online Report LMLeanngeutfhaoconftfuddrrergoor'ppsPPnt iaippmeeeh1_fl.. _CCaMpapaosad(ie;tiltyynu_mggp.bpem.rm- HTTPyypp-ee VMMoalttaseterriiaall Rrandone Walk Tropes Vs TT HT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove 8 D Yes [ZJ No Vartace Vara ened fom oe MDea? 0 ver Variance Was a variance granted from the MDII for this well? D Yes x [ZJ No WoT Car Cr Well Contractor Certification pena Hs LEVARERD Bergerson-Caswell 27058 LENZMEIER, D. cone BiosName_Lis rhs. No. Nar fr License Business Name Lie. Or Reg. No. Name of Driller 719416 Fa 719416 Printed 6/29/2008 HE-01205-07 ARAN 10F0 EC S3 u oeRee Bl Th et5 SOT 8 388 file:/I;JII1\1PCA/I Working/A0081-100%20-%20PFC%20Foam!Re...aries/Rochester/Well%20Log%20Report%20-%2000719416.htm7/1/2008 12:43 :38 PM 222222.116614 STATE 02822571 STATE_02822571 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY SSiilvveerr LLaakkee SS3i0ilv8veeWrr LLaaMkkaeeinFFiirree DDeeppaarrttmmeenntt SiS3l0ile8verWrLL.aakMekae,i,nMMNN 5555338811 D2Da0al3lee2KK7oo-ss2ee4kk,1, 2AAssssiissttaanntt FFiirree CChhiieeff dale osek@mehsicom 320-327-2412 dale.kosek@mchsi.com TTraraiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: NNeeaarreessttwwaatteerrwwelelll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: PuLPbiulkbielicc wwoorrkkss mmaateteririaall ssttoorraaggee aarreeaa,, 330055E.. MMaaiinn SSitrreeet,t, SSiillvveerr Lake AAFFFFFF:: AAnngguuss TTrriddoexx AAnnnnuuaallllyy LLeessss tthhaann 55 ggaalllloonnss. GGrroouunndd AAFFFF:F: 331to055ggaallloonnss SSiilvveerr LLaakkee,, lleessss tthhaann 111/48 mmiilee ssoouutthhwweesstt AApppprrooxxiimmaatteellyy 111/44 mmiilee eeaasstt LLeessss tthhaann 11/44 mmiillee nnoorrtthheeaasstt MMoorree tthhaann 11 mmiilee 1"1 22222222..11661155 SSTTAATTEE__0022882222557722 SSIILLVVEERR LLAAKKEE CCWWII WWeellll MMaapp. elma) # rv | fSENG N Le [| 3 SS a= REET. " . Bs I <8 Vo nF RN FE TT Ue . or a eh ig " +} AL oo AES) ~ NR a i RB 34 NE ~ wa Hel Tes TAD 7 oJEhm Jo Lea Dee Cf CET EERE I Ww } an Lo deeBedi ae onddlde TY i| TRT E fiByJISI il A 33 | pT IY Luke gel os - Mirren. OnofGor Core3d [a P & % No Ji = / by peep i 2222.1616 -- STATE_02822573 SiSlilvveerrLLaakkeeWWhahta't'ssIInn MMy NeighobrhoorohdoMMoaadp [GE i | be \ | | !i | ii mm -- Es r=oae| | T| Ee SIeT r E \\ { Xl / ITs ( N PBoomnateaaSsrinoetnapn s Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion e SEE e eer R itsrl|J| it of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided Sites D~n.Mc:l matt~ &u~~rkl M hm~ St"IKIW.W IJn~ml!bd Dun1J15 subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost MPCA that may arise from the use of this data. NFRAP asSupa maw ~~,..rill w cones C:~RCL!fi. reamsupia o f't\Je:nl SuptrfUnd `@Minnesota Pollution Control Agency * ms !iune: Cboocl L.cmcHUI5! Vo!Unllr~ l'rW'I191'11:11'i Yar & Cb!lrwJ!o xRoRATIDFace ..t. ltCRA 1!iD f'lt:ill:l~ nti ~M Jrw-ut-kor-111 & ClfiiiW~ +su rsevrm ""- aum ~nw111 222222.116617 sStTaArTeE0_20228225257744 F8l]d To Ahi Te 8 3 Bo : |. 2ELF fCiReE Bly old . 3 SEIdr Silver Lake Wetland Map H 47 ------ ----- ---- ----- ---- _,...(::~.. &_,., .J,.. 0 z 22222.1166118 ad ye BRE ta3d1adpFE i ED TeJ Fh \ 5 angy)d EHH H i HEIN -------- 7 ALUe _ \ Co .0 __,,.. Legend &_,., Ohlo_wet_scan ,(, 0 z D1 Out of range ;!</ Interstate Major Roads Other Road ;!</ Interstate __,,.. .;./ State highway .;./ US highway &_,., Roads 6 z Cities r USGS Quad Index 24K Lower 48 Wetland Polygons % Ltn 3 :..::..:.::..::..:.::;.::..:It 'i~~;::;if~"}':f::l~Rl~~:;;';'~f~i;,;:~;;fJ~ ::;::::::;:::: :::;:::::1~ Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan ! ol Fan so[ l i % i ds [i a |i I it = PiHi __,,.. NHD Streams Counties 1OOK &, w States 1DOK ,(, 5 0 0 South America L _ L _ L __ _~~------------------~--~z 94-12-20W 94-12-0W 94-11-40W : $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 94-11-20W 94-11-0W Map center: 44 53' 59" N, 94 11' 40" W u North America Scale: 1:19,055 N 00 N N Ul '-I Ul 3 Well Log Report- 00210176 MMiminenseosoitsa UUintiqtuee WWAellNNGo. II 210176 CCoouunnttyy Quad QuadiD MMoclLoeoodd Silver Lake 107B Well Name STERNER INC. Township Range Dir Section Subsections Elevation 117 28 w 28 DDCCBB ElPvation Method - a MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 EnEtnrtryyDDaattee Update Date Received Date 4041/1ll1i1998888 01/0')/2006 1048 ft. 7.5 minute t(( o+p/-o$g5+ orfacepetht))ic map Well Depth 116 ft. Drilling Method -- Depth Completed 116ft. Date Well Completed 11/2711974 0000 Drilling Fluid -- IWWeellll HHyyddrrouffiraaccttuurreeda?? JDYveess 0D NNoo From Ft. to Ft. Use Commercial mii Geological Material TOP SOIL CLAY CLAY SANDY CLAY CLAY SAND feCLAY SAND Color BLACK YELLOW BLUE BLUE BLUE BROWN "BLUE GRAY Reality Hardness From To 0 2 2 16 16 34 34 38 38 84 84 85 Cr85 109 109 116 Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 112 ft. lbs.lft. Open Hole trom tl to n. Screen YES Make Type stainless steel Diameter 4 Slot/Gauze 12 Length 4 Set Between 112 ft and 116 ft. Static Water Level 45 n. from Land surface Date Measured PUMPING LEVEL (below land surface) 90 n after hrs. pumping 4 g. p.m. 11/27/1974 vo Resins NO REJ'v!ARKS Well Head Completion Pitless adapter manufacturer WHITEWATER Model SU4 DDO cCasaisningg PPrrooteeccttiioonn 0D3 1122iinn.. aabboovveeggrraaddee Grouting ormatin. We Grou? 0 Yes C1 vo DDO AAtt-ggarsaddee ((EEmnivviroonnmmmeernttaall WWeellllss aanndd BBoorirnigsnOgNsLYONLY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Number Verification N/ Sem UTM Nah Zoe15. A System UT1'vf- Nad83, Zonel5, ]\/[eters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A x, ost rss X: 405216 Y: 4973368 NParPst Known SourcP of Contamination wet dintoct uemconpcion? 0 ver - feet _direction _type Well disinfected upon completion? D Yes D0 Nwoo PPuUmIpIl.p 0 NNoott IInnssttaalllleedd DDaatee IInnssttaalllleedd 1122//1133//11997744 Manufacturer's name BERKELEY Model number 4AM8 _ HP 0.33 Volts Length of drop Pipe 84 ft. Capacity _g.p.m Type Submersible Material Abandoned Wl'lls Does property have any not in use and not sealed well(s)? D Yes D No First Bedrock Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. Variance Was a variance granted from the MDH for this well? D Yes 0D Nxo Well Contractor Certification Frederil:ksons Inl:. 43099 HITTESDORF J License Business Name Lie. Or Reg. No. Name of Driller County Well Index Online Report 210176 I Printed 612812008 HE-01205-07 file:///IJI1v!PCAI!Working/ A0081-I00%20-%20PFC%20Foam/R.. ./Silver%20Lake/Well%20Log%20Report%20-%2000210176.htm7i 112008 12:44:49 PM 222222.116619 STATE_02822576 Well Log Report- 00210418 ---- Minnneseota UDniqeueBJOiVe!! No. County 200418 | ~io:w:s:mty II 210418 II L.!:.=========::::!.J. Quad ID Scie MMocLoeodd Silver Lake 107B WATT TAROT Well Name BARTON. HAROLD TommiRange DiSechn Subcom Ein Township RangeDir Section Subsections Elevation 1117 7328 wWM34 BBBRBADDDCC FElelevvaattiioonn MMeetthhoodd across Well Address TS7 SH slmmemssn SILVER LAKE MN 55381 GGeoeloologgicicaallMMataetreiraiall oeDIRT aCLAY aaCLAY Comes COARSE SAND CCoolloorr JdBLACK iow YELLOW wisBLUE HHaarrddnneessss ELL REMARKS SAMPLE NO. 601508 109 1 1050 ft. MINESOTA DEPART MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELLAND BORING Uponcome 0110s WELL AND BORING RECORD Ricnedbae RECORD anceStnChee 1031 114inne,mta Statutes Chapter 1031 EEnnttrryyDDaattee Update Date Received Date o04a/n1i1n/1o9s8s8 01/10/2006 Wel vg Compe Pew Compt Well Depth Depth Completed Date Well Completed in ain si 121 ft. 121ft. 09/15/1961 t7to.o5ppomgorignapurhtaeipcmhmaiacp | DTT Drilling Method Ntei:hoJ~~ (+/- 5 feet) Drilling Fluid -- Fon Wweellll HHyyddrrouffrraaccttuurreedd?? 0DYvees ODnNoo From Ft. to Ft. Use Domestic CCaassiinngg TTyyppee JJooiinntt NNoolInnffoorrmmtaitoion.n DDririvveeSShhooee?? ODJYveess DOJ No Above/Below ft. Casing lamer Tom ToGamera Casing Diameter Weight Hole Diameter Cru re po 4 in. to 118 ft. lbs./ft. Op TET Open Hole from ft to ft So Te Screen YES Make Type FFrroomm TToo ren eo 0 3 50x 3 35 Xo35 115 To115 121 |%D[Diiaammeetteerr 4 tSSlioct/tGUGaauuzzee 18 TT me LLeennggtthh SeStet BBeettwweoeenn 3 118 ft. and 121 ft. frre Static Water Level 22 fL from Land surface Dale Measured PONPING LEVEL Qo nd si PUMPING LEVEL (below land surface) BA te? et pis 3 pm 32 ft. after 2 hrs. pumping 20 g.p.m. Watts compen Well Head Completion Pi apt mre Nos Pitless adapter manufacturer Model 09/15/1961 DDO CCaassiinngg PPrrootteeccttiioonn D01122iinn.aabboovveeggrraaddee Grog bematon Wel Goses? Over Oo 0D) AAtp-grraaddeEe(nEvnivriroonnmmenetnatallWWelelllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological ns stride Survey Method Digilit.ed- scale 1:24,000 or larger (Digitizing Table) Ung amber Vernon Np 10 A:-nique Number Verification N/ Date N/A Sytem UTM Nad 20615. x. psig. x: amine System UTM- Nad83, Zonel5, lvfeters X: 405795 Y: 4973116 Fini Aqui Qu. rit As. Agi First Bedrock Liisi Sot Dept ame Last Strat Sand Aquifer Quat Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report NRSC Nfefeeacerttest KddiinrroeeccwttiinoonnSou_rtc_yetpyopeef Contamination - - ell diswtoenctopeiid? 0) ves Well disinfected upon completion? D Yes 0D Nwoo PPuummpp E0) NNoottlInnssutalllloedd DDaattee IInnssttaalllleedd Mims Meidor 1703. Vos Manufacturer's name Model number - Length of drop Pipe _fL Capacity _g.p.m HPQ.2_ Volts Type .Tel Material Tomine We Fs We oo SRT Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nwoo `VVaarriiaannccee WWaassaa vvaarriiaanncceeggrraanntteedd ffrroommtthhee MMDDHHffoorr tihsis wweellll?? D0 YYeess. 0D Nnoo ATCC Well Contractor Certification ace ds Le Heil Well Co. 43085 HEIL C. hcp 1 res Yo enor License Business Name Lie. Or Reg. No. Name ofDriller |210418] 210418 ose Printed 6/28/2008 HE-01205-07 APC A100 SLASH Sper SON 30 451 file:///I]/l\1PCN! Working/A0081-l00%20-%20PFC%20Foam/R.. ./Silver%20Lake/Well%20Log%20Report%20-%2000210418.htm7/1/2008 12:44:51 PM 22222222..11662200 STATE 02822577 STATE_02822577 Well Log Report- 00409766 Mon Minnr>sota riize Uniqur> Wolo. Wr>/1 No. omy 309766 L.!:::::::==4=0=9=76=6====::::!..11I QuC~oa:uu':na:tyim MMSiecvtLeaerooiddske 17Silver 107B L a k e War STEIN Well Name STIEBEL, LENARD Toni Rav Di ction Saeco, Evin Township Range Dir Section Subsections Elevation oss1065 ft. MINNESOTA DEPARTMEONFT MINNESOTA DEPARTMENT OF neALTH Bwybue onion HEALTH WELL AND BORING iy WELL AND BORING RECORD ReceivedDate RECORD MiStn ott Cohirt131 JIJinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 07/11/1991 01!10!2006 WD Dep Compr Do Wel Compr Well Depth Depth Completed Date Well Completed pov) an i, 160 ft. 160 ft. 09/12/1989 hit w 117 28 34 CABACB Elevation Method 7.5 minute topographic map Drilling Method (+/- 5 feet) . Rotary Well dross Well Address oizcn 19434 2 CR SRE mst SILVER LAKE MN 55381 eclogicalMotel Geological Material prCLAY arCLAY arCLAY Wo sho MUD &SAND aurCLAY Gav aroo CLAY & ROCK meso FINE SAND Guay. sw CLAY, SAND 0SAND vo NO Located Nismo Geil Located Minnesota Geological Drilling Fluid I -- ET ------ Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. CainsTope Phi Joo Notuormation Deve Sho? 1 vex Casing Type Plasli(; Joint No Information Drive Shue? DYes 0 neBem 3 1 No Above/Below -8 ft. CasingDiameter Tie Foe Diameter Casing Diameter Weight Hole Diameter Pr mA en in. to 155 ft. lbs/ft. 6 in. to 160 ft. Solr Hardness From TofIom rReOY Tope 1 Color wok So 0 BLACK Veiow ST 12 |ometsr Siouause Length Setgetween YELLOW ow wom rd |% 5 mt wa wn GRAY Eh so 5 = GRAY ow ww = GRAY SN ha wow GRAY ik) Sort ia iw [Swewee VARIED GAC MDM 10 is [0 fom andre weMesmed_0901980 GRAY RE WD 1 60 S[50PaeULEVMhEsL(pPeumbpiIgan3dN4argtoaGcney VARIED Hardness SOFT SOFT MEDIUM SOFT MEDIUM HARD SOFT MEDIUM HARD Open Hole from ft. to ft. From To Screen YES 0 6 Make JOHNSON Type stainless steel 6 12 Diameter Slot/Gauze Length Set Between 12 46 5 15 5.5 155 ft. and 160 ft. 46 52 52 130 130 142 142 147 Static Water Level 147 152 40ft. from Land surface Date Measured 09/03/1989 152 160 PUMPING LEVEL (below land surfacl') 45 ft. after 2 hrs. pumping 34 g.p.m. rrwines GWPrD0ioa)luclctwilnieignnongmferCooormcGmupsaltioeiomtoinmnonsmWeetMWrOEeo1Nl2wIs0TsasO?dhRoBveoBgasNdeovOekNr!LY0) no REJ'v!ARKS Well Head Completion Pitless adapter manufacturer MONITOR Model D Casing Protection 0 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Method Digiztion Srcr)- Map|Grrootlsrenrtt BCurteist ffoomn ot1 Method Digitization (Screen)- Map Grout Material: Bentonite Grout Material: Cuttings from to ft. from to ft. Survey Unie Number Unique Number Verfatin, Mads ston Verification Address verification Sym UTM ZS Systl'm UTM-Nad83, Zonel5, ,\;{eters (124,000) ---- Date 05/22/2003 x ais= vs wats X: 406131 Y: 4972435 Nr nows Sere Cortana Nearest Known Source of Contamination 57Tn Sten Seton Sapkira iid_ype Q.Lfeet South West direction SeQtic tank/drain field type ot iiunpon oempciton' B) ver 01 no Well disinfected upon completion? 0 Yes D No Punp Nohld Due nl(20l080 Pump D Not Installed Date Installed 09/03/1989 Manufacturer's name LOWEY-GOULDS Model Lengtvatdrop number - HP Length of drop Pipe20_f._ 0.75 Volts Pipe 2Q_ft. Capi 220 Capacity l l _ gg. pp.mm FiFLriarsssBt tBeededrrroocSckeknd Last Strat Sand aqui Quit Buricd Ars Age Aquifer Quat. Buried Artcs. Aquitcr DepoBedrock Depth to Bedrock ft. Type Submersible Material Plastic Raed Welk Toes ye or 7S oT ST eT Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? Ove On D Yes D No Variance Wee vanes gad fo oe MDH or wt 01 ver Variance Was a variance granted from the MDH for this well? D Yes 0D No Corian Cre Well Contractor Certification MibsWelCo 428 MATHEW Mathews Well Co. 43238 MATHEWS. cence Name ic OrRegNo.Name ofDeter License Business Name Lie. Or Reg. No. Name of Driller CA Nig A030. Ce lgSee CHT 37 20 344520 file://ilii1\1PCAP Working/A0081-100%20-%20PFC%20Fo...ver%20LakeiWell%20Log%20Report%20-%2000409766.htm (1 of 2)7/1/2008 12:44:52 PM 22222222.11662211 SSTTAATTEE__0022882222557788 Well Log Report- 00409766 County Well Index Online Report 409766 Printed 6/28/2008 HE-01205-07 file://ilii1\1PCAP Working/A0081-100%20-%20PFC%20Fo...ver%20LakeiWell%20Log%20Report%20-%2000409766.htm (2 of 2)7/1/2008 12:44:52 PM 222222.116622 STATE_02822579 Well Log Report- 00438898 438898 | Qo~:ui:a:m MMiinnnnre>ssoottaa UUnniigquu=re> WWer>l/l1NNoo.. CCoouunnttyy L.!:::::::==4=3=8=89=8====::::!..11I sumhel MMcclLeeoodd Silver Lake 107B eRe ARGO CART WellNameARDOLF, CHARLIE TomiRane Di Section Stn Elevation Township Range Dir Section Subsections Elevation ws a 1052 ft. MMIINNNNEESSOOTHTAAHEDEADEAELDLPTTAAHHRRTTNMEENNTT-OOFF WELL AND BORING Unibue o1112006 WELL AND BORING RECORD Reed Puc RECORD inns Sus Chapter 1031 JIJinnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 0077/11881/1999911 01!11!2006 De Do Compt Dew Cod Well Depth Depth Completed Date Well Completed Ton on pun 137 ft. 137 ft. 06/06/1988 w 117 28 7.5 minute 27 CCCBBA Elevation Method topographic map Drilling Method . Rotary (+/- 5 feet) WelAddress Well Address RR 1 =SSILVeERrLAeKEnMNe55)381 cotcgica er Geological Material aCLAY anvCLAY redSAND aiCLAY He WATER SAND ColorColor alow YELLOW aEBLUE aweBLUE Musness Hardness DrDirlillliinnggFFlluuiidd joey IFenton h Other WWeellll HHyyddrrooffrraaccttuurreedd?? JDYveess 0D NNoo From Ft. to Ft. a-- Use Domestic CaineTope Pe Jot No tomaion Desh? 01 ver Casing Type Plasli(; Joint No Information Drive Shue? D Yes 0 Nm 1 No Above/Below -6 ft. oing Diameter Weg Fe Ber Casing Diameter Weight Hole Diameter Taw mn wa emne on 4 in. to 133 ft. lbs.lft. 6.25 in. to 137 ft. mm mre | Open Hole from ft. to ft. SSccrreeeenn YVIESS MMaakkee JJOOHTNNSSOONN TTyyppee ssttaaimnlleessss svteeeell From To |oimeter SiouGauze Length SotBetween From To Diameter Slot/Gauze Length Set Between ow |% " ET we 0 20 4 Fa20 90 15 4 133 ft. and 137 ft. 0 = 90 95 6m 95 125 125 137 Static Water Level = 38 ft. from Land surface Date Measured Ofi/Ofi/1988 FONFING CRVEL (wi rie) PUMPING LEVEL (below land surfacl') SE he ev pumping 0 1 45 ft. after 3 hrs. pumping 40 g.p.m. Well Head Completion Well Head Completion Pic abt moms WHITEWATER Not! Pitless adapter manufacturer WIIITEWATER Model [EE -- RREEMWARRhKyS WELL DRILLED WI WYO JELL PLUS. Located Mins Geog Method ization Seen Mp Located Minnesota Geological Furs presets Survey Unie Nember Due ova10 Unique Number (VVeerriifiiccaattiioonn lLnattoirrsmiaettiioonn forohmoowwenesr Sym UTM Nols lS, sss; ams System UTM-Nad83. Zunel5. }vfeters Method Digitization (Screen)- Map (1 :24,000) Date 08111/2- 005 X: 405638 Y: 4973486 0 rants mio Walt ad Bois ONLY) DDlcaCsaisinngg PPrrootteeccttiioonn D0 1122iinn.. aabboovveeggrraaddee D At-grade (Environmental Wells and Borings ONLY) rst andr ve GGrrooutuitningg IInnffoorrmmaattiioonn WWell elGlrGoruotuetedd?? 0 Yvees OD nNeo Goths escent Wm wD Grout Material: Neat Cement | Graton Guts tn ust Grout Material: Cuttings from 6 to 30 ft. from 30 to 105 ft. 02 ye 0.2 yrds. 07 ye 0.7 yrds. TRG Sr CST ]N7j_5_e_a_rffeeeeestttSKoSnuooutwthhnWWSeoessuttrceddiiorreefccCttiiooonnntamSSeiQnaetitcitotpaannnkktd/drrsaiiinn fcield tfiyeldp_tyepe wadn ponsot npeionr 0 ve 0 no Well disinfected upon completion? 0 Yes D No PPuummpp 0D] NNoottlIsnssatalllleedd DDaattee IInnssttaalllleedd O06G0/80/8/11998888 Nittaa AERMOIOR + od ner S120 Manufacturer's name AERMOTOR Model number SD1250 Trot vans _HPQ.2_ Volts 230 Tent dope 0 Cops 12 gm Length of drop Pipe 21_ft. Capacity l1___g.p.m Type Submersible Material Galvanized Tiedeeln Tis eo ov 7 THT Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? Ove @ D Yes 0 No VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntedd ffrroomm tthhee MMDDHHffoorr tthiiss wweellll?? D[J Yveess Fira Bedk First Bedrock Lisi Sot Last Strat Sand qui Out hed Ars Ai Aquifer Quat. Buried Artcs. Aquitcr Dep dr Depth to Bedrock ft. 0D Nnoo TCCrT Well Contractor Certification MaueoValCo Ss OISTRICILD. Mattson Well Co. 86108 OESTRIECR D. come Bis NamesOrgNo. Nameof Der License Business Name Lie. Or Reg. No. Name of Driller ARCA APR: a elt Sets AM 27308 EASA file:i/ilii1\1PCAP Working/A0081-100%20-%20PFC%20Fo...ver%20LakeiWell%20Log%20Report%20-%2000438898.htm (1 of 2)7/1/2008 12:44:51 PM 22222..11623 STATE 02822580 STATE_02822580 re Well Log Report- 00438898 County Well Index Online Report on 438898 Printed 6/28/2008 HE-01205-07 file://ilii1\1PCAP Working/A0081-100%20-%20PFC%20Fo...ver%20LakeiWell%20Log%20Report%20-%2000438898.htm (2 of 2)7/1/2008 12:44:51 PM 222222.116624 STATE_02822581 Well Log Report- 00453979 Mmta ie ile Minnesota Unique Well No. 445533997799 wi County Quad Quad ID Sineiake McLeod Silver Lake 107B SSVI MlN.\ESOTA DEPARTMENT OF HEALTH WELL AND BORING WELL AND BORING RECORD ;winnesota Statutes Chapter 103I plates Entry Date Update Date RPcPivPd Dati' -- 07/18/1991 ow152007 08/15/2007 Well '-'arne WRASPIR, HENRY MRS Township Range Dir Section Subsections Elevation 1n1r7 2B8 Ww 3344 BBDOBBDDAADD EElleevvaattiioonn MMeetthhoodd 1055 ft. tot7op.5poogmgrarinappuhhtieiccmmaapp (+/- 5 feet) Well Depth Depth Completed 230 ft. 230ft. | DDrriillningg MMeetthhoodd Non-speci.RfRoiottcaarrdyy DDrriilllliinngg FFlluuiidd. Bentonite IWWeellll HHyyddrrooffrraaccttuurrcedd?? From Ft. to Ft. Date Well Completed 09/16/1988 [DJYveess [0JNNoo l:se Domestic LI WWelelll AAddddrreessss 19778 2 CR SILVER LAKE MN 55381 Geological EyYSOIL CLAY CCLLAAYY Bow DIRTY SAND =CLAY CLAY =CLAY ='SAND Material EE Html 0 Casing Type Plastic Joint No Information No AbovPIBPlow 2 ft. Casing Diameter Weight Drive Shoe? DYes Hole Diameter 4 nin.oto 226 It 119 .9 lbsbs)./ft. 7Tiinn. teo 230 ft. [OpOepnefniHoloele Tforom ft. wtowft. ---- -- 1 Color Hardness From To Screen YES Make JOHNSON Type stainless steel BstE oIrEl oe nem tom mtv BLACK YELLOW GGRRAAYY. SOFT SSFFTTH-HRRDD 0 2 2 16 Diameter 1*6 1w0e6 | 44 Slot/Gauze 1n3 Length 44 Set Between 222660ft. wadnd 22030 8ft. ZZ ii YELLOW HARD 106 109 Ba BCE EB YELIGRY SOFT 109 148 GRAY SmaEm BnEEBEE oo. GREEN GREEN SFT-HRD MEDIUM HARD 148 223 Static Water Level 223 225 39 ft. from Land surface Date Measured 09!16/ 1988 225 230 PUMPI'-'G LEVEL (below land surface) - ` 60 ft. after 1 hrs. pumping 40 g. p.m. 0 RERARES NO REMARKS sr rset nr Located Minnesota Geological Survey Method Digitization (Screen)- Map (1:24,000) Unique Number Date 0512212003 Verification Information from neighbor System UTM- Nad83, Zonel5, Meters X: 406178 Y: 4972743 First Bedrock Aquifer Quat. Duried Artes. Aquifer CountyWell Index Last Strat Sand-green County Well Index Online Report Depth to Bedrock Online Report ft. Well HPad ComplPtion Pitless adapter manufacturer MONITOR Model SNAPPY DDI CCaassiinngg PPrrootteeccttiioonn D0 11221min.. aabboonveeggrraacdee DOJ AAtv-ggradee ((EEsnsviirroonnmmeennttsall WWeellllss aanndd BBootriinnggss OONNLLYY)) Gratin formation. Well Grated? 8 Yer INo Grouting Information Well Grouted? 0 Yes DNo ne min Grout Material: Bentonite [ne Grout Material: Cuttings from 0 to 50 ft. from to ft. one 0.33 yrds. .\"earest Known Source of Contamination 2.Q_feet N_direction Old/other well type Well disinfected upon completion? 0 Yes D No PPuommpp JD NNoott IInnssttaalllleedd DDaatteeIInnssttaalllleedd0099//1199/111998888 Manufacturer's name MYERS Model number 5 10 BM _ HPQ.2_ Volts 230 Length of drop Pipe Q_ft. Capacity lQ_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 0 Yes D No Variance Was a variance granted from the MDH for this well? No Well Contractm Cettification Heil Well Co. 43085 HElL R. 453979 License Business Name 453979 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/28/2008 HE-01205-07 flle:///II!\1PCAI!Working/A0081-1 00%20-%20PFC%20Foam'R.. .!Silver%20Lake/Well%20Log%20Report%20-%2000453979.htm7/1/2008 12:44:52 PM 222222.116625 STATE_02822582 Well Log Report - 00508971 II 508971 MMiinmneesota UUnnidquae WBelll NNeo. 508971 Quit CCoouunnetyy Quad Quad ID Shrtate MMceLkaeoodd Silver Lake 107B Well-"ame WRASPIR, GLEN Township Range Dir Section Subsections Elevation 111772%28 wWM34 BBDDBBAABBAA FlEelveavtaitioonn MMeetthhoodd Well Address SS1I9ILL7V8VE8ERR2LLCAARKKEEIMNN 5555338811 anos Geological Material SOIL CLAY CLAY fi=i] SANDY CLAY CLAY SAND glyColor BLACK YELLOW GRAY ow Sn GRAY GRAY YELLOW does Hardness SOFT MEDIUM wTom SOFT MEDIUM SOFT 2 WELL AND BORING MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING RECORD ]llfinnesota Statutes Chapter 1031 Updobue EEnnttrryy DDaattee Update Date Received Date OUt2MG 0092/8281/9199911 01/10/2006 1047 ft. t7po.5peompgritnapuihtecic mmaayp (+/- 5 feet) Well Depth Depth Completed 118ft. 118ft. DrrilllingVMietehold NorrieeRRoowtasrv Date Well Completed 06/26/1990 Drilling Fluid I Bentonite Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. 0 Casing Type Plastic Joint No Information I : No Above/Below 2 ft. Casing Diameter Weight Drive Shoe? DYes Hole Diameter 4 in. to 114ft. 1.9 lbs./ft. 8 in. to 118 ft. (OpOepnetniHcokleefforomm&ft. wto &ft. 1 $n 30 |' Screen YES From To 0 2 Diameter 2 16 4 cree sen Speen Make JOHNSON Type stainless steel Slot/Gauze Length Set Between 15 4 114 ft. and 118 ft. 16 86 RE ueputo on | i [Sew 86 93 93 113 Static Water Level 113 118 28.5 ft. from Land surface Date Measured 06/2611990 PUMPII\G LEVEL (below land surface) 60 ft. after I hrs. pumping 35 g. p.m. [TN NU REMARKS Located Minnesota Geological Survey VVUeernriiifqfiiucceaattNiioounnmIIbnneffororrmmaattiioonn ffrroomm oowvneerr System UTM- Nad83, Zone15. Meters M.-thod Digitization (Screen) - Map (1:24,000) Date 05/222010280083 X: 406160 Y: 4972860 Coury Wotinges oni por [FiFrest Rtehdororc;k Last Strat Sand-yellow AAqquuiiffeerr QQuuaatt BBuurriieedd AArretse.s. AAgquuiiffeerr Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pi!less adapter manufadurer MONITOR Model 8PL414Cl DDl Ccaassiinngg PPrrootteeccttiioonn D011220i.n.sabboovveeggrraaddee. Gcrouting toomato. Wal Groat? 8 ves Ovo DDO AAtte-ggrraadtee((EEnnvviirroonnmmeennttaall WWelelllss anndd BBooirinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement from 0 to 30 ft. Grout Material: Bentonite from 30 to 85 ft. 2.5'\Q0e__affroeecesttt WKYnf_o_w_ddinirreSeccottuiioorcnne oSSfepetCQotinctttaaamnnkkidn/rdaartaiiionnfnifieelldd tyyppee ump OJ Not filed Due salled 7241990 Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed 07/24/1990 Tooghot doy Ped. Casy10gpm Manufactnrer's name JACUZZI Model number 5S410-8 _ HPQ.2_ Volts 230 Length of drop Pipe 2Q_ft Capacity lQ_g.p.m Type Submersible Material Plastic Abandoned Wells Does property have any not in use and not sealed well(s)? 08 Yvees O D nNo Variance Was a variance granted from the MDH for this well? No Well Contractor Certification S087 Hseiill WWeellll CCoo.. License Business Name 508971 40308885 HHEELILER.. Lie. Or Reg. No. Narne of Driller I D Yes D Printed 6/28/2008 HE-0 1205-07 fll e:///IJIMPCA/! Working/A0081-l00%20-%20PFC%20Foam/R.../Silver%20Lake/Well%20Log%20Report%20-%200050897l.htm7/1/2008 12:44:51 PM 22222..11626 STATE_02822583 Well Log Report- 00612286 Mmo6o1U2tU2s86WEN Minnesota Unique Well No. II 612286 Copy County QuiQuad Qua QuadiD cod McLeod Shab Silver Lake 07107B WaT TCO STE Well Name JACOBS, STEVE TowsipRange Dir SectionSubcom Eevstion Township Range Dir Section Subsections Elevation 117 :28 w 34 CABBBB ElPvation Method Well Address Well Address fren 194342 CR Sven a sso SILVER LAKE MN 55381 eciogica aerial Geological Material foCLAY Arras CLAY & SAND Roos ROCKS SoSAND Color Madness Color Priva TAN Gn ww GRAY Gh ww GRAY GhGRAY Hardness MEDIUM MEDIUM V.HARD MEDIUM wn 1069 ft. MINNESOTA DEPARTMENT OF WEALTH Eu bue Or202m HEALTH WELL AND BORING UpdaeDuie 011020 WELL AND BORING RECORD Recon Due RECORD Mineo Sues rapier 1051 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 01/2412001 0111012006 Welbog Dep Compete Wel Compt Well Depth Depth Completed Date Well Completed wy on arn 168 ft. 168ft. 08/30/1998 7.5 minute Il~illi~gM~th~dN~~~sp~cified Rotary 0000 topographic map Cie (+/- 5 feet) Dri Fo IWallin? 0 ver No Drilling Fluid Was Fon Tw TL Water Well Hydrufractured? DYes 0 No From Ft. to Ft. Cin Type Tove ote Git DeveSh? 2 Yor CT0 Amer Use Domestic Casing Type Plastic Joint Glued Drive Shoe? 0 Yes D No Abovp/ Below ft. Gatng Diameter Casing Diameter rn 4 in. to 163 ft. Tog Weight mRlbs./ft. FoDames Hole Diameter Tan 6 7.75 in. to 168 ft. [oSmei wSArTe OTO Open Hole trom tl to n. Screen YES Make JOHNSON Top Re eT Type stainless steel From To [Dlameler SoUGaze Longin SetBetween From To Diameter 3 SO Tet mde 0 23 4 Slot/Gauze 18 Length 5 Set Between 163 ft and 168 ft. nw 23 157 ww 157 160 iefe 160 168 Static Water Level SV fodsc_DateMessed 830198 38 n. from Land surface Date Measured 08/30/1998 FUNPING LFEL(bNir and ura) PUMPING LEVEL (below land surface) tr 1 oe par 43-52 ft. alter 1 hrs. pumping 40 g.p.m. URUNSNEEALSEM DEAALREDKWWSEELLLL OONN PPRROOPEPRETYRWWITILYLLL BBEE SSEEAALLEEDD. Located Mosc Glogs Meth Dighton Sen op Located Minnesota Geological er ait) Survey Uniqiue Naber Dat 052z 2303 Unique Number Verfcaon Aro ifcton Verifil:atinn Address veri fieation Sym UT Na ZoeLS. a; ars System UT1\I- Nad83, Zonel5, 1'vfeters Method Digitization (Screen) - Map (1:24,000) Date 05!2212003 X: 406009 Y: 4972458 FsBerk Air Qua Tid Arcs Acute Fiist Bedrock Laundry Duplo Bedrock Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report Well Head Completion itsshit moos MONITOR dl GS Pitless adapter manufacturer MONITOR Model 6PS45 Dcosigosion 0 12in ston nde D Casing Protection D 12 in. above grade D1 Ate Emo WeandlBrilngss ONLY) D At-grade (Environmental Wells and Borings ONLY) GGroroauttnigng Inoforrmmaattoionn WWeelll GGrroouutetd?? Y0 eYses ODF Nxoo rat Hoh kein Grout Material: High solids bentonite fon 0wBA from 0 to 90 ft. 8 bs 8 bags NEreeeRo SoreSurCCon IRO NParPst Known SourcP of Contamination 100 Tt Edicion Spi akinide llQ_feet L direction Sq)tic tank/drain field type Wa ined penconmicioe B) ver 0 No Well disinfected upon completion? 0 Yes D No avy 01 NottsDae nslcd PUIIlp D Not Installed Date Installed mcarn INE VALLNG. Mob so SAL Manufacturer's name FLINT & WALLING _ HPQ2__ Volts220 Tenghot opis63.8. Cosciy 12_gpm Length of drop Pipe 63 ft. Capacity R__g.p.m Type Smee Msi Type Submersible Material Model number SBA10 Ee Abandoned Wells Does property have any not in use and not sealed well(s)? vo Ow 0 Yes D No Vartanr ege rate om teMs D rt? Ver Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification GeibellCo mer cEBD Geib Well Co. 72027 GEIB,D hice uses Name 0r eg NoNamef Drier License Business Name Lie. Or Reg. No. Name ofDriller 661122228866 I FrPrinted 612812008 HE-01205-07 CA ing R02 mS Wl gor 0 3h 08 14131 A file:///III1v!PCA!!Working/A0081-100%20-%20PFC%20Foam/R.../Silver%20Lake/Well%20Log%20Report%20-%2000612286.htm7i112008 12:44:51 PM 22222222.11662277 STATE 02822584 STATE_02822584 eAtnntteers Well Log Report - 00660931 Minnesota Unique We// No. IIL-1=66=0=93=1=====.ill ~ . GCu~:uo:au:.intsy QnadlD etsod McLeod Sivatute Silver Lake 107B STROVE TT Well Name NOWAK. DALE TomatoRane ir SestoSaeco Eaton Township Range Dir Section Subsections Elevation 1W1772828 Ww 3344 BBAADDDDAABB EElleevvaattiioonnMMetethhoodd we1042 ft. MINNESOTA DEPARTNENOTF MINNESOTA DEPARTMENT OF nea fue oni HEALTH WELL AND BORING Uninebe 0111200 WELL AND BORING RECORD Weed RECORD ionct Soin Crap 131 1lfinnesota Statutes Chapter 103/ Entry Date Update Date Received Date 04112/2002 Olill/2006 Welbon Dow Cont Barwa Come w.-llD.-pth D.-pth Compl.-t.-d Dat.- W.-ll Compl.-t.-d or fs ain 129 ft. 123 ft. 09/26/2001 INE t7to.o5ppoomggrrinaappuhhteiicc mmaapp |DDrirlillliinngg MMeetthhoodd Noo-specficd RRooatarryy (+/- 5 feet) Bes DrDirlillliinnggFFlluuiidd Bentonite IPonte wWeetll HHyyddrrooffrraaccttuurreedd?? [DJYveess ODJ Nnoo. From Ft. to Ft. - oCGTacanioiseTyGpaewmenTroas om GoWswDehreShTcia? mD0aa1nmearwre 1 oe] Well Address Snore 563 MAIN ST E Soreamssen opr TT SILVER LAKE MN 55381 eoiogat aerial Color Hartness From To SVE ake OTS Te ST Geological Material Sree oo 51 [cum sovsaze vangin sotsoueen SASTAONNPDDSYYOCICLLLAAYY Sova Gar von SANDY CLAY Nor Ohwsones Gur noo SANDY CLAY WISAND LENSES NOY OAvREaRES Gan Bs |r SANDY CLAY/PEBBLES S FONGeLEVELpfeoi n10r2 c SSANeD Use Domestic Casing Type Plastic Below ft. Casing Diameter 4 in. to 119 ft. Joint Glued Drive Shoe? DYes 0 No Weight lbs.lft. Hole Diameter 6.25 in. to 129 ft. Above/ Color BBBRLROAOWCWKNN GRAY GRAY GRAY YeELURGRRYY Hardness From 011 17 72 93 M11S5 Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel To 1 Diameter 1w7 e4 Slot/Gauze 20 Length 44 Set Between 1m19eIt ae nd 1e 23 ft. 72 93 115 Static Water Level 192922244fit. ffrroomm LLaanndd ssuurrffaaccee _DDeattee MMeesassuurreedd 0099/22662/2000011 PUMPING LEVEL (below land surface) 26 ft. after hrs. pumping 100 g.p.m. ro rrwaes CWP0roltrtHatecetCtoormmmmopatcmonienndnstWestMwrOeoNtaIsTcoOtdRpronvgs eMaOrilL)OGSvHSic NO REA-JARKS Well Head Completion OlcusingProssion 1 12in. above gate Pitless adapter manufacturer MONITOR Model 6PS45B54C D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No octet Niet Gil Neth Rgtznon Srp Grist ons srie monet tum Locat.-d Minnesota Geological Fey 3a Survey Late Nantes ce 1008 NorRS Co VVUeernriiifqfiiucceaattNiioounnmAAbdddedrrreessss vveerriiffiiccaattiioonn Syn OTN 20x, win v: 2 wt notsponcorpition Byer 0 vo System UTM- Nad83, Zonel5, }vfeters M.-thod Digitization (Screen)- Map (124,000) DDaHte 08/1111/2005 X: 406360 Y: 4972952 Fock aque qu TtArs Ait OC VuALMTTmaeeTiipvrnConoSnmonsC hrWiDao1nacvNtevC eonsi@tiweweosooAsslnsRRMsgeOTCd6DOooR%pcmynan2BteepMsNGomDRAieMrnm.Geerrs S?2750 ve First Bedrock Lotsa Sod DepBik com mae metic Ori NoNore Pre Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. Grout Material: High solids bentonite from 6 to 65 ft. 2 bags lN125eQ0a__rfefeeseetttKSnSooouwuttnhhSWWoeuessrttce ddoiifrreeCccttoiinoontnamSSineQatetiicotntapannkkds/drraaiiinn fiseld tfeyldp_tyepe Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed 09/26/2001 Manufacturer's name AERMOTOR Model number S20-75 _ HP 0.75 Volts 230 Length of drop Pipe l_ft Capacity ~.p.m Type Submersible Material Abandoned Wells Doe> property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification L.t.Q. EnterQrises Inc. 91686 GRIMM. G. License Business Name Lie. Or Reg. No. Name of Driller ARC og ORL 0354S e037 368 2100 file:/IiJI/1\lPCA/1 Working/A0081-100%20-%20PFC%20Fo...ver%20Lakei\Vell%20Log%20Reporto/o20-o/o2000660931.htm (1 of 2)7/[/2008 12:44:50 PM 22222..11628 STATE 02822585 STATE_02822585 ae Well Log Report - 00660931 County Well Index Online Report 660931 Printed 612812008 HE-01205-07 file:/IiJI/1\lPCA/1 Working/A0081-100%20-%20PFC%20Fo ...ver%20Lakei\Vell%20Log%20Reporto/o20-o/o2000660931.htm (2 of 2)7/J/2008 12:44:50 PM 222222.116629 STATE_02822586 SSiittee NNoammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY SSt.t. CCllaaeir SSPt.tO. CCBllaoaixirr 1FFi8irr5ee DDeeppaarrttmmeenntt St. Cla, MN PO Box 185 St. Clair, MN 5566008800 NNoott pprroovviiddeedd,, ppaaggee ttwwoo ooff qquueessttiioonnnnaaiirree nnoott ccoommpplleetteedd TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtarianininingg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: Cciittyy ooff sSt.t. CCllaaicr NNoott ssppeecicfifiieedd,, uussee ooff 33MM ffooaamm iin trraaiinniinngg aassssuummeedd Sseemmi-i-aAnnnnuuaallllyy 551to0 1100 ggaallloonnss Ssttoormm SSeewweerr NNoott ssppeecciifieedd LLeeSSuueeuurr RRiivveerr llooccaatteedd aalloonngg nnoorrtthheeaasstt ssiiddee ooff ttoowwnn V1/a4ttoo 11/33 mmiille oouuttssiiddeeooff ttoowwnn TTrraaiinniinngg ssiitteeiissllooccaatteedd iinn aaccoovveerreedd kkaarrsstt aarreeaa IInnttoowwnn MMoorree tthhaann 11 mmiilee 223 22222222..11663300 SSTTAATTEE0_022882222558877 STT CLLAAIIR CWWII WWeellll MMaapp. i ZEoErNYa ISNUA | \S7- ScteCnNmPn 7 23 AL J =o \ NRE ON ee Ro fom JET _ i gel Lol LN EON NENLRaEn ASmEeeH & | 5 J IA TON ee 7 % - Fol hn NT oN wi ET) Tr PoAe LS a INWN Sei d Rag Rnn e EI SauRTe e ber EN Baile Astor] ONO NFER, Cs Sg hs TEE Re eae n - fo 5 on (2 Ti. a oN LNG pA a LOE NN MEY ma L TESA d PRON Ep SuQi"rP e pyrosy teiorr mEe1s7s)'e= e1NNaRdh E a y lLgih 2222.11663311 SR STATE_02822588 | __SStt CCllaaiirr WWhhaat't's IInn MMyy NNeeiighborrhhood MMaapp | \ | |! Hi | | als \ | Nn | fed IS || 1m foal f TNE ~-- Wi || an. | X = ||| i i N | | |4 1I L | Z e------) Sima. Sites Botavt Stupoorudn D~n.Mc:l matt~ &u~~rkl M | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion (ER IAN IR N | of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided | BR SASE EE T | subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost ||| MPCA that may arise from the use of this data. h Pomm~nSSiotl"IdzKWIaeWs.tdWe iInJpno~mmnli!nbeddDDuunm1Jp15 weap NFRAP ae Suporton maw ~~,..rill w ceroue C:~RCL!fi. Foam Superuna o f't\Je:nl SuptrfUnd ||| @mm@winnesota Pollutionn ConCtonrtrooll AgenAgecne,y ||| ate !iune: Cboocl L.cmcHUI5! vVoo!nUnllr~ l'raWt'Ia191t'11o:1n1'i & Cb!lrwJ!o A..t. R ltCRAC T1S!iEDR Ffa'clti:iA itlil:ols~ SRAmestatonaCras ~M Jrw-ut-kor-111& ClfiiiW~ + sum rooseom: ""- aum ~nw111 222222.116632 STSTAATTEE0_208282222558899 geJ)yh c5l 2usin go l:]T 2 iEy 0- oSS| zl | i B| r 93-52-30 w zr-- .o... .,...;..,. St Clair Wetland Map 93-52-0W 93-51-30W | i 93-51-0 w 1 93-50-30W ........ &. .J,. 0 z 94i |l;B, 222222.1166333 gy oHihyE! i|5 i thiifllaihLhe ailig a 7 'II~'\'~~~~~~~~~~~~~~~~~~~~ +~~~>~~~~ &t . ~'~~,~~~JN 0 z ssa Legend .0Ohlo_wet_scan D1 Out of range ;!</ Interstate Major Roads Bg EY i 5/ Le / J/ <5 /i / bh i8 i of iiz ete5 it z ,..0..;..,. z .0... ~ ....... z i : |i iis iis 93-52-30 w 93-52-0W 93-51-30W Hi i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N Ul \.0 0 :: |i TE Nra ........ &. 6 z AN ) .... .~... ~ 0 z ........ .................................... .J,. ~~~IN 0 z 93-51-0 w 93-50-30W Map center: 44 4' 57" N, 93 51' 29" W swam z 3 pvr wean Other Road ;!</ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K 0 South America u North America i: gd $ Scale: 1:20,276 sre ages Well Log Report- 00102550 Chose Afinnesota Unique Well No. 102550 County Quad QuadiD terDlue Earth StClair SSD EEA BORN cok MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD MinnewJta Statutes Chapter 1031 eis, Entry Date Update Date Received Date SH 06/17/1997 06/28/1997 Well Name EBERT, MRS. E. WW 8 BCD Flvmton Method Township Range Dir Sedion Subsedions Elevation 107 25 w 8 BCCCDD Elevation Method S50 981 ft. 7 .S minute topographic map (+/- 5 feet) Well Depth Depth Completed Date Well Completed |i on ae 160ft. Cable Tool 160ft. 05/07/1980 Drilling Fluid TIE] -- Well Hydrofmctured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? IZJ Yes D No Above/Below 1 ft. Casing Diameter 5 1n. to 155 ft Weight lbs/ft Hole Diameter i Geological Material Color meeHardness CSCOLAYILY YYBELEALLLCOOKWN SSSOOOFFFTTT CLAY BLUE SOFT =SANDY SAND CLAY wee GRAY GRAY SOFT HARD mf er Open Hole from ft. to ft. Screen YES :VIake JOHNSON From To Diameter Slot/Gauze emType Length me Set Between 860 620 0 12 2 1w5r5 ft and 160 ft 20 70 Sl70 120 120 160 Static Water Level 50 ft. from Land surface Date Measured 05/06/1980 PUMPING LEVEL (below land surface) 65 ft. after hrs. pumping 25 g. p.m. fount Well Head Completion Pitless adapter manufacturer Model DDcuCsaisinnggPPortoeteccttiioonn D01122in.aaibbeorvme rgra.addee. D00 AAvt-ggrraaddee ((EniviromnmientealWWceellelssaanmndd eBoorrininnggtssOOaNNLLlYY)) NO REMARKS Grouting Information Well Grouted? DYes D No poLocated Minnt:sola Gt:ological Survt:y l"nique Number Verification Information from neighbor System UTM- Nad83, Zonel5, Meiers =Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A rT Nearest Known Source of Contamination ZQ_feet L direction S~tic tank/drain field type X: 430569 Y: 4881935 Wdl disinft:clt:d upon complt:lion? D Yes D 'lo Pump IZl Not Installed Date Installed 05/09/1980 Lovet PTE0, Manufacturer's name GOU Length of drop Pipe ll__ft. CCnommi8 som LDS Model num Capacity lQ_g. p.m b e r Ea. .l.Q.EL__ HPQj_ Volts 230 Type Submersible Material Galvanized AAbbaannddoonneedd WWeellllss DLooesspperooppeerrtyyhhaavvee aannyy nnookt iinn uussee aanndd ncott sseeaaleedd wweeltl(ss)?'I JD Yes D No Er ton er First Bedrock Lhaset Stlrat eSand-gray Aquifer Quat. Buried Artes. Dpepmth to Baedro1 ck ft. County Well Index Online Report Aquifer Variance Was a variance granted from the MDH for this well? D Yes D 'lo Well Contractor Certification [oso[I we] Dt:nnWdiCo. 07120 DENN L. T.icense Business Name T.ic. Or Reg. 1\o. Name of Driller 102550 Prinled 6/28/7!J08 HE-01205-07 file:lillj!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R... ies/St%20Claif!Well%20Log%20Report%20-%2000102550.htm711/2008 12:48:00 P\A 222222.116634 STATE_02822591 55 o i EE]EE:E le|] 0.0 e3 Eg 252 4 Eg 3Hol EFs:EC= iPiygElf[5F% E FTFATEHSa. Well Log Report - 00209802 lvfinnesotu Uniljue Well No. 11 2o9so2 11 County Quad Quad ID Blue Earth StClair 551) Well Name ST. CLAIR OLD 1 Township Range Dir Section Subsections Elevation 107 25 w 8 DCCDDD Elevation Method s2f| EE 33s z% s Is EEfISA g5l), g 52 IE fsiiLEl5E3E2 oL|22|IZ l2s[5 MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 11-finnesota Statutes Chapter 1031 ; i: Entry Date Update Date Received Date 0611711997 02/16/2007 33 $i 985 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 320 ft. Drilling Method Cable Tool 5 Depth Completed 320ft. Date Well Completed 00/00/1913 ol [ 22 23 F| S7e,i: | e252 lfaifEc = 3 =3 Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Unknown 2 Casing Type Steel (black or low carbon) Joint No Tnrormalion Drive Shoe? ~o Above/Below ft. Casing Diameter Weight Hole Diameter 8 in. to 243 ft. lbs./ft o 2 DYes D 2 2 Iz [IEl [EF [2 5 JE iEciion|d Well Address STCLAIR MN 56080 Geological Material DRIFT LIMESTONE Color Hardness . From To 0 243 243 320 REMARKS WELL LOCATED INSIDE FILTER PLANT BLDG. "SEALED" PRIOR TO WELL CODE. : H.E 228 Open Hole from243 ft. to 320 ft. Screen NO Make Type & Diameter Slot/Gauze g Length g. Ll il #2] og BiLed E=IEglE, FBieflel]] ci1f044: Static Water Level 25 t1. trom Land surface Date Measured 1913 PUMPING LEVEL (below land surface) 43 t1. at1er hrs. pumping 100 g.p.m. Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade 0 qgsle D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No 2 5 di{ Set Between 3 . 3 P8ig31 $5832i3 222222.116635 H:I & 2 rig 2 53 Efifi:s 2 5% % J3 3] s| #z 2 4" 3s | o5f23244: PoEs afI fn3 |i] KBE= SiElE:% sate_o2s22552 3 Located Minnesota Department of Health Method Digitization (Screen)- Map (1: 12,000) Unique Number Verification Information trom owner Date 02115/2007 Nearest Known Source of Contamination : 23: iFt EE37S? H Ei iEmiEfl iE HE System Ul?o.1- Nud83, Lonel5, Meters X: 431454 Y: 4881142 - feet - direction _type ~ 0 Vl Well disinfected upon completion? D Yes D No rn Pump Not Installed Date Installed 00/00/1913 I 0 Manufacturer's name Model number - HP 12._ Volts N 00 Length of drop Pipe _ft. Capacitv _g.p.m Type Turbine Material N : 7i ai 5 N z: 2: { file:/iiii/MPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/St%20Clair/Well%20Log%20Reporto/o20-%2000209802.htrn (1 of 2)7/1/2008 12:48:00 PM : Ul \.0 N i : i x o 3 ! iiz ii: i xz sl Well Log Report - 00209802 2ilz iz if|E i|8 First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 243 ft. County Well Index Online Report if 2iz2] 22 iE 43 i = |3E:= H HE E EH E 2 |2i74(2 32ESEE 2 |g D D Abandoned Wells Does property have any not muse and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No United States Geological Survey USGS License Business Name Lie. Or Reg. No. Name of Driller 209802 I = IH Printed 6/28/2008 HE-01205-07 0 |g i 222222.116636 i i i i 32 3 i 3 i i :i 3i { i: 7 2 i i :: stare 0222503 ~Vl rn I 0 N 00 N N file:/i!IIfMPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/St%20Clair/Well%20Log%20Reporto/o20-%2000209802.htrn (2 of 2)7/1/2008 12:48:00 PM Ul \.0 w Well Log Report- 1JU5208Ul 520801 Minnesota Unique Well No. 520801 PEoni B County Quad Quad ID Blue Earth St Clair 55D `WELi L AND BORING RECORD MINNESOTA DEPARTMEI\T OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 03! Unione Entry Date Update Dale Received Date 015210 06117/1997 07122/1997 Well .\lame DIETEMAN. LAFELLE 8 Bo Hebd Township Range Dir Section Subsections Elevation 107 25 w 8 BDAAAA Elevation Method Well Address STCLAIR MN 56080 1002 ft. TSS |t 7. 5 minute topographic map mIee (+/- 5 feet) Well Depth Depth Completed 200 ft. 200 ft. Drilling Method Non-specified Rotary Date Well Completed 08/05/1993 Drilling Fluid Bentonite u Domestic Well Hydrofractured'l D Yes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 5 1n. to 194ft lbslft 8 in to 194 11 5 in to 200 11 Open Hole from ft. to ft. Screen YES Make JOIDJSON Type stainless steel Geological Material DRIFT SAND CLAY ROCK & SAND LIME Color Hardness BLUE NO REMARKS From 0 150 157 194 To Diameter 150 45 157 Slot/Gauze 25 Length 53 Set Between 194 11 and 200 11 194 200 Static Water Level 47 ft. from Land smface Date Measured 08/05/1993 PUMPI.\IG LEVEL (below land surface) 47 ft. after hrs. pumping 65 g.p.m. Pon st masts MONITER No Well Head Completion Pitless adapter manufacturer MONITER Model D Casing Protection D 12 in. above grade D At-grade (Enviromnental Wells and Borings 0'-JL Y) Grouting Information Well Grouted? 0 Yes D No Grout Material from 0 to 36 ft 4 bags Located Minn~sola G~ological Surv~y Method Digilizalion (Scr~~n) -Map ( 1:24,000) Soom UT No) Zt os: 1X: an Unique I\umber Verification Information from owner System UTM- Nad83, Zone15, Meters Date 06/25/2004 X: 431272 Y: 4882302 ES Nearest !ii_f~ct hn Known Source }Y_Uin::ction Stn of Contamination s~Qlic lank/drain field telyp~ Well disinfected upon completion? D Yes D No sreDg ge 0 Capi 0 sm Tie Shoe Soi Pump 0 Not Installed Date Installed 08/05/1993 Manufacturer's name GOULDS Model number - HPQj_ Volts 230 Length of drop Pipe 80 ft. Capacity 203 g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the :MDH for this well? D Yes Well Contractor Certification D No First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group Aquifer Prairi~ Du Chi~n Group Depth to Bedrock 194 ft. County Well Index Online Report EE Baer Well Co. License Business Name 520801 07251 BAER.J. Lie. Or Reg. '\lo. Name of Driller I Printed 6/28/2008 HE-0 1205-07 file:/f/II/MPCA/!\Vork:ing/A0081-100%20-%20PFC%20Foam/R .. .ies/St%20Clair/Well%20Log%20Report%20-%2000520801.htm7/1/2008 12:47:59 PM 2222222.11663377 STATE_02822594 Well Log Report- 'JU574997 M i n n e s 574997 ota Unique Well 574997 No. EPoni E County Quad Quad ID Blue Earth St Clair 55D `WELi L AND BORING RECORD MINNESOTA DEPARTMEI\T OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 03! Uninet Entry Date Update Dale 06117/1997 06128/1997 Received Date Well .\lame LINDE, DAN 3 Bom) Mma Township Range Dir Section Subsections Elevation 107 25 w 8 BCCCBD Elevation Method 981 ft. TSS |ann on 7.5 minute topographic map Er E I ee (+/- 5feet) Well Depth Depth Completed 180 ft. 180 ft. Drilling Method Non-specified Rotary Date Well Completed 06/24/1996 Drilling Fluid Other Well Hydrofractured'l D Yes D No From Ft. to Ft. u Dome.::tic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter hs Geological Material ErSOIL CLAY CLAY SANDY CLAY GRAVEL LIMESTONE Color we BLACK YELLOW BLUE BROWN meHardness SOFT SOFT SOFT SOFT SOFT HARD 5 1n. to 161 ft lbs 1ft 9 in to 161 It rl From Open Hole Screen NO To Diameter mm from 161 ft. to 180 ft. Make Type Slot/Gauze Length Set Between 2% 0 2 2 22 22 100 100 120 120 157 Static Water Level 157 180 30 ft. from Land surface Date Measured 06/24/1996 PTJMPT'\IG LEVEL (below land surface) 0 ft. after hrs. pumping 80 g. p.m. NO REMARKS Well Head Completion Pltless adapter manufacturer MONITOR Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings 0'\JL Y) Grouting Information Well Grouted? 0 Yes D No Grout Material: Bentonrte from 0 to 60 It 6 bags Located Minnesota Geological Survey Method Digitization (Screen)- 'v!ap (1:24,000) Unique l"umber Verification Tag on well Date 06/25/2004 System UTM- Nad83, Zone15, Meters X: 430537 Y: 4881976 Nearest Known Source of Contamination 1Q_feet South West direction Ser>tic tank/drain field type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 08/21/1996 Manufacturer's name AEROMOTOR Model number Al2B50 HPO.S Volts 230 Length of drop Pipe 60 ft. Capacity 12 g.p.m Type Submersible Material Plastic cms First Redrock Prairie Du C:hien Group Last Stral Prairie Du Chien Group pie Aquifer Prairie Du Chien Group Depth to Bedrock 157 ft. County Well Index Online Report Abandoned Wells Does property have any not in use and not sealed well(sJ? D No | ie il Variance Was a variance granted from the MDH for this welJ? D Yes \V'11 Contractor CPrtification Searles Well Co. 08258 VOLK, J. EI Lict:nst: Busint:ss Namt: 574997 Lie. Or Reg. '\lo. Name of Driller I D Yes D No Printed 6/28/2008 HE-0 1205-07 file:/f/II/MPCA/!\Vork:ing/A0081-100%20-%20PFC%20Foam/R .. .ies/St%20Clair/Well%20Log%20Report%20-%2000574997.htm7/1/2008 12:47:58 PM 222222.116638 STATE_02822595 Well Log Report- 00693225 M i n n e s 693225 ota Unique Well 693225 No. pSerwi County Quad QuadiD ren Blue Earth StClair 55D `WELLnAeNeDSBuORsICNGprREC81ORD MINNESOTA DEPAIUMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 p[inicerri01s0d Entry Date Update Date Received Date 08/03/2004 01/16/2006 01/03/2005 Well "'ame ST. CLAIR ATHELTIC FIELD To'\\nship Rang'-' Dir Sl'ction Subsl"ctions Elevation 107 25 w 8 CDCABC Elevation Method Well Depth Depth Completed Date Well Completed Em E I e 978 ft. 7.5 minute topographic map (+/- 5 feet) 235 ft. Drilling Fluid Bentonite 235ft. Roterv 07/28/2004 Well Hydrofractured? DYes IZJ No From Fl. to Fl. Usc Irrigation Well Address PO BOS99 ST CLAIR MN 56080 -- sean ] Geological Material SOIL STICKY Gime SANDY CLAY FINE SAND Sorc SANDY CLAY EE SAND & CLAY FIRM CLAY conColor BLACK TeYELLOW GRAY FE BLUE =GRYITAN GRAY Maes From To |CaSteioen mwlte WeGha Vmeowlwet Hardness SOFT ZL 0% SOFT SOFT AE SS SOFT a Setcuze Lng Seger SOFT From 0 5 12 16 75 112 Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Delow ft. IZJ Yes D Casing Diameter Weight Hole Diameter To 9 in. to 197ft lbs/ft 12 1n. to 195 ft 5 12 Open Hole from 197 ft. to 235 ft. 16 75 Screen NO Make Type 8 in. to 208 ft 112 Diameter 117 Slot/Gauze Length Set Between SANDY CLAY/MED BLUE SOFT 117 127 SANDY CLAY GRAY SOFT 127 161 SANDY CLAY GRAY SOFT 161 188 LIMEROCK/SHALE LIMESTONE [A LIMESTONE/SANDSTONE FIRM LIMESTONE EE LIMESTONE LIMESTONE firs ---- LIMESTONE &SANDSTONE FIRM GRY/GRN TAN/WHT fm een TAN/GRY TAN/PNK Bae Ew ROR TAN/WHT a RED/TAN M.HARD HARD HARD MEDIUM HARD HARD 188 192 192 197 197 204 204 213 213 223 223 230 230 235 [EE AP -- REMARKS GAMMA LOGGED 7-28-2004. LOGGED FOR COUNTY STUDY. oct Moros Gg Sey hl Pt Srp. Located Minnesota Geological Survey Coe Sembee min, cys Unique Nutnber Verification Infonnation from owner Method Digitization (Screen)- Map (1:24,000) Date 08/03/2004 Static Water Level 23 ft. ffom Land surface Date Measured U7/2g/2004 PUMPING LEVEL (below land surface) 60 ft. after hr;. pumping 600 g.p.m. ee] Well Head Completion RCT Pitless adapter manufacturer Duin Ol 2spot D Casing Protection D Model 12 in. above grade 0 re imeethmn ist 3.12 D At-grade (Environmental Wells and Borings ONLY) rabies VetGraes? EY E35 Grouting Information Wdl Grouted? IZJ Yes D l\o Gost vim wn wot Grout Material High solids bentmte from to 40ft eRSC Nearest Known Source of Contamination .SQ_feet L direction Sewer type sim 5 bags System UTiv!- Nad83. Zonel5, Meters X: 430975 Y: 4881287 oN my oASt torGtUAet TdEGpS acNoebdros$581009 \Vell disinfected upon completion? D Yes D No Pump D Not Installed Date Installed 08/26/2004 Manufacturer's name GRUNDFOS Model number 85-S-1 00-9-6 - liP lQ_ Volts 230 Length oop ge 84 0 Copy gpm Tops Submenis Mtl Gabi) Length ofdrop Pipe 84 ft. Capacity g.p.m Type Submersible Material Galvanized TT ------------------ XN Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes o. IZl No Pr ---- Borehole Geophysics Yes Pi eid Pe Duh Gr First Bedrock Prairie Du Chien Group seu ae Chin Cr Last Strat Prairie Du Chien Group vg Iii Che Aquifer Prairie Du Chien Group Depa 17 8 Depth to Bedrock 192 ft. Variance \Vas a variance granted from the MDH for this well? D Cer Coa Well Contractor Certification Salwalce SKK Searles Well Co. 08258 KUCK T. cue BosNec rk No ame trl License Business Name Lie. Or Reg. No. Name of Driller Yes IZl No County Well Index Online Report 693225 I Pr1nted 6128/2008 HE-01205-07 file: /IIII/J\1PCAI! Working/A0081-1 00%20-%20PFC%20Foam/R.. ies/St%20Clair/Well%20Log%20Report%20-%2000693225 .htm'7/1 /2008 12:48:00 PM 22222222.11663399 SSTTAATETE0_208282222559966 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY SSt.t. CClloouudd SS1L.t0.1CC1ll0oou"uddAFFviierreneuDDeeepNpaarrttmmeenntt St. Cloud, MN 56303 101 10th Avenue N. St. Cloud, MN 56303 D3Da2ann06WWr5or0ob3be5bl2e,8l, DDepeutpyFFruiereCtChihyeieff `d3de2ea0an-n6.ww5i0roo-3bb5bb2eel8l@@ecii..sst--ccloouudd.mmnn.uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreessttwwaatteerrwwelelll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: OO1p8p5ee0nn4ff5iietelhdd AnnveeeaarnruSSettaaSttiiEoonn(a22i,,rp77o00r0t0 s44t11astsittonAA)v.veeSnnt.uueeClNNo..ua;adnndd,, SSttaattioonn ,4, 1550 45th Avenue SE (airport station), St. Cloud AATrRRaAi-AFniFFnFFgF.F:oaCCmhh:eemmCgghuueaamrrgdduard Training Foam: Chemguard AAnnnnuuaallllyy AATrRRaAi-AFniFFnEFg:FF:oa22m00:ggaa4llll0oonngssallons Training Foam: 40 gallons GGrroouunndd AATrRRaAi-AFniFFnFEgF:F:oa22m00:ggaa4lll0loonngssalons Training Foam: 40 gallons EsEilltkk:RRuiivnvenerallmooeccadatteepddonaadlloonengsgsssootuuhttahhn ss1ii/dd4eemooiflfeaaiinrprooprrotthr/4wt5ests"h!AoAfvvee4nn1uu%eeAttvrreaaniinunieinn.gg traning ic site; unnamed training site. pond less than 1/4 mile northwest of 41st Avenue OOonfn4aa1nn%ddAaavddejjnaaucceeennsttiett.oo aaiirrppoorrt/u4a5sth" AAvveennuuee ssiete;; 112/120 1to 1 mmiilee ssoouutthh of 41st Avenue site. AAmpiplpperrooSxxoiiummtahatwteeellsyyt11o//f444mm1iileeAfvfrroeomnmuaaeiirsprtope.rotr/4t5st"h AAvveennuuee ssiittee;; 11//441to0 111/33 mile southwest of 41st Avenue site. MiMsoolrroeecattthheaadnni11n ommriillaeedjffrarocomemntaaiiropropWrote/r4lt5lsthh"eaAAdvveePnnrouuteeecssttitieeo;;n44A11rstaAAvveennuuee ssittee is located in or adjacent to Wellhead Protection Area. 118 22222222..11664400 SSTTAATTEE0_022882222559977 SSTT CCLLOOUUDD 4411s*t AAVVEE CCWWII WWeellll MMaapp Eo Vi at W WAE AWeJaemlELNSNELRefeeof f SO AsTRiSe e e- dy Ean eed "ih i AN EE I a , Jo rs RE K)Gohoeds NTSigne|, F ti |/ Fail [dei y Ca i] a EET NR | Loo - [LE Te GEE 5 AE S2L7 wae Foaia fe! 0 EET | hid pljan =LIP e aSe EB heOSITE TRTT ya | TJamHP eal | ih oo les BT ES ft a gt Ft a seeltdm hoteeacdt=i=e onbaot|m TfELPGA| S F TTSa ma dA ET1R ]Le 5 fal wihgel J hy ve asa atid FS TIRE BEE ili mmm a hh ILELL 2222.11664411 STATE_02822598 |SStt..CCllooudu4d14s1sttAAvveennuueeWWhahta't'ss IInnMMyyNeNiegighhbboorrhhoooodd_ || \\ FFisIN i i -- 1 - \ , | SN 3 2 or J 3i ick " sisi LE Faber / for iat aa a7 ii 1 feTons |brLei Raros mn3 ]Vids fear irri Jritiod. Fy | mm itm ert TERS | pl ee A1p d i |L I f Tr h Er T sbeT reparti e ae ] tT i ~ Fl HE [ 1 | rrr i | | La Tahoe sta REN = EE TM x Ea I SnSites | BDon~no.tMsc:dlSmtaattt~oS&uup~o~rriklurMd | Mommies Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion (hE SR | inpemninsa Bumps of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided | subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost oweof YT dl iefr maps pt W=RAP = MPCA that may arise from the use ofthis data. hm~ St"IKIW.W IJn~ml!bd Dun1J15 NFRAP maw ~~,..rill w | Wit C:~RCL~fi. o f't\Jtnl SuptrfUnd || R oe e | @minnesota Pollution Control Agency !iune: Cboocl L.cmcHUI5! oVob!iUnalnlr,~ l'rWs'iI19m1'1o1:1n1'i & Cb!lrwJ!o ..t. ltCRA 1!iD f'lt:ill:l~ omens cota ~M Jrw-ut-kor-111& ClfiiiW~ | "A"-SatuamA~ eonrws1 em1I1m 222222.116642 stare oas22598 STATE_02822599 a| i 8S 2= g Z| 2 3o ald Yr | mos (|g, gaildl 5 Hilly UdCHR ipemnag lg i Se ? HitUaa A A NE 3 3 ek St Cloud 41st Av Wetland Map SSE 222222.116643 nN a Fig 5 ~2 ah EN] H | Nila2,pr85Ekev8 o ii9h NVE ai 8s HE . ue \ Orb = 5 8 .... "w' "z ' LN > \) { X 3 1,, ,, ....... : { .... m~ l"l ......... ,.., , . , "' .......J~ z gE 5 gE 8 3 i : 3 | <'fi ,,,,.;,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18 z | T= -- Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America 5 he :3 :ig2 " i : NJ sik 1 |i & fe sii[iE 94-14W 94-13W 94-12W 94-11W Iii r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 2 Map center: 45 33' 46" N, 94 12' 28" W $ 3 35 Scale: 1:43,306 N 00 N N 0"1 0 0 : i uo | [p-- Well Log Report- 00400535 [00535] 1\Iinnesota Unique Well 400535 No. om' County Quad Quad ID Sol Steams St Cloud 156C WELL AND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne.mta Statutes Chapter 1031 [rode Entry Date Update DatP Received Date 04/17/1988 07/14/1993 Well Name SCHMIDT LABS INC Ll Township Range Dir Section Subsections Elevation 124 28 w 9 CBDAAC Elevation Method 1044 ft. 7. 5 minute topographic map(+/- 5 feet) Well Depth Depth Completed 55 ft. 55 n. LL Le on .orillliig t\i~th~d c~bi~ T~~~ Date Well Completed 06/13!19S6 .... Dtilling Fluid I -- hs Usc Industrial Well Hydrofractured? DYes D No From Ft. to Ft. 0 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? Yes 0H No Aboreeton 1 0. e D'\lo Above/Below I ft. Casing Diameter Weight Hole Diameter 4 in. to 51 ft lbs/ft 4 ln. to 55 ft Well Address 4605 RUSAN ST rvJrJ Open Hole from ft. to ft. Screen YES Make JOHNSO'\l Type stainless steel Geological Material 0 Ge sw SAND En HARDPNJ SAND, GRAVEL & WATER Color Hardness From To one El BROWN HARD 0 21 BEI GRAY HARD 21 51 51 55 Diameter 4 Slot/Gauze 18 Length 4 Set Between 51 ft and 55 f1 Static Water Level 8 ft. from Land surface Date Measured PI:MPING LEVEL (below land surface) 20 ft. after hrs. pumping 25 g.p.m. 06/13/1986 A -- REMARKS ACROSS FROM VA HOSPITAL--INDUSTRJAL PARK OFF CTY 4 INSIDE Rl:JJDJNG. Pomts Well Head Completion Pitless adapter manufacturer Sad Model Gnatogltrmaton WebGrsst? Ulva B30 DDlcCuaisningg Prroeleidinon 0D 1122iinn.aabboovvee ggrraaddee 0D0 AAvtg-grraaddee (EEnviironsmeentalWnWeelillssaaanddBB)oiornigngssOONNLLYY)) Grouting Information Well Grouted? DYes 0 No rt Mont Located Minnesota Geological Survey id Dt ch 3400 be Method Digitized - scale 1:24.000 or larger (Digitizing Table) iTN Mr. 05355, S011 Unique Number Verilication Information DateN/A from owner System UTM- Nad83. Zonel5. Meters X: 405255 Y: 5046324 Nearest Known Source of Contamination vsomens! _feet _direction _type Well disinfected upon completion? 0D voYes Bo D 1\o Pump 0 Not Installed Date Installed 06/17/1986 Tonto Pod 0. Coin19 som Manufacturer's name .TAC1J771 Model number R5S410S-S2 _ HPQ.l_ Volts 230 Length of drop Pipe 2Q___ft. Capacity lQ_g.p.m Type Submersible Material Fiberglass Abandoned Wells Does property have any not in use and not sealed well(s)? D Yeoos OD NNo First Bedrock L[ahst eStimgt lSand & larger Aquifer Quat. Buried Artes. Aquifer pr Depth to Redrock ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Donabaucr Well Co. ws License Business Nrune 400535 73061 Lie. Or Reg. No. I DONABAUER Q,_ Name of Driller Yes D No Printed 6/28/2008 HE-01205-07 file:///II/lAPCAI!Working/A0081-100%20-%20PFC%20Foam1... d%204lst%20Av/Well%20Log%20Report%20-%2000400535.htm7/l/2008 12:50:05 PM 222222..11644 STATE_02822601 Well Log Report- 00419231 Minnesota Unique Well No. 419231 uoa eSC County Quad QuadiD Steams StCloud 156C `WELLinANDSBOtRINGgaRrE1C1ORD MINNESOTA DEPAIUMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 UMpieueoaue Entry Date Update Date Received Date choir 09/08/1992 05/06/2005 Well Name OLD WAITE PARK WELL 4 To'\\nship Rang'-' Dir Sl'ction Subsl"ctions Elevation 124 28 w 9 CDBBCA Elevation Method 1051 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed Date Well Completed 45ft. 44ft. 10/30/1986 mIom Drilling Fluid -- Roterv Well Hydrofractured? DYes 0No From Fl. to Fl. Usc Abandoned Status Sealed TI Well Address WAITE PARK MN 56387 [occas Geological Material DIRT & ROCKS an SANDY CLAY CLAY Some SAND-FINE Sane SAND-FINE Sorin SAND-COARSE GRAVEL COARSE SANDY CLAY REGOLITH & BROKEN ROCK ELasS om 0 REMARKS WELL SEALED 02-05-1990 BY 27010 orColor BLACK Wow YELLOW GRYIYEL Gow YELLOW PrBLUE voBLUE GRAY Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Delow 2 ft. DYes 0 Casing Diameter Weight Hole Diameter men on To Hardness SOFT ST SOFT MED-HRD Sam os ow SFT-MED From To 0 1 1 5 5 8 8 16 SFT-MED 16 21 MEDIUM MEDIUM sl 21 29 29 39 39 42 42 45 12 1n. to 32ft Pom Open Hole from ft. to ft. Screen YES ome Diameter |12 seems Make JOHNSON SloUGauze 120 lbs/ft er Type stainless steel tog settee Length Set Between 12 Ermer 32 ft and 44 ft Static Water Level 15 ft. from Land surface Date Measured 10/30/1986 PUMPING LEVEL (below land surface) NetEt CSonnT a 29.8 ft. after 12 hrs. pumping 246 g.p.m. Well Head Completion Pitless adapter manufacturer Model DDaCansingg Prorostcesctiioonn B0 1122iinn.sahboovvee pgraad:e 0sr mime ethmtr 31) D At-grade (Environmental Wells and Borings ONLY) rin trio acne? @ve CI Grouting Information Well Grouted? 0 Yes D l\o cud MGs Sd Dist 2400 bre Located Minnesota Geological Survey J ert lJnique Number Verification Infonnatlon te from owner meUT Sltwi Hse 50 Vs ns System UTI'vf- Nad/!3, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date N!A X: 405310 Y: 5046081 Grout Material Neat Cement NrNeare~t Known Source ofContaniination a een Gare ZQ_feet North East direction Other type 0 Ee Well disinfected upon completion? Yes from 0 to 26ft Oe D No Pump D Not Installed Date Installed h1anufacturer's name Model number - Lon ovpPe. Come 35m Tire Asal Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material Amedeo ets bm to mtr ve Abandoned Wells Docs property have any not in usc and not scaled wdl(s)? D Yes ow D No i dk Crm Kh First Bedrock Cretaceous Regolith otseme es Last Strat Cretaceous Regolith pq ut eTor A Aquifer Quat. Water Table Aquifer pa i 8 Depth to Bedrock 42 ft. County Well Index Online Report Variance Was a variance granted rom the MlJH for this well'? D Well Contractor Certification Toate nn oD Ervin Well Co. 65252 ERVIl\ D. ich mi Orn mete License Business Name Lie. Or Reg. No. Name of Driller 419231 I Yes D No Pr1nted 612812008 HE-01205-07 file: /IIII/J\1PCAI! Working/A0081-1 00%20-%20PFC%20Foaml.. d%2041 st%20AvMrell%20Log%20Report%20-%2000419231.htm7/1/2008 12:50:05 PJ'vf 22222..11645 SSTTAATTEE__0022882222660022 Well Log Report - 00501189 [ so1is9 Mists A1innesnta Use Unique Belo Well Nn. 501189 py County Quad Quad ID scum Steams Son St Cloud lSGC `MMWIINSENNLFELSSOOTTAAANDDDEEPPBAAORRRTTIMMENENNGTTROOFEF CHHEEOAARLLTDTHH WELL AND BORING RECORD Minnesota Statutes Chapter I 031 [---- Entry Date [roc Update Date 06/24/1991 07/1411993 Received Date Well Name OCTAGO!\ R1 JJT DING x 000 st Townhip Range Dir Section Subsections Elevation 124 28 w 9 DDDABD Elevation Method Well Depth Depth Completed 250| it Sty 1044 ft. 7.5 minute topographic map(+/- 5 feet) 69ft. 69ft. Drilling Method Non-specified Rotary Drilling Fluid Bentonite IWell Hydrofractured? From Ft. to Ft. Date Well Completed '07/07!1989 DYes D No Use liTigation Casing Type Steel (black or low carbon) Joint IZI 1\o Above/Below 0 ft. Casing Diameter Weight ma TI1readed Drive Shoe? Hole Diameter DYes 4 in. to 65 ft lbs/ft r7ies W3W2eS5llT3A3RRdODdAArVeNsNs ST CLOUD Mr~ SO Geological SAND Material CLAY SAND sBeoEmm CSBRoOOloWMrN HMNEEaDDr-dIHnRReDDss GRAY HARD BROWN SOFT IYa] ec0From Open Hole Screen YES 6 Diameter To 4 45 45 61 61 69 from ft. to ft. Make JOIINSON Slot/Gauze 2a0 = Te Type stainless steel Length Set Between 4 6-5 ft and 6-9 ft Static Water Level 18 ft. from Land surface Date Measured 07/07/1989 PI:MPING LEVEL (below land surface) 0 ft. after hrs. pumping 50 g. p.m. NO REMARKS Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D00 Atg-grraaddee((EEnvviirornmoennmtaelWWneltell)lss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes IZI No Late Moms Ga Suey Located Minnesota Geological Survey Unique Number Verification Address verification Sfyosatemm UTTMi- NaNd83. ZTnenlels5. Mretters Mth Ditizd cle 124000 ret :VIethod Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A XSo: 4B06G41S8 3Y: : i50s4e58t7y9 First Redrock Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedro~k ft. County Well Index Online Report Grout Material Cuttings from 0 to ft 0 Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pmup IZI 1\ot Installed Date Installed 07/13/1989 Manufacturer's nan1e A.Y. MCDONALD Model number 21075P3 _ HP 0.75 Volts 230 Length of drop Pipe R__ft. Capacity l_g.p.m Type Submersible Material Galvanized AAbbaannddoonnedWWelelllss DDuooses pprrooppeerrttyy hhaavveeaamnyymnoott iinn uussee aand noott ssecaalleeddwweelll(s?)0 0D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D 1\o Well Contrador Certification G&M Drilling 73542 MAJERUS. S. License Business Name Lie. Or Reg. No. Name of Driller 501189 I Printed 6/28/2008 HE-01205-07 fi1e:lliliiMPCA/1Workmg1A0081-1 00%20-%20PFC%20F oam/. ..d%2041st%20Av;Well%20Log%20Report%20-%2000501189 htm 71112008 12 50:03 PM 22222..11646 STATE_02822603 SSTT CCLLOOUUDD 44551"11 AAVVEE CCWWII WWeellll MMaapp waka) wn ET FENN SE eT CUSaNtaaTngFrA TT NeB EE T BAT [05 SRA4 S"BatE,OTTw Sees en WiOR sj es d Boa Thn e Te ah Se Ee ST 1T 37 E Rn es,a Ny a Sanna Yo RR SY Np ame Lt S\poAsEET DRS GL, Tp oy WNby SN Nips? 2 NY i 162d SCPeElEsTeaN l W Ry T , NA"bNN\aNWEN AR a0] J NNe ONEd em] TN Br byio leSZIeeTSAElNER ecg i SY Ce ny GE TR nee ep ag so AN a h 5 C = aG OE TN UVNERNN SRL 5 fal a. % 2 Some Lo PCISRpicie ANY NCR Ny E S fa E TO A7ENSAEN ho Ty & Nh 2d % SA"= nRi E or l Fl oe,E NOeNAWA Tinoga peAS wlEinANSTFEY NWoo a(sI)PELEEy a Ng me ws p Ou dm te amnmo inCo, rn -- niemneBLE[OSe N0L 222222.116647 sSTaArTeEo_0a2s8a22660040 | lly =| : | SStt.. CClloouudd445" AAvveennuueeWWhahta't'ss IInn MMyy NNeeiigghhbboorrhhoooodd _ | -- dT |T| ere i| eo i i{ | fifi en 2TR5 ng hy le || | 1 Hi F a" la lite A | SSIITTEE~ | . K .. : ; EE f - Jers I ||[mm | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost F || R na anyvine so sd li fo dps sit MPCA that may arise from the use of this data. | || -- || | Pollution Control Agenec:y SSiitoens BoDt~ino.Mtca:dl mtaattt~eS&uup~o~rrikulnMd Pomaeasean hm~ St"IKIW.W omni IJn~ml!bd Dun1J15 cones WNFRRAAPP mtawy ~R~u,g..orritlluwnd C:~RCL~fi. oFef'dt\eJer:anll SSuupptsrfrUinudt vinta mason * !iune: Cboocl L.cmcHUI5! Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o xRoRATIDFace ..t. ltCRA UD f'lt:ill:l~ nti ~M Jrw-ut-kor-111 & ClfiiiW~ "A"-SatuamA~ eonrws1 em1I1m 222222.116648 sSTatAeT_Eo_208282222660055 Pb 8 2 2| %Rs 3olfi rgard (le| PU 1wil1lI TTI : Wild HERR id i $190 => < Eo]| gidTe 5BSEEE g3ly IL 54 St Cloud 45th Av Wetland Map 222222.1166449 on noon enon nso sao sarson or Nn : | g i |PE || i | | r| e4 E gi L] "w'.... .l...................................................................;............................................................ c,;Y\?~"''..........................................................................................................................................~~~""' 6 z nJd / ie iit EJay iite NR): A F9% IA tH AY' $2a4 94-SW 94-4W i jo ii ie r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 0"1 0 0"1 is | 5; 3 2 [| 4 -oF i[1 gg = BE = a Ze3 i 1g 2. NNVen, 4 .g i S IN l in mn le hTvR) oN ii <fw !~ 0 z <f w 'f ~ .... "w' "w' 0 z .... "w' "6 ' z ti; ~ w 0 z T wr] D Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway II ~ ~::::way e Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK II o South America D North America 94-3W Map center: 45 32' 44" N, 94 3' 59" W $ 2 Scale: 1:37,737 3 g stare. 02822606 Well Log Report- 00123003 [23005]on Minnesnta Unique Well Nn. 123003 County Quad QuadiD cameSherburne Cable 156D WELL AND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Vpiuelwe Entry Date Update Date Received Date olan 04/17/1988 04/0S/200S Well Name GAINIE. RO\l HW 3 ICDA Hen abed Township Range Dir Section Subsections Elevation 35 30 w 2 BDCDDA Elevation Method or 1039 ft. 7. 5 minute topographic map (+/- 5 feet) Well Depth Depth Completed |iire 52 ft. Cable Tool 52 ft. Drillinl! Fluid -- IWell Hydrofractured? From Ft. to Ft. Date Well Completed -02/]4/1975 DYes D No Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? No Above/Below 1.25 ft. 0 Yes D Casing Diameter Weight Hole Diameter 4 in. to 48 It lbs/ft Geological Material ie SAI~DY CLAY GRAVEL SAI~D 20 SLOT Color Hardness RE BROWN BROWN BROWN SOFT SOFT SOFT From 0 25 48 ToOpen Hole from ft. to ft. Screen YES Make JOHNSON Diameter Slot/Gauze a zr Type stainless steel Length Set Between To 3 20 4.7 48 It and 52 ft 25 48 imme 52 Statk Water Level 18 ft. from Land surface Date Measured 02/14/1975 PUMPING LEVEL (below land surface) 18 ft. after I hrs. pumping 20 g.p.m. a Well Head Completion Pitless adapter manufacturer Model D Casing Protection 0 12 in. above grade D0) Atg-grraaddee (EEmnivcireomnnmeetnatall WWeellllssaannddBBeoirninggss OONNLLYY)) NO REMARKS Groutin~ Information Well Grouted? DYes 0 No -- Located Minnewta Geological Smvey Method Digitized- scale 1:24,000 or larger (Digiti7ing Table) Unique Number Verification Name on mailbox DateN/A EE Nearest Known Source of Contamination _feet - direction _type [BSyosetem SU7T3M4 - NNaodl8i3., Zmoenerl5, MHoeatersXXs: H41E8T70944 Y3: : S50o4o48t1y0 Sm Well disinfected upon completion 0 Yes D No PPuummpp 0E)NNooxt Intsatallloedd DDuaete IInnasatalllleodd00333/301//11997755 Manufacturer's name DEMPSTER Model number DMS052 Length of drop Pipe n_ft. Capacity ll_g.p.m HPQj_ Volls 230 Type Submersible Material Galvanized AAbebannddonedWWeelllls DDooccss pprrooppretrtyyhhaavveeaannyynnoott min ussc aanndd nmottssecaeledd wwecllll(ss))?? 0D Yese.s wan gmmsase La FirstBedrock Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Depth to Redrock ft. [em wen | I o e] County Well Index Online Report 0D NNoo Variance Was a variance granted from the MDH for this well? D Well Contmdor Certification Traut Well 73157 STOTKO J. License Business Name Lie. Or Reg. No. Name of Driller 123003 Yes D No Printed 6/28/2008 HE-01205-07 file:/I!IIf11PCAI!V..rorking!A0081-1 00%20-%20PFC%20Foam/...d%2045th%20Av/V.Jell%20Log%20Report%20-%2000123003.htm7 /1/2008 12:51:38 PM 22222..11650 STATE_02822607 Well Log Report- 00126518 I Minnesota Unique We// No. 126518 || CSo~:oo:w:nmtyi 111....-1=12=6=51=8====::!..Ill ~ . QuadlD STR ROT TORT ROTO, Well Name PROM, LORN (PROM DAIRY) Stane Sherburne coeCable Va156D Township Range Dir Section Subsections Elevation 33s5 3300 wW 1111 CCAAAADDBBCC EElleevvaattiioonnMMetethhoodd ecto tui Geological Material Stoo SAND, ROCK Gane SAND, GRAVEL Sirona HARDPAN iveWATER VEIN Color Hatness Color Hardness To rwaes NO REMARKS MINNESOTA DEPARTMENT OF MINNESOTA DEPARTMENT OF EAT Buu otis HEALTH WELL AND BORING Unie bu otonen WELL AND BORING RECORD Rett oe RECORD instSurus Caper 131 1lfinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04117/1988 04108/2008 ek DeComp Re WATCon Well Depth Depth Completed Date Well Completed 1013 ft. 75 mine 7.5 minute totoppooggrraapphhiicc mmaapp Tr (-/- 5 feet) HRS TRI 111 ft. 111 ft. Drillilinngg MeMethotd hod CaCbalve TYooool =06/21!1977 EE Drilling Fluid Wweetll HHhyadrrooffrraacctuurreedd?? 0DYveesr 0D NNoo -- From Ft. to Ft. (OUsee dImrrpigiatoionn 1 CaCsaisinngg TTyyppee JJooiinntt WWeellddeedd DrDirivvee SShhooee?? D [JYYeess D0 NNoo AAbboovvee!/ Below 1 ft. Casing Omer Casing Diameter Wan Br 12 in. to 82 ft. We Weight wnlbs./ft. Til Bam Hole Diameter ETT Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel Omer SoiGauze Length SaBetween Diameter fom To | i oh seme From To 0 oy 0 30 Slot/Gauze 40 Length 30 Set Between 82 ft. and 111 It 5 w 30 60 ow 60 80 FE80 111 Static Water Level Ln Mead 06211977 16 ft. from Land surface Date Measured 06/21/1977 FRAG LIVE eb ey PUMPING LEVEL (below land surface) Lr 1 pent 0 spn 80 n. at1er 1 hrs. pumping 850 g.p.m. [---- Well Head Completion hiirsbaet rSsE Pitless adapter manufacturer Model Covi tomo Gost ver @ ve DDO cCaassiinngg PPrroosteeccttiioonn 0 1122inin.. aabboovvee ggrraaddee 0D] AAvt-ggrraaddee(En(Evmirioronnmmeennttsall WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0 No Led Mime Gg Located Minnesota Geological Survey J-- Unique Number VenheatonInfomation romownee Verification Information from owner Sytem UTM Nat Zonet. System UTM- Nad83, Zonel5, }vfeters Neth Died le 120000 Method Digitized - scale 1:24,000 or larger (Digitizing Table) Dat3e NA DateN/A ugr2 : sovond X: 418872 Y: 5043014 Fos Bek First Bedrock List Sud Last Strat Sand iter on ad Ars Ai Aquifer Quat. Buried Artes. Aquifer Det 8 Depth to Bedrock ft. NeRTS C Nearest Known Source of Contamination oa _feet - direction _type Welitpe orcompd leion?_B) Yoo Well disinfected upon completion? D Yes 0 to D No PPuummpp 0 NNoott IInnssttaalllleedd DDaattee IInnssttaalllleedd Manufacturer's name WESTERN LAND ROLLER ie = ANRC number - HPQ_ Volts Length of drop Pipe liQ_t1. Capacity _g.p.m oo Tui Mel Sb aon Type Turbine Material Steel (black or low carbon} Model PE Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Ow VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDII!Iffoorrtthhiisswwelelll?? D[J YYeess. D No Well Contractor Certification MMeeAAllp]iJinnee BBrrootthheerrss cen ims ame. re No on rieer License Business Name $866227700 MaCAl LPIe NE. L Lie. Or Reg. No. Name of Driller AC kg HRS. Big San FOR ESET file:i/ill/l\1PCA/~WorkingiA0081-100%20-%20PFC%20Fo...045th%20Av/Well%20Log%20Report%20-%2000 126518.htm (I of 2)7/1!2008 12:51:38 PM 222222..165511 sSTTaArTeE__0022682222660088 Well Log Report- 00126518 County Well Index Online Report zis 126518 Printed 6/28/2008 HE-01205-07 file://ill/l\1PCA/~WorkingiA0081-100%20-%20PFC%20Fo...045th%20Av/Well%20Log%20Report%20-%2000 126518.htm (2 of 2)7/112008 12:51:38 PM 222222.116652 STATE_02822609 Well Log Report- 00226056 Minnesnta Unique Well Nn. 226056 oiin Ceen 226056 County Quad QuadiD Tm Well Name IIIDDARD, KEITH 1 Sherburne Cahle 156D wv 1 cen motion Township Range Dir Section Subsections Elevation 35 30 w 10 DBCCCB Elevation Method MI~NESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD WELL AND BORING RECORD [re Miuue. ota Statutes Chapter 1031 NT 1015 ft. ZS |ci 7 5 minute topographic map(+/- 5 feet) Well Depth Depth Completed 85 ft. S5 ft. tirilfu;ii "leth~d c~t;i~ 'r~~~ Entry Date Trawehue outs Update Date oidte Received Date 12/01/1990 04/0S/200S hae Date Well Completed 11/1511979 Drilling Fluid -- IWell Hydrofractured? DYes D No From Ft. to Ft. Use Irrigation Cote oe Se Sone on tm Dove 0 xo Aboneilo0n 8. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DNa Above/Below 0 ft. ers beter Wei Sr Casing Diameter Weight Hole Diameter Ten 01 on 12 in. to 60 ft lbs/ft D71 DYes Emme| Open Hole Ji-mn ft. to ft. comet twin sRomisao Geological Material BROWN SA~ID oaROCKS TeHARDPA~I WATER VEI~I co tmnes BROWN Color BROW!~ EN DK.BRN [a] BLACK SHSOOaFFrTTdness HARD HARD GRAY SOFT bom o [Ogee Swen ume stem From 0 HI3 oa 20 Screen YES 3 2 To Diameter 3 12 20 65 Make JOHNSON Slot/Gauze Type stainless steel Length 20 st Set Between 60 ft and 80 ft 65 85 Static Water Level 25 ft. from Land surface Date Measured ll/1511979 PUMPING LEVEL (below land surface) ft. after brs. pumping 300 g.p.m. Welt Compton Well Head Completion Permits ita Pitless adapter manufacturer Model Ocuienin 0 iia sven D Casing Protection D 12 in. above grade D0 Atg-grraaddee E(EnvvironimesntalWoWelelnllssaanmnddBBneorriinntggss OaONNLLlYY)). REMARKS NOT USING THIS WELL Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey J Unk NumerVerteaton omenpy x; Unique Number Verification Information from owner Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A System UTM-Nad83, Zonel5, Meters X: 417374 Y: 5042841 TR SC a a Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Prunp D Not Installed Date Installed Manufacturer's name Model number - HPQ_ Volts decd Wel Doss rs ot oe escapes Vo Length ofdrop Pipe ft. Capacity g.p.m Type Material 0 xo Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No nck ue us hidAt it First Bedrock Irn ieee 1 Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Wetindex Onin Rept County Well Index Online Report Variance Was a variance granted tram the MUH for this well'! D Well Contractor Certification No 2 Me AlQine Brothers 86270 oncome np No. wre License Business Name Lie. Or Reg. l\o. Name of Driller [220s TI 226056 Yes D No EE Printed 6/28/2008 HE-0 1205-07 file:///II/11PCA/!Vv'orking/A0081-1 00%20-%20PFC%20Foam/ ..d%2045th%20Av;Well%20Log%20Report%20-%2000226056.htm711/2008 12 51:37 PM 2222222.11665533 STSTAATTEE0_208282222661100 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY SSLt. PPaauull SSOLtD. PPEaauul1l 1FF"iiSrreetrDDeeeepptaarrttmmeenntt St.Paul, uN 55101 100 E. 11th Street St. Paul, MN 55101 C6Cl5laa1rr.ee6nn4cc4ee.9HH1aa3ww3kkiinnss 6CCl5laa1rr-e6enn4cc4ee-9.hh1aa3ww3kkiinnss@@cic.i.ssttppaauull..mmnn..uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 11668833 EEnneerrggyy PPaarrkk DDrriivvee,, SS1.t. PPaauull AAAFRFFAFFFF:F: E33:MW LL3iiMgghh!LtiWWgahltaetWerartAAeTTrCCA((ThnGsislt(ooririitccouursscee))use) lass A-B AR-AFFF: Class A-B Hi Expansion: Kidde 3M Light Water ATC Hi Expansion: Kidde HrEx (historic Hi-Ex use) AApppprrooxxiimmaatteellyyeevveerryy 1188 mmoonntthhss,, wwhheenn tthherree sis aa rreeccrruuitt aaccaaddeemmyy 551to01100ggaallloonnss GGrroouunndd AAAFRFFAFEFF:F: F11.55 1ggaa5lllgooannlssons GACGllRlaaas-ssAsssFA4AF-FBB:2HHg1ai5lEElgxxoa:nlsl1o122nsoouunncceess Other: 5 Class A: Other: 5 gg2aaglllaoolnnlossn((sAAnnssuuilittee 33%%)) UUnniiddeenntitiffiieedd ppoonndd., 11//44 ttoo 117/22 mmiilee ssoouutthhwweesstt 11/221t0o 117/22 mmiillee ssoouutthhwweesstt TTrraaiinniinngg ssiitee aappppeeaarrss ttoo bbee llooccaatteedd iinn aann aaccitivvee Kkaarrsstt aarreeaa LLeessss tthhaann 11/88 mmiilee eeaasstt MMoorree tthhaann 11 mmiilee 222 22222222..11665544. SSTTAATTEE__0022882222661111 arcvevyan ST PAUL CWI Well Map Po] aeERegRt I iE e RE I AERIL LTSETA eE T MI eEB RE|eypAe tls 75 EN Bea fey Sid Cea eae CA a EeAREbla ST! EE7E FRT oe. resol phibesyey nWH Th te JE i EfN e 0s mei fa Swe oaaT raOwtTEE TF t~efl SrEEE TE Ry F COR e er 2egnRo . EO Gig pet be Lf bl rere Ig lIlhse cfomiest] TRTiOT oaTo= T nl BoA ElBL Le een alaSCRHEire eP reoaeefa ree RYE haNN TnTe S eb sR} RTT wee aT W Seth nl Chal ova od n A aL eE inm T t Togre Alm rn BE= o ----ro A eT L 222222.116655 STATE_02822612 [St.PSta. uPalulWWhahta't'ss IInn MMy NeigbohrbhooodrMMhaaopod T|y i GEE rey FI i iycok gd iit ~ Edi mil Lis / { Te mmm 5-8 L Ble gueenA-- Eaan nete m Be El mena. h[enENgggerte|ee FE -- SEealade p Fl iTeos mmie A i Bmrg--St E EEL dine E E ER r E re| Leone |ArrEhainn LL ET ed Se? 2 LL Sites rr D~n.Mc:l matt~ &u~~rkl M | Pama sonar Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion [mRs ATHI s| | -- ee of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided hm~ St"IKIW.W IJn~ml!bd Dun1J15 subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost || MPCA that ~may arise from the use of this data. cmein aSuportuna NFRAP maw ~~,..rill w C:~RCL~fi. ||1] | @Minnesota Pollution Control Agency | | oFfa'td\Jetnnl SSuuppstrrfUiunndd ia-- !iune: Cboocl L.cmcHUI5! voymao Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o Te ..t. ltCRA 1!iD f'lt:ill:l~ nie Gna ~M Jrw-ut-kor-111 & ClfiiiW~ "A"-SatuamA~ eonrws1 em1I1m 222222.116656 sare ozs261 STATE_02822613 222222.116657 stare oas22614 |3 Ea ; {iii St Paul 3 93-11-0W 93-10-30W z 9 m "....,.'.. 93-10-0W a i 5 |i : ig :i eri 32 iiihill z 0 '? . r- "....,.'.. 93-11-0W 93-10-30W 93-10-0W i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 0"1 I-' .j:>. reel iiis : g8 J 21g 1 i ji | on an oo -- : 93-9-30 w . 3 93-9-0W gf .... PUBGf" "<D' 6 z Legend ;;' Interstate Major Roads Other Road w........ ;;' Interstate ,..v State highway &, 0> ~US highway 0 z Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater II" ,.. . . Estuarine and Marine Wetland Freshwater Emergent Wetl1:md ........ Fresh~w~a"te'r Po~nd -~ &, z0> Lake 6 Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan ........ NHD Streams Counties 1OOK &, w""' States 100K 0 o z South America o North America :: 32 3 i i3 si $ 93-9-30 w 93-9-0W 2: Map center: 44 58' 12" N, 93 10' 1" W Scale: 1:27,038 wEHyr BaHHH T HI HR L E nInH Ps hgisr ly otuald 3 1 Well Log Report- 00122210 Minnesota Unique Well No. 122210 EQua ESten County Quad Quad ID Ramsey St Paul West 103B `WELIL ANDBMORINEG RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 TEpouenlme Entry Date Update Date Received Date Niza 08/14/1991 11!29/2007 Well Name ST. PAUL PORT AUTHORITY ow 1 mone eetent Township Range Dir Section Subsections Elevation 29 23 w 27 RCRRDC Rlevation Method Sms 919 ft. 7.5 minute topographic map(+/- 5 feet) ppcae Well Depth 525 ft. Drilling Method Cable Tool Depth Completed 525ft. Date Well Completed 12/00/1983 Well Address ENERGY PARK DR ST PAUL MN Geological Material ts FILL WATER SAND ad GRAVEL Color gtBLACK BROWN om BROWN weeHardness I From og0 25[cosmo Dumeter Ee ToBar 18 45 Drilling Fluid -- Well Hydrofractured? DYes 0No From Ft. to Ft. Use Air Conditioning To Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes D 18 No Above/Below 0 ft. 45 70 Casing Diameter Weight Hole Diameter HE SHALE HARDPAN & ROCKS SHALE, STONES SHALE, STONES eee SHALE PLATTEVILLE LIM ROCK PLATTEVILLE LIMEROCK SIIAL[ =TAN GRAY GRAY aLT GRY GRAY GRAY GRAY 3 70 80 80 85 85 92 92 100 100 114 woe] 114 118 118 145 145 147 30 1n. to 122ft 110 lbslft 24 1n. to 150ft 94 lbs/ft Open Hole from 323 ft. to 525 ft. Screen NO Make Type Diameter 0 Slot/Gauze TnLength 0 Erma Set Between 323 It and 525 It SHALE LT GRY 147 150 SHALE & SANDSTONE LIGHT 150 151 SHALE & SANDSTONE SANDSTONE SANDSTONE SHAKOPEE DOLOMITE Shins ane SHAKOPEE DOLOMITE SHAKOPEE DOLOMITE SoJORDAN LIGHT GRAY WHITE TAN joTAN DK. TAN oe WHITE 151 240 240 280 280 315 315 318 ion 318 350 350 420 DG 420 432 Static Water Level 1so n. from Land surface Date Measured PUMPING LEVEL (below land surface) 211 n. atler 6 hrs. pumping 3500 g.p.m. [sense Well Head Completion Ol/00/19S4 Ex JORDAN JORDAN 5 WRONG:SE JORDAN ST. LAWRENCE SHALE yoWHITE WHITE STBuALNUeE REMARKS GANALOGGED 5158 935195 M.S. 0 00, Ctgtwarnat Wont ve Ee GAMJ\1A LOGGED 9-5-1983 & 9-29-1983. M.G.S. NO. 2090. 432 440 a440 475 Pitless adapter manufacturer Model DDO cCuassiinngg PPrrootetcetiionn 0D11221i.n. asboonvee grraaddee se 475 487 487 525 | DD0 AAvte-grraaddee (GEnvmironvmeontalaWWeellmlksmaonddBBonorriinntggssOaONNLLlYY)) Grouting Information Well Grouted? 0 Yes D No [eoemr tigen -- [FETE-- TID Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Grout Material Neat Cement Grout Material Neat Cement from to 122 It from to 150 It 2312 yrds 14 yrds Unique Number Verification Information from owner [RSyAstem SUTTM-ANads83, Zeer Zonel5, Meters DateN/A XN:e4a86t90e8 Y2: p49a79t95e8 Nearest Kno\\'D Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D "\Jo Pump D Not Installed Date Installed Lowrie :rvlanufacturer's name Length of drop Pipe n. Cope gp Model number - Capacity g.p.m ToeTaine HPQ_ Volts Tvpe Turbine teil 'vlaterial 0 x Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No FirstBedrock Decorsh Cuttings Yes Borehole Geophysics Yes First Bedrock Decorah Last Strat StLawrence AAqquuiiffeerr MAlulitipplhe Depth to Bedrock 92 ft. Variance Was a variance granted from the MDH for this well? D Yes D 1\o Well Contractor Certification Renner E.h. & Sons License Business Name 02015 SIGAFOOS *Q,_ Lie. Or Reg. No. Name of Driller County Well Index Online Report 122210 I Printed 6/29/2008 HF.-01205-07 file:/IIII/1,1PCA/!Working/A0081-1 00%20-%20PFC%20FoamiR.. ries/St%20Paul/Well%20Log%20Report%20-%200012221 O.htmi /112008 12:54:12 PM 22222..11658 STATE_02822615 Well Log Report- 00161420 161420 u~Q:u:d:atym II II lMvifinnnneessoottaaUUninSLqiqueueWWelelll NNo. County 161420 ~-==================~- QuadiD Sowes RRaammsseeyy StPaul West 103B WaaST PRU ORT AUTORTY Well Name ST. PAUL PORT AUTHORITY Towmaip Ran iSectionSubcom Ecvation Township Range Dir Section Subsections Elevation 29 323 w W 27 27 BCDCBD Elevation Method BCDCBB Elevation Method DDEEPPAARRMTTSMMIuNEEENNNSETTSOOOOIFFTAAHHEEAALLTTHH WELLAND BORING Updwebwie 137308 WELL AND BORING RECORD Recened ac RECORD MioSmescCshpttr1e31 Minnesota Statutes Chapter 1031 EEnnttrryyDDaattee. Update Date Received Date 0088/1144/1999911 12117/2003 WNDeph DepComedie WeCoed Well Depth wen on on nt topogphicmap | DIREMethod 906 ft. 7. 5 minute topographic map 525 ft. U ~lllln!! lVletnO i (+/- 5 feet) Depth Completed 525ft. Date Well Completed 04/30/1982 WetAddress Well Address SNELLINGAV >MN |GGeeoolologgiiccaallMMataetreiriaall wSReD SWE SAND &GRAVEL CLAY aoe scar HARDPAN &CLAY SoaSHALE PUATTEVLE WeRock PLATTEVILLE LIMEROCK 7 PIERSRO ST. PETER SANDROCK SHAKOPEE LIMEROCK pEete y JORDAN SANDROCK MPGSoNon202 REMARKS M.G.S. NO. 2092. Drilling Fluid -- Pom 110 1 WWelelll HHyyddrrooffrraaccttaurreedd?? [DJYveess 0D NNoo From Ft. to Ft. Use Air Conditioning Caine Type Joint No toron Drives 0 Yoo 01 Casing Type Joint No Information Drive Shoe? DYes D ooo 0 No Above/Below 0 ft. "CosingDiameter Weg Tie lamer Casing Diameter Weight Hole Diameter Dab wt wan 30 in. to 130 ft. lbs./ft. How wt wn 24 in. to 160 ft. lbs./ft. peri To ETE ET Open Hole from 325 ft to 525 ft CCoolloorr HHaarrddnneessss ony wbo ow5aIYFAI DR ooowmw f[WPTooeOlwRnl HeneesaradeteeCrommpl Ilenatisponuonmpvsiongmp3e3o1MketmLengsn onesetgemeen GRAY HARD HARD FFrroomm 0 50 92 94 135 155 303 437 TToo| SSccrreeeennNNOO MMaakkee TTyyppee 50 Diameter 92 Slot/Gauze Length Set Between 94 135 155 303 437 Static Water Level 525 150 ft from Land surface Date Measured 04/30/1982 PUMPING LEVEL (below land surface) 349 ft after hrs. pumping 3500 g. p.m. Well Head Completion Pilless adapler manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn D[J 1122iinn..aabboovveeggraraddee. 3 hegre omens Wels sd oss ONLY) D At-grade (Enviromnental Wells and Borings ONLY) Grouting atormation WewlleiGonteet?r 00 Yesver O0 NNoo Grouting Information Well Grouted? DYes D No LacedMicsGoogiol Located Minnesota Geological Sr Survey [a -- Unique Number Verieaton macnn Verification Infom1ation from iownler Syyvem UTM Ns, nets, System UTM- Nad83, Zonel5, ers .Meters Cun Yes Cuttings Yes Fir dock Drs First Bedrock Decorah La Str Jn Last Strat Jordan MoeethWDriadgese 1240 x Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NA DateN/A pr X: 487056 Y: 4979751 aie wae Aquifer Multiple Da0 Berm 94 1. Depth to Bedrock 94 ft. R ETT Nearest Known Source of Contamination - feet - direction _type WWeellllddisiinfsecitednuuppfoonneccoocmmptpelteeitioodnn?? [DJ Yveess 0D NNoo Pump 0 Nt nsaled Dut mld Pump D Not Installed Date Installed Notas nave Neder HPO Vols Manufacturer's name Model number - Leto Poe Cope p Tp Mal Length of drop Pipe ft Capacity g.p.m HPQ_ Volts Type Material randoms Wl Dos ores Brean TT eo TT Abandoned Wells Does property have any not in use and not sealed well 0 0 ve Ox (s)? D Yes D No Variance Wes rane grated fom oe DA ort 1 Variance Was a variance granted from the MDH for this well~ D = Yes D No aCora CT Well Contractor Certification Dosnencaes) 0 Bergerson-Caswell 27058 cme sinsName Lic, ORegs No. NoofmDier. License Business Name Lie. Or Reg. No. Name ofDriller file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa... s/St%20Paul!Well%20Log%20Report%20-%2000161420.htm (I of 2)7/1/2008 12:54: II PM 22222..11659 STSATATTEE0_208282222661166 Well Log Report- 00161420 A County Well Index Online Report [ot16a1420 [| EET Printed 6/29/2008 HE-01205-07 file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa... s/St%20Paul!Well%20Log%20Report%20-%2000161420.htm (2 of 2)7/1/2008 12:54: II PM 222222..11660 sStTaArTeE__0022882222661177 Well Log Report- 00161422 Minnesnta Unique Well Nn. 161422] ommam stonri 161422 County Quad QuadiD Ramsey St Paul West 103B ASTRO Well Name ST. PAUL PORT AUTH. 1 emo Rng resto tote Township Range Dir Section Subsections Elevation Bn OW 7 DCCC Hawn Nethed 29 23 w 27 BCCCCA Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD WELL AND BORING RECORD ances sn Cus 11 Minnesota Statutes Chapter 1031 351. fn SSnT 925 ft. PST | ii 7. 5 minute topographic map(+/- 5 feet) Well Depth 548ft. lrillm!! !VlethOII Cable Tool Depth Completed 548ft. Drillinl! Fluid -- IWell Hydrofractured? From Ft. to Ft. Entry Date raise TJpdate Date Wt pe Received Date 08/14/1991 12/2S/2007 TC Date Well Completed Jy 06/0111982 DYes D No Use Air Conditioning Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? IZl WetAdress Well Address Samer S~IELLI NG AV ST PAUL MN Geologisteter Geological Material ueFILL WATER SAND CLAY seireooc STONE & ROCKS SHALE LIME ROCK Cor Hudoess Color Hardness From To From To I 0 20 20 74 ER74 76 76 85 Ew 85 132 7 132 172 Yes D:\lo Above/Below 2 ft. Cetin Diner Casing Diameter oan th 30 in. to 135 ft an ian 24 in. to 178 ft Tw Weight wa 118 lbs/ft sen 94 lbs/ft Ti Sr Hole Diameter Baw En 30 in to 178 ft uw own 24 in. to 353 ft Open Hole from 353 ft to 548 ft Screen :\!0 Diameter Secure Make Type Slot/Gauze Len Length sesaeen Set Between Sni se nesoc ST. PETER SANDROCK SHAKOPEE JORDAN SAI~DROCK @Eii[Es poet woe 172 336 336 459 Statk Water Level 459 543 169 ft. from Land surface Date Measured 06/01/1982 SHALE BLUE HARD 543 548 PUMPING LEVEL (below land surface) re REMARKS M.G.S. NO. 1790. 231 ft. after 50 hrs. pumping 3500 g.p.m. We lst Compt Well Head Completion Pinimtn okt Pitless adapter maoufacturer 'v!odel Duis Biz hoe D Casing Protection IZl 12 in. above grade 0 tt nem lhmdi 80) D At-grade (Environmental Wells aod Borings ONLY) ting eer Weta ver I Groutin~ Information Well Grouted? IZJ Yes D No USED 83 CUBIC YARDS OF NEAT CEMENT IN ! : GROUTING. . pastries CGrrotut MMaautecraiall H~Jeesatt CCoemmeentt Grout Material ~Jeat Cement tne ffroomm bIa 17E8 ft from Ia 353 ft J,ocated Minnesota Geological Survey mesa in mn Unique Number Verification lntormation from owner iMl, Mss HSV 50 System UTM- Nad83, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 48G883 Y: 4979690 Nearest Known Source of Contamination Sa _feet - direction _type Stitsonit @ vo Well disinfected upon completion? IZl Yes 0D No Pump D Not Installed Date Installed Maoufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abbaannddoneedd WWeelllls DDioeesspproroppeerrttyyhhaavveeaannyymnoott iinn ussee aannddonootssceaalbedwwtellh(s?)? D Yveess. D0 Nxo Cuttings Yes Foti Dc First Bedrock Decorah Lote ire Last Strat StLawrence FO ---- Aquifer Prairie Du Chien-Jordao foram Depth to Bedmck 85 ft. Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification hod 258 Bergerson-Caswell 27058 oe ae. No Nae i License Business Narne Lie. Or Reg. No. Name of Driller County Well Index Online Report 161422 I Pnnted 6/29/2008 HE-01205-07 file:/I!IIf11PCAI!V..rorking!A0081-1 00%20-%20PFC%20Foam;R... ries/St%20Paul/Well%20Log%20Report%20-%2000161422.htm7/1/2008 12:54: 10 PM 222222..11666611 STSTAATTEE0_208282222661188 Well Lng Report- CICI2DCil70 Jo.,finnesota Unique Well No. 200070 JgCuon 200170 County Quad Quad ID Bom Ramsey sires St Paul West 103B Well Name CANADIAN NATIONAL RAILWA Township Range Dir Section Subsections Elevation 29 23 w 28 ABBD Elevation Method SOTADEFARTNENTOF MINNESOTA DEPARTMENT OF HEALTH WELL ANDBORING RECORD WEMLiMnLinnenAessNoottDaaSStBtaatOtuuttReessICCNhhaGappttReerrE110C0331O1 RD fnew Entry Date [place 822121 Update Date =Received Date 08/14/1991 08/23/1991 905 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 33ft. Drilling Method Drilling Fluid Depth Completed 33ft. Date Well Completed 03/00/1939 IWell Ilydmfractured? D Yes D No From Ft. to Ft. Use Test well Casing Type Joint Casing Diameter Drive Shoe? DYes D No Above/Below ft. Weight Hole Diameter EEL. Geological Material SANDY CLAY COARSE GRAVEL, ROCKS, CLAY rao oo SANDY CLAY SAND, GRAVEL AND CLAY STREAKS WATER BEARING SAND CLAY AND GRAVE Color Hardness roFrom To 0 2 2 17 Poi17 18 18 32 32 33 Open Hole Screen Diameter from ft. to ft. Slot/Gauze ee Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. afier hrs. pumping g.p.m. Length Set Between | ERS 01070 014401 TOLD TOO RE.il'IARKS CASING 016 TO 0144;012 TO 0430;010 TO 0439. Well Head Completion Pitless adapter manufacturer Model D0 CCaassiinngg PPrroowteeccttiioonn 0D1 1122min.. aabbooveveggrraacdee: D At-grade (Environmental Wells and Borings ONLY) Sse tebm Grouting Information Webomsty Well Grouted? 1 Yo DYes Jo D No Located Minnesota Geological Survey Unie Unique NNuummbbeerr VVeerriiffiiccaattiioonn NAN/A System UTM- Nad83, Zonel5, a Meters Method Digitized- scale 1:24,000 or larger Date NA (Digitizing Table) DateN/A X: 486105 Y: 4980376 CourtsWell dx OninRipon First Bedrock Last Strat Unknown deposit type Aquifer Depth to Redrock ft. County Well Index Online Report ere 'learest Row Known SSooaurrecse oCofmContamination - feet - direction _type WWeellll ddisiinfsectiedunuppoofnnccocommptlpeletetiioodnn?? D[1 Yveess D01 Puummpp 0D NNoott IInnsstlallleedd. DDaattee Ilnnsstasllleedd Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP Type NNoo Volts Material Yoo O No Abandoned Wells Does property have any not in use and not sealed well( s)? D Yes D No Variance Was a varianGe granted from the MDH for this well? No Well Contractor Certification KevsWell Co. 200170 License Business Name 200170 62012 Lie. Or Reg. No. Name ofDriller I D Yes D Printed 6/29/2008 HE-01205-07 file:///I llvlPCA/! Vv'orking/A0081-l 00%20-%20PFC%20Foam/R. ..ries/St%20Paul/Well%20Log%20Report%20-%20002001 70.htm7!1 /2008 12:54:13 PJ\1 22222..11662 STATE_02822619 Well Log Report- 00430690 ST Afinneso/a Unique Well No. 430690 | uowd S10var 430690 County Quad QuadiD Ramsey StPaul West 103B TI PRCT Well Name ENERGY PARKBLK-1 L Tommi Rar Sco bn eon Township Range Dir Sedion Subsedions Ele~ation 5B WD 000 Bose 29 23 w 27 BDBDDB Ele~ation Method MISNISOTADEPARTMENT OF EAL tue oi MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Unie i WELL AND BORING RECORD osSes Chg 131 Renee MinnewJta Statutes Chapter 1031 Entry Date l"pdate Date Received Date 09/07/1989 02/22/2008 8 1. I Son T an a pn 908 ft. TIE| iay 7.5 minute topographic map (+/- 5 feet) Well Depth 220ft. Depth Completed 220ft. . Rotary Date Well Completed 03113/1987 Drilling Fluid eIee -- Well Hydrofractured? DYes D No From Ft. to Ft. Vids Well Address 1900 AMHOIST TOWER SShrinaem ST PAUL MN 55102 coop anna Geological Material COARSE SAND & GRAVEL oxo Shs GE BLACK CLAY SAND & GRAVEL MIX SNGaoants SAND &GRAVEL SHALE fordSHALE &SANDSTONE SELIMESTONE LIMESTONE SANDSTONE Use Other (specify in remarks) Cog Type Sv kc cary Ja Wi Diet Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? Oo sio2n D No Above/Below 2 ft. Going Gomer Weg Tow Dare Casing Diameter Weight Hole Diameter 4 1n. to 171 ft lbs/ft 4 in to 220 ft 01DYes corColor BROWN Sam BROWN Rom BROWN BLU/GRY Gn GRAY EE GRAY BLU/GRY WHITE spam To Hardness SOFT Gn 6 ie SOFT or won SOFT MSOFT Sh Tow MEDIUM From To 0 8 8 18 18 75 75 111 111 117 Open Hole [So Screen NO [omer Diameter tram 171 ft. to 220 ft. oT Make Type Soloaze Slot/Gauze HARD MEDIUM SOFT | i 117 154 154 160 Static Water Level 160 220 135 ft. from Land surface Date Measured Legh Length 03/29/1987 So Been Set Between PTTMPTNG LEVF.L (below land surface) eNOaWEeL,L voz 614 REMARKS M.G.S. NO. 2594. NEXT TO WELL 'l0.2 161420. Lott Nam Gv Located Minnesota Geological Survev avCt ri rs l"nique Number Verification Information from owner System UTM- Nad83, Zonel5, Meters ed Dc 20che Method Digitized- scale I :24,000 or larger Wig bk) (Digitizing Tabk) 139.3 ft. after 5.5 hrs. pumping 25 g. p.m. We et Campin Well Head Completion PET ost Pitless adapter manufacturer Duns min 8 12a snc gs D Casing Protection 0 Model 12 in. above grade 0 vgs mem lh mis 0313) D At-grade (Environmental Wells and Borings ONLY) rag art Gras? 8 Yor On Grouting Information Well Grouted? 0 Yes D No Er ---- Grout Material Neat Cement fn we from to 171 ft STSSC Nearest Known Source of Contamination 30 40407 DateN/A X: 487006 Y: 4979873 - feet _direction _type Well disinfected upon completion? 0 Yes D No amp. 0 Sex oid Pump D Not Installed Date Installed Manufacturer's name Model number - hive al llA Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material emdd Wel Drs peers sy td dr C1 Abandoned Wells Does property have any not in use and not sealed well(s)? D he 0 Yes D No Cuttings Yes First Bedrock Decorah Lor urs Dip te 7 Last Strat StPeter Aquifer St.Peter Depth to Bedrock 75 ft. `CountyWel Index OnlineReport County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Traut M.j. Well Co. 71536 MARK/ROB 430690 License Business Name 430690 Lie. Or Reg. 1\o. Name of Driller I Yes D No Printed 6/29/2008 IIE-01205-07 file :III!IIMPCA/1 Working/A0081-l 00%20-%20PFC%20F oam;R. .. ries1St%20Paul/Well%20Log%20Report%20-%2000430690.htrn 711/2008 12:54:14 PM 22222222.11666633 SSTTAATTEE__0022882222662200 Well Log Report- 00433278 Seve A1innesota Ute Unique FEN Well No. C [433m 278] Eoma, 433278 coy County Quad Quad ID AE Well Name DEPT. OF NATURAL RE SiEima Rrammseseyy St Paul West 103D Bn WN Dea Hewat Township Range Dir Section Subsections Elevation 29 23 w 21 DCAD Elevation Method MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WELL AND BORING RECORD pie ue 12172000 WELL AND BORING RECORD Sa nl, Minne.mta Statutes Chapter I 031 RRR Well Depth Depth Completed EFnrtryy ueDate Update Date Received Date onion 09/07/1989 12/1712003 Date Well Completed IE 922 ft. 7.5 minute topographic map(+/- 5 feet) 393 ft. op Drilling Method -- Drilling Fluid fImoem o -- 393ft. 07/14/1988 Well Hydrofractured? DYes D No From Ft. to Ft. Use Other (specify in remarks) svn Well Address J ST PAUL lv1N assemGeological Material SEsu E SAND+ GRAVEL CLAY SAND +GRAVEL SAND+ GRAVEL LIIVIEROCK (PLATTEVILLE) ens LIIVIEROCK (PLATTEVILLE) fnres SANDSTONE (ST PETER) Sees a SANDSTONE (ST. PETER) HEL LIIVIEROCK (SHAKOPEE) peas SANDSTONE (JORDAN) REMARKS GAMMA LOGGED 7-12-88. M.G.S. NO. 2704. cos Color gBn,ESfms BROW~J Hardness SOFT rom 1 From To fbe E 0 70 Casin~ Type Relow 0 ft. Joint No Information Drive Shoe? Co a -- Casing Diameter Weight 12 ln. to 129 ft lbs/ft Sow sas = 6 ln. to 332 ft lbs/ft Open Hole from 332 ft. to 393 ft. [ fee E seen E tn seE me Screen NO Make Type DYes D No Above/ Hole Diameter BROW~J SOFT 70 95 Diameter Slot/Gauze Length Set Between BROW~J GRAY gE EE GRAY oYoum, Eu GRAY aE RE GRAY EM J i GRAY mE WHITE SOFT HARD HARD MEDIUM MEDIUM HARD MEDIUM 95 129 129 152 152 158 158 316 316 323 323 392 392 393 Static Water Level 169 fl. from Land surface Dale Measured 07/14/1988 PI:MPING LEVEL (below land surface) 171 ft. after hrs. pumping 60 g.p.m. Oar Well Head Completion Pitless adapter manufacturer Bremen Cleon D Casing Protection D Model 12 in. above grade D00 At-ggrraaddeen(EmnivnoirnoennmcennttaallWWeelslsaanndd BBoorriinnggss 0O"N\JLLYY)) Grouting Information Well Grouted? DYes D No -- bot i-- nts Located Minnesota Geological Survey oe ye. Unique Number Verification Information from owner System UTM- Nad83, Zonel5, }'vfeters Smet mein| Method Digitized - scale 1:24,000 or larger (Digitizing Table) Nearest Known Source of Contamination savnsoes Date N!A X: 486416 Y: 4980718 _feel _direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed Manufacturer's name GRUNDFOS Model number~ HP i_ Volts 220 Length of drop Pipe 189 ft. Capacity 60 g.p.m Type Submersible 'v1aterial FO Cuttings Yes Borehole Geophysics Yes ra AAbbaannddoonneedd WWeelllss UDoocess pprrooppeerrtyy hhaavveeaannyy nnoottiinnaussee a andnnon ottsseed aeledd wweellll(ss)?'l |LDJ Yes D 1\o i Variance Was a variance granted from the MDH for this well? D Yes D '\lo Well Contmctor Ceitification First Bedrock Platteville Aquifer Prairie Du Chien Group Keys Well Co. 62012 Last Stmt Prairie Du Chien Group Depth to Bedrock 129 ft. GCoouunntyyWWelelll iInnddeexx Onin OnlineRReeppoorrtt License Business N rnne A433s27m8 Lie. Or Reg. No. Name of Driller I Pnnted 6/2912008 HE-01205-07 file :1IIII/lAPCiV! W orkmg/A0081-l 00%20- %20PFC%20Foam/R... ries/St%20PaulJWell%20Log%20Report%20-%2000433 278.htm7/1/2008 12:54: 13 PM 222222.116664 sStTaAtTeE__o022s82222662211 Well Log Report- 004491179 S449r 079 er bn _Minnesota Unique Well No. County Quad Qua- d ID Ram5ey St Paul West 103B roWell Name A-UG kc Township Range Dir Section Subsections Elevation 29 23 w 28 DAAAAB Elevation Method 923 ft. 7.5 minute topographic (+/- 5 feet) Ml'IIN ESOTA DEPARTMENT OJ<' NSTI HEALTH WELL AND BORING RECORD MAinfinmersesoottaa SSttaattuutteess CChhaapptteerr 11003311 rs Well Depth Depth Completed = = 63ft. 60ft. map i)rillinP" Method ~r Rotary pe Entry Date Update Date 11/08/2007 12/13/2007 pi Rea ceived Date Date Well Completed 06/21/1988 Drilling Fluid Bentonite IWell Hydrofractured? DYes D No From Ft. to Ft. Use Monitor well Casing Type Plastic Joint Threaded Drive Shoe? Below 3 ft. DYes 0 No Above/ -- Well Address A 950 SNELLING AV STPAULMN pens Geological Material Fie GRAVEL MEDIUM SAND CLAY ROCKY gmColor =BROWN BROWN RED/BRN wes Hardness Casing Diameter 2 in. to 50 ft Weight 1.7 lbs./ft. Hole Diameter gmFrom Pa0 45 60 |?A glial Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel Diameter To 2 Slot/Gauze 10 Length 10 Set Between 50 ft. and 60 ft. 45 60 63 Static Water Level 42.9 ft. from Land surface Date Measured 06/2111988 RLLOOECCAMATTIAIOORNN:K: WSWEESSTT OOFF SNELLI7N5GFT SNELLING 75FT SOUTOHF SOUTH OF IN BN TRACKS 150 TRACKS 150' -- n-- e, PUMPING LEVEL (helow land surface) ft. after hrs. pumping g. p.m. Well Head Completion Pitless adapter manufacturer Model 0D0 CCaassiinngg PPrrootteeccttiioonn. 0 1122inin..aabboovveeggrraaddee orice nae IDO AAvtg-grraaddee ((EnEvirnonvmeintarlWWeoellnllsaamnnddeBBonosriintnggssaOlNLYONLY)) "GGroroutuitinnggIhntffoorrmmaattiioonn.WWeelll GGrrooutteedd?? 20 YYeess 0D NNoo Grout Material: Neat Cement from to 60 ft. ov12 bags Located Minnesota Geological Survey Method Digitization (Screen)- Map (1:24,000) Unique I\umber Veritication Other, note in remarks System UTM- Nad83. Z<mel5, Meter.\' Date 11108/2007 X: 486792 Y: 4979614 Nearest Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes 0 No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m liP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)'! D Yes 0 No pasFirst Bedrock we vir Aquifer Quat. Water Table Aquifer CountyWellnex Onin Report Last Strat Pebbly sand/silt/clay Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted rom the MDH for this well? No | Bon ms Well Contractor Certification RReennnneerrE.HELH.. WWeellll 7n1i01s5 ADPmRAaUgGHaT. Y.c_ 49079 License Business Name 449079 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/29/2008 HE-01205-07 file:///II/1!1PCA/!Working/A0081-1 00%20-%20PFC%20Foam/R...ries/St%20Pau1;Well%20Log%20Report%20-%2000449079.htm711/2008 12:54 13 PM 22222.1166665 STATE_02822622 Well Log Report- 00461412 tine te _Minnesota Unique Well No. 461432 [| ows srmivies 461432 ------------ ~~ WellNameMW-1 County Quad Quad ID Ramsey St Paul West 103B MNAOLA DEPART OF Ml'IINESOTA DEPARTMENT OJ<' SAL HEALTH WELL ANDBORING RECORD WELL AND BORING RECORD inconStns Chop 11 _i',fimwsota Statutes Chapter 1031 ET Well Depth Depth Completed ne Entry Date yrisebse Update Date Received Date nwa 11/08/2007 12112/13/2007 Date Well Completed Dn W 3 ACD Bose Township Range Dir Section Subsections Elevation 29 23 w 28 BDABCD Elevation Method wapgs Well Address Deron ENERGY PARK DR Sonn STPAULMN eoigien ater Geological Material Sa SILTY CLAY Sven SILTY SAND Svensno GRAYVVATER SAND coorColor SomBROWN Ear BLACK aaBLACK Mans Hardness vTirto 898 ft. 7.5 minute topographic map (+/- 5 feet) | PARE ldFo 28ft. Po Ge wer Auger 28ft. 09/12/1990 INain O vo Ov Drilling Fluid eh -mmr Use Monitor well Well Hydrofractured? DYes D No From Ft. to Ft. Ca TyeSv akc ow any Jot Trt Bre Sot Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D be Oo amotio 21 Yes D No Above/Below 3 ft. rung mer TD Casing Diameter Tan ust wn tan ms 2 in. to 17.5 ft. Weight lbs.lft. Hole Diameter 8 in. to 27.5 ft. FoH0FrroommEm e.5TToo 5"oa14 14 28 Open Hole from ft. to ft. SR TROT Screen YES Make JOHNSON Type stainless steel Dame Sota Leonng SetseBtepteuwseenn Diameter BO ern # 2 Slot/Gauze 10 Length 10 Set Between 17.5 ft. and 27.5 ft. Static Water Level CNT Ors ENERGY ARK DRIVE-NOVA BLOCK 01S 1s REMARKS LOCATION: OPUS ENERGY PARK DRIVE- NOVA BLOCK 1 LOTS 3,4,&5 oct Misc Geni Mth Dizon Ser) op Located Minnesota Geological Survey Ce ame Vestn Lp nr Unique 1\umber Verification Lot -Block pm nS mts sv: ays System UTM- Nad83. Zone15, Meters Method Digitization (Screen)- Map (1:24,000) Date 11/08/2007 X: 485859 Y: 4979942 ft. from Date Measured PUMPING LEVEL (below land surface) ti bg" spar ft. after hrs. pumping g.p.m. Welle Compl Well Head Completion Pie sar mos Most Pitless adapter manufacturer Dlcringctn Bl 131m smegrte D Casing Protection 0 Model 12 in. above grade 0 Arye miener Wat md rs on.) D At-grade (Environmental Wells and Borings ONLY) |Cretan We crs? BF vs Oo Grouting Information Well Grouted" 0 Yes D No Goatees scans fon 2050 Grout Material: Neat Cement from 2 to 15 ft. NSA STC Nearest Known Source of Contamination Pp_feet _direction _type So sn spococ npar 0 ver 0 0 Well disinfected upon completion? D Yes D No Tun ool Ducal Pump D Not Installed Date Installed Manufacturer's name Model number - Lopiohi 0 Coy 3p Te Mt Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material dnd Wel Doses omy mt nd ott 01 Abandoned Wells Does properly have any nol in use and nol sealed wdl(s)? D fo Ow Yes D No i eek er ut. Wer ae Ar First Bedrock Lisi So pibainek 8 Last Strat Sand Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. CountyWell IndexOnlineReport County Well Index Online Report Variance Was a variance granted from the MDH tor this well? No ATC Cr Well Contractor Certification [ wos mm ~ M00 54 ETI ime Ds emis OoNoNat et License Business Name Lie. Or Reg. No. Name of Driller 461432 I 461432 D Yes D Printed 6/29/2008 HE-01205-07 file:///II/1!1PCA/!Working/A0081-1 00%20-%20PFC%20Foam/R ..ries/St%20PauLWell%20Log%20Report%20-%2000461432.htm7/1 !2008 12:54: 13 PM 22222222.11666666 STSATATTEE0_208282222662233 Well Log Report- 00462337 462337 A1innesota Unique W 462337 e l l No. pooe County Quad Quad ID Svar Ramsey St Paul West 103B Well Name MW-2 To"nship Range Dir Section Subsedions Elevation 29 23 w 28 BDBCDB Elevation Method WELLiAnNDSBtOeRsINCGopRsE10C1 ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 WUethwerepoe Entry Date I:pdate Date Received Date nan 11/08/2007 12/13/2007 898 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed = m I ee 28ft. Drilling Method PO'VL, AU!;_. 28ft. 09/13!1990 Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. TJse Vfonitor well Cone Tre Se 0k ron ca, om end rr Casing Type Steel (hlack or low carhon) .Joint Threaded Drive Shoe? 0 hot3t30 D 1\o Above/Delow 2.2 ft. GaiDarter Wo TieBae Casing Diameter Tan Bn an bana 2 in. to 18 ft Weight lbs /ft Hole Diameter 8 in to 28 ft 0 ve DYes Well Address E~IERGY PARK DR ovsmnasens ST PAUL M~l Geological Material reso SILTY SAND SILTY SAND MED FI~IE SAND ComColor an BLACK BROWN GRAY ds Hardness pom To From To ia 0 14 14 21 21 28 Open Hole from ft. to ft. Screen YES [OR Diameter 2 Make JOHNSON Son Slot/Gauze 10 Type stainless steel le Length 10 Sgn Set Between 18 ft and 28 f1 Static Water Level ft. trom Date Measured PT:MPING LEVEL (helow land surface) ft. after hrs. pumping g.p.m. CNP PS NRG PARK DR OK 1 OTS 365 REMARKS LOCATION: OPUS ENERGY PARK DR BLOCK I LOTS 3,4.& 5. erates ; Located Minnesota Geological Survey Unique Number Verification Lot Block Method Digitization (Screen)- Map (1:24,000) Date 11/08/2007 System UTM- Nad83, Zonel5, Meters X: 485697 Y: 4979881 Well Head Completion Dumais Pitlcss adapter manufacturer D Casing Protection 0 i sores Model 12 in. above grade 0D0 AAt-ugrradae (Envviirovnmaennttal WWelelllss aanndd BBoovriinnggss OONNLLY)Y.) Grouting Information Well Crrouted? Gost canes Grout Material l~eat Cement 0 Yes D No tm 2m from 2 to 15 ft Nearest Known Source of Contamination itt pon mpint vr _feet - direction _type Well disinfected upon completion? D Yes 0 No D No Pump D Not Installed Date Installed Manufa(.:turer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Ow Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No LHnvtn smton First Bedrock Last Strat Sand-gray Dawiepoaut kte8 Tle Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. Variance Was a variance granted from the MDH for this well? D Yes D No comxssone 0NroesNoNome ofrmit Well Contractor Certification l.2m:!! M00 54 ETI License Business Name Lie. Or Reg. No. Name of Driller County Well Index Online Report 462337 I Printed 612912008 HE-01205-07 file :I/![ IIMPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R... ries/St%20Paul!Well%20Log%20Report%20-%2000462337.htm 7!1/2008 12:54: 11 PM 222222..11667 STSATATTEE0_208228222662244 Well Log Report- 0046213~ _Minnesota Unique Well No. 462338 QSueaam Siwen 462338 Com1ty Quad QuadiD Ramsey StPaul West 103B a Well Name MW-3 Tom age Di SctSbF Township Range Dir Section Subsections Elevation 29 23 w 28 BDACDD Elevation Method 98 8. `WELML AnNNDSBoowOTRsICNGorRE1C1C ORDivo y WeUnneitnDcurepr ac121o3307 898 ft. MIN'JESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date {;pdate Date Received Date 11/08/2007 12!13/2007 Well Depth 31 ft. Depth Completed 28ft. Date Well Completed 09/13/1990 7.5 minute topographic map (+/- 5 feet) T I T Drilling Method Power Auger Drilling Fluid -- Well Hydrofractured? DYes D No I'rom I't. to I't. Use Monitor well EER ok0% Well Address ENERGY PARK DR ST PAUL MN Sven Geological Material SILTY SAND EE SANDY CLAY SILTY SAND PEAT Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? Oc veto 378 D No Above/Below 2.7 ft. eam Damar WT Gmaar Casing Diameter Frey an tent 2 in to 18 ft Weight lbs/ft Hole Diameter 8 in. to 31 ft DYes fm om r] Open Hole rom ft. to tt. Screen YES Make JOHNSON Type stainless steel om Color BROWN Hardness oe From To Diameter 0 9 2 Slot/Gauze 10 = BLU/GRY BLACK 9 18 18 28 28 31 Static Water Level ft. from Date Measured Ra Length 10 Set Between 18 ft and 28 ft PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Po si manos Well Head Completion Pitless adapter manufacturer Md Model D00 CCaaussiinngg PPrrootsetctiioonn IZI 11227imn.. asbhoovveeggrraaddee DIO AAvgratde-g(raBdae v(EinvriroonnmmenetanlWiWealellllss aanndd BBoorriinnggss OONNLLYY)) REMARKS TOCNTION: OPUS ENERGY PARK DR NOVA BL1O07SC3.K445 |Orotormtion Walt Groncs 81 LOCATION: OPUS- ENERGY PARK DR- 'JOVA BLOCK I LOTS 3,4 & 5 Grouting Information Well Grouted? IZI Lect iGo " Sotto Located Minnesota Geological es thdDigan scr) pc 340) Survey a TSC Unique 1'\umber Verification Lot Block Grout Material Neat Cement Method Digitization (Screen)- 'v!ap (1 :24,000) Date 1110 8/2007 Nearest Known Source of Contamination - feet - direction _type vrYes D 'lo [PTH from 2 to 15 ft System UTM-Nad83, Zone15, Meiers X: 485931 Y: 4979855 Well disinfected upon completion? D Yes D No ticnrans Neate 1r_ Pump D Not Installed Date In stalled Manufacturer's name Model number - HP - Volts Length of drop Pipe ft. Capacity _g.pm Type Material be Ov Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No First Bedrock Iaenra Dnpeea Last Strat Peat Aquifer Quat Water Table Aquifer Depth to Bedrock ft. "CountyWellIndex OnlineReport County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Yes D Co Co No Well Contractor Certification ~ M00 54 ETI LiceNemes OB No Nome ari License Business Name Lie. Or Reg. 'lo. Name ofDriller 462338 I 462338 Printed 6/29/2008 HE-0 1205-07 fi1e:i/1IIIMPCA/1WorkingiA0081-1 00%20-%20PFC%20FoamiR...ries/St%20Pau11Well%20Log%20Report%20-%2000462338 .htm711/2008 12:54: 11 P\A 22222..116668 SstTaArTeE__o0z2s82222662255 Well Log Report- 00674945 BeUAtRsI Minnesota Unique Well No. II 667744994455 Coury ary prowiiiieron County Quad Ramsey St Paul West Quad ID 103B WPII ~arne MN FAIRGROUNDS MW-9 SB Wn DAA Hen Township Range Dir Section SubsPctions Elevation 29 23 w 28 DAADDD Elevation Method MINNESOTA Dl<:PARTMI<:NT OF HEALTH HEALTH WELL AND BORING WELL AND BORING G0 RECORD }lfinnesota Statutes Chapter 103! Eybue Entry Date frock Update Date RecPivPd Dati' 0mam 10/23/2002 reed 12/10/2007 pty 900 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth | Pe thd 14ft. Drilling Method Drilling Fluid -- Cse Monitor well ~~ 5v, Depth Completed it14ft. IWell Hydrofractured? From Ft. to Ft. Date Well Completed 07/24/2002 DYes 0 No Casing Type Plastic Joint No Information Drive Shoe'! No Above/Below ft. DYes 0 Casing Diameter Weight Hole Diameter 2 in. to 4ft. 0.69 lbs./ft. 8.3 in. to 14 ft. CWACeNAlFNl IAFIEEdLLdDDre3&sCCsOOMMOOLLMM mE ST PAUL MN FGIFINeNEoESloSAAgNNicDDaGGlRRMAAVaVEtELe.Lrial FINE SAND GRAVEL prsereea WET FINE SAND GRAVEL FINE SAND GRAVEL OEE BBCLLoKKlIoBBrRRNN MMHEEaDDrIdIUUnMM.ess BROWN MEDIUM BROWN MEDIUM BROWN MEDIUM 00From 4 6 9 W OOppeenntiHoolleeToromm it toW it ] Screen YES Male TIMCO Type To Diameter 4a22 SloUGauze w1o0 Length 10 Set Between 4"fRt. aanyd a14 nft. 6 ev 9 14 Static Water Level 8 ft. from Land surface Date Measured 07/24/2002 PUMPI~G LEVEL (bPlow land surfacP) ft. after hrs. pumping g. p.m. | 0 rears NO REMARKS Located Minnesota Geological Survey Unique Number Spm TNs ZnS Verification Tag on well System UTM- Nad83, Zonel5, Meters Method Digitization (Screen)- Map (124,000) Date I0/04/2007 sis vs moss X: 485854 Y: 4980429 County WelliesOeReport First Bedrock Last Strat Sand & larger-brown Aquifer Quaternary Undiff. Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model E0lcCaassiinngg PPrrootteeccttiioonn Y D[J 1122:0in..aabboovveeggrraaddee CSooaing norEmaton Wall Grete ve De D0 AAtt-ggrraaddee ((EEanvviirroonammeennitaall WWeellllss asnndd BBoosriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement from 0 to 3 ft. Grout Material: Bentonite from 3 to 3.5 ft. 3 bags 1 bags :-learest Known Source of Contamination we guntces poncomptser - feet - direction _type Well disinfected upon completion? 0 D ver Yes B0 vo No Pnmp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m liP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well0 D No Yes 0 Well Contractor Certification Thein Well Co. Gis License Business Name 674945 34625 HlLBRANDS, 1:3. Lie. Or Reg. No. Name of Driller I Printed 612912008 IIE-01205-07 fll e:/I/Ij!\1PCA/! Working/A0081-1 00%20-%20PFC%20Foam/R...ri es/St%20Paul/Well%20Log%20Report%20-%2000674945.htm7I 1/2008 12:54:12 PM 22222..11669 STATE_02822626 Well Log Report- 00674946 Minnesota Unique Well No. Ho6m7S4U9e46s II 674946 oun County out"Quad Quam Quad ID ory Ramsey Sates St Paul West an103B A TATGRORB TTT WPII ~arne MN FAIRGROUNDS MW-10 TobinRane Di ScionSubsection Fest Township Range Dir Section SubsPctions Elevation SB WH DOWD Hoan 29 23 w 21 DDDAAD Elevation Method MINNESOTA Dl<:PARTMI<:NT OF HEALTH Boe toman HEALTH WELL AND BORING Cpe 121037 WELL AND BORING RECORD Reeve Due RECORD Mines Sates Chaper 031 }lfinnesota Statutes Chapter 103! Entry Date Update Date RecPivPd Dati' 10/23/2002 12/10/2007 mn Weolnbog Dog C"oomnptand a WrelmCaonmpe 932 ft. 7.5 minute by | Pe thd it topographic map Well Depth 50 ft. Drilling Method ~~ 5v, Depth Completed 50 ft. Date Well Completed 07/27/2002 (+/- 5 feet) Drilling Fluid -- I 0 Well Hydrofractured? DYes No From Ft. to Ft. Cse Monitor well Casing Type Plastic Joint No Information Drive Shoe'! DYes 0 No Above/Below ft. Casing Dameta Casing Diameter Zao 0% 2 in. to 40 ft. Vogt Weight wen 0.69 lbs./ft. Tite Gamer Hole Diameter ew 01 8.3 in. to 50 ft. FrtAicAUNIE Hepes aon Well Address RANDALL & COMMONWEAL LM ccciogca tera Geological Material Ste SILTY SAND PESMOCRVEL FINE SAND GRAVEL WET PESo GR WET FINE SAND GRAVEL coor Color axe BLK/BRN mom BROWN Bon BROWN tarness from Hardness U0 MEDIUM Now 4 MEDIUM vow 4 MEDIUM From 0 4 44 [ope re Open Hole rom it to it ST Ne TE Screen YES Male TIMCO Ometor SioUGauze Diameter To | " To 2 4 444 850 Slot/Gauze 10 Static Water Level To Type LLeetlnni ggtthh 10 SetBagtsoon Set Between 40 ft. and 50 44 ft. from Land surface Date Measured 07/2712002 PUMPI~G LEVEL (bPlow land surfacP) 20 REMARES NO REMARKS Lec Mooset ny Nod Poni Sri Method Digitization (Screen)- Map LocatPd Minnesota Geological Survey (1:24,000) fr Dein Unique Number ertesion bcrmrtmicoonnn Verification Information from owner Date N!A Sot TAN, Zone hrs e442 Vs 81 System UTM- Nad83, Zonel5, Meters X: 486802 Y: 4980641 ft. after hrs. pumping g. p.m. Well lad Comicon Well Head Completion Pe pemle Nadel Pitless adapter manufacturer Bcrngrciny 0 12inshovegad 0 Casing Protection Y D Model 12 in. above grade ED pode mirWce snd igs ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting normation Welles? Yeu LI No Grouting Information Well Grouted? 0 Yes D No rut: NetCom Grout Material: Neat Cement | Cus re Grout Material: Bentonite fon Dr from 0 to 35 ft. fon B03 from 35 to 37 ft. SE SC :'\parPst Known Source of Contamination a - feet - direction _type wotsiete 0 ve B xo Well disinfected upon completion? D Yes 0 No ft. ov6 bags I~ 1 bags Fit rch wie Qua Und. First Bedrock LustSad Sgn Dept dre Last Strat Sand & larger-brown Aquifer Quaternary Undiff. Depth to Bedrock ft. `CountyWell Index Online Report County Well Index Online Report Pnmp D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m liP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH for this well 0 No WTCor Ce Well Contractor Certification howto ans Thein Well Co. 34625 HlLBRANDS, BR ico Hosa Names Oc Rg No. NoofmDesr License Business Name Lie. Or Reg. No. Name of Driller 667744994466 I D Yes 0 Printed 6/29/2008 IIE-01205-07 J -- fll e:/I/Ij!\1PCA/! Working/A0081-1 00%20-%20PFC%20Foam/R...ri es/St%20Paul/Well%20Log%20Report%20-%2000674946.htm7I 1/2008 12:54:12 PM 22222222.11667700 sSTTAATTEE__0022882222662277 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY TTyylleerr TTTyyyllleeerr,r FFMiirrNee DD5ee6pp1aa7rr8ttmmeenntt Tyler, MN 56178 5RRi0icc7hh.aa2rr4dd7:BB6oo5rrr5ree6sseenn,, FFiirree CChhiiee!f 5iri0ad7ina-en2@e4f@7r-of5rn5ot5ni6tioermneett.nneett TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: C`Coormneerr ooff BBrraaddlleeyy aanndd AApppplleebbeeee,, TTyylleerr AGAlRRaC-sAAsFFFAF:FF.:AnAAunnlggSuuisskv((ueusxsee(uiinsnettrraianiinnriianniggninnnooglt snsoppleecscipfieiecedi)f)ied) Class A: Anul Silv-ex (use in training not specified) QQuuaarrteetrlyy LLeessss tthhaann 55 ggaallloonnss. 8800%% ttoo ggrroouunndd,, 2200%% ttoo ssttoorrmm sseewweerr GAAlRRaAs-AFsFAF:FEF::nonntootstpsseppceiecfciiifefiideedd Class A: not specified CCoouunnttyy ddietcnh,, 11/7221to011 mmiillee nnoorrtthheeaasstt 110/441to0 112/22 mmiitlee nnoorrtthh AApppprrooxxiimmaatteellyy 11/22 mmiille nnoorrtthh aanndd ssoouutthh MMoorree tthhaann 11 mmiilee 9 22222222.11667711 SSTTAATTEE__0022882222662288 CUNT EE Te Teme TYLER CCWWII WWeellll MMaapp NN HN SSE nl1 ALTER = \ x "11P 3340 R SBPoE faaS $l1 Neyg N wf i ey Neen | AT ee N OEe Fe hie 1 SC ome e (peJeb LF ERAN! % beh 83 SN "= SR | am, UNE, 4 vw 8" ST IN ra li-- meh overt Pad NJ edly gH FeONwT MMeE ss YHorewe =eT| Pel a A NE TER wailge, {TS AON Pad ETT fed Bde, Ng) TL A NOCHE Fan Hhgy NE {3 Log eng BCE fyFy S ng E NL L GanN sVe te Sd \ fTeSHR[W R R E TS Ee Ees t . 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I 0 N 00 N N 0"1 w I-' 96-7W Map center: 44 16' 11" N, 96 8' 5" W $ f# Scale: 1:37,102 Well Log Report- 00212R36 212836 | oMmw Jo,finnesola Unique Well No. 212836 County Quad Quad ID peiceaiie Lincoln Dead Coon Lake 83D WTOC WT Well Name BLOMGREN, M.L. Tomi ms iSecmSbectosHston Township Range Dir Section Subsections Elevation WWD IEA Bnd 109 44 w 2 BBBCCA Elevation Method MINNESOTA DEPARTME.\IT OF HEALTH WELL ANDBORING Upiaebwe 312152 WELL AND BORING RECORD Reed Dac RECORD intsSue her1031 Minnewta Statute~ Chapter 1031 J<:ntry Date Update Date Received Date 04/11/1988 08/12/1992 1700 eely DowiComes Darcoam Cioos)mes 1730 ft. 7.5 minute gic | PEToh topographic map CR (+/- 5 feet) Well Depth Depth Completed 114ft. 114ft. Drilling Method Cable Tool Date Well Completed 00/00/1957 Drilling Fluid FrT I ee -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Coane Tre Jat Neon Deve 0 vor Wo bre Casing Type bioBelow 0 ft. Joint No Information Drive Shoe? DYes D No Casing Omer Ton Fs men Casing Diameter Weight Hole Diameter Fria wn 4 in. to ft. lbs./11. Above/ J [WWaekll AAdedidnreesss.s TYLER MN esica tera Geological Material carCLAY aaCLAY ene GRAVEL Lm RE1lfARKS NURE NO. 600781. Color Color ion YELLOW psBLUE Wamess Hardness From To OS umetrN TSoeeiowze Len SetBeween From ow 0 5 hu 30 oo 114 fw oemw w] Open Hole from ft. to ft. Screen Make Type Diameter To 30 114 114 Slot/Gauze Length Set Between Static Water Level 72 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 70 te us aes 5 0 77 ft. after hrs. pumping 8 g.p.m. 1957 WellcCompt Well Head Completion Piesshe mise Mok Pitless adapter manufacturer Model Dlcagrrcion 0 2in sven D Casing Protection D 12 in. above grade 0 re ErviWnet g Bigs 411) D At-grade (Environmental Wells and Borings ONLY) Grate nermston Wel Goes 0 Yor Ov Grouting Information Well Grouted? D Yes D No Yd Seu Gop Located Minnesota Geological Survey eer Unique Number Sam UTM oZl on , Verification Information from owner System UTM- Nad83, Z<mel5, lvfeters Seed Tete 28t0re Method Digitized- scale 1:24,000 or larger (Digitizing Table) [ DateN/A vr: 183 Ve 76 X: 251083 Y: 4907976 Hpk First Bedrock LoS Gollan) Last Strat Gravel (+larger) str ut hs Aes Ate Aquifer Qnat. Bnried Artes. Aqnifer Depo rock Depth to Bedrock ft. County Well Index Online Report Se SorCa .\learest Known Source of Contamination - feet - direction _type rts rm cant Ye I Well disinfected upon completion? D Yes D No ony 0) Noose Dactosied Pump D Not Installed Date Installed Moms Malsonit-- IPL. Volo Manufacturer's name Model number - LonaPried_n_Copy 33s Toe Nu Length ofdrop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material mda Wel Docs pets beam oi tat nll? Abandoned Wells Does property have any not in use and not sealed well(s)? D vo Ow Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No NF CoCcor o Well Contractor Certification MicrolDolins | SEM MINETLL Minett Well Drilling 59234 MINNETT J. cn Bes Name Or No NatnDir License Business Name Lie. Or Reg. No. Name ofDriller 212836 I Printed 6/29/2008 HE-01205-07 ARCA HASTE et SH SOA 20 flle://,1/MPCA/!Working/A0081-100%20-%20PFC%20Foam/R. ..ummaries/Tyler/Well%20Log%20Report%20-%2000212836.htm7/l!2008 HS 12:56:33 PM 22222222.11667755 SSTTAATTEE0_208282222663322 Well Log Report- 00212R79 Jo,finnesola Unique Well No. 20879] oea wnm 212879 County Quad Quad ID Lincoln Tyler 83C TRITON Well Name OLD PEOPLES HOME Tormipha Dr cmcern Township Range Dir Section Subsections Elevation 0109 HW 44 w 10 ABD HeosionSeed 10 ABBCBB Elevation Method MINNESOTA DEPARTME.\IT OF HEALTH WELL AND BORING Cone wii WELL AND BORING RECORD ie RECORD nsoShn es 01 Minnewta Statute~ Chapter 1031 J<:ntry Date Update Date Received Date 04/ll/1988 08/12/1992 17270 eivt Be T_ TT 1727 ft. 7.5 minute uppnp | PPCIE N Tl topographic map Te (+/- 5 feet) Well Depth Depth Completed 182ft. 182ft. Drilling Method Cable Tool Date Well Completed 00/00/1961 Drilling Fluid a I -- Well Hydrofractured? DYes D No From Ft. to Ft. ann WelAl Adddress men TYLER MN caps Geological Material CLAY EidCLAY Steesuomi SOUPY SAND MIXED WITH CLAY Svi ssouaoens CLAY &BOULDERS SAND &GRAVEL, DRY byCLAY -- GRAVEL &CLAY LAYERS Frey CLAY SANDY Ae sno ses FINE SOUPY SAND &WATER SSeomnenernmees CLEANER FINE SAND &WATER sos LAYERS OF CLAY SOUPY SAND &WATER PBorenm LAYERS OF HARD PAN rv, WATER & GRAVEL coColor YELLOW JBLUE aeBLUE aeBLUE aeBLUE wrBLUE ones Hardness Use Commercial som 0 cGTaonmgneoreesit verminT -SvT err-- e EI From 0 $2 30 IE [ee Te 45 FEH E omer soto men suse 60 82 go86 2 97 nom 113 Bel 128 FJ I Eid 140 153 158 B 2r em 177 oe T Marhaer ota 180 B[CBeelalosewimng00 Tf1yt.pe Joint No Information Drive Shoe? DYes D No Casing Diameter Weight Hole Diameter 5 in. to 182 ft. lbs./ft. To 30 Open Hole from ft. to ft. 45 60 Screen Make Type 82 86 Diameter Slot/Gauze Length 97 113 128 140 153 Static Water Level 158 80 ft. from Land surface Date Measured 1961 177 PUMPING LEVEL (below land surface) 180 80 ft. after hrs. pumping 0 g.p.m. 182 Well Head Completion Pitless adapter manufacturer Model Set Between Above/ ores NO REMARKS 0D0 CCaassiinngg PPrrootteeccttiioonn DD1 1122imn. aabboovevegrgaraddee. ED em Wilt psi) D At-grade (Environmental Wells and Borings ONLY) cree rma Vets 0 Yor EI Grouting Information Well Grouted? DYes D No rtd Ggene Located Minnesota Geological Survey ---- VVUeernriiifqfiiucceaattNiioounnmIIbnefnrorfmaotiornfmforoaemtnnceiiiggohhbbnoorr ee -------- System UTM- Nadfi3. Zonel5..lvfeters De 124 Method Digitized - scale l :24,000 or larger (Digitizing Table) en DateN/A 5. 1 X: 250232 Y: 4906478 RCT .f\lfeeeatertes_tdKdirinreoeccwitiinoonnS. ou__rttcyyeppeoe.f Contamination - - 2 a 0 ve Well disinfected upon completion? D Yes Oe D No Puummpp 0D NNootttInnssttaalllleedd DDaavtee IInnssttaalllleedd cms Heor 1. Yao Manufacturer's name Model number - Syn ep or eas Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material eed Wes tsps on rn mt ter 0 Abandoned Wells Does property have any not in use and not sealed well(s)? D YYeos DO NNoo Hah er go thr First Bedrock fron STE oh rg Last Strat Gravel (+larger) Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. CountyWell Index OnlineReport County Well Index Online Report Variance Was a variance granted from the MDH for this well? No ---- Well Contractor Certification | Mab mu nur. Minett Well Drilling 59234 MINETT C. om een ic Grego Nome De License Business Name Lie. Or Reg. No. Name ofDriller 212879 I 212879 D Yes D Printed 6/29/2008 HE-01205-07 Eo oc ASR tN gersota FAEH flle://,1/MPCA/!Working/A0081-100%20-%20PFC%20Foam/R. ..ummaries/Tyler/Well%20Log%20Report%20-%2000212879.htm7/l!2008 12:56:32 PM 2222222.11676 SstTaArTeE0_202882222663333 Well Log Report - 00222296 Minnesota Unique Well No. 222296 | oSwi II 222296 County Quad Quad ID Lincoln descents Dead Coon Lake 483D WAGGING ROAR Well Name GYLLING. ROBERT Toni Ras Di SeconSlctions Beton Township Range Dir Section Subsections Elevation 110 44 w 34 DDDBDD Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING Upieue 812158 WELL AND BORING RECORD ReedDc RECORD getsSrCtee e101 Minne~ota Statute~ Chapter 1031 Entry Date Update Date Received Date 0411111988 08112/1992 ma Dheyh Cobroed Da WTC 1722 ft. 7Z.5embinuute topographic map Well Depth 45 ft. Drirfillliinn:g MMeetthhoodd -- Depth Completed 45ft. Date Well Completed (+/- 5 feet) Delle ot Drilling Fluid -- Iwet iar 0 ve: Ove Well Hydrofractured? DYes DNo Fon Tw Tt from ft. to ft. Use Domestic CCaosningg TTyyppee JJootiantt NNoo Ilnnfoormriatoionn DDririvvee SShhooee?? 0DYveesr ODJ None 0 1 No Above/Below 0 ft. Gosing Dimer To To Gamer Casing Diameter Weight Hole Diameter Dao st wn 30 in. to 45ft. lbs.lft. Wlaelal Apidderneses msmTYLER MN ctoict otal Geological Material aCLAY SooSAND awCLAY GorColor tow YELLOW aeBLUE badness Hardness 30 REMIRES NO REMARKS From To From To ow 0 12 bon 12 14 "os 14 45 a Open Hole rom n. to n. ST Screen Make Type Came Suazo Diameter Slot/Gauze Length Sotewoon Length Set Between Sew Static Water Level VY amputees 10 ft. from Land surface Date Measured FONPING EVEL i iy PUMPING LEVEL (below land surface) i pare om n. after hrs. pumping g.p.m. [-- Well Head Completion Bien che mamtoare_ Mod Pitless adapter manufacturer Model Dlcoms poston 0 2m src D Casing Protection D 12 in. above grade 0 Armd mimes Weld Bigs OL) D At-grade (Environmental Wells and Borings ONLY) Gregan Walser 0 Yor Oo Grouting Information Well Grouted? DYes 0No ee Sane pn Te LNooccaatteedd MMim.nnneessoottaa GGeeoollooggit.cca!l SSuurrvveey.y lMMaeregttehhreo(ddDiDgDiiitggiizittiiinzzgeeddT--absslcesa)cle 11:2244,0.0000oo0rr Unie Nemes Unique Number Neon orionon Due Nn Verification Intormation from ahr neighbor ed, }MSPvefytoeesteartress.m UT1'vf- NaRide83, Zoznoeel5, DateN/A XX:: 225500996677 Y:: 44990088228888. FiLnaemdoCovey First Bedrock Last Strat Clay-gray DAetpet QuetBurs Ares Ate Aquifer Quat. Buried Artes. Aquifer Depth to Bf.'drock ft. County Well Index Online Report eR Sou STCran Nearest Known Source of Contamination ion - feet _direction _type Jwaresnt oneior 0 ve Well disinfected upon completion? D Yes 0 no D No NLseibregvPoioot"NCosoy 2b-- 0Sh.e VNotoete PPuummp.p 0 NNoott IInnssttaalllleedd DDaattee IInnssttaalllleedd Manufadurer's name Model number - HPQ2_ Volts Length of drop Pipe 40 ft. Capacity _g.p.m Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D0 Yvees DO N%o V`Vaarriiaannccee WWaass aavvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHffoorttihsiswwelelll?? [DJ Yveess D0 Nxoo Well Contractor Certification G ni Ssog Sey U5 United States Geological Survey Lise mienNames Oro No. Non f il License Business Name USGS Lie. Or Reg. No. Name of Driller 222296 I Printed 612912008 HE-01205-07 EAPC ln 11012517. Se 0 S50 651 AC file:///I]/1\!PCA!!WorkingiA0081-I00%20-%20PFC%20Foam!R...ummaries/Tyler/Well%20Log%20Report%20-%2000222296.htm71 112008 12:56:31 PM 2222222.11667777 STATE 02822634 STATE_02822634 Well Log Report- 00222.)03 ors ie io Jo,finnesolu Unique Well No. 222303] 222303 Gowatim County Quad Quad ID 4meLincoln Tyler 83C ATOR Well Name THOMPSON Tommi an DiS Snorer Township Range Dir Section Subsections Elevation 110090 844 wW 1100 BBBBAAAAAADD FlEelevvaattioonn MMeetthhoodd -- Well Address mee TYLER MN 170 1 1750 ft. MINNESOTA DEPARTMEl\T OF DAL Fou oun HEALTH WELL AND BORING Unincowe oui WELL AND BORING RECORD Record boc RECORD anc ie ioe 01 Minnewta Statute~ Chapter 1031 Entry Date Update Date Received Date 04/ll/1988 03/17/1992 Wath DepComp Dacca Well Depth Depth Completed Date Well Completed an "on isi 425ft. 425ft. 08/1511957 tt7oo.p5poomggrrianappuhhtieiccmmaapp | DDrriillningg MMeetthhoodd (-i- 5 feet) DDriritlilinngg FFlluuiidd IFon Te WWelelll HHyyddrrooffrraaccttaurrcead?? 0D Yveess D0 Nnoo From Ft. to Ft. Use Domestic Casing tater We FleDome Casing Type Joint Casing Diameter Drive Shoe? DYes D No Above/Below ft. Weight Hole Diameter Geological Material CrTILL Fresaps FINE SAND & WATER uATR TILL Ehvene swosuzoon VERY FINE SAND BAILED DRY TILL inTILL inTILL BOULDERS IN CLAY MATRIX Em VERY SANDY TILL SAND SOME GRAVEL & WATER ecnaem rREGNES TILL VERY COMPACT LARGE GRAVELS kaTILL nn RLUARKS DRY HOLE 3.5 GPM AT 300FT Color Seton YELLOW weBLUE BLUE tow YELLOW aiBLUE ueBLUE BukBLUE Tow YELLOW ores Hardness From To pom [op wewo 0 8 8 Ale soos wm s 8 30 econ 30 128 no 128 150 150 195 wm 195 220 na 220 250 250 262 poole,| 262 300 300 304 E o 8 r eo r toe r 304 412 Nott Comin 412 425 Open Hole Screen Diameter from ft. to ft. Slot/Gauze Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Length Set Between Ocrintmiin 0 12m sic Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade creme Wetomecs 8 Tor DI 0D) AAvt-ggrraaddee ((EFnavviirnoonnmmeennttall WWeelllls sanndd BHoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No ceed Mic Goss Save hel De Located Minnesota Geological Survey Unique Number tern rons De NA Verification Tnfonnation from owner Sm Ur Nl F135 3: 0650 System UTM- Nad83, Zonel5, .Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 249781 Y: 4906550 'learest Known Source of Contamination Sr _feet _direction _type rsp 0 vo Well disinfected upon completion? D Yes OD No Pump D Not Installed Date Installed MLLeanngeutfhoaconftfuddrergpor'ps PPntiaippmeeeh_fftt. CCMaappoeadcceiiltyynu_smg.bppe.rm- HTTPyypp-oe VMoMaltatseterriiaall vo Ow AAbbaannddoonneedd WWeellllss DDoocess pprrooppeerrttyyhhaavveeaaanyy anoott iinn uusseeaanndd anootsseeaalleedd welelsl()s)?" DC1 Yes D No ack air First Bedrocl{ Lit Pty dic Dept tk Last Strat Pebbly sand/silt/clay Aquifer Depth to Bedrock ft. Cr We een County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Pa Minett Well Drilling 59234 ome Bim Ore Yo Naot Dit License Business Name Lie. Or Reg. No. Name of Driller [|Imm 222303 Printed 6/29/2008 HE-01205-07 Ao ACh el per RSE flle://,1 /MPCAi! Working/A0081-1 00%20-%20PFC%20Foam!R...ummariesiTyler/Well%20Log%20Report%20-%2000222303.htm7/1/2008 12:56:30 PM 22222.1166778 STSATATETE0_208228222663355 Well Log Report- 00222312 1~=2=2=23=1=2====:::::!..111 ~:::ty [C252 Minnesota Unique Well No. ~ e . Quad ID oeLincoln Tyler 83C MIN_\I<:SOTA DI!:PARTMI<:NT OF WWEELLLL AND HEAL AND TBBHOORRIINNGG RECORD _llfinnesota Statutes Chapter 103I Updaabue Entry Date Update Date Received Date wii 0411111988 08/12/1992 Well Narne TYLER BAW 3 BOODIR est Method Township Range Dir Section Subsections Elevation 109 44 w 3 BBBBBB Elevation Method re Well Address TYLER MN Well Depth Depth Completed Date Well Completed pnt 1727 ft. 7.5 minute topographic map |. DPE Selb 295 ft. J)~:iili.~g. !Vi~tl~~d -- 295ft. 00/00/1960 (+/- 5 feet) Drilling Fluid -- foLese tToesnt weelrl IWell Hydrofractured? DYes D No From Ft. to Ft. 1 CCaassiinnggTTyyppee JJooiinntt NNooInInffoorrmmaattiioonn DDrriivvee Sshhooee?? ODJYveess ODJ No Above/Below 0 ft. OGDRIeRToTlogical Material arCLAY CLAY GRAVEL & ROCKS & SOME WATER CLAY LIGHT SAND & BLUE CLAY CLAY CLAY CLAY SAND& WATER CLAY aCLAY SAND& WATER CLAY FINE SAND DRY CLAY SAND& WATER a REMARKS TOO WEAK FOR CITY Color Hardness BEYELLOW BLUE BLUE BLUE BLUE YELLOW BLUE YELLOW weBLUE BLUE BLUE Casing Diameter Weight Hole Diameter o0Frosm]5To 5 in. to B295eIt lbbsslft 5 30 o39w05 Open Hole from ft. to ft. 95 130 SCI"een Make Type 130 155 155 188 Diameter Slot/Gauze Length Set Between 188 195 195 220 220 224 224 232 232 240 Static Water Level = wT 240 250 72 ft. hom Land surface Date Measured 1960 250 255 PUMPING LEVEL (below land surface) 255 268 205 ft. after hrs. pumping 30 g.p.m. 268 275 275 290 Well Head Completion 290 295 Pitless adapter manufacturer Model DDO cCaassiinngg PPrrootteecctiioonn D0 1122inin.. aabboovvee ggrraaddee. D03 AAvt-ggrraadde (e(EEnnvviirroonnmmeennttaallWWeelllls aanndd BBroirinnggss OONNLLYY)) GGrroouuttiinngg IInnffoorrmmaattiioonn WWaellll GGrroouwteedd?? DLJ Yveoss [DJ NNoo Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification Information from owner Date N/A System UTM- Nadf!3, ?:onel5, Meters X: 249472 Y: 490R197 County Wall des On Ropor fietovee First Bedrock Last Strat Sand Aquifer Depth to red Quat. Buried Artes. Bedrock ft. Aquifer County Well Index Online Report .'\earest Known Source of Contamination _<Jet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD nNoo VVaarriiaannccee WWaass aa vvariaancregrgiaranntaeteddnthroocmmtethhee MMDDHH ffoorr thhiisswweeilrl?? 0D YYeess 0D Nxoo Well Contractor Certification Minett Well Drilling 59234 MINETT J. [|Izz ES License Business Name Lie. Or Reg. No. Name of Driller 222312 Printed 6/29/2008 HE-0 1205-07 file:///Ij/l'v!PCN!Working/A0081-l 00%20-%20PFC%20Foam/R. ..ummaries/Tyler/Well%20Log%20Report%20-%2000222312.htm7il/2008 12:56:32 PM 222222.116679 STATE_02822636 Well T"og Report- 00630679 Mr vie Minnesota Unique Well No. 630679 | Tenow he 630679 County Quad QuadiD Lincoln Tyler 83C SET Welll'\ame R&R HIGH SCHOOL emi ew--e -------- Township Range Dh Section Subsections Elevation 9 HONS OA Hem veed 109 44 w 3 BABB Elevation Method MINNESOTA DEPARTMENT OF on --- HEALTH WELL AND BORING frso ual WELL AND BORING RECORD Mine vn, RECORD at 11Jinnesota Statutes Chapter 1031 Entry Date l:pdate Date Received Date 11/12/2004 01/16/2007 01/26/2005 170% oont bo Ciom D WPEa Comey 1710 ft. Compe Cak from DEM (OS0STSner | PAREN ei (USGS 7.5 min or oeequiv.) Well Depth 172 ft. Drilling Method Depth Completed 172ft. !Zotary Date Well Completed 08/02/2004 Drilling F1uid EI T -- We-ll Hydrofracturc-d? DYes IZ] No From Ft. to Ft. frWell Address shoes 100 STRONG ST en TYLERMN concert Geological Material oaDIRT EACLAY frCLAY esse NVATER BEARING C l:se Irrigation --O Careg Tor Seder eatery oe Tatas Tee Casing Type Steel (black or low carbon) .Joint Threaded Drive Shoe? IZ1 be Die wma Yes DNo Above/Below Como De WTR Casing Diameter a Wima saw mt 6 in. to 172 ft. ft. Weight 19.2 lbs./ft. Hole Diameter 6 in. to 172 ft. or dwness om To Color oo fe fem BLACK aos 5b YELLOW BoE: ow BLUE Wom RoE DARK Hardness SOFT SOFT SOFT SOFT From To 0 2 2 32 32 166 166 172 Open Hole LR Screen NO [Ome Diameter from tl to ft. SolGue Make Type Slot/Gauze Logn Setsenmen Length Set Between Static Water T.eveI 68 ft. from Land surface Date Measured 08/02/2004 TIT RE11IARKS THIS WELL IS TO WATER THE FOOTBALL FIELD td Minna Dpto Located Minnesota Department of Health CueSemvente NA Unique Number Verification N/A Vito GFS 4 Olene Method GPS SA Off(averaged) oS Date 09/28/2004 PUMPIJ'\G LEVEL (below land surface) ft. after 1 hrs. pumping 60 g.p.m toon We-ll Head Completion Manet od Pitless adapter manufacturer Model Dcaitoion Bi sore D Casing Protection IZ1 12 in. above grade Grin mtn Wert? @ ver 0D AAvt-ggrraaddee (EEnnvviiervoanmmeennttaallWWeelllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? IZ] Yes D No Cnt: son Grout Material: Bentonite rn wae from to 60 ft. System UTM- Nad83, Zonel5. Meters X: 249875 Y: 4908193 :\earest Known Source of Contamination ll___feet L direction _type ay LY tied Demi WWeelllldidsisiinnffeecctteedd uuppoonnccoommplpelettiioonn?? IZ1 YYeos Pnmp D Not Installed Date Installed OD NNoo Manufacturer's name Model number - Lohofdrop Pipe Coeiy gp Type Mseral Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material Po ARI Abandoned Wells Does property have any not in use and not sealed well(s)? OB D Yes IZ1 No iis oe First Bedrock Laven Debit Last Strat Aquifer Depth to Bedrock ft. County Well IndexOnline Report County Well Index Online Report Variance Was a variance granted rom the MDH for this well? No Well Contractor Certification Na MEL Minett Well Drilling 59234 MINETT J. om moins rk Yo. moot License Business Name Lie. Or Reg. No. Name of Driller 630679 I 630679 D Yes IZ1 Printed 6/29/2008 HE-0 1205-07 C--O SHAT flle:///Ij!MPCA/!Working/A0081-100%20-%20PFC%20Foam/R...urmnaries/Tyler/Well%20Log%20Report%20-%2000630679.htm7/l/2008 12:56:32 P:\1 22222.1166880 sStTaArTeE0_208282222663377 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY UUppssaallaa UPUpOpssaBalolaaxFF1iirr6ee4DDeeppaarrttmmeenntt UPUpOpssaaBllaoa,x, MN164 MN 5568338844 JJ3aa2yy05BBa7ag3ggg4ee1nns0is1otossss,, iFriree CChhiieeff 320-5 73-41 01 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooffffooaamm uusseedd iinntrtarianininingg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 111100 WW.. EEllmm AAvveennuuee,, UUppssaallaa CCllaassss AA-B8 HHii EExxppaannsisoionn:: UUnnsurseoouffbbrrraanendd,, 33MM bbrraanndd aassssuummeedd SSeemm-iA-Annnunaulalllyy LLeessss tthhaanns5 ggaallloonnss. Ssttoorrmm sseewweerr CCllaassss AA-B8 HHIi EExx.: 551to0 1100ggalallloonnss. NNoorrtthh TTwwiinn RRiivvee,r, lleossss tthhaann 11//48 mimile nnoorrtthh LLeessss tthhaann 117/44 mmiilee nnoorrtthh LLeessss tthhaann 11/44 mmiilee nnoortthh MMoorree thhaann 11 mmiilee 221 22222222..11668811 SSTTAATTEE__0022882222663388 UPSCWAI LiAp UPSALA CWI Well Map bod a lvandea kt EEE EL at at Emm TE +d SAT Lp ee SEER me ep etdame A 3k mel ighf= mCd eim 20ly {Csunl JV yi fm am LT [BTte og :H ME me prioas es Ae ps or Vola aA) dowd cedid LTT A Sho Td Ome | BS Jd Ft T jo RASEOE E in Se e7 T eT SCToAlT mEReEeSThE cep Bl ERR = la |2 pd Gl \ Sh ON ee Tig TAT SL nde FCTouTl la #d0 A/ a be me ee T1TT T Sc ANACom ke Lo LO opal NBS fa Esl Af Al Tame FS wr Samp SRC Neh regan ia cones Ar telaLown 222222.116682 sore rs STATE_02822639 [UpsUaplsaala WWhhaatt'ss IInn MMyy NNeeiigghhbboorrhhoooodd MMaapp || .i | | HH || Er vn | : | || SITE-- sorry}i | -- I || | | -- | | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion Errno pte MEST] of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost ||FR naany vine so sd li fo dps sit MPCA that may arise from the use of this data. |||| @ minnesota Potton cantor gency || BottoeStupooridua Sites D~n.Mc:l matt~ &u~~rkl M h Pomn~nSSoitl"InKWIeWag.dWe IeJpno~rmnli!beddBDuunn1gJ1e5 u NNFRRAAP mtayw ~R~u,g..orritlluwnd Cc:e~ReCLo!ufis. roamituria o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! pSinSiete Vo!Unllr~ l'rW'I191'11:11'i ye & Cb!lrwJ!o romTia A sum sesso ..t. ORR estigaatCairousn. ltCRA 1!iD f'lt:ill:l~ ~M Jrw-ut-kor-111 & ClfiiiW~ ""- aum ~nw111 222222.116683 STATE_02822640 * fy 18g. Hil 1a goToye|ld : t sig idy bHd iia z eHH] sl is 3 A, 1748. YWiGn h)eHtt z: 13: ] | La, o i Upsala Wetland Map i 2222.1684 aon | son & i saon b 6 aE 3 : y in CE gn a0 hi a t ii natBni | = 8) dei lo\ n 1 Cl y= rr ~~~7S~:_--~'---~L________------~~c'fi II ;;' InterstateLegend z Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads TE Cities A r USGS Quad Index 24K "'.J,.. 00 Lower 48 Wetland Polygons wz0 Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor cf II ~ 6 Riverine Lowe~ 48 Available Wetland Data NonDgtal Digital z No Data Scan NHD Streams Counties 1OOK -- States 100K o South America <'fi 1 1 o North America .J,.. "w"' 0 4i I. . . ?+ *''fA]Z '1/.z.!tli, PF@1A (''" I z 94-35-30 w 94-35-0W 94-34-30 w 94-34-0W iJli r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N : 94-33-30W 94-33-0W Map center: 45 48' 26" N, 94 34' 7" W $ i Scale: 1:27,720 00 N N 0"1 .j:>. I-' z son eszon Well Log Report- IX1113~ I'l 113815 | oui _Minnesota Unique Well No. 113815 County Quad QuadiD toeMonism! Upsala 177D Well Name GETHSEMANE LUTHERAN CH. BNW 3 BC Howie Township Range Dir Section Subsections Elevation 127 31 w 22 BBBDCC Elevation Method rsmes tin Well Address wrsAm sn UPSALA MN 56384 Geological Material Color CLAY & ROCKS SAND BLUE CLAY BROWN CLAY BLUE CLAY SAND wnHardness NO REMARKS WELa LAND BORING RECORD Ml'IINESOTADEPARTMENT OJ<' HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Lplaebue Entry Date Update Date Received Date 013iat 04/13/1988 03/26/2004 Well Depth Depth Completed Date Well Completed 1221 ft 7.5 minute grep | PR hl Ce To topographic map Fr e I e (+I- 5 feet) 104ft. i)rillinP" Method LaDle 1001 104ft. 08/07/1975 Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Ee CCaassiinngg TTyyppee.SStteeetl ((bbllaacckk oorr lfoonwcacrarbboonn)) JJooiinntt TThherceaaddeeddDrDivlieveSShhooee?? D No Above/Below ft. Casing Diameter Weight Hole Diameter 0DYYeess. 4 in. to 100 ft. 11 lbs./ft. w10 y[o[mi re | Open Hole from ft. to ft. Screen YES From To Make JOHNSON Type stainless steel 0 18 Diameter Slot/Gauze Length Set Between 18 38 4 100 ft. and 104 ft. Pk 38 80 80 90 90 98 98 104 Static Water Level a 25 ft. tfom Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. Well Head Completion 09/30!1975 Pitless adapter manufacturer Model DOYcCasasiinngg PPrroosteccttiioonn 1D 1122min.. aabboovveeggrraaddee. D3 AAtr-garaddoe (EEanmvisirooonmmenetnatall WWeelllssaanndd BBoosriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes IZl No Located Minnesota Geological Survey Unique I'.umber Verification Name on mailbox System UTM- Nad83, Zonel5, Meters Method Digitized - scale 1:24.000 or larger (Digitizing Table) DateN/A X: 377914 Y: 5073284 First Bedrock Aquifer Quat. Buried Artes. Aquifer one TI Soke se ice Last Strat Sand DBepyth tto Beedrock ft. County Well Index Online Report Nearest Known Source of Contamination 400 feet - direction _type Well disinfected upon completion? IZl Yes D No Pump IZl Not Installed Date Installed O'J/30/1<)75 Manufacturer's name RED JACKET Model number BVC oy L_eLnegnHtgPhthoQofjf_drooVppPoPiltipspee27370231ft. CCaopapcitoy 1c1S5iggvp.p.ymm_ TTyopwe SSuubbwmaeerisibbllee MMaattceiriaall Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Valiance Was a variance granted from the MDH for this well? No Well Contractor Certification Eckstrom Well 113815 License Business Name 113815 49101 ECKSTROM l.2... Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/29/2008 HE-01205-07 file://ili/MPCA/1 WorkingiA0081-l 00%20-%20PFC%20Foam!R...mmariesiUpsala/Well%20Log%20Report%20-%2000 113815 .htm711/2008 1:00: 13 PM 22222222..11668855 STATE_02822642 Well Log Report- 00113817 Afinnesota Unique Well No. 113817 EB CQQuouiuadndty QuadiD UMUppoasrairilasaon 177D DERRY WMWIENENLLELSLOATAANNDDDEBPBOAORRRTIMINNENGGTRROEEF CHCEOOARRLDDTH Minne.wJta Statutes Chapter 1031 EUUpnpdtdaraytteeDDDaataettee Received Date 000433//2126363//212090080484 Well Name HOVLA\JD. DAN Township Range Dir Section Subsections Elevation ETN 127 31 w W le 16 ADCDAC Ferathon Methad ADCDAC Elevation Method Well Address 1212 ft. opopphi map -- | 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed 70ft. 70ft. DE NhlCRG Tock i:iril.ling; iVieiilo"t~ cabiefaai 09/18/1975 .... Dtilling Fluid TeI mpo -- Well Hydrofractured? DYes D No From Ft. to Ft. rm Use Domestic CCaassiinnggTTyyppee SStteeel((blbacklcoer hlaoowwcccaarbbkon)) JJooiinntt TThhrrecaaddeedd DDrriivvee SShhooee?? D0 NNoo AAbboovvee/Bteiloown f8t.. Casing Diameter Weight Hole Diameter D [JYYeess. 4 in. to 64 ft lbs/ft UPSALA MN 56384 Tan GGeeoollooggiiccaall MMataetreiriaall YELLOW CLAY SAND BROWN CLAY BLUE CLAY GRAY SAND CCoolloorr HHaarrddnnesess.s Open Hole from ft. to ft Screen YES Make HOWARD SMITH Type stainless steel oer FFrroomm 0 10 7T0o | Damiaemteeterr 10 4 19 19 30 :`SStloott/iGGaauuzzee. 18 ! ren 1 LLeennggtthh 4 SSeett BBeettwweeeenn 64 ft and 70 ft 30 60 60 70 Static Water Level 21 ft. from Land surface Date Measured 09/25/1975 PTTMPTNG LRVRL (below land surface) 21 ft. after I hrs. pumping 15 g. p.m. ftirSE Well Head Completion Pitless adapter manufacturer Model DDcuCiasmingg Pproostetcitioonn 0D 1122:i0n..sahboovveeggrraatdee NO REMARKS D At-grade (Environmental Wells and Borings ON! .Y) Grouting Information Well Grouted? DYes 0 No Lott Mims Gato vy Located Minnesota Geological Survey Cnique Number SEVerification Information from neighbor System UTA- Nad83, Zone15, Meters Jl Dole 24000 Method Digitized - scale 1:24,000 or larger (Digitizing Table) Date NIA X: 377257 Y: 5074283 FFirirsstt BBeeddrroocckk Last Strat Sand-gray AAqquuiiffeerr QQuuala.t. BBuurriieodd AArrtcess.. AAqquuiiffeerr Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? 0 Yes D No Puntp 0 Not Installed Date Installed 09/17/1975 Toe Sobre via cahanid Manufacturer's name RED JACKET Model number - BV- C - Length of drop Pipe '!tL_ft. Capacity li_g.p.m Type Submersible Material Galvanized HPQ.2__ Volts 230 Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D '\Jo Well Contractm Cet1ification Eckstrom Well License Business Name 2491a01 ECKSTRO'vl .n!.L Lie. Or Reg. No. Name of Driller 113817 I Printed 6!29/2!J08 HE-01205-07 file :1/III!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R. .mmaries/Upsala/Well%20Log%20Report%20-%2000113817.htm7/l/2008 1:00:13 PM 2222222.11686 STATE_02822643 Well Log Report- 00113843 113843 fwet o Afinnesota Unique Well No. County Quad QuadiD Morrison Upsala 177D ATT Well Name LAVINE, WALTER EE ---- Township Range Dir Section Subsections Elevation 17M 127 31 wWIS15 DOCCDR DCCC DB craton Method Elevation Method -- Well Address UPSALA MN 56384 MINNESOTA DEPARTMENT OF HEALTH TI wm WELL AND BORING RECORD ie SaChr 15 Weta Minne.wJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/13/1988 03/26/2004 EiAa iy pd 1199 ft. 7.5 minute cpgmap | PRE Nel Gols Tot topographic map(+/- 5 =feet) Well Depth Depth Completed 38ft. 38ft. i:iril.ling; iVieiilo"t~ cabiefaai Date Well Completed 10/19/1976 .... Dtilling Fluid E I T -- Ew] Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. ConToe Sk eco Jo Tri Dt 0 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? DYes 0% stom 1 D No Above/Below ft. Casing Diameter Weight Hole Diameter 4 in. to 34 ft lbs/ft Open Hole from ft. to ft Screen YES Make JOHNSON Type stainless steel Geological Material El. CLAY CLAY SAND Color Hardness From To Fri BROWN BLUE GRAY 0 20 20 28 28 38 Diameter 4 Slot/Gauze 10 Length 4 Set Between 34 ft and 38 ft Static Water Level 18 ft. from Land surface Date Measured PTTMPTNG LRVRL (below land surface) 18 ft. after I hrs. pumping 7 g. p.m. 10/26/1976 NO REMARKS Well Head Completion Pitless adapter manufacturer Model Dug rot 12 seg D Casing Protection D 12 in. above grade 0 pt mand Weld 0) D At-grade (Environmental Wells and Borings ON! .Y) Grouting Information Well Grouted? DYes 0 No jo Located Minnesota Geological Survt:y Cnique Number Verification Other, note in remarks "lethod Digitized - scale 1:24,000 or larger (Digitizing Tabk) Date N/A System UTM- Nad83, Zone15, Meters X: 378342 Y: 5073374 an itr ut Tid Agi First Bedrock Ds Sebi pti Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. Coyel ger Ons nepo County Well Index Online Report Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? 0 Yes D No ams) Need Onl 10317 Puntp 0 Not Installed Date Installed I0/26/1976 fruiting Manufacturer's name MEYERS Model number H.P.33 i Ae in Eo Length of drop Pipe 30 ft. Capacity 7 g.p.m Type Jet HP 0.33 Volts !.!Q Material Plastic adnWl os rer co tbr es? Abandoned Wells Does property have any not in use and not sealed well(s)? D oOo Yes D No Variance Was a variance granted from the MDH for this well? D Well Contmctor Certification Mwawa am EEGOL Eckstrom Well 49101 icone is ie nto morn License Business Name Lie. Or Reg. No. ECKSTRO'vl .!.L Name of Driller Te I 113843 Yes D '-.fo Printed 6(2.9/2008 HE-01205-07 file:i/III!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R. .mmaries/Upsala/Well%20Log%20Report%20-%2000113843.htm711/2008 I :00:11PM 22222222.11668877 sSTTaArTeE__00z2s82222664444 Well Log Report- 00143849 Minnesota Unique Well No. -- 143849 -- EB WeD "'ame WEDIN, JOH'l wd County Quad QuadiD Ups Morrison Upsala 177D To'\\nship Range Dir Section Subsections Elevation B 127 I31Ww 1166 DDAABBBBIEDD EBleevvataionnMMeethdod PERRI "MWWINEENLLELSLOAATANNDDDEPBBAOORRRTIMINNEGNGTRROEEFCCHOEOARRLDDTH Minnesota Statutes Chapter 1031 se Well Depth Depth Completed EREUUpnpdtdaraytteeDDDautaeete Received Date 03362004 04!13/1988 03/26/2004 Date Well Completed Fr See U0|eid 1212 ft. 7.5 minute topographic map (+/- 5 feet) 132ft. Drilling Fluid -- m I eee pidBey99ft. '~ton; 09/27/1977 Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic pet Well Address RR1 BOX 11 BURTRUM MN 56318 |GGeeoloologgiiccaall MMataeterriiaall CLAY CLAY = SANDY SLATE SLATE CCoolloorr HHaarrddnneessss BROWN HARD GRAY HARD aE GRAY GRAY SOFT SOFT FFiroomm 0 22 :88 125 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? No Above/Below 2 ft. DYes IZl Casing Diameter Weight Hole Diameter 4 in. to 90ft lbs/ft Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel TToo [DDiiaammeetteerr 22 4 SSliotd/Gaauze 20 LLeennggithh SeSettBBeettwweeeenn 8 90 ft and 99 ft 88 i125 132 Static Water I ,eveI mo mmn 25 ft. hom Land surface Date Measured PUMPING LEVEL (below land surface) 50 ft. after 2 hrs. pumping IS g.p.m. 09/29/1977 Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade NO REMARKS D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? IZl Yes D "lo Located Minnesota Geological Survey Unique Number Verification Information from neighbor System UTitJ- Nad83, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date N!A X: 377137 Y: 5074166 [retpsmovs First Bedrock Cretaceous Regolith Last Strat Precambrian Crystalline R o c County Well Index Online Report revive Aquifer C:retaceous Regolith Depth to Bedrock 88 ft. Grout Material Cutt1ngs from 0 to 70ft Nearest Known Source of Contamination l.QQ_feet 'lf_direction Sq:>tic tank/drain field type Well disinfected upon completion? IZl Yes D No Swe dt Cn pu soien Naie Cotes Pump IZl Not Installed Date Installed 09/29!1977 Manufacturer's name DEMPSTER Model number MF3-50 HPQj_ Volts 230 Length of drop Pipe 63 ft. Capacity g.p.m Type Submersible Material Galvanized Abnndoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Traut Well 73157 ZUPAN K. License Business -:'\Tame Lie. Or Reg. No. Name of Driller 143849 I Yes D No Printed 6/29/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam!R ..mmane;;;/Up;;;ala/V.,Tell%20Log%20Report%20-%2000143849.htm7 /1/2008 1 00 12 PJ\1 2222..11668888 STATE_02822645 Well Log Report- 00152745 Afinnesota Unique Well No. 152745 ow U15ps 152745 County Quad QuadiD Morrison Upsala 177D SOR TT Well Name SEURER. ROBERT Tout DrScitesoHonon Township Range Dir Sedion Subsedions Elevation 10 OW 2 ADDY Heston Method 127 31 w 22 ABBADA Elevation Method MINNESOTA DEPARTMENT OF HEALTH WEANDLBORL ING RECORD Upc cited WELL AND BORING RECORD osSes Chops 01 Wendi MinnewJta Statutes Chapter 1031 Entry Date Update Date Received Date 04/13/1988 03/26/2004 13101. rT r C joi aNoCnoa 1210 ft. LS EES|i ah orp Riis 7.5 minute topographic map (+/- 5 feet) Well Depth 40ft. Depth Completed 40ft. . Rotary Date Well Completed 07/27/1978 Drilling Fluid = mI eee -- Well Hydrofmctured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? DYes 0 No Above/Below 1 ft. PEt Casing Diameter 4 1n. to 36ft om x Weight 10.89 lbs/ft Hole Diameter Well Address RR 1 remo HOLDINGFORD MN 56340 (---- Geological Material CLAY CLAY SAND CobColor BROWN GRAY GRAY Haass Hardness MEDIUM MEDIUM SOFT Torrens NO REMARKS fomFrom 0 21 36 EAE TT Open Hole from ft. to ft. Screen YES :VIake JOHNSON Type stainless steel To [OSeer To Diameter 4 21 SlGme Slot/Gauze 12 Legh Length 4 seven Set Between 36 ft and 40 ft 36 40 Static Water Level 21 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 30 ft. after 1 hrs. pumping 10 g. p.m. 07/27/1978 eer Well Head Completion Pitless adapter manufacturer ShaModel DDlcuCsaisningghPorsotsecciticonn D012121ins. abboove rrgraasdde: mig rn Groat? 0Yer Be 0D0 AAtv-rgarade((EnnvirovnmientaclWeWmlellslsmaandedHoBrnoirinngtgssOOaNNLLlYY)) Grouting Information Well Grouted? DYes 0 No Lcd imo Grid Located Minnesota Geological srSurvey Ce Nbr Sertoton 086 l"nique Number Velification Other, ena note in remarks Sem CT-NZS System UTM- Nad83. Zonel5. Meters thd Dii-le 34000c :VIethod Digitized- scale 1:24,000 or larger fret von (Digitizing Table) po1 Date 1\/A iy soma X: 178459 Y: 5071247 SCT ET Nearest Known Source of Contamination re ga he ZQ_feet N_direction SeQtic tank/drain field type oltint accep B vo 0 No Wdl disinftx;led upon completion? 0 Yes D 'lo Pump 0 Not Installed Date Installed 08/01/1978 Manufacturer's name WEBTROL Model number 102S58 HPQ.l_ Length of drop Pipe l'L_ft. Capacity lQ_g. p.m Type Submersible Material Plastic Ow AAbnanddoonned WWeelllls DDoocses eprcoppeerrtyy hhaavvee aannyy nneott iinn uussee aanndd neott ssecaalleedd wweetlkl(ssy)'?I Yes D No Volts 230 JD hele First Bedrock Last Strat Sand-gray Spm Aquifer Depth to a 1 Quat. Buried Artes. Bedrock ft. Aquifer County Well Index Online Report Valiance Was a variance granted from the MDH for this well? D Well Contractor Certification North Star Drilling 48038 FLICKER D. T.icense Business Name T.ic. Or Reg. 1\o. Name of Driller 152745 I Yes D 'lo Printed 6/29/2008 HE-01205-07 file:lilli!MPCA/IWorking/A0081-1 00%20-%20PFC%20Foam/R...mmaries/Upsala/Well%20Log%20Report%20-%2000152745 htm 7!1/2008 I :00: II PM 222222..11689 STSATATTEE0_208228222664466 H E|, i iE H HRI il o iGS8E5l(RFE7iF2aENlE Ff[lieEodeleede L1if1eBEE EE H HH HEEER EA fe : #1 EHEE1N Well Log Report - 00224489 A1innesota Unique Well No. : 11 224489 11 County Quad QuadiD Morrison Upsala 177D ii. Well Name CARLSEN, HAROLD Township Range Dir Section Subsections Elevation 127 31 w 15 DCDCCC Elevation Method =HEHR i5 EigH I 22 i|: e 5% al Boi, 2215275 [1a2 |f||%E fFf 5g5i4 l MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne,mta Statutes Chapter 1031 Entry Date Update Date Received Date 04/13/1988 03/26/2004 z3 aS118i |2 c slE]: : HHHS i 1207 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 43ft. Drilling Method Cable Tool lz f Depth Cnm pleted 43ft. Date Well Completed 09/30/1956 s2 BE 72:3a Drilling Fluid -- Use Domestic B = Well Hydrofractured? DYes D No From Ft. to Ft. FI |2 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D No Above/Below 1 ft. Casing Diameter 4 in. to 43 ft. |g Weight lbs.lft. Hole Diameter DYes } Well Address UPSALA MN 56384 Geological Material CLAY GRAVEL 3 ,3 Color Hardness NO REMARKS i; i. From 0 20 [1| : |Eg Hteed || o$ile 100a30d20s E EER E E EE . 3. |, B. E| 3is Fde2} Open Hole from 0 ft. to 0 ft. Screen YES Make JOHNSON Type Diameter To 5 20 43 Slot/Gauze 30 Length 3 Static Water Level 20 n from Land surface Date Measured PUMPING LEVEL (below land surface) 30 ft. after 2 hrs. pumping 10 g.p.m. 09/30/1956 siF Set Between ft. and ft. FFHEiECkEEeS giialHg EEEEE 52 9 pi Ee 1304ds Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No } i IE iPif 3 22222.1166990 }i] CLif =orEBs:Ef 2; 2 N3i HA E io: i P fa dili stare 02822647 : 1%,% =IRE 3I5 : the 18:2 Located Minnesota Geological Survey Method Digitized - scale 1:24,000 or larger (Digitizing Table) fA HdN ! El hfoE][I i; ~ Unique Number Verification Other, Vl note in remarks DateN/A System UTM- Nad83, Zonel5, Meters X: 378480 Y: 5073351 rn I 0 Hild Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion D Yes D No N 00 i: N N file:/1/II/MPCA/!Working/A0081-I 00%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries!Upsala/Well%20Log%20Report%20-%2000224489.htrn (I of 2)7/112008 I :00:12PM i 3 0"1 .j:>. '-I i: 3 i Well Log Report - 00224489 <FH 2g 2 s PE3 $IxME 38 First Bedrock Last Strat Gravel (+larger) Aquifer Quat. Buried Unconf. Aquife Depth to Bedrock ft. EM County Well Index Online Report olez2 0 Io |Z |9| 24% fils 2 2 2S4lse = 12 39i55:d5 |[g3 og2 %& [5 i: [[|44 yg 2 BseEeFs EEE I2 2] EE 253 |42EE R R3E3E2FAlaH2IEEN FEE EEE Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)0 D Yes D No Variance Was a variance granted from the MDII for this well? D Yes D No Well Contractor Certification Mim1esota De12t. of Natural Resources License Business Name MNDNR ATKINSON, ~ Lie. Or Reg. No. Name of Driller 224489 I i Printed 6/29/2008 HE-01205-07 i 2222.11669911 i iz 3z: 3 37 i 3i 3 i :i ] { ; :i :ii stare02822648 ~Vl rn I 0 N 00 N N file:///II/MPCA/!Working/A0081-1 00%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries!Upsala/Well%20Log%20Report%20-%2000224489.htrn (2 of 2)7/112008 1:00:12 PM 0"'1 _j:>. 00 Well Log Report- 00673720 . Cn lvfinnceistotea UUnniiqnuce WBeU ll NoNe. County ~::~ty II 667733772200 IIQuad Quam ~-==================~- QuadiD >MMoorrrriissoonn UUppssaallaa 177D TRE WOT STE Well Name WOLLER, STEVE ovnaip Rane DirSection Subcom ivan Township Range Dir Section Subsections Elevation 1127273131 wWIS15 DDAABBAABBBB EElleevvaattiioonn MMeetthhoodd wn 1204 ft. MixvEsoTs MINNESOTA DEPARTMENT OF DEPARTMENT OF WHEEAALLTTHH W`WEELLLL AANNDD BBOORRIINNGG RECORD ReceivedDre RECORD MinceSotutesChapter Minnesota Statutes Chapter nt1031 EEnnttrryy DDaattee UUppddaattee DDaattee Received Date 0066//2288//22000022 1122/0033/22000077 Depts DehComplete Wal Copied Well Depth Depth Completed Date Well Completed pry pos Sat 28ft. 28ft. 04/09/2002 oS t7ot.5poopmgoirgnarpuahtpeihcucmmaapp | DDrriilllliinnggMMetethhoodd 1N'-.on-sp'eciied RRoottaarryy (+/- 5 feet) D Ober rDirlilllii Other nngg FFlluuiidd Fon Tt 14 WWelelll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D NNoo From Ft. to Ft. Use Domestic CainsType Pate JuitNoleorution Deveshoe? OJ You Casing Type Plastic Joint No Information Drive Shoe? DYes 0 ve anoint D No Ahuve/Belu~ ft. Casing Diameter Vien File Damar Casing Diameter sab on mn aman an 5 in. to 20 ft. Weight lbs./ft. Hole Diameter 8.75 in. to 28 ft. AURpIssSiaTmiAsion WeWlelllAAdddrderessss, RR 150TH AV UPSALA MN 56384 prGoSCecLecAosoiYlgoigcicaal atrial Material SAND Cor Color wom BROWN mow BROWN HHaarrddnneessss OOpenpen HHoollee ffrroomm f1t. 0to 1ft. SeeTTn SAR TTOOT To Screen YES Make BIG FOOT Type plastic Dmeter SiotGauze Length SetBetween Diameter From To| 5 er Ewen nt From To 5 [A0 15 oa 15 28 Slot/Gauze 15 Length 8 Set Between 20 ft. and 28 ft. Sew Te Static Water Level SN oy Lamba Dus Messed 0000: 20 ft. from Land surface Date Measured FUMING EVEL (rir andar) PUMPING LEVEL (below land surface) 0 ter os pongo 2 gp 21 ft. after 2 hrs. pumping 20 g.p.m. 04/09/2002 Wellesd Completion Well Head Completion Pies sit mass Ml Pitless adapter manufacturer Model vo nears NO REMARKS 0D CCaassiinngg PPrrootteeccttiioonn 0 1122iinn..aabboovveeggrraaddee 3 vga momen Wels ad Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Grostng tration Salle Yer Ovo Grouting Information Well Grouted? 0 Yes D No oLoecsted Miso IOsrosol Located Minnesota Department of Health Unigue Number Verification NA Unique Number Verification N/A Sytem UTM Nl, Zon], Mrs System UTM- Nad83, Zonel5, Meters Gothia: igh sold ort Grout Material High solids bentonite vmod 65 SA Of-- nen Method GPS SA Ott (averaged) Date NA TT DateN/A X, S07 Yo Sst | 50 et don Ba ak pe X: 378807 Y: 5074061 Nearest Known Source of Contamination 500 feet L direction Body of water type [ETT from 0 to 10 ft. WWeelllddiissiinnffeecctteedduuppoonnccoommplpelettiioonn"? 0 YYees OD NNoo Pun 0) Notts Due raed Pump D Not Installed Date Installed Nicest nane. Moder HP Vos Manufacturer's name Model number - LonigmphPaogef Copy gp Tf: Motel Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Roamdone alls Doe ros Be FT oo ot TT Abandoned Wells Does property have any not in use and not sealed well Variance is avsmessad orte MH foc, 0) (s0)? 0D Yveess 0 NNoo Variance Was a variance granted from the MDH for this well? D IrYees 0 NNoo RCA oi S035 Senos We Rg30306572 371308 4013 file:/i/II/MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa...ries/Upsala/Well%20Log%20Report%20-%2000673720.htm (I of 2)7/112008 I :00:13 PM 22222..11692 STSATATTEE0_208282222664499 Well Log Report- 00673720 First Bedrock Last Strat Sand-brown Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Albany Wells 73667 THOMAS License Business Name Lie. Or Reg. No. Name of Driller 673720 I Printed 6/29/2008 HE-01205-07 file:/i/II/MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa...ries/Upsala/Well%20Log%20Report%20-%2000673720.htm (2 of 2)7/112008 I :00:13 PM 222222.116693 STATE_02822650 Well Log Report- 00674754 G~::u~tmy lMvfiinmneessoottaaUUnniiqquuee WWeellll NNoo. County II 674754 II Quad ~-==================~- QuadiD 1MMoorririssoonn UUppsasla 177D OTT TERT Well Name KOETTER, PAUL & KATHY Tonnly Rana Directo Sablon Eton Township Range Dir Section Subsections Elevation 9B WIS WC Hes abed 127 31 w 15 BDC Elevation Method sivuisora MINNESOTA DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF W`WEELLLL AANNDD BBOORRIINNGG RECORD Wevetbue RECORD inst Sts Cor Minnesota Statute.~ Chapter yr1031 EEntnrtryyDDaattee UUppddaattee DDaattee Received Date 1111/72255/722000022 00990/1997/22000077 1301 1, elonDD Conomp BepeaCyoed 1204 ft. (J505 Famer | DAS Ani CCoallec ffrroomm DDIEMM (USGS 7.5 min or = equiv.) Well Depth Depth Completed 16 ft. 16ft. | DovriinlleingsMieetthhooad nau5 v, v fied) Date Well Completed 04/22/2002 Drilling Fluid To-- Use Monitor well peWweellll HHyyddrrauffrraaccttuurreeda?? 0DYveess 0Nnoo From Ft. to Ft. CaCsaisinnggTTyyppee PPllaassttiicc JJooiinntt TThirveeaaddeeddDrDirivveesShhooee?? D 0Yveess 0D hen No Above/Below ft. Casing Olam Waa Te Casing Diameter Weight Hole Diameter Tan en a tan wh 2 in. to 6 ft. lbs/ft 8 in. to 16 ft. Wat stores Well Address Bi129 MAIN ST UPSALAMN Gecogcaiseial Geological Material Stvees SILTY SAND Sinvairvsnn CLAYEY SILTY SAND Soran SANDY CLAY Color Waanoss Color om oe BROWN wom Sn BROWN a ow GRAY Hardness MEDIUM SOFT MEDIUM TTT Open Hole from ft. to ft. ROT To Screen YES Make MONOFLEX Type plastic Diameter SlotGauze Longih Set Bowen Diameter Fim To | 3 ` OSE, From To 2 0 7 0 7 Slot/Gauze 1 9 hn 7 12 now 12 16 ST Static Water Level Length 10 Set Between 6 ft. and 16 ft. Voth Dt eur ota 8 ft. from Land surface Date Measured 04/22/2002 FO FEVEL(N i G arn PUMPING LEVEL (below land surface) Mltid Commplian ot n afler hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model TToERE REMARKS MW-1 Ld Mos Located Minnesota Health Dp Department of Method Crt oman VetoesT @ vem O 0 CCaassiinngg PPrrootteeccttiioonn YY 0 1122iinn.. aabboovveeggrraaddee D AAt-vgrardea(En(Fvmiriornommmeennttaal WWeelllss aanndd BBoorriinnggs OONNLYY)) Grouting Information Well Grouted? 0 Yes D No crs sts| GCotIs tSoom GPS SA Off (averaged) Grout Material: Neat Cement Grout Material: Bentonite nonin from 0 to 4 ft. nse from 4 to 5 ft. 22 bags thm 1 bags Sn Ut Nats hs 3 0 3s sat UnUinqiquuee NNuummbbeerr VVeerriiffiiccaattiioonn NNI/AA System UTM- Nad83, Zonel5, Meters DDaatteeNW/AA X: 377939 Y: 5074176 | TeNNeeaarreesstt KKnnoowwnn SSoouurrccee ooffCCoonnttaammininaattiioonn - feet - direction _type WWelelllddisiinfsecitednuuppfoonneccoocmmpltpeletetiioodnn?? [D1 Yeess 0 NNoo Ppuummpp D NNoottIInnssatalllleedd DDaatteeIInnssttaalllleedd mintsnm Meimntors 11 Vols Manufacturer's name Model number - Lopharonghis Congo Th Mast Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material me Tee oe TT Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yvees 0 NNoo VVaarriiaannccee WWaass aa vvaarriiaanncceeggraranntteeddffrroomm tthhee MM DHffoD orrtthhiissH wweellll7? D0) Yreess 0 NNoo A ---- file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa...ries/Upsala/Well%20Log%20Report%20-%2000674754.htm (1 of2)7/l/2008 1:00:12 PM 22222..11694 sSTatAeT_Eo_z0s28a2z2e6s5t1 Well Log Report- 00674754 First Bedrock Aquifer County Wolo Gris Rapa LastStrat Depth to Bedrock ft County Well Index Online Report Well Contractor Certification Glacial Ridge Drilling M0173 RUCHTI. B. License RLL~iness Name Lie. Or Reg. No. Name of Driller orasd I 674754 Printed 6/29/2008 HE-01205-07 fi1e:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Foa...ries/Upsa1a/Well%20Log%20Report%20-%2000674754.htm (2 of2)7/l/2008 1:00:12 PM 22222..11695 STATE_02822652 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY WWaaccoonniiaa WW26a'acSc.oonnMiiaaapFFlieirreeStDDreeepepatarrttmmeenntt Waconia, WN 55387 26 S. Maple Street Waconia, MN 55387 R9Ra5an2nd.da4al4ll2l .SS2oo3rr1ee6nnssoonn,, FFiirree CChhiieeff fre@waconia org 952-442-2316 fire@waconia.org TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: 7W75a55c50o0nAAiiiarppoorrtt RRooaadd;; 88007755 PPaarraaddiissee LLaannee;; aanndd 2266 SS.. MMaappllee SSitrreeeel,t, Waconia AAAFRFFAFFFF:F: FAA.nngguuAssngus ClassA: Angus AR-AFFF: Angus Class A: Angus AAnnnnuuaallllyy 551to01100ggaallloonnss NNoott ssppeeccitfieedd AAARFFAFFF:FF: Ell.eesssslttehhsaasnnth55aggnaal5llloognnasls.lons Class A: more than50 gallons AR-AFFF: less than 5 gallons Class A: more than 50 gallons AAPiairprpoaordrtitsRReooLaaaddnessiitaeen: dPPiiMeearrpssoloennssSLLtaaekkeeet.,lsleeesssss:tthLhaaankne11W//44acmmolnileeiass.oouulttehhseesaatsshttan 1d mie north Paradise Lane 1/4 mile north and Maple Street sites: Lake Waconia, less than AAPiairprpoaordrtitsRReooLaaaddnessiitese:i: elleesslsessttshhatahnnan11//441/mm4 limleeilsseoonuuottrhhieenaaessattst Maple Street site: 1/410 Paradise Lane site: less Maple Street site: 1/4 to 112 mie than 1/4 1/2 mile westmile west northeast LLeessss tthhaann 111/44 memile ffoorr aallll tthrreeeettrraaiinniinngg ssiitteess: PPPraaorrtaaeddcitissieeonLLaaAnrneeeaaanndd MMaappllee SSitrreeett ssitteess aarree llooccaatteedd iinn WWeellllhheeaadd Protection Area 118 22222222..11669966 SSTTAATTEE__0022882222665533 WWAACCOONNIIAA AAiirrppoorrtt RRooaadd CCWWII WWeellll MMaapp SE Ne EHeBAIS *)P= RE SEE 4 nt met 0Ce dFoeo e Sla AdA AhBaL noKwO)E cNlyue"EwW SeLA S wwA iiLAI ad Ra Fae E atNer) A 27H d Ihe Ad BRd C NCE a po CN mea Bry EwRa po aer n Is helt NA gia oi | ey ee Piel Mea Te = nC e E | 8 Vie q ENT A Ee % ; WR al gE We yas LCR SivengabpSipgsiSatlaam atalst, Sha 0 * Nilte=--------=04mi 222222.116697 snore saseon STATE_02822654 "WWaacocnoinaiaAAirirpoorrtt RRooaadd WWhahta't'ss IInn MMyNeighbboorrhhooodod| }\ TMNE - | iou ah N okiTN I: ey2 x i Ny \. | | SITE Lhis | { im mf} HL nn A 3\ pi aN iN . | pani \ i| a{ BiS te pT tm shes TRInEeRt 0 | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost MPCA that may arise from the use of this data. Sites Sosa sors D~n.Mc:l matt~ &u~~rkl M Pama sonar hm~ St"IKIW.W goede IJn~ml!bd Dun1J15 NFRAP owsuprns maw ~~,..rillw cmein C:~RCL!fi. roamituria o f't\Je:nl SuptrfUnd @ Minnesota Pollution Control Agency !iune: Cboocl L.cmcHUI5! * oi pn Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o romATAB cs ..t. ltCRA 1!iD f'lt:ill:l~ nie Gna ~M Jrw-ut-kor-111 & ClfiiiW~ + cu seers ""- aum ~nw111 222222.116698 [p-- STATE_02822655 23| T| 23 T | 3 % To Ey ye BRE 5 angy)d o5e [jI 1a a | z58.0 id 23 gi Waconia Airport Rd Wetland Map 93-42-40W ~~ 93-42-0W -----, ~ ~ c'0.cl~ 6 z w s* 2222222.11699 . TI [iRFtIhEiTiIfLllaihHERailig a a1 J R$1E2 CE = 3i : sey f im ne sii gi g : 7 Legend .0Ohlo_wet_scan ~ D1 ~ &. Out of range 0 J,. ;/'/ Interstate 0 z Major Roads Other Road ;/'/ Interstate .;./ State highway .;./ US highway \ Roads J T= ] Ti Y Leel i g N~ Cities r USGS Quad Index 24K Lower 48 Wetland Polygons ~ Ill Estuarine and Marine Deepwater 0 "',(, Estuarine and Marine Wetland z 0 Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine d . 1] imiii Lower 48 Available Wetland Data Non-Digital Digital sagt: 3 id JE g 13 z ~ No Data 9 ~ Scan g: 0 "..,'..... 6 NHD Streams z Counties 1OOK Cl i States 100K 3 0 South America u North America : i|i : 2|%i w 93-43-20W 93-43-0W 4 93-42-40W 93-42-20 93-42-0W 1ii3sn 4 HE $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 nn Map center: 44 50' 28" N, 93 42' 48" W Scale: 1:15,968 N 00 N N 0"1 Ul 0"1 Well Log Report- 00130775 A1innesnta Unique Well Nn. [130775 oonto" Niic 130775 County Quad Quad ID mT Well Name Gil J.MTESTER, .TAVIES Carver Victoria lOSC ex onc Temes Townhip Range Dir Section Subsections Elevation 116 24 w 21 DBDCDA Elevation Method MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD Trina ova WELL AND BORING RECORD nes Sis Cor 151 Wed Minnesota Statutes Chapter I 031 = RCo DSC Well Depth Depth Completed Entry Date Update Date Received Date 09/19/1989 05/0812007 Date Well Completed 985 ft. 2570 | i Nes 7.5 minute topographic = Imeore map(+/- 5feet) 167 ft. 167ft. Drilling Method Non-specified Rotary 01/24!1977 Drilling Fluid Well Hydrofractured? DYes D No -- From Ft. to Ft. Use Domestic Cone ye Seti can Jom id eset Casing Type Steel (black or low carbon) Joint TI1readed Drive Shoe? 0 toto0 D 1\o Above/Below 0 ft. og Damar Weg ise te Casing Diameter Weight Hole Diameter Can 21 an 4 in. to 162 ft lbs/ft Ove DYes Well Address RR2 Gus mse CHASKA lv1N 55318 commons Geological Material rs YELLOW CLAY BLUE CLAY Ee CLAY & SAND COARSE SAND GooColor Som BROWN GRAY &GRAY BROWN dese Hardness onSOFT SOFT 3SOFT Rom To From To oon 0 23 23 86 [F86 160 160 167 oars NO REMARKS O_O Located Minnesota Geological Survey Cn Sour OR. Unique Number etter erin iin Verification Information from neighbor ue CT Na eX: 458): 65181 System UTM- Nad83, Znnel5, Meters Method Digitization (Screen)- Map (1 :24,000) Date 05/0812007 X: 443889 Y: 4965144 Open Hole from ft. to ft. r [Er r Screen YES Make JOIINSON [Damir SolGmme Legh SatBetween Diameter Tw 2 Slot/Gauze 12 Type stainless steel Length 5 Set Between 162 ft and 167 It Static Water Level 105 ft. from Land surface Date Measured 01/24/1977 PI:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Welt Compr Well Head Completion Pe ota Pitless adapter manufacturer Model Olcuissroscion 0 12 seins D Casing Protection D 12 in. above grade 0 ti mimeVel mdr oN) D At-grade (Environmental Wells and Borings ONLY) rin rn Gnas B ve OI Grouting Information Well Grouted? 0 Yes D No Costs oo Grout Material Benton1te wn 01 4 o from 0 to ft 0 SR Nearest Known Source of Contamination SE econ ga mk dime pe ZQ_feet ~direction SeQtic tank/drain field type arin ase ve Oso Well disinfected upon completion? D Yes D No omaPo n Co1p0Ssam To Srl Srl Pmup 0 1\ot Installed Date Installed 02/10/1977 Manufacturer's nan1e AERMOTOR Model number - HP 0.75 Volts 230 Length of drop Pipe 144 ft. Capacity .!Q_g.p.m Type Submersible Material~ black or low carbon) ended Wes tpn bre em ei icon 0 Abandoned Wells Does property have any not in use and not sealed well(s)? D = Yes D No Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D 1\o ir First Bedrock Last Strat Sand-brown Boies Aquifer Quat. Buried Artes. Depth to Bedrock ft. Aquifer County Well Index Online Report os Leuthuer Well Co. License Business Narne 130775 10125 SCHMIEG, K. Lie. Or Reg. No. Name of Driller I Pnnted 6/29/2008 HE-01205-07 file:i/IIIIMPCA/1Workmg1A0081-l 00%20-%20PFC%20Foam/R ..20Airport%20Rd!Well%20Log%20Report%20-%2000130775.htm711/2008 I :02:20 PM 22222222..11770000 STSTAATTEE0_208282222665577 Well Log Report- 00130795 [0795] A1innesnta Unique Well Nn. 130795 ooro County Quad Quad ID n1cn Carver Victoria 105C "WELVLiAeNwDsSBeOrReICNGorRE1C1ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 031 WTeeerd Entry Date Update Date Received Date on 09/19/1989 11/3011993 Well Name WOLF, LYNN Tommi ane Di econ locos Pern Townhip Range Dir Section Subsections Elevation Be BN 3 DR Botnet llG 24 w 21 DBAABB Elevation Method 70 on on pt 990 ft. TSI | i id Sari 7.5 minute topographic = Imaelore map(+/- 5feet) Well Depth Depth Completed 152 ft. 152ft. Drilling Method Non-specified Rotary Date Well Completed 05/11!1977 Drilling Fluid Well Hydrofractured? DYes D No Ee -Use Domestic From Ft. to Ft. 0 itt 1 Casing Type Steel (black or low carbon) Joint TI1readed Drive Shoe? D 1\o Above/Below 1 ft. IZI Yes Casing Diameter Weight Hole Diameter 4 in. to 147 ft lbs/ft g Saae msre Well Address RR2 CHASKA MN 55318 Geotogicar mers Geological Material aCLAY CLAY 6SAND Color Color jr YELLOW BLUE En BROWN MHaadrdnneessss 5SOFT SOFT SOFT TRRTO Open Hole from ft. to ft. Screen YES Make JOIINSON FFrroomm TToo D[Ciaammeelteerr ene]? 0 43 2 43 142 NB 142 152 "SllGuze Slot/Gauze 15 TT Type stainless steel Swe Legh SetBetween Length 5 Set Between 147 ft and 152 It Static Water Level 110 ft. from Land surface Date Measured 05/1111977 oars NO REMARKS br Mom thd Dt 490 Located Minnesota Geological Survey Cae Somer Vestn Xo Unique Number Verification Name vton mailbox em US, sv: mn System UTM- Nad83, Znnel5, Meters "lethod Digitized- scale 1:24,000 or larger (Digitizing Table) Date "\1/A X: 443958 Y: 4965508 PI:MPING LEVEL (below land surface) ft. after 2 hrs. pumping 40 g. p.m. Wels Compr Well Head Completion Pe ota Pitless adapter manufacturer Model Dlcuissrosion 0 12 seins D Casing Protection D 12 in. above grade 0 tie mim Volt rg oN) D At-grade (Environmental Wells and Borings ONLY) tinrn 1a 0Ye OI Grouting Information Well Grouted? DYes D No Costs so Grout Material Benton1te on 01 4 o from 0 to ft 0 TT CR Nearest Known Source of Contamination SE aren a1 pe TI_feet l'i_direction SeQtic tank/drain field type bist sepier D to Well disinfected upon completion? D Yes D No Pmup IZI 1\ot Installed Date Installed 05/29/1977 Manufacturer's name FLINT & WALLII\G Model [ong romy number_ HP Length of drop ocac 0.75 V Pipe 136 o 6.lts ft. Comite 230 Capacity 1Q evn _g.p.m oeType Smits Submersible ert ss Material~ black or low carbon) etd Webs Try rs etter Abandoned Wells Does property have any not in use and not sealed well(s)0 D oO Yes D No JLeteStine First Bedrock Last Strat Sand-brown eBpreeet Aquifer Quat. Buried Aries. Depth to Bedrock ft. Aquifer County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contrador Certification coh ssn Leuthner Well Co. License Business Narne 130795 mei 0k 3 mete 10125 Lie. Or Reg. No. LEUTH"\JER. ti_ Name of Driller I Yes D 1\o Printed 6/29/2008 IIE-0 1205-07 file:i/IIIIMPCA/1Workmg1A0081-l 00%20-%20PFC%20F oam/R ..20Airport%20Rd!Well%20Log%20Report%20-%2000130795.htm7!1/2008 I :02: 19 PM 22222222..11770011 STSATATTEE0_208228222665588 Well Log Report- 00142771 [1am A1innesnta Unique W 142771 e l l N n . Gt" County Quad Quad ID Nin Carver Victoria 105C "WELLAND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 fir Entry Date Update Date Received Date 09/19/1989 08/20/2007 Well Name TOUNE, .TIM Townlrlp Range Dir Section Subsections Elevation 116 24 w 21 DBDBDD Elevation Method 979 ft. 7.5 minute topographic map (+I- 5 feet) Well Depth Depth Completed Date Well Completed = Imeee 149 ft. 149ft. Drilling Method Non-specified Rotary 12/1411977 Drilling Fhrld -- Well Ilydrofractured? DYes D :\lo From Ft. to Ft. Use Domestic Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D 1\o Above/Below ft. Casing Diameter 4 in to 144ft Weight lbs/ft Hole Diameter i= e Well Address RR2 CHASKA lviN 55318 Geological Material ol CLAY CLAY SAND & CLAY SAND aeColor no Hardness From foo rmemr n Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel To Diameter Slot/Gauze Length Set Between BE YELLOW BLUE GRAY BROWN SOFT SOFT SOFT SOFT EZ 0 21 21 92 92 142 142 149 2 12 Static Water Level 5 144 It and 149 It 100 ft from Land surface Date Measured 12114/1977 PI:MPING LEVEL (below land surface) ft. after 2 hrs. pumping 30 g.p.m. NO REMARKS Pisiren Well Head Completion Pitless adapter manufactnrer Moll Model DDlcCuaisninggPPortosteccttiioonn 0D 11221i0n.sahboonvee ggrraaddee: 0D0 AAvrta-g(radEe (EnnvvironimerntaloWWelenlllssamamnddeDDoornriinnggtssOOaNNLLYlY)) Grouting Information Well Grouted? 0 Yes D No Ltd Mims Geogr Located Minnesota Geological Survey Unique Number Verification Information from neighbor System UT/vf- Nadfi3, 7nnel5, Meters td, on (5) Method Digitization (Screen)- Map (1:24,000) Date 05/08/2007 X: 443S94 Y: 4965234 FiFrisrsttBBeeddrreokc.k Last Strat Sand-brown AAqquuiiffeerr QQuuaa.t. BBuurriieedd AArrtteess.. AAqquuiiffeerr Depth to Bedrock ft. County Well Index Online Report Grout Material Benton1te from 0 to ft 0 Nearest Known Source of Contamination ~feet Y!_direction Tanks type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 0 1/10!1978 Manufacturer's name FLINT & WALLING Model number_ HP 0.75 Volts 230 Et Length of drop Pipe Type Submersible Ht) .!ll_ft. Material MASA hy Capacity .!Q_g.p.m Steel (black or low carbon} Abandoned Wells Does property have any not in use and not sealed well(s)? D Yeos OD NNoo Variance Was a variance granted from the .Y!DH for this well? D Yes D No Well Contractor Certification LLeeuutthhnoeer WWeellll CCoo.. ---- License Business N arne [rR 10125 LEUTHNER. R... oe % Lie. Or Reg. No. Name of Driller 142771 I Printed 6/2912008 HE-01205-07 fi1e:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R.. 20Airport%20RcLWell%20Log%20Report%20-%2000142771.htm7/112008 1:02:19 PM 22222.1177002 STATE_02822659 Well Log Report- 00142772 [11a42z7im72 rie A1innesnta Unique Well Nn. County Quad Quad ID mE Well Name .TEREC7:EK, LAURENCE Carver Victoria 105C He BW 2 DIDACD BiostinNed Townlrlp Range Dir Section Subsections Elevation 116 24 w 21 DBDACB Elevation Method =Well Address RR2 CHASKA lviN 55318 MINNESOTA DEPARTMENT OF HEALTH "WELLAND BORING RECORD WELL AND BORING RECORD Ea Minnesota Statutes Chapter 1031 SE > Well Depth Depth Completed ffisr Entry Date Update Date Received Date 09/19/1989 08/20/2007 Date Well Completed TT Est 968 ft. 7.5 minute topographic map (+I- 5 feet) TE T---- 144ft. 144ft. Drilling Method Non-specified Rotary ro 11/29!1977 Drilling Fhrld [[ remap I og Boe e e -- Use Domestic Well Ilydrofractured? DYes D :\lo From Ft. to Ft. DE Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? ee D 1\o Above/Below ft. i TOT Casing Diameter Weight Hole Diameter 0 Yes 4 in to 139 ft lbs/ft formemr Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel Geological Material Ea CLAY CLAY CLAY & SAND SAND Color onYELLOW BLUE GRAY BROWN Hardness From To Diameter Slot/Gauze Length Set Between I) i SOFT 0 18 2 12 SOFT 18 87 SOFT 87 136 SOFT 136 144 Static Water Level 5 139 It and 144 It 97 ft from Land surface Date Measured 11/29/1977 PI:MPING LEVEL (below land surface) ft. after 2 hrs. pumping 30 g.p.m. Well Head Completion WI, we Pitless adapter manufactnrer Deore Dw tepe D Casing Protection D Model 12 in. above grade 0D) AAs-gratde-gnradve (EinvirronmoenntalWWmelelllsassamnadd Donroirinntggss OOsNNLLlYY)) NO REMARKS Grouting Information Well Grouted? 0 Yes D No Grout Material Benton1te from 0 to ft 0 ocd Nimoy StdDt cl 4m mp Located Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) ai pe SU, Unique Number Verification Information from neighbor Date NIA Nearest Known Source of Contamination _feet - direction _type System UT/vf- Nadfi3, 7nnel5, Meters X: 443940 Y: 4965269 ReeTREE Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 11/29!1977 Manufacturer's name FLINT & WALLING Model a number_ HP 0.75 Volts 230 Length of drop Pipe .!lQ_ft. Capacity .!Q_g.p.m Type Submersible Material Steel (black or low carbon} Abandoned Wells Does property have any not in use and not sealed well(s)? D Yeos OD NNoo FiFrisrsttBBeeddrreokc.k Last Strat Sand-brown AAqquuiiffeerr QQuuaa.t. BBuurriieedd AArrtteess.. AAqquuiiffeerr Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the .Y!DH for this well? D Well Contractor Certification LLeeuutthhnoeer WWeellll CCoo.. -- License Business Narne 11462777722 1100122s5 LL ELTHa l\ER oe M3e. Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/2912008 HE-01205-07 fi1e:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R.. 20Airport%20RcLWell%20Log%20Report%20-%2000142772.htm7/112008 1:02:19 PM 22222.1177003 sStTaAreT.E0_202882222666600 Well Log Report- 00159035 [CienEa Ein Afinnesota Unique Well No. 159035 County Quad QuadiD Carver Victoria 105C LNA MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD MinnewJta Statutes Chapter 1031 l=e, Entry Date Update Date Received Date I 09/19/1989 11129/1993 Well Name WORM, MELVIN Ho BW 2 CAMCA leon Method Township Range Dir Sedion Subsedions Elevation 116 24 w 21 CAAACA Elevation Method Well Depth Depth Completed Date Well Completed 1033 ft. II | ih Spi iy 7.5 minute topographic eIee map (+/- 5 feet) 196ft. Drilling Fluid -- 196ft. . Rotary 08/14/1979 Well Hydrofmctured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? IZJ Yes D No Above/Below 1 ft. re Well Address RR 1 WACm ONIAmMN s 55387 Geological Material cass YELLOW CLAY CLAY &SAND BLUE CLAY CLAY &SAND See SAND SAND &CLAY SAND no Color Hardness From To somo BROWN BROWN GRAY SOFT SOFT SOFT 2 ow 0 38 38 47 47 79 GRAY SOFT 79 180 & = GRAY GRAY GRAY SOFT SOFT SOFT wow 180 184 184 188 188 196 Casing Diameter [EEE 4 1n. to 191 ft Open Hole from ft. to ft. Screen YES :VIake JOHNSON Tee Diameter 2 Se Slot/Gauze 12 Weight lbs/ft Hole Diameter Type stainless steel Length 5 et Set Between 191 ft and 196 ft Static Water Level 153 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after 2 hrs. pumping 30 g.p.m. 08!14/1979 NO REMARKS atr mortants Well Head Completion Pitless adapter manufacturer Nd Model DDlcCusasiinnggPPortoeteccttiioonn D012120min.. aabboovveeggrraaddee. D00 AAvt-ggrraaddee ((EniviromnmientealWWceellelssaanmndd eBoorrininnggtssOOaNNLLlYY)) Grouting Information Well Grouted? IZl Yes D No Located Minnesota Geological amy! EE ty Survey re ameVenton tp l"nique Number Velification Plat Dook System UTM- Nad83, Zonel5, SpTNT sin Meters :VIethod Digitized- scale 1:24,000 or larger (Digitizing Table) Date 1\/A X: 441557 Y: 4965451 iFinrstt BBeeddrroocckk. Last Strat Sand-gray AAqquuiiffeerr QQuuaatt. BBuurriieedd AArrtteess.. AAqquuiiffeerr Depth to Bedrock ft. County Well Index Online Report Grout Material Bentonite from 0 to ft 0 NeSearr Coa mo Nearest Known Source of Contamination - feet - direction _type Wdl disinftx;led upon completion? D Yes D 'lo Pump IZl Not Installed Date Installed 08/21/1979 Manufacturer's name FLINT & WALLING Model mmber - HP0.75 Volts 230 Length of drop Prpe !]!Ltt. Capacity lQ_g.p.m Type Submersible Material Steel (black or low carbon) AAbbaannddoonnoedd WWeellllss DDoocesspprrooppeerrttyyhhaavvee aannyy nnoct iinn uussee aanndd npoott sseeaalleedd wweeltl(ss)?? JD Yes D No Valiance Was a variance granted from the MDH for this well? D Yes D 'lo lactis Well Contractor Certilication Leuthner Well Co. 10125 UK LEUTHNE!S, M" . License Business Name Lie. Or Reg. 1\o. Name of Driller 159035 I Printed 6/z:J/2008 HE-01205-07 file://lllfMPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R... 20Airport%20Rd/Well%20Log%20Report%20-%2000159035.htm711/2008 I 02: 18 PM 222222.117704 STATE_02822661 Well Log Report- 00208914 Cowon Minnesota llnique Well Nn. 208914 EJa Ean County Quad Quad ID Carver Victoria 105C "WELS LAND BORr ING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mi1t1tesota Statutes Chapter 1031 mUroe;n Entry Date Update Date Received Date inn 05/26/1988 05/08/2007 Well Name HONEBRINK, ROGER Township Range Dir Section Subsections l1evation x onan vmst a aIt ur 116 24 w 21 DBDBAB Elevation Method 9g2 n. 7.5 minute topographic map (+1- 5 feet) Well Depth 154ft. Drilling Method Drilling J<'luid -- Depth Completed 154ft. rv Date Well Completed 03/17/1973 Well Hydrofractured? D Y~s 0No From Ft. to Ft. Use Dumt:slic 0so Aboveieton 0 1: Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D No Above/Below on. Casing Diameter Weight Hole Diameter 4 in. to 154ft lbs/ft DYes xc |GGeeoolologgiiccaall MMataetreiriaall YELLOW CLAY BLUE CLAY CLAY & SAND CLAY CLAY & SAND SAND & CLAY WATER SAND GaCCoolloorr BROWN GRAY GRAY GRAY GRAY GRAY BROWN HHaarrddnneessss NO REMARKS oa fFroomm TToo 0 10 10 82 82 93 93 101 101 136 136 144 144 154 Open Hole from ft. to ft. [ITE [Sr Screen YES Diameter 2 MYeakee TTyRpe Slot/Gauze 12 Length 5 OTT Set Between 149 ft and 154 ft Static Water Level 105 ft. from Land surface Date Measured PUMPII\G LEVEL (below land surlace) 0 ft. after hrs. pumping 30 g. p.m. 03/17/1973 Piemis Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade 0D0 Axt-ggrraaddee (GEmnvicromnmmenetnatall WWeelllsssandd BBoocriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Nuntber Verification Infomtation from owner System l!TM- NadR3, Znne/5, Meters Method Digitization (Screen)- Map (1:24,000) Date 05/08/2007 X: 443866 Y: 4965301 Nearest Known Source ofContamination _feet - direction _type Well disinfected upon completion? D Yes D 1\o Lorie0 Cony spa Tre Mais Pump D Not Installed Date Installed J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type 'vlaterial Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Yariance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification [mr w208n91e 4 [ I ] | First Bedmek Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedmck ft. County Well Index Online Report Leuthner Well Co. 10125 License Business Name Lie. Or Reg. No. Name of Driller Pnnted 6/29/2008 HE-01205-07 file:/IIII/11PCA/! W orking/A0081-1 00%20-%20PFC%20Foam!R...20Airport%20RdiVVell%20Log%20Report%20-%2000208914.htm7/1/2008 1 02:20 PM 22222.1177005 STATE_02822662 Well Log Report- 00208915 Cows] Minnesota llnique Well Nn. 208915 Ea Ean County Quad Quad ID Carver Victoria 105C Well Name ERBEL, DAVID wa tavern vas Township Range Dir Section Subsections l1evation 116 24 w 21 DBDCCD Elevation Method "WELTL ANED BMORIENGRSECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mi1t1tesota Statutes Chapter 1031 EUaeRou Entry Date Update Date Received Date or 05/26/1988 05/08/2007 mrzcirress IOU5 n. 7.5 minute topographic map (+1- 5 feet) Well Depth Depth Completed Date Well Completed 187ft. Lei ean -- Drilling Method Drilling J<'luid = I -- 187ft. rv 08/18/1973 Well Hydrofractured? D Y~s D No From Ft. to Ft. Use Dumt:slic Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0D sNoo AAbboovvee/iBeetloown u0 n1:. Casing Diameter Weight Hole Diameter 4 in. to 182ft lbs/ft DYes Geological Material YELLOW CLAY BLUE CLAY Ei SAND & CLAY CLAY WATER SAND Color Hardness BROWN GRAY gm GRAY GRAY BROWN NO REMARKS Open Hole from ft. to ft. Screen YES Make Type stainless steel From To 0 37 37 120 gi 120 138 138 178 178 187 Diameter 2 Slot/Gauze 12 Length 5 Set Between 182 ft and 187 ft Static Water Level 145 ft. from Land surface Date Measured PUMPII\G LEVEL (below land surlace) 0 ft. after hrs. pumping 25 g. p.m. 08/18/1973 Piemis Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade 0D AAvt-agrroaddee (GEnviiromnmerntaclWWalaelllssmaannddeBBoonrriinntggss OOaNNLLlYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Nuntber Verification Infomtation from owner System l!TM- NadR3, Znne/5, Meters Method Digitization (Screen)- Map (1:24,000) Date 05/08/2007 X: 443836 Y: 4965129 Nearest Known Source ofContamination _feet - direction _type Well disinfected upon completion? D Yes D 1\o Lorie0 Cony spa Tre Mais Pump D Not Installed Date Installed J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type 'vlaterial Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Yariance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification [Eo w20s891m 5 [ I ] | First Bedmek Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedmck ft. County Well Index Online Report Leuthner Well Co. 10125 SCHMIEG K. License Business Name Lie. Or Reg. No. Name of Driller Pnnted 6/29/2008 HE-01205-07 file:/IIII/11PCA/! W orking/A0081-1 00%20-%20PFC%20Foam!R...20Airport%20RdiVVell%20Log%20Report%20-%2000208915.htm7/1/2008 1 02:21 PM 22222.1177006 STATE_02822663 Well Log Report- 00552800 552800 A1innesnta Unique W 552800 e l l N o . | ows County Quad Quad ID iw Carver Victoria 105C Well Name NORTON, CHARLES JR. Townlrlp Range Dir Section Subsections Elevation 116 24 w 21 DABCCD Elevation Method TERR Well Address 9205 PIERSON LAKE DR CHASKA lviN "WELLAND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Tense Entry Date Update Date Received Date oun 06111/1996 08/22/2007 983 ft. CALC FROM 2-FOOT COUNTYDE:vl Well Depth Depth Completed Date Well Completed 145 ft. 145ft. 10/05!1994 Drilling Method Non-specified Rotary Drilling Fhrld Water Use Domestic IWell Ilydrofractured? DYes D :\lo From Ft. to Ft. Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D 1\o Above/Below ft. Casing Diameter 4 in to 140 ft Weight 11 lbs/ft Hole Diameter 6 in. to 140 ft Open Hole from ES ft. to ft. e ---------- Screen YES Make JOHNSON Type stainless steel Geological Material CLAY SANDY CLAY CLAY SAND Color BROWN BLU/GRN BLU/GRN BROWN Hardness SOFT SOFT HARD MEDIUM NO REMARKS From 0 36 54 132 To Diameter Slot/Gauze Length Set Between 36 5 10 7 140 It and 145 It 54 132 145 Static Water Level 101ft from Land surface Date Measured 10/05/1994 PI:MPING LEVEL (below land surface) ft. after brs. pumping g. p.m. Pie pc minobes MONITOR Modi Well Head Completion Pitless adapter manufacturer :v!ONITOR Model DDlcuCsaisinngg Prroosteecctiioonn 0D 121210in..sahboovvee ggrraaddee D0) AAtte-g(radve (EinvirovnmaentamlWWelemlllss3ae0nddDnDooirnitnggss OsONNLLlYY)). Grouting Information Well Grouted? 0 Yes D No Located Carver I ,and & Water Services Method Digitization (Screen)- Map (1 :24,000) Unique Number Verification Address Date 05/08/2007 verification System UTM- Nad83, Zonel5, Meters X: 444045 Y: 4965323 Grout Material Benton1te from 0 to 140 It Nearest Known Source of Contamination R__feet South East direction Sertic tank/drain field type WWeellll ddisiinfsectiednsuppfoonneccoocmmpptlleeetitoedn?? 0 Yveess D0 Nnoo 4 bags Pump D Not Installed Date Installed 10/06!1994 Manufacturer's name AERMOTOR Model number Al2-IOO HPL Volts 220 Length of drop Pipe 129 ft. Capacity 12 g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No First Bed rock vr Last Strat Sand-brown Aquifer Quat. Buried Artes. Aquifer pe Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the :v!DH for this well? D Well Contractor Certification Hartmann Well Co. smn License Business Name 552800 40174 Lie Or Reg. No. I HARTMANN. K. Name of Driller Yes D No Printed 6/29/2008 HE-01205-07 file :I/!II !MPCA/1 Working/A0081-l 00%20- %20PFC%20F oam/R.. 20Airport%20RcLWell%20Log%20Report%20-%2000552800.htm 7/112008 I :02:21 PM 2222222.11770077 STATE_02822664 Well Log Report- 00601586 ns tn Minonnesseottsa UDniqgue JiVBe!O! NNOo. 601586 II 601586 II L.!:.= = = = = = = = = : : : : ! . J . ~GCQo:uu:uni:ttdyy Quad ID V1icor CCoanrvveerr Victoria 105C WANN STEVE Well Name MONROE, STEVE HC ---- Township RangeDir Section Subsections Elevation l1l6o 2244 wW 2211 DDERDDCCHRDD EBlleevvaattiioonn MMeetthhoodd MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING Undue 33200 WELL AND BORING RECORD Recehed Due RECORD Minot SsChapter 131 114inne,mta Statutes Chapter 1031 EEnnttrryy DDaatete. Update Date Received Date o01u/0m33/2000011 08/22/2007 Wellbeph Depts Compiaed De Wa Cpe Well Depth Depth Completed oa 1 on 15 as 1014 ft. 196 ft. 196ft. ce ows. FCFOAOOOLTCT CCFOROUOUNNMTT2YY- |DnrriillliinnggMMeeit:hhoodJ..N"oNn0-fis~psepceicf1it!eedciRRo.t0atarryy binDEM Date Well Completed 08/12/1997 Dien] wat tartans? 0 ve Drilling Fluid Penonse Pow To Bentonite Well Hydrufractured? DYes 0No From Ft. to Ft. Covi Tye Fate Jot Unions Deveshoe? 0 ver Use Domestic Casing Type Plastic Joint Unknown Drive Shoe'! D Yes 0 Weladress Well Address PERSONNE OR 9260 PIERSON LAKE DR LoCHASKAMN caogicat atria Geological Material Toa TOP SOIL curCLAY GarCLAY Cav oune, CLAY GRAVEL SaSAND Color Hursness From To Color ra BLACK ow fr 3 YELLOW we SH nw BLUE WE son wosi BLUE Hardness SOFT SOFT SOFT SOFT From To 0 3 3 30 30 130 130 185 185 196 No Above/Below ft. CasingDiameter Casing Diameter Tow we 4 in. to 191 ft. Ve Weight mnlbs/ft. TeDar Hole Diameter ssn mn 6.5 in. to 196 ft. [o er pe Open Hole from ft to ft ST OTR Screen YES Make JOHNSON Type stainless steel |oumeter SiotGauze Longin Sot Between Diameter 2 SI Sr eo 2 Slot/Gauze 22 Length 5 Set Between 191 ft. and 196 ft. [Sew Static Water Level Tn fo dsr Doe Merursd 0811997 130 rt from Land surface Date Measured FUNPING LEVEL ow nd ris) PUMPING LEVEL (below land surface) Ya ate 1b. pain 20 `gp 162 ft. after 1 hrs. pumping 30 g.p.m. 08/12/1997 Welle Completion Well Head Completion Pi pt mass MONITOR Md Pitless adapter manufacturer MONITOR Model 0 REArEs NO RElvfARKS sLoacaeted CavrLend Wot Located Carver Land & Water Services Unique Number UnigueNumber Ve erificp ation Address verification Sym UTM Nol nS. System UTM- Nad83, Zone15. Jo.1eters aMo3d)Diisin (Scene Method Digitization (Screen) - Map (124,000) pe Date 0o5s/0u8a/2o0o0r7 x. ssa: sia X: 443814 Y: 4965182 FFLiiursusttsBBteeeddnrrooScdkend Last Strat Sand aque Out Bur Avs. Aq Aquifer Quat. Buried Artes. Aquifer DepoBedok 1 Depth to Bedrock ft. DDO CaCsaisningg PPrrootteeccttiioonn 0B1122iinn.aabboovveeggrraaddee 0 ae inn Weld heaps ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Inormation Well Groued" ver 0 Ne Grouting Information Well Grouted? 0 Yes D No Cul pmo Grout Material High solids bentonite km SIR from 6 to 191 ft. 2ye 2 yrds. Nearest KnownSours oTCommammaion Nearest Known Source of Contamination 110000 ffeeett YW_f_d_idnicrsetctiioonn SSeep]2ttic taannkk/iddraiinnffiieslldd_ttyyppee Welondcopis einy 0 ves 0 Mo Well disinfected upon completion? D Yes D No ump Norimled Dcinsatod Pump D Not Installed Date Installed mune START Mad Manufacturer's name STA RITE Model number_ HP 0.75 Volts 220 Tenght deyPoe3 Cosi 10_ gpm Length of drop Pipe 162 ft. Capacity lQ_g.p.m Ti Sm Mit Type Submersible Material oonemed WaTPp RC TRE RIT Abandoned Wells Does property have any not in use and not sealed well(s)? Ov @w D Yes 0 No VVaarriiaannccee WWaassaa vvaarriiaannccee ggrraanntteedd ffrroommtthee MMDDHHffoorr tshwisewlelll!? DLJ YYeess x 0 No elComa Coe Well Contractor Certification Dm NEIG IS DRAUNWARTILM Braunwarth Well Co. 10068 BRAUNWARTH M coe Iss Name Lic Oe No. Nofs Der License Business Name Lie. Or Reg. No. Name of Driller Ag B03. SRA Lp Rapa 5001 1 275 5230 file://illil\1PCN! Working/A0081-100%20-%20PFC%20Foa...irport%20Rd!Well%20Log%20Report%20-%2000601586.htm (1 of 2)7/1/2008 1:02:20 PM 22222..11708 STSATATTEE0_202882222666655 Well Log Report- 00601586 County Well Index Online Report 601586 Printed 6/29/2008 HE-01205-07 file://illil\1PCN! Working/A0081-1 00%20-%20PFC%20Foa... irport%20Rd!Well%20Log%20Report%20-%2000601586.htm (2 of 2)7/ 1/2008 1:02:20 PM 222222.117709 STATE_02822666 Well Log Report - 00657155 657155 A1innesnta Unique Well No. 657155 County Quad Quad ID VaCarver Victoria 105C "WELLANDBORING RECORD | MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 i Entry Date Update Date Received Date Agia 12/28/2001 08/22/2007 Well Name MORN. STEVE!\ Townlrlp Range Dir Section Subsections Elevation 116 24 w 21 DAACBD Elevation Method 985 ft. CALC FROM 2-FOOT COUNTYDE:vl Well Depth Depth Completed 153 ft. 153ft. mr Iee Drilling Method Non-specified Rotary Drilling Fluid Qwikgel Well Ilydrofractured? From Ft. to Ft. Date Well Completed 03/01/2001 DYes 0 :\lo CA T Use Domestic Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? D 1\o Above/Below ft. Casing Diameter Weight Hole Diameter 0 Yes Well Address ERNE OR CH9C2HA0AS4SKPKIAAEMRlvSN1NON LAKE DR Geological Material pps CLAY CLAY Asso CLAY & SAND SAND & CLAY Re SAND 4 in to 148 ft 11 lbs/ft PR 8.5 in. to 30 ft 6 25 in to 153 ft Color mee por ge gm ge BROWN GRAY a> = 2% GRAY BROWN FER mm BROWN Hardness SOFT SOFT SOFT SOFT SOFT From 0 29 84 119 143 IOpen Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel To Diameter 29 2 84 Slot/Gauze 15 Length 5 Set Between 148 ft and 153 ft 119 143 153 Static Water Level 115 ft from Land surface Date Measured 03/01/2001 PI:MPING LEVEL (below land surface) 120 ft. after 1 hrs. pumping 30 g.p.m. PR iecorrmT mo WHIH TEWATER Moh Well Head Completion Pitless adapter manufacturer WHITEWATER Model D Casing Protection D 12 in. above grade D0) AAs-grtade-gnradev(Eni viror nmenotalWWn elelllsm s amnddnDoort riinnggssa OONNLl LYY)) SsUu 5545.5 NO REMARKS Grouting Information Well Grouted? 0 Yes D No Fm Located Carver I ,and & Water Services Unique Number Verification Address verification Method Digitization (Screen)- Map (1 :24,000) Date 05/08/2007 Grout Material H1gh solids bentonite Nearest Known Source of Contamination from 0 to 30 ft a3 bags System UTM- Nad83, Zonel5, Meters X: 444268 Y: 4965398 11Q_feet l:i_direction S~tic tank/drain field type Well disinfected upon completion? 0 Yes D No PPuummpp CDJ NNoott IInnstcalalesd DDaattee IInnssttaalllleedd Manufacturer's name RED JACKET :vlodcl number - HP 0.75 Volts 220 [a0 Length of drop Pipe 147 ft. Capacity 10 g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes No Variance Was a variance granted from the :v!DH for this well? D Yes 0 No Well Contractor Certification First Bed rock LfaustiSatrnatpSsand-brown Aquifer Quat. Buried Artes. Aquifer DDeptnh to Bederaotck2ft. Leuthner Well Co. License Business Name 10125 LECTHI\ER .!YL Lie Or Reg. No. Name of Driller County Well Index Online Report 657155 I Printed 6/29/2008 HE-01205-07 fi1e:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R.. 20Airport%20RcLWell%20Log%20Report%20-%2000657155.htm7/l/2008 1:02:19 PM 2222222.11710 STATE_02822667 WWAACCOONNIIAA MMaappllee SSttrreeeett aanndd PPaarraaddiissee LLaannee CCWWII WWelelll MMaapp EE RE RERS EE t EaTe e a a a En n En a a SerlRl S r Eii n gk y Ei ig a Mp sveah ileag aa Mitre eat Ei = sit orBe Gibiti al Te]fo they ; HE TT] 0g ek HE ar asiaE es pn Pha tf iosif 4 e Fey Ie men HEE ib pT , SE el ey a i E e ree e ep RIe TES Bl E eanern al e e fLee eel (0 oFoN] pia Be ol pry ae SET 5 on ay Fanaa eR EAN ei ER Ls=at PpEa. Ra S0kf e eer d; .3 SARASoSTERS atB WMpa aeocnr no teonei sa aLlefOo) EE ieN }NdE2 E a ri 2 eet----t ed Ran) is TelsLaea ep er OeR g A RENo ON VaelKel en REmL RE og yro Renal rd SyeR h urmHale M bork tm te Drym mAeTnTCm orneaEe Sot 1 LR GR y Aan 22222222.41771111 sSTatAeT_Eo_z0s28a2z2c6e6s8 WWaaccoonniiaa MMaappllee--PPaarraaddiissee WWhahta't'ss IInn MMyy NNeeiigghhbboorrhhoooodd / 4 7 y 7 = 4i; ( i ' ilar) CT EE | i mhaass iEe RE. -- ly NE ge A | [ --t | Sims. Sites a D~n.Mc:l matt~ &u~~rkl M =Pamasora Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion CRETE IIR NE| ipomninedDumps of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided ee Ce i | WRAP subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost sawsuprwa MPCA that may arise from the use of this data. hm~ St"IKIW.W IJn~ml!bd Dun1J15 NFRAP maw ~~,..rill ceroue C:~RCL!fi. ram superun o f't\Je:nl SuptrfUnd @HMinnesota Pollution Control Agency !iune: Cboocl L.cmcHUI5! ve moon Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o -- ..t. ltCRA 1!iD f'lt:ill:l~ SRAmestatonaCras ~M Jrw-ut-kor-111& ClfiiiW~ +sum rooseom: ""- aum ~nw111 222222.117712 STSTAATTEE0_208282222666699 8 erooMplis i2 ;3amon 5 JE z2 2$ [a 2:S 8 = o ]-- Waconia Maple-Paradise Wetland Map olf a 2222.1713 X wa Jz i \ ' LW 15, \ I . po Pe E rr il a : J SHE | { Tg 18% 4 amt ee 93-48 w 93-47W [i in |EiE i 5 r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable, THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 0"1 '-I 0 Ii: 4 58 Vi wwsoon - z']H3 3 A, a :rN |(Esgi,a .."....'..6z '"""""""""''121!;1,~,:<;,,""""""""""'""""'""""""1"' no t aston e aston prey r : > 4ol"|i 8= d { ........ ~ w 0 z ........ ,''','"''',''''',~,,''(::,::;;:?,~~. ;, i:ii. "~]6~ z "'........ w 0 0 z .... ~ 6 z ae1} i31 (a Hillh tdy dl ib 33} Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r , USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK II States 100K oD South America North America $ 93-46W 93-45 w Map center: 44 50' 57" N, 93 46' 35" W Scale: 1:31,936 : :i areaus Well Log Report- 00187274 118877227744 pfreowt Afinnesota Unique Well No. County Quad QuadiD Carver Waconia 106D EY Well Name 'v!AAS, RANDY re ta bt Township Range Dir Section Subsections Elevation EE 116 25 w 24 BBCAAA Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Cepwe mv WELL AND BORING RECORD omen So opr fir Minne.wJta Statutes Chapter 1031 Entry Date Update Date Received Date 05/26/1988 07/18/2007 E hn EA T pi I035 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed 132ft. 132ft. i:iril.ling; iVieiilo"t~ :\Jali~s]JeCified R:oiai-Y Date Well Completed 05/30/1984 .... E I r Dtilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic rss Well Address 425 ELM ST S WACONIA MN 55387 smi ae Geological Material TOPSOIL aCLAY CLAY CLAY & GRAVEL SAND oorColor BLACK Siow YELLOW BLUE BLUE GRAY des Hardness SOFT sortSOFT SOFT SOFT Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? D0 NNoo AAbboovvee/Bteiloown f8t.. Cana mee Casing Diameter Te4 in. to 127ft pA Weight lbs/ft TB Hole Diameter DYes Open Hole from ft. to ft Screen YES Fon To foe From To Diameter 3a? 0 3 2 3 23 ecu Make JOHNSON Slot/Gauze Type stainless steel mg Seger Length wre 5 Set Between 127 ft and 132 ft 23 70 70 127 127 132 Static Water Level 60 ft. from Land surface Date Measured 05/30/1984 PTTMPTNG LRVRL (below land surface) 127 ft. after 1.5 hrs. pumping 15 g.p.m. RRs REMARKS 425 EL'vl ST. SO. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade DI Sperm pps D At-grade (Environmental Wells and Borings ON! .Y) "rating oration Welw? 8 ver 0 v0 Grouting Information Well Grouted? 0 Yes D No Le mn gt rs os gene p20) Located Minnesota Geological Survey Method Digitization (Screen)- Map (1:24,000) Grout Matenal Benton~te fran 0 to 132 ft 0 Lnique Number Veiification Address Te verification Date 03120/2007 CTT SC Nearest Known Source of Contamination System [!TM- N"adii3, 7.one 15, MetPr' X: 417R92 Y: 4966055 7.j_feet E._direction Se{ltic tank/drain field type First Bedrock Aquifer Quat. Buried Artes. Aquifer CountyWell Index LastsSetrratsSeand-gray County Well Index Online Report Dpepmthsto Bredarotck0ft. Online Report Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 05/30/1984 Manufacturer's name TAIT Model number - LenaesmaErh cu1p3gepmn Length of drop Pipe ll_ft. Capacity 11_g.p.m HP0.75 hata i Guts Type Submersible Material Galvanized Volts 220 wean peas mer rere Abandoned 'Veils Does property have any not in use and not sealed well(s)? D SO Yes D No iCo Variance Was a variance granted from the MDH for this well? D Yes D '\Jo Well Contractm Cet1ification Braunwarth Well Co. 10068 BRAUNWARTH, M License Business Name Lie. Or Reg. No. 118877227744 I Kame of Driller Printed 6(2.9/2008 HE-01205-07 file :1/III!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R. .Maple-Paradise/Well%20Log%20Report%20-%2000187274 htm 7il /2008 I :05:00 PM 2222222.11714 SstTaArTeE0_208282222667711 8 AEF is: i=g [BELFE: iol.s4 SS2E8 22 E EEeHliF er)s 5B= 3odil i|r LE : aks ELEHS) IEE eel JEBEL Well Log Report- 00221249 Minnesota Unique Well No. 11 221249 11 County Quad Quad ID Carver Waconia 106D LE MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne,mta Statute.~ Chapter 1031 Entry Date Update Date Received Date 05/26/1988 02/19/2008 222222.1177115 Pleo] o1f20|)%: [[FEaexe]] oll of [ELL] Cf Pe i4]7 [EEE Well Name WACONIA 1 Township Range Dir Section Subsections Elevation ii 116 25 w 13 CCCABA Elevation Method i 3 HH 2 if ts i 1035 ft. 7. 5 minute topographic map (+/- 5 feet) t Well Depth 847 ft. Drilling Fluid Depth Completed 847ft. Date Well Completed 00/00/1924 IWell Hydrnfractured? D Yes D No From Ft. to Ft. <3 012 35. [if [4H7E3Sl.Eeostfk 5 BEd. Fh 2fs]|lieogfla8Ele=i|cg5:7gil85 EsEd esu833374858585883 S.weBEIBVES5EHE888 i z 2: giscifeseisEsails Well Address Use Abandoned Status Sealed Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? o D Yes WACONIA MN 55387 D No Above/Below 0 ft. Geological Material CLAY SANDY CLAY CLAY BOULDER CLAY S Color Hardness From 0 55 65 139 140 To Casing Diameter 55 16 in. to 466 ft. Weight lbs./ft. 65 12 in. to 547 ft. lbs./ft. 139 Open Hole from 547 ft. to 847 ft. 140 Screen NO Make Type 214 Hole Diameter 16 in. to 547 ft. 12 in. to 847 ft. SAND GRAVEL GRAVEL RED SHALE 214 304 Diameter 304 462 462 465 465 490 Slot/Gauze Length Set Between 5 % B 3 Ho iifie f"i=|E EERE H2:EfeE] 35% E|=2 Fsiedle ZFi2fo<E|lED2322i00:[E2 Ji33g:gwuiBsB, DARK GREEN SHALE LIGHT GREEN SHALE LIGHT GREEN SHALE SANDSTONE GRAY SHALE HINCKLEY SANDSTONE HINCKLEY SANDSTONE RED SHALE 490 501 501 526 Static Water Level 526 527 137 ft. from Land surface Date Measured 1938 527 668 PUMPING LEVEL (below land surface) 668 670 ft. after hrs. pumping g.p.m. 670 676 676 690 Well Head Completion 690 847 Pitless adapter manufacturer Model "a C7: D Casing Protection 0 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) 2z I, go: gd z 4% F REMARKS 16 IN. CASING IS SLOTTED FROM 398-437 FEET OBSERVERED FROM TV. GAMMA LOGGED 10-7-1997. Grouting Information Well Grouted? D Yes D No WELL LOCATED IN BACK OF CITY HALL. TV LOG 16 IN. SEEN TO 442FT 12 IN. CASING 442-549 FT WELL SEALED 10-15-1997BY27058. ORIGINAL USE PC - COMMUNITY SUPPLY. gf | Hog EELs 2 FE 2535 : 7d 2F57E3= :: f[I g zo} $ 33 zi3s} $58! 251: Nearest Known Source of Contamination ~ I D D Vl _feet _direction _type rn Located Minnesota Geological Survey Method GPS Differentially Corrected Well disinfected upon completion? Yes No I Unique Number Verification Information from owner Date N/A 0 N 00 System UTM- Nad83, Zonel5. Meters X: 437841 Y: 4966462 N N | file:/!/II/MPCA/!Working/A0081-l 00%20-%20PFC%20Foam/Reports/Appendix%2... aconia/Waconia%20Maple-Paradise/Well%20Log%20Report%20-%2000221249.htm (I of 2)7/1/2008 I :OS :01 P'vl 0"1 '-I N Edel: il L[FiEeEeIiEzE:E gIiiid; [sSifesc fff sate 02822672 o H HEEE ZE 5g & AH .: i Ei Well Log Report- 00221249 2:4| F$E3E3E|]S HiiEsEs Borehole Geophysics Yes First Bedrock Eau Claire Last Strat Fond Du Lac Formation Aquifer Mt.Simon-fond dulac Depth to Bedrock 462 ft County Well Index Online Report 3 EiHg FE 53 0:E5E2R 2E6E2RiIaE HFiEsRePA oSF|g iI5: Hil 3 2:8: | 1i2334d:: [4|[34] a35%3 272 5 2 Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m 270 HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No le] 2 Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Mccarthy Well Co. 27022 License Business Name Lie. Or Reg. No. Name of Driller 221249 I Printed 6/29/2008 HE-01205-07 i 222222.117716 2 i 2;i3 3 3i i i Z i3 i i 3 i 55 : ii: : i stare 02822673 ~Vl rn I 0 N 00 N N file:///11/MPCA/!W orking/A0081-100%20-%20PFC%20Foam/Reports/Appendix%2... aconia/Waconia%20Maple-Paradise/Well%20Log%20Report%20-%2000221249.htm (2 of 2)7/1/2008 1:OS :01 P'vl 0"'1 '-1 w Z lel ScRiIlFza E2 |E FHlBcie FHS) EE i3d i7:2 xFEIi = E[EEis= f1iki: : 5:0 Well Log Report- 00221250 lvfinnesotu Unique Well No. 11 22t25o 11 County Quad Quad ID Carver 106 f2:l-= Well Name WACONIA CREAMERY 1 Township Range Dir Section Subsections Elevation 116 25 w 14 DDAADD Elevation Method giagd 1 fz] 5% 223s i il EEE zEESlEsezz]3.| HE2s sSHioElkIle x I JEFF 2 |||8 MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD .~finnesota Statutes Chapter 1031 2 gi: FFE Entry Date Update Date Received Date 05/2611988 07/18/2007 o||Z[5 aslllgi[158E TLE] iE |: :. |: [2 |g 980 ft. 7.5 minute topographic map(+/5 feet) Well Depth 230 ft. Drilling Method Cable Tool Depth Completed 230ft. Date Well Completed 00/00/1933 Drilling Fluid -- Use Industrial Well Hydrofractured? DYes D No From Ft. to Ft. EN I zGeols Casing Type Steel (black or low carbon) Joint No Infonnation Drive Shoe? !No Above/Below 0 ft. Casing Diameter Weight Hole Diameter oO DYes D - iE= eE BLE 2H]H: EEN EA 5 le |[FE BLY [Ea . 2 i 285 1F HH: iZeg 2i3z83F2 i30g 222222.1177117 Well Address 1ST & MAPLE ST. WACONIA MN 55387 Geological Material NO RECORD Color Hardness NU REMARKS FB-EE I zioi n) From 0 hE lr Open Hole from ft. to ft. Screen YES Make Type Diameter Slot/Gauze Length Jt 28 To 230 ii2] E 2E2Ii3E:2 HEHL EFIREESH G: ala| c3 5r02 s75 35gl2 8: Static Water Level tl. from Date Measured PUMPING LEVEL (below land surface) tl. after hrs. pumping g. p.m. zBlE, 43 FL ER Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No 3. . 3 & Set Between . fags s EEE; 2 $Lij2. oeai A=E:R EiEy5oe23zds]!: PSEa 5.5 glHz2E.34070 sFfEtRo2ft2ts5: 5 jEid2 ELEd ?{ oud 11% iE $i%: 3% : 52222 TIPZiE2Es% Located Minnesota Geological Survey 3 Method Digitized- scale 1:24,000 or larger (Digitizing Table) 3 3 Unique Number Verification Information from neighbor DateN/A Nearest Known Source of Contamination - feet - direction _type . ~Vl System UTlvf- Nad83, Zonel5, Meters X: 437606 Y: 4966716 2 rn I 0 Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 00/0011933 Manufacturer's name Model number - HPQ_ Volts 0N0 Length of drop Pipe ft. Capacity 325 g.p.m Type Material N :i 1 i i :3 N {z i file:/i/JiiMPCN!Working/A0081-100%20-%20PFC%20Foam/Reports/Appendix%2... aconia/Waconia%20Maple-Paradise/Well%20Log%20Report%20-%2000221250.htm (1 of2)7/l/2008 1:05:00 PM 0\ '-1 .j:>. sate 02622674 5 o i: i:i[z8 ig Well Log Report- 00221250 First Bedrock Last Strat Unknown deposit type Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. :tls iil3s H= E L County Well Index Online Report {1: iisd 2g a: E s1z2 7 |o iy(3 3 ly 2 3(EJ i2 gls] 3842 41 zEd E 143 D D Abandoned Wells Does property have any not muse and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No Mueller Well Co. 96460 License Business Name Lie. Or Reg. No. Name of Driller 221250 I E Printed 6/29/2008 HE-01205-07 0 |g 5 222222.117718 E3 i ii ii i3 } 3 3i : iI i 1 i 33 :i i 3: : sate 02622675 ~Vl rn I 0 N 00 N N file:/i/IIfMPCN! Working/i\0081-1 00%20-%20PFC%20Foam/Reports/Appendix%2... aconia/Waconia%20Maple-Paradise/Well%20Log%20Report%20-%2000221250.htm (2 of 2)7/112008 1:05 :00 PM 0"'1 '-1 Ul Well Log Report - 00223319 23319 J om A1innesota Unique Well No. 223319 County Quad Quad ID Carver 106 WELL AND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Uenenne Entry Date Update Date Received Date Gin 05/26/1988 02/13/2002 Well Name WACU\JIA CREAMERY 2 To"nship Range Dir Section SubseLtions Elevation 116 25 w 14 DBDACD Elevation Method Well Depth Depth Completed Date Well Completed 1015 ft. 252ft. 252ft. 00/00!1957 Ep[EoewwI peoe-- or 7.5 minutetopographic map(+/- 5 feet) Drilling Method Cable Tool Drilling Fluid -- Use Industrial Well Hydrofractured? DYes D No From Ft. to Ft. ooo 0 Neo Abonefil0o8n Casing Type Steel (black or low carbon) .Joint No Tnfonnation Drive Shoe? D Yes D No Above/Delow 0 ft. Casing Diameter Weight Hole Diameter 16 in. to 222 ft lbs 1ft myimns AIAN Well Address WACONIA M~l 55387 Geological Material Aes YELLOW CLAY BLUE CLAY FINE SAND COARSE SAND coColor Hardness toorpl[ar on gclm From CTL Open Hole from ft. to ft. Screen YES Make JOHNSON EVERDUR To Diameter Slot/Gauze Length tn Type Set Between no0 41 12 41 215 215 222 30 222 ft and 252 ft 222 252 Static Water Level 90 ft. trom Land surface Date Measured 1957 PT:MPING LEVEL (below land surface) 99 ft. after hrs. pumping 530 g. p.m. PionCamm Well Head Completion Pitlcss adapter manufacturer oktModel D Casing Protection D 12 in. above grade D03 At-grraaddee E(Ennvviirornnmmenatasl WWellsesanddlBBoorrisinnggs OONNLLYY)) NO REMARKS Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Nmnber Verification Infonnation from neighbor System UTM- Nad83, Zonel5, Meters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 437257 Y: 4966787 Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 00/00/1957 TE Manufa(.:turer's name Model number - HP Q_ Volts Length of drop Pipe ft. Capacity 500 g.p.m Type Material Abandoned Wells Does property have any not in use and not sealed well(s)'! D Yes D No i First Redrock Last Strat Sand pr Aquifer Depth to Quat. Buried Artcs. Bedrock ft. Aquifer County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification \iueller Well Co. man License Business Narne 223319 96460 Lie. Or Reg. No. Name of Driller I Yes D No Printed 612912008 HE-01205-07 file :IIii IIMPCA/IWorking/A0081-l 00%20- %20PFC%20Foam/R.. .Maple-Paradise/Well%20Log%20Report%20-%2000223319.htm711/2008 1:04:59 PM 22222222.11771199 STATE_02822676 Well Log Report- 00239960 C239o 960 1\Iinnesnta Unique Well Nn. 239960 13,a" County Quad Quad ID o5is Carver Waconia 106D WELA L ANDBORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne.mta Statutes Chapter 1031 Cee Entry Date Update DatP Received Date tpo3o 06/23/1992 02/19/2008 I Son Well Name WACONIA 2 Township Range Dir Section Subsections Elevation 116 25 w 13 CCADDB Elevation Method 1054 ft. 7. 5 minute topographic map(+/- 5 feet) |r sre Well Depth 480ft. Cable Tool Depth Completed 480ft. Date a Well Completed 00/00/1949 Dtilling Fluid -- IWell Hydrofractured? DYes D No From Ft. to Ft. Usc Abandoned Status Sealed ra CCaassiinngg TTyyppee SuStceecl((bbllaacckkoorr looww ccaarrbboonn)) JJooiinnttNNoo eInffoorrmmaiticonn DDrriivveeSShhooee?? [DJ Yoes< 0D 1N\oo AAbbovoe/rBeelrowb0o0 nft. Casing Diameter Weight Hole Diameter 12 in. to ft lbs/ft nee aWeedll Address* R VVACAOr"IANlv1N 55387 Geological Material Color Hardness GLACIAL DRIFT TN) From To 0 480 Open Hole from ft. to ft. SSecreeemn YVIESS MWoakkee TTyyppee DDiaiammeteteerr ShSolottG/Gaauuzzee. LLeennggtthh SSeett BBeettwweeeenn REMARKS GA:v!MA LOGGED 9/26/97. WELL SEALED 11-12-1997 BY 27058 ORIGINAL USE MU- MUNICIPAL Loot Nims ogyDn Located Minnesota Geological Survey Method Digitization (Screen)- Map (l: 12,000) Unique Number Verification Information Date 08/24/2004 frmn owner System UTM- NuJ83. Zunel5. Meters X: 438072 Y: 4966516 _-- Borehole Geophysics Yes First Bedrock Last Strat Unknown deposit type County Well Index Online Report Aquifer Depth to Bedrock ft. Static Water Level ft. from Date :v!easured PI:MPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Pessimism Well Head Completion Pitless adapter manufacturer ol Model DDlcCaaisinngg rPoroctcetcitioonn 0D 1122iinn. aabboovvee grraaddee D01 At-ggrraadtee (nEnvvirionmrenotalnWWeleelllsssaanncddBBanorriiinnggass OlNLYONLY)) Grouting Information Well Grouted? DYes D No ee Nearest Known Source of Contamination _feet _direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer1s narne Model number - Length of drop Pipe _ft. Capacity _g.p m HPQ_ Volts Type Material ero Abaud oned Wells Does property have any not in use and not sealed well(s)? D Yes D No Va1iance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification 2a39960 Mccarthy Well Co. License Business Namc 27022 Lie. Or Reg. No. 1\ame of Driller I Pnnted 6/29/2008 HE-01205-07 file :1I/fi/MPCA/1 Working/A0081-l 00%20-%20PFC%20FoamIR. .Maple-Paradise/\!/ell%20Log%20Report%20-%2000239960 htm 711 12008 1:04:5 8 PM 2222222.11720 STATE_02822677 Well Log Report- 00414039 Afinnesota Unique Well No. 414039 iGuam W10e>s WELLmeAwNnDSBtORsICNhGapRsE1C41ORD URpteeouPete tn2307 414039 County Quad QuadiD Carver Waconia 106D aT TOIT - Ne Coad Da Wa Cot Well Name ANDERSON. DON Tociomons ee TL ry sin orovns Township Range Dir Section Subsections Elevation WN 1 Baan Herin= gih SEpIiet 116 24 w 18 BAACDB Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne.wJta Statutes Chapter 1031 Entry Date Update Date Received Date 05/26/1988 08/22/2007 975 ft. CALCFROM2FOOT COUNTY DEM Well Depth Depth Completed 151 ft. 151ft. i:irl!ling; iVieiilotl :\Jali~s]JeCified R:oiai-Y Date Well Completed 07/01/1985 """" Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Cot Tye Sck oce) Jot Tries Deveswor 0 Yr Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? DYes 00 smetion a D No Above/Reiow ft. CasingDametr eg Vole Date Casing Diameter Weight Hole Diameter wwtoAwcarss ----, Well Address 7925 30 CR WACONIAMN oectogct terion Geological Material Elona YELLOW CLAY Cfoloor Wages Color BROWN Hardness SOFT 4 in. to 146ft CL Open Hole from ft. to ft. SVE NB TOTO Screen YES Make JOHNSON om To [Dameer Sloss From To Diameter ons 0 24 2 Slot/Gauze 15 lbs/ft e-- T Type stainless steel Legh Setbetween Length TT 5 Set Between 146 ft and 151 ft BLUE CLAY GRAY SOFT 24 96 CLAY &SAND GRAY SOFT 96 141 SAND GRAY SOFT 141 151 Static Water Level 93 ft. fi-orn Land 'urface Date Measured 07/01/1985 PUMPING LEVEL (below land smface) ft. after hrs. pumping 30 g.p.m vo REMARKS NO REMARKS Well Head Completion intima odd Pitless adapter manufacturer Olcuicgruimn 0 12 sense D Casing Prot~ction D Model 12 in. abovt: gradt: ID ots oem Was Bers 0) D At-grade (Environmental Wells and Borings ONLY) rt orton StGrot? ver Ov Grouting Information Well Grouted" IZJ Yes D No oCots 0g Located C.arver Land & Water Services Lnique Number Verification Tax on Records Sm UTM Nl,Tor, System UTA- Nad83, Zone15, Meters est 200 Method Digitization (Screen)- Map (1:24,000) Date 05/03/2007 pc44o0s)Ys RS X: 440093 Y: 4967782 Grout Material Bentonite from to ft Nearest Known Source of Contamination RN - feet - direction _type ereopmnt 8 ve 0 so Well disinfected upon completion? IZl Yes D No ramp to Ds id Pump D Not Installed Date Installed NirahateEeONrIEsR, Ae ubr_ HPOS. Von 20 Manufacturer's name PIONEER Model number - Lema50 Cop 10 20m Length of drop Pipe 126 ft. Capacity !Q_g.p.m Tie Skmtall u 200 vr Type Submersible Material Steel (black or low carbon) HP 0.75 Volts 220 Avmdened Wels Does ears er cine dct td nr 01 Abandoned 'Veils Does property have any not in use and not sealed well(s)? D Ow Yes D No et rock First Bedrock Ltt Suny Last Strat Sand-gray Ane Cunt. Duis i Apitc Aquifer Quat Buried Artes. Aquifer pe eh Depth to Bedrock ft. Variance Was a variance granted from the MDH for this well? D Yes D 'Jo Well Contractor Certification forte xe HEE Leuthner Well Co. co i a_i reYo. Nemo License Business Name 10125 LEUTHNER M. Lie. Or Reg. No. Name of Driller County Well Index Online Report 414039 I Printed 6f29/7!J08 HE-01205-07 file :1/III!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R .Maple-Paradise/Well%20Log%20Report%20-%2000414039 htm 7il /2008 I :05:00 PM 22222222.11772211 SSTTAATTEE__0022882222667788 Well Log Report- 00440540 440540 GQ~:uu:a~datym MMiinnnnre>ssoottaa UUnniiqque ure> WWeerl>lll NNoo.. II 440540 II ~.==================~ County QuadiD W>acom CCaarrvveerr Waconia 106D a RAZ TIT Well Name FRANTZ, LEON onnbiRans DiScton Suction Fein Township Range Dir Section Subsections Elevation 1U166 2244 wW 1188 CCHBAADDBBBB FlEelevvaattiioonnMMetethhoodd wenadress Well Address Sour 9550 5 HY Thea 87 WACONIA MN 55387 wn iWnEnLLRSAWEeoNlpCulDoOrDyeRBpCthDOhaRptIerN1DG31ehoConmplRUepcieiuveeddDuDeuee pWerlCacooymspotr 975 ft. MMNINNNEEVOSOOOFTFTAAHHDEEDEAAESLLPTTAAHHRRTTMMEENNFT WELL AND BORING RECORD 11finnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 0077/22551/1999911 05/03/2007 Well Depth Depth Completed Date Well Completed 126 ft. 126ft. 05/26!1988 IR 7.5 minute ttooppooggnrpaphhiicc mmaapp |DDrirlillliinngg MMeetthhoodd Non-specifed .RRooutarryy (+/- 5 teet) Drilling Fluid Bentonite `WWelelll HHyyddrroorfsraccttourreedd?? 0DYveess 0D NNoo From Ft. to Ft. Use Domestic CCaassiingTTyyppEe> Pini Plastic JJooinntNNoo IInnffoorrmmaattiioonn DDrirviewSShhooEe>?? 0DYYeesr 0 ot 8 No Above/Below 1 ft. Going Diameter Weg Fe Dame Casing Diameter Weight Hole Diameter Tow uw wh tn ft 4 in. to 126 ft. lbs/ft. 4 in. to 126 It pT TTT Open Hole from ft. to ft. Son YI NRE JOTON Screen YES Make JOHNSON Tse SR Type stainless sled GGeoeloologgicicaall MMataeterriiaall freee TOP SOIL arCLAY arCLAY CCoolloorr wos BLACK ow Ser YELLOW weBLUE HHaarrddnneessss SOFT SOFT SOFT FFrroomm om |e 0 3m 3 Bom 15 TToo | DDiiaammeetteerr 3 2 15 118 SSiloott/iGGaauuzzee 18 EAR LLeennggtthh SSeett BBeettwweeeenn 5 121 It and 126 It FFUoNtFINywGrEn0V3EtLi(ipuongiangn2Ms5aergnnsm)d 0336188 SSAiNeD 11 18 126IStaticWWataeterr Leevveell 90 t1. rom Land surface Date Measured PUMPING LEVEL (below land surface) 126 ft. after 0.5 hrs. pumping 25 g. p.m. 05/26/1988 ro rewes WPGD0erlilalctcHueesrsampdtdrCraemmmsaptntoeooeinnmmneWsne0atN1WrO2oNsmIeeTssnO?dtRoorv2gesMsYeOolr81C)10 NO REMARKS Well Head Completion Pitless adapter manufacturer MONITOR Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Laced Mims Geogel Method Digztion Sen ip Goth sects fon 0 1 . Located Minnesota Geological save ny Survey Uniave Naber Due 012008 eT KG Ss ST CT Unique Number evasion nematonmones rr Verification Information from owner Sym UTM ads 2oclS. x. ocr vz ron Wot inont conpe iiont 0) ver 0 No System UTM- Nad83, Zonel5, }vfeters Method Digitization (Screen)- Map (1 :24,000) Date 09/01/2004 X: 439669 Y: 4967011 FistBdrok Aqui ut tidArs Ai TOOiVeVMNVTiaetoTovnmrowhre oyaoCetcSniedeaeriWromaOG WeesiailPNwv,kC oaoTnMbLAoeaCslsr IotZeeBaZpnLeGe0DdaoCSerFfooamrNmtgt1eibeslBT3DE0MRA5b2I5SeS1rWe81A8RR0aT7L8NT.0oVovTer2 First Bedrock Lust Sind Dept bck cone BissName Li. 1. No. Name. rer Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well index Oniine Report 440540 CH County Well Index Online Report Grout Material: Bentonite from 0 to ft. 0 Nearest Known Source of Contamination TI_feet L direction SeQtie tank/drain field type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 05/2611988 Manufacturer's name JACUZZI Model number - Length of drop Pipe lQLft. Capacity ll_g.p.m HP0.75 Volts llQ Type Submersible Material Galvanized Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Rraunwarth Well Co. 10068 RRAUNWARTR M License Business Name Lie. Or Reg. No. Name of Driller 440540 Printed 6/29/2008 IIE-01205-07 ARCA L00 HEC S3 or le rd NalSporeS55 3000 i 50810501 file:i/;Jji1\1PCA/1Working/A0081-100%20-%20PFC%20Foam!R...Map1e-Paradise/Well%20Log%20Report%20-%2000440540.htm7/1/2008 1:05:01 PM STATE 02822679 STATE_02822679 222222.117722 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY WWaaldldoorrff WWPaOalBdldooorxrffsFFiirree DDeeppaarrttmmeenntt WWPaOladldoBroo!r,fx,8MMNN 5566009911 A5A0dd7aa-mm23GG6r-ruu2ss2kkr4re8eutu(ztvz,e, FFhiiarrlee)CChhiieeff 555a00d07a77-m--222a333@899m---y020c121i242e448a(((nfhhivrooeammvheeea)).lln)et adamg@myclearwave.net TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveentn:t: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: KKaarrsstt AArreeaa:: NNeeaarreessttwwaatteerrwweellll: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: MMaaiinn SSttrreeeet,t, WWaaldldoorrff AAFFFFFF:: RRooyyaall CChheemmicicaall BBLi-mmoontnhthllyy LLeessss tthhaann 5 ggaalllloonnss GGrroouunndd,, ssttoorrmm sseewweerr AAFFFF:F: 55 ggaalllloonnss, C(Coobbb RRiivveerr,, 11/14 0to 117/33 mmiillee wweesstt AApppprrooxxiimmaatteelyl1y1 mmiillee nnoorrtthhwweesstt TTrraaiinniinngg ssiittee iiss llooccaatteedd iinn acocvoveerreedd kkaarrsstt aarreeaa 33/441t0o11 mmiilee ssoouutthh MMoorree thhaann 11 mmiilee 1"1 22222222.41772233 SSTTAATTEE__0022882222668800 Nl ete Ch " Cu! WWAALLDDOORRFF CCWWII WWeellll MMaapp FCA UANRRGEEEZETC)AA ji: 9 rel REC ~f 5 LARA [ ed HE TR alo WS Me JSRomye)CgF AETg W ETIENA TYi CS A wLNEebajt gh - - ave i ery GEOG TH ee ASE dMiadna? 25 5(fe | I A Re aR iS r TAiRles gis wir TU] ey NORE TE Teel CSRN BionaVR | ! iy [' 1 ---- 3 SEIHS C CSAA Lo}oemb boraEgeN| oa fRaavd ON Lh a onET, 2m art tel baa 3 N en ry 2 ;4 : i SEHE ona a \ yf 1 ee | LaE Lo EE EE EE Amestemersromsianaimpnsion open |5100 ET Hy o ~======:::;::::::::::=:::::J .49m 222222.117724 sSTatAeT_Eo_z0s28a2z2e6e8t1 | WWaallddoorrff WWhhaat't'ss IInn MMyy NNeeiighgbhobrhoorohdoMMoaadpp | | |+ | \ i | Sips ie | i |4 f i || Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. | BREE I of the infonnation should be considered to be, or used as, a legal document. The infonnation is |EEETE EAI TI subject to tbe express condition that tbe user knowingly waives any and all claims for damages ||[ MPCA that may arise from the use of this data. || No portion provided agaiost Sites DD~n.oMc:tlSmaaottte~St&uup~o~orrkilduMn Ph om m~ e SSot"IrKeIWs.W UnportedDune IJn~ml!bd Dun1J15 map NFRAP saw supra maw ~~,..rill w coroun C:~RCL!fi. Foam Superuna o f't\Je:nl SuptrfUnd ||| @mm@winnesota Pollutionn ControlControlAggenAgence,y || l voA r ssoanon pd po !iune: Cboocl L.cmcHUI5! Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o A..t.R ltCRC ATUSDER Ffa'clti:A iitlil:ols~ ORRestgaa Cthaorsns ~M Jrw-ut-kor-111& ClfiiiW~ + sum rooseom: ""- aum ~nw111 222222.117725 STSTAATTEE0_208282222668822 =2 5 = 4 gxr | 0 ||RBaEagifilaibLeloiyn |2g i ssron 1] % 9 goo 4g 2 LE | ge iid rrr Waldorf Wetland Map 22222.1177226 i }i ls ie 3 ~ "6""'" z Legend "'w~ &, w 0 z AF / g 81 TT o "'w~ &, 6 z 2 w ~ ~ w 0 z '!' w ~ <!~ 6 z asman wn own ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America giii l| } smo 3 fg 93-43 w 93-42 w ill i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 0"1 00 w ss iif IiEst i!i 2 $ 93-41 w Map center: 43 56' 8" N, 93 41' 56" W 8 Scale: 1:33,236 Well Log Report- IX1171114 1~=1=7=11=117=4=4===='-Jlll o~:twy Jo.,finnesota Unique Well No. ~ h. iQuad ID Waseca Waldorf 33B Well Name EUSTICE, DOUG Township Range Dir Section Subsections Elevation 110066 224 wW 3333 CCAADDAAAACC FlEelveavtaitioonn MMeetthhoodd Well Address WELLAND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD MiMnimnneessoostaaSSttaattuutteessCChhaapptteerr 11003311 Lplabue Entry Date Update Date Received Date" 21033 12/28/1989 09/10/2002 1046 ft. t7too.5ppoomggrrinaappuhhteiicc mmoapp (+/- 5 feet) Well Depth Depth Completed Date Well Completed 225ft. 225ft. 05/25/1982 So I ar | DlhiFllinE<J MMeetthhoodd NouspeciRRiootctaardrvy Drilling Fluid -- Use eDoe mesteic Well Hydrofractured? DYes D No From Ft. to Ft. 1 Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 2 ft. Casing Diameter Weight Hole Diameter 5 in. to 155 ft. 15 lbs.lft. 5 in. to 225 ft. a=Efree.V\IALDOLF MN GGeoeloologigcicaallMMataetreiriaall CLAY CLAY CLAY SANDY LIMESTONE ome SHALE SANDSTONE gE EEEEE11 Sh CCoollor YEUBRN GRAY GRAY BEI 3 HaHradrdrness SOFT FFrrom TTeo 0 20 SOFT 20 40 MEDIUM 40 152 BRN/V\IHT HARD 152 170 Ff BLU/GRN M.SOFT 170 WHITE MEDIUM 180 180 225 Open Hole from 155 n. to 225 n. [omer soos So creen w NO e Make Thyepe Diameter Slot/Gauze biSta 43 tic ft. W f ater rom Leve Land l s u r f a c e Date Measured PUMPING LEVEL (below land surface) 45 ft. after 2 hrs. pumping 20 g.p.m. tena Length 05/25/1982 SSeetBBeettwweeeenn 0 REALS N 0 R1--"MARKS Well Head Completion Pitless adapter manufacturer D Casing Proleclion 0 Model 12 in. above grade Groin ormation Well D At-grade (Environmental Grouting Information Well Gros? Wells and Grouted? 0 ves Eo Borings ONLY) DYes 0 No Located Minnesota Geological Survey Unique Number Verification N/A System UTM- Nad83, Zonel5, Mjeetwerss Method Digitized- scale 1:24.000 or larger (Digitizing Table) Date N;A X: 442366 Y: 4865464 CountyWell nx Gin Report First Bedrock Platteville Last Strat St. Peter Aquifer Multiple Depth to Bedrock 152 ft. County Well Index Online Report 'learest Known Source of Contamination 7_Q_feet .S__direction Septic tank/drain tleld type WWeellllddiissiinnffeecctteedduuppoonnccoommplpeltetiioonn"? 0 YYeos DO NNoo EE 0 Pump Not Installed Date Installed 05/25/1982 Manufacturer's name GOULDS Model number 10EJ05412 _ HPQ,2_ Volls230 Length of drop Pipe ll__ft. Capacity lQ_g.p.m Type Submersible Material Stainless Steel Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? No Well Contmctor Certification Marlin Well Co. ite License Business N arne 171114 22109 MARTIN G. Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/2912008 HE-01205-07 file:///II/MPCAI1Working1A0081-I 00%20-%20PFC%20Foam!R...maries/Waldorf/Well%20Log%20Report%20-%2000171114.htm711/2008 I: 18: I 0 PM 222222.417727 STATE_02822684 Well Log Report- 00171143 171143 A1innesnta Unique W 171143 e l l N n . Gi oCounty Quad Quad ID Wat Waseca Waldorf 33B `WiAoNEnDSBLaOaRsILNCoGupeRrE1C07ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 UMrietne Entry Date Update Date Received Date Guim 12/28/1989 03/27/1992 Well Name JOHNSON. ROBERT To"nship Range Dir Section Subsections Elevation 105 24 w 3 CDBDDD Elevation Method 1082 ft. 7.5 minute topographic map(+/- 5 feet) rocnsress Well Address roma WALDORF M~" [GGecetoologgiiccaatl Mmaatteerriiaal onSOIL xCLAY Sova SANDY CLAY SAND CLAY SHALE Ean CLAY+ GRAVEL dateSHALE se LIMESTONE id SHALE SANDSTONE Color Color ew BLACK Wem So YELIBRN aE GRAY Marness Hardness SOFT SOFT SOFT 2Po 5 FFrroomm TToo 0 1 1 25 25 120 MEDIUM 120 123 GRAY BLACK Siw Mw ws GRY!TAN So Ee em GREEI~ EE BROWN SUS M28 2 BLU/GRN SOFT MEDIUM MEDIUM SFT-HRD HARD MEDIUM 123 165 165 180 180 195 195 205 205 218 218 225 WHITE MEDIUM 225 255 vo nemirs NO REMARKS Well Depth Depth Completed Date Well Completed =255 ft. Drilling Method -- Drilling Fluid -- m I ee 255ft. 04/29!1983 Well Hydrofractured? DYes D 1\o From Ft. to Ft. Use Domestic Cone Tre Sod 0k rn ca te end res Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0s svete 20 D 1\o Above/Below 2 ft. GanaDarter Vio Tote Barr Casing Diameter Fre an san zt 5 in to 196 ft Weight lbslft Hole Diameter 5 in. to 255 ft Be 0 Yes [[Boeusno eT Secs Open Hole from 196 ft. to 255 ft. Screen 1\0 :VIake Type Diameter Slot/Gauze Leng setseeen Length Set Between [me Static Water Level ERGTIV(ee anit 77 ft. from Land surface Date Measured 04/29/1983 PI:MPING LEVEL (below land surface) WpersHkeiCeionmtpatr~ so ft after hrs. pumping 20 g.p.m. Well Head Completion Pitless adapter manufacturer Model DDcuCsaisinngg PPrroetescttioonn D0 11221imn..aabboovveeggrraaddee mterg m Vet Gras? ver B10 D00 AAtcptre-gnravdei(Eonvnirmontmeantlal WWelelssanlnddBBeloirnisnggss OONNLLYY)) Groutin~ Information Well Grouted? DYes 0No cnet ohana Located Mankato State University J-- Unique Number Vette emomi wie Veiification lnfonnation from neighbor SSyysstteemm UUTTMM-- NNaadd8$3., ZZonnneell5,, MMeetteerrss td Die 3400s Method Digitized- scale 1:24.000 or larger prtro (Digitizing Table) pn DateN/A XXs: 444433779966. YVt : 44886633448866 R etRSRA sre Nearest Known Source of Contamination Nl gi spnot pin? 0 ver no lQQ_feet N_direction SeQtic tank/drain field type Well disinfected upon completion? D Yes D No Pnmp 0 Not Installed Date Installed 04/29119S3 i a Manufacturer's name GOULDS Model number 10EJ05412 _ HP Q,j_ Volts 230 Length of drop Prpe 2Q_ft. Capacity .!Q_g.p.m Type Submersible Material Steel black or low carbon) oO AAbbaannddoonneedd WWeelllks DDoosess pprrooppeerrttyy hhaavvee aannyy niotiinnuussee aannddwntotsseeaableedd wweellt(s)?? D0 Yes D No FbittseduaDercor trite First Bedrock Decorah-Platteville Last Strat StPeter DaepquBerNeihe 15 Aquifer Multiple Depth to Bedrock 195 ft. County Well Index Online Report Valiance Was a variance granted from the MDH for this welJ? D cMesniVeticoo nes Owret So Swaamneet Well Contractor Certification Martin Well Co. 22109 MARTIN G. License Business Narne Lie. Or Reg. No. Name of Driller 171143 I Yes D No Printed 612912008 HE-01205-07 fi1e:il!li!MPCA/1Working/A0081-100%20-%20PFC%20Foam!R.. maries;Wa1dorf,Well%20Log%20Report%20-%2000171143.htm7!1/2008 1:18:12 PM 2222222.11772288 STSATATTEE0_202882222668855 SStiteeNNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiitee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY WWaasseeccaa WW1aa7ssee2ccaaAFFviierreenuDDeeeppOaaFrrtmmeenntt Waseca, MN 56053 117 2"d Avenue SE Waseca, MN 56093 GGSaoarrryyeCC3oo3nn2crah1t,h0, FFiiree CChhiiee!f ye@eiwaseca nus 507-835-321 0 garyc@ci.waseca.mn.us TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooffffooaamm uusseeddiinn rtraaiinniinngg:: FFooaamm ttrraaiinniinngg rfreeqquueennccyy:: FFooaamm uussee ppeerrttraaiinniinngg eevveenntt: SSppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrftaaccee wwaatteerr: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaas: NNeeaarreesstt wwaatteerr wweetll:: NNeeaarreesstt WWeellllhneaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: WWaasseeccaa CCoouunnttyy ffaaiirrggrroouunndd,, ggrraanndd ssttaanndd aarreeaa CCllaassssBBPoPrtoite:in: bbrraanndd ntnot specie; specified; 3SMM dciidd nnoott mmaakkee pprrootteeiinn E85 foam Class AA:: bbrraanndd nnoott ssppeecciiffiieedd AAmnnnuuaatllyy 5$1to0 1100ggaatlloonnss Garroouunndd CCClilaassssses AB8 PPr5rootgetaeilninl::on1s100ggaatlloonnss Class A: 5 gallons CClleeaarr LLaakkee,, 140 1/4 to 117/33 iemile eaasstt LLeessss tthhaann 141/4 mmiilee nnoorrtthheeaasstt TTrraaiinniinngg sesite iiss llooccaatteedd iinn aa ccoovveerreedd kkarrsstt aarreeaa 111/221to0 71/3 mmiilee nnoortthh MMoorree thhaann 11 memile . 9 22222222.41772299 SSTTAATTEE0_202882222668866 WWAASSEECCAA CCWWII WWeellll MMaapp EE Dem bel Een ep NL TT PRS METN ie CNG led At Yn del eo Coen made lm a LEN ds fe ged No ga 3re1]ae SEiC aTlwteo,Tr(Paeamireeo nBE | drab dlTt | RARE | : | ies ha Xo odhear + v !L iCH Era uggs oa Ree fe etIEa ER a Rl h a he ode RLTEE PRE Foe EEE el Why CRT A : | : atA 222222.117730 . STATE_02822687 WWaasseecca WWhhaatt''ss IInn MMy NeighborrhhoodMMaap | Hii || E woFT p L EL - PEsLl i Ee ix A i fi SITE Sail wm 4 Ee HE fp LA C HEsla E i ) { { 3 i i|| tl [ii spe ATE | Ca ar e 3 T TLETLlLTON pnd i ECE Hh HiFngah tenn avoir --wiimamdil LEAST EniSh, i nb B Ee fd e HL ul pe ----, L - CREETeE I hht Ie R riNEgl| Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages against ~ MPCA that may arise from the use of this data. SSiitteess. Detctarme capers D~n.Mc:l matt~ &u~~rkl M =Pamasora hm~ St"IKIW.W iIpJonm~nmiln!ebdd DDuunm1pJ1s5 Ja NFRAP mwaew ~f~u,.g.vrrililuwnd ceroue C:~RCL!fi. Fol tuperuna o f't\Je:nl SuptrfUnd @MinnesotaPollution Control Agency !iune: Cboocl L.cmcHUI5! ve moon Vo!Unllr~ l'rW'I191'11:11'i Er & Cb!lrwJ!o A RERATSGFacies ..t. ltCRA 1!iD f'lt:ill:l~ SRAmestatonaCras ~M Jrw-ut-kor-111& Clf1111.11~ +sum rooseom: ""- aum ~nw111 2222.11773311 STSTAATTEE0_208282222668888 Well Log Report- 00500505 [sss] Minnesota llnique Well Nn. 500505 omCounty Quad Quad ID Va Waseca :Vleriden 53C WELL AND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mi1t1tesota Statutes Chapter 1031 Unicow Entry Date Update Date Received Date hin 01!28/1992 09/10/2002 Welll'\ame WASECA GOLF CLUB nN oon Semin aos Township Range Dir Section Subsections l1evation 107 22 w 5 DDDBnl\ Elevation Method te 1133 n. 7.5 minute topographic map (+I- 5 feet) Well Depth Depth Completed | i at ey 502ft. Drilling Method 502ft. rv Date Well Completed 04/20/1989 Drilling Fluid Bentonite I D D Well Hydrofractured? Y~s No From Ft. to Ft. Use Irrigation Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below 2 ft. IZJ Yes 1 D Casing Diameter Weight Hole Diameter Well Address .RR3 BOX 187 WASECA MN |GGeeoollooggiiccaall MMataetreiriaall Svat CLAY SAND FINE CLAY STICKY PLATVILLE LIME SHALE ST. PETER SANDROCK SHAKOPEE LIME VARIED oeCCoolloorr BXBLUE GRAY BLUE BRN/GRY BLUE WHITE VARIED HHaarodnsesss woHARD VHARD 8 in. to 315ft lbs 1ft 14 in to 315 ft mplOpen Hole from 315 ft. to 502 ft. FFrroomm TToo [eB Screen NO Make Type 8 in to 502 ft Bom 0 83 83 86 86 176 Diameter Slot/Gauze Length Set Between 176 192 192 198 198 314 Static Water Level 314 502 110 ft. from Land sutface Date Measured 04/20/1989 PUMPII'\G LEVEL (below land smface) 0 ft. after 8 hrs. pumping 500 g.p.m. NO RFMARKS Well Head Completion Pitless adapter manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn [[E2]1122 in.sahboovvee ggrraaddee D03 Attr-garatdee (mEnviironsmenmtal WWmehllsesanddnFBooirtninggssaOONNlYlY)) Grouting Information Well Grouted? IZJ Yes 0No Located Minnesota Geological Survey Unique Number Verification N/A System UTM- Nad83. Zonel5, Meters Method Digitization (Screen) - Map (1 :24.000) Date 06/24/2004 X: 460929 Y: 4882669 First Bedrock Platteville Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 176 ft. County Well Index Online Report Grout Material Neat Cement from 0 to 315 ft 7 yrds Nearest Known Source ofContmnination JlQ_feet N_direction _type Well disinfected upon completion? [2] Yes D J\o Lorie0 Cpy-pa Ti Ne Pump D Not Installed Date Installed l\1anufaclun::r's namt: Moddnumb~r - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material D Abandoned Wells Does property have any not in use and not sealed well(s)? Yes D0No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certitication Rom Well Co. 81162 BORN R. License Bu-:iness Name Lie. Or Reg. No Name of Driller 500505 I Printed 6129/2008 HE-01205-07 file:/IIII/11PCA/! Working/A0081-l 00%20-%20PFC%20Foam/R... mmaries/\~.1aseca;Well%20Log%20Report%20-%2000500505.htm 711/2008 1 :21 38 PJ\1 222222.117732 STATE_02822689 Rr o 1B its sl {ty i 1 8 B1R.EINIB EE A E E sc & @& ih 2 FL i Waseca Wetland Map fn TpR ed FEAL wt re 2222.1733 uso "'........ .;.. 0 z Legend Ohlo_wet_scan .0 ........ D1 Out of range 10 "'0 ;!</ Interstate z Major Roads sion dHiaT h : : Other Road ;!</ Interstate .;./ State highway .;./ US highway L wson Roads "'........ Cities 6 r USGS Quad Index 24K z Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater 11) { Estuarine and Marine Wetland Freshwater Emergent Wetland wwson i aipild heh sey NE J j i \ oa, TT IE Taf mT Ty Freshwater Forested/Shrub Wetland Freshwater Pond FEL isa Fel | Lake ........ Othet .;.. Riv~rine .;.. Lower 48 Available Wetland Data 0 z Non-Digital Digital No Data Scan NHD Streams Counties 1OOK 5 I I CJ m1 PUBGx ~ .. ;~~~cmcx ~, 1 ~ States 100K 0 South America u North America s |i w w 93-30-30W 93-30-0W 93-29-30 i i $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 93-29-0 Map center: 44 5' 4" N, 93 29' 43" W Scale: 1:20,157 N 00 N N 0"1 \.0 0 JRS---- Well Log Report- 00213091 EB IM'vofmmneewsottsa UUnngitqeue WWeeillNNeo._ Cpouupnyty 221133009911 QQuuaadd Quad ID WWaasseecna WWaasseeccaa 54D EE MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Jl11nnesota Statute., Chapter 1031 EUFnpntdtrrayytDeDaDatateet.e Update Date Received Date o0045v/217i0/11n998e28 05/20/1992 Well Name WASECA CREAMERY Township Range Dir Section Subsections Elevation W 107 E22 W w I18 AAAMACCCCCC FEelervaattiiomnMMetethhoodd 1151 ft. bt7o.y5peomggirnnagup!hht:iccmmoapp(+/- 5 feet) Well Depth Depth Completed Date Well Completed 380 ft. 380ft. E I m a---- llrillim.- MPtho<l Cable Tool Drilling Fluid -- Well Ilydrofractured? DYes D No From Ft. to Ft. a Use Commercial CCaasinmg TTyyppee SStteeeel ((bblaacckkcoer lloowwccaarrbboonn)) .JJoaiinnt NNoo TInnffoomrm1aattiioonn DDrriivveeSShhooee?? JD Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter Well Address WWAASSEECCAAMMNN 6556009333 Saptst eral Geological Material DRIFT fe SOAPSTONE DECORAH SHALE LIMESTONE SOAPSTONE ST PETER SANDSTONE coor Color Htradrdnneessss WHTIYEL [oORpen Hole from ft. to ft. from 2 From To 0 188 ts 188 206 206 253 253 268 268 280 {camer Screen NO Diameter Sotmze Make Type Slot/Gauze 280 380 Static Water Level ft. from Date Measured po PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model LLeennggtthh setBeven Set Between ts WsTORDOWINX 197AND TLL WAS ABANDONTTY REMARKS RLDG. WAS TORN DOWN TK 1970 AKD WELL WAS ABANDONED D Casing Protection D 12 in. above grade D00AAvpt-rgaraddee ((EEnnvviierooonmmeennttaall WWiellllss aanndd BBoorriinnggss OONNLLYY)) rng Grouting In orton fonnation rant? Well Grouted? D EvYeess TDI NNoo Located Minnesota Geological Survey STLnique Number Verification Information from owner [SSoysotemm UT2J:vf- NKaad8s3, ZZoenietl.5, MMeewtesr.s Method Digitized- scale 1:24,000 or Duc a larger (Digitizing Table) DateN/A X2:244859023553 Y3: : W4ggHo7Ro3 First Bedrock Galena Last Strat St.Peter Aquiter Depth to Bedrock 188 ft. County Well Index Online Report TO CRT Nearest Known Source of Contamination _fet:t _dirt:dion _typt: Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material AAbbanddoonedWWeelllss DDoosessprporopperetrtyy hhaavvee aannyy nnoott iinnwussceaanndd noott sseeaalleedd wweells(s?)? CDJ Yes D No Variance Was a variance granted from the MDI I for this well? D Yes D No Well Contractor Certification SUDDENDORF License Business Kame Lie. Or Reg. No. Name of Driller 213091 I Printed 6/29/2008 HE-01205-07 file ://JIIIMPCA/1\Vorking/A0081-l 00%20-%20PFC%20Foam/R ..mmaries/\Vaseca;Well%20Log%20Report%20-%2000213091.htm 711/2008 1:21 :36 PM 222222.117734 STATE_02822691 Well Log Report- 00213092 Mo tips Minnesota Unique Well No_ perv r.==ll==2t=3==o9=2=:::::;-JII ~::~ty ~-==================~ QQuuaaddIiDD ees Waseca Waseca 5S4IDD eeST Well Name SCH1MER Toshi Rang iSection Subsets Een Township Range Dir Section Subsections Elevation 0 2 WS CCCAC BeatinMetod 107 22 w 5 CCCCAC Elevation Method siwwEsoTs MINNESOTA DEPARIMINTOR NE I. DEPARTMENT OF HEALTH WELLANDBORING (T0000, (lu WELL AND BORING RREECCOORRDD Mint Sites Caper Minnesota Statutes Chapter ir1031 Entry Date Update Date ReRceecievievdedDDataet.e 04/17/1988 04/02/2008 nn aNbot o Bor oCohmpied Da WfarCmoed 1134 ft. 7.5 minute tpogpery | DAREN topographic map Well Depth Depth Completed 316ft. 316ft. Drilling Method -- Date Well Completed ml/1211 <no """" (+/- 5 feet) Drilling Fluid -- Fon Tew wWelelll HHyyddrroufferaaccttuurreedd?? DYveess 0D Nnoo. From Ft. to Ft. CaineTope int vo tom Dees? 0 veo 0 Use Domestic Casing Type Joint No Infom1ation Drive Shoe? DYes D "Casing Damrey No Above/Below ft. Casing Diameter Wo Weight ow Dm Hole Diameter secogiat atrial Geological Material SRTDRIFT Seen ST. PETER Color Hardness Color Hardness I. NO REMARKS From To From To om0 216 EE 216 316 Open Hole from ft. to ft. She Te Screen Make Type Dimer SiotGauo Diameter Slot/Gauze Longin Sot Between Length Set Between SIT Static Water Level on Asan n. from Date Measured FONPING EVE ow rd rey PUMPING LEVEL (below land surface) 0 hr rpg 9 ft. after hrs. pumping g.p.m. We HeadCompl Well Head Completion Pies oc modes Nel Pitless adapter manufacturer Model Gong torsion WeGoaer 0 ver 0 ve D0 Avrade imronmnsal Wels and Brings ONLY) OD CCaassiinngg PPrrootteeccttiioonn D03 1122min.. aabboovveeggraraddee: D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No Located Mins Geog Located Minnesota Geological soSurvey Unique Naber VVUeernriiifqfiiuccaeattNiioounnmNNbI/eAAr Stem UTM-NalS3 2015. System UT1vf- Nad83, Zone15, _Meters eto Diz cle 13800001 Method Digitized- scale 1:24,000 or ne iene 10> larger (Digitizing Table) en DBaiae teN3/A x. 450157: aws2600 X: 459457 Y: 4882609 Nero Se TCR I are4 Nearest Known Source of Contamination - feet - direction _type wots compoior 0 ver 0 vo Well disinfected upon completion? D Yes D No Vamp 0) Notlted Duimled Pump D Not Installed Date Installed Manufacturer's name Model number - Lainpeg _Copety-gp Tie otra Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material ondined Wel To ey eh TS oT TT Abandoned Wells Does property have any not in use and not sealed well (s2)? 0D Yveeos D0 NNoo V`Vaarriiaannccee WWasaaavvsaarriiaannccee ggrraanntteedd tfrroomm tthhee MMDDHHffoorr tthiiss wweetll?? D0 Ybreess DO Nnoo A ---------- file:///li/MPCA/!Working/A0081-I00%20-%20PFC%20Foa...ries/Waseca/Well%20Log%20Report%20-%2000213092.htm (I of2)7/l/2008 1:21:38 PM 222222.117735 sStTaArTeE__o0z2s82222669922 Well Log Report- 00213092 First Bedrock St.Peter Aquifer Gory Wall nx on For Last Strat Depth to Bedrock 21 G ft. County Well Index Online Report Well Contractor Certification License Business Name Lie. Or Reg. No. Name of Driller 203092 I 213092 Printed 6/29/2008 HE-01205-07 fi1e:///li/MPCA/!Working/A0081-100%20-%20PFC%20Foa...ries/Waseca/Well%20Log%20Report%20-%2000213092.htm (2 of2)7/l/2008 1:21:38 PM 2222222.11736 STATE_02822693 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY WWeellccoommee. WPWeOelBlccoooxmmee37FF3iirree DDeeppaarrttmmeenntt WWPeOellccBooommxee,3,7MM3 NN 5566118811 Chsohr7rs-is72BB8oo.rr8cc8hh9ee2rrd,t, TTrraaiinniinngg OOffffiicceerr 507-728-8892 TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtarianininingg:: FFooaamm ttraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweelltl: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: NNoorrtthheeaasstt ccoormneerr ooff DDuuggaann SSttrreeeettSS.. aanndd MMiilll SSttrreeee,t, WWeellccoommee CllasasBBPsrPortoestienin:: NNaattiioonnaall FFooaamm AAnnnnuuaallllyy 55 ggaallloonnss GGrroouunndd CGllaassss B8 PPrrootteeiinn:: 55 ggaalllloonnss. IInntteerrmmiittteenntt ssttrreeaammss 11//48 1to0 117/22 mmiilee ttoo tthhee wweess!t aanndd nnoorrtthheeaasstt LLeessss tthhaann 11/44 mmiillee ssoouutthh LLeessss tthhaann 11/44 mmiillee nnoorrtthheeaasstt MMoorree thhaann 11 mmiilee 9 9 22222222.41773377 SSTTAATTEE__0022882222669944 WWEELLCCOOMMEE CCWWII WWeellll MMaapp foi S -- A tennne][oe L FTiEsef J @i oA oc Tl ee SLAC TR Foy ET ig A Ty A St J IN e seta E sd HNNY ER | A/ p SAL A Le RSL SAO SE pooper TL 1A STN AE Ee - Ao ny BL Een AEE on | C| TSAB2 EP Eh Ri i Sete ot|,e {Er UE TEL No i: . SES bet Sy '! . Lb TR dX. ~ . | Tree pe fees i - AR Gal R PH Rfae TTh e wy e SPYgre na oNvi oe (FBhE13T35 Fo MGyl iS1E CwE l T I qEv R\ Te ABU: EAL oil. ihm 1 Vom Ce 0 Oy dat ET pa a1 fy a CO 0 } 5 x~| 4 HVCid l_#ei Reon YossSiIR |osLoya ' BL|neY Neng Dido So Semi 222222.117738 sStTaArTeE0_022882222660955 {i= | | WWeellccoommee WWhhaat't's IInn MMyy NNeeiighborrhhood MMaapp ||| -- | i i || || ~ ||| 9o ||mgA4 a | -- || ee] T ER [ pre dE pI r ELi ||||| mr | -- en i | ||| | & } | |4 1 m------ I Sims. Sites | BotetsataSuporuna D~n.Mc:l matt~ &u~~rkl M | =Pamasora Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion ET UnpormitsedBunpo of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided |EEETE AI AT | map subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost | ~ aSuportuna MPCA that may arise from the use of this data. hm~ St"IKIW.W IJn~ml!bd Dun1J15 NFRAP maw ~~,..rill w | ceroue C:~RCL!fi. | ram superun o f't\Je:nl SuptrfUnd | itCosaLaname !iune: Cboocl L.cmcHUI5! | @winnesotaPollution Control Agency [tp Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o | Te ..t. ltCRA 1!iD f'lt:ill:l~ | SRAmestatonaCras ~M Jrw-ut-kor-111& ClfiiiW~ | +sum rooseom: ""- aum ~nw111 222222.117739 STSTAATTEE0_208282222669966 :gl: % gr v I Ty oe and jbsason o]saan sw swan amon i3 suon :2 Welcome Wetland Map i z ~w ~w ~w fH ~w ~ VE t A ~~ ~ 0 z 22222.1177440 Cthiiti he iilitalinieiiy |g \\ 1, i \ eH|S ge g i Lg {Y |je --@ | A w ~ 6 ~---=====,=-~======~============~z w A .J,. 0 w 0 z ~ A lo 6 z ~ I~ 0 z w A ~ 6 z 3i . i:i g5 Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data II ~~~:;~igital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America il i ol i] |i=z HlI]f w 94-39W 94-38 94-37W 94-36W 5 $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 2 Map center: 43 40' 8" N, 94 37' 26" W 3i z Scale: 1:35,712 N 00 N N 0"1 \.0 '-I % Well Log Report- 00132924 MMiminenseostosta UUnnkiaqvuee HWIellNNOo. II 132924 Qu CCoouunnttyy Quad QuadiD Were MMaarritinn Welcome 15A Well Name RANTENKRANTZ. ELMER Township Range Dir Section Subsections Elevation 102 31 w 6 ccccc ElPvation Method a WELL ANDBORING MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Upue EnEtnrtryyDDaattee Update Date Received Date 0780200 O04U1I1131018988.8 07/3012002 1249 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed 158 ft. 158ft. Il~illi~gM~th~dN~~~sp~cified Rotary Date Well Completed 09/30/1978 ...... Drilling Fluid -- IWWeellll HHyyddrrouffrraaccttuurreeda?? JD vYeess 0D NNoo From Ft. to Ft. Use Domestic CCaassiinngg TTyyppee Below 2 ft. JJooiinntt WWeellddeedd DDrirviweSShhooeP?? 0 YYeess 0OINNoo AAbboovvee:/ Casing Diameter Weight Hole Diameter 5 in. to 150 ft. 15 lbs/ft. BeGeological Material TOPSOIL CLAY CLAY SAND Color BLACK YELLOW BLUE GRAY meHardness SOFT SOFT SOFT SOFT Open Hole tram tl to n. Screen YES Make JOHNSON Type stainless steel Diameter From To 5 0 1 Slot/Gauze 20 Length 10 Set Between 150 ft and 154 ft. 1 15 15 141 141 158 Static Water Level uo n. from Land surface Date Measured 09/30/1978 PUMPING LEVEL (below land surface) 170 ft. after 1 hrs. pumping 15 g.p.m vo Resins NO REJ'v!ARKS LLooccaatteedd MMim.nnneessoottaa GGeeoollooggirc.caall SSuuvrveeyy lMMaeregttehhroo(ddDiDDgiiitigitziitiinazgneddT-asbcslcaeal)lee 11:.2244,000000oorr Unique Number Verification Information from owner DateN/A System UT1'vf- Nad83, Zonel5, Meters X: 369877 Y: 4835404 iBir First Bedrock Last Strat Sand-gray Av it rs Ae Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model D0) CCaassiinngg PPrrootteeccttiioonn 0 1122iinn..aabboovveeggrraaddee GrC outing ormatiT n. Wel Goud?I 2 Yes ON DOJ AAtt-ggsraaddee ((EEnmviriroonnmmenentatall WWelellslsaanndd BBoorirnigsnOgNsLYONLY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Cuttings from 0 to 140 ft. NParPst Known SourcP of Contamination 2Q_feet !i_direction _type Well disinfected upon completion? 0 Yes D No PPuummpp ODJ NNoottlInnssttaalllleedd DDaattee IInnssttaslllieodd Manufacturer's name Model number - HP - Volts Length of drop Pipe ft. Capacity g.p.m Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D0 Yvees O D NNo V`Vaarriiaannccee WWasasa avvaasriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHfoforrttihisswweellll?? [DJ YVeess D0 Nxoo poms mt WPll Contractor Certification Beemer Well Drilling 90191 GE BEMEMER. L License Business Name Lie. Or Reg. No. Name of Driller 132924 I Printed 612912008 HE-01205-07 file:///III1v!PCAI!Working/ A0081-I00%20-%20PFC%20Foam/R...maries/Welcome/Well%20Log%20Reporto/o20-%2000 132924.htm7/1!2008 I :24:59 PM 2222.11774411 STATE_02822698 Well Log Report- 00174195 Minnesota Unique Well No. II 174195 County Quad Quad ID Martin Welcome 15A Well ~arne L+H GRAIN Township Range Dir Section Subsections Elevation 110022 3311 wW 66 BBCCAABBCCAA EElleevvaattiioonn MMeetthhoodd Well Address WEWLELCCOOMMEE WMiN SU MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04/13/1988 07/30/2002 Well Depth Depth Completed Date Well Completed e I e 1228 ft. t7too.5ppoomggrrianappuhthieicc mmaapp (+/- 5 feet) 225 ft. 225ft. |.bP~riiitlikniei iM\e1t~htho~dd NNo~;n;:~spPe~c~i;ffiie~d~~RRo~ttaarryy 07/01/1982 .... Drilling Fluid -- {e Use eDomeestic Well Hydrofractured'! D Yes D No From Ft. to Ft. Casing i Type Plastic Joint -------- No Information Drive Shoe? DYes IZ1 No Above/Below 1.5 ft. Casing Diameter Weight Hole Diameter 5 in. to 210 ft. lbs./ft. 10 in. to 225 ft. {OOppeern iHoileefforomm&ft.w to R ft. 1 Screen YES Make JUHNSUN Type stainless steel Geological Material aCLAeY CCCLLLAAAYYY pheCLAY SAND Color = BROWN GGGRRRAYYY/BBRRNN Hardness 5 SOFT SSSOOOFFFTTT From To 0 o20e 21w02s5 11o25ws55 ooEom GRAY SOFT 155 GRAY SOFT 170 om170 225 5Diameter 5 5|? 1' Slot/Gauze 18 135 5Length 5 150 S2e21t55B0eft.tweawneddn 22200 ft. T21A0 Rft. awndi2s25 hft. Static Water Level 110 ft. from Land surface Date Measured PUMPI~G LEVEL (below land surface) 200 ft. after 18 hrs. pumping 20 g. p.m. 07/0 l/1982 To reins NO REMARKS Well Head Completion Pitless adapter manufacturer Model DDl Ccaassiinngg PPrrootteeccttiioonn D0 11221i.n. aabboovveeggrraaddee Grouting formation Wel Goo? Yes Cle D3 AAvt-ggrraaddee ((EEnnvviirroonnmmenetnatlalWWelelllss asndd Borriinnggss OONNLLY)Y.) Grouting Information Well Grouted? IZJ Yes DNo LacedMi ares (Dighiing Tob) Method Digitized- scale 1:24,000 or Located Minnesota Geological Survey larger (Digitizing Table) Unique Number Verification Information from owner Date N!A fSRyusstieemm 7 UTM- NNaaed8}3,, ZZmoenfe1s5,, Mseotrerss XXs: 3S7000027:2 NYs : 44813366048677 First Dedmck Last Strat Sand-gray Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report :-learest Known Source of Contamination - feet - direction _type WWelelll ddiissiinnffeecctteedd uuppoonn ccoommplpelteitioonn'? IZ1 YYeos DO NNoo PPunmmpp. IZ1 NNoott IInnssttaalllleedd DDaatteeIInnssitsalllleedd 0077/0022//11998822 Manufacturer's name AERMOTOR Model number Al2!3-200 _ HP L Volts 230 TLTypeyenpgethSSooubbfmmdereonrpisibPblilepee lMM!aItaTete_rrifitaa.ll PPCllaaasspttaiicccity ~.p.m Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D No Well Contractor Certification Jer!}''s Well Co. 90421 QUASTAD. S. License Business Name Lie. Or Reg. No. Name of Driller Yes D 174195 I Printed 6/29/2008 IIE-01205-07 flle:///II/:\1PCA/! Working/A0081-100%20-%20PFC%20Foam;R. ..maries/Welcome/Well%20Log%20Report%20-%2000174195.htm7/!12008 I :25:00 PM 222222.117742 STATE_02822699 nsWell Log tnReport- 00217089 217089 Minonnesseottsa UDniqNue JiVBe!O! NNOo. II 217089 II L.!:.= = = = = = = = = : : : : ! . J . ~GCQo:uau:ni:ittyym Quad ID W1ome MMaarrttiinn Welcome 15A WNIT RGEOF WETCOWE Well Name VILLAGE OF WELCOME TownRagsDirScoSubsection Elston Township RangeDir Section Subsections Elevation 1102 2%32 wW 11 DDAARBAADDDD FElelevvaattiioonn MMeetthhoodd sn 1235 ft. MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING Undue 1312003 WELL AND BORING RECORD Recehed Due RECORD Minot SsChapter 131 114inne,mta Statutes Chapter 1031 EEnnttrryy DDaatete. Update Date Received Date 4014/11331/11998888 07/31/2002 Wllbeph Dept Compiaed De Wal Cpe Well Depth Depth Completed Date Well Completed Ton Lo oir 150 ft. 150ft. 00/00/1907 tot7po.5opgomrgarinappuhhtieicc mmaapp | nDrTillMingMeei:thoJhC..caaboieT'tdooolr pki (+/- 5 feet) tars Drilling Fluid Pow To -- Well Hydrufractured? From Ft. to Ft. 0 ve DYes Ove DNo Cato Type ont No torn Deve Shoe? 0 va OF Use Other (specify in remarks) Casing Type Joint No Information Drive Shoe? DYes D GoingDiameter No Above/Below ft. Casing Diameter We Weight Tee Dar Hole Diameter ctcgiat atria Geological Material borsTILL Sho Gru.Lenses SAND & GRAVEL LENSES Sean BLUE CLAY SaSAND CCoolloorr HHaarrddnneessss aeBLUE HE AEAARLS NO REMARKS Cpe Open Hole from ft ET to ft Screen Make Type From To Oumar Stowe Length From To Diameter Slot/Gauze Length ona 0 20 nu 20 40 FY 40 150 t[Sw 150 150 Static Water Level om Dos sat ft. from Date Measured FONPING LEVEL (oo Td rey PUMPING LEVEL (below land surface) ates pnp epi ft. after hrs. pumping g.p.m. Welle Completion Well Head Completion Ti pt mani Ml Pitless adapter manufacturer Model SSoett BBeettwuseeenn DDl Ccaassiinngg PPrrootteeccttiioonn D01122inin..aabboovveeggrraaddee: IE ade men Weld regs ONLY) D At-grade (Environmental Wells and Borings ONLY) Growing normaton. Well Grout 0 ves 0 No Grouting Information Well Grouted? DYes D No Located Mista Golopct Methad Dit a 2400or Located Minnesota Geological Method Digitized- scale 1:24,000 or Fs neDring ive) Survey larger (Digitizing Table) UnigNaberVeifiction Np ~nique Number Verification N/ Date N/A +System UTM Noth onl. x, sy; awn System UTM- Nad83, Zonel5, ,\,feters X: 369582 Y: 4836085 FiscBedrodk aque Qt Bui Ars Ais First Bedrock Lust Sod Detpo Btehk 1 Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report NRG SEC Nearest Known Source of Contamination a nn - feet - direction _type Welwndcomptseint 0 ves 0 mo Well disinfected upon completion? D Yes D No Pun 0) Nort De osnled Pump D Not Installed Date Installed Nmmiwunsnime Moki net 11P_ Vos Manufacturer's name Model number - Longpeo Coty poi Te Mort Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material CC ee Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD NNoo Varian Wes vines gatedfo MDH rival? Ver Variance Was a variance granted from the MDH for this well? D Yes Ow D No eRCora CR Well Contractor Certification cone IssNae License Business Name 221177008899 Lic 0 Res. NoName fDi Lie. Or Reg. No. Name ofDriller TR Printed 6/29/2008 HE-01205-07 ACA MOR 107o0r mel egSh 00 308 2458 file:///Ij/l\1PCN! Working/A0081-100%20-%20PFC%20Foam/R...maries/Welcome/Well%20Log%20Report%20-%2000217089.htm7/1/2008 1:24:58 PM STSATATTEE0_208282222770000 222222.117743 Well Log Report- 00217091 Mifninremsoottao UUnniqiuge WBeel ll 2No. Coumy F~::l~toy II 212177009911 II Quad 1..!::.=========::::!.J. Quad ID wr Well Name MMaarritinn WWeellccoommee 15A Township Range Dir Section Subsections Elevation WR 102 32 wOW 11 AADDCCCCDDDB EElleevvaattiioonnMMetethhoodd MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG REcoRD fas RECORD nt See hp 11 _Minne.mta Statutes Chapter 103/ EEnnttrryy DDaattee UUppddaattee DDaattee. Received Date 4041/139/189888 00880/11440/11999911 eo poCo BR Well Depth Depth Completed Date Well Completed 1252 ft. 440ft. 440ft. tot7op.5poopmgrrignaphuhtieiccmmaapp | DINE DrillingMMietthhoodd (+/- 5 feet) ceca Geological Material =SOIL owas YELLOW CLAY BLUE CLAY FSSAND Se BLUE CLAY rie BOULDERS Sy BLUE CLAY re SAND & GRAVEL Se Se cone BLUE CLAY & SOME GRAVEL Soon BOULDER Sets soeone. BLUE CLAY & SOME GRAVEL SAT SAND & GRAVEL W/CLAY oun YELLOW SANDY CLAY Shae BLUE SANDY CLAY SDiIYaAnD 8 GEL DIRTY SAND &GRAVEL BLUE CLAY SAND &CLAY SisSic BLUE CLAY dy SAND &CLAY brain SANDY BLUE CLAY SSOFaT BrLUEaCLnAY DrDirlillliinnggFFlluuiidd Wweelltl HHyyddrrooftreaactcurreead?? 0DYveess 0D NNoo Cor ainsTi o i T3o [P oe ee oam | From Ft. to Ft Use CaCsaisinngg TTyyppee JJooiinntt DrDirivveesShhooee?? 0DYYeess 0D NNoo AAbboovvees/ Color Hardness From To Below ft. 0 5 Casing Diameter Weight Hole Diameter 5 25 25 37 EA37 38 i i Emm 38 40 Open Hole from ft. to ft. He 40 41 Screen 05 [Sie ooowse town 41 70 Diameter Slot/Gauze Length son 70 72 roa 72 86 ios 86 87 i 87 140 a 18 mmr 140 145 Static Water Level 1 [et 145 150 ft. from Date Measured wo ca 150 160 PUMPING LEVEL (below land surface) "womw [TCer rpm 160 163 fl after hrs. pumping g.p.m. 163 164 sateen Set Between 164 165 Well Head Completion nmsami Voda 165 240 Pitless adapter manufacturer 240 253 Model 2 Z| Demmi 0 2 sneg 253 350 D Casing Protection D 12 in. above grade 33500 44400] 0D AAvt-ggrraaddee ((EvnviirmomonnenatamlWeWelnelltlssaanldd BHoorriinnggss OONNLLYY)) NO RHlvJARKS Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Number riVerification N/A System UTM- Nad83, Zonel5. },feters Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A X: 369487 Y: 4836214 FFiirsnt BBeeddrroocckk AnAiqtueifrer County Well Index Online Report Last Strat Till-gray Depth tu Bedrnck ft. County Well Index Online Report Nearest Known Source of Contamination wet aispoi n omedn? 0) vs 0 No - feet - direction _type Well disinfected upon completion? D Yes D No Pata PPuummpp ODJ NNoottiInnssutallilcedd DDaateteIInnssttaalllleedd Manufacturer's name Model number - Length of drop Pipe tl Capacity g.p.m Is Hao HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (s0)? 0D Yvees DO NNoo `VVaarriiaannccee WWaassaavvaarriiaannccee ggrroanntteedd tfrroommtfhuee MMODHHfotorr tthhiiss wweeilll'?l [D3 Yveess 0D Nxoo Moller WellCo. 6160 Well Contractor Certification Mueller Well Co. 96460 217091 Pe License Business Name 217091 Lie. Or Reg. No. Name of Driller Printed 6/29/2008 HE-01205-07 file:///IIfl\1PCN! Working/i\0081-1 00%20-%20PFCo/o20Foam/R...maries/Welcome/Well%20Log%20Report%20-%200021 7091.htm7/1/2008 1:24:59 PM 222222.117744 sSmTaArTeE__o0a2s8z2z277o011 Well Log Report- 00240088 240088 || a~Q:mu:i:ityt II II lMvifinnnneessoottaaSUUnnil qiquueee WWel elN) l eNo. County 240088 ~-==================~- QuadiD V15ek MMamtiiinn Welcome 15A ARTE Well Name WELCOME 1 obi RangeDirSection Sanetons Elvin Township Range Dir Section Subsections Elevation 110022 3322 wWI1 AADDCCCCDDDD EElelevvaattiioonnMMetethhoodd DDEEPPAARRMTTSMMIuNEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WELLAND BORING Upuebue cots WELL AND BORING RECORD Reahedbotc RECORD MioSmescCshpttr1e31 Minnesota Statutes Chapter 1031 EEnnttrryy DDataet e. Update Date Received Date 8081/1009/199922 04/03/2008 usin WealoDnh DepCoimnpete WclonCooomn pe 1251 ft. Smite tt7oo.pp5oogmgriranappuhhtieicc mmaapp | Te (+/- 5 feet) Well Depth 263 ft. UDrilling ~lllln!! MlVeltethnOod Depth Completed 263ft. Date Well Completed 00/00/1946 Drilling Fluid Fon or -TS ST Use Abandoned WWelelll HHyyddrrooffrraaccttaurreedd?? From Ft. to Ft. Status Sealed [DJYveess 0D Nnoo Caine Type Jon Norton Drives 0 Yoo 01 Casing Type Joint No Information Drive Shoe? DYes D oN 1. No Above/Below ft. Graing Diameter We Tio Dar Casing Diameter Weight Hole Diameter Wall address Well Address WEWLECLCOOMMEEMMNNS51681811 sectogiea aera Geological Material oreNO RECORD coor Madness Color Hardness [m E omeLr L e] Open Hole from ft. to ft. Screen Make Type DiDaimameteeterr SSiloott/GGaauuzzee LLeennggtthh SeSettBBeettwweeeenn From To From To ee 0 0 Sw Static Water Level TIA I fed se_Due Messin 4261966 118.3 ft. from Land surface Date Measured 04/26/1966 PUMPING LEVEL (below land surface) heb pin ep ft. after hrs. pumping g.p.m. Wale Completion Well Head Completion Peston mands Mod Pilless adapler manufacturer Model TERT REMARKS SSEEAALLEEDD 99--1166--11999977,. SSEEAALLIINNGGNNOO.. HH--112299771155.. NO LOG. NRL SEALED 0161075 015 Vv'ELL SEALED 09-16-1997 BY 71015. ORGINAL US 1 PUBLIC SUPPLY NON-COMMUNITY. ORIGINAL USE PS- PUBLIC SUPPLY/NON-COMMUNITY. DDl cCaassiinngg PPrrootteeccttiioonn D[J 1122iinn..aabboovveeggraraddee. 0 rds imineWels nd rns ONLY) D At-grade (Environmental Wells and Borings ONLY) : = GGrrooutuitninggIInnfoorrmmaattoionn WWeelll GGrrooutuetd?? 0DYveess D0 NNoo e(sdd MoMoissta GoSOBi pg rs itty Corso] Nearer Gren reCama Located Minnesota Geological Survey Nearest Known Source of Contamination Method GPS Differentially Corrected - feet - direction _type erieanntoNumibetr ion vrs Do wa dsiioset wnt 0 ve 0 no Unique Number DateN/A Som TMX fone Zl. 3, sory: actor VNampicD1 pNaneealeNDeoektlad+r HP Voli Verification Information from owner Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed System UTM- Nad83. Zonel5. _iMietedrs X: 369507 Y: 4836191 LntaeticNhoRr First Bedrock Last Strat No Record AmDietpro Bede. Aquifer Depth to Bedrock ft. Manufacturer's nmne LLenegthonoffdgdrrootppPPihippee fflt.. C_MCaoppooadcceiitltyynum_gb.gpep.rmm- HTTyPypp-ee Volts MMataeterriiaall Tomine Wak Ts ropes Tre 7 ea TT Abandoned Wells Does property have any not in use and not sealed well oO ve Ox (s)? D Yes D No Variance Wes rnc grated fom oe DA or 1 Variance Was a variance granted from the MDH for this wem D be O x Yes D No Cor Cra Well Contractor Certification BOK. BROWN K. Line Bass Name, rR.No Name Dil License Business Name Lie. Or Reg. No. Name of Driller CA 110720 Con. Boelm Chg 3ST0 7120 2550 file:///li;MPCA/! WorkingiA0081-l00%20-%20PFC%20Foa...ies/Welcome/Well%20Log%20Report%20-%2000240088.htm (1 of 2)7/1/2008 1:25 :00 PM 222222.117745 sStTaArTeE__o0z2s82222770022 Well Log Report- 00240088 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 224400008888 Printed 6/29/2008 HE-01205-07 CA ig ORL 1090S me a So The SOR tn 710 23008 file:///li;MPCA/! WorkingiA0081-l00%20-%20PFC%20Foa...ies/Welcome/Well%20Log%20Report%20-%2000240088.htm (2 of 2)71112008 I :25 :00 PM 22222222.11774466 sSTTaArTeE__0022882222770033 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY WWiinnoonnaa WW4i5inn1ooEnnaa3FFiirrSeetrDDeeeeptpaarrttmmeenntt Winona, MN 55987 451 E. 3'd Street Winona, MN 55987 E5E0dd7KK-r4raa5ll7l,,-6FFi2irr6ee6CChhiieef 5eek0kir7aa-ll4l@l5@7ce-ii8.ww2i6inn6oonnaa..mmnn..uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteer:r: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: VVTeaacrrhiionouiucssalllooccCaaotltiilooenngsse:,: CC1een2nt5tr0raalHl oFFimirreee rSSttRaaottiaioodn,n,, W445i511noEEn..a33'd SSttrreeeett,, aanndd Technical College, 1250 Homer Road, Winona AARRA-AFFFFFF:: AAnnssuulliltee AARRCC AAnnnnuuaallllyy LLeessss tthhaann 55 ggaalllloonnss. GGrroouunndd,, ssttoorrmm sseewweerr CAAlRRaAs-AFsFAF:FFF::5g44a55lggoaanllslloonnss Class A: 5 gallons 33H'"domSSettrrreeeeRttossaiitdtee::siMMieissssuiinssissdiiepppnpitiiRRiveiveders,r,raaeppappmrrosoxxaiimmnadattepelolyynd11s/44ommnclilaeemNNpEEus of Technical College Homer Road site: Technical College unidentified streams and ponds on campus of 33H'domSSettrrreeeeRttossaiitdtee::siaa:pppporronoxxciimmaaatteelylm1oy1fmmTpieilcoehussnooiuucsttahhl College Homer Road site: on campus of Technical College TTrraaiinniinngg ssiittee iiss llooccaatteedd iinn aann aaccttiivvee kkaarrsstt aarreeaa 3H3'domSSertrreeeRetossatidtee::sillete:sssswetthlhalasnno11n7/22cmmaimilpeeusnn.oorrtthh Homer Road site: wells on campus 33'd SSttrrecett sesite llooccaatteedd iinn WWeelllhheeaadd PPrrootteeccttiioonn AArreeaa 221 22222222.41774477 SSTTAATTEE__0022882222770044 WWiinnoonnaa WWhhaat'stII'nnMsMy Neighbboorrhhoooodd MMaap a oA a a lef fe JT NNR bNabty JF{ p Aie pad iF nid SrRL e TEe RE NAY\ 2 SSEi NteJ R HT LTEHve NEE y pT 9 Sp ie RR 5 aSN N\ w ol a & " % TSE LR ; ill H ge c m m yPh 2 d /~ i a 4 x : L i :x -- BiS te pT tm shes TRInEeRt 0 | Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. @HMinnesota Pollution Control Agency ! ! 10.570 X SSiitteess. ras pont D~n.Mc:l matt~ &u~~rkl M Pama sonar hm~ St"IKIW.W goede IJn~ml!bd Dun1J15 NFRAP asupra maw ~~,..rill w o comm C:~RCL!fi. Franti o f't\Je:nl SuptrfUnd !iune: Cboocl L.cmcHUI5! vmonSyonma on Vo!Unllr~ lrW'I191'11:11'i & Cb!lrwJ!o romTia ..t. ltCRA 1!iD f'lt:ill:l~ nie Gna ~M Jrw-ut-kor-111 & ClfiiiW~ S-- ""- aum ~nw111 222222.117748 [Ep-- STATE_02822705 WWIINNOONNAA 33r"dSStrtreeeett CCWWII WWeellll MMaapp. EEN ey, JB SEaTiEnRs f l HisnC aNN N rPrWa oetlei hcetioow nn8 Tk Rs En RE L vOoT EhR G Tearl NheaSe ame n E ,a coG N,PGXE w EeeA ~RF y +n #0 PJoloolsmbpid n 08 TOT NS ewss Ld St Dll wl Sd | > Se Gr OS SREERLE oais SN, THR een Le, oop % > oTlyeSsee y p eg kpLe er q2M naE LI aR E t Re tR eT PLRr F ; e Ro a ue de e g ah Gan Fadl elfai tg fms 3 Pd SEP le = TNE i mr Ld rltegpe efPRR aKa A 0 SE SREY e~TbeTwNONT ACNf d ChelTDrdSaH R y JTYeE a e, FSey a a Shaadi ide | TY Led rh S20eP l eel palReLTY ef, . 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N b z J 3 gE wifF Eat wo we wn en a Pint ( (lr, pHhlod Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America 5 / ie 1] =by / ph =iiE 0 ii i 91-39W 91-38W i r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N '-I 0 '-I 91-37W Map center: 44 2' 57" N, 91 38' 2" W $ z Scale: 1:36,669 Well Log Report- 00219072 AMfoinmneersooitaUUnniiquuee WReIll NNoo. 30072] moeirn Sen 219072 C(oouppnetyy Quad QuadiD WWiinnoonnaa Winona West 46C RTT Well Name C..\11. & ST. PAUL R.R. CO. emo cin Township Range Dir Section Subsections Elevation W 107 T7 OwW 226 BBCOBHCCHBSB KlEelveavtatiioonn MMeetthhoodd 58 WELLmAeNDSBaeOeRICNhGeRrE1C5ODRDrC a TMornotp upaie rC viva 655 ft. MMIINNNNEESSOOTTAA DDEEPPAARRTTVMIEENNTT OOFF HHEEAALLTTHH WELL AND BORING RECORD Jl11nnesota Statute., Chapter 1031 EEnnttrryy DDaatete. Update Date Received Date o04/1u7/1s988 09/24/2002 Well Depth 373 ft. Depth Completed 373ft. Date Well Completed 02/05/1906 Et7or.5poomgirnauptht:icmmpap((+/- S feet) EIT] ig eid -Drilling Fluid Well Hydrofmctured? DYes D No -- From Ft. to Ft. I Use Industrial Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Cong ant Y[reess 00NNoo AAbboovveer/Bbeellooww 00 f1t.. Casing Diameter eT arr Weight Hole Diameter Jou me = 10 1n. to 148 ft lbs/ft 8 in. to 222 ft lbs/ft (-- Geological Material SAND &GRAVEL SANDSTONE Cor trios Color Hardness Open Hole from ft. to ft. Screen Make Type umes Seu Diameter From To From To Slot/Gauze 0 148 148 373 Legh SuBewen Length Set Between REMARKS CASING: 010 TO 0148;008 TO 0222;006 TO 0373 . Static Water Level -9 ft. from Land surface Date Measured 02/05/1906 PUMPING LEVEL (below land sUI'face) Pa hot Comtn ot ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer .Vlodel ID rp bm vetme 80) DDcuCiasningg PPrrootteeccttiioonn 0D 11221min.. aabboovvee graradde.e D At-grade (Environmental Wells and Borings ONLY) Grouting lnfol'mation Well Grouted? DYes D No I Cee Nero5. te Located Minnt:sota Gt:ological Survey Lnique Number Verification N/A .VIethud Digitizt:d- scalt: 1:24,000 or largt:r (Digitizing Table) DateN/A System UT.Af- Nad83, Zone15, Meters X: 609001 Y: 4877682 i Bie 5m A First Bedrock Mt.Simon sar ise DBe ek 148. Last Stmt Mt.Simon Aquifer Mt.Simon Depth to Bedrock 148 ft. "County Well Index Online Report County Well Index Online Report rE Nearest Known SoUI'ce of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed Manufacturer's name Model number - VentoBlyie n0 Cops spur Tipe ait Length of drop Pipe ft. Capacity g.p.m HP.lQ_ Volts Type Material nedet pops vs nt Abandoned Wells Does property have any not in use and not sealed well(s)? D NE Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contmctor Certilication iss mei rt Yo eerie License Business 'lame Lie. Or Reg. No. Name of Driller 221199007722 I Pnnted 6/29/2008 HE-01205-07 file :iIII IIMPCA/1 W orking/AOO 81-1 00%20-%20PFC%20F oam/. ..na%203rd%20St/Well%20Log%20Report%20-%2000219072 .htm 711/200 8 1:27:49 PM 2222.11775511 sStTaArTeE0_208228222770088 Well Log Report- 00219181 Minnesota llnique Well Nn. 219181 2Ee County Quad Quad ID Winona Winona West 46C a pow Wow MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimresota Statutes Chapter 1031 g, ranJ Entry Date Update Date Received Date 12/28/1989 07/10/2007 Welll'\ame WINONA N0.5 Township Range Dir Section Subsections J1evation 107 7 w 23 CBBABC Elevation Method 649 fl. Calc from DEM (USGS 7.5 min or equiv.) Well Depth Depth Completed Date Well Completed 501 ft. 501ft. 07/19/1924 Drilling Method Lable 1oo1 [or Drilling Fluid -- [I an0g eoe e r| Well Hydrofractured? D Y~s D :\lo From Ft. to Ft. Use Abandoned Status Sealed - WWelelll AAdddrdersesss. Aa WINONA MN 55987 Geological Material ree an SAND &GRAVEL DRIFT SAND &GRAVEL DRIFT ann LIGHT SANDROCK Snook CLAY SAND ROCK SSSHAHANALDLEERSHROOACCLKKE pr COARSE SANDROCK HARD SANDROCK SAND SHALE GRANITE GRANITE GorColor BLUIRED EDRED RED Mees Hardness BLACK BLACK VHARD V.HARD From To fe To 0 150 150 160 EE 160 325 325 330 ow 330 377 377 380 a380 414 Hou 414 450 450 477 477 488 488 491 491 501 TR Casing Type Steel (black or low carbon) Joint Ko Information Drive Shoe? 00Nsoo AAbbovvee/eBtelooww f0t. nto ten Casing Diameter 16 1n. to 160ft rn Weight lbs/ft PERS Hole Diameter 16 in. to 171 ft 14 in. to 265 ft Open Hole Screen NO Diameter seen from 160 ft. to 501 ft. Make Type Slot/Gauze enLength soba Set Between DYes Static Water Level 13 ft. from Land surface Date Measured E Ta e, PTJMPII'\G LEVEL (below land surface) 175 ft. after 6 hrs. pumping 727 g.p.m. Well Head Completion Pitless adapter manufacturer Model 05/14/1924 D Casing Protection 0 12 in. above grade D00 AAtt-ggrraaddee (GEnivimronrmesntoalWmWaleelllssnaanntddBBaoor)riinnggss OONNLLYY)) CCRAAELLMIIPEEARRRASKNSDD IFLOOWWMMTETHEREEDD 31-3210-200083. GGWR!QOJ.\0. 00120. GAMJ\1A LOGGED 8-14-1987. WELL TV I3Y MDII. GGrroouwtiinngg InntfOrrmmaatteionn. WWeetll GGrroouvteeds? D 0Yveesr OD oNo SEALED 8/11/2003 BY MARK J TRAUT WELLS. INC. LIC 73646. ORIGINAL SEALING RECORD # H0209448; REPLACED WITH UNIQUE# BY MATCHING WELL RECORDS. mm me D Nearest Known Source of Contamination Located Minnesota Geological Survey Method GPS SA On (averaged) _feet - direction _type Unique Number Verification Information from owner Date 06/15/1999 \Vell disinfected upon completion? Yes D J\o System UTM- Nad83, Zonel5, Meters Srp Borehole Geophysics Yes S Tiu First Bedrock 'vlt.Simon X: 609063 Y: 4878955 C-- ie Aquifer Multiple 0 rt Pump Not Installed Dat~ Installed l\1anufachtrer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP~ Volts Type Turbine Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0 xo D No Variance \Vas a vm-ianc~ grankd from th~ MDH for this w~ll? D Y~s Bee Well Contractor Certification b-- en BE Mccarthy Well Co. 27022 TE D Yes D No CountyWelindes GrisReport Last Strat Archean Granite Pluton County Well Index Online Report Depth to Bedrock 150 ft. [oo2191m81 T I ET License Business Name Lie. Or Reg. No. Name of Driller Printed 6129/2008 IIE-01205-07 file:!IIII/11PCA/! Working/A0081-l 00%20-%20PFC%20Foam/...na%203rd%20SUWell%20Log%20Report%20-%2000219181 htm7/1/2008 1:27:48 PM 222222.117752 sStTaAreTE_208282222770099 Well Log Report- 00219184 Mioneot2a1U9n1e84RN Minnesota Unique Well No. II 219184 oy County peerQuad Go Quad ID inn Winona Winona West 46C RO Well '-'arne WINONA N0.6 TomiRange ie ectionSuvctons Fran Township Range Dir Section Subsections Elevation WWD CAD Fesion Method 107 7 w 23 CAAB Elevation Method MIN.\ESOTA DEPARTMENT OF RTE HEALTH WELL AND BORING WELL AND BORING RECORD RECORD bbe Entry Date Una iwe Update Date Recon Due RPcPivPd Dati' 0m30nas 12/28/1989 05/06/2005 ;winnesota Statutes Chapter 103I won ajobye Co"Smnpas 656 ft. 7.5 minute tough | Dehod topographic map Well Depth 484 ft. Drilling Method -- Depth Completed 484ft. Depwieses Date Well Completed 04/18/1929 (+/- 5 feet) [ry Drilling Fluid -- INet trate Ove Ove Well Hydrofractured? DYes D No Pon Bs From Ft. to Ft. Well Address Well Address mons WINONA MN 55987 secon mate Geological Material ORTSoyGRavEL DRIFT, SAND &GRAVEL SSoHvOiAeLt SHE SANDROCK &SHALE SHALE ROCK Somos sae SANDROCK &SHALE SE SHALE Joi smonoc LIGHT SANDROCK Samo SANDROCK RSee SANDROCK SANDROCK peaGRANITE FETT REMARKS coor Hntness Color Hardness romBROWN arom BROWN m te we WHITE = GRAY HARD HARD Cina Type int Noonan Drives? 0 Yer OF Use Abandoned Status Sealed Casing Type Joint No Information Drive Shoe? DYes D No AbovPIBPlow ft. GongDamar Casing Diameter Wao 16 16 in. to 148 It Toon Weight wnlbs.lft. Fs Damen Hole Diameter pom To From To Open Hole from 150 ft. to 486 ft. Tom Ta [Seno Ne To 0 148 Screen NO Make Type ww2 oamasr Sota Legh Setsetween 148 327 Diameter 327 332 Slot/Gauze Length Set Between Bom 332 379 mom 379 383 ow 383 447 Wo447 461 2B 3z E ee oe ou 461 475 Static Water Level 475 484 2 ft. from Land surface Date Measured 00/00/1929 484 PlJMPI'-'G LEVEL (below land surface) " 113 ft. after 2 hrs. pumping 1240 g.p.m. Well Compton Well Head Completion Pte bs mtr Mosel Pitless adapter manufacturer Model Dlcaing resin Dl120 same D Casing Protection D 12 in. above grade I) node iors Wend ings ONLY) D At-grade (Environmental Wells and Borings ONLY) SEALED 6/26/91 BY TRAUT WELLS, LIC. 71536, SEALING RECORD #219184. EN TDDETI dvTH WELL WASNISTAKENLY Assia | Gringo Wa Oris? ver Elo SEALED DEPTH: 496'. THIS WELL WAS MISTAKENLY ASSIGNED SEALING RECORD ol 71 (NC) HOWEVER, ORIGINAL DRILLER' WELL RECORD # H0011717 (IN CWI). HOWEVER, ORIGINAL DRILLER'S WELL RECORD SCANKED AT NDI, (SCANNED AT MDH) CLENRLY SHOWS TIS WELL WAS CITYWELL 46, WITH UNIQUE CLEARLY SHOWS THIS WELL WAS CITY WELL #6, WITH UNIQUE Grouting Information Well Grouted? DYes DNo #2191R4, WHICH IS WHAT THE SEALING RECORD# SHOULD BE. CITY WELL #4 WAS SEALED THE SAME DAY (6/28/91) AN8 DTH WELL TO WHICH TIE SEALING RICORD 011717 AND IS TilE WELL TO WIIICII TilE SEALING RECORD #II0011717 SIOULD BE ASIONED. FE -- SHOULD BE ASSIGNED; MDMH0RIECAORDSOF ANY ASSONED UNIQUE + Tory wit, st | os nen 5 MDH HAS NO RECORD OF ANY ASSIGNED UNIQUE #TO CITY WELL #4. .\"earest Known Source of Contamination - feet _direction _type Watsuaietspnsonpase: 0 vo 0 wo Well disinfected upon completion? D Yes D No Lact Mics Geooeg any pMetohodsDtesodne 1240 Method Digitized- scale 1:24,000 or Located Minnesota Geological Survey larger (Digitizing Table) a-- e ne Doe 10252000 Unique Number Verification Information from owner Date 10/2512004 Sytem UT Nhl Zn rs Xs 65150 Vs 947 System UTM- Nad83, Zonel5, Meters X: 609450 Y: 4878797 Pump toad Dc es Pump 0 Not Installed Date Installed Nwictusrinmne Mosier P60 Vol Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQQ_ Volts Type Turbine Material E Et ReE Cp ep Te Lae Mr Abandoned Wells Does property have any not in nse and not sealed well(s)? Ove Ow D Yes D No Variance Was a variance granted from the MDH for this well'? D No Yes D Cig RRL STC 355 Sats SOE 37108 37 07 flle:///IIJ\1PCAI!Working/A0081-I00%20-%20PFC%20Fo...203rd%20St!Well%20Log%20Report%20-%2000219184.htm (I of 2)7il/2008 I :27:49 PM 22222222.11775533 STATE_02822710 STATE_02822710 Well Log Report- 00219184 First Bedrock Mt.Simon Last Strat Archean Granite Pluton Aquifer Mt.Simon Depth to Bedrock 148 ft. County Well Index Online Report Well Contractor Certification Mccarthv Well Co. 27022 License Business Name Lie. Or Reg. No. 219184 I MCCARTY WELL Name of Driller Printed 6/29/2008 IIE-01205-07 flle:///II!\1PCAI!Working/A0081-l 00%20-%20PFC%20Fo...203rd%20St!Well%20Log%20Report%20-%2000219184.htm (2 of 2)7il/2008 I :27:49 PM 222222.117754 STATE_02822711 Well Log Report- 00219189 Minnesota Unique Well No. 219189 i Eo 32 County Quad QuadiD \Vinona Winona West 46C Ra N Bo oR MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statute., Chapter 1031 pmme Entry Date Update Date Received Date 12/28/1989 10/03/2007 Well Name WINONA 10 Township Range Dir Section Subsections Ele,ation 107 7 w 23 CBBADB Elevation Method Well Depth Depth Completed Date Well Completed 649 ft. 147ft. 147ft. 02/12/1950 Calc from DEM (USGS 7.5 . iirilii;,g M:~th;;<i c~t;i~:r;;;;i .... min or equiv.) Drilling Fluid [mre [I wgeeB080 -- Well Ilydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed ee aoa ei a wor TC 0 x bonit0o0 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DNo Abnve/Relnw 0 ft. DYes Well Address Casing Diameter Weight Hole Diameter WINONA MN 55987 --en Geological Material rm SAND &GRAVEL (FINE) SAND &GRAVEL (FINE) SAND &GRAVEL (FINE) SRE. SAND &COARSE GRAVEL [rE FINE SAND SAND &COARSE GRAVEL COARSE SAND ey FINE SAND &GRAVEL COARSE SAND &GRAVEL cnColor nra EiBoEggl=e meow Hardness 20 1n. to 117.5 ft lbs/ft From 0 90 100 110 112 120 126 130 Open Hole from ft. to ft. To 90 Screen YES Make Type 100 Diameter 110 19.5 112 Slot/Gauze Length 32 120 126 130 Static Water Level 140 12 ft. from Land surface Date Measured 02/12/1959 R wantS on 140 147 PUMPING LEVEL (below land surface) 51 ft. after hrs. pumping 940 g.p.m. Well Ilead Completion owEE Set Between 0 ft and ft arm REMARKS GAMMA LOGGED 4-22-1996. SEALED 11/17/2003 (H0209449) erties ato De Ov Pitless adapter manufacturer Model DDcCaaisinnggPmrosteicotionn 0D 11220min.sahboovveeggrraaddee 0D0 Agt-rgraadde ((EEnmviirvomnmmcennsta)lWWeellllsaannddBBoorninggas OONNLLYY).) Grouting Information Well Grouted? DYes D No irtmeienot, WELL SEALED OS-11-2003 BY 73646 Located Minnesota Geological Survey Unique Number Verification Information from owner vssty5]5st Method GPS SA On (averaged) Date 06/15/1999 RTS Nearest Known Source of Contamination System UTM- Nad83. Zonel5. Meters X: 609073 Y: 4878941 _feet - direction _type Well disinfected upon completion? D Yes D E0 O Se Pump Not Installed Date Installed Manufacturer's name LAYNE Model number - Length of drop Pipe ft. Capacity g.p.rn Type No liP 2Q_ Volts Material 0 x Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Borehole Geophysics Yes First Bedrock ae mgm Last Stmt Sand & larger Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. [ow voor onion County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Thein Well Co. 34050 THEIN RN LS License Business Kame Lie. Or Reg. No. Name of Driller [atom TI REE] 219189 Printed 6/29/2008 HE-01205-07 file:/I/II;'1-1PCA/! Working/AOOSl-1 00%20-%20PFC%20Foam/. ..na%203rd%20St!Well%20Log%20Report%20-%2000219189.htm7/1/2008 1: 27: 48 PM 22222222.11775555 stare onsane STATE_02822712 Well Log Report - 00219257 Minnesota Unique Well No. 1~=2=1=9=2251=79=2==5=:7::::!..1|1|1 o~:e:r:ty gesves ~ . Quad ID Winona Winona West 46C IY Well Name WINONA N0.8 JE N---------- Township Range Dir Section Subsections Elevation 657 ft. MlN_\l<:SOTA DEPARTMENT OF HEALTH WELLAND BORING rite WELL AND BORING ORD. Splint, RECORD SE 11finnesota Statutes Chapter 103I Entry Date Update Date Received Date 09/1011990 0511112005 a TR Well Depth Depth Completed Date Well Completed on on ---- 159 ft. 159ft. 03/00/1935 107 7 w 2_3 meWell Address m~ootusshe r WINONA MN 55987 CBABCD Elevation Method TITT 7.5 minute ((l+- o+pio-5gSrfeaecpetht)i)t: map Drilling Method -- Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. l:se Abandoned Status Sealed .---- J Casing Type Joint No Information Drive Shoe? DYes D No Above/Below ft. Cosi Great Fo Casing Diameter Weight Hole Diameter orci wn 25 in. to 60 ft lbslft GC`COeOoAAlRRoSSgEEicMMaUUlDDMDDYYaGtGeRrRAiAaVlVEELL Co tas ow. COARSE SAND & GRAVEL Sie SHALE & SAND SoeeSAND Be SAND FINE SAND haemo VERY FINE SAND ine QUICK SAND Color aeBLUE Hardness wou MEDIUM o0From T20o f Emme 20 55 HI55 60 1|8= in. to B70 ift Open Hole from ft. to ft. SCI"een YES Make Type i on5 foun secure won serseeen 60 75 2 a3 oe. 75 90 Diameter 90 100 0 Slot/Gauze Bom 100 105 wom 105 120 l=bsklft. Length 80 Set Between 0 ft. and ft. (FTIN=ESSADND SAND ifr COARSE GRAVEL re `SCSHHOAAALELRES&E& FSFIIANNENEDSSAANNDD. Sha HARDPAN & GRANITE ow MEDIUM BBLUEE 1m2e0 130 Sa tatic WaterTLeevel FI owl e 130 145 2 ft. from Land surface Date Measured re 145 150 150 155 PUMPING LEVEL (below land surface) 11585 1s5g9 3 f(30t. awfteerrd2 hrbess. ppuummppiinngg 2800 gh.pd.mc. EB emercommn 159 159 Well Head Completion 00100!1934 Pitless adapter manufacturer Model rTAIH REMARKS RECORD 2125 (SAME ASUNE 1 19 555 DD spas ies wee maven 1 DDI CCaassiinngg PPrrootteeccttiioonn D3 112210in..aabboovvee ggrraaddee. D At-grade (Environmental Wells and Borings ONLY) SEALED, SEALING RECORD If 219257 (SAME AS UNIQUE If), 1119/1988 BY DRUSSELL WELL "DDRRIILLLLIINNGG,, LLIICC. . 8$8522221.1. SSEEAALLEEDD DDEEPPTTHH:: 112277:': SSEEAALLIINNGG DDIIAAMM.. [oa rn ma tr inoAT HAVE CRIGIAL DEPT ~4"Xl8"Xl2"; TREMMIE PIPE PLACED AT 127', NEAT CEMENT GROUT PUMPED BOTTOM TO TOP. EARL DRUSSELL TOLD PETER ZIMMERMAN HE DID NOT HAVE ORIGINAL DEPTH, BUT GGrroouuttiinngg Intfoorrmmaattiioonn WWeellll GGrroouwtesd?? 0D1Yveess O D oNo SOUNDED THE WELL TO 127'. RTS7WEW)A,);LHIHNOOGWWEREVEVECEROR,R, D LISTS LOCATION AS: NE, E, SE, -SECTION 2- 2 (Tl07N- , we ros PETERZlMMERMAN, EARL DRUSSELL VERIFIED THIS SEALING RECORD IS FOR CITY WET J, #8 WELL SEALED 11-09-1988 BY 85221 ---- .\"earest Known Source of Contamination _feet - direction _type WWelelllddisiinsfecitednuuppfoonneccoocmmptlpeletetiioodnn?? D[1 Yveess D0 NNoo parte ion LLooccaatteedd MMininnncsesoottsa GGeeloolgoigcicaall SSuurrvveeyy MMeetthhoodd DDiiggiittiizzeedd-- ssccaallee 11:2244,,000000oorr larger (Digitizing Table) eCigaamir ue o>zs Unique Number Verification Information from owner Date 10/25/2004 ew esr er as ees System UTM- Nad83, Zone15, Meters X: 609159 Y: 4878883 Po Notntsd Duets Pump IZJ Not Installed Date Imtalled tehsua ANE adam 10. ve Manufacturer's name LAYNE Model number - Length of drop Pipe _ft. Capacity _g.p.m Type HPQ_ Volts Material T - T- eR WR Ro Se Abandoned Wells Does property have any not in use and not sealed well(s)? ee awmmareeaer D0 Yvees DO Nxo Variance Was a variance granted from the MDH for this well? D Yes D0 Nxo EP flle:///Ij!\1PCAI!Working/A0081-1 00%20-%20PFC%20Fo...203rd%20St/Well%20Log%20Report%20-%2000219257.htm (1 of 2)7/1/2008 1:27:48 PM 2222222.11756 stare 02822713 STATE_02822713 Well Log Report - 00219257 First Bedrock Mt.Simon Last Strat Mt.Simon Aquifer Quat. Water Table Aquifer Depth to Bedrock 159 ft. County Well Index Online Report Well Contractor Certification LaY_!Ie Well Co. 27010 NORTHWEST. L. License Business Name Lie. Or Reg. No. Name of Driller 219257 I Printed 6/29/2008 HE-01205-07 flle:///II!\1PCAI!Working/A0081-1 00%20-%20PFC%20Fo...203rd%20St/Well%20Log%20Report%20-%2000219257.htm (2 of 2)7/1/2008 1:27:48 PM 222222.117757 STATE_02822714 Well Log Report- 00226588 II 226588 MMiimnnneersottoa UUnniiqgue WBelll XNoo. 226588 QCCououaundnttyy WWWiininnooonnnaaa West Quad Winona West QuadiD 46C Well Narne LAKE CENTER SWITCH Township Range Dir Section Subsections Elevation 110077 77 wW 2233 CCBBBBDDBBBB EElelevvaattiioonn MMeetthhoodd e WELL ANDe BORING MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING RECORD _Minne.mta Statutes Chapter 103/ EEUnnpttdrryayDiDaeatDteuee Update Date Received Date 09242002 00441/1771/9189888. 09/24/2002 Well Depth Depth Completed Date Well Completed 657 ft 70ft. 70ft. 03/1711959 t7too.p5poomggrrianappuhhtieicc mmaapp | DDrriillninggMMetethhoodd -- [om (+/- 5 feet) Drilling Fluid -- [gee 000) Well Hydrofractured? DYes D No From Ft. to Ft CR Use Domestic CaCsaisinnggTTyyppee JJooiinntt NNooIInnffoorrmmaattiioonn DDrriivvee SShhooee?? No Above/Below 0 ft. DOJYveess DOJ Casing Diameter Weight Hole Diameter 4 in. to 64 ft. lbs./ft. its Geological Material peMUD MUD & PEBBLES hy FINE SAND COARSE SAND i tvs Color Hardness iT REMARKS DRILLED I3Y IIASSE WELL ton 3 From To a 0 20 20 42 : 3 42 63 63 70 f[rreTaogennpn Open Hole from ft. to ft. Screen YES Make Type Diameter 4 Slot/Gauze 25 Length 6 sppnn Set Between 64 ft. and 70 ft. Static Water Level 8 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 0311711959 Well Head Completion Pitless adapter manufacturer Model OD caCsaisinngg PPrrootteeccttiioonn D01122 iinn..aabboovveeggrraaddee Grouting Information WellGouet? 0 ver Ol No 0D0 AAtt-ggrroaddee ((EEnnvviirroonmmenenttaall WWelelllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Method Digitized- scale 1:24,000 or Survey larger (Digitizing Table) Spm UTM Nad 2015. x, ogy vs sass VVUSeerniriiifgqfiiuecceaattNNiiooounnmbIIebnefronrmf1atoionmfrraoommtoowiwnneoerrnDDoaateteeN/NAA System UTM- Nad83, Zonel5. Afeters X: 609069 Y: 4878864 County Wolo Grn pr FirstBedrock Last Strat Sand Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. County Well Index Online Report wt diwconscompedtion? 0 ves PUR NNeaerareesstt KKnnoowwnn SSoouurrcceeooff CCoonnttaamminiantaitoionn. - feet - direction _type Pump 0 Notlnsulled Dut Inaled Well disinfected upon completion? D Yes Pump D Not Installed Date Installed 0D NNoo Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (ss)r? D0 Yvees DO NNoo VVaarriiaannccee WWasaas avvaarriiaanncceeggrraanntteeddfrfroomm tfuhee lM'vDiDIIIIffoorr tthhiisswweelll?? [DJ YYeess 0D Nnoo Well Contractor Certification Taos License Business Name 226588 Lie. Or Reg. No. Name of Driller Printed 6/29/2008 HE-0 1205-07 file:/I!IIfl\1PCN!Working/i\0081-1 00%20-%20PFC%20Foam/...na%203rd%20St/Well%20Log%20Report%20-%20002265 88.htm7/1/2008 1:27:47 PM 222222.117758 STATE_02822715 Well Log Report- 00267594 ton26g75s94to || Coounit II II ~:::ty lvfinnesota Unique Well No. 267594 Qui ~-==================~- QuadiD Vin Winona wives Winona West iC46C Te TOT Well Name WINONA 4 Township RangDirSection Suctions Evan Township Range Dir Section Subsections Elevation WT WD CABA HleationMethod 107 7 w 23 CABA Elevation Method wivvEsoT MINNESOTA DEPARDMENTOFHEALTH Gainbue 0 DEPARTMENT OF HEALTH WELLANDBORING Upduebuie Gunns WELL AND BORING RECORD ReciedDate RECORD ies ses Chapter1031 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 0 04/01/2008 "on WohID"epth DepCootpied Doe Wel"Compiaed 649 ft. Clemo [ot Calc from DEM (USGS7S minor | DPR Method Cab ToS (USGS 7.5 min or cn) equiv.) Well Depth 0 ft. U ~lllln!! lVletnO Depth Completed 0 ft. Cable Tool Date Well Completed 0 Watincares? O vor Oo Drilling Fluid Fr to -- Well Hydrofractured? DYes D No From Ft. to Ft. Sr Te Use Abandoned Status Inactive Caing Tope Joint No'torntion Drives? 0 Yer 0 Casing Type Joint No Information Drive Shoe? DYes D Anolon No Above/Below ft. CasingOamete Weight io Diameter Casing Diameter Weight Hole Diameter selogica atria Geological Material Color Honess Color Hardness 0 BEIRES NO REMARKS Cpe TTT Open Hole from ft. to ft. over Vk Te Screen Make Type Diameter SiGe Diameter Slot/Gauze Leng Set Between Length Set Between From To From To SIewDtMera Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) 0 ste be poping gpm ft. after hrs. pumping g.p.m. Welles Campin Well Head Completion Pile sper mans Maki Pilless adapler manufacturer Model Ocangpostn 0 12 soe D Casing Protection D 12 in. above grade 0 rte omens Wels ss ors ONLY) D At-grade (Environmental Wells and Borings ONLY) Growing worn Wellorosesr 0 ver 0 No Grouting Information Well Grouted? DYes D No canst Located Unis Name Unique Number Venton Iomaton fon Verification Information from owner men LTH SOI, System UTM- Nad83, Zonel5, ioel\!Jeters Fi Bock MSc First Bedrock Mt.Simon tasint Last Strat Mth Dion Srp Method Digitization (Screen)- Map 200 (124,000) D33aec1s025.21031 wt Date 10/25/2004 X: 609435 Y: 4878806 iter Sin Aquifer Mt. Simon Dept ert 0 1 Depth to Bedrock 0 ft. Nearer Known Sr Common Nearest Known Source of Contamination 07 din pe Q_feet - direction _type waste sponconpiins 0 veo 0 No Well disinfected upon completion? D Yes D No Pump 0 Nasal Dut ld Pump D Not Installed Date Installed Manufacturer's name Model number - Leghorn Pox 0 Gopein_gpa_To sci Length of drop Pipe ft. Capacity g.p Ill HP - Volts Type Material bandon Well The ope Fv So ae ot sal Abandoned Wells Does property have any not in use and not sealed well i @ ve Oe (s)? 0 Yes D No Variance Vos van raed em DH fr sn 0) Variance Was a variance granted from the MDH for this wem D bo On Yes D No WTCotraor Corian Well Contractor Certification cme sinsName Lic OrgNo. NaofmDier License Business Name Lie. Or Reg. No. Name ofDriller ATA Wig 1110720 OTC. W Sgr k OTe 7130 7401 file:/i/li;MPCA/!WorkingiA0081-100%20-%20PFC%20Fo...203rd%20St/Well%20Log%20Report%20-%2000267594.htm (1 of 2)7/1/2008 1:27:49 PM 22222222.11775599 SSTTAATTEE0_208282222771166 Well Log Report- 00267594 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 226677559944 Printed 6/29/2008 HE-01205-07 CA ORL 1070S 31 SO Pog Set ST Gf 18 AP file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Fo...203rd%20StiWell%20Log%20Report%20-%2000267594.htm (2 of 2)7/1/2008 I :27:49 PM 22222222.41776600 SsTtaAeT_Eo_z0s282222771177 Well Log Report - 00602334 ~:::ty [602334 Jum yr Minnesota Unique Well No. 1'--==6=0=2=33=4====:::::!..111 ~ . QuadiD wamiuee Winona Winona West 46C MlN_\l<:SOTA DEPARTMENT OF ET HEALTH WELL AND BORING WELL AND BORING RECORD 11finnesota Statutes Chapter 103I Euyue Entry Date Unie bwe Update Date RPcPivPd DatP 0612200 06/12/2001 010k Ol/08/2007 Well '-'amP CITY UF WINONA Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation 647 ft. 115 ft. 115ft. 0311 R/2000 mI e 11070777 wW 2233 CCAABBAA EElelevvaattiioonn :MMetethhoodd ((CUaSlcUGfSro7S7m..55mDGmiEinMnSoorr | DPrriilmliengMMeethtodCahCbalboleeTTodoooll equiv.) CE | Drilling Fluid -LSI' Irrigation Well Hydrofractured? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Wcldcd Drive Shoe? 0 Yes D No Above/Below Casing Diameter 6 in. to 95 It ft. Weight 20 lbs./ft. Hole Diameter 6 in. to 115 ft. eveepa Wel Address. Well Address WIWLNEINVOOENNEAAPIMANRNKS555398877 Geological Material DIRT SAND & GRAVEL Color BLACK BROWN Hardness MEDIUM HARD re VE NL OTT OpPnHolP from ft. to ft ScrPPn YES MakP JOHNSON TyepeP stainless steel Diameter From To 6 0 2 2 115 Slot/Gauze 15 Length 20 Set Between 95 It and 115 ft. Static Water Level 16 fl. from Land surfal'e Date Measured PUMPING LEVEL (below land surface) 24 ft. after 2 hrs. pumping 50 g.p.m. 0013112000 To trainrs NO REMARKS Located Minnesota Department of Health Unique Number Verification N/A System UTM- Nad83, Zonel5, Meters Method GPS SA Off(avcragcd) Date 04/30/2004 X: 609494 Y: 4878789 CotvtyWa rd OnSo per First Bedrock Last Strat Aquifer Depth to Bedrock ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model Gm routing armatn ion WallGroset t? ves Ce C3 Avsrade Evian Wellsand Boring ONLY) 0D0cCoassiinngg PPrrootetcetiionn 0 1122iinn. aabboovveeggrraaddee D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Grout Material: Bentonite from to ft. 2 bags :'\parPst Known SourcE' of Contamination R__feet South East direction Se12tic tank/drain field type Well disinfected upon completion 0 Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - liP - Volts AbLbaeannngdtdohononefedddrWWoepelPlllisspeDDoocfests. prCopaepratycithya_veg.7p5.mHo1 property have any not Tybpsee in use 32dMoattersiall ed and not sealed wel well(s)? 0D Yvees 0 NNoo Val'iance Was a variance granted from the MDII for this well? D No Yes 0 Well Contractor Certification Dmssell Well Co. sus License Business Name 602334 85221 DRUSSELL l2_ Lie. Or Reg. No. Name of Driller I Printed 6/29/2008 HE-01205-07 flle:///II!\1PCAI!Working/A0081-1 00%20-%20PFC%20Foam/...na%203rd%20St/Well%20Log%20Report%20-%2000602334.htm7/1/2008 1:27:49 PM 2222.11776611 STATE_02822718 WWIINNOONNAA HHoommeerr RRooaadd CCWWII WWeellll MMaapp LR Me 4) 9. Feregd |i ar eo, Lu ni Mom ee TEEN ENEWAN i I Ce Y e H dre R Fei Wr R irn LAT co]TT SRE Ew N arhari BeLn es S W T REE w IS~eN Hparpet, a Bugthe, ] Re EA Se re ee War A Es ZED of SE ee) S sgea eEN EERE Tt TT T : E rehe = Ee T rFAg7io ieN s E(R7h TLee ElaNnEeNSONECAARGTR. E 1 (A 22h Re ce RUST SE WE a pL Smet con IOS se 222222.117762 soe cases STATE_02822719 Tgoi ly o wIehr i 15 teddHsail nh d e o 1 h ah ud ro cer em am en om iy FEAR dleEay 1 lie = BEL HS E5l h 2 El 2"| Winona Homer Rd Wetland Map ... t- N 6 z 5 il 7 fo Ag; LTE E S | I3 Ed& T1e LE3 rie 2222.1763 // : 8 Ty | ... Legend !J,.. Ohlo_wet_scan 0 .0 z D1 Out of range ;!</ Interstate Major Roads Jl i [Eqns ig2 ! Other Road ;!</ Interstate ,(, .;./ State highway 0 z .;./ US highway Roads !... ~lc ............................. , ......................................................................................................c.~.................................................................. ,.c.............,......c.....,............................c..................................crTc...~.....l6 z ~ ................................................. I ? ~ z T iyi n { Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland II Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams :z Counties 1OOK z - ...... States 100K 6 0 South America ,(, u North America 0 91-37-30W 91-37-0W 91-36-30W 91-36-0W z r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 Map center: 44 1' 12" N, 91 36' 46" W $ 3 Scale: 1:23,533 N 00 N N '-I N 0 pf doHue i Efe i C: EE i5k a J Well Log Report- 00235705 es toe Minnesota Unique Well No. II 23Bi5705 II 235705 ~-==================~- CGQ~o:uu:uni:ttdyy QuadiD Wi>nona WWiinnoonnaa Winona East 46D SST FROTTY Well Name DASHER PROPERTY Tomb Range DirSection Sabctons Bkaton Township Range Dir Section Subsections Elevation 10077 7TWw 3366 DDCOCCHBCCCC EElleevvaattiioonn MMeetthhoodd "on MMWIaENnNsLEoLSnORASTEWNAteCDePlDlOEosDPReBCApDOhtRhoRTpIMsEN1NG0DT1epthoConmURpepcceiodvieddyDeDuoee Wal(C1o1pi3e0d 660 ft. OFHEALTH MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 EBnutnryyDDaatee Update Date Received Date 04oi1n1m7n/1o9s8s8. 03113/2003 Well Depth Depth Completed Date Well Completed 307 ft. 307ft. i 7.5 minute ttooppooggrraapphhiiccmmaapp | DDIriillliinngg MMeetthhoodd -- (+/- 5 feet) EE Drilling Fluid -- W`WeellllHHyyadrrooffrraacctuurreead?? 0DYveesr 0D NNoo From J:it. to J:it. Use CaCsaisinngg TTyyppee JJooiinntt NNooInIfnofornmnaattiioonn DDrriivveesShhooee?? D[JYveess DOJ oN to 0 1. No Above/Below 0 ft. CasingDiametr Weg Tie Bimal Casing Diameter Weight Hole Diameter Sob sn wn 5 in. to 98 ft. lbs./ft. ocotgica materia Geological Material OR?DRIFT Sucure EAU CLAIRE ir Sion MT. SIMON CCoolloorr HHaarrdnneessss From To From To oe 0 82 oe 82 196 Sow 196 307 FETT RDAESMHIARRPKROSPERTY LOGGED BY MGS. DASHER PROPERTY LOGGED BY MGS GAMMA ELECTRIC AND CALIPER LOGS AVAILABLE 61. O1EX GAMMA , ELECTRIC AND CALIPER LOGS AVAILABLE. 6 IN. OPEN LOL THOM HOLEJ:iROM 98 TO 307 FEET. GANA LOGGED W198 GAMMA LOGGED 6/19/84 Open Hole from ft. to ft. a Screen Make Type Dimer SotGaio Diameter Slot/Gauze LLeennggtthh SSoett BBeettwwseeenn ee Static Water Level 00 oam Srtce_Dut Menasd coment 0 ft. from Land surface Date Measured FONPING LEVEL (Ge nd rey PUMPING LEVEL (below land surface) ae fr pump spin ft. after hrs. pumping g.p.m. 06/19/1984 WolHesdCompleion Well Head Completion Paessomc Ml Pitless adapter manufacturer Dla torsion 0 120 shove rae D Casing Protection D Model 12 in. above grade 0D) AAtt--gprraaddee ((EEnnvviirroonmmenetnatall WWeellllss aanndd BBoorriinnggss OONNLLYY)) GrGoruotuitinngg IInnffoorrmmaattiioonn WWeellll GGrroowuetedd?? [DJYveess D0 NNoo. LocaMims Googil Located Minnesota Geological ames USnuirvqeuye Number Unique Number Verifcaion Nn Verification N/A Seem UTH- Na ZonlS. System UTM- Nad83. Zone15. SomeAfeters Methad Dita sas 120000x Method Digitized- scale 1:24,000 or nes Digi Te le argern (Digitizing Table) DateN/A yy' , ares2 X: 611447 Y: 4875142 Barto Geophys Yes Borehole Geophysics Yes Fi Bk Fou Clie First Bedrock Eau Claire LawStrat Nisin Last Strat Mt.Sirnon Aqui MiSimen Aquifer Mt.Sirnon De toBdhrm 2 1. Depth to Bedrock 82 ft. NoreTamesSars Commo Nearest Known Source of Contamination | an mn i - feet - direction _type WWelelllddisiinsfecitednuupfpooennccocommpilpeltceitoidonn"? [DJ Yveess [DJ Nwoo ann OL Not aed Doe ied Pump D Not Installed Date Installed Nismeane Noocmm_ 1P0_ Vos Manufacturer's name Model number - Landgp eip.r Cope 3501 Type Marl Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material dod Walk Dos Taper Te ot Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yvees DO NNoo Variance Wes vt rtd fom MDH fr wal? 1 Yes Variance Was a variance granted from the MDH for this well? D Yes oOD No eTCora Cero Well Contractor Certification icone Buses Name Lic. Or es Mo, Name Dil License Business Name Lie. Or Reg. No. Name ofDriller TAC aig 10.50. mSRt A lg ers625 1 7 20819141 file:l!/li;MPCAI!Working/AOOSI-100%20-%20PFC%20Fo...Homer%20Rd/Well%20Log%20Report%20-%2000235705.htm (1 of 2)7/1!2008 I :29:14 PM 222222.117764 sSTTaATTeE__0022882222772211 Well Log Report- 00235705 County Well Index Online Report 235705 Printed 6/29/2008 HE-01205-07 file:l!/li;MPCAI!Working/AOOSI-100%20-%20PFC%20Fo...Homer%20Rd/Well%20Log%20Report%20-%2000235705.htm (2 of 2)7/1!2008 I :29:14 PM 222222.117765 STATE_02822722 Well Log Report- 00268559 Q~:u:~atym > lMvfiinmneessoottaa UUnniiq7quuee WWeellll NNoo. County II 226688555599 II Quad WWiinnoonnaa WiWninoonaEEasastt ~-==================~- QuadiD 46D Warne Well Name Tonneip RaneDie Section Subectons Eston Township Range Dir Section Subsections Elevation WW107 7 7 Ww S36 DDBCCC DDBCCC ElrstonMethod Elevation Method MixNEsoTA MINNESOTA DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WWEELLLL AANNDD BBOORRIINNGG RECORD RecehedDac RECORD Minnste Sats Chapter Minnesota Statute.~ Chapter on1031 EEnUptndrtrayytDeDaDatateete Update Date Received Date 01122101199/22000077 0 wn D>ep Dep Cposmpied Baie WelC. ome 659 ft. conompine [oO Calc from DEM (U7SSGmmSer | DPE (USGS 7.5 min or Sun) equiv.) Well Depth 0 ft. Drilling Method Depth Completed 0 ft. Date Well Completed 0 [ Fon 1T0 1r = Drilling Fluid Well Hydrufractured? DYes DNo From Ft. to Ft. Use Unknown Coins tpe dom Casing Type Jim 1. Below ft. Joint "Casing Diameter Casing Diameter Denese? 0 ver Ovo Abner Drive Shoe? D Yes D No Above/ Wg Weight ToHloleeDDiaiammeteeterr Goclogica Material Geological Material Color Hardness Color Hardness vo rrr NO REMARKS Ope oT Open Hole Fo Screen Oameter Siouous Diameter from ft. to ft. Slot/Gauze Longin SetBetween Length Set Between From To From To Ey Static Water Level Tm ok Mess n. from Date Measured FUNPING LEVEL (lon Forse PUMPING LEVEL (below land surface) fats pnp gm n. at1er hrs. pumping g.p.m. Well Head Completion Well Head Completion Tis sis mama Mosel DlcusingProwsion L 12inabovegrace: Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade EJ rae mmWelsand rings ONLY) D At-grade (Environmental Wells and Borings ONLY) "arvatng rman. Wetter 0 ves 0 v0 Grouting Information Well Grouted? DYes D No Laced Mesos DSI 1g GES 1 Of (avrg) Located Minnesota Department of Health Uniaue Number Verification NA Date 12157007 EH Unique Number Verification N/A Sytem UTM Not Zot Mors: cis Y: awisz [0Re dein pe System UT1\If- Nad83, Zonel5, Meters Method GPS SA Oil (averaged) Date 12119/2007 X: 611828 Y: 4875237 Nearest Known Source of Contamination QW_efleledt -idsireictinounpfon_ectyocmppetleteiodn? 0 ves Well disinfected upon completion? D Yes 1D NNoo PPuummpp D NNoottIInnssatallileedd DDaattee IInnssttaalllleedd Nnicuctetame. Moddmabe_r 1P_ Volts Manufacturer's name Model number - Lenghotimpbige Come pp Tie Mui Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material Reactor Wale oe Tony rey Tne RT ToT Abandoned Wells Does pmpe1ty have any not in use and not sealed well oO ve On (s)? D Yes D No VVaarriiaannccee WWaass aa vvaarriiaannccee ggrraanntteedd ffrroomm tthhee MMDDHHffoor thhiiss wweellll!? D = Yes D No REA fig ORL 60200, lonRAN OR 305851 31 20 3534 file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Fo...Homer%20Rd/Well%20Log%20Report%20-%2000268559.htm (1 of 2)7/1/2008 1:29:16 PM 222222.117766 STSATATTEE0_208282222772233 Well Log Report- 00268559 First Bedrock i a Last Strat Aquifer Depth to Bedrock ft our Wa nox oni Raps County Well Index Online Report Well Contractor Certification 22668855559 I License RLL~iness Name Lie. Or Reg. No. Name of Driller Printed 6/29/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Fo... Homer%20Rd/Well%20Log%20Report%20-%2000268559.htm (2 of 2)7/1/2008 1:29:16 PM 222222.117767 STATE_02822724 Well Log Report- 00446818 MixNEsoTA MINNESOTA lMvfiinmneessoottaaUUnnii2qquuee WWeellll NNoo. County 146818 ~::~ty II 446818 II Quam ~-==================~- QuadiD WWiinnoonnaa ont Winona East >46D Wel PRT RY Well Name PARPART, RUDY TonneinReng Die Scion Subectons Eston Township Range Dir Section Subsections Elevation 1w0r7 77 OwW 3366 DDDDCC EElelevvaattiioonn MMeetthhoodd DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upineowe 11s WELL AND BORING RECORD RecehedDac RECORD Minnste Sats Chapter Minnesota Statute.~ Chapter on1031 EEntnrtryyDDaattee Update Date Received Date 004411155//11999922 11/30/2007 wn Doenp Dep Coomnpieed Baie zWel Cmome 659 ft. 75minds 7.5 minute ttooppooggrraapphhiicc mmaapp hee (+/- 5 feet) Well Depth Depth Completed 76ft. 76ft. | DDiriMlilinngg MMeetthhoodd CCaabbllee TTooooll Date Well Completed 07/24/1990 [Tr = Drilling Fluid Fon 0 1 -- Well Hydrufractured? DYes DNo From Ft. to Ft. Well Adress Well Address proc 1470 LORRAI DR ma WINONA MN 55987 Geological tera Geological Material orDIRT cvCLAY SoSAND Use Domestic CoinsType ot Tried Deveshoe? Casing Type Joint Threaded Drive Shoe? oboe 18 No Above/Below 1 ft. Gating Diameter Woah Casing Diameter Weight tae mn ws aA 4 in. to 72 ft. 10.79 lbs/ft @0 Yveess 01 D Toe Samara Hole Diameter an4 4 in. to 76 ft Color Hardness From To SODhlmepeatVeeIrS SSRiootGTaTuO=seTSLeT nTgythSSeeR tBeetween Color wax uD 0a BLACK wow WD sk BROWN wow wos 7 BROWN Hardness MEDIUM HARD HARD -- WS FGTDe0rsUlNvcNlatPuthHnW IemsgeNaTpdoGrtLoCtLobE ocmErmopimVlaapEoettdtLaoninono(.engeWk8eDglouMnGptO1drm2NMta0Ie0eTrtssOo?aRh)r0e0M7dov2de4es1l95B0 N NO REMARKS Open Hole from ft. to ft. Screen YES Make JOHNSON Type stainless steel Diameter From To 0 9 Slot/Gauze Length 4 Set Between 72 ft and 76 ft. 9 45 45 76 Static Water Level 12 ft. from Land surface Date Measured 07/24/1990 PUMPING LEVEL (below land surface) n afler hrs. pumping g. p.m. Well Head Completion Pitless adapter manufacturer MONITOR Model C3 Avra (Fmiromenta Wels and Boring ONY) D Casing Protection 0 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes 0 No Dea Located nig Number Unique Number Verincaion Nn Verification N/A SSroom TcHr Nosh, System UTM- Nad83. Zonel5. Meters hd Method Dts Digitizationsi (Screen)- Map A (1 :24,000) Date N/A x asssv.: ssasss X: 611R55 Y: 4R75054 Nor Kr Seur TCT Nearest Known Source of Contamination SW racnon Sadmed sp 22_feet Yf__direction Se]Jtic tank/drain field type WelEdEsitotet oo competion? = ves 0 No Well disinfected upon completion? 0 Yes D No um 0 Net rill Date aed Pump D Not Installed Date Installed Nimicetcname. Moser 1P_ lis Manufacturer's name Model number - LondgnphPioe_f_Copocy gp Tye Mel Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material Rosier Wale Toe ory Bm ST ae eT eT Abandoned Wells Does property have any not in use and not sealed well 0 @ ve Ow (s)? 0 Yes D No Variance Ws vatiot os m he MoDrtrHv? OF Variance Was a variance granted from the MDH for this well7 D = Yes D No ARCA ing L030 SC HetR0830004 a 371 308 13517 file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Fo...Homer%20Rd/Well%20Log%20Report%20-%2000446818.htm (1 of 2)7/1/2008 1:29:17 PM 222222.117768 STSATATTEE0_202882222772255 Well Log Report- 00446818 First Bedrock Last Strat Sand-brown Aquifer Depth to Bedrock ft. County Well Index Online Report Well Contractor Certification Drussell Well Co. 85221 DRUSSELL_ ~ License Business Name Lie. Or Reg. No. Name of Driller 446818 I Printed 6/29/2008 HE-0 1205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Fo... Homer%20Rd/Well%20Log%20Report%20-%2000446818.htm (2 of 2)7/1/2008 I :29:17 PM 222222.117769 STATE_02822726 Well T"og Report- 00478039 Ee Minnesota Unique Well No. 478039 CQQuouiuadndty WWWiniionnoonnnaaa EEaasstt Quad ID 4()D Welll'\ame HEROLD, LEE Township Range Dir Section Subsections Elevation W057 107 7 Ww 36 36 DDC DDC Fiewton Mahod Elevation Method 56Well 1456 LoRROAR Address LORRAI DR WINONA MN 55987 GCcLeaAoyYlogical Material CLAY & SAND SAND BBCLLoAAlCCoKKr BROWN BROWN MMHEaEDrDdIUnIMess MEDIUM HARD EEAET MINNESOTA DEPARTMENT OF HEALTH WWEELLLL AANNDD BBOORRIINNGG RECORD 11Jinnesota Statutes Chapter 1031 Eye UUEpnpdtdaraytteeDDDaatatetee: Received Date ovis 30207 04115/1992 11130/2007 ()58 ft. topomphicmup 7.5 minute topographic map (+/- 5 teet) Well Depth Depth Completed Date Well Completed 73ft. | PPaNEMethodCal Tok Drilling Method Cable Tool 73ft. 08/20/1991 Drilling Fluid E FIE N -- Well Hydrofractured? DYes D No From Ft. to Ft. Lse Domestic CCaassiinnggTTyyppee. SStoeeel((blalckoora rlloowwc ccaarrbk boonn)) JJooiinntt TThhireeaaddeedd DDrriivveeSShhooee?? 0 Y[reese D OnNoo AAhboovvoer/Rbeeltoown 111ft. Casing Diameter Weight Hole Diameter 4 in. to 70 ft. 10.79 lbs./ft. 4 in. to 73 ft. a Ta Open Hole tfom ft. to ft. Screen YES "lake JUHNSUN Type stainless steel 0 From To Diameter 0 10 Slot/Gauze Length 3 3 Set Between 70 fate. and 7L3 bft. 10 22 22 73 Static Water Level 7 ft. from Land smface Date Measured PUMPIJ'\G LEVEL (below land smface) ft. after hrs. pumping g. p.m. 08/20/1991 NO REMARKS Well Head Completion Pitless adapter manufachuer MONITOR Model DDlcCuaisinngg PPrrootseecstiioonn D0 1122min..sabboovvee ggrraaddee D3 AAvt-ggrraaddee ((EEnnvviinroonummeennttsall WWeellllss anndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No Located Method Digitization (Screen)- Map (1:24,000) System UTM Noss, Ziel. Unique Number Verification N/ DateN/A A System UTM- Nad83, Zonel5, Mjetsers X: 611869 Y: 4875097 40 feet Wdiecion Sep tinkdiGld_ipe .'\earest Known Source of Contamination :!Q_feet Yi_direction SeQtic tank/drain field type WWelell dfiissiinnffeoctteedd uuppoonnccoommplpelettiioonn?' 0 YYeos OD Nnoo Pump D Not Installed Date In stalled Manufachtrer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Docs property have any not in usc and not scaled well(s)? 0 Yes D No rk Avi First Bedrock Last Strat Sand-brown Aquifer Depth to Bedrock ft. Coun ih index one epan County Well Index Online Report Vatiance Was a variance granted fium the MDH for this well? No Dts (| Well Contractor Certification Drussell Well Co. 85221 OP DRUSSELL, L [EE License Business Name 478039 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/29/2008 HE-01205-07 flle:///IIIMPCA/!Working/A0081-100%20-%20PFC%20Foam/...%20Homer%20Rd!Well%20Log%20Report%20-%2000478039.htm7/112008 1:29:16 PM 222222.117770 STATE_02822727 Well Log Report- 00501856 FrMinnesota Unique Well No. 501856 II 501856 rman County Quad Winona Winona East Quad ID 46D Well '-'arne HARFS & SONS INC Township Range Dir Section Subsections Elevation 107 7 7 w W 3 DIC 36 DDC Heston Method Elevation Method et Adaress Well Address WTW18IBI4NNs5OORRNNOOAANNMMCCNNOOAAYV orGeological Material TOP SOIL SAND =Color BLACK BROWN omHardness MEDIUM MEDIUM Eid MlN.\ESOTA DEPARTMENT OF HEALTH WELL AND BORING WELL AND BORING RECORD ;winnesota Statutes Chapter 103I FO. Entry Date at. Update Date 11106/1990 11130/2007 RPcPivPd Dati' 654 ft. topogapic map 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed | PPE Vethod 74ft. Drilling Method CCalbeleTToocokl 74ft. DI"illing Fluid -- IWell Hydrofractured? From Ft. to Ft. Date Well Completed 05/30/1984 DYes 0No l"se Commercial CCaassiinngg TTyyppee SSteteeell ((bbllaacckkoorr lloowwcacarrbboonn)) JJooiinntt WWeellddeedd DDrriivveeSShhooee?? 0 Yreess D OJNNoo AAbboovveer/BBeetlooww 11 fttt. Casing Diameter Weight Hole Diameter 8 in. to 62 ft. 28.5 lbs.lft. From 0 4 on Open Hole from ft. to ft ScSrcreeeenn YYTESS MNaakkee J.JOONHNSSOONN Diameter Slot/Gauze To 8 25 4 74 TTyype ppee swtamiinloesns wsteeeetl Length 14 Set Between 62 ft. and 74 ft. Static Water Level 14 ft. from Land surface Date Measured PUMPI'-'G LEVEL (below land surface) 22 ft. after 1 hrs. pumping 150 g.p.m. 05/30/1989 Co neaines NO REMARKS Located Unique Number Verification N/A System UTM- Nad83, Zone15, MMeeeterrs Method Digitization (Screen)- Map (1:24,000) DateN/A X: 611915 Y: 4875556 Well Head Completion Pitless adapter manufacturer Model D00 CCaassiinngg PPrroosteecctiioonn 0 1122inin.. aabboovvee ggrraaddee GErowinRg formEation Wal Greet?) Yer DI Me D0 AAtv-ggradee ((EEnnvviirroonommeennitaall WWeellllss aunndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes 0No Grout Material: Bentonite from to ft. .'\earest Known Source of Contamination i Lfeet Y{__direction SCJ;>tic tank/drain field type WWeellll ddiissiinnffeecctteedduuppoonn ccoommpplleettiioonn"? 0 YYoeos D0 Nneo PPuummpp CDJ NNoott Ilnassitsalllleedd_ DDaatteelIsntstaallleedd9066./0011/111998809 Ii Manufacturer's name GOULDS Model number Length of drop Pipe 2:!_ft. Capacity .12Q_g.p.m - HPlQ_ Volts Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees E0B Nxoo First Bedrock pLaist dStrpat dSand-brown Aquifer Dgepnth to Bedrock ft. County Well Index Online Report Val"iance Was a variance granted from the MDH for this well? No Well Contractor Certification Drussell Well Co 85221 DRUSSELL L License Business Name Lie. Or Reg. No. Name of Driller 501856 I D Ye5 D Printed 6/29/2008 HE-01205-07 flle:///I[!\1PCAI!Working/A0081-1 00%20-%20PFC%20Foam/... %20Homer%20Rd/Well%20Log%20Report%20-%2000501856.htm7/112008 1:29:16 PM 2222.11777711 STATE_02822728 Well Log Report- 00501876 Minnesota Unique Well No. II 501876 Eh 3Wanna 501876 County Quad Quad ID Winona Winona East 46D WPil ~arne DIOCESE OF WINONA Ee Township Range Dir Section SubsPctions EIPvation 690 ft. MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING te. a WELL AND BORING con ni RECORD 2 }lfinnesota Statutes Chapter 103I Entry Date Update Date RPcPivPd Dati' 04/15/1992 11/30/2007 oelI Well Depth Depth Completed Date Well Completed IN 148 ft. 148ft. 05/01/1990 1w 07 T7 wW 3355 DDDoDD EFlleevvaattiioonnMMetethhoodd tt7oo.5ppoomggriranapuphthieicc mmaapp | DUrrilltlamn!e! JMVeJtehtnooda (+/- 5 feet) Drilling Fluid Additive (+Bentonite) IWell Hydrofractured? From Ft. to Ft. DYes 0No I l"sP Domestic Casing TypP Steel (black or low carbon) Joint Welded Drive Shoe"! 0 "10Sucan LORERO [WWeekll Aadgderesss ia 1190 SUGAR LOAF RD WINONA MN 55987 GGeoeloologgicicaall MMaateteririaall 1CLAY Pn SANDROCK SANDROCK Cooolorr fn, me BROWN FE BROWN HHaarrddnneessss HARD HARD GRAY HARD Yes D No Above/Below 1 ft. Casing Diameter Weight 4 in. to 65 ft. 10.79 OOpenpen Hthooile Screen NO FFrroomm pen0 114 21 TToo | DPiaOme"ter 21 115 a from o65s ft. to 1w48hft. Make Type SSlloout/GGaauuzzee 115 148 lbs./ft. LLeennggtthh Hole Diameter 8 in. to 65 ft. 4 in. to 148 ft. sSeett -Between To arsine NO REMARKS Located Unique Number Verification N/A System UTM- Nad83, Zonel5, pMreetteerrys Method Digitizalion (SlOreen)- Map (1:24.000) DateN/A X: 610479 Y: 4875100 Static Water Level 15 ft. from Land surface Date Measured 05/01/1990 p-- PUMPI~G LEVEL (below land surface) ft. after hrs. pumping g. p.m. Well Head Completion Pitless adapter manufacturer Model 0D0caCsaisnigngPPrrootteeccttiioonn 0 1122iinn.. aabboovveeggrraaddee DD3 AAvt-ggrraaddee (FEvnivrioroonmmsaernatall WWeelllss aannddBBoorriinnggss OONNLLYY)) Grout formation WellGreet? 2 Yes LI No Grouting Information Well Grouted? 0 Yes D No ---- rat. Grout Material: Neat Cement from 0 to 65 ft. 1.25 yrds. .'lcarcst Known Source of Contamination 0 ?.Q_feet L direction Septic tank/drain field type WWeellll ddiiisninffoeccitcedduuppoonn ccoommpplleettiioonn?" YYeos OD nNeo PPuummpp CDJ NNoottlIonssstaillleedd DDuatee Isnsatailledd Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? 0D Yvees 0 NNoo ---- - First Bedrock Last Strat Aquifer Depth to Bedrock 21 ft. County rr Grn Fr County Well Index Online Report Variance Was a variance granted from the MDH for this well" No Well Contractor Certification asec gu DRSSML Dmssell Well Co 85221 DRUSSELL L License Business Name Lie. Or Reg. No. Name of Driller sors I 501876 D Yes D Printed 6/29/2008 HE-0 1205-07 file:///I]!\1PCA/!Working/A0081-1 00%20-%20PFC%20Foaro/... %20Homer%20Rd/Well%20Log%20Report%20-%2000501876.htm7/1/2008 1:29:17 PM 22222.1177772 STATE_02822729 Well Log Report - 00602308 Sete Minnesota Se Unique SN Well No. II 602308 Corry County Quad Quad ID is Winona Winona East 46D WPll ~arne WEAVER, JAMES Township Range Dir Section SubsPctions EIPvation 06106 7TWw 1 AAD 1 AAI3 Fleostn Method Elevation Method 3 HEALTH MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 103! Enya Entry Date Update Date RPcPivPd Dati' 1020201 10/29/2001 11129/2007 673 ft. pgm 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed |, PO hd 226 ft. Drilling Method ersRty 226ft. Rotary Date Well Completed 08/14/1997 DI'illing Fluid Other IWell Hydrofractured? From Ft. to Ft. DYes 0No I l"sP Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe'! 0 Yes D No Above/Below ft. Well Address 280 PINECREST ST rth WINONA MN 55987 Geological Material EmCLAY SANDROCK &SANDROCK SHALE SANDROCK EBEEIOL Color BROWN YELLOW WHITE Hardness MEDIUM HARD HARD From To 0 15 15 81 81 90 GRAY HARD 90 189 WHITE HARD 189 226 Casing Diameter 4 in. to 190 ft. Weight 11 lbs/ft. Open Hole from 190 ft. to 226 ft. Screen NO Make Type Hole Diameter 8 in. to 190 ft. 4 in. to 226 ft. Diameter Slot/Gauze Length Set Between Static Water Level 3 ft. from Land surface Date Measured PUMPI~G LEVEL (below land surface) 6 fl. after 2 hrs. pumping 30 g. p.m. OS/1411997 Rs REMARKS PARCEL #18 012 0020 AABALAOBBCCCKDDBB1S, SELECOCT11,2,.TTPIlIO0NG6NEN,C, RRRET7WSW.T Well Head Completion Pitlcss adapter manufacturer Model D00 CCaasisninggPPrroosteecctiioonn 0 1122iinn.aabboovveeggrraaddee D1 AAvt-ggrraaddee ((EEanvviirroonommeeanttsall WWeellllss aannddBBovoirninggssOONNLLYY)) GGrroouuttiinngg IInnffoorrmmaattiioonn WWeellll GGrrooouiteedd?? 20 vYeess 0D NNoo. GrGorouuttMMeaterriaal: NNeeaat CCoemmenetn.t ffroomm 0O1t0o 11990 80ft. 33.2255 yyardss.. Located a ttn Unique Number Verification N/A SystPm UTM- Nad83, Zone15, Meters Method Digilizalion (SlOreen)- Map (1:24,000) DateN/A X: 611887 Y: 4874863 County Wel nae: oneReport First Bedrock Last Strat Aquifer Depth to Bedrock 15 ft. County Well Index Online Report ~earest Known Source of Contamination Won inupoe n sompd cion" 0 ver 01 to 22._feet South East direction SeQtic tank/drain field type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed MLLeanngeutfhaoconftfuddrrergoro'ppsPnPtiaippmeeeh_fft.._CoCMpaepocadicetiltyynusmgpb.pea.rm- HTTyPypp-ee VMMoaltatseterriiaall Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a varianl'e granted from the MDH for this well" D No Yes 0 Well Contractor Certification Drussell Well Co suzs0s License Business Name 602308 85221 DRUSSELL. L Lie. Or Reg. No. Name of Driller I Printed 6/29/2008 HE-0 1205-07 file:///Ij!\1PCA/!Working/A0081-1 00%20-%20PFC%20Foam/... %20Homer%20Rd/Well%20Log%20Report%20-%2000602308.htm7/1/2008 1:29: 14 PM 222222.417773 STATE_02822730 Well Log Report- 00602338 Minnesota Unique Well No. Mea6t02U3e380 602338 py Yin County Ga Wiat Quad Guim > Quad ID Winona Winona East 4()D WAT GREW Well !'\arne GALEWSKL JEAN ound ang Di Secon Subsections Hevsian Township Range Dir Section Subsections Elevation BTW BAC Hemian Mehod 106 7 w 1 BAC Elevation Method MINNESOTA DEPARTMENT OF mea Bowe oo HEALTH WELL AND BORING lina bue ia WELL AND BORING RECORD fast RECORD Minnsto Satis Chir 131 ]llfinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 06/12/2001 11129/2007 me WeLbner DepCoimnpe DaweCaonmpe 720 ft. 7.5 minute ogc | DARE Nth GoTo topographic map (+/- 5 feet) Well Depth Depth Completed 144ft. 144ft. Drilling Method Cable Tool Date Well Completed 06/26/2000 Drilling Fluid I li -- Well Hydrofractured? DYes 0No From Ft. to Ft. Well Address Well Address roc 1404 FOXCRAFT PL UA 5587 WINONA MN 55987 scctogica teri Geological Material GavADSAD CLAY AND SAND Samo SANDROCK Sahoo SANDROCK SentRock M0 SALE SANDROCK AND SHALE Color Madness Color wom Ew BROWN Von WARD YELLOW WE Lar) WHITE [i] BLUE Hardness MEDIUM HARD HARD HARD From To[e bSC|eGs[aoOoiruienOanmrgmeTwvorDpieammbeStNreooreneSeoTyt uropewmecVoWheege maLmetgWhelFdnodrnSewbeDDtieBaeemsswtewtaoneeren 21 From CD 0 oom 10 wm 102 [EI139 Lse Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes DNo Above/Below ft. Casing Diameter 4 in. to 85 ft. Weight 11 lbs./ft. Open Hole tfom 85 ft. to 144 ft. Screen NO Mal'e Type Hole Diameter 8 in. to 85 ft. 4 in. to 144 ft To Diameter 10 102 139 144 Slot/Gauze Length Set Between Static Water Level [ NO REMARKS Loca Method Digimon Seno 1210) Located Method Digitization (Screen)- Map (1 :24,000) Unie amrVertcnton N31 Unique Number Veritication N! Date N/A +A 57 ft. from Land surface Date Measured 06/26/2000 PUMPIJ'\G LEVEL (below land surface) EPA 59.5 ft. after 2 l1rs. pumping 20 g. p.m. Walesa Completion Well Head Completion Tide sot mitt Mod Pitless adapter manufadurer Dcessepuicin BD 120m shve ge D Casing Protection 0 Model 12 in. above grade ID pe (imme Walt ad Dongs ONL D At-grade (I:nvironmental Wells and Borings ONLY) Grout norman. Wal Gris? 0 ves Ovo Grouting Information Well Grouted" 0 Yes 0No Cra: Com Grout Material: Neat Cement KoousE from 0 to 85 ft. eRCe o .'\earest Known Source of Contamination 151.5 ymyrds. ples System Meters UTM- Nad83, Zonel5, X: 6lllll Y: '4874635 - feet - direction _type Wet inupoe ncompld oion? 1 ver 0 No Well disinfected upon completion? 0 Yes D No ump 0 Norm Decne Pump D Not Installed Date Installed Manufacturer's name Model number - Lonihofipeng Capa 21 Tie Noth Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material Cr Abandoned Wells Does property have any not in use and not sealed well(s)? First Bedrock Locsin Depth och 108 Last Stnt Aquifer Depth to Bedrock 10 ft. CountyWell IndexOnline Report County Well Index Online Report D Yes D No Va1iance Was a variance granted from the MDII for this well? No Well Contractor Certification Drussell Well Co. 85221 DRUSSEL E. License Business Name 660022333388 Lie. Or Reg. No. Name of Driller I D Yes 0 Printed 6/29/2008 HE-01205-07 AEA L050 0m. St3 S5E 08 35130 flle:///1[/MPCA/! Working/A0081-100%20-%20PFC%20Foam/...%20Homer%20Rd!Well%20Log%20Report%20-%2000602338.htm7/112008 1:29:15 PM 22222222.11777744 SSTTAATTEE__0022882222773311 Well Log Report - 0060315 9 Minnesota Unique Well No. II 603159 County Quad Quad ID Winona Winona East 46D Well Name MN DOT 107 WS ADA Femion Method Township Range Dir Section Subsections Elevation 107 7 w 35 ADDA ElPvation Method -_ Well Address 10105588 HHOOMMEERR RRDD. WINONA MN MINNESOTA DEPARTMENT OF eR HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 09/2712004 08/2912005 Well Depth Depth Completed (05057 mr | DUREVth Ads ves 659 ft. Calc from DEM (USGS 7.5 min or 18 ft. 18ft. n~iiii~g" Meth~d A.~ger (~~~=~r~dfi ~d). equiv.) DrDirlillliinnggFFlluuiidd -- IWWeellll HHyyddrrouffiraaccttuurreedd?? From Ft. to Ft. Date Well Completed 10/29/1997 [DJYveess E0DNNuo. Use Monitor well CCaassiinnggTTyyppPe JJooiinntt NNoo InInfoforrmmaattiioonn DrDirviwe sShhooeP?? [DJYveess ODJ No Above/Below ft. Casing Diameter Weight Hole Diameter [OOppeenntHiolleeTofromm Wtl wto Wftw. Screen Make Type "1 GeGoeloologgiiccaall MMataeterriiaall SILTY CLAY SILTY CLAY SANDY CLAY MOIST MOIST SANDY CLAY GRAVEL SAND CCoolloorr BLACK BLACK BLACK HHoarrddnneessss SOFT SOFT SOFT FFrroomm 0 3 10 13 TToo [ DOliaammeetteerr SSlwoot/Gsaauzzee LLeennggtthh 3 10 13 18 Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.lll. SSeett BBeentwweeaern ro trains NO REivJARKS Well Head Completion Pitless adapter manufacturer Model DDO cCuassiinngg PPrrootteeccttiioonn 0D1 1122i1n. sahboovveeggrraaddee. Grats tormatin WellGrtctt 01Yer Ovo D03 AAtt-ggrraaddee ((Emnviirnoonmrean)tal WWeellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Department of Health Unique NUIIlber Verification N!A SystPm UT1'vf- Nad83, Zone15, !Meters Method GPS SA Off(averaged) Date 09/27/2004 X: 610587 Y: 4875974 First Bedrock Last Strat Aquifer Depth to Bedrock ft. Nearest Known Source of Contamination Q_feet - direction _type WWeellllddisiinfsecitednuuppfoonneccoocmmpltpeletetiioodnn?? D[J YYeess D[J NNoo PpUuImIlpp 0D NNootttInnssutalllleedd DDuatee IInnssttaalllleedd Manufacturer's name Model number - HP - Volts "AALbbaenanngdtdohononefedddrWWopeelPlllispeDD_oofcetss. pprroCoppaeeprrtatycyithhyaa_vveega.anpny.ymnnott 1inTyuspseee aanmddMnnaoottetrssiaeealalleedd wweells(s))? 0D Yvees O D nNo VVaarriiaannccee WWaassaavvaarriiaanncceeggrraanntteedd ffrroomm tthhee MMDDHHffoorr tthhiiss wweellll?? [DJ YYeess 0D Nxoo Well Contractor Certification License Business Name Lie. Or Reg. No. Name of Driller County Well Index Online Report 603159 I Printed 612912008 IIE-01205-07 file:///II/1\!PCAI!Working/ A0081-1 00%20-%20PFC%20Foam/... %20Homer%20Rd/Well%20Log%20Report%20-%2000603159.htm711/2008 1:29: 15 PM 222222.117775 STATE_02822732 Well Log Report- 00625741 Sets De SE Minnesota Unique Well No. II 662255774411 County ud' County Quad Quad ID is Winona Waban Winona East 46D WPil ~arne BERGERSTEDT, NATHAN Township Range Dir Section SubsPctions EIPvation 6106 7TWw 1 MAA 1 AAA FlestmMehod Elevation Method MINNESOTA Dl<:PARTMI<:NT OF HEALTH HEALTH WELL AND BORING WELL AND BORING 3 RECORD }lfinnesota Statutes Chapter 103! Enya Entry Date rhb Update Date RPcPivPd Dati' G10 06/12/2001 IEE 11129/2007 663 ft. pricey 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed |, Pe hod 235 ft. Drilling Method Sons Ry 235ft. Rotary Date Well Completed 05/20/2000 DI'illing Fluid Other IWell Hydrofractured? From Ft. to Ft. DYes 0No I l"sP Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe'! 0 Yes D No Above/Below ft. Well Address 60 PINECREST RD NOMA NET WINONA MN 55987 Geological Material EmCLAY SANDROCK SANDROCK SHALE SANDROCK BEI Color BROWN YELLOW Hardness MEDIUM HARD From To 0 15 15 76 WHITE HARD 76 88 BLUE HARD 88 195 WHITE HARD 195 235 Casing Diameter 4 in. to 191 ft. Weight 11 lbs/ft. Open Hole from 191 ft. to 235 ft. Screen NO Make Type Hole Diameter 8 in. to 191 ft. 4 in. to 235 ft. Diameter Slot/Gauze Length Set Between Static Water Level g ft. from Land surface Date Measured PUMPI~G LEVEL (below land surface) 8 fl. after 2 hrs. pumping 25 g. p.m. 05/20/2000 To rrsoers NO REMARKS Located Seton Unique Number Verification N/A System UTM- Nad83, Lonel5, Maettoerrss Method Digitization (SlOreen)- Map (1:24,000) ner vn DateN/A X: 612017 Y: 4875001 Well Head Completion Pitlcss adapter manufacturer Model CI ovington I alGrete veL Ce D00 CCaasisninggPPrroosteesctiioonn 0 1122iinn.aabboovveeggrraaddee D1 AAvt-ggrraaddee ((EEanvviirroonommeeanttsall WWeellllss aannddBBovoirninggssOONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement from 0 to 191 ft. 3 yrds. Neare Key Sore SC ~earest Known Source of Contamination ll_feet yy__direction Septic tank/drain field type WWeellll ddiissiinnffeecctteedduuppoonn ccoommpplleettiioonn?" 0 YYeos DO NNoo County Wellies OineReport First Bedrock Last Strat Aquifer Depth to Bedrock 15 ft. County Well Index Online Report Pump D Not Installed Date Installed MLLeanngeutfhaoconftfuddrrergoro'ppsPnPtiaippmeeeh_fft.._CoCMpaepocadicetiltyynusmgpb.pea.rm- HTTyPypp-ee VMMoaltatseterriiaall Abandoned Wells Does property have any not in use and not sealed well(s)? 0 Yes D No Variance Was a varianl'e granted from the MDH for this well" D No Yes 0 Well Contractor Certification Drussell Well Co Gasman License Business Name 625741 85221 DRUSSUEL, !2._ Lie. Or Reg. No. Name of Driller I Printed 6/29/2008 HE-0 1205-07 file:///I]!\1PCA/!Working/A0081-l 00%20-%20PFC%20Foam/... %20Homer%20Rd/Well%20Log%20Report%20-%2000625741.htm7/1/2008 I :29: 15 PM 222222.117776 STATE_02822733 Well Log Report- DCi66CI61 D 660610 I'vfmnesota Unique W 660610 e l l N o . A TOT Well Name NAGLE, CHUCK ip tn i iy Comtty Quad Quad m Winona Winona East 460 Township Range Dir Section Subsections Elevation 106 7 w 1 i\.i\.B Elevation Method WWoehll AAddedrreersss 40 PINECREST WINONA MN 55987 MINNESOTA DEPARTMENT OF HEALTH `WELL AND BORING RECORD WELL AND BORING RECORD newt Sut Chet 11 1lfinnesota Statutes Chapter 1031 eeCo Well Depth Depth Completed Entry Date Ubweme oa Update Date eed tte Received Date 05113/2002 03111/2005 Praca Date Well Completed 664 ft. 7.5 minute topographic map (+I- 240ft. Drilling Method Air Rotary 240ft. 10/20/2001 5 feet) Drilling Fluid -- IWell Hydrofractmed? DYes D 'lo From Ft. to Ft. Conte St ko ey Jom Wi vt Use Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 veYes 0D Nvoo AAbboovre/eBteloonw_n.ft. GoingDarter Casing Diameter Tan mn 4 in. to 196ft Vi Weight Wen 11 lbs/ft Fle amar Hole Diameter ene tes 8 in to 196 ft d4 hin eto 22400 1ft Open Hole from 196 Jl. to 240 Jl. Screen NO Make Type Geological Material CLAY SANDROCK RE SANDROCK SHALE SANDROCK Color Hardness From To BROWN MEDIUM 0 13 YELLOW HARD 13 78 WHITE EFI BLUE wesw os WHITE HARD HARD HARD 78 90 90 195 195 240 Diameter Slot/Gauze Length Static Water Level 8 ft. from Land surface Date Measured PUMPING LRVRL (below land surface) 12 ft. after 2 hrs. pumping 20 g.p.m. 10/20/2001 Set Between 0NO Laced Located Unique ~mnber Verification Other, note in remarks System UTM- Nad83. Zonel5. Meters REVARRS REMARKS Mth Dissent p24) Method Digitization (Screen)- Map (1:24,000) DateN/A X: 611985 Y: 4874989 Po ioamor Well Head Completion Pitless adapter manufacturer Nol Model OD Caaisningg PPrroosteecsttioinn 0 1122iinn..aabboovvee ggrraaddee. rosin orton Wei Groses? 8 ver 0 0D) Avt-ggraadeh(mEvnivoioromnmmcnetnatall WWelelllss aanndd Btcorriinmggss OONNLLYY)) Grouting Information Well Grouted? 0 Yes D No Gost hacen Grout Material Neat Cement morn from 0 to 196 ft Nearest Known Source of Contamination @___feet 1'-1_direction Septic tank/drain field type Well disinfected upon completion? D Yes D No ir3 yrds [hefaneiey FFiirrsstt BBeeddrroocckk Iiroronnton-nG-aGleaslevsivllilel:e Last Strat l'v!t.Simon pe 1 8 AAqquuiiffeerr MMitS.Siimmoonn Depth to Bedrock 13 ll. County Well Index Online Report Pmnp D Not Installed Date Installed Manufacturer's name Model number - HP - Volts Length of drop Pipe ft. Capacity g.p.m Type Material Ow AAbbaannddoonneedd WWeellllss DDooccss pprrooppserrttyyhhaavveeaannyy nnoott iinnuusscc aanndd npoott sscsalloedd wwecllll(ss)?? 0 Yes D No Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification iewinos ae Drussell Well Co. License Business Name 660610 Be No Notts o 85221 DRUSSELL Q,_ Lie. Or Reg. No. Name of Driller I Printed 6/29/2008 HE-01205-07 file://JIIINlPCA/ 1 \Vorking/A0081-l 00%20-~/020PFC%20Foam/.. %20Homer%20Rd/\Vell%20Log%20Report%20-~/0200066061 O.htm7/1/2008 1 29: 15 PM 22222.4177777 STSATATTEE0_208228222773344 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY WWiinnsstteedd WW24ii1nnssi1t"eeddStFFirirraeetDDeeppaarrttmmeenntt Winsted, MN 241 1st Street Winsted, MN N5555. 339955 C3C2hh0aa-dd48SS5tt.een2nd3de1er6,r, 11st AAssssiissttaanntt FFriree CChhiiee!f f3rier2ec0ch-hi4ie8ei5f@@-w2iw3n1isn6tseted.d.mminn.uuss TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaatitioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: BaBkakeerr AAvveennuuee aanndd 22"d SSttreeeettSS.,., WWiinnsstteedd OOtthheer:r: AAqquuaa EEccoo. BBAi-nAnnunaulalllyy LLeessss tthhaann 55 ggaallloonnss. GGrroouunndd COOltathhesers:rA: :11 ss5ttgiicackktons Class A: 5 gallons IInntteerrmmiitttteenntt ssttrreeaamm leessss tthhaann 11//88 mmiillee ssoouutthh LLeessss tthhaann 11/88 mmiillee ssoouutthh 11/44 t1o0 117/22 mmiillee ssoouutthheeaasstt MMoorree tthhaann 11 mmiilee 9 22222222.41777788 SSTTAATTEE__0022882222773355 es ZT WWIINNSSTTEEDD CCWWII WWeellll MMaapp Sat "05 dat BEIGY Hise) Ld oEh so noTEoN PR ade Ur ait fast SL Ii R r SEy L gov HER Fon Wasted-rTlPE ST] "oq NeSdts e, Ld ib 330 Ng Ac TE EE 2 dd pT RR AY ho amg pn HE Wr Lie ee fA n ECTTE H be E < Lr BY Sep i AEE GN q i o.{ kel, e --= nH AS ao Go En PET TT IIR En Lowe1 fied\ zo SeE Ti ETSGm ERWeaEeNUR EEIENN swireeele T ewT eE en RR Tron eTeATyEn AJUoteemTea]SlC | WEt L e re oAhde LEa OOpFe Ts TRWh AFiydEE S Tome a Tr Lan PEERS | Dogme i) Ls oy Sn ON I oT St "3 ih & a NENT e n: aTlEBseAet ogSoy dlA TESRYoeCg t eet eFERRe R OIS, Alita oe Lill ee A pr aki, Laie BNETR NA Hemme rane soo ST Rb 222222.1177779 sSTatAeT_Eo_202682202773366 WinWsintsetedd WWhhaat'stII'nnMsMy Neighbboorrhhoooodd MMaa p i | : 3 i BB | | TN i 3 ptm de fo | Vo HEE | LTE -- | BEA | Fru | Ha ir | ee CN | | J- sites NY \ EE \ Rie A } I i | | -- on SioaSites ras pont D~n.Mc:l matt~ &u~~rkl M [Ridin Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion BiS te pT tm steTssRo IeEeRt 0 | goede ofthe infonnation should be considered to be, or used as, a legal document. The infonnation is provided hm~ St"IKIW.W IJn~ml!bd Dun1J15 subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost MPCA that may arise from the use of this data. NFRAP asupra maw ~~,..rill w o comm C:~RCL!fi. Franti o f't\Je:nl SuptrfUnd @innesota Pollution Control Agency !iune: Cboocl L.cmcHUI5! * ms Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o Pic. ..t. ltCRA UD f'lt:ill:l~ on a ~M Jrw-ut-kor-111 & ClfiiiW~ S-- ""- aum ~nw111 222222.117780 sSTarAeT.Eo_20m282222773377 =5] 2 K2E] 3 Winsted Wetland Map ogkr ls CoEiil i U om"i ro j ;Eo | } tee : Sr] Hl[5HH] 2222.11778811 94-4-DW 94-3-30 w 94-3-DW r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N '-I w 00 ,i EH 4=H5 il it i H 3 li ie } EY El P i E j 5: .......1 . .... 1~ w0> 0 z ........ &. 0> 6 z t &. "w"" 0 z ~ C' 0 z GHEE tePPE t _-- Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK II States 1DDK o South America o North America find | EA 3 i1 94-2-3DW 94-2-DW Map center: 44 57' 50" N, 94 3' 0" W $ i Scale: 1:27,356 Well Log Report- CJCJ 16CJ79~ 160798 I'vfmnesota Unique W 160798 e l l N o . oEm' Comtty Quad Quad In N5od McLeod Winsted 107A WELRL ANDBEORINGERECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 1lfinnesota Statutes Chapter 1031 UBnineEoue Entry Date Update Date Received Date vit 04/11/1988 12/29/2005 Well Name HERTEL. JIM Township Range Dir Section Subsections Elevation 117 27 w 10 AADDAB Elevation Method 1024 ft. 7.5 minute topographic map (+/5 feet) Well Depth 133 ft. Drilling Method Drilling Fluid -- Use Domestic Depth Completed Date Well Completed 133 ft. 08/06/1979 I TL T . Rotary Well Hydrofmctmed? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 No Above/Below 5.5 ft. Casing Diameter Weight Hole Diameter 4 in. to 129ft 11 Well Address RR 1 wWINsSTED MN WIN... Geological Material x Eon oe CLAY CLAY SAND MUDDY an aur om CLAY Color YELLOW BLUE BLUE Hardness OSScrecpn reenenHYVoIlEeSS From To Diameter 0 19 4 19 96 96 109 109 127 froMmMaakfkte.e JJtOOoTI IT\ !SfSt.OONI \ ?Slot/Gauze 12 lbs/ft 6.25 1n to 133 ft TTypeype smtaiinelness stweeell oo Length TE 4 Set Between 129 ft and 133 ft WATER&SAND 127 133 Static Water Level 45 ft. from Land surface Date Measured 08/06/1979 PUMPING LEVEL (below land surface) ft. after 1.5 hrs. pumping 20 g.p.m. [RREEMMAARRRKSS ii ie Well Head Completion Pitless adapter manufacturer Model DDOcCasasiinngg PPrrootseccttiioonn 0D3 1122iinn.. aabboovvee ggrraaddee: D0) At-ggrraaddee (FEmvnivrircoonmmmceonttaall WWeellllss aanndd BBroirinnggss OONNLLYY)) GGrroouuttiinngg IInnffoorrmmaattiioonn WWelelll GGrroouutteedd?? 0[veYess D0 NNoo. DYes ie er Located Minnesota Geological Survey Unique Nmnbcr pn UTM Nth TIS. Verification Address verification System UTI'vf- Nad83, Zone15, Meters rn Method Digitized - scale 1:24,000 or larger (Digitizing Table) Date N/A rans: rom X: 416884 Y: 4979209 First Bedrock Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Grout Matenal Cuttings from 0 to 96 ft 0.5 yrds TS Nearest Known Source of Contamination abn cpio) ]j_feet li_direction SeQtic tank/drain Well disinfected upon completion? 0 Yerfield Yes Oxo type D No PPmumnpp. 0 NNoott IInnsstalllleedd DDaattee Ilnnssttaalllleodd 00880/077//11997799. Manufacturer's name AERMOTOR Model number SD5012 Teamt? Mit God _ HPQj_ Volts 230 Length of drop Pipe 71_ft. Capacity !l_g p.m Type Submersible Material Galvanized Abandoned Wells Does property have any not in use and not sealed well( s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Mattson Well Co. 86108 OESTRIECH D. License Dusiness Name Lie. Or Reg. No. 'lame of Driller 160798 I Printed 6/29/2008 HE-01205-07 file :i/ili!MPCA/' Working/A0081-1 00%20- %20PFC%20Foam/R .. mariesiWinsted/Well%20Log%20Report%20-%2000 160798.htm711/2008 1:32: 18 PM 2222222.11778822 STATE_02822739 Well Log Report- CJCJI7'lCJ'l~ I'vfmnesota Unique Well No. 175058 oimannWana 175058 Comtty Quad Quad In TT Well Name MILLERBREND, CHARLES McLeod Winsted 107A WD No ADA tm Township Range Dir Section Subsections Elevation 117 27 w 10 ADAABA Elevation Method wtngaess Well Address -- MINNESOTA DEPARTMENT OF HEALTH WELLAND BORING RECORD. WELL AND BORING RECORD newt ute Chet 11 1lfinnesota Statutes Chapter 1031 eeCo Well Depth Depth Completed Entry Date Upimewe 13306 Update Date Veet tte Received Date 04/11/1988 12/29/2005 Prac Date Well Completed eS 1022 ft. 7.5 minute topographic map (+/- 139 ft. Drilling Method Rs139ft. T . Rotary 10/10/1980 5 feet) Drilling Fluid -- IWell Hydrofmctmed? DYes D No From Ft. to Ft. Use Domestic Cnt Type St ck co ce) Jane Td Dvet 0 vr Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? BD vo amotuto 5 0. 0 No Above/Below 5.5 ft. DYes Tan Ee Casing Diameter 4 in. to 135ft Wen Weight 11 lbs/ft ema mt Hole Diameter 6.25 1n to 139 ft eoctcr erst Iss WINSTED MN 55395 Geological Material an oCaLAY CLAY SAND CLAY WATER&SAND oorColor aeho YELLOW BLUE BLUE Wass Hardness Bom To fourier Sooo ten setoeten From L0 18 70 Wom 112 Eh atest Mord 10101030 120 TTS Open Hole Screen YES fromMMaafkkt.ee JTtOoOIIIT\!fSt.OI\ TMType stainlTessostTeel ale To Diameter 18 4 70 Slot/Gauze 18 +Length 4 Se1E3t5Bhefttweaanneddn 11309 f0t 112 120 139 Static Water Level 45 ft. from Land surface Date Measured 10/10/1980 PUMPING LEVEL (below land surface) 50 ft. after 1 hrs. pumping 60 g. p.m. 0R0.38EAMM MIILAEESRSOKOUUSTTHH OOFF IINNTTEERRSESCETCITOINOONFF HHWWYY 226611 && CCOO,. RRDD.. 66OONN 226011 Tot Sematary Located Minnesota Geological Survey ni Somber VUeeniriiiqfciucaeattiNioomnn nIibncfnorrmfaotiorn mffrtoaommtnnceiiiggohhbbnoorr por 7S mes System UTI'vf- Nad83, Zone15, }vfeters Jud Ont Method Digitizt:d- scak 1:24.000 or larger (Digitizing Table) we X DateN/A X85: ATE: 416872 Y: dts 4979093 Picsip mamta Well Head Completion Pitless adapter manufacturer Mod Model DDOcaCsaisningg pPrroosteccttiioonn 0D3 1122iinn.. aabboovvee ggrraaddee: DIO At-ggrraaddee ((EmnvvirionnmoennutalmWWceleellltssaaannldd BBoorriinnggss OONNLLYY)) Gost a non GGrroouuttiinngg Inffoorrmmaattiioonn WWoetlllGGrrowuitetd?? 0 YYoers DOI NNoo Grout Matenal Cuttings from 0 to 70 ft os 0.5 yrds I 2]N5je_farofeesesttt KlNni_o_dwidneirceStcotiiuoornnce oSSefepCtQictoicntttaaakinmdakini/ndaratiinonf(iesldH_typpee il inst cope B) ver 0 No Well disinfected upon completion? 0 Yes D No ta Neral Doi oT 0 Pmnp 0 Not Installed Date Installed 10/13/1980 Nabse AeLTrON Node mr S12 Manufacturer's name AERMOTOR Model number SD5012 _ HPQj_ Volts 230 Length of drop Pipe 71_ft. Capacity _g.p.m Type Submersible Material Galvanized he Ow AAbbaannddoonneedd WWaellllss DDoosess pprrooppeerrttyy hhaavvee aannyynnoottiinnuusseeaannddanoottssleaeledd wweelll(lss)?? 0D) Yes D No LCoumSad First Bedrock Last Strat Sand County Well ooep niir Aquifer Quat. Buried Artes. Depth to Bedrock ft. Index Online Report Aquifer Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification rss Mattson Well Co. License Dusiness Name 175058 86108 OESTRIECH D. Lie. Or Reg. No. 'lame of Driller I Printed 6/29/2008 HE-01205-07 file:i/ili!MPCA/'Working/A0081-1 00%20-%20PFC%20Foam/R ..mariesiWinsted/Well%20Log%20Report%20-%2000175058.htm711/2008 1:32:17 PM 2222222.11778833 STSTAATTEE0_208282222774400 zz 2 e2215l] 8443: 33]NEEx] 3I=] [=Efa sZye|l Bf5i7s ECHIdR IEEE% = LE Well Log Report- 00210151 A1innesota Unique Well No. 11 21o1s1 11 County Quad QuadiD McLeod Winsted 107A Well Name STERNER, JERRY Township Range Dir Section Subsections Elevation 117 27 w 11 DAACDA Elevation Method Well Address WINSTED MN 55395 32 2: 2 2Z2Z%% 2E3H27H3 H5H3 sg Jpd|Ed E 5: 12|:)s 21): zole3ell:7 MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne,wta Statutes Chapter 1031 Entry Date Update Date Received Date 0411111988 12/29/2005 iz 1002 ft. 7.5 minute topographic map (+/- 5 feet) i gi Well Depth 155 ft. Drilling Method -- Depth Cnm pleted 154ft. Date Well Completed 06/0111967 Ze | Drilling Fluid -- Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. 5 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D No Above/Below ft. Casing Diameter 4 in. to 151 ft. Weight lbs./ft. Hole Diameter le |fgs DYes E BEs E|LEog aze fJFhe - ZE| =E<3E: [Ef 2 FE=25T] H3E7 5L% Eo1lF2zo2l]cZ5|2 -< [[51525s&8 s7i=-2l55g-2<][] 252222500=(|$3: [PTE EEE] i gst 3BE E0SBuyunuuuyusitys 3 gi[Id] 9 8 $$B5 3 1558g3E3zz8i8i8 oz 3%: 2p3333355852332835 Geological Material TOP SOIL SANDY CLAY SAND &GRAVEL SANDY CLAY SANDY CLAY SANDY CLAY SANDY CLAY LENSED WITH SAND SANDY CLAY SAND SANDY CLAY 2= Color BLACK YELLOW BROWN BLUE BLUE BLUE BLUE BLUE VARIED BLUE 8 555% Hardness HARD SOFT HARD HARD HARD NO RRMARKS { ii : e saeEERREE 5 From To Open Hole from ft. to ft. 0 1 Screen YES Make Type stainless steel 3 1 18 18 23 Diameter Slot/Gauze Length Set Between 5 23 76 4 50 3 151 ft. and 154 ft 76 113 113 129 % 129 137 137 149 Static Water Level 149 155 38 ft. from Land surface Date Measured 06/01/1967 155 155 PUMPING LEVEL (below land surface) 45 ft. after hrs. pumping 100 g.p.m L L| C14i9e2 HIEEEEEH p[rBl LELEi +. 2s Well Head Completion Pitless adapter manufacturer DUPLEX Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) so Grouting Information Well Grouted? DYes D No : 222222.117784 i 5 a a |J i P3 y 1| . S$3i5:: i : z3iiids :i: Ls 2i:t3y 3HThH : 1$58:; i sare oa2271 = .f 3f%ic3 32 Located Minnesota Geological Survey Method Digitization (Screen)- Map ( 1:24,000) r, f5 1E <(5ig3 15 2 E2y3=2| %32 Unique NumherVerificatinn Information from ovmer Date 08/20/2004 ~Vl System UTM- Nad83, Zonel5, Meters X: 418431 Y: 4978527 rn I 0 Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion') D Yes D No 2 N 00 N : ] N : :i file:///11/MPCA/!W orking/A0081-I 00%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/Winsted/Well%20Log%20Report%20-%2000210151.htm (I of 2)7/112008 I :32:18 PM i 3 '-1 .j:>. I-' i LMiHlHk2 LY 2 i: 13g ig e ~ : i Well Log Report- 00210151 2:15 i8 First Bedrock Last Strat Clay & sand-gray Aquifer Quat Buried Artes. Aquifer Depth to Bedrock ft El x HiHEEE 5 County Well Index Online Report APE Ee Elz |e og (3 5 3 EY gs Pilg EE ELEHE|8 oIEzE 2: aE: Bd 1g: EEE |: 3642 mfg: |i 0 32 2gldf 2 Pump 0 Notinstallcd Date Installed 11110/1975 Manufacturer's name BERKELEY Model mnnber 4AM15 HP 0.75 Length of drop Pipe l_ft Capacity _g.p.m Type Submersible Material or low carbon) Volts 230 Steel (black Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes D No Variance Was a variance granted from the MDH for this well0 D Yes D No Well Cuntradur Certificatiun Fredrickson's 08317 SCHROEDER. F. License Business Name Lie. Or Reg. No. Name of Driller 210151 I Printed 6/29/2008 HE-0 1205-07 222222.117785 z 3 ii Z i i 1 i 3 i : i : i 1 7 i 3 $i: i3: { stare 02822742 ~Vl rn I 0 N 00 N N file:///1]/MPCA/!W orking/A0081-l 00%20-%20PFC%20Foarn/Reports/Appendix%20G/Site%20Surnrnaries/Winsted/Well%20Log%20Report%20-%2000210151.htm (2 of 2)7/112008 I :32:18 PM '-I _j:>. N Well Log Report- 00447277 ns tn Mipnnoesnotoa UDniqnue JiVBe!O! NNOo. 447277 II II 447277 L.!:.=========::::!.J. ~QCQo:uuu:ni:ittyyd Quad ID W07aael MMeclL.ceoodd Winsted 107A WNT TONEY Well Name GUTZMAN. RODNEY TownRagsDir SeconSbsctn Elston Township RangeDir Section Subsections Elevation 1W1772727 wW 1111 DDRRAADDDDRR FElelevvaattiioonn MMeetthhoodd on a 1011 ft. MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING Undebwe 12293008 WELL AND BORING RECORD Recehed Due RECORD Minot SsChapter 131 114inne,mta Statutes Chapter 1031 EEnnttrryy DDaatete. Update Date Received Date o07n/1s8n/19999n1 12/29/2005 Wellbeph Depin Compass De Wa Cpe Well Depth Depth Completed Date Well Completed on Ln sions 130 ft. 130ft. 07/25/1988 7.5 minute topographic map | DEMethodNon-seciidRory topographic map pk (+/- 5 feet) nrillingMei:hoJ.. "N0il~spec1t!eciR.0tary Drie] Wontar? Drilling Fluid Rae Benes| Hobe Additive (+ Bentonite) Well Hydrufractured? From Ft. to Ft. O Ye DYes 0% DNo Cosi Tye Fate Jon Git Denese? 0 Yo Use Domestic Casing Type Plastic Joint Glued Drive Shoe'! DYes 0 No Above/Below 6 ft. Casing Diameter Casing Diameter Tow we 4 in. to 126 ft. We Weight wrlbs./ft. Fw Damar Hole Diameter oman wn 6.25 in. to 130 ft. Cpe Open Hole from ft ET to ft eacgicat atria Geological Material freCLAY GarCLAY R WATERn SAND Color Color alow YELLOW axBLUE Haraness Hardness Screen YES Oameter Diameter From To| 4 From To 4 ow 0 20 oh 20 118 Make JOHNSON Type stainless steel Siouauzo Length Sat Between Slot/Gauze [3 T Twn wwe 10 Length 4 Set Between 126 ft. and 130 ft. 1h1d8 130 [SSitatcic WwaatrerTLoevvaerl 40 fL from Land surface Dale Measured 07/25/1988 FUNPING LEVEL ow nary PUMPING LEVEL (below land surface) 5 1. ar 1s pin 00 gpm 45 ft. after 1 hrs. pumping 100 g.p.m. Welles Complain Well Head Completion Pipt meres WHITENATER Nol Pitless adapter manufacturer WHITEWATER Model 3 ae inn Weld hoengs ONLY) DD OCCaassiinngg PPrroovteeccttiioonn 0E1122iinn..aabboovveegrgarnaddee: D At-grade (Environmental Wells and Borings ONLY) REEMSARR KS GrGoruotuitinngg IInnffoorrmmaattiioonn WWeellllGGrroouutteedd"? 0 YYees OD oNo Lucite Mime Gosogil Mthad Disslv124e 000 Located Minnesota Geological cnr re Disha on) Survey coeur Dae NA Unique Number rin ono Verification Tnfonnation from ovv11e1 Sem UTM Nath onc. x. ion; aomsne System UTM- Nad83, Zonel5, lvfeters Method Digili1.ed- scale 1 24.000 or larger (Digitizing Table) DateN/A X: 418109 Y: 4978524 Finbar First Bedrock Loto Sad Last Strat Sand pquitrQuet. ridAres. Aie Aquifer Quat. Buried Artes. Aquifer Detpo Btehk Depth to Bedrock ft. Got NC Grout Material Neat Cement | Grol Guts Grout Material: Cuttings km SLBA from 6 to 30 ft. mmo from 30 to 100 ft. 02 ye 0.2 yrds. 0syu 0.6 yrds. Near Soe Coo Nearest Known Source of Contamination ie 1Q_feet L direction SeQtic tank/drain field type Wetl ncops ieiny 0 ves 0 Mo Well disinfected upon completion? D Yes D No Pump] Notlmes DoTasaletp18 Pump 0 Not Installed Date Installed 07/2711988 mits LRMOTOR Sod ahr SDI250 Manufacturer's name AERMOTOR ModelnumberSD1250 Tos Von _ HPQ2_ Volts 230 Tenghofdop PeS41. Capcy 12 gpm Length of drop Pipe ~ft. Capacity 12_g.p.m 37 Mbit Meer Caras Type Submersible Material Galvanized oonemed Wa To Fo a TR RTI Abandoned Wells Does property have any not in use and not sealed well(s)? Ov @w D Yes 0 No VVaarriiaannccee WVoass a vvaarrisannccee ggraatnetedd ffrroommtthee MMDDHHffoorr tshwisewlelll!? LJ D YYeess 0D No elCoCmo a Well Contractor Certification MacaSilC IS OESIKICILD Mattson Well Co. 86108 OESTRIECH D. cone Ts Nae Lic reg. No. Nofs Dh License Business Name Lie. Or Reg. No. Name of Driller Ag R030. i apr OMT hf 3768328 file:///IIil\1PCN! Working/A0081-100%20-%20PFC%20Foa...ies/Winsted/Well%20Log%20Report%20-%2000447277.htm (1 of 2)7/1/2008 1:32: 19 PM 222222.117786 STSATATTEE0_208282222774433 Well Log Report- 00447277 County Well Index Online Report 447277 Printed 6/29/2008 HE-01205-07 file:///IIil\1PCN! Working/A0081-1 00%20-%20PFC%20Foa... ies/Winsted/Well%20Log%20Report%20-%2000447277.htm (2 of 2)7/1/2008 1:32: 19 PM 222222.117787 STATE_02822744 Well Log Report- 00489455 bos ms Uinge Wella, Minnesota Unique JiVe!! No. 189455 ~QG:u:du:'tiy II II 489455 L.!:.=========::::!.J. Quad ID McLeod Vinal Winsted 17a107A Tame I TFRTRND TATFT Well Name MILLERBERND, RALPH Towa Range Di Scion Suction Eesti Township RangeDir Section Subsections Elevation 0 2 W 0 ANDKC Besson Method 117 27 w 10 AADDCC Elevation Method MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT OFWEALTH Erbe ono OF HEALTH WELL AND BORING Updo 12292005 WELL AND BORING RECORD Riche Dac RECORD MinncstoStes hap 1031 114inne,mta Statutes Chapter 1031 Entry Date Update Date Received Date 03/26/1992 12/29/2005 nn WelTloDnepth DepthoConmpass Doe WweslanCoonmtpeted 1023 ft. 7.5 minute pega | DFE Method oid Ry topographic map pike (+/- 5 feet) Well Depth Depth Completed 130 ft. 130ft. nrillingMei:hoJ.. "N0il~spec1t!eciR.0tary Date Well Completed 10/30/1991 Drilg Fd | Walang? O Yor 0 No Drilling Fluid ui From 1 to Qwikgel Well Hydrufractured? DYes DNo From Ft. to Ft. Well Adaross Well Address 261 HY VFmasTlED WINSTED MN seoiogica teria Geological Material CarCLAY GuaCLAY Sac SAND &CLAY coCLAY SoSAND ia REMARKS Color Color vaioYELLOW aeBLUE aeBLUE HWaarrddnneessss From To From To oo 0 25 FE25 75 Bow 75 90 90 118 To i 118 130 Caing Type Pic nt God Deve shoe? Use Domestic Casing Type Plastic Joint Glued Drive Shoe'! 01 vex DYes 0 No Above/Below -6 ft. CasingDiameter Casing Diameter dn at 4 in. to 126 ft. eg Weight wrlbs./ft. Hoe Gameter Hole Diameter esan wr 6.25 in. to 130 ft. Cpe ET Open Hole from ft to ft Seen VES Ne TOTO Tope ST Screen YES Make JOHNSON Type stainless steel [Oametsr SiouGauze Length Sot Between Diameter 3 w T Tene 3 Slot/Gauze 12 Length 4 Set Between 126 ft. and 130 ft. [Sew Static Water Level fy Lambs Manan 10701501 42 fL from Land surface Dale Measured FUNPING LEVEL (ek and are PUMPING LEVEL (below land surface) 50 ser 1 es pig 30 gpm 50 ft. after 1 hrs. pumping 80 g.p.m. 10/30/1991 Wel HeadCompletion Well Head Completion Fok spit maine WHITEWATER Mol B432164 Pitless adapter manufacturer WHITEWATER Model B432164 Dc pracion I 12 shone re D Casing Protection D 12 in. above grade 0) Avge Erinn Wels nd Boing ONLY) D At-grade (Environmental Wells and Borings ONLY) Growing Irma Will Gro? 2 Yer 0 No Grouting Information Well Grouted? 0 Yes D No Luc Mimi Googal Wth Digcole i2060t00r | J ration: org--s KEnmspoRt o0r ye Located Minnesota Geological sire re Disa oh) Survey vomer Duc Nn Near Rn Sore Como Unique Number eres bibomion fs are 100 Ret Saodrh ton SHkA E dt Verification Tnfonnation from ovv11e1 Sem UTM Nath nS. x. gsz x; ayn? Welylon ciompno? BD) ver DO No System UTM- Nad83, Zonel5, lvfeters Method Digili1.ed- scale 1 24,000 or larger (Digitizing Table) DateN/A X: 416852 Y: 4979117 FinaBendk quire.arid Arcs. Awe 0OPE VV TiaerMueCni0wiagvomnhmSwcnsoeupWri fVb@idai)modeslVpraaCaiPiNvoCnexc eeao2oi0rMre 0vAisTraeR1.gllt MOtCDTMsdaOIaaRcfSnpoeims1sSoi2eeMOdgMoEDpdSLMsumT1Rmf3Uao1C9rbL9teL0DwS.DlI?ZS01 You First Bedrock Loto Sad Detpo Btehk ce Bsns Nani Ore No. NoofDmlr Last Strat Sand Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. Grout Material Neat Cement Grout Material: Cuttings from 6to30ft. from 30 to ft. 0.1 yrds. 0 Nearest Known Source of Contamination 100 feet South East direction S92tic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump 0 Not Installed Date Installed 1111511991 Manufacturer's name AERMOTOR ModelnulllberSD1250 _ HPQ2_ Volts 230 Length of drop Pipe QQ_ft. Capacity 12_g.p.m Type Sublllersible Material Stainless Steel Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted frolll the MDH for this well? D Yes D No Well Contractor Certification Mattson Well Co. 86108 OESTREICH D. License Business Nallle Lie. Or Reg. No. Nallle of Driller ACA ORC itd ley SS271 08 3230 file:///IIil\1PCN! Working/A0081-100%20-%20PFC%20Foa...ies/Winsted/Well%20Log%20Report%20-%2000489455.htm (1 of 2)7/1/2008 1:32:20 PM 22222222.11778888 SSTTAATTEE__0022882222774455 Well Log Report- 00489455 County Well Index Online Report 489455 Printed 6/29/2008 HE-01205-07 file:///IIil\1PCN! Working/A0081-l 00%20-%20PFC%20Foa... ies/Winsted/Well%20Log%20Report%20-%2000489455.htm (2 of 2)7/1/2008 1:32:20 PM 222222.117789 STATE_02822746 Well Log Report- 00503852 503852 Qo~n:ut:":am MMiinnnnre>ssoottaa UUnniigquu=re> WWer>l/l1NNoo.. CCoouunnttyy L.!:::::::==5=0=3=85=2====::::!..11I ID N0a7naas MMccLLeeoodd Winsted 107A NT ROT Well Name GUTZMAN, RODNEY Tomi Ran Di Section Stn Elevation Township Range Dir Section Subsections Elevation 117 2 7 w 11 DACCAC Elevation Method a1009 ft. MMIINNNNEESSOOTHTAAHEDEADEAELDLPTTAAHHRRTTNMEENNTT-OOFF WELL AND BORING Uniebue 103 WELL AND BORING RECORD Reed Puc RECORD inns Sus Chapter 1031 JIJinnesota Statutes Chapter 1031 EEnnttrryy DDaattee Update Date Received Date 0771/1881/1999911 12/29/2005 WADh Dow Compe DWT Cond Well Depth Depth Completed Date Well Completed vy ee pa 130 ft. 130 ft. 09/25/1989 7.5 minute t((0S o+p/-ogf5refaeepetht))ic map Drilling Method . Rotary atin Bri) I DrDirlillliinnggFFlluuiidd | ho Additive(+ Bentonite) WWeellll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D NNoo From Ft. to Ft. a-- Use Domestic CaineTope Pe Jot No tomaion Desh? 01 ver Casing Type Plasli(; Joint No Information Drive Shue? D Yes 0 Nm 1 No Above/Below -6 ft. Casing Diameter Weg Fe Bm Casing Diameter Weight Hole Diameter Tan mn wa emne wn 4 in. to 126 ft. lbs.lft. 6.25 in. to 130 ft. mm Open Hole mre from ft. to ft. | aGavGGeeoollooggiiccaall MMaateterriiaall CLAY CLAY ne WATER SAND aalEow CCoolloorr YELLOW BLUE HHaarrddnneessss Diameter FFrroomm on0 Sw 25 Screen YES Diameter TToo[ 44 25 110 SlouGauze Length SatBaten Make JOHNSON Type stainless steel Slot/Gauze Length Set Between 10 44 rE 126 ft. and 130 ft. 110 130 Static Water Level or 28 ft. from Land surface Date Measured 09/2511989 FONFING CRVEL (ei rie) PUMPING LEVEL (below land surfacl') $0" the poi 30 m 50 ft. after 1 hrs. pumping 50 g.p.m. Well Head Completion Well Head Completion Pic abt mist WHITEWATER Not! Pitless adapter manufacturer WIIITEWATER Model 0 Ants Gnome Walt ad Bois ONLY) DDO cCaassiinnggPProrotteeccttiioonn 0 1122iinn.. asbhoovveeggrraaddee. D At-grade (Environmental Wells and Borings ONLY) RREEM NAARRRKYS GrGoruotuitinngg IInnffoorrmmaattiioonn WWeellll GGrroouutteedd?? 0 Yvees OD nNeo Located Manes Golgi Located Minnesota Geological Method Dile12d 40000: | GGraotssatNCetscsont Method Digitized- scale 1:24,000 or Grout Material: Neat Cement Grout Material: Cuttings wmsbAr from 6 to 30 ft. tment from 30 to 90 ft. are 0.1 yrds. 03m 0.3 yrds. Survey Unie Nember Dae nn Unique Number (VVeerriifiiccaattiioonn lInntforrsmieattiioonn fSrooemoowwenesr Sym UTM Nols lS, is x; ames System UTM-Nad83. Zunel5. }vfeters larger (Digitizing Table) Date NI'A X: 418185 Y: 4978346 eT Raarr SCT ~ N$0earffeeeeesttt KlN:n_io_wddniirreeSccottiuioornnce oSSfeQCetoicnttpaannmkkdit/ndraruatiiiinnonficeld ftiyld_ptyepe wads poncot mpton ver 0 xo Well disinfected upon completion? 0 Yes D No PPuummpp 0 NNoott IInnssttaalllleedd DDaattee IInnssttaalllleedd00992/288//11998899 Manufacturer's name AERMOTOR Model number SD20100 _LTeenHgrtPhaLotf dhVroooplFtfPs i2epd3e0il7lo.2__pft.. _ CCoappaaictityy 25pm Q__g. p.m Type Submersible Material Galvanized Tieden els ios pooyv 7 HTT Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? Ove @ D Yes 0 No VVaarriiaannccee WWaass a vvaarriiaanncceeggrraanntedd ffrroomm tthhee MMDDHHffoorr tthiiss wweellll?? D[J Yveess Fira Bedk First Bedrock Lisi Sot Last Strat Sand ier Qu. hed Ars Ai Aquifer Quat. Buried Artcs. Aquitcr Depdk 1 Depth to Bedrock ft. 0D Nnoo TCCrT Well Contractor Certification MueoWalGe iS OISRECILD Mattson Well Co. 86108 OESTERIECR D come Bis amesOro No. Nem ofr License Business Name Lie. Or Reg. No. Name of Driller TARA APH: Wed Sas SSS21 301 file: I/IIII1\1PCAP Working/A0081-100%20-%20PFC%20Foa.. .ies/Winsted/Well%20Log%20Report%20-%2000503852.htm (1 of 2)7/112008 1:32:19 PM 222222.117790 STSATATTEE0_208228222774477 Well Log Report- 00503852 County Well Index Online Report 503852 Printed 6/29/2008 HE-01205-07 file://ilii1\1PCAP Working/A0081-100%20-%20PFC%20Foa.. .ies/Winsted/Well%20Log%20Report%20-%2000503852.htm (2 of 2)7/112008 1:32:19 PM 2222.11779911 STATE_02822748 Well Log Report- 00577919 ns tn Minpnnestotsa UDniqiue JiVBe!O! NNOo. II 577919 II 577919 L.!:.=========::::!.J. ~QCQo:uuu:in:dittyyd Quad ID 07aWasied MMeclL.ceoodd Winsted 107A WN WIRE TARE PART Well Name WINSTED LAKE PART TownRagsDir SeconSuction Elston Township RangeDir Section Subsections Elevation 1W1772727 wW 1111 BBAAAACCCCRB FElelevvaattiioonn MMeetthhoodd win 1012 ft. MINNESOTA DEPARTMENT WELL AND BORING MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING RECORD Recehed Due RECORD Minot SsChapter 131 114inne,mta Statutes Chapter 1031 UpdateDate EEnnttrryyDDaattee Update Date Received Date 0142006 110011077/199996 01/04/2006 Wellbeph Depts Compiasd De Wa Cpe Well Depth Depth Completed Date Well Completed po, on Jn 120 ft. 120ft. 05/31/1996 tot7po.5opgomrgarinappuhhtieicc mmaapp | DE nrillingMMeeit:hhoodJNon-seciidRory .."N0fi~spec1t!eciR.0tary pk (+/- 5 feet) Die Fs | wat tartans Drilling Fluid awit Fon 0 1 Qwikgel Well Hydrufractured? From Ft. to Ft. 0 ve DYes Ov DNo Welladress Well Address fime 1131ST ST S WINSTED MN eaogicat atria Geological Material reCLAY pvtCLAY SoSAND coor Color Yalow YELLOW axBLUE Haraness Hardness From To From To 0 20 om 20 100 oo100 120 TT Use Domestic Casing Type Plastic Joint Glued Drive Shoe'! DYes 0 No Above/Below ft. CasingDiameter Casing Diameter Tow me 4 in. to 114ft. We Weight wrlbs./ft. Fw Darter Hole Diameter osan wn 6.75 in. to 120 ft. [ope Open Hole from ft to ft TEe E Be TOor TRON RTe Screen YES Make JOHNSON Type stainless steel Ometer SiouGauzo Length Sat Between Diameter |} 2 TH Sait 3 Slot/Gauze 18 Length 6 Set Between 114 ft. and 120 ft. Static Water Level 25 fL from Land surface Dale Measured 05/31/1996 FUNPING LEVEL teow dary PUMPING LEVEL (below land surface) SS She te amine 100 gp 48ft. after 1 hrs. pumping 100 g.p.m. Welcas Compltn Well Head Completion Pi pet mai WHITEWATER Naki Pitless adapter manufacturer WHITEWATER Model SKAPY SNAPPY 0 REArEs NO RElvfARKS Located Mims Geog Located Minnesota Geological ener Survey iene Unique Number -- Verification Address verification Sym UTM Nab lS. System UTM- Nad83, Zone15. Jo.1eters Mod Diizin(Sseon)p Method Digitization (Screen) - Map 30) (124,000) pein DateN/A x. 756, vz rn X: 417563 Y: 4979337 FistBedrod First Bedrock Lust Sad Last Strat Sand aque Qt Bul Ars. Als Aquifer Quat. Buried Artes. Aquifer Detpo Btihk Depth to Bedrock ft. DD OCaCsaisningg PPrroowteeccttiioonn D0 1122 iinn..aabboovveeggrraaddee 3 nae inn Weld hoengs ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting Inormation WellGroued" ver 0 No Grouting Information Well Grouted? 0 Yes D No Gratis Hopsss Grout Material High solids bentonite fn nan from 6 to 30 ft. NTR TC S Nearest Known Source of Contamination fife nin 2Q_feet L direction Bodv of water type Wetl oncos pier 8 ves 0 no Well disinfected upon completion? 0 Yes D No Pump Norms Daa1s55 Pump D Not Installed Date Installed 0611211996 mits ARGON Sod ahr AURIS Manufacturer's name AERMOTOR Model number A50Bl50 TIS Von _ HP.L2_ Volts 230 Taagihcttop peo Cosi $0 gpm Length of drop Pipe .QQ_ft. Capacity 2Q_g.p.m ie Sumer Desa Type Submersible Material oonemed Wa Toop RC A ST Abandoned Wells Does property have any not in use and not sealed well(s)? Ov @w D Yes 0 No VVaarriiaannccee WVoass a vvaarriiaannccee ggraatnetedd ffrroommtthee MMDDHHffoorr tshwisewlelll!? DLJ YYeess x 0 No erComa Coe Well Contractor Certification MascaSolCo IS OESIRECILD Mattson Well Co. 86108 OESTREICH D. cone ss Nae L0iRceg. No. Nofs Dh License Business Name Lie. Or Reg. No. Name of Driller Ag R030. i ap Th 3768328 file:///IIil\1PCN! Working/A0081-100%20-%20PFC%20Foa...ies/Winsted/Well%20Log%20Report%20-%2000577919.htm (1 of 2)7/1/2008 1:32: 19 PM 222222.117792 STATE 02822749 STATE_02822749 Well Log Report- 00577919 County Well Index Online Report 577919 Printed 6/29/2008 HE-01205-07 file:///IIil\1PCN! Working/A0081-1 00%20-%20PFC%20Foa... ies/Winsted/Well%20Log%20Report%20-%2000577919.htm (2 of 2)7/1/2008 1:32: 19 PM 222222.117793 STATE_02822750 Well Log Report- 00705411 MMinenetsosta UUniique WFeIllNNSo. 770055441111 EE CCoounnntyy QQuuiadd Quad ID MMechLoeoodd WWainwseteld 107A RS MMII:N'IINNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD. Mimtesota Statute., Chapter 1031 BEBE Etnrtryy DDaattee UUppddaattee DDaattee Received Date o07r/2a112004 O01/120/220.06 06/15/2004 Well Name WINSTED TW Well Depth Depth Completed Date Well Completed Ww BAe Bess eod Township Range Dir Section Subsections Ele"ation 117 27 w 11 BBCACC Elevation Method rs gp Geological Material Color cCTuOLAcPYS/aGORInLAVeEL GGBLRuAACrYK 1012 ft. ZS | ey 7. 5 minute topographic map (-/- 5 feet) 583 ft. 583ft. . iirilii;,g M:~th;;<i .i\r~;;~;;;~~ifi~ci R:~;;,:y 04/02/2004 .... pe fEe m-m mI eT| Hardness SMuOEEFDDTIuUMM Drilling J<'luid Bentonite Well Hydrofractured? DYes 0 No From Ft. to Ft. Use Abandoned Status Sealed 0 From To Casing Type Steel (black or low carbon) .Joint Welded Drive Shoe? Yes D No Above/Below ft. 009 2111133| CCaassiinnggDDiaiammeteeterr "WWeiegighhtt HHokleDDaiammeetner CLAY/GRAVEL Seratisnn CLAY/GRAVEL/SAND SAND/GRAVEL CSURaA TEROK@165 CLAY/GRAVEL GRANITE ROCK @1 05 GRANITE ROCK SANDY CLAY petted SAND/GRAVEL BROWN SOFT 2 wow sor x BROWN SOFT 25 BROWN 95 EF pe RED/WHT HARD 105 PNK/WHT HARD 113 GRAY MEDIUM 115 Gow uD 7 BROWN MEDIUM 117 25 8 in. to 272ft 28.55 lbs/ft lion wr on tn san me 95 4 in. to 470ft 105 10.79 lbs/ft a ime -- 113 Open Hole from 470 ft. to 583 ft. 115 Screen NO Make Type 117 1h ameter Sotouss Loon SetBatmesn 125 Diameter Slot/Gauze Length 8 in to 8 in to 272 ft 470 ft Set Between SAND BROWN MEDIUM 125 130 SAND/GRAVEL BROWN MEDIUM 130 190 SAND/GRAVEL GRAY MEDIUM 190 195 CLAY/SILTY SMEARY CLAY/SILTY SMEARY Amn CLAY/SILTY SMEARY SHALE WHT/GRN/BRN Ha SHALE SHALE SHALE oeSHALE SHALE SEL Gow ! SANDSTONE LT. GRN/YEL 10.30 SLT SANDSTONE LT. GRNIYEL 10.30 SLT SHALE LT GRN/WHT GRAY SOFT 195 GRAY SOFT 249 an om GRAY SOFT 258 SOFT 267 co GRN/BRN HARD 330 ORN/RED M.SOFT 345 LT GRN MEDIUM 368 GEER OE RED/ORN M.HARD 370 LT GRN MEDIUM 379 poor449 453 HARD 581 249 Ei E am pn ave e ] ss 258 Static Water Level 267 120 ft. from Land surface Date Measured 04/20/2004 330 345 PUMPING LEVEL (below land surface) 368 128 ft. after 4 hrs. pumping g.p.m. 370 Ree 379 Well Head Completion 449 Pitless adapter manufacturer Model D 0 453 Casing Protection 12 in. above grade 581 S| OO yr mnt Vet hing ONLY) 583 D At-grade (Environmental Wells and Borings ONLY) ELE SEAL nos ARR A TRAV WELLS, NC SEALING 0 236. | rsetner HL REMARKS HOLE FILLED IN TO 504' WITH SAND. M.G.S. NO. 4314. TO 345FT. GAMMA LOGGED BY DOWNHOLE GEOPHYSICS. WELL SEALED 3-9-2005 BY :V!ARK J. TRAUT WELLS, INC. SEALING NO. H-232124. GGrroouuttiinngg IInnffoorrmmaattiioonn WWeielllGGrroouvteed?? Grout Material Neat Cement 0voYres D ONoo ren from 0 to 470 ft sm 5 yrds THIS WAS A TEST WELL FOR THE CITY OF WINSTED. YeocesdSMaoneet slotgitShoney i J..ocated Minnesota Geological Survey Unique Number Verification Information (lfiroemdoouwtneerr System UTM- Nad83, Zonel5, J'v!eters Meth Digimon Src). Method Digitization (Screen)- Map (1:24,000) Date C 01104/2006 X: 417047 Y: 4979213 Cuttings Yes Borehole Geophysics Yes First Bedrock Cretaceous,Undiff. rr Last Strat Mt.Simon - County Well Index Online Report Aquifer Mt.Simon DSeiprthoto Baedsrock 249 ft. e em rnB0 50 Nearest Kno\\'n Source of Contamination _feet - direction _type Wdl disinfected upon completion? Yes PPuummpp CD3 NNoott Ionssttaallleedd DDoatte fInntstlallleedd OnD No l\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D 0 No Variance Was a variance granted from the MDII for this well? D Well Contractor Certification Yes 0 Traut MarkJ. Wells 73646 POHLKAMP !.L License Business Name Lie. Or Reg. No. Name of Driller Yes No 705411 I Printed 6129/2008 IIE-01205-07 file:/I/II;'1-1PCA/!Working/A0081-1 00%20-%20PFC%20Foam/R. .. maries;Winsted!Well%20Log%20Report%20-%200070541l.html/l/2008 1:32: 18 PM 222222.117794 STATE_02822751 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY Duh Duluth AAiirppoorrtt 1D1u44l88u"1thhMM,iiMnnnnNeessoottaa AAiirr NNaattiioonnaall GGuuaarrdd Duluth, MN D2D1aa8vv.ee78DD8oo.dd7gge2e,7,3FFiirree CChhiieeff `d2Jdo1aar8vvini-dd7.F8dd8aoo-drd7ggh2ee7a@@3,mmnSndedunuillouur.aaAnnigge.alatfd.mmFiililrefighter 2187887434 John Farnham, 218-788-7434 Senior Airfield Firefighter TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraainniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: NaNsooseccusursrrrmeeennntttrt,raaitinnheiinngeglwwiiittehhaffiooraapmmor..t FFwooarrstthlhereepapluuerrdppooassseetoohfefttShhiiiess. assessment, the entire airport was treated as the Site. NCNhooeffmoogaaummaruudsseeaddniidnn 3rtraMaiinnAiinFnggFF used n fie response Chemguard and 3M AFFF used in fire response NNoott AApppplliccaatbllee NNoott AAppppiliccaabbllee UUnnkknnoowwnn AAFFFFF- uupp1to0 110000 ggaalllloonnss UUnnnnaammeedd ccrreeeekkss aatt tthhee nnoorrtthh aanndd eeaasstt ssiiddeess ooff tthhee aarir ffiieelldd `AAlloonngg nnoorrtthh aanndd eeaasstt ssiiddeess ooff aaiirrppoorrtt oonn aaiirrppoorrtt ggrroouunnddss. NNoonnee wwiitthiinn oonnee mmiilee 323 22222222.41779955 SSTTAATTEE__0022882222775522 To OS Ar NO MESA DDUULLUUTTHH AAIIRRPPOORRTT CCWWIIWWeellll MpMap Tigi 0NEE TE eel I SE er ot [ee fH Ne ET Si et Ee Fd FiEsna eSoEC fT ---------- -- LN heSsfHRiprRr aLmRc ammYk ra Poo ShEi RkY] e $ s Spt ot eiAt Rika yer rtm AL Hie i IRE Pe Tokoir Ur es d Le7e2l2de=gLL DU Nn IR NAS a # T z Eae T"TEai u25 t Caia nsn ei n Z -- S Rees 3 TS ma | Leda op eke NCE ee (TE pr a_i e ie RolaminUEALEAgeRnte ECeRYe NNEOSa a | te Tor one TREE ST Br a ly fbh,et4eSs"TSENNNIENS EEDRe] ETF5TANne o)m < 2 h n UE i) Ees EF1o8cm0 8l wFC AONI NSMo EA RTEena A r wLiElsyOR feck dai 24 A ih] Soh AAR IRE HeD resOemirenaL ionn.OvenT sCopN a3 | LWAs T es SoSbE 222222.117796 sSTaArTeE0_208282222775533 | Ta = |DuluthInti.AirportWhat'sInMyNeigbhobrhoorohdMoMaoapd_ iI uy IE 1 Io]I | |& \ Ty [ TTT EE frig I1| | be 8 Pete e i riewere 3 fe dls premermen Fi bi SI: TE-- en 14 . isdn {S | lidi HLig i Be| | \ } of Fi per Vind NTit Ei= n eei ibs Pak % =heig, CEN a ey L pent iE goa fray I - - = Sites. *BPootmoittsodaaortafvuipnosruna Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion [isms mpgs npornimea ung of the information should be considered to be, or used as, a legal document. The information is provided LE ren.| Wm, subject to the express condition that the user knowingly waives any and all claims for damages against ocFoeorroSuporiund MPCA that may arise from the use ofthis data. Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP Stma:attottSSuup~errfftlunndil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl @Winnosota Pollution Control Agency &taM 0~ LaMIUb 4*RopeTEDRFu-- caker um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ SRA esto Crarap F:CRA l'rJ';tfii~PDI; ~ta'IIWJI' A ta oossome "'- SliM ~rMIII: 222222.117797 STSATATETE0_208228222775504 - ge | in | |eealr EyElHHHHH L dan ioani | fmle e SRaYm een T ses di With ly ob Na Nog ON\ 8 #7) Z:|3 1 IS4N a7 3 gs fo 16:44 5 WW g - 2 Kr | [NEA p4S12 Fog, o 7.F ! = | (8g Eg SEP i|: i| i AaAnT1)DBLP ABN A 4d il Duluth Airport Wetland Map oo 2222.1798 ; 92-13W 92-12W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N '-I Ul Ul Nl Ba, H i gLEawmie i bs a r CE Le Ii y. 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CD w 0 z Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America 92-11 w 92-10W Map center: 46 50' 29" N, 92 11' 30" W $ Scale: 1:35,457 - : cess Well Log Report- 00486834 [sows] Minnesota Unique Well No. 486834 Eom' Eoan County Quad Quad ID St. Louis Duluth Heights 244C "WELRL ANDRBORRING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 Ejreaievieed] Entry Date Update Date Received Date 05/04/1993 ll/20/2007 Well Name V AI\ GUILDER, JAJ\1ES Township Range Dir Section Subsections Elevation 51 15 w 35 CCCBAC Elevation Method 1413 ft. 7.5 minute topographic map(+/- 5 feet) _ Well Address 4718 LAVAQUE RD pDu ULUTmH MN 55811 eat Geological Material TOP SOIL, GRAVEL MIXED CLAY & GRAVEL fei Color BROWN Hardness SOFT MEDIUM From To 0 2 2 29 Well Depth Depth Completed Date Well Completed erI ror 29ft. Drilling Method Dug 29ft. 06/10/1992 .... Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below I ft. DYes 0 ee Casing Diameter Weight Open Hole from ft. to ft. Hole Diameter Screen YES Make Type slotted pipe DDiaiammeteeterr `SSlloott/GGaauuzez.e LLeennggtthh SSeett BBeettwweeeenn nm 21 ft and 28 ft Static Watet Level 2 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 20 ft. after 2 hrs. pumping 15 g.p.m. 06/27/1992 Pie lemint MANS Noel 61 Well Head Completion Pitless adapter manufacturer :V!AASS Model 6Jl DDlcCuaisninggrPortostetcitioonn B01122.in. sabhoovveeggrraaddee IDO) Aitg-gerna(deE(EnnvirvonmienrtalWoWelenlllsssmanddeBBoornriinntggss OaONNlLLYY) CHES ATONE REMARKS 2 INCHES BEJ\TONITE CCAAFP APOLVERIPETERODAT APPLIED OVER PETRO-MAT. l | IINNCCHHCCLLAAYY Capo CAP ON | Groin Grouting In mtn formation SetGr? Wdl Grouted? 0EvYoes CIDNo - TOP. foLocated Minnesota Geological Survey Unique Number Verification Address verification GGrroouutMMaataerlial BBeenttoonitne fwrooms two Rft :Wethod Digitization (Screen) - :Vlap (I :24,000) Date 09/14/2007 TrNearest Kno\\'D Source of Contamination 200 feet N_direction SeQtic tank/drain field type System UTM- Nad83, Zonel5. Meters X: 559768 Y: 5189068 Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed 07/01/1992 Lenape) Co0pspyn pe Sic NarPoi Manufacturer's name STA-RITE Model number IOP4C02T liP Qj_ Volts 230 Length of drop Pipe 20 ft. Capacity 10 g.p.m Type Submersible Material Plastic 0 Abandoned Wells Does prope1iy have any not in use and not sealed well(s)? Yes 0 xo D No First Bedrock i Last Strat Pebbly sand/silt/clay Aquifet Quat. Buried Aiies. Aquifer DS epthe to Ber droce k ft.n County Well Index Online Report Variance Was a variance granted from the MDH for this well'! D Well Contractor Certification Agua Svstems 69438 MADISON l2... License Busine-:s Name Lie. Or Reg. No Name of Driller 486834 I Yes D No Printed 6115/2008 HE-01205-07 file://III;'1-1PCA/!Working/A0081-1 00%20-%20PFC%20Foam/R. .. luth%20Airport;Well%20Log%20Report%20-%2000486834 htm7 /1/2008 1:37:35 PM 22222.1177999 STATE_02822756 Well Log Report- 00690500 1\Iinnesota Unique Well No. [690500 unaa" 690500 County Quad Quad ID GET WellNameVANGUILDER, JAMES iDcemos St. Louis Duluth Heights 244C MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD WELL AND BORING RECORD [i Minne.mta Statutes Chapter 1031 Na Ca Well Depth Depth Completed Entry Date Upimeiwe 120307 Update Date [ree Received Date 11/20/2007 12/18/2003 baraCapt Date Well Completed SW coccen Howse Township Range Dir Section Subsections Elevation 51 15 w 35 CCCCCA Elevation Method TSR | iiact 1414 ft. 7. 5 minute topographic map(+/- 5 feet) 325ft. 325ft. .ori'Ifug t\i~th~d M;;iiif,i~ ;;;~11;~.1~ ;;~~.1 11/20/2003 .... Dtilling Fluid Water I 0 D Well Hydrofractnred? Yes No From 50 Ft. to 325 Ft. vinagarss Well Address aso 4708 LAVAGUE RD ma DULUTH MN 55811 Use Domestic Cong Tope Se itr coe) ot ti Be? Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0 Oxo srtin_a. Yes D 1\o Above/Below ft. Conny Dimatr wo Str Casing Diameter Weight Hole Diameter an in Sun san ar 6 in. to 24ft 19.45 lbs/ft 6 1n to 24 ft saw wm 6 1n to 325 ft Open Hole from 24 ft. to 325 ft. Screen NO Make Type SSpEarDs s Geological Material CLAY SAND & ROCKS SAND& ROCKS GABBRO Toa QUARTZ " GABBRO Boonw Color BROWN BROWN wow Hardness SOFT MEDIUM 2os2 From To 0 6 6 22 BLACK BEL: BLKIWHT seme BLACK MSOFT MEDIUM MEDIUM 22 110 110 115 115 325 Diameter Slot/Gauze Length Static Water Level 2.7 ft. from Land surface Date Measured 11/10/2003 Set Between PI:MPING LEVEL (below land surface) 120 ft. after 4 hrs. pumping 2 g.p.m. P0OioctaaeetimeoimnriarB MeO1N3hIaTmsOiRer|nosMsea0d3d11S1NAPPY REMARKS [ER Crmaigimntnn WS? Vo. CI OLD WloLL SEAL!oD H-200691 NOT SEAL!oD. Well Head Completion Pitless adapter manufacturer MONITOR Model SNAPPY D Casing Protection 0 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Gott tn fn wat Located Minnesota Geological Survey No een Unique Number Verification Address verification Seve UT Nad Zone Mrs: STG : S184 oetse tdare n coS ptee r ABave p0e) no System UTM- Nad83, Zonel5, Meters Grout Material Bentonite Method Digitization (Screen)- Map (1:24,000) from to 24ft Date 09/14/2007 X: 559746 Y: 5188954 Nearest Known Source of Contamination ~feet l'i_direction Se]Jtic tank/drain field type Well disinfected upon completion? 0 Yes D 1\o zo 2 bags Pump D Not Installed Date Installed Manufacturer1s nan1e Model number - Length of drop Pipe ft. Capacity g.p.m liP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Fin Bet Da Coin First Bedrock Duluth Complex La st bom Last Strat Duluth Complex pier Duk Compicn Aquifer Duluth Complex pn 38 Depth to Redrock 22 ft. Variance Was a variance granted from the MDII for this well? D Yes 0 No Well Contractor Certification re Petersen Well Co. ce is vet 01g eae trite License Business Name 69183 PETERSEN 12_ Lie. Or Reg. No. 1\ame of Driller County Well Index Online Report 690500 I Printed 6/15/2008 HE-0 I20 5-07 file://III/11PCAI!Working/A0081-100%20-%20PFC%20FoamiR.. luth%20Airport!Well%20Log%20Report%20-%2000690500 htm 7/112008 1:37:35 PM 22222222.11880000 SSTTAATTEE__0022882222775577 Well Log Report- 00747232 Minnesota Unique Well No_ Mormo7lo4V7a2ne32FolNs_ QoQuuuadaym D521i.L0uouiTshighs WELLRHAEENCADLOBTROHDRING. RUBencwdoymubeedubbueuete 11o20v01o05s3320000n70 II 747232 County Quad QuadiD St. Louis Duluth Heights 244C em MinnaSWeoltlwDeespCthhaper 1D03epCompe Da WeCop WellNameMW-13 Tomrbip RanDi Scion Succ Elevation won on JY 1013206 Township Range Dir Section Subsections Elevation DIS W 2 DDN Elev Mt (SCT anoT r | DRE bd oI o Sm Ae g 50 15 w 2 lJlJABlJB Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 03106/2007 11115/2007 12/06/2006 1419 ft Calc from DEM (USGS 7.5 minor equiv.) Well Depth Depth Completed 19 ft_ 18ft rii-i1iiiig M~th~d H~ii~~ Stem A1 Date Well Completed 10/13/2006 Drilling Fluid -- Well Hydrofractured? DYes 0 No From Ft. to Ft. Use Monitor well Casing Type Plastic Joint No Information Drive Shoe? DYes 0 No Above/Below ft. Casing Diameter Casing Diameter Zan on 2 in. to 8ft. Weight Weight omen 0.69 lbs./ft. ioe Diameter Hole Diameter smu mn 9 in. to 19 ft. i "T1oAh, RFORFTD Well Address 4931 AIRPORT RD DULUTH MN 55802 secioica atrial Geological Material Saovsur SANDY SILT avCLAY Sno sur SANDY SILT PE Color wow SOT BROWN mow So BROWN mom So BROWN Hardness SOFT SOFT SOFT [orofre Open Hole from ft. to ft. Sen VES Wake NOOR Tope Fee Screen YES Make MONOFLEX Type plastic Oismeter SiotGaze Length Set Between Diameter v we From To 2 [A0 4 SloUGauze 10 Length 10 Set Between 8 ft. and 18 ft. "os 4 8 iw 8 19 SowTae Static Water Level Tn or Lami_Doe Mesrsd_ 10132006 12 ft. from Land surface Date Measured 10113/2006 PUMPING LEVEL (below land surface) TEVIRRE REMARKS MW-13 ft. after hrs. pumping g. p.m. Walled Compl Well Head Completion Pion spc mature Mol Pitkss adapter manufadurer Model Dlcaingroteion T 12im shone rc D Casing Protection D 12 in. above grade ED ere Evironment Wels nd rigs ONLY) 0 At-grade (Environmental Wells and Borings ONLY) Growing oematin. Welles? 8 Yor Oo Grouting Information Well Grouted? 0 Yes D No LocatedMimo Depart of lt Method GIS SA OF (svg) Grates: torts fon won 3 vos Located Minnesota Department ofHealth Una NumberVerfaton NA Date 1012205 Unique Number Verification NIA Seem UTM NS Zon rs X: SOTO: S1vash [Nem Ramm Somer Come System UTM- Nad83, Zonel5, Meters Method GPS SA Off (averaged) Date 10/12/2006 X: 561170 Y: 5187658 Grout Material: Bentonite from to 6 ft. Nearest Known Source of Contamination 3 bags ot mii uponcompision 0) ver 0 No Q_feet - direction _type Well disinfected upon completion? D Yes D No Ppuummpp 0D] NNoottlnInssitaalllleedd DDuattee Innssitaallleedd Nimictuernse Mod punber_ 1P_ oli Manufacturer's name Model number - LenngopPeenl. Coeiy-gpn Te Neat Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Varian Woes vais nid om be NDI tira? 2) Yer Variance Was a variance granted from the MDII for this well? 0 Yes 0 x D No LFuFiinerstSBBteaedtdrrooUccnkkkdostre DAaeqtupeifreor Bedrock Last Strat Unknown deposit type Depth to Bedrock ft. CCoouunnttyyWWelelllIInnddeexxOOnlnilnineeRReeppoorrtt Well Contractor Certification Mk Tel. 03 EAUISCELK. Mark J Traut Wells Inc. 1404 PAUTSCH K. come Dinincs Name Lic Or Reg No. Na of Dre License Business Name Lie. Or Reg. No. Name of Driller 774477223322 I Printed 6/1512008 HE-01205-07 file:I/IJ]/l\1PCA/I\Vorking/A0081-100%20-%20PFC%20Foam/R.. .luth%20Airport/\Vell%20Log%20Report%20-%2000747232.htm7/l/2008 1:37:33 PM 22222222.11880011 SSTTAATTEE__0022882222775588 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMSSPP AAiirppoorrtt MMMeSStPProAApioirripptoorartntFFAiirpreeorDDteesppaCarortmmmmeeinnsttsion Metropolitan Airports Commission T6To1on2ni.i 7HH2oo6ww.el8el1ll,0, 0MMAACC MMaannaagegre,r, EEnnvviirroonnmmeennttaall AAffffaaiirrss t6thh1oo2ww-7ee2lll6@i-@8mm1ss0pp0mmaacc..ooryg TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaallffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: TTprruaamiinnpiienndgg cocuootnnddauunccdtteedddisoopnnoppslleuuggoggfee-ddsicceoonntoccrrseeattneeitaaarrreeyaaSaaettwMMeSrSsPPy,,swtweihmcicbhhyiissa liplicicuicemnengnpsspeeeaddddcocwoouinnttthtraranaccdciotoodvrr.ies. prTToerrsaadieinpndiignnogggfefaa-dsttitHHderuuatmmoipnpshsharrneeiytyarrryeemmsoeotwteeefrraasmmysppoteormr aabddyeea-- icing pad with covered/plugged drains. AAFFFFFF:: AAnnssuull 33%% ((ccuurrerentn)t;); 33MM ((hhiissttoorriicc)) QQuuaarrteerrlyy 551to01100ggaatlloonnss SShhiippppeedd ooffff-ssiittee ffoorr ddiisspposoaslat0lo ssaanniittaarryy sseewweerr ssyysstteemm AAGlFFaFFsF:s:BP22r00o00l1tio0n2:25500hgigastalolllrooinncssuse (19605/19705), amount and CltC{rgaalaasiinsnsisinngABg:uuPss5rgeeoatuuelnnilnkko:nnnosohwwisnntoric use (1960s/1970s), amount and Class A: 5 gallons MtMoiinnnnonerestshoowtteaasRtRiiovvneedr lloeefsssasirtthphoaarntn. 11//44 mmiillee ssoouutthh;; MMootthheerr LLaakkee aaddjjaacceenntt to northwest end of airport. AAddjjaacceenntt wweesstt,, nnoorrtthhwweesstt aanndd ssoouutthh ooff aaiirrppoorrtt SSiittee aappppeeaarrss ttoo bbee llooccaatteedd iinn aann aaccttiivvee kkaarrsstt aarreeaa OOnn aaiirrppoorrtt pprrooppeerrttyy WWeesstteerrn ppoorrttiioonn oofaf aiiprpoorrtt iis iinn aa WWeellllhveeaadd PPrrootteeccttiioonn AArreeaa 333 22222222..11880022 SSTTAATTEE__0022882222775599 MMIINNNNEEAAPOPLOILSI-SS-STT.. PPAAUULL IINNTTEERRNNAATTIINNAALL AAIIRRPPOORRTT CCWWIIWWeellll MMaapp TRE drm Nh Clb ee sL IoNuTl Cy TENREl TEnTiRON 1 phil ik Ae ER date Re WH ede oo IT 0 OW 3; =anal x Oe aa EY pid EER ae FAD TE aemep ume Pepteec pad SRE Sf15 C SOA SRnN enlINE8 re JAi ik Lo EY Ne a Ey S 1 r om se Yom | NINE CE ON":aSoy, FEEy yo] r Song Asis Spr A yr Bh as TLE NL eka ee VE Ghee Ea Ee NES i Ns 2 Trr m sMSEaodf Lee CAA Wd dg WI iedoe l Cisme eee aa ollS lheE e mTenrEee y GUaSe lyTelnT,U ATYToE , H Bj EE HE F1EAREIAA LRR ePoe ae) Hip Ay Lond fal AE on Leal E a R e R Md i oeae ne e =r Conn SEE e-- e --; 222222.118803 stare.02822760 STATE_02822760 MSPAirportWhat'sIn My NeighborhoodMap al] Lt iv lima Wh Lafrads dl Ng RT Se HT NAN TT ipl Lh TET Noa ol NE >Le re fi ERE ee TORY e oe | # ri Sl ed" Tad 3 =1 KZ EE oe] SSIITTEE - hamiiseey 18 Paid & Hd da eA ir SEE bap i a2 AA Teia VA 7 te Fond i Nx Sew ote tem ESET || Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. @Minnesota Pollution Control Agency Sims, Sra utara Dt~ llfiiW: r.luJrtrftmiil roa hm~SOI'I<J~ goa l!ln~miiBCI Dun~ en MFRAP Stma:attottSSuup~errfftlunndil o cura e CEK.CLt:s * mrad Q F'Mil:nl !lh.a~rhmcl + fon ronan &taM 0~ LaMIUb JVoingre i,n um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ EF:RCRAAI0lv'r4J';1tf1ii~0PD&1I;C~1tha'a0IInW0JgI' + Co srs "'- SliM ~rMIII: 222222.118804 sStTaArTeEo_z0s228222776611  gr or ofrh) se fT 5 J =8 :Ey %2 = PER MSP Wetland Map 22222.1188005 = |ii he sa 1 2 Sn } WN --, i Des Facey: | - I = 1 | H eEr : ii i i# 93-15W 93-14 w 93-13W i: OiH 1i ik r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only, Data layers that appear on this map may or may not be accurate, current, or otherwise reliable, THIS MAP IS NOT TO BE USED FOR NAVIGATION, I 0 N 00 N N '-I 0"1 N HHzi t Le '| ig | 2 BE I 18 Hos sf 2 Nr, Hil pi i Hy . Yh i[| AA Oy rTRA NisLha __,,.. """"'"""""'"""'"""""'"""""0"""'""""""""""""1~ z f: ~ __,,.. &, N z wasn ws wan ley, HHL oan faH l E Ih RE iE Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads II Cities r " USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DDK o South America o North America ntail ! |r _,. PE 43 $ 93-12W ~~L.:L__j~ 93-11 w z Map center: 44 52' 50" N, 93 13' 7" W |E & Scale: 1:48,776 :t Well Log Report- 00151585 Minnesnta Unique Well Nn. 151585 oonna"i 151585 County Quad QuadiD TT Well Name INTERNATIONAL AIRPORT 3 ral Hennepin St Paul West 103B MINNESOTA DEPART-"IENT OF HEALTH `WELL AND BORING RECORD. WELL AND BORING RECORD newt StChops 11 Miuue.mta Statutes Chapter I 031 wa TwCo Well Depth Depth Completed Entry Date Teme loon TJpdate Date Heedte Received Date 08/24/1991 10/20/2006 AWACa Date Well Completed Township Range Dir Section Subsections Elevation 2S 23 w 29 Cl:ll:ll:ll:lA Elevation .Vlethod 818 ft. 7.5 minute topographic map(+/- 5 feet) 432 n. Drilling Fluid -- 432ft. CaDle 1001 IWell Hydrofractnred? From Ft. to Ft. DYes 09/0011986 D No Wet Ares Well Address ron AIRPORT DR MN~JEAPOLIS MN 55111 cp co een is Geological Material FILL hare PLATTVILLE SaleSHALE ST. PETER (SANDROCK) Se SHALE SHAKOPEE LIMEROCK JORDAN- SAI~DROCK Gor Color BROII'm aGRAY SvGRAY YELLOW owGRAY GRAY WHITE nes Hardness HARD ow MEDIUM MEDIUM Eo MEDIUM Use Abandoned Status Sealed CnnTope St oe cee ot Nomi Dear Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Ox spoon 20. Yes 0No Above/Below 2 ft. CasingDeer ae Casing Diameter ew or an 24 in to 12 ft wow own un 18 in to 230 ft Weight lbs/ft lbs/ft Hole Diameter Open Hole from 230 ft. to 432 ft. pm To [SNE To From 0 : be Sasin 7 no 33 36 wow 151 Screen 'JO To 7 Diameter 33 36 151 201 Make Type Slot/Gauze 201 329 Static Water Level 329 432 90.4 ft. from Land surface Date Measured wage Length 07/00/1986 susan Set Between PUMPING LEVEL (below land surfuce) 141.75 ft. after S hrs. pumping 1500 g.p.m. Welles Colt Well Head Completion Po armontane add Pitless adapter manufacturer Olesen 2in one pe D Casing Protection 0 Model 12 in. above grade IE te mem Welt mt ts oN) D At-grade (Environmental Wells and Borings ONLY) REMARKS M.G.S. NO. 2610. Grouting Information Well Grouted0 [2] Yes D No WELL SEALED 10-19-1998. H-141954. WELL SEALED 10-19-1998 BY 62012 ORIGINAL USE CO- COMMERCIAL B Had R Mims Gps Located Minnesota Geological Survey Urn ember Vette oman Uuiqne Number Verification Information ptm UT from owner System UTM- NaF Nadii3, Znne/5, Mors Meters thd Ltn coaene Method Public Land Survey - QQQQQQ Section po DateN/A XXe: 460 483660 YV2 : 70 4970036 Grout Matenal ~Jeat Cement from to 230ft 46 yrds Nearest Known Source of Contamination [NERE TS, 1000 feet L direction Bodv of water type waropt 01 va 0 No Well disinfected upon completion? D Yes D No LNi im rna daPERnLEnsC N6drSemnerTLLUeHIPN1a36SSlold Pump 0 Not Installed Date Installed 07/0011986 Manufacturer's nan1e PEERLESS Model number OIL LUB HP .ill_ Volts 460 Length of drop Pipe 200 ft. Capacity 1400 g.p.m Type Turbine Material Steel black or low carbon) dent th Dr ve temtr 0 ve Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes Oo. D 'Jo Cuttings Yes Fine edna isi nit te in ete First Bedrock Platteville Let i Dept m7 Last Strat Jordan Aquifer Prairie Du Chien-Jordan Depth to Bedrock 7 ft. yr Ge pr County Well Index Online Report Vruiance Was a variance granted fi"mn the MDH for this well? D Yes D No Well Contractor Certification Red Gn smGR Keys Well Co. 62012 SITTIG R. cor i oricNeo Nene License Business Name Lie. Or Reg. No. Name of Driller [ows[ I wm] 151585 Printed 6/29/2008 HE-01205-07 file:/I!IIf11PCA/!V\rorking/A0081-1 00%20-%20PFC%20Foam!R.. !MSP%20AirportWell%20Log%20Report%20-%2000151585.htrn7/1/2008 1:39:26 PM 22222222.11880066 SSTTAATETE0_208282222776633 Well Log Report- 00165599 MMoinmneensottsa UUnnkipqnueeNWlell NXoo. 165599 | oi or' Siilie II 165599 Ccoouunmtyy Quad Quad ID HHeonunneeppiinn StPaul West 103B ET Well '-'arne RICHFIELD GOLF COURSE rm Babes Township Range Dir Section Subsections Elevation 2=8 2244 wW 3366 BBBBAAAAAAAA EFlleevvaattiioonn Mieetthhoodd we adaress Well Address 827 ft. MINNESOTA Dl<:PARTMI<:NT OF HHEEAALLTTHH WELL AND BORING tend WELL AND BORING RECORD anki RECORD coe Sa hg 1 }lfinnesota Statutes Chapter 103I EEnnttrryy DDaattee. Update Date RPcPivPd Dati' 0088/22441/1999911 05/06/2005 bs eg Comond-- Do RACo Well Depth Depth Completed Date Well Completed wr oo oe 258 ft. 258ft. 05/03/1979 tt7oo.5ppoomggriranapuphthieicc mmoapp | DUrrlallnmn!E! JMVeJtehtnooda =-- (+/- 5 feet) Drilling Fluid -- IWell Hydrofractured? From Ft. to Ft. DYes 0No Cse Abandoned Status Sealed cries sa roi er I Casing Type Joint No Information Drive Shoe'! DYes D bgt yA No Above/Below 0 ft. CasingDire Tn Casing Diameter Weight Hole Diameter Tae wn 6 in. to 178 ft. lbs.lft. RICHFIELD MN cfoesnesnatura Geological Material sSoeSAND SANDY CLAY SE GRAVEL Cisoue oe. CLAY &SOME GRAVEL frien CLAY & SOME GRAVEL Svs me CLAY &GRAVEL SHALE & SANDSTONE Ae LIMESTONE GorColor vwewm VARIED BROWN Som BROWN Som BROWN om BROWN oe VARIED YELLOW iowYELLOW Names Hardness 50 LL REMARKS M.G.S. NO. 1501 & 2094. Whi ator s0am0my ons M.P.-.92 GLEN LENTNER 861-6505 OSP- OPC WELL SEALED 03-30-2000 BY 00123 ORIGINAL USE PS- PUBLIC SUPPLY/NON-COMMUNITY From To From To om 4 0 4 4 21 Lok 21 44 iow 44 64 "oh 64 150 wom 150 171 171 194 RAR] 194 258 Open Hole rom 178 ft. to 258 ft. [mano oe Tor Screen NO Make Type Joma svc Diameter Slot/Gauze tog Length Sexson Set Between Static Water Level 90 ft. from J"and surface Date Measured 05/0311979 PUMPI'-'G LEVEL (bPlow land surfacP) 116 ft. after hrs. pumping 100 g. p.m. Walled Compeion Well Head Completion Maier Mob Pitless adapter manufacturer Model Dlcuiog rion Tl 121 oreo D Casing Protection D 12 in. above grade I semicon wot mtorr) D At-grade (Environmental Wells and Borings ONLY) Grouting ormation WellGreet? 1 Yes LI No Grouting; Information Well Grouted? DYes D No oecat mee Ggetsy sy, SUeeb Dnt 2400 LocatPd Minnesota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) niger morn DNA Unique Number Verification Information from owner Date N!A ean itt. 4 75 System UTM- Nad83, Zone15, Meters X: 480815 Y: 4969205 ~earest Known SourcP of Contamination ao - feet - direction _type wit ssnietmsmptrr 0 ve 0 no Well disinfected upon completion? D Yes D No Tan ox oed D ated Pump 0 Not Installed Date Installed Manufacturer's name RED JACKET Model number 8DC LA, mtr _ HPL Volts 230 Length of drop Pipe 1l.Q_ft. Capacity 35 ".p.m pratenitg Type Submersible Material a Abandoned Wells Does property have any not in use and not sealed well(s)? 0D Yvees OD Nxo Cuts Yo Cuttings Yes i dr iter tie First Dedmck St.Peter LS ut Clio pts Det, 17 Last Stnt Prairie Du Chien Group Aquifer Multiple Depth to Bedrock 171 ft. omy Wehner County Well Index Online Report Va.-iance Was a variance granted from the MDII for this well0 No Tr Cr Well Contractor Certification manos Renner E.h. & Sons 02015 ere oss Nae Or to Nar ri License Business Name Lie. Or Reg. No. Name of Driller 165599 I 165599 D Yes D Printed 6/29/2008 HE-0 1205-07 ACA Vig SC. AP Sper SASS 08 393 flle:///II!\1PCA/!Working/A0081-l00%20-%20PFC%20Foarn'R.../MSP%20Airport/Well%20Log%20Report%20-%2000165599.htm7/1/2008 I :39:26 PM 222222.118807 stare 02822764 STATE_02822764 Well Log Report- 00165600 Minnesota Unique Well No. II 165600 County Quad Quad ID Hennepin StPaul West 103B Well '-'arne RICHFIELD GOLF COURSE Township Range Dir Section Subsections Elevation 23 8 224 wW 3366 BBBBAAAAAAAA EFlleevvaattiioonn MMeetthhoodd =Well Address RICHFIELD MN GGeeoollooggiiccaall MMataeterriiaall SAND GRAVEL CLAY GRAVEL CLAY HARDPAN SANDY SHALE SHALEY SANDSTONE fusiie SANDSTONE LIMESTONE reCCoolloorr BROWN GRAY GRAY GRAY GRAY GRAY GRAY YELLOW orGRAY GRAY HHaarrddnneessss MINNESOTA Dl<:PARTMI<:NT OF HEALTH WELL AND BORING RECORD }lfinnesota Statutes Chapter 103I Entry Date Update Date RPcPivPd Dati' 08/24/1991 05/06/2005 827 ft. t7to.o5ppoomggrirnaapuphtheiicc mmoapp (+/- S feet) Well Depth 338 ft. | DUrrlallmnE!! JMVeJtehtnooda =-- Depth Completed 338ft. Drilling Fluid -- Use Abandoned IWell Hydrofractured? From Ft. to Ft. Status Sealed Date Well Completed 07/00/1979 DYes 0No poFFrroomm 0 20 40 55 65 140 160 170 moe175 200 Casing Type Joint No Information Drive Shoe'! DYes D No Above/Below 0 ft. EECasing Diameter 20 in. to 181 ft. ToTo Open Hole rom 181 20 Screen NO Make ft. to Type Weight lbs.lft. 338 ft. Hole Diameter 40 55 Diameter Slot/Gauze Length Set Between 65 140 160 mtr 170 175 Static Water Level 200 95 ft. from J"and surface Date Measured 07/0011979 338 PUMPI'-'G LEVEL (bPlow land surfacP) 150 ft. after hrs. pumping 1300 g.p.m. FAN REMARKS M.G.S. NO. 1602 M.G.S.ill602. M.P.? GLEN LENTNER 861-6505 WELL SEALED 03-24-2000 BY 00123 ORIGINAL USE IR- IRRIGATION Well Head Completion Pitless adapter manufacturer Model DDcuCsaisinngg Pprroosteccctiioonn D0 1122imn. aabboovvee ggrraacdee: Growing formation Wal Greet? 0 Yor 0 Mo D03 AAvt-ggrraaddee ((EEanvviirroonommeennttsall WWeellllss aanndd BBoosriinnggss OONNLLYY)) Grouting; Information Well Grouted? DYes D No LboeciatPd Minnesota a Geological Survey (24.000) Method Digitization (1:24,000) (Screen)- Map reenter or Doe 000202 Unique Number Verification Information from owner Date 10/0912002 TAS ns 5 3 System UTM- Nad83, Zone15, Meters X: 480816 Y: 4969223 Cuttings Yes rr First Bedrock St.Peter Last Strat Prairie Du Chien Group Aquifer Multiple Depth to Bedrock 160 ft. County Well Index Online Report ~earest Known SourcP of Contamination feet direction _type -Wlelll dd i-sinfei cted pun poonnccoe ommppllted itioonn?? 1D Yveess D0 NNoo orn 2 med toed Pump 0 Not Installed Date Installed Manufacturer's name JACUZZI Model number 12MCZ MT em _ HP200 Volts 460 AKLobeaannngtddhooonnefedddrWoWpeelPlllispeDD2oo0ees0s propery ave an tm ae ft. Capacity llQQ__g.p.m property have any not in use aannddTnoyorptesSeeJaeilteeddMwwaeetlellr()isa)"l? 0D Yvees O D xNo VariancE' Was a variance granted from the MDH for this well" No Well Contractm Cettification Renner E. h. & Sons 02015 = License Business Name 165600 Lie. Or Reg. No. Name of Driller I D Yes D Printed 6/29/2008 HE-0 1205-07 flle:///II!\1PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R.. ./MSP%20Airport/Well%20Log%20Report%20-%2000165600.htm7/1/2008 I :39:24 PM 22222..11808 STATE_02822765 [Ee -- Well Log Report- 00208320 Ans208tn3g20 Ga Site MINWNEELSOLTAANDEDPABROTRMIENNTGOF Uniuebue oGosiont II II ~:::ty aE Minnr>sota Uniqur> Wr>ll No. 208320 Guam ian RECORD Reson Dac L!:.=========::!..1. County Quad ID HHeeannnceppiinn StPaul West 103B Ta AAT AIRSTAT MionsotoWSaltbtespCthhis 1D0e30pth Compt De WelCompe Well Name NAVAL AIR STAT. Tovmbip Range Di Section Subnctions Econ ssn py Sn Semon Township Range Dir Section Subsections Elevation Ie 2288 2233 wW 1199 DDDODDDDDDDD EElelevvaattiioonn MMeetthhoodd MINNESOTA DEPARTMENT OF HHEEAALLTTHH WELL AND BORING RECORD 11Jinnesota Statutes Chapter 1031 EnEtnrtryy DDaattee Update Date Received Date 0088/22441/1999911 06/03/2004 845 ft. to7top.5poogmgriranapuphthieicc mmaapp (+I-S teet) Well Depth 446 ft. |. nD~riiililiiinigg MMe~tthho~dd -- Depth Completed 446ft. Date Well Completed 06/09/1943 .... IWatharorcured? O ver Oo Drilling Fluid Pon Te -- Well Hydrofractured? DYes D No From Ft. to Ft. Well Adress Well Address aoouncrouy BLOOMINGTON MN Use Commercial Catng Tope toto NoTtomaton Drive She? 0 Yer Casing Type Joint No Information Drive Shoe? DYes D oN ton 8 No Above/Below 0 ft. CasingOsmetor org For Diameter Casing Diameter Weight Hole Diameter Gelagica oor Geological Material SomOCLY SAND AND CLAY SapSAND Foci wo wroran ROCKS AND HARDPAN Ur RoOS CLAY AND ROCKS ec BLUE CLAY jr -- HARD SANDY CLAY AND WOOD Stnoroos SANDROCK Siomoo mosie SANDROCK AND SHALE Sorte SHAKOPEE oRDnemoRook JORDAN SANDROCK tne JORDAN WITH SHALE EE C-- ra -- Color Hardness ae PBSGETatooFuRoTRm4ia5wf0e0 l[ a [[olmFS eawo LUw EVTEaLNm(sStoP oswTDeIsunderMGefrcsr)eLdeg08s03108S8etBetssn BLUE From To Open Hole from ft. to ft 0 3 Screen Make Type 3 18 18 29 Diameter Slot/Gauze Length Set Between 29 56 56 83 83 110 110 175 175 224 Static Water Level 224 350 135 ft from Land surface Date Measured 08102/1988 350 410 PUMPING LEVEL (below land surfact>) 410 446 ft. after l1rs. pumping g.p.m. 5 00, REMARKS CASING: 24" TO 102; 16" T0236. M.P.-1.0 JESSE BARNABY 725-5370/5360 GAMMA LOGGED 4/7/89. hteio mamir Model W.-ll H.-ad Compl.-tion Pitless adapter manufacturer Model DDlcaCsaisinngg PPrroosteeccttiioonn D0 11221min.. sabboovveeggraraddee. J Ane Gimiemenst Welln Rings ONLY) D At-grade (Environmental Wells and Borings ONLY) mates trmaton Wal Groat? 0 ves OI Grouting Information Well Grouted? DYes 0No Locate Minus Geogiod Method Digi se 124 x Locat.-d Minnesota Geological M.-thod Digitized- scale 1:24,000 or eo thd, Died Survey laarggeser (Dig(EiRtgiizdi2ningg Table) uUniqss Name Venton Due NA ~nique Number Verification N/ Date N/A orSSyysstteemm }vfr>tr>rs VUITMM-NNaadd8i3,, ZZoonneellS5,, x sian yi somisss X: 483180 Y: 4971333 Borehole Gophis Yes Borehole Geophysics Yes Fir Bede S11 First Bedrock StPeter Lats Jon Last Strat Jordan Aq Mie Aquifer Multiple DepttBde 101 D.-pth to B.-drock 110 ft. County Well Index Online Report TRG Sr Caiz o Nfefeeaecrttes_t KddiinrroeeccwttiinoonnSou_rtc_yteyppoee.f Contamination don - - wot in poncot mpro 0) veo 0 No Pump Not Inlled Date ald Well disinfected upon completion'1 D Yes Pump 0 Not Installed Date Tnstalled Viat oeENIu UANKSs ORS. Ml Manufacturer's name fAIRBANKS MORSE ure Na 230 number - HP2Q_ Volts 230 Tobonp gie Copity 1000 gpm Tope Mort Length of drop Pipe ft Capacity lQQQ__g.p.m D No Model Type Material pe Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No VVaarriiaannccee WWaassaa vvaarriiaanncceeggrraanntteedd ffroomm tthhee MMDDHHfoforr tthhiiss wweellll?? [DJ YYeess. Ow D No VeCorr Cero W.-ll Contractor C.-rtification Keswelo woz Keys Well Co. 62012 cone Dims Name Li Or Re. No Naof iels License Business Name Lie. Or Reg. No. Name of Driller 208320 I Printed 6/29/2008 HE-01205-07 file://;IJI1\1PCA/'Working/A0081-100%20-%20PFC%20Foa...P%20Airport/Well%20Log%20Report%20-%2000208320.htm (1 of2)7/li2008 1:39:25 PM 22222..11809 STATE 02822766 STATE_02822766 WebLog pn Well Log Report- 00208320 Aig AS11012 ECTper We 2008532071 0 1935 A file://;JII1\1PCA/'Working/A0081-100%20-%20PFC%20Foa...P%20Airport/Well%20Log%20Report%20-%2000208320.htm (2 of2)7/li2008 1:39:25 PM 22222222..11881100 SSTTAATTEE__0022882222776677 Well Log Report- 00208321 208321 Minnesnta Unique Well 208321 Nn. oonta"o rJoal County Quad QuadiD Hennepin St Paul West 103B `WEWLLiArNeDsBORICNhoGpRE1C6O1 RD. MINNESOTA DEPART-"IENT OF HEALTH WELL AND BORING RECORD Miuue.mta Statutes Chapter I 031 Toveemaeae Entry Date TJpdate Date Received Date loon 08/24/1991 10/20/2006 Well Name METROPOLITAN AIRPORT 2 Township Range Dir Section Subsections Elevation 2S 23 w 29 Cl:ll:ll:ll:lA Elevation .Vlethod 815 ft. 7.5 minute topographic map(+/- 5 feet) Well Address Well Depth 400 n. Depth Completed 400ft. Date Well Completed 06/2211970 -- Drilling Fluid -- IWell Hydrofractnred? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Com Te Soko ony on Soto pea? OF Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Oe soem 00. Yes 0'lo Above/Below 0 ft. Cem Bimr Vo TaeStr Casing Diameter wen mn on 16 in to 204 fl Weight lbs/ft Hole Diameter BLOOMII~GTO~I M~l octogeaisen Geological Material PARLE EEoe PLATTEVILLE LIMESTO~JE SacSHALE ST. PETERSMJDSTONE Sus SHAKOPEE JORDAN SANDSTO~IE Cor atoess Color weBLUE Hardness REMARKS Vos xo se M.G.S. NO. 546. PUMPING LEVEL 01\7/18 -150' Ter OT WELL N0.2 WELL SEALED 11-15-2000 BY 62012. ORIGINAL USE PS- PUBLIC SCPPLY/NON-COMMUNITY. From To From To ono0 36 Ss 36 43 43 194 Bom 194 323 323 400 Open Hole purer Screen :\!0 Diameter from 204 ft. to 400 ft. Fn Make Type Slot/Gauze LoLength ssos Set Between Static Water Level 125 ft. from Land surface Date Measured 07/18/1988 PUMPING LEVEL (below land surfuce) ft. after hrs. pumping g.p.m. Well Cot Well Head Completion nme td Pitless adapter manufacturer Oca rin B12 spe D Casing Protection 0 Model 12 in. above grade 0 tt Cie We md ts 0311) D At-grade (Environmental Wells and Borings ONLY) rates mtn Wah Gott? vo 1% Grouting Information Well Grouted0 0 Yes D No Gott toc wer Grout Matenal ~Jeat Cement from to fl mye 35 yrds Led osGps DNeoinDist ck tgs L t d oca e M' mnesota G eo1ogr.e a 1 S urvey Method Digitized- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification NiA DateN/A TAR er System UTM- Nadii3, Znne/5, Meters X: 483683 Y: 4970035 | Noottuni opts 0 ve 0 No Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - HPQ_ Volts Length of drop Pipe ft. Capacity g.p.m Type Material o AAbebamnddconnedd WWeelllls DDoocess pprorpetJty hhaavveeaany noott inn uose asndd onottsseeaeleddwweellll(ss)?? D YVees D :\lo Cuttings Ycs Find ede sil a J<'irst Bedrock Platteville jheinpeiiy Sr ims Last Strat Jordan Aquifer Prairie Du Chien-Jordan Depth to Bedrock 0 ll. CountyWel indexOle Report County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification lonWalce m0 HOUENG. Layne Well Co. 27010 HOLLE:\! G. co i ome Orb So Nem License Business Name Lie. Or Reg. No. Name of Driller [omar JI 208321 Yes D No ET Printed 6/29/2008 HE-01205-07 file:/I!IIf11PCA/!V\rorking/A0081-1 00%20-%20PFC%20Foam!R.. !MSP%20AirportWell%20Log%20Report%20-%2000208321.htrn7/1/2008 1:39:24 PM 222222..11881111 STSTAATTEE0_208282222776688 Well Log Report- 00208322 Comm5]EESe MMinneu sotaLUnnNique eRWeTm ll NSo. 208322 CCoouurntyy Quad QuadiD HHeemnenpeipni:n StPaul West 103B RATN BEa Ewo MMII:N'IINNEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 eEen EFnrtryyDDatatee Update Date Received Date own 08/24/1991 10/20/2006 Well Name AIRPORT TERMINAL BOILER I To'\\nship Range Dir Section Subsections Eh~vation 28 23 w 29 CBBBAC Elevation :VIethod 815 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed 416 ft. 416ft. llrilling IVIethnd C:ahle Tool Drilling Fluid -- IWell Hydrofractured? From Ft. to Ft. Use Commercial Date Well Completed 02/0111961 DYes 0No Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes Well Address ----" BLOOMINGTON MN -- }Geological Material SAND ryPLATTEVILLE LIMESTONE SHALEY LIMESTONE 57PETERSHDSTONE ST. PETER SANDSTONE SHAKOPEE-ONEOTA DOLOMITE Saas soe SANDSTONE WITH SEAMS LIMESTONE JORDAN SANDSTONE SER Seen SANDY SHALE (ST LAWRENCE) REMARKS WELL N0.1. NO Color Hardness HARD 0No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 24 1n to 5 ft lbslft 16 1n to 220ft lbs/ft Open Hole from 220 ft. to 416 ft. $0 % | emenr From To 0 5 5 30 Screen NO Diameter Sotoass Make Type Slot/Gauze Legh Setoetesn Length Set Between 30 36 ow 36 194 194 331 BL 331 340 340 412 Static Water Level BE o eer pea g] 412 416 77 ft. from Land surface Date Measured 02/01/1961 PUMPING LEVEL (below land surface) as 133 ft. after hrs. pumping 1600 g.p.m. Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Located M. mnesota G"eo1ogt.ca1 Survey Method Digiti?ed- scale 1:24,000 or larger (Digitizing Table) Unique Number Verification N/A DateN/A System UTM- Nad/!3, Zonel5, Meters X: 483690 Y: 4970017 First Bedrock Platteville Last Strat St.T .awrence Aquifel" Prairie Du Chien-Jordan Depth to Bedrock 5 ft. County Well Index Online Report Grout Material Neat Cement from to ft 30 yrds Nearest Known Source of Contamination _feet - direction _type Wdl disinfected upon compklion? D Yes D No Pump 0 Not Installed Date Installed Manufacturer's name JACUZZI Model number - HP lQQ_ Volts 220 Length of drop Pipe tt. Capacity 1500 g.p.m Type Turbine Material AAbbaannddoonneeddWWeelllls Dicoess pprrooppeerrttyy hhaavvee aamnyywneottiinn ussee asnmd ncot esesaleddwweelllk(ss)?? D0 YYeess D No Variance Was a variance granted from the MDHforthis well? D Well Contractor Certification Tri-state Well C:o. 27118 BENEKE R. License Business Kame Lie Or Reg. No. "\lame of Driller 208322 I Yes D No Printed 6/29/2008 HE-01205-07 file://III/J\1PCAI! Working/AOOSl-1 00%20-%20PFC%20Foam/R. ..DASP%20Aitport!Well%20Log%20Report%20-%2000208322.htmIll /2008 1:39:24 PM 22222..11812 STATE_02822769 Well Log Report- 00223853 RN Minnesota Unique Well No_ 223853 | oawadd s10t35ave 223853 County Quad Quad ID Hennepin St Paul West 103B arWell Name Tobi agiSceion Suber Hessen Township Range Dir Section Subsections Elevation BE 2R 24 WOM w 25 CCAAAD Pen Elevation Method Wiad SWI68eM0l4l SA21TdSdTArAeVVsSsS frRICHFIELD MN coogi Haters Geological Material EySAND aCLAY hoster SAND &WATER coor Color won BROWN oun BROWN om BROWN mHaanrdmneessss vo Aranrs NO RF:MARKS on iWEEtLOsLLRWASoEPNubCerDyOpetRBhhDOtReIN1GD3ohCsoempetedTD[reaecwiaecDtwoeeosloCotozmept 840 ft MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 08/24/1991 09/1111991 Well Depth Depth Completed Date Well Completed 51 ft 51 ft. 05/10/1962 gnc 7.5 minute topographic map | De Drilling end Method -- (+/- 5 feet) Drilling Fluid -- I atari O ve Dv Well Hydmfractured? DYes DNo Pen hms From Ft. to Ft. Usc Domestic Casing Type Joint No Information Drive Shoe? DYes D No Above/Below 0 ft Gasng ameter Casing Diameter Tne a1 2 in. to 48 It rte Damar Weight wnlbs.lft. Hole Diameter rom To| OCarretVeEr RtRShouTomzeTTLT eng SetDv etween From ow 0 ow 30 38 36 poh 5 Open Hole from ft. to ft. ScrNn YES Make JOHNSON Type Diameter To 2 30 36 51 Slot/Gauze 10 Length 3 Set Between 48 ft. and 51 ft. Static Water Level 30 ft. from J.and surface Date Measured 05/10/1902 PUMPING LEVEL (below land surface) P[ te abc-- mamas Mod 30 ft. after hrs. pumping 10 g.p.m. Well Head Completion Pitless adapter manufacturer Model DDl CCaassiinngg PPrrootteescttiioonn D03 11220i.n.sabboovveegrgaradde.e J ae Camm We i igs 01) D At-grade (Environmental Wells and Borings ONLY) Groutng norman Welloronet? 11 ver I No Grouting Information Well Grouted? DYes D No FLoucate Masta Godogial Located Minnesota Geological Survey etd Did se L34000x Method Digitized- scale 1:24,000 or irrgr Ti) larger (Digitizing Table) pm UTM Nal nels, pr. rs Unique Number Vcrification Address verification System UTM- Nad83. Z(mel5. ]vfeters Date N/A X: 480799 Y: 4969595 Ps Bk Aq Cust Wake Tbs Ait First Bedrock Locsin Smt Deptek 1 Last Strat Sand-brown Aquifer Quat. Water Table Aquifer Depth to Bedrock ft. County Well Index Online Report County Well Index Online Report .'lcarcst Known Source of Contamination _feet - direction _type Yom 01 Noted De led Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed ELongtChofdop Pie _Copoity gp Type Mail Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does prope1ty have any not in use and not sealed well(s)? 0D Yvees O D nNo VarnesWasvate onefon he a? 03 ver Variance Was a variance granted from the MDH for this well? D Yes Ow D No Well Contractor Certification Domtewce 2st DeQendable Well Co. 27143 cm Bots Name OrReg No Neo Dre Li(;ense Business Name Li(;. Or Reg. No. Name of Driller 222233885533 I Printed 612912008 HE-0 1205-07 Aig AATEC ABP oeSf Spe SOS 9235 file:///II/l'v!PCA/! Working/A0081-l00%20-%20PFC%20Foam/R.../MSP%20Airport/Well%20Log%20Report%20-%2000223853.htm7/1!2008 1:39:23 PM 22222.1188113 STSATATTEE0_208282222777700 Vatterott Well Log Report - 00223866 mm pe Mifninesstotsa UnUniiqgunde WBell2N0o. 223866 | oQuuiai II 223866 CCoouunnttyy Quad QuadiD s0itive HHeennnneeppiinn StPaul West 103B ara Well Name Toni Rane DirScton Subcom Fvsion Township Range Dir Section Subsections Elevation 2288 2244 wW 2255 BBAACCDDAAAA EElelevvaattiioonnMMetethhoodd Wotagarose Well Address Sr 6314 STANDISH AV EL RICHFIELD MN octogica terit Geological Material SoSAND CvCLAY SiRso WATER SAND Color Harness Color Hardness 0 SENARAS NO RElv!ARKS $191 MiIWNErNLEcSLORATSWEANeuCDlTeDEODsePeRBpCAtDOaRhRpTeIMrENN1GD0T3e1pCoSmnRpUelpyeiadcDuDDeoee WparlCo09ov1me11p5r91e 819 ft MINNESOTA DEPARTMENT OOFF HHEEAALLTTHH WELL AND BORING RECORD _Minne.mta Statutes Chapter 103/ EEnnttrryy DDaattee Update Date Received Date 0088/22441/1999911 09/11/1991 Well Depth Depth Completed Date Well Completed 51 ft. 51 ft. 10/16/1961 to7top.5poogmgrrianappuhhtieiccmmaapp | DPrriillliinngeMMetethhoodd -- (+/- 5 feet) EE Drilling Fluid -- Wweelltl Hiyyadrrooftrraacctuurread?? 0DYveess 0D Nxoo From Ft. to Ft Use Domestic CainsTope JotNo tomar Brivis? 0 ver Casing Type Joint No Information Drive Shoe? DYes D Rendon 01 No Above/Below 0 ft. Going Diameter Weg ToDiameter Casing Diameter Weight Hole Diameter Zeb an wn 2 in. to 48 ft. lbs./ft. CT TT Open Hole from ft. to ft. Soren VES VOTO Toe Screen YES Make JOHNSON Type Diameter SlotGauze Longin SetSetween Diameter From To | ry Te From To 2 oD 0 30 Slot/Gauze 10 Length 3 Set Between 48 ft. and 51 ft. > 7 30 37 ER37 51 Sew Static Water Level 200 fm Lng sot Mose 01671961 20 ft. from Land surface Date Measured 10116/1961 TOMPING LEVER (cow ed sfc) PUMPING LEVEL (below land surface) 201 aes bs ping 13 spn 20 ft. after hrs. pumping 12 g.p.m. Wo Head Compltin Well Head Completion Pe pr mich Mok Pitless adapter manufacturer Model Oca tmicion 0 12m sve D Casing Protection D 12 in. above grade 0 Avr vives iets a oss ONLY) Grouting Information Well Goel? 0 Yes 0 No D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No Located Mit Gog Lumted Minnesota Geological se Survey Unie Number Unique Number VVeerriiffiiccaattiioonn AAdidrderesssvveerriifcicaaitioonn Spm UTM Nad 21S System UTM- Nad83, Zone15. A!eters Method Dit oe 2401 Method Digitized- scale 1:24,000 or erste larger (Digitizing Table) SA DPH ateN/NAA iz 3: ass X: 481020 Y: 4970556 Losi Sond FPlirastt BSeeddorooeckk Last Strat Sand Depdrt AAqquuiiffeerr QQuuata.t. WWaatteerr TTaabbllee AAqquuiiffeerr Depth to Bedrock ft. CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt Narr Rw Sour Comma Nfefeeacerttest Kd_dinirroeocwcttinioonSn ou_rtc_yetpyopeef Contamination - - wot ssotseenctomepetn 0) ver Well disinfected upon completion? D Yes 0 vo D No Ppuummpp 0D NNoottlInnssutalllleedd DDuatteIInnsatalleledd Nomina Mvatramter HPO. Your Manufacturer's name Model number - Louinolinpiis Can spi Tre Nol Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material ee Abandoned Wells Does property have any not in use and not sealed well 2 Ove Ox (s)? D Yes D No VVaarriiaannccee WWaassaavvaarriiaanncceeggrraanntteeddfrfroomm tthhee lM'vDiDIIIIffoorr tthhiisswweelll?? [DJ YYeess 0 x D No Cor Ce r Well Contractor Certification cose uses Name Ox Reg NoNavel Dil DeDpeeQnednadbablleeWWelelll CCoo,. 22741433 License Business Name Lie. Or Reg. No Name of Driller 222233886666 Ma Printed 6/29/2008 HE-0 1205-07 file:/I!IIfl\1PCN!working/i\0081-1 00%20-%20PFC%20Foam/R../l\!SP%20Airport/Well%20Log%20Report%20-%2000223 866.htm7/112008 1:39:25 PM 22222..11814 STSATATTEE0_208228222777711 PT JE: Sel Ez= HS ESC E fPiElE Ee|] Ef[EEiez = L Fl E|EEE= o HARE] EE Well Log Report- 00255866 lvfinnesotu Uniljue Well No. 11 255866 11 County Quad Quad ID Dakota StPaul SW 103C Well Name FORT SNELLING W60150 Township Range Dir Section Subsections Elevation 28 23 w 32 ADCCDC Elevation Method HH EEE] HEHS EE E2aE4p: 2f % t o i|: 3i E107|: f[eBeS a | BLEEDFE iZEz = IE] Bil 2 = 2si32 l2o |1|% 2Ji.e MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 11-finnesota Statutes Chapter 1031 Entry Date Update Date Received Date 09/25/2002 03/11/2005 gai 702 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 80ft. Drilling Method Cable Tool Depth Completed 80ft. Date Well Completed sige 3EE5E. E2 c Drilling Fluid -- Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint No Tnronnalion Drive Shoe? ~o Above/Below ft. Casing Diameter Weight Hole Diameter 5 in. to 75 ft lbs./ft 5 in. to 80 ft. oO DYes D EE . Hoe lLE] ii de i FEREF DEmEGEH Fl I[ogfE 3 FFelsi] d37e2 s53 |i2 [EtkEe o2 foHd ers f|Jor Well Address MENDOTAMN 55118 Geological Material GLACIAL DRIFT-RIVER ALLUVIUM PRAIRIE DU CHIEN GROUP REMARKS GAMMA LOGGED 9-ll-2002. WELL FLOWS. Color Hardness : Open Hole from 75 ft. to 80 ft. Screen NO Make Type f Diameter Slot/Gauze Length From To 0 73 73 80 2 Static Water Level -3 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. 09/11/2002 Else: Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade (o 13zl2, D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No 2 5 3 Set Between : e 3g . 8 iz P:zE33Rk53 2F805F3y 222222.118815 Ei 2 $5 2 Ls, 03 : 52228%2525,,%83 SCH5EE2R pEsIiTg] : sare oa2772 :v is Located Minnesota Geological Survey Method Digitization (Screen)- Map (1 :24,000) f& : s| 233 E o|J JEaEf f| oeidet c HE EH EEH E590 BE|EEEE <E=I8 S sEz|Ey 27280 : ia : i Unique Number Verification Infom1ation from owner DateN/A Nearest Known Source of Contamination - feet - direction _type ~Vl System UTlvf- Nad83, Zone15, lvfeters X: 484836 Y: 4968452 rn I 0 N 00 Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacitv _g.p.m HP - Volts Type Material N 23 g 3 i3i N i 2 file:/iiii/MPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%2... ols %20and%200ther;MSP%20Airport!Well%20Log%20Report%20-%200025 5866.htrn (I of 2)7/112008 I :39:26 PM i '-1 '-1 N o t 3 . [25 H5E2 12122322]]% i i ; 0 iII siz 33 a3[8 Well Log Report- 00255866 Borehole Geophysics Yes First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 73 ft. ie County Well Index Online Report ld 3 E :ily l1l3q. ,7 2 SliEds i: la[EE0i0l|e2 FPEleEeilEEtEaIeFSl 2s 2 |g D D Abandoned Wells Does property have any not muse and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No Mi1mesota Geological Survey MGS License Business Name Lie. Or Reg. No. Name of Driller 255866 I rg IH Printed 6/29/2008 HE-01205-07 0 |g i 22222..11816 : i i2i 3 ! i iIz i 7 i 34 1 71 2 i; i :2: stare 02822773 ~Vl rn I 0 N 00 N N file:/i!IIfMPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%2... ols %20and%200ther;MSP%20Airport!Well%20Log%20Report%20-%200025 5866.htrn (2 of 2)7/112008 1:39:26 PM '-1 '-1 w FH fo11kfi:s Ei" siz] BE HE) fr IE 2% FUE o Well Log Report- 00255936 lvfinnesotu Uniljue Well No. 11 255936 11 County Quad Quad ID Dakota StPaul SW 103C Well Name FORT SNELLING W-60250 Township Range Dir Section Subsections Elevation 28 23 w 32 DBAACD Elevation Method z3 EB FE3iH,R EEEEcflECeaq|z, Beeilidrl 2$324) EE 8 gf :I 5 g353i32l =5$3s% fF MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 11-finnesota Statutes Chapter 1031 Entry Date Update Date Received Date 02/27/2003 02/27/2003 702 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 128 ft. Drilling Method -- Depth Completed 128 ft. Date Well Completed o o21%[iflfes| 2([5|2 o5l0:2 E11%2EF[z=Bs HIIH Sli Kali: Pf| leEt3A|e5e:= |gE=j8- Drilling Fluid -- Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. Casing Type Steel (hlack or low carbon) Joint No Tnronnalion Drive Shoe? ~o Above/Below ft. Casing Diameter Weight Hole Diameter 5 in. to 77 ft lbs./ft DYes D a| AH H$3E4H[E2 232 zH Fl 3 IF leh 5 RJEFiE O[RFESkC|E3RioEnI|Zd 338 HE $28 .Z Geological Material GLACIAL DRIFT PRAIRIE DU CHIEN GROUP gy Color Hardness zi % REMARKS GAMMA LOGGED 2-26-2003. WELL FLOWS 25-30 GPM. WELL TO BE SEALED BY KIMMES-BAUER. 3 3 fi: cog a f! oe B1c0fF Tciis |Y2E From 0 75 2 = gd3el LilHelE 2: id fet [$Wdy ad00 Open Hole from 77 ft. to 128 ft. Screen NO Make Type Diameter Slot/Gauze Length E5BEER To 75 128 Static Water Level -1 ft. from Land surface Date Measured 02/26/2003 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection IZJ 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No slo- %g ~ 3 3i Set Between 222222.118817 g2o.p0 3 1 8 lLg2 1% : 4: | 22342: |[=|I eG#4H: 8: lg: { 552 3ii: fi fF: |f stare_ozs22774 gT 3i i fi fF i2 I ozL si | 32x Located Minnesota Geological Survey Method Digitization (Screen)- Map (1 :24,000) i: 2 folie: F1Y27E0 fecfzidl 3$22 g0o5e7d G2iz13B0E Unique Number Verification Infom1ation from owner DateN/A Nearest Known Source of Contamination - feet - direction _type ~Vl System UTlvf- Nad83, Zone15, lvfeters X: 484726 Y: 4968354 rn I 0 N 00 Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacitv _g.p.m HP - Volts Type Material i N i3 3;2 ? N : file:/iiii/MPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%2... ols %20and%200ther;MSP%20Airport!Well%20Log%20Report%20-%200025 5936.htrn (I of 2)7/112008 I :39:25 PM i i : '-1 '-1 .j:>. i i i iT o siz AH: Well Log Report- 00255936 22:32|%8 i ' a2%3|[38 28532 z2z|E ii:|3 t52|2 Borehole Geophysics Yes First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group 3 3 Aquifer Prairie Du Chien Group Depth to Bedrock 75 ft. EI County Well Index Online Report Elf, 2 Sli2 Eds RFE PlliHeE ElEEa0E Ee8l EISELE Hie 2s 2 |g D D Abandoned Wells Does property have any not muse and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No Mi1mesota Geological Survey MGS License Business Name Lie. Or Reg. No. Name of Driller 255936 I rg IH Printed 6/29/2008 HE-01205-07 0 |g i 22222..11818 ii 7i j5{ I az i i 34 i i 2 :i i : i12g STATE 02822775 ~Vl rn I 0 N 00 N N file:/i!IIfMPCAI! Working/i\0081-1 00%20-%20PFCo/o20Foarn/Reports/Appendix%2... ols %20and%200ther;MSP%20Airport!Well%20Log%20Report%20-%200025 5936.htrn (2 of 2)7/112008 1:39:25 PM '-1 '-1 Ul SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY RRoocchheesstteerr AAiirrppoorrtt Ro1Rc5o0hc0ehseHtsotelergreAArilsroponorrDt iFFviirreee SDDeWeppaarrttmmeenntt Rochester, 1500 Helge Rochester, MNrson MN 55601 Drive 55901 S W 5KK0uu7rrt-2CC6llaa2u-us2ss3see2n8n,,oAAxs.sssii1ss0ttaa2nntt AAiirppoorrtt MMaannaaggeerr 5ccll0aa7uu-ss2ss8ee2nn-@@2r3or2co8hcehesexiste.tre1irn0inl2tilaaiirppoorrtt.ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreessttwwaatteerrwwelelll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: VrVuaanrrwiioaouyu.ss oo"nnSsh-soiirtttee bllouocrcasatttiosinoonsf FruAnA.waFyr.e"fSighhotretrbsutrrsatsi"neodf aaafflossoafassmameecllierreiececyqqtteuueidindirreDebbuddyyliiiFFntnhAAa.aAAnnnnIIununassalppleettcrrclaaotiiornn,rii,nnguugssbbuuyyaalllyy a a FAA. Firefighters trained at facility in Duluth. AAFFFFFF:: CChheemmgguuaarrdd AAnnnnuuaallllyy LLeesssstthhaann 5s ggaalllloonnss. GGrroouunndd AAFFFFF:: lleossss tthhaann 55 ggaalllloonnss. SSeevveerraall iinntetremrmitteenntt ssttrreeaammss ssuurrroouunnddiinngg aaiirrppoorrtt AAddjjaacceenntt ssoouutthh ooff aaiirrppoorrtt SSiitetiis llooccaatteedd iinn aann aaccttiivvee kkaarrsstt aarreeaa LLeessss tthhaann 11//44 mmiilee wweesstt NNoonnee win within oonnee mmiilee 116 22222222..11881199 SSTTAATTEE__0022882222777766 RROOCCHHEESSTTEERR AAIIRRPPOORRTT CCWWII WWeellll MMaapp Le em SS Lf fa B A RELL Nd lh we sl Lo lt Sond hes HAA SE HAR or 1 DRE CN Cloafendt 7 Bald wiTN pwled I HEYTCys SE73i adbit Lpoono EeT H eWge - A A . LN Nd TTT TE dy Gd wea DLE lan a Wei No % 3 Get OWI 5g Y a NEN Ayton ST BOOST nehedd, | eiaeire ania | alia na of wnSITT ESL2 3 efi i wher Lf a EFAs hoo em] yoo Nove TO Sha a JEN, fo "hey Sf v` o eS d|v s EA cRAoe IN Ce i - -- SiO SNLDoH LFEFEABLEAoNNSSohTMN Sc eif fRSle set Lor oelBs TeotsNS =we mh end |SrTe,~ "Tau fH Se fr FEES ROR -Y 5 i, mes fin i mY Mironrein.o Dinlprms ertesCorndy| = e uffGea lLon 222222.118820 sStTaArTeE0_02228222777777 [RRocohcehsestteerr AAiirrppoorrtt WWhhata'stIInn'MMsyy NNeeiigghhbboorrhhoooodd MMaapp | | / |PI Jii l; en4: | ree i 1 if rene \ | Hee e | || -- ||| f| } Sh |1| ||| i#i || i|Ls SSIITTEE~ -- ; / -------- | --------ti ry || & EE | J ee || | Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion [ | I eemr re e a e e| of the information should be considered to be, or used as, a legal document. The information is provided | subject to the express condition that the user knowingly waives any and all claims for damages against | MPCA that may arise from the use of this data. SSiitteess. ortsanantpn Dt~ llfiiW: r.luJrtrftmiil Phenmn~iSOISo'lIdW<aJs~s wpomaeatenns l!ln~miiBCI Dun~ MFRAP apa m:attt Su~rftl nil ||| | @winnosota Pollution Control Agency ||| e CCEEKR.CCLLtS:s roms Q F'Mil:nl !lh.a~rhmcl ca Snovalaras vou wan &taM 0~LaMIUb V9ltnar~ llritm~~l'i I; Cta'IIWrt +reRaTaD aces .... ~RA um ra~111:1~ RRA ston Cas F:CRA l'rJ';tfii~PDI; ~ta'IIWJI' 4Ga sevssomie "'- SliM ~rMIII: 222222..182211 sare azsazrre STATE_02822778 =a3 23 2 g i8| 2 92-32W ~ 8 Rochester Airport Wetland Map 92-31 w by :tind i iaa1d | (| PU 1sil1lI TTI : id [| HBEiRlRla itmhn le 5 i oun - Yp or 222222.118822 | SS Te pe : | il ~I PSS.1A Zl 0 PFa l | a 3 i iE oy od 3 =|[| + 8 R r"H"'-i:...UM_. ~ r-ry1,.... o\ "Sb \"5 ~%_ 2 ' sun i I~ II Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities I~ IIr USGS Quad Index 24K Lower 48 Wetland Polygons Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond I Lake I I Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams II I_w.. Counties 1OOK &, States 1DDK w o z South America o North America oon 77fi2 A\ & \ N t|i h HH HI 1AE|i] 92-32W 92-31 w 92-30W FE] BiAk r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N '-I '-I \.0 3 : 4 92-29W Map center: 43 54' 2" N, 92 30' 4" W $ Scale: 1:39,157 .: Well Log Report- 00120011 120011 lMvfiinmneessoottaa UUnniiqq"uuee WWeellll NNoo. Quam 0 QCouuandty Spoon OOllmmsstteedd Simpson 28B AT TOY TOE CWA Well Name TONY LOVE CAR WASH Tobi Rang Di Section Suction Eston Township Range Dir Section Subsections Elevation 101085. 114 wW 1100 AAAACCCCCCDD EElelevvaattiioonn MMeetthhoodd siswsora MINNESOTA 5 1282 ft. DSeEpPAAHHkREEITAAyMLLETETNnHHtT OopF WWEELLLL AANNDD BBOORRIINNGG RECORD Recodo RECORD instSaas Chap Minnesota Statutes Chapter Tan1031 EEnUptndrtrayytDcDabatateete Update Date Received Date 01281995 00112/255//11998888. 01/25/1995 De Do Coed De WelCompe] Well Depth Depth Completed Date Well Completed wn wn somone 385 ft. 385ft. 06/03/1976 ime 7.5 minute ttooppooggrraapphhiicc mmaapp | DPirlililinngg MMeetthhoodd Non s~pecified RRoottaarryy (+/- 5 feet) coogi Geological Material CLAY Ehesrone LIMESTONE LESTE LIMESTONE SinSHALE fhesrone Sine LIMESTONE Bite SHALE SANDSTONE coor wasn Color wom wow BROWN Ga Now GRAY Se wow BLUE Gy Now ue GRAY BENE BLUE GRAY Hardness MEDIUM MEDIUM MEDIUM wow MEDIUM MEDIUM MEDIUM FER LLLGLES -- REMARKS CASING: 8 TO 16; 4 TO 334. SCH FOLROT T+5 HIGH FOREST LOT-4 + 5 Fon To From To 0 15 5% 15 52 % om 52 212 mm 212 252 gm mb ma 252 280 a280 285 285 385 -DrDirlillliinngg -- FFlluuiidd Fon Ten weWlelll HHyyddrrauffrraaccttuurreedd?? D vYeess 0DNnoo From Ft. to Ft. Use Domestic CCaassiinngg TTyyppee JJooiinntt NNoolInnffoomma1taitioonnDDririvvee SShhooee?? D [JYveess ODJ Neto 01 No Above/Below 0 ft. "ating Dametr Wo Tio Drama Casing Diameter Weight Hole Diameter fray on 8 in. to 16 ft. lbs/ft PET wan 4 in. to 334 ft. lbs/ft. CTE TTT TT Open Hole from 334 ft. to 385 ft. Semen eT Screen NO Make Type lol Gouge tang Setseneen Diameter Slot/Gauze Length Set Between [ewe ted Static Water Level fond ane DuMeans 0091976 205 ft. from Land surface Date Measured FONLEVEPE(eiITNdsrGi PUMPING LEVEL (below land surface) her te opt Eo ft. after hrs. pumping g.p.m. vo 06/04/1976 [-- Well Head Completion Ti tamde Mol Pitless adapter manufacturer Model DDO Ccaassiinngg PPrrootteeccttiioonn D0 1122iinn..aabboovveeggrraaddee. `Grouting Itormaton. Well Groot?Prves OJ No 0D AAvt-ggrraadede(En(Evnivriornomnmeennttaall WWeellllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? IZJ Yes D No Lact Mints Glogs Located Minnesota Geological feSurvey Unie Naber Unique Number Verte Over icin Seem UTA. Nad 2005. reVrememarnaikfriskc.sation Other, note in System UTM- Nad83, Zonel5, arslvfeters MeetshoDd DgiTzosic 1249000 Method Digitized- scale 1:24,000 or larger (Digitizing Table) te Nn DateN/A Suv vs asm X: 541489 Y: 4862805 ee Nearest Known Source of Contamination a rien Pump `Not Installed Date Installed - feet - direction _type WeWlelllddiisinsfecitednuuppfoonneccoocmmptlpeletetiioodnn"? DJ Yveess Pump IZl Not Installed Date Installed 0D1 NNoo int ame Bs URKE St ner S015 Manufacturer's name BURKE Model mm1ber 30SN18D Ta Vad - HPl_ Volts 22 Tegodop M252. Copsity_gm Length of drop Pipe 252 ft. Capacity _g.p.m 7 meri al Type Submersible Material nedeT Tospo RT RTT Abandoned Wells Does property have any not in use and not sealed well (so)r? 0D Yvees DO NNoo VVaarriiaannccee WWaass aa vvaarriiaanncceeggrraanntteedd ffrroommtthhee MMDDHHffoorr tthhiiss wweellll?? DJ Yreess DO NNoo Aig 8 020.18 Rap eh VER TT file:/i/II/MPC!V!Working!A0081-100%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000120011.htm (1 of2)711/2008 1:41:37 PM sSTTaArTeE__0022882222778800 222222.118823 Well Log Report- 00120011 First Bedrock Galena Last Strat St.Peter Aquifer St.Peter Depth to Bedrock 15 ft. County Well Index Online Report Well Contractor Certification Thein Well Co. 55079 T,icense Business Name Lie. Or Reg. No. Name or Driller 120011 I Printed 6/29/2008 HE-01205-07 file:/i/II/MPC!V!Working!A0081-I00%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000120011.htm (2 of2)711/2008 I :41:37 PM 222222.118824 STATE_02822781 Well Log Report- 00219553 MixNEsoTA MINNESOTA Q~:u:~atym lMvfiinmneessoottaaUUnniiaqquuee WWeellll NNoo. County II 221199555533 II Quad ~-==================~- QuadiD ASOOalllmemsmstteCeddomers Salem Comers 29A Wale CIRCE RET Well Name CHURCHILL, KEITH Tonneip RaneDie Secon Subectons Elevation Township Range Dir Section Subsections Elevation 110055 1144 Ww 44 DDBBCCDDAAAA EElelevvaattiioonn MMeetthhoodd DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WWEELLLL AANNDD BBOORRIINNGG RECORD RecehedDac RECORD Minnste Sats Chapter Minnesota Statute.~ Chapter on1031 EEnUptndrtrayytDeDDaaattetee Update Date Received Date 000111/2/225551//19199988588 01/25/1995 zen Dsenp Dep sCsomnpieed Baie aWelnCsome 1242 ft. 75mints 7.5 minute totoppooggrraapphhiicc mmaapp ie (+/- 5 feet) Well Depth Depth Completed 355 ft. 355ft. | DDrriilllliinnggMMeetthhooddNon-specified RRoottaarryy Date Well Completed 03/15/1974 Wettyarrctrea? 0 ver 1 vr Drilling Fluid Fon 0 1 -- Well Hydrufractured? DYes DNo From Ft. to Ft. GeologicalMateria Geological Material oReTDRIFT Desi LIMESTONE Sn SHALE testo LIMESTONE GnSHALE Susu SANDSTONE CCoolloorr Manes Hardness From To From To ox 0 20 nw 20 180 wm 180 230 mw 230 250 m2 250 255 2 556 255 355 Use Domestic Caine Te Joint Nonformsion Drive shoe? 0 ves Casing Type Joint No Information Drive Shoe? DYes D oreo 0 8 No Above/Below 0 ft. "Casing Diameter Weigh Fol Diameter Casing Diameter Weight Hole Diameter tan 21 wn 8 in. to 22 ft. lbs/ft sno mn wn 4 in. to 312 ft. lbs.lft. op Toe Tw TR Open Hole from 312 ft. to 355 ft. Sao We Tv Screen NO Make Type [omer SiovGaue Length SatBetusen Diameter Slot/Gauze Length Set Between [Smear Static Water Level | 0h fon Cd steht Msn 210 ft. from Land surface Date Measured FONPING LEVEL i dure) PUMPING LEVEL (below land surface) iar inpapi gp ft. after brs. pumping g.p.m. Wall Head Completion Well Head Completion it sir mos Mol Pitless adapter manufacturer Model osnons 0311511974 3 Avge Ems Wels and Boring ONLY) DDO CCaassiinngg Pprrootteeccttiioonn D0 1122min.. aabboovveeggrraaddee D At-grade (Environmental Wells and Borings ONLY) REMARKS CASING: 008 TO 0022;004 TO 0312. Grouting Information Well Grouted? IZJ Yes D No Located Mins Glogs Located Minnesota Geological es Smvey Verneston Nn Usniicquuse NRaudmibceer Verification N/A Mim System A1eters UUTTMM:- NNaadd8i3,. i013. Zonel5, Method Died. sl 24000 x Method Digitized- scale I :24,000 or Lies (iting ob larger (Digitizing Table) DDaatteeNNi/AA Xx:: 553309665544. YYs: 4s8w6s3a6c7r4a NNeeaarreessttKKnnoowwnnSSoouurrcceeooff CCoonnttaamminiantaitoion.n fa tion, - feet - direction _type Well gsiwioncsompietidon ves 01 No Well disinfected upon completion? D Yes D No ump 0 Notlntaed Drm Pump D Not Installed Date Installed Nirbtcstenme Modder HPO Vos Manufacturer's name Model number - Linipmphpae t0_Coeety pp Tipe Maat Length ofdrop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material I Abandoned Wells Does property have any not in use and not sealed well 0 0 ve On (s)? D Yes D No Variance Ws vate to fom he MOA or it? Variance Was a variance granted from the MDH for this well? D be O x Yes D No REA fig ALC0 ee Se S155 37 OR 20 file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000219553.htm (1 of2)711/2008 1:41:36 PM 22222..11825 STSTAATTEE0_208282222778822 Well Log Report- 00219553 First Bedrock Galena Aquifer St.Peter County Wolo Gris Rapa Last Strat StPeter Depth to Bedrock 20 ft County Well Index Online Report Well Contractor Certification Thein Well Co. 55079 License RLL~iness Name T.ic. Or Reg. No. Name of Driller 219553 I 219553 Printed 6/29/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000219553.htm (2 of2)71!/2008 I :41:36 PM 22222..11826 STATE_02822783 Well Log Report- 00219570 MixNEsoTA MINNESOTA lMvfiinmneessoottaaUUnniiqquuee WWeellll NNoo. County 219570 a ~::~ty II 219570 II Quam ~-==================~- QuadiD OOllmmsstteedd 20Simpson 28B Wel ET NORTON OC Well Name BELL NORTHERN OIL CO Tomson RaneDir Section Subectons Eston Township Range Dir Section Subsections Elevation 110055 1144 Ww 1155 DDCCCCBBBBAA EElelevvaattiioonn MMeetthhoodd DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upinepwie ovis WELL AND BORING RECORD RecehedDac RECORD Minnste Sats Chapter Minnesota Statute.~ Chapter on1031 EEntnrt ryy DDaattee Update Date Received Date 0011//2255//11998888 03/16/1995 1s elol pnth DepthoConmpeted Bate pWallsCoympeted 1265 ft. 75mins 7.5 minute totoppooggrraapphhiicc mmaapp hee (+/- 5 feet) Well Depth Depth Completed 390 ft. 390ft. | DDrriilllliinngg MMeetthhoodd -- Date Well Completed 01/29/1964 Wettyarrctrea? 0 ver 1 vr Drilling Fluid Foo 1 0 1 -- Well Hydrufractured? DYes DNo From Ft. to Ft. Use Commercial CaineType doit Noniormston Drive shoe? 0 ves Casing Type Joint No Information Drive Shoe? DYes D oben 0 8 No Above/Below 0 ft. "Casing Diameter Weigh Fol Diameter Casing Diameter Weight Hole Diameter fap wn wn 4 in. to 312 ft. lbs/ft Geaogica waters Geological Material ORFTCREY DRIFT CAVEY en GALENA Decora DECORAH FATELE PLATTEVILLE Gowen GLENWOOD Sree ST. PETER CCoolloorr Manes Hardness From To From To ow 0 38 Sm 38 226 mw 226 268 wm 268 279 7 279 295 3 350 295 390 CoOpen Hole Sao Screen NO [omer Diameter KIER SG from 312 ft. to 390 ft. Woe Tv Make Type SiovGaue Length Slot/Gauze Length SatBetwsen Set Between [mwa Static Water Level | oi fon Cod sats hte Mess 246 ft. from Land surface Date Measured FONPING LEVEL io Tondo) PUMPING LEVEL (below land surface) 00s tn pinging 25 gpm 0 ft. after hrs. pumping 25 g.p.m. Wall Head Completion Well Head Completion it sr mas Mol Pit1ess adapter manufacturer Model onset 01/29/1964 vo nears NO REMARKS DDO Ccaassiinngg Pprrootteeccttiioonn D[J 1122min..aabboovveeggrraaddee. 3 Avge Ems Wels and Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Groatng rman. WelGrtet? 8 ver 0 vo Grouting Information Well Grouted? IZJ Yes D No Lacsted Mipsis Geoogcl Located Minnesota Geological os Survey Uniaue Numer Unique Number Verncuton Os soca Verification Other, note in remarks en CTH Hl, Bot. System UTM- Nad83. Zonel5, Ve Meters rMeatrhoDdigDiitginig Tsaec)l L240 Method Digitized- scale 1:24,000 or larger (Digitizing Table) Dae NA 3, sz Date N/A i X: 541125 1 nts Y: 4860157 NTR Camo Nearest Known Source of Contamination Sorat - feet - direction _type Well gsiwionsopitidon ves 01 No Well disinfected upon completion? D Yes D No ump Notation Pump IZl Not Installed Date Installed Vibes name REDIACKET. Moet Manufacturer's name RED JACKET Model aber PLS. Vola mnnber _ HPu_ Volts Tenis 1. Cosi _gpim Length of drop Pipe _ft. Capacity _g.p.m Te Sumer Hao Type Submersible Material Roartoncs Well os po ov FT HTT Abandoned Wells Does property have any not in use and not sealed well (os)r? OD Yvees DO NNoo Variance Wort rafto e eA on nat? OF Variance Was a variance granted from the MDH for this well? D be O x Yes D No REA fig RL 6200 ee Re 137 OR 0370 file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000219570.htm (1 of2)711/2008 1:41:37 PM 222222.118827 STSATATTEE0_208228222778844 Well Log Report- 00219570 First Bedrock Galena Aquifer StPeter our Wa nox oni Raps Last Strat St.Peter Depth to Bedrock 38 ft. County Well Index Online Report Well Contractor Certification Rowland Well Co. 23124 License RLL~iness Name Lie. Or Reg. No. Name of Driller 219570 I 219570 Printed 6/29/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000219570.htm (2 of2)71!/2008 I :41:37 PM 22222..11828 STATE_02822785 Well Log Report- 00227662 ~Q:u::atym 240 II II lMvifinnnneessoottaa= UUnniqiquuee) WWel elNl eNo. 222277666622 ~-==================~- County Quad QuadiD OOllmmsstteedd SiSmimpsposonn 28B WaT SIC VARY ETRY Well Name MlCH, MARY & EMlL Y Towmaip Ran iSectionSubcom Ecvation Township Range Dir Section Subsections Elevation 110055 1144 wW 1144 CCAABBBBDDBB EElleevvaattiioonnMMetethhoodd on 1290 ft. DDEEPPAARRMTTSMMIuNEEENNNSTETSOOOOIFFTAAHHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RECORD Recened ac RECORD MioSmescCshpttr1e31 Minnesota Statutes Chapter 1031 EEnnttrryyDDataete. UUppddaattee DDaattee Received Date o01n/s25n/1s9s8s8 00112/2551/919959.5 WN Deph Dep Comedie WeCoed Well Depth Depth Completed Date Well Completed en or ons 206ft. 206ft. 04/30/1973 i tot7o.pp5oogmgriranappuhhtieiccmmaapp |DUri~lllllilnn!g!MlVeltethnOod (+/- 5 feet) secigica tera Geological Material olbotE OLD HOLE Sen GALENA CCoolloorr Haness Hardness FETTRES RR REEDE MRIALD LROOKFR FS66II INNCCL HHWWELELLLL116633 FFEEEETT DDEEEEPP Drilling Fluid -- Pom 110 Ty WWelelll HHyyddrrooffrraaccttaurreedd?? [DJYveess 0D Nnoo From Ft. to Ft. Use Domestic Cain Type Jon No tortion Drives 0 Yoo 01 Casing Type Joint No Information Drive Shoe? DYes D ooo 0 No Above/Below 0 ft. "CasingDiameter Weg Tie ameter Casing Diameter Weight Hole Diameter san ut wan 4 in. to 146 ft lbs./ft. From To From To [] 0 163 om 163 206 Cpe TT TE IT Open Hole from 147 ft to 206 ft Sher Me GAT To Screen NO Make GALENA Type Diameter SiouGauze Length Diameter Slot/Gauze Length SetBetween Set Between S 35% eoywLak sate Dut Messed 4301973 Static Water Level 29 ft from Land surface Date Measured 04/30/1973 PUMPING LEVEL (below land surface) ae bs ping gp ft. after hrs. pumping g.p.m. WolHead Completion Well Head Completion Pen se mame Mkt Pilless adapler manufacturer Model DDO cCaassiinngg PPrrootteeccttiioonn D[J 1122iinn..aabboovveeggraraddee. 3 eprte omenst Wels sd os ONLY) D At-grade (Environmental Wells and Borings ONLY) - = SGrroosuttiingglaIntfiorrmmsattoino.n WWaetllGGurmoauttetd? LDJYvees DCI N0o LacedMics Goi Located Minnesota Geological Se Survey [-- Unique Number Verification Infom1ation from owner ETatATAI, System UTM- Nad83, Zonel5, ers .Meters Fin duck Noss First Bedrock No Record La Str Gols Last Strat Galena MTiertehOrDinigd0s)e 12400 x Method Digitized- scale 1:24,000 or larger (Digitizing Table) DateN/A ou> n X: 542347 sn> Y: 4860724 Air Gale Aquifer Galena Dept dk Depth to Bedrock ft. ET Nearest Known Source of Contamination - feet - direction _type weldswnsompiion? 0 ve 0 no Well disinfected upon completion? D Yes D No Pump 0 Nt nsaled Dut mld Pump D Not Installed Date Installed Nits nave Neder HPO Vol Manufacturer's name Model number - Lethaia p Tp Mal Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material randoms Wl Dos oper Brean TT et TT Abandoned Wells Does property have any not in use and not sealed well oO ve On (s)? D Yes D No Variance Wess atas grid om th MDH for i wel C1 Variance Was a variance granted from the MDH for this wem D = Yes D No aCora CT Well Contractor Certification Rosimdwelce, 23 Rowland Well Co. 23124 cme sinsName Lic. 0Regs No. NaofmDler. License Business Name Lie. Or Reg. No. Name ofDriller file:/i/li;MPCA/!WorkingiA0081-100%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000227662.htm (1 of 2)7/1/2008 I :41:37 PM 22222..11829 STSATATTEE0_208282222778866 Well Log Report- 00227662 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 222277666622 Printed 6/29/2008 HE-01205-07 file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa...r%20AirportiWell%20Log%20Report%20-%2000227662.htm (2 of 2)7/1/2008 I :41:37 PM 22222222..11883300 SsTtaArTeE__o0z2s82222778877 Well Log Report- 00227663 mos2S2iU76e63iPs apy II II ~:::ty lvfinnesota Unique Well No. 227663 Quam ~-==================~- QuadiD unset Olmsted Son Simpson 24028B War ATED Well Name PEHL, ALFRED Towmaip Ran iSectionSubsections Ecvation Township Range Dir Section Subsections Elevation 105 WW 1S DODRCC leanMethod 105 14 w 15 DDDBCC Elevation Method HS MINNESOTA DEPARTMENTOFEALTH gunydue 012571555 DEPARTMENT OF HEALTH WELLAND BORING Upduebwie 012315 WELL AND BORING RECORD ReconedDac RECORD increStates Chops 1031 Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 01/25/1988 01/25/1995 ssn WDTeenph DepCoempneted De WpeiCm 1285 ft. 75 mints 7.5 minute pga | PROPEL topographic map pry (+/- 5 feet) Well Depth 145 ft. U ~lllln!! lVletnO Depth Completed 145ft. Date Well Completed 04/24/1959 Wartarraresr 0 ves 0 to Drilling Fluid Pom 110 1 -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Domestic Caing Tope Joint No torntion Drives? Yer 0 Casing Type Joint No Information Drive Shoe? 0 Yes D ooo 0 No Above/Below 0 ft. "CasingDiameter Weight Tio Diameter Casing Diameter Weight Hole Diameter cab rn wan 6 in. to 101 ft lbs./ft. Seciogica tara Geological Material oReTDRIFT ChE LvesTone GALENA, LIMESTONE CCoolloorr HHaadrdnneessss ro trainee NO REMARKS From To From To ou 0 98 EI98 145 r --r Open Hole from ft. to ft. oa Screen Make Type Dimeter SotGwze Leogih SetBetween Diameter Slot/Gauze Length Set Between S 50h eoywLd sats Dut Mssisd 0431195) Static Water Level 46 ft. from Land surface Date Measured 04/2411959 PUMPING LEVEL (below land surface) ae bs ping gp ft. after hrs. pumping g.p.m. WolHead Completion Well Head Completion Pen se mame Mkt Pilless adapler manufacturer Model Olcuagnacsin 0 1210 socgsie D Casing Protection D 12 in. above grade 3 ete omens Wels sd orgsONLY) D At-grade (Environmental Wells and Borings ONLY) Grong ormaton WellGrotet? 0 ver OJ no Grouting Information Well Grouted? DYes D No Laced Missa Goo Located Mirmesota Geological Sr Survey Unig Numer Unique Number rVrhneaton man on .Verification Information from neighbor Seem UI Nob 1S. System UTM- Nad83, Zonel5, briny l\!Jeters LFainn rrotckGulGesln First Bedrock Galena Last Strat Galena eMesthoDd iDngiTora)le124000 Method Digitized- scale 1:24,000 or larger (Digitizing Table) Date NA Date N/A Scat vs amos X: 541684 Y: 4860112 Amie Galen Aquifer Galena DatBd 51. Depth to Bedrock 98 ft. ET Nearest Known Source of Contamination RGTSSAeESY -Wfeelelt d- sdiriectnionfpo_ontcycopmeptleetiodn? 01 ves Well disinfected upon completion? D Yes 0 No D No Pump 0 Nat nsaled Dut mld Pump D Not Installed Date Installed Manufacturer's name Model number - Lethaia p Tp Mae Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material randoms Wl Dos oper Brean TT et TT Abandoned Wells Does property have any not in use and not sealed well oO ve On (s)? D Yes D No Variance Wes aa grad fom 0 MDI ort 0) Variance Was a variance granted from the MDH for this wem D = Yes D No aCora CT Well Contractor Certification Roi elCo. D3 Rowland Well Co. 23124 ce sinsName Lic. OrRegNo. NoofDler. License Busir1ess Name Lie. Or Reg. No. Name ofDriller file:/i/li;MPCA/!WorkingiA0081-100%20-%20PFC%20Foa...r%20Airport/Well%20Log%20Report%20-%2000227663 .htm (1 of 2)7/1/2008 I :41:36 PM 22222222..11883311 STSATATTEE0_208282222778888 Well Log Report- 00227663 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 222277666633 Printed 6/29/2008 HE-01205-07 file:/i/li;MPCA/!WorkingiA0081-I00%20-%20PFC%20Foa...r%20AirportiWell%20Log%20Report%20-%2000227663 .htm (2 of 2)7/1/2008 I :41:36 PM 22222222..11883322 SsTTaArTeE__0022882222778899 3N3E:E dH Ei 5 1lel8 F[i5= EET is] BBee", . 5 3FRE 2.2 fg thzzgis a2 BE5 glSidaldeiaeles: 222222.118833 =: == [E $52 5% a aif 34 2 a l2B])E2 = |2 > 3 [2 ilo of]:|: PeolE[]F IES P 7 |Z2: |: HH Stx2o:le :|: Be58al13" %Eg|E gg2g3s -; i: Well Log Report- 00241968 _Minnesota Unique WelT No. 11 24t96s 11 County Quad QuadlD Olmsted Salem Comers 29A MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 01/28/1992 01/0811996 Well Name ROCHESTER AIRPORT- MONI Township Range Dir Section Subsections Elevation 105 14 w 9 CDDDCD Elevation Method 1 01 13 1300 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 414ft. Drilling Method -- Depth Completed 414ft. Date Well Completed Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Other (specify in remarks) iZ| z2e5 LA:F? E1C7Ea.. F[lfeF H[2lE1eaaEf)Es~ [5=Bef8 RF2a1EE2=sY[] 233 52883388%3 E5 _szeggage Well Address ROCHESTER MN Geological Material GLACIAL DRIFT GALENA FORMATION GALENA FORMATION GALENA FORMATION DECORAH SHALE PLATTEVILLE LIMESTONE GLENWOOD SHALE ST. PETER SANDSTONE PRAIRIE DU CHIEN GROUP = Color Hardness i Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D No Above/Below 0 ft. Casing Diameter 4 in. to 334 ft. Weight lbs./ft. Hole Diameter DYes l-= f &3 Poe4 2HfEl From 0 34 101 176 238 285 304 308 400 Open Hole from 334 ft. to 407 ft. To Screen NO Make Type 34 101 Diameter 176 Slot/Gauze Length 238 285 304 308 Static Water Level 400 272 ft. from Land surface Date Measured 02/04/1988 414 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Set Between EdEel EL0E2 HaEleEe] R 2 2E 2]H 3 Zoa Sip 3Z4E3EsE 37 7 Hg z22i0i0d8 REMARKS GAMMA LOGGED 2-9-1988. MG.S. NO. 3198. = Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 m. above grade D At-grade (Enviromnental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No <: 5 aEI i i f: o 4 i ` g3 d3 2s i : i. 7 oFEi:i:: Le: 31:%3: i ss 2:2 3 jiz i1l 82 [p-- :. Located Mim1esota Geological Survey Method Digitized- scale 1:24,000 or larger (Digitizing Table) E50f 72 iHzI:E 2iis2 l2 ~ Unique Number Verification Information DateN/A Vl from owner System UTM- Nad83. Zone15. Meters X: 539397 Y: 4861583 rn I 0 [= & Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No N 00 i3i N 5 i N i file:/i/11/MPCA/!Working/AOOSI-1 00%20-%20PFC%20Foam;Reports/Appendix%20 ...0and%200ther/Rochester%20Airport/Well%20Log%20Report%20-%2000241968.htm (I of 2)7/1/2008 I :41:36 PM '-1 \.0 0 o LEXIE T "HEiHsE : Well Log Report- 00241968 Cuttings Yes Borehole Geophysics Yes First Bedrock Galena/Stewartville Mbr Last Strat Shakopee Fm(Prairie Du Chie County Well Index Online Report 5 2i:%L|e hes [Eile O$H52 [iEsiR|2 23232)2 2 : if 23 $2 Aquifer Multiple Depth to Bedrock 34 ft. O |g 2 |o "EaE0 E qSetz |y2 E 3225:05: Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HPQ_ Volts Type Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes D No [] 2 (gl 72 Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Minnesota Geological Survey MGS License Business Narne Lie. Or Reg. No. Name of Driller 241968 I i: Printed 6/29/2008 HE-01205-07 i 222222.118834 :z z $ i 3: i 3 i3 i i i } 3 iI 2 stareozs22701 ~Vl rn I 0 N 00 N N file:/i/11/MPCA/!Working/AOOSI-1 00%20-%20PFC%20Foam;Reports/Appendix%20 ...0and%200ther/Rochester%20Airport/Weli%20Log%20Report%20-%2000241968.htm (2 of 2)7/1/2008 I :41:36 PM '-I \.0 I-' Well Log Report -00411322 AJfionnneesosta UUnicque BWeAllTNo. 441111332222 5 CCooutnyty OOllmatsteedd QQuuaadd SSaakleamCCoommeerrss QuadiD 29A Well Name !\ORMAN. JACK Township Range Dir Section Subsections Elevation 105 14 w 4 CADBDB Elevation Method ee i tsmin MMIINNNNEESSOOTTAA DDEEPPAARRTTMMEENNTTOOFF HHEEAALLTTHH WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Jl11nnesota Statute., Chapter 1031 EEUnpntdtrrayyteDDDaaattetee Update Date Recei~ed Date 0o013n/02295s1/91i99o58m.8 05/09/1995 Well Depth Depth Completed Date Well Completed 1240 ft. 340ft. 340ft. 11128/1986 7.5 minute topographic map (+/- E0S)cNoHAboEveelon 0 I 1 | 5 feet) -r Rotary Drilling Fluid -- Use Domestic Well Hydrofracturcd? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter eZz ar Geological Material DRIFT LIMESTONE LIMESTONE, BROKEN WITH CLAY =LIMESTONE SHALE LIMESTONE SHALE SANDSTONE DOLOMITE 1Torn lep Color Hardness From To [BREE 8 in. to 13ft lbs/ft 4 in. to 265ft lbs/ft Open Hole trom 265 ft. to 340 ft. Screen NO Make Type 8 in to 4 in. to 265 ft 340 ft BROWN TAN BROWN Fr BROWN BLUE TAN EE REET a BROWN WHITE SOFT MEDIUM SOFT MEDIUM SOFT MEDIUM SOFT SOFT 0 9 9 28 Diameter Slot/Gauze Length Set Between 28 51 51 171 171 214 214 235 235 244 Static Water Level 244 340 204 ft. from Land surface Date Measured 11/28/1986 GRAY MEDIUM 340 340 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. NO REMARKS fate [LLeocsatteed 'vlinnesota of Geological Survey Lnique Number Velification Information from owner System UTM- Nad/?3, Zone 15, Meters polsalMrapregetehrro((dDDhiDgpiiitgiizinitnigzgTeTdab-ablslecea))le 1:24.000 or DateN/A X: 53930R Y: 4R63725 County Woh nds nine apr First Bedrock Galena Last Strat Prairie Du Chien Group Aquifer StPeter Depth to Bedrock 9 ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model DDOcCusaisinnggpPrroottescitioonn 0D 12112min..aabboovvee rgraaddee D At-grade (Environmental Wells and Borings 0\ILY) Grouting Information Well Grouted? 0 Yes D 1\o frm na Grout Matenal Neat Cement from Oto265ft TET Nearest Known Source of Contamination 6 yrds 200 feet _____direction SeQtic tank/drain field type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed a Manufacturer's nan1e 'vlodel number - IIPQ_ Volts Length of drop Pipe ft. Capacity g.pm Type Material AAbaarnddoonncedd 'WVeelillss DDouess pprrooppeerrttyy hhaavseaannyynnoott ianwsuseaanddnnoott sseeaalleedd wweells(s?)? CDJ Yt:s D No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Rowland Well Co. on License Business 'lan1e 411322 23124 ROWLAND !:i_ Lie. Or Reg. No. Name of Driller I Yes D No Pnnted 6/29/2008 HE-01205-07 file :iilli!MPCA/IWorking/A0081-100%20-%20PFC%20Foam!Re .. ester%20Airport!Well%20Log%20Report%20-%2000411322.htm 711/2008 I :41 :34 PM 222222.118835 STATE_02822792 SSiittee NNaammee:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY L1L1aa5kk0ee1SSHuuippegerhriwiooarryCC2oo3llllegeeg-e- DDuulluutthh Duluth, MN 55808 11501 Highway 23 Duluth, MN 55808 D2D1aa8v.vid73SS3aa.rra1az0iz7nin7,, AAccaaddeemmiicc SSuuppeerrvviissoorr dsarazin@iesdcu 218-733-1077 d .sarazin@lsc.ed u TTrraaiinniinngg LLooccaattiioonn:: TTyyppeeooff ffooaamm uusedsiinntetrraaiinndiinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: oOnnsisittee AAAFFRFFAFF:F:F33FMM (3(hiMsistt(ooririsicctouursisece))use) GACGllRlaaas-ssAsssFABBFP:FrP:oArtnoe3stieMuniln:(:ShiiS3svMtW-oer((ixchhiisusttsooerr)iicc uussee)) Training Class A: Training Foam: Ansul Foam: Traine, Silv-ex Trainol, SSiimmuuffooaamm AAnnnnuuaallllyy LLeessss tthhaann 5gaglallloonnss OOnn--ssiittee ttrreeaattmmeenntt ffaacciilittyy AAARFFAFFFF:F: Fuu:nnkknnuoonwwknnn,o,hwihnsist,toohririsicctaaolrliuucssaeel use ACGGlaRlaas-ssAsssFABB:FPFrP:olrtoeeustiesnniknt:n:hoauwnunnn5kkg,nnahootiwswontno,r,rsichhiaisslttoourrsiieccaall uussee TCTrrlaaaiisnnsiinnAgg: Foam: not specified less than 5 gallons Foam: not specified S`1/Sa4arrgmgeionent CCsroroeuceknk,, lleessss tthhaann 11//44 mmiillee oeaasstt:; S1,t. LLoouuiiss RRiivveerr lleessss tthhaann 1/4 mile south OOnn oorar dajdajacceenntt ttoo ssittee AApppprrooxxiimmaatteellyy 11 mmiilee wweesstt aanndd nnoorrtthh NNoonnee win within oonnee mmiilee 177 22222222..11883366 SSTTAATTEE__0022882222779933 JUSS NUE LLAAKKEE SSUUPPEERRIIOORR CCOOLLLLEEGGEE -- DDUULLUUTTHH CCWWII WWeellll MMaapp as, WeE ndlNEER SNGaS toemlerpd feR1E Ce Le remill ee AEE VSL REY el SERN) Gnd 3 CTA EE doTE Cp the EEE od dv Lac oe 7 ET rh il gy HN Ne SHE / > NET SN 124 ( MAEme 7} || New Duluth: No did TR, Bh NE Bae ab Sl" - PLFF& "eE e NaE k< : R = o F Low ewml aA s ao i Pe tn. Tw meets,Ou dinette Coron0o a 222222.118837 snore soso STATE_02822794 ae le LLaakkeeSuSpuereirioorrCCoollliegeeDDuuluIutthhWWhahta't'ss IInn MMyNeighbboorrhhoooodd Sg T a Es At Ee RY aT eae pe Sid 5 ~~ -- 3 To 2 NN fo EE Eo Nf . L I imate iteoT n rd 3hsT e he ioeroid || Dlsclalmer: Map and site infonnation is believed to be accurate hut accuracy is not guaranteed. No portion of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. @Minnesota Pollution Control Agency SSitlaess. J g,~ Wl1ll ru~~mma rm -- \ipOIMIOdDumps hmldd !liolkl~ lln~mlllfcl Dun~DG |seNI'R/V" ts ~ S:u~rkud or CI9.CLI5 rama Q ~nllu,wrftlntl * He &~ Cbood LIMIUb VQtulllllr~ llrP11gmroo Von ~Cblllllll' pi'rmcvas. ..... ~RA helM~ a fC;I;ifCA hi'P"t31~kO'D ~ t;;;:ktlllllllll' J ..f.. l101~nwn1: 222222.118838 STATE_02822795 i HEA % gr | Ha | [IELtis a ndH HaiEthnid 3 i 2 a HE =i Lake Superior Coli Duluth Wetland Map ded dourd = ---- 222222.1188399 a. a iil Ad a H Vo Ci i And ii tig 4 a 7 92-15-0W 92-14-30W H r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N '-I \.0 0"1 realh] C |eTEid E H 8 7 (8 | 18] 09 6 og T NE .... .m... 0 ~ 0 z .... .m... 0 6 z 3 pee 1 ~ ~ ~ Z ~ ~ ~ Z A sx, 92-14-0W cp w <D 6 z 92-13-30W Map center: 46 39' 48" N, 92 14' 25" W teen pa in Legend .0Ohlo_wet_scan D1 Out of range ;/'/ Interstate Major Roads Other Road ;/'/ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetland Freshwater Forested/Shrub Wetland Freshwater Pond Lake Othet Riv~rine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 1DOK 0 South America u North America f $ Scale: 1:22,018 . Well Log Report- 00515372 M i n n e s sis] ota Unique Well 515372 No. on County Quad QuadiD 8St. Louis Esko 224A Well Name GLAJ\1UZINA. JOHN Township Range Dir Section Subsections Ele,ation 48 15 w 8 AACCBD Elevation Method "WELTL ANDEBORRING ERECORD. MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statute., Chapter 1031 CEroDne Entry Date Update Date Received Date tous 02/23/1993 10/03/2007 Well Depth Depth Completed Date Well Completed Fm m I e 610 ft. 7. 5 minute topographic map(+/- 5 feet) 75ft. Drilling Method Air Rotary 75ft. 08/14/1992 .... Drilling Fluid -- Well Ilydrofractured? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0DNvoo Abbnovev/Reelnnw 8ft. 0 Yes Casing Diameter Weight Hole Diameter 6 in. to 75ft 19 lbs/ft De Well Address 1260223 HY pm DULUTH MN 55808 Geological Material CLAY GRAVEL & SAND eee Color Hardness GRAY SOFT NO REMARKS From 0 70 Open Hole from 75 ft. to 75 ft. Screen NO Make Type DDiaiammeteeterr `SSloott/GGaauuzzee To 70 75 LLeennggtthh SSeettBBeettwweeeenn Static Water Level 10 ft. from Land surface Dale Measured 08/14/1992 PUMPING LEVEL (below land surface) 20 ft. after 1 hrs. pumping 30 g.p.IIL Well Head Completion TE, Pitless adapter manufacturer DSa 0 Casing Protection Model 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes 0 No Located Minnesota Geological Survey Unique Number Verification Address verification System UTM- Nad83, Zonel5, Meters ra : Method Digitization (Screen)- 'vlap (1 :24,000) Date 09/19/2007 Nearest Known Source of Contamination X: 556325 Y: 5167623 TI_fcet L direction SeQtic tank/drain field type Well disinfected upon completion? D Yes 0 No Pump D Not Installed Date Installed J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? 0 Yes D No ink First Bedrock Last Strat Sand & larger Anite co i ve pit Aquifer Quat Buried Artes Aquifer Depth to Bedrock ft. County Well Index Online Report Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Besta map Bleau Well Drilling 36336 BLEAU. D. 5s15i37m2 I License Business Kame Lie. Or Reg. No. Name of Driller Yes D No Printed 6/29/2008 HE-01205-07 file:/I/II;'1-1PCA/! Working/A0081-1 00%20-%20PFC%20Foam/R. .. llege%20Duluth/\Vell%20Log%20Report%20-%20005153 72.htm711/2008 1:43:38 PJ'vf 22222..118400 STATE_02822797 Well Log Report- 00541088 [ii] Minnesota Unique Well No. 541088 E5 HSe County Quad Quad ID St. Louis West Duluth 223B SERrR MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 tm Entry Date Update Date Received Date 03/13/1995 10/03/2007 Pa Well Name DELZOTTO, BILL Township Range Dir Section Subsections Elevation 48 15 w 4 DABADB Elevation Method 778 ft. 7.5 minute topographic map(+/- 5 feet) - Well Address mde 1100 GARY ST W DULUTH MN 55808 Well Depth 327ft. re oe Drilling Method A.i~R"~!~;:y Depth Completed 327ft. Date Well Completed 08/22/1994 .... Drilling Fluid ~ Ios] -- Well Hydrofractured? DYes 0No From Ft. to Ft. RE Use Other (specifv in remarks) Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 No Above/Below ft. Yes D Casing Diameter Weight Hole Diameter 6 in to ft 18.97 lbs/ft fr om e] Open Hole from ft. to ft. Screen NO Make Type ET Geological Material CLAY SANDY CLAY GRAVEL CLAY SAND GRAVEL EF Color RED RED BROWN RED Hardness MEDIUM MEDIUM HARD MEDIUM BROWN SOFT [iFrom To 0 100 100 195 195 210 210 320 320 327 Diameter Slot/Gauze Length Static Water Level 60 ft. from Land surface Dale Measured PUMPING LEVEL (below land surface) 240 ft. after 3 hrs. pumping 5 g.p.m. 08/22/1994 Set Between TEAR REMARKS 'SHOP' IS USE. Well Head Completion Pitless adapter manufacturer D Casing Protection 0 Model 12 in. above grade ron terms Wehr Ove Be D At-grade (Environmental Wells and Borings ONLY) Groutin~ Information Well Grouted? DYes 0No Located Minnesota Geological Survey Unique Number Verification Address Sem UTM verification System UTM - od Zales Nad83, Zonel5. Meters :Wethod Digitization (Screen) - 'vlap (1 :24,000) Xs S590 Ys S62 Date 09/19/2007 X: 558069 Y: 5168742 pri Nearest Kno\\'D Source lQ____feet L direction of Contamination Landfill type Well disinfected upon completion? 0 Yes D "\Jo Pump D Not Installed Date Installed Lonshoeptp8e Cowie por Te Niwas J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material 0 x Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes D No Variance Was a variance granted from the MDHforthls well? D Yes D No Well Cont..actm Certification [eo s541w088 I n First Bedrock Last Strat Sand & larger-brown _1\quifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. County Well Index Online Report Bleau Well Drilling 36672 AUGLAND.J. License Business Name Lie. Or Reg. No. Name of Driller Printed 6129/2008 HE-01205-07 file:/IIII/1,1PCA/! Working/A0081-1 00%20-%20PFC%20Foam,tR..llege%20Duluth!Well%20Log%20Report%20-%2000541 088 .htm711/2008 1:43:37 PM 222222..184411 STATE_02822798 i280 [=] |F EF $ eis Tle]: Be ix] | zl:2 0: : le|di]: Ls< 3 fl? fee [F|59 l5e 25 8 HH soz ll Ll22delE: H[feF SEFEEEEERREER A BAy f2E g= : .1 fae gs 3 EBEAEE RE] BagFii:: :i HE fEsis= IHEEEi:, Hil I HES 13 Well Log Report- 00569164 Afinnesota Unique WelT No. 11 s69t64 11 County Quad QuadiD St. Louis Esko 224A == LHE]E8N: MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 04117/1996 10/03/2007 HE fof] fi L ECE i38:2r]? EE 3S3o3r3c3nsosnsd Well Name STEPHENSON, JEFFREY Township Range Dir Section Subsections Elevation 4R 15 w R ARADCR Elevation Method HE2RHdE 2E i 614 tl 7.5 minute topographic map (+/- 5 feet) Well Depth 212 ft. Drilling Method Rotary Depth Completed 212ft. Date Well Completed 02/20/1996 Hl $ gFH di 2: Well Address 12631 5TH ST W DULUTH MN 55808 Geological Material SAND CLAY SAND CLAY SAND CLAY SAND/GRAVEL ~ igiiiFzzoiizziics Color BROWN RED/BRN BROWN RED/BRN BROWN RED/BRN BROWN Hardness SOFT MEDIUM SOFT MEDIUM SOFT MEDIUM SOFT E5EL5AELEAELE Bf3 EeA z: |EJ oraEu2R From 0 70 89 100 122 178 207 2e28RERE Drilling Fluid Water Use Domestic Well Hydrofractured? D Yes D No From Ft. to Ft. |: z:|: , Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D No Above/Below ft. a 0 Yes Casing Diameter Weight Hole Diameter 6 in. to 212 ft. 19.45 lbs./ft. 6 in. to 212 ft. lg l- 2 i Open Hole from212 ft. to 212 tl Screen NO Make Type To 70 Diameter 89 Slot/Gauze Length 100 122 178 207 Static Water Level 212 12 ft. from Land surface Date Measured 02/20/1996 g8 PUMPING LEVEL (below land surface) ft. after hrs. pumping 15 g.p.m. 5 2 Set Between 222222.1188442 he ic EH AW2e71 gy 2g 2 io.: $Li9=m5! BEiidEdaiecl El IE i6 50 28 ! E FEER i EEREn Tid: i EEE C H1EH NO RFMARKS . : Well Head Completion Pitlcss adapter manufacturer Model E PE E 32 D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No 2H < EE !i{ sate_02620799 Grout Material: Bentonite from 8 to 210 ft. z i: ZE i i.: 31g5* g 1i%s 1i ] { ig 3 2i5.5: Located Mim1esota Geological Survey Method Digitization (Screen)- Map (1 :24,000) Unique Number Verification Address verification Date 09/19/2007 Nearest Known Source of Contamination : Fi1 Ff HEE] ipild g 3: : oA2 f gi Z E iZ ~Vl System UTM- Nad83, Zone 15, Meters X: 556211 Y: 5167782 rn I 0 - feet _direction _type Well disinfected upon completion? 0 Yes D No N 00 3ii ii i :; N i N 3 i file:/i/11/MPCA/! Working/A0081-1 00%20-%20PFC%20Foam/Reports/Appendix%2...e%20Superior%20College%20Duluth/Well%20Log%20Report%20-%2000569164.htm (1 of 2)7/1/2008 1:43:38 PM '-1 \.0 \.0 i lz : 7i 3i ifs 3 S iAk 21 : i Well Log Report- 00569164 2% ii|8 First Bedrock Last Strat Sand & larger-brown Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. `HlHz County Well Index Online Report o 3: [o 21i2]ls72 ERE 2,52 [3] HsiEliHE|g 57 ESNZ IEE. H5 E2 F H |:EE2E=i ERSHEEEEREliEEiEc|T% HEEEE EEE Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Variance Was a variance granted from the MDH tor this well'.' D Yes 0 No Well Contractor Certification EE 2% Rasmussen Well Co. 38019 RASMUSSEN R. License Business Name Lie. Or Reg. No. Name of Driller 569164 I i= Printed 6/29/2008 HE-01205-07 2222222.1188433 z i ii ii 3 i < 33 7 3 i i 4? i i i : 5: ii g: STaTe_02622800 ~Vl rn I 0 N 00 N N file:/i/11/MPCA/! Working/A0081-l 00%20-%20PFC%20Foam/Reports/Appendix%2...e%20Superior%20College%20Duluth/Well%20Log%20Report%20-%2000569164.htm (2 of 2)7/1/2008 I :43:38 PM 00 0 0 28 25 fx. EEEcS 123: EEE =E e [FEE OE]5: e 3 EERTLfEs]ssfBlsaafiies HIEIAHFEH EEEN 2 t EJEHF pi eis sug Bice EE fas is i F3H HAEe.ls2 E 33%,R N a85.38,E 23.R . iol{I [EETT Ef3e5e g2sBszscdiszacasaciaasicebsoicanazsiaziaiidlasiinoccannsapnglliiziy TZEiE; Well Log Report- 00656029 Afinnesota Unique Well No. 11 656029 11 County Quad Quad ID St. Louis West Duluth 223B 325 . gHHE MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Entry Date Update Date Received Date 03/26/2002 11115/2007 222222.118844 % ls=3 |e|) PlaEsR:E |e |g fet a: HEHE Feo E2| [2 [3 Well Name VEIT COMPANIES Township Range Dir Section Subsections Elevation 48 15 w 4 DAABAD Elevation Method 2 2 Is Li RA-E 770 ft. 7.5 minute topographic map (+/- 5 feet) : Well Depth Depth Completed 1258 ft. 1258 ft. Drilling Method Non-specified Rotary Date Well Completed 05/09/2001 Well Address 1100 GARY ST W DULUTH MN 55808 Drilling Fluid Bentonite Well Hydrofractured? D Yes 0 No From Ft. to Ft. s 2:0 1% 22%: slo 5s i JE: gf Mo FogiF | 1 ; 2EEEHZElgEz| EE9E0:|: 22 I eaueBRBLEE3RER8EE25008008 EE] fsuen28s099380858RE 2a00ReRREE S35i5s 88535 6oBREERoRopRsRilLseLssG RlaEClIl EE d5=l5ecte_s5teB3f8EigSf;stuew cf=eriLiEiEiEBiEf-iEi-3e%g Geological Material LAYERED SAND & CLAY SAND &CLAY CLAY & ROCKS (STICKY) BOULDER CLAY & ROCKS SILTY CLAY CLAY & GRAVEL (STICKY) SILTY CLAY & ROCKS REQOLITH & ROCKS CLAY & ROCKS REGOLITH & ROCKS GRANITE BOULDER CLAY & ROCKS REGOLITH Color BROWN RED RED GRAY RED RED GRAY RED WHT/BLK RED/BRN VARIED GRAY RED WHITE Hardness SOFT SOFT HARD MEDIUM SOFT MED-HRD HARD HARD HARD HARD HARD MED-HRD .. g Use Industrial From To 0 30 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0 Yes D o "3 li 30 52 jNo Above/Below ft. 52 70 70 72 Casing Diameter Weight Hole Diameter 72 135 6 in. to 867 ft. 19.45 lbs./ft. 10 in. to 30 ft. 135 240 240 350 8.75 in. to 867 ft. A] FLl:e Fl fLfL 350 457 Open Hole from 867 ft. to 1258 ft. 457 460 460 485 Screen NO Make Type 485 524 Diameter 524 530 3 Slot/Gauze Length Set Between 3 ! 530 537 537 560 CLAY & ROCKS CLAY & ROCKS BRIGHT RED SANDSTONE & CLAY CLAY & ROCKS REGOLITH ROCKS &CLAY BOULDER CLAY & ROCKS ROCK- GABRO GABRO GABRO GABRO GABRO GABRO GABRO RED RED GREEN RED WHITE RED/GRN GRN/BLK RED/GRN BLK/GRN BLK/GRN GREEN RED/GRN GREEN RED/GRN GREEN HARD HARD HARD MEDIUM MEDIUM HARD HARD HARD HARD SFT-MED MEDIUM SFT-MED MED-HRD HARD HARD 560 590 590 680 680 703 Aldi Hisedisi 703 711 Static Water Level 711 715 ft. from Date Measured 715 800 800 825 PUMPING LEVEL (below land surface) 825 850 ft. after hrs. pumping g.p.m. 850 867 867 930 Well Head Completion 930 938 Pitless adapter manufacturer Model 938 990 D 0 990 1018 D 1018 1078 Casing Protection 12 in. above grade At-grade (Enviromnental Wells and Borings ONLY) 1078 1258 |iir5i|1] toil gg 31! 225IE iy REMARKS GAMMA LOGGED M.G.S. NO. 4139. DRY HOLE 20 GAL.IDAY. Grouting Information Well Grouted? 0 Yes D No 3i i1 Eo [ER] i: 181 Sid $3: Gf ~Vl Grout Material: Bentonite Grout Material: High solids bentonite rn Located Minnesota Geological Survey Method Digitization (Screen)- Map (1 :24,000) I 0 Unique Number Verification Information N Date 09/08/2004 00 from owner from 0 to 30 ft. from 30 to 867 ft. N i i N file:/i/II/MPCA/!Working/A0081-1 00%20-%20PFC%20Foam/Reports/Appendix%2... e%20Superior%20College%20Duluth!Well%20Log%20Report%20-%2000656029.htm (1 of 2)7/1/2008 1:43 :36 PM 00 0 I-' " 3 bags stare 02822801 H3H2 is Well Log Report- 00656029 System UTM- Nad83, Zone 15, Afeters :i = . H z - x: ssg179 Y: Sl6g773 . %o i8 3iz5 fz 3 13 : |3 p2f|E Cuttings Yes First Bedrock Last Strat Borehole Geophysics Yes County Well Index Online Report 22 i Aquifer Depth to Bedrock 457 ft i BEELER 52 322525 5 2 SEA lE E2IH.U0HE2E [EEEEEE HE EE HEH oO BE gl a1| d771i9|: l. 9 241 |y 23 EEE Nearest Known Source of Contamination lQQ_feet South West direction Se]2tic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe tl. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No Ee & 5 Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification Pelersen Well Co. - 691- R3 PETERSEN, l2_ License Business Name Lie. Or Reg. No. Name of Driller 656029 I 5 3 Printed 6/29/2008 HE-01205-07 222222.118845 , Z i 5 3i ai 3i 2 3 : i i i <i i i: { i i stareozs22802 ~Vl rn I 0 N 00 N N file:/i/II/MPCA/!Working/AOOSI-1 00%20-%20PFC%20Foam/Reports/Appendix%2... e%20Superior%20College%20Duluth!Well%20Log%20Report%20-%2000656029.htm (2 of 2)7/1/2008 I :43 :36 PM 00 0 N SSiittee NNaammee:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY SS1o6ou2ut0thhLCCeeeenntBtrriaalvl CCoolllleegege-- NNoorrtthh MMaannkkaattoo NN1o9or2rtt0hh Mankato, Lee Blvd. Mankato, MMNN 5566000033 TT50iim7m.ZZ3ee8h6hn.nd7de3er2r,,0FFiirree&& RReessccuuee PPrrooggrraamm MMaannaaggeerr t5fiim0m7.zz-3ee8hhn9nd-d7ee3rr2@@s9osuotuhthcecnetnrtraall.eedduu TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseeddiinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaatteerr:: NNeeaarreesstt wweetttlaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: oOnnsstitee AAARFFAFFFF:F: FAA.llll ((3A3MlMl@uuGssMeeuasassessuuammsesedud)m)ed) GACTlrRlaaai-ssAnssiFnAAFg::FF:AAollaAl mll:(3AMnsuusleSaisvs-uemx ed) Training Foam: Ansul Silv-ex MMoonntthhllyy S5ggaallolonnss. GGrroouunndd,, ssttoorrmm sseewweerr AAAFRFFAFFFF:F: E55:ggaa5llloognnassloppnllusussplus ACCTrlRlaaai-ssAnssiFnAAF:g:FF:11o00a5mggg:aaallllllo1oon0nnsssgappplllulluusossns pus Training Foam: 10 gallons plus IRIninvtteeerrmm,ii1ttt7ee2nnt1t0ss1ttrremeaialmme asapoppuprtrohoxxiimmaatteellyy 11//44 mmiilee ssoouutthhwwesets;t; MMiinnnneessoottaa River, 1/2 to 1 mile south 11/221t0o 11 mmiille ssoouutthh SSiitee llooccaatteedd iinn ccoovveerreedd kkaarrsstt aarreeaa a1/t4 too 11/33 mmiillee ssoouutthhwweesstt NNoonnee win within oonnee mmiilee 1199 22222222..11884466 SSTTAATTEE0_022882222880033 SSOOUUTTHH CCEENNTTRRAALL CCOOLLLLEEGGEE,, NNOORRTTHH MMAANNKKAATTOO CCWWII WWeellll MMaapp jn ! s CE es BEET W BA e boo iOooe JBiEgRT 1 4F]e0ls Te a } +Co I TERN Fh ee IAITrs ) od AN ~l : ITT fll a dg Hol 8 EcanAe iNh Rel fi TaN a oi FE i : Npae SpRSEl AT ovor.r SoHYS SE TL EEBULR C reaa Ge Fr sg Ema me BERRY Co rW T amasR t nLC eraN Ta y ERIe EEJbapaaH bk Eood RRREET riENIeXeN sf ergsmat aelNae FF Sele g2ay Wh SeR Ho n aSeT m R NSHER N e SeT eR nr Sh i Tr il en P TenN g Joi me li Ea DyT oe n D ny RSOiSrreaomNHYe,vins.einvnatseiminns:} ogc, L s44,n>rva E 1S a iaFl eSingt 222222.118847 sare aas22s04 STATE_02822804 [SoSuotuhthCCenetnrtraallCoClollleeggeeNNoorrtthh MMaannkkaattooWWhahta't'ss IInnMMyyNNeiegighhbboorrhhoooodd| | | Ee matin| | |[ \ 3 \n TT V{i TNON ESagr er LN Ix EE NT [~TetEre No"Su e\e | ey Te < : rm || ffoaitf Fo --i r i a1 s | Gh Cislms i TEE | ene edhe feeds bol || AlmnHi gasanaLeEh Leair spol TT) ie] oN PE --_ Fo f \| HEA - Yam? / I) FE TT | Disclaimer: :Nlap and site information is believed to be accurate but accuracy is not guaranteed. No portion Bm pptsSe AIL gp et | of the information should be considered to be, or used as, a legal document. The information is provided subject to the express condition that the user knowingly waives any and all claims for damages against MPCA that may arise from the use of this data. `@Minneseostaata PollutionPolution ControlControlAgeAgenc Y sies Soa Suprnd Df'~ !!:l'lzm SUpt'rklntJ Pesan Pom~el @()ltd~ omega IJnpe:mil:bcl Dllnps || em NrRAP' SSttlmeSSulplo~rrfhunidM. v arn ~~Lift i c F'ftd!!:nl !"'u,:mrfllnd ro , ofm !111\J Cbood LancJIUis! V'9lf&t.CnCahrb~mar1nrwr~;gt1191'1~1'i RoRATRE Pace i. ltCRAnn f'llciii:IWs' FerAmetonsCrap ltCRA l'rritfi'I9Jikoo111& Ckt1rwp yn ..&.. Stato ~~m~lll 222222.118848 [p-- STATE_02822805 o| fn 2s 23 g 2 = ET -- kd IP 5 8 gly ge S8 I! 8 S$ 2 g3. South Central College, North Mankato Wetland Map $& s o lf: 222222.118849 =Aw2o \AN| Sii| 7 _- _ i / JieB, ii] a [8 |i8 MB LgEEya3UE EiI:iBE /f v~ 94-4W r::.u.:::AA.r::: r-c:.tvlr. L 94-3W i is r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 00 0 0"1 H|L fai 1 JH = mE OQ RE E ilFy .~.e..:.f.J~rliL$,XFifZJ 94-2W 1Ls |x i 3 WiE AN \ fgHiipdph,liiig8sluglshnaiH beHliHgi |g EF Ul _,. ! z _,. -----! 0 z --t+ 2 Hil Fi:HI Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America | ' 4 "3 Fg phic mally \ _,. po 5 3 $ .I 1 ~ ~\~C-Dp. 94-1 w z Map center: 44 10' 28" N, 94 2' 40" W 33 Scale: 1:39,537 5 [p-- Well Log Report- 00112950 Mints A1innesota Une Unique Be No Well No. 112950 ony Quid County Quad Quad ID cots NMMaiacnnokklalaetttoo WWesetst 56A MISNESOTA DEPARTAET OF HEALTH WMWIENELNLELSLOAATNANDDDEPBBAOORRRTMIINNENGGTRROEEF CHCEOOARRLDDTH Minnesota Statutes Chapter 1031 [EO EIU:pnpdtdaraytteeDDDaatatetee Received Date -- 07301995 04/13/1988 07/30/1998 Well Name SCHMOLL, TOM To" nship Range Dir Section Subsedions Elevation 108 27 w 10 DCBAAA Elevation Method 990 ft. 7.5 minute topographic map (+I- 5 feet) Well Depth Depth Completed Date Well Completed 410ft. 410ft. 07/15/1977 = fI m ee Drilling Method Drilling Fluid -- Rotary Well Hydrofractured? DYes D No From Ft. to Ft. TJse Domestic Well Address 602 IVY LA mn I~ORTH MMJKATO Ml~ 56001 ae Geological Material 1~0 RECORD CLAY CLAY SAND CLAY WHITE KAOLIN & QUARTZ co QUARTZ LAYERS SANDSTOI"E SHALE FRANCOI"IA won Color YELLOW BLUE Hardness Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0D 1x\oo AAbboevree/BBeedloowm 00 f0t. Casing Diameter Weight Hole Diameter 5 in. to 266 ft lbs /ft DYes $k From To 0 1 1 30 30 70 70 140 140 145 =145 180 180 266 266 410 Open Hole [omer Screen 1\0 Diameter from 266 ft. to 410 ft. SotGsie Make Type Slot/Gauze Static Water Level ft from Date Measured PI:MPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. Legh Length SetBeen Set Between Picip ome Well Head Completion Pitless adapter manufacturer Moh Model D Casing Protection D 12 in. above grade D At-grade (Enviromnental Wells and Borings ONLY) NO REMARKS Grouting Infonnation Well Grouted? DYes D No Located Minnesota Geological Survey Unique Number Verification Information from neighbor System UTM- Nad83, Zonel5, Meters Method Digitized - scale 1:24,000 or larger (Digitizing Table) DateN/A X: 415546 Y: 4891234 Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed LenghornpPgne Con sp Manufacturer's natne Model number - Length of drop Pipe _ft. Capacity _g.p.m Tye Vasil HP Q_ Volts Type Material AAbbaannddoonneedd WWeellkls DDoocessprporopepretrytyhhaavvee aamnyynnoott iin wussee annddnnoottseseaalleeddwweellkl(ssy)?? D Yes D No Soy First Bedrock Cretaceous,Undiff. Last Stmt Franconia County Well Index Online Aquifer Franconia Depth to Bedrock 140 Report ft. Variance Was a variance granted from the MDH for this well? D Yes D No Well Contmctor Certification [Crime Se[J[lmann Well Co. License Business Name 112950 I|] 07160 Lie. Or Reg. "\Jo. Name of Driller Printed 6129/2008 HE-01205-07 fi1e:1/I[I!MPCA/1Working/A0081-100%20-%20PFC%20Foam!R... Central%20Coll/Well%20Log%20Report%20-%2000112950.htm711/2008 I 45:35 PM 222222.118850 STATE_02822807 Well Log Report- 00209819 209819 Minnesota l!nique Well 209819 Nn. regi County Quad Quad ID vin ee Nicollet Mankato West 56 A `WeANEeD BSLOtRrILNhGogRsE1C1ORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD ftfinne.mta Statutes Chapter 1031 Uepeaouee Entry Date I:pdate Date Received Date ous 04/13/1988 08/18/1998 Welll'\ame FORSBERG, FRED Well Depth Depth Completed Date Well Completed Township Range Dir Section Subsections Elevation 108 27 w 10 DBAADC Elevation Method -- = I Well Address mero on Es NORTH MANKATO MN 56001 compas Cour uns rom 70 Coi[e oSpeEEti 2owes ot it pet Ove OF Geological Material vssoe $0 Lucena cme Wot For NO RECORD CLAY & SAND SAND ueswc 1 BLUE SHALE Sipps mee Emr SAND HARD LEDGE OF FLINT SANDSTONE SOFT SAND SOME BLUE SHALE Color WHITE PINK 990 ft. 7.5 minute topographic map(+/- 5 feet) 472 ft. Drilling Method -- 472ft. 08/20/1969 Drilling Fluid -- Use Domestic Well Hydrofractured? DYes DNo From Ft. to Ft. Hardness SOFT Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? DYes D From To No Above/Below 0 ft. 0 1 1 125 Casing Diameter Weight Hole Diameter 125 150 5 in. to 256ft lbs/ft 150 160 160 235 Open Hole from 256 ft. to 472 ft. 235 246 246 251 Screen NO Make Type BLUE SHALE & SOME SANDSTONE SANDSTONE 251 256 Diameter 256 260 Slot/Gauze Length Set Between SANDSTONE SOFT 260 262 = aston Rock soue su. RED ROCK RED ROCK SAND SANDSTONE, RED ROCK, SOME SHALE SANDSTONE & SHALE SRoESEosaS,os renee GREEN SHALE & BLACK SANDROCK SHALE & SANDSTONE SANDSTONE, BLUE SHALE, RED ROCK ROCK, SANDSTONE SHALE, RED ROCK SEE SHALE, SANDSTONE, DOLOMITE NO RECORD SANDSTONE vo i SANDSTONE NO Eto RED RED BLK/GRN BLK/YEL omat BLACK GRY/BLK TAN/BLK an GRN/YEL BLACK BLK/PNK AEHIARS REMARKS 262 265 265 307 z== = 307 322 322 331 Static Water Levol 331 342 210 ft. from Land surface Date Measured 08/20/1969 342 367 PUMPII'\G LEVEL (below land surfaco) EI367 383 ft. after hrs. pumping g.p.m. 3 Bl 383 398 398 428 Well Head Completion 428 443 Pitless adapter manufacturer Model S Blom Bee 443 446 D Casing Protection D 12 in. above grade 446 472 D0 At-ggrraaddee(EEnvmiroinmeontaulWWemelllssmsannddeBBronirningtgss OOsNJ\LLlYY)) rt oman. Satna Bl vo ET Grouting Information Well Grouted? DYes D No [-- Located Minnesota Geological Survey J Unique Nu1nber Verification Other, note ln rem arks Method Digitized - scale 1:24,000 or larger (Digitizing Table) Date N/A [SSyisetem ULRTM. -NAaads8,3, ZZnanreil5t, es Meters XBe: 4S1A57R1S3 Y8: : d48m9e1s5t5h3 Lt emt ne First Bedrock Cretaceous,Cndiff Last Strat Franconia-Ironlon-Gaksvill County Well Index Online Report DSp ebts Aquifer Multiple Depth to Bedrock 150 150 ft. TC Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump 0 Not Installed Date Installed 00/00/1969 Manufacturer's name STA-RITE Model number - HPl_ Volts bbe Wot Dt ry in rir 1 vo Length of drop Pipe ft. Capacity g.p.m Type Submersible Material Abandoned Wells Does property have any not in use and not sealed well(s )? D Yes D0 Nxoo Variance Was a variance granted from the MDH for this well'? D Yes D No Well Contractor Certification Lone sme rk No Nome Sq>Qnwnn Well Co. 07160 Lilit:nst: Busint:ss Namt: Lie. Or Reg. No. Name of Driller 209819 I Printed 6/29/2008 HE-01205-07 file://III/11PCA/!V.jorking/A0081-1 00%20-%20PFC%20Foam!R...Central%20Coll!Well%20Log%20Report%20-%2000209819 htm711/2008 1:45:35 PJ\1 222222..11885511 SSTTAATTEE__0022882222880088 21 22e|322s8 31) gis: 2 i= 3 2Z tEHEE Es: PE Es F= IEBER o 23 [3 32 13g BEET 2 |E LE dif [FIG E z o5Ellfz:[]2 . e i f gl: [[E5E3 N r:d 22222 Sx: : gills, sFERE EE FZ|l2e3e5:2 e5i5 z= 5J 2E3558:- [HgezEE ii Well Log Report - 00211770 lvfinnesota Unique Well No. 11 211110 11 County Quad Quad ID Nicollet Mankato West 56 A iHtE: 5Egs MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD ]l,finnesota Statutes Chapter 1031 Entry Date Update Date Received Date 0411311988 01/06/1998 Well Name THOMAS Township Range Dir Section Subsections Elevation 108 27 w 11 CCDADD Elevation Method i gd eT 995 ft. 7.5 minute topographic map (+/5 feet) 2 Well Depth 310ft. Drilling Method -- Depth Completed 310ft. Date Well Completed 00/00/1957 HH: Drilling Fluid -- Use Domestic Well Hydrofractured'! D Yes D No From Ft. to Ft. o :3 E24E lee : Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? !No Above/Below 0 ft. Casing Diameter Weight Hole Diameter 4 in. to 151 ft. lbs./ft. DYes D Fl F: BEE |[8E]&2Es 5 g53 3 3 LEisd 8|, $Ef8Eog0a5sei.ud Well Address MANKATO MN 56001 [0]. c=SGF Open Hole from 151 ft. to 310 ft. Screen NO Make Type Geological Material CLAY CLAY DOLOMITE BROWN CLAY LIMESTONE Color BROWN GRAY Hardness . 3 Lornt From 0 75 92 151 cesi=s To Diameter Slot/Gauze Length 75 92 151 310 Static Water Level 265 ft. from Land surface Date Measured 1957 N EFciCfBzB8| PUMPING LEVEL (below land surface) 279 ft. after hrs. pumping 12 g.p.m. Set Between J 1i3lo fz] 5 23. H iFzEEBIE=3E RE]& nff 3 A i EEERE E EiE Sfeelldg1szi. silyl S22 3s E10d: S2i2g0g0:]& NO REMARKS Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade sZ|l,o fe |t D At-grade (Envirolllllental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No 222222.118852 13 : 13 i I= i I Ris i :5 soyi si sare 02822809 . 12=BE 2os32|25%31f3 ,3 ii: $jif: i|! 3 5:E F fiii:H :g Located Milmesota Geological Survey Method Digitized- scale l :24,000 or larger (Digitizing Table) PE3L3E2 of <4: of 2 i oH|a3zl24d: EP4E278 HEEEE2E2ETE .H if Zoe: 4i52n2]sl5122g%57y Unique Number Verification Infommtion from neighbor DateN/A Nearest Known Source of Contamination - feet - direction _type ~Vl System UTlvf- Nadfi3, Zrme/5, Meters X: 416539 Y: 4890975 rn I 0 N 00 Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - T.ength of drop Pipe ft Capacity g.p.m HPQ_ Volts Type Material N i i 3 N ! file:/i/11/MPCN!Working/A0081-100o/o20-%20PFC%20Foam/Reports/Appendix%2... %200ther/South%20Central%20Coll/Well%20Log%20Report%20-%2000211770.htm (1 of 2)7/1/2008 1:45:35 PM i ii 00 0 \.0 i  o i: HHIHE Well Log Report - 00211770 HAE 5 iseilsf iz First Bedrock Pmirie Du Chien Group Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 151 ft. County Well Index Online Report gx HHi 31|19o 42 HEEH HE ilE k EElEaEiiaHiE IlSE ER PPlEikEz2 ss | 314 !No D D Abandoned Wells Does property have any not muse and not sealed well(s)? Yes Variance Was a variance granted from the MDH for tlus well? D Yes D No Well Contractor Certification 445: United States Geological Survey USGS ADAMS,K. License Business Name Lie. Or Reg. No. Name of Driller 211770 I h ii Printed 6/29/2008 HE-01205-07 o |g i: 222222.118853 zi. i 5 i i % Z 5 1 ; 3 32 3 i:5 { : : [p-- ~Vl rn I 0 N 00 N N file:/i/11/MPCN!Working/A0081-100o/o20-%20PFC%20Foam/Reports/Appendix%2... %200ther/South%20Central%20Coll/Well%20Log%20Report%20-%2000211770.htm (2 of 2)7/1/2008 I :45:35 PM 00 I-' 0 Well Log Report- W0006569 mst lvfinnesota UUnnii=quee elWell No. Coumy II S5522WW00000066556699 |II QQ~:uu:a~datyi . QuadiD it NMMaiacsnokillaaetto WWesestt sc56A Warne Well Name Tonsaip RangeDie Scion Subcctions Erato Township Range Dir Section Subsections Elevation W827 108 27 Ww 10 10 DADADD ElastinMethod DADADB Elevation Method MixNEsoTA MINNESOTA prea or DEPARTMENT OF HEALTH Eye oun WWEELLLL AAHNENADDLTBBHOORRIINNGG RECORD RecehedDac RECORD Minnste Sts Chapter Minnesota Statute.~ Chapter oi1031 EUpndtrayteDDaatete Update Date Received Date 01072005 04/22/2003 01/07/2005 on Dew p Deh Compiaed Daw Compe 998 ft. Com ing wih Calc from DEM (050575 macr (USGS 7.5 min or sn) equiv.) Well Depth ft. Drilling Method Depth Completed ft. Date Well Completed Wataru? 0 Yer 0 No Drilling Fluid oe Fun Hw Use Well Hydmfractured? D Yes D No From Ft. to Ft. CongType doin _Deiveshoez_0) ver 0 No Abmoleion_tt Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter Oper TT Open Hole from n. to n. Seer Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGeeoollooggiiccaall aMtaoteiraiall CCoolloorr HHaarrddnneessss vo nraanns NO REMARKS From To From To Er Static Water Level Im Dc Mr ft. from Date Measured FUNPING LEVEL (bon Find ricer PUMPING LEVEL (below land surface) ue pang gp: ft. at1er hrs. pumping g.p.m. Wel Hes Completion Well Head Completion Piles sper maior Medel Pitless adapter manufacturer Model 0 Casing Prossion. 1 121m above re D Casing Protection D 12 in. above grade 0 gre minmena Wealn Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Grating wormaton Wet Goetr 0 ver 0 No Grouting Information Well Grouted? DYes D No Lact Mines Located Minnesota Deputies Department of Health nia Number Unique Number Veration NA Verification N/A em LIN System UTM- Nad83. Zonel5. A1eters Fit Bock First Bedrock Lanett Last Strat Method Diino Seren) Mop Method Digitization (Screen)- Map (124100) (1 24.000) teDateN/A at i1n1 : awn: X: 416111 Y: 4891402 aque Aquifer De0pBetdmhck_t Depth to Bedrock ft. Nar Know Sore Co Nearest Known Source of Contamination Ta rion pe - feet _direction _type wtssstsootipm empties 0 ver 0 to Well disinfected upon completion? D Yes D No Pump 0 Notlmsled Doel Pump D Not Installed Date Installed Manufacturer"s name Model number - Lenlhofliop PLCs pi Tye Mea Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Randonee oes open Tae FUT oT TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varkance Wes vain rndfrom te MDH fori ol? 0 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No eT Contract Coron Well Contractor Certification cme Rs Nae _1i Or Reg No. Naofmriet License Business Name T,ic Or Reg. No. Name oC Driller REA PHL 0200 CA ler 371 20 31 file:/i/II/MPCN!Working/A0081-l 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W0006569.htm (1 of 2)7/112008 1:45:34 PM 22222222.11885544 SSTTAATTEE0_208282222881111 Well Log Report- W0006569 CCoouunnttyy WWeellll IInnddeexx OOnnlliinnee RReeppoorrtt 5522WW00000066556699 Printed 6/29/2008 HE-01205-07 RCA AHL 0250 CC SMG2 271308 434A file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W0006569.htm (2 of 2)7/112008 1:45:34 PM 22222222.11885555 SStTaAtTeE0_208282222881122 Well Log Report- W0006571 SIW0006571 | aQmuiai lMvfiinmneessoottaaUaUnniaiqquuee WWeellll NNoo. II 52W0006571 II C~o:u:n~ttyy . QuadiD MSenaks NNiiccoolllleett Mankato West 56A ar Well Name Tobi Range i ection Subsections Eston Township Range Dir Section Subsections Elevation WG 3 Wo DODD Heaton Method 108 27 w 10 DDDBDC Elevation Method siswsora MINNESOTA DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upiseoue 01min WELL AND BORING RECORD Recoved pote RECORD Stns Saas Chap Minnesota Statute.~ Chapter i1031 EEntnrtryyDDaattee Update Date Received Date 0044/22227/22000033 01/07/2005 wn ekfyDep DeCo"pia Do WA Coad CC9a8al8lec fomft. from DDEEMM (U5G575 manor (USGS 7.5 min or Sn equiv.) Well Depth ing Vithod ft. Drilling Method Depth Completed ft. Date Well Completed Drilling Fluid Fon Tem weWlelll HWyyddrmofferaaccttuurreedd?? D0 Yveees DO NNoo From Ft. to Ft. I Use Casing Distr Wo Tile Diameter CaCsaisinngg TTyyppee _ JJooiinntt _ DDririvvee SShhooee?? D[J Yveess D[J NNoo AAbboovvee//BBeellooww fftt. Casing Diameter Weight Hole Diameter CRT TE TTT Open Hole from n. to n. gat Screen Damewr SolGaze Diameter Slot/Gauze Leng SotBetween Length Set Between Gooogealliseial Geological Material CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS From To From To SET Static Water Level om Dus esd n. from Date Measured FORLEVEFL oIw NGcy PUMPING LEVEL (below land surface) Nr to pap gm n. at1er hrs. pumping g.p.m. Walled Comptes Well Head Completion Pith mimtse Nel Pitless adapter manufacturer Model DDOcCasasiinngg PPrrootteeccttiioonn 0D 1122min..aabboovveeggraravdee Grouting Inormation Wel Groves? 0 ves 0 No DD0 AAvt-ggrraaddee ((EEmnvviirroonnmmeennttaallWWeellsls aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Manos Located Minnesota Dermott Department of Health UnieNomber Unique Number VVeerriiffiiccaattiioonn NN//AA em UTM NaS. System UTM- Nad83. Zonel5. A1eters FitBedrock First Bedrock Lasion Last Strat Method Dian Sten) Mo Method Digitization (Screen)- Map (38000) (1 24.000) et Dote ateNV/AA ns vs won X: 416013 Y: 4890967 DAeuprtBedck_1 Aquifer Depth to Bedrock ft. Nes Soe TC Nfeefeeaetrtest__ddKiinrreeoccwttiinoonnSou__rttcyyeppoeef Contamination weipmscompsany 0 ves 0 no Well disinfected upon completion? D Yes D No romp D1 Notlatid Duets Pump D Not Installed Date Installed LMLeanngeutfhaocontffudrderrgroo"ppsPPnt iaippmeeh e__f_tC. apCMoacpoiadcetilytynu_gmgp.bpem.rm- HTTPyypp-ee VMMoaltatsteerriiaall Abandoned Wells Does property have any not in use and not sealed well(s)? Veron Wosvat gedfo te DMfrtt? Yer D0 Yvees O D nNo Variance Was a variance granted from the MDH for this well? D Yes a Comat Co D0 NNeo Well Contractor Certification i sis Nave Or No Naot Dil License Business Name T,ic Or Reg. No. Name oC Driller RCA lg 0853C1 ots3 NT 37120 43368 file:/i/II/MPCN!Working/A0081-l 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W000657l.htm (1 of 2)7/112008 1:45:36 PM sSTTaAeT_Eo_0z2s82222881133 22222..11856 Coury Wal nox ons Raper Well Log Report- W0006571 County Well Index Online Report S52WWa00000e6s5T7E1 Printed 6/29/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W000657l.htm (2 of 2)7/112008 I :45:36 PM 2222222.11857 STATE_02822814 Well Log Report- W0006572 SIW0006572 | aQmuiai lMvfiinmneessoottaaUaUnniaiqquuee WWeellll NNoo. II 52W0006572 II C~o:u:n~ttyy . QuadiD MSenaks NNiiccoolllleett Mankato West 56A ar Well Name Tobi Range i ection Subsections Eston Township Range Dir Section Subsections Elevation W683 OW 10 DDDOCH Heaton Method 108 27 w 10 DDDDCB Elevation Method siswsora MINNESOTA DDEEPPAAHHRREETTAAMULLEETTNNHHTT OOFF WELLANDBORING Upiseoue 01min WELL AND BORING RECORD Recoved pote RECORD Stns Saas Chap Minnesota Statute.~ Chapter i1031 EEntnrtryyDDaattee Update Date Received Date 0044/22227/22000033 01/07/2005 san ekfyDep DeCo"pia Do WA Coad CC9a6al1lec fomft. from DDEEMM (U5G575 mae (USGS 7.5 min or Sn equiv.) Well Depth ing Vithod ft. Drilling Method Depth Completed ft. Date Well Completed Drilling Fluid Fon Tem weWlelll HWyyddrmofferaaccttuurreedd?? D0 Yveees DO NNoo From Ft. to Ft. I Use Casing Distr Wo Tile Diameter CaCsaisinngg TTyyppee _ JJooiinntt _ DDririvvee SShhooee?? D[J Yveess D[J NNoo AAbboovvee//BBeellooww fftt. Casing Diameter Weight Hole Diameter CRT TE TTT Open Hole from n. to n. gat Screen Damewr SolGaze Diameter Slot/Gauze Leng SotBetween Length Set Between Gooogealliseial Geological Material CCoolloorr HHaarrddnneessss No REsARRs NO REMARKS From To From To SET Static Water Level om Dus esd ft. from Date Measured FORLEVEFL oIw NGcy PUMPING LEVEL (below land surface) Nr to pap gm ft. at1er hrs. pumping g.p.m. Walled Comptes Well Head Completion Pith mimtse Nel Pitless adapter manufacturer Model DDOcCasasiinngg PPrrootteeccttiioonn 0D 1122min..aabboovveeggraravdee Grouting Inormation Wel Groves? 0 ves 0 No DD0 AAvt-ggrraaddee ((EEmnvviirroonnmmeennttaallWWeellsls aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Manos Located Minnesota Dermott Department of Health UnieNomber Unique Number VVeerriiffiiccaattiioonn NN//AA em UTM NaS. System UTM- Nad83. Zonel5. A1eters FitBedrock First Bedrock Lasion Last Strat Method Dian Sten) Mo Method Digitization (Screen)- Map (38000) (1 24.000) et Dote ateNV/AA cam vs wot X: 416071 Y: 4890894 DAeuprtBedck_1 Aquifer Depth to Bedrock ft. Nes Soe TC Nfeefeeaetrtest__ddKiinrreeoccwttiinoonnSou__rttcyyeppoeef Contamination wo ds rn cos mpton ves 0 no Well disinfected upon completion? D Yes D No romp D1 Notlatid Duets Pump D Not Installed Date Installed LMLeanngeutfhaocontffudrderrgroo"ppsPPnt iaippmeeh e__f_tC. apCMoacpoiadcetilytynu_gmgp.bpem.rm- HTTPyypp-ee VMMoaltatsteerriiaall Abandoned Wells Does property have any not in use and not sealed well(s)? Veron Wosvat gedfo te DMfrtt? Yer D0 Yvees O D nNo Variance Was a variance granted from the MDH for this well? D Yes a Comat Co D0 NNeo Well Contractor Certification i sis Nave Or No Naot Dil License Business Name T,ic Or Reg. No. Name oC Driller RCA lg 0853C1 ots3 Nt 37120 43368 file:/i/II/MPCN!Working/A0081-1 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W0006572.htm (1 of 2)7/112008 1:45:36 PM sSTTaArTeE__0022682222881155 22222..11858 Coury Wal nox ons Raper Well Log Report- W0006572 County Well Index Online Report S52EWWo0i0066s5T722 Printed 6/29/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W0006572.htm (2 of 2)7/112008 1:45:36 PM 22222..11859 STATE_02822816 Well Log Report- W0006573 mst Unie el lvfinnesota Unique Well No. = Coumy it II 5522WW00000066557733 |II Q~:u:a~dty Mishoo Nicollet Mankato WWeetst Quai sc . QuadiD 56A Warne Well Name Tonsaip RangeDie Scion Subcctions Erato Township Range Dir Section Subsections Elevation W827 108 27 Ww 10 10 DDADAA HlastmMethod DDADAA Elevation Method MixNEsoTA MINNESOTA prea or DEPARTMENT OF HEALTH Eye oun WWEELLLL AAHNENADDLTBBHOORRIINNGG RECORD RecehedDac RECORD Minnste Sts Chapter Minnesota Statute.~ Chapter oi1031 EUpndtrayteDDaatete Update Date Received Date 01072005 04/22/2003 01/07/2005 mn Dew p Deh Compiaed Daw Compe 993 ft. Com ing wih Calc from DEM (050575 mar (USGS 7.5 min or sn) equiv.) Well Depth ft. Drilling Method Depth Completed ft. Date Well Completed Wataru? 0 Yer 0 No Drilling Fluid oe Fun Hw Use Well Hydmfractured? D Yes D No From Ft. to Ft. CongType doin _Deiveshoez_0) ver 0 No Abmoleion_tt Casing Type Joint Casing Diameter Weight HoOramoter Casing Diameter Drive Shoe? D Yes D No Above/Below ft. Weight Hole Diameter Oper TT Open Hole from n. to n. Seer Screen Dlameter SilGaus Diameter Slot/Gauze LLeennggtthh SSeett BBeettwweeeenn GGeeoollooggiiccaall aMtaoteiraiall CCoolloorr HHaarrddnneessss vo nraanns NO REMARKS From To From To Er Static Water Level Im Dc Mr ft. from Date Measured FUNPING LEVEL (bon Find ricer PUMPING LEVEL (below land surface) ue pang gp: ft. at1er hrs. pumping g.p.m. Wel Hes Completion Well Head Completion Piles sper maior Medel Pitless adapter manufacturer Model 0 Casing Prosstion. 1 121m above re D Casing Protection D 12 in. above grade 0 gre minmena Wealn Boring ONLY) D At-grade (Environmental Wells and Borings ONLY) Grating wormaton Wet Goetr 0 ver 0 No Grouting Information Well Grouted? DYes D No Lact Mines Located Minnesota Deputies Department of Health nia Number Unique Number Veration NA Verification N/A vem CT-N System UTM- Nad83. Zonel5. A1eters Fit Bock First Bedrock Lanett Last Strat Method Diino Seren) Mop Method Digitization (Screen)- Map (124100) (1 24.000) teDateN/A at ai11n vs ise X: 416143 Y: 4891134 aque Aquifer De0pBetdmhck_t Depth to Bedrock ft. Nar Know Sore Co Nearest Known Source of Contamination Ta rion pe - feet _direction _type wtssstsootipm empties 0 ver 0 to Well disinfected upon completion? D Yes D No Pump 0 Notlmsled Delo Pump D Not Installed Date Installed Manufacturer"s name Model number - Lenlhofliop PLCs pi Tye Mea Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material Randonee oes open Tae FUT oT TTT Abandoned Wells Does property have any not in use and not sealed well(s)? Ove Ow D Yes D No Varkance Wes vain rndfrom te MDH fori ol? 0 Yor Variance Was a variance granted from the MDH for this well? D Yes 0 x D No eT Contract Coron Well Contractor Certification cme Rs Nae _1i Or Reg No. Naofmriet License Business Name T,ic Or Reg. No. Name oC Driller REA PHL 0200 CA Mgr 371 20 4534 file:/i/II/MPCN!Working/A0081-l 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W0006573.htm (1 of 2)7/112008 1:45:36 PM 22222222.11886600 SSTTAATTEE0_208282222881177 Coury Wal nox ons Raper Well Log Report- W0006573 County Well Index Online Report S52EWWO0I00066557733 Printed 6/29/2008 HE-01205-07 file:/i/II/MPCN!WorkinglA0081-l 00%20-%20PFC%20Foa...tral%20Coll/Well%20Log%20Report%20-%20W0006573.htm (2 of 2)7/112008 1:45:36 PM 222222..186611 STATE_02822818 SSiittee NNaammee:: FFiirree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY FFliintt HHiilllss/PPiinnee BBeenndd RReeffiinneerryy RFFoliinsnet mHHioillulssn//tPP,iinnMeeNSBoenndd RReeffiinneerryy FFiirree DDeeppaarrttmmeenntt Rosemount, MN P6Pe5et1tee.4HH3oe7r.prps01s8,t4,5DDeeppuuttyy FFiiree CChhiieeff 6ppe5et1tee-.4hn3ee7rr-pp0ss6ti@4@3ffhnre.ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooff ffooaamm uusseedd iinntrtarianininingg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: FFiirree trraaiinniinngg ggrroouunnddss,, sSoouutthhwweessttccoomrenrerooff tthhee rreeffiinneerryy. AA3nn1ssuAulFl TTFhhFu(unFndoderermressrttoloryrmmuAAseFFdFFFFfor((crcuaurirrnreiennntglty.))sti use for fre response have stockpile of approximately 50,000 galons 3M AFFF(Formerly used for training, still used f have stockpile of approximately 50,000 gallons ofor of 30fire 3M foam) response; foam.) AArppoppurrogoxxhiimmNaaottveeellmyyb22e001r0.t2o 525 ttimimeess dduurriinngg tthhe rtraaiinniinngg sseeaassoonn,, AAppririll through November. 551to0 1100ggaallloonnss LfLaiincneledyd.hhoodldiinngg aarreeaa,, ppuummppeedd t1oo oonn--ssiittee wwaasstteewwaatteerr ttrreeaattmmeenntt facility. AAnnssuull TThhuunnddeerrssttoorrmm AAFFFFF.F-- uupp 0to 330000 ggaalllloonnss foorr ttrraaiinniinngg UUnnnnaammeeddppoonnddss aapppprrooxxiimmaatteellyy 11 mmiillee nnoorrtthh--nnoorrtthheeaasstt U1/a4 ttoo 11/33 mmiille eeaasstt "TTrraaiinniinngg ssiittee iiss llooccaatteedd iinn aa trraannssiitiioonn oorr ccoovveerreedd kkaarrsstt aarreeaa AApppprrooxxiimmaatteellyy 11//44 mmiilee ssoouutthhwweesstt NNoonnee win within oonnee mmiilee 223 22222222..11886622 SSTTAATTEE__0022882222881199 FFLLIINNTT HHIILLLLSS RREEFFIINNEERRY-Y- RROOSSEEMMOOUUNNTT CCWWII WWeellll MMaapp Rea SRANINTY IAAFRL RAT Se ECT ed, RTH le JER E RN Pl Lose leSa PP gerna aBdl HaRbmSin F rrol kay tleeS,A Ea RRAR LO Sle DTU] re ER SE a wFadESIAN a Sg e PcAiSaT Feetianeltga,Evon |AIERUER EERRER Trap oR sy Sok padi] Xe ik SCoA n GR f R ENC TR | Ss : Ne SpiHise l iH SSSToiA regelnS igT ogadEERm gh NGSSETJERBSRR EDONK GRE ScUoE mRaR URS E | an nn sRpCEt iad Fe TEE SI Wael acd] RENE Le FA eAy ESte a NS ThTeN Oe e Ng Ba e TEa RT) ) Tine eS, hs earl SSE PTT ONE esi Cob mei ae] WC cw FEEL EER TE Se op Ya Cr OSUSAHIgSNET ES EE E Ld SSi E RE ENn TR HEeegNYreI- LR TES Ee 4 ret 4 CLR i SER Memon svar, vemosGone GES TR oeamat om 222222.118863 [Ep-- STATE_02822820 Flint Hills RefineryWhat'sInMyNeighborhMoaopd| T Y . XT 7 wd 5 =. Rp Lful S pe TE[33 boid a sribeartnn kL ~\ {or i| SHE I a nt \ i porte] J,y | \rfeemel RbNwAS Jing ml Sal fFestedE RGMEY Fiyil T Nee ad: File m VoS it, "SITE LE aah fE| ree ---- ee r-- ar ra n--t Disclaimer: .tviap and site information is believed to be accurate but accuracy is not guaranteed. No portion Em-- vemos of the information should be considered to be, or used as, a legal document. The information is provided ESTEE IRE ||teem subject to the express condition that the user knowingly waives any and all claims for damages against rPeapa MPCA that may arise from the use of this data. Sites Dt~ llfiiW: r.luJrtrftmiil hm~SOI'I<J~ l!ln~miiBCI Dun~ MFRAP Stma:attett SSuup~orfrtflunndil e CEK.CLt:s Q F'Mil:nl !lh.a~rhmcl @winnosotaPollution ControlAgoncy &taM 0~ LaMIUb J "Re:-- um V9ltnar~ llritm~~l'i I; Cta'IIWrt .... ~RA ra~111:1~ RFC:CRRAAIaln'vr5J'1;tf1ii9~P0D I&;1C~t1ha'aI0InWJ8gI' Psi "'- SliM ~rMIII: 222222.118864 STATE_02822821 Ji a id P| K|X Ayl dm]e / nl del | iy cs a3 4 =HIEte | L5s dl 2 : E2l gly 2 iT Flint Hills Refinery Wetland Map 93-4W Tu J eK E d 0 3 it 222222.118865 SL ypy |on Zli |: P| Pale ll 011.< olf_f;taf , ~~~........ , , f E ls 48 & oi No T CET il|f an I~ .... "z"" II Legend 5 ghimiiiiigg ;;' Interstate Major Roads NE!iailldI! Other Road ;;' Interstate ,..v State highway II ........ ~ US highway .;.. Roads "'z Cities r USGS Quad Index 24K I II Lower 48 Wetland Polygons Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md "' Freshwater Forested/Shrub Wetland ....t- Freshwater Pond .... Lake z 11 Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data ea I! II Scan NHD Streams Counties 1OOK States 100K o South America o North America iw 93-6W 93-4W r~nVl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 N 00 N N 00 N N 93-2W 93-0W Map center: 44 45' 27" N, 93 2' 54" W $ Scale: 1:62,288 gi: lg : 3 |: i 3 3 n ii5 i| i? 3 IH Cl 3 liHi sours asm 85 o x2s3i8.5; fl Zazie2ezpf HEEEE pidLI EfTEe 3 BFBaiRIEREEEEFfREEEIslE8E==)A8R5 E2 EBjzefEB#e|ET3i2iIogoYfl[Ei8 8Dos OE[eS2d i 3N5E8E2 ERLE i iHsSl] EEzEC= Els EfLd EEEf = 2 52 [EF HIE gE 2 la|| 0 os|l[Ee[sE:= t3 e Eefl)z|: [Ess CESEE[EDE ERE : iz2 f Well Log Report- 00161421 Afinnesota Unique Well No. 11 161421 11 County Quad Quad ID Dakota Inver Grove Heights 103D 24s MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 BEY 3 Entry Date Update Date Received Date 09/19/1989 06/29/2007 Well Narne KOCH REFINING N0.8 Township Range Dir Section Subsections Elevation 115 19 w 24 AABDBD Elevation Method si i 912 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 1004 ft. Drilling Method Cable Tool Depth Completed 1004 ft. Date Well Completed 06/00/1982 Drilling Fluid -- Use Industrial Well Hydrofractured? D From Ft. to Ft. Yes D No |: i. Ios 1 5. RREECCEs sEuE $pyEpEECiEEgSsCsosFi8eEs3e:s Well Address PINE BEND MN 55068 Geological Material DRIFT DRIFT LIMEROCK SHAKOPEE JORDAN JORDAN ST. LAWRENCE ST. LAWRENCE ST. LAWRENCE FRANCONIA IRONTON-GALESVILLE IRONTON-GALESVILLE EAU CLAIRE SHALE MT. SIMON HINCKLEY iSiuld Ji2 3 0 uy A. 3 Color Hardness REMARKS M.G.S. NO. 2134. GAMMA LOGGED 6-27-2007. LOGGED TO 626FT. Eo .2R3AS5LEEE From 0 116 123 302 304 400 406 437 451 605 606 654 755 Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes D INo Above/Below ft. = ElEaEn|g Casing Diameter Weight Hole Diameter 24 in. to 123 ft. lbs./ft. 24 in. to 772 ft. . 3% = Eo: = ezzyassuesnEnd To 18 in. to 772 ft. lbs./ft. 18 in. to 1004 ft. 116 Open Hole from 772 ft. to 1004 ft. 123 Screen NO Make Type 302 304 Diameter Slot/Gauze Length Set Between 400 406 437 451 605 Static Water Level n FHElS 606 245 ft. from Land surface Date Measured 06/00/1 982 2 654 PUMPING LEVEL (below land surface) 755 350 ft. after 88 hrs. pumping 1600 g.p.m. 1004 Well Head Completion Pitless adapter manufacturer Model D Casing Protection 0 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted'-' 0 Yes D No -: 2 0 LiHs 1:9 Grout Material: Neal Cement from to ft. 222222.118866 fla i: 2 fig 2 2 Li 5 =2 : o4 5i HA I gE 1 22zs S1I11 eH fZsERaFiEEli%; 2 sare oasae23 T 3 Located Minnesota Geological Survey Method Digi!iza!ion (Screen)- Map (1 24,000) 3 g2 Unique Number Verification Information from owner Date 06/27/2007 ~Vl System UTM- Nad83, Zone 15, Afeters X: 497043 Y: 4956231 rn I 0 Nearest Known Source of Contamination - feet _direction _type Well disinfected upon completion? 0 Yes D No N 00 N 3 i i 1 N i file:/i/II/MPCA/!Working/AOOSI-1 00%20-%20PFC%20Foam/ReportsiAppendix%20...ther/Flint%20Hills%20Pine%20Bend/Well%20Log%20Report%20-%2000 161421.htm (I of 2)7il/2008 I :47:37PM gi 3 00 N w z i z Ziz, i338 HE HH2H3 if |f Well Log Report- 00161421 Cuttings Yes Borehole Geophysics Yes First Bedrock Prairie Du Chien Group Last Strat Mt.Simon County Well Index Online Report iP: l||EB i<8 Aquifer Mt.Simon Depth to Bedrock 116 ft. LgAz E ]|5] 22 iz 1l2 i[l| y5:2 1FE3C1H%A (4E), a8 =F o22fg)5EF :d|2gld]2 sBrEiEH3As| ESEEHE . ig 49 a &= 2 [2 | zo lle. Pump D Not Installed Date Installed 07/12/1982 Manufacturer's name BYRON JACKSON Model number - Length of drop Pipe _ft. Capacity 1600 g.p.m Type Turbine low carbon) HP - Volts Material Steel (black or Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification Bergerson-Caswell 27058 License Business Name Lie. Or Reg. No. Name of Driller 161421 I Printed 6/15/2008 HE-01205-07 iH Hi J 2222.1867 f i ;I i: ; |$; : ii5 :7 i;: i !!: i: f i : sate_o2s22824 ~Vl rn I 0 N 00 N N file:/i/II/MPCA/!Working/AOOSI-1 00%20-%20PFC%20Foam/ReportsiAppendix%20...ther/Flint%20Hills%20Pine%20Bend/Well%20Log%20Report%20-%2000 16142l.htm (2 of 2)7il/2008 I :47:37PM 00 N .j:>. Co170e845]13o,s cue Well Log Report- 00170845 Minnesota Unique Well No. 170845 County Quad QuadiD Dakota Coates 88A WELTLANDEBORRING ERECORD MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statutes Chapter 1031 r EEode Entry Date Update Date Received Date 03/30/1990 03/24/2006 Well Name KRAFT, GILBERT Township Range Dir Section Subsections Eh~vation ll5 19 w 23 DCAACA Elevation Method 893 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 126 ft. llrilling IVIethnd Drilling Fluid -- Use Domestic Depth Completed Date Well Completed 126ft. 09/22/1980 . . Kotary IWell Hydrofractured? DYes 0No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Threaded Drive Shoe? 0 Yes D No Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 in. to 80ft lbs/ft 4 in. to 126 ft rarest Well Address 2240 138TH ST ROSEMOUNT MN 55068 Open Hole from 80 ft. to 126 ft. Screen NO Make Type |GGeeoolologgiiccaall Mataeteririaall GRAVEL aCLAY SANDROCK foLIMEROCK CColoolorr BROWN our BROWN GRAY Row om YELLOW HHaarrddnneessss SOFT HARD HARD HARD FFrroomm 0 or20 60 380 TToo D[Diiaammeetteerr SSeloitt/Geacuzee LLeenggthh 20 560 80 126 Static Water Level 44 ft. from Land surface Date Measured 09/22/1980 PUMPING LEVEL (below land surface) 44 ft. after 24 hrs. pumping 15 g.p.m. iSgeteBBeatwwoeeenn NO REMARKS Well Head Completion Pitless adapter manufacturer D Casing Protection 0 Model 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No Located Minnesota Geological Survey Unique Number Verification Information from owner System UTM- Nad83, Zonel5, Meters Method Digitized- scale I :24,000 or larger (Digitizing Table) Date NiA X: 495211 Y: 4955119 First Bedrock St.Peter Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 60 ft. County Well Index Online Report Grout Material Bentonite from to 80ft Nearest Kno\\'n Source of Contamination ~feet ~direction SeQtic tank/drain field type Well disinfected upon completion? 0 Yes D No Pump 0 Not Installed Date Installed 09/22/1980 Manufaclurds name FAIRBANKS Mudd number lliL_ Length of drop Pipe Qi_ft. Capacity .l.Q_g.p.m Type Submersible Material Galvanized HP0.75 Volls 230 0 x Abandoned Wells Does property have any not in use and not sealed well(s)'? D Yes D No Variance Was a variance granted from the :rvt:DH for this well? D Well Contractor Certification Maher Well Co. ross License Business Kame 170845 19301 MANN G. Lie Or Reg. No. "\lame of Driller I Yes D No Printed 6/15/2008 HE-01205-07 file://III/1,1PCA/! Working/A0081-1 00%20-%20PFC%20Foam/. .. 20Pme%20Bend/\:Vell%20Log%20Report%20-%2000170845.htm711 /2008 1:47:36 PJ'v1 22222..11868 STATE_02822825 Well Log Report- 00185933 Hors Cnn KEN py rts Minnesota Unique Well No. EE 185933 Od County Quad QuadiD Cou Dakota Coates 88A TE WeD "'ame MCCARTHY. MIKE To'\\nship Range Dir Section Subsections Elevation WS 19 W 3H DDOCDA heated 115 19 w 24 DDCCDA Elevation Method m MINSISOTADEPARINENT OF HEALTH [a ---- MINNESOTA DEPARTMENT OF HEALTH ER Ey "WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 UEUpnpdtdaraytteeDDDaatatetee Received Date ava 03/30/1990 03/24/2006 ww 855 ft. ne me [ian 7.5 minute topographic map (+/- 5 feet) Well Depth 110 ft. Depth Completed 110ft. ~ton; Date Well Completed 06/24/1981 Drilling Fluid Fo [I meee| -rr ----] Use Domestic Well Hydrofractured? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Welded Dri,e Shoe? IZJ Yes D No Above/Below 1 ft. RE rs Casing Diameter Weight Hole Diameter iT 4 in. to 88ft 10.79 lbs/ft 6 in to 88 ft Well Address 3229140TH ST E ROSEMOUNT MN 55068 Eiseme Geological Material SAND & GRAVCL CLAY LIMEROCK p grEec Color DROWN GRAY YELLOW Hardness MCDIUM MEDIUM HARD Uf From To 0 50 50 85 85 110 Open Hole Screen NO Diameter i from 88 ft. to 110 ft. Make Type Slot/Gauze owLength Static Water Level 45 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 45 ft. after 24 hrs. pumping 15 g.p.m. 06/24/1981 oles Well Head Completion a) Pitless adapter manufacturer Model D Casing Protection IZl 12 in. above grade om 4 in to 110 ft Set Between D At-grade (Environmental Wells and Borings ONLY) NO REMARKS Grouting Information Well Grouted" IZJ Yes D No oad Nims GgSry Located Minnesota Geological Survey oni Unique Num from neighbor b e r V e r i f i c a t i o n FE Information System UTJ'vf- Nud83, Zrmel5, Meters td De1200 best. Method Digitized- scale 1:24,000 or larger (Digitizing Table) wea Date N!A X: 496940 Y: 4954830 FitFirst eek Bedrock rie Prairie DDuu ChinChien Crop Group Last Strat Prairie Du Chien Group AnerPri Ds Chien Groep Aquifer Prairie Du Chien Group Depth to Bedrock 85 ft. County Well Index Online Report Grout Matenal: Bentmte from to 88ft EErn NPart'st Known Sourt'e 7i_feet L direction Sao kit of Contamination Sertic tank/drain field tetype Wdl disinfected upon completion? IZl Yes D No Pump IZl Not Installed Date Installed 06/24/1981 LodnpPge4o1 Copy Manufacturer's name FAIRBANKS Length of drop Pipe 63 ft. Capacity 1100 gm Model g.p.m Tove Sb Nord Cabin numher 40 5009 HP!U_ Volts 230 Type Submersible Material Galvanized Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the 1\IDH for this well? D Well Contractor Certification SrBeco me Mase Maher Well Co. 19301 MAN'-! G. License Business "\lame Lie. Or Reg. No. Name of Driller sss I 185933 Yes D No Printed 6/15/2008 HF.-0 1205-07 file: /I!IIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/ ..20Pine%20BendJWell%20Log%20Report%20-%2000185933 .htm7/1/2008 1:47: 38 PM 222222.118869 STATE_02822826 iF JfE s af SIE i: alli JHe4lgI]] Ee[e= ;S4 UE2%S- o :f)s E Ll |] EiiHz: EOE)1|: Fl3L: ,y iS3e5d)isFigeiE i Well Log Report- 00207620 lvfinnf'sota UniqzN W<'ll No. 11 2o162o 11 County Quad Quad ID Dakota Coates 88A Well Name Township Range Dir Section Subsections Elevation 115 19 w 24 CCBBDC Elevation Method 2 3i;d EHIRSI 2ERC : gz3 2: iE2iE)EEs 82% ish MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Nlinnesota Statutes Chapter 1031 Entry Date Update Date Received Date 0911511988 03/24/2006 i lo f|E)E to |i: 2 e 32 i 965 ft. 7.5 minute topographic map(+/5 feet) Well Depth 275 ft. Drilling Method -- Depth Completed 275 ft. Date Well Completed 09/1011971 2 EN |E75SEe CEREEN ag < | 1l 5 L Drilling Fluid -- Use Domestic Well Hydrofractured? D Yes D No From Ft. to Ft. Casing Type Steel (black or low carbon) ~o Above/Below 0 ft. Casing Diameter 0 in. to 90 ft. Joint No Infom1ation Drive Shoe? Weight lbs./ft. Hole Diameter DYes D 2 5 Fs"oe c . gE3aksEfI .85 i ijii Well Address 13780 BLAINE AV ROSEMOUNT MN 55068 Geological Material GRAVEL LIMESTONE SANDSTONE REMARKS DRILLED BY GENZ-RYAN. : FEif-l| 2i2d00o[l wy Fil 2288 E[FEF Color f Hardness i st From 0 90 250 t Open Hole from 90 ft. to 275 ft. Screen NO Make Type Diameter To Slot/Gauze Length 90 250 275 Static Water Level 45 ft from Land surface Date Measured 09/10/1971 PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.lll. 5 s9 HBF HlEPEE ESiE csEH Jedd 0 3E RihH e FEH E EFiEl]R5S5T0Ed Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Enviromnental Wells and Borings ONLY) <a3 Grouting Information Well Grouted? DYes D No 3 Set Between I. 2222.1870 z Ei EEZEFhE1 BRE x ftiH: : stare_oas22827 z : i :i E: F] i ol ai H<EEEFEHH E3E2E3E0 S E E5E 2 l0 iHeEdE a Fiil pH 2e2l8 LBbiisll |ii EE Located Minnesota Geological Survey 1~~t~~d Digitized- scale 1:24,000 or larger (Digitizing Unique Number Verification N/A DateN/A Nearest Known Source of Contamination System UTlvf- Nad83. Zonel5. Meters X: 495743 Y: 4955093 - feet - direction _type EE4H E ~ D Vl Well disinfected upon completion? D Yes D No rn Pump Not Installed Date Installed I Manufacturer's name Model number HPQ_ Volts 0 - N Length of drop Pipe _ft. Capacity _g.p.m Type Material 00 i;i N i i ; N i ! 7 file:///IIil\1PCN! Working/A0081-100%20-%20PFC%20FoamiReports/Appendix%20...ther/Flint%20Hills%20Pine%20Bend/Well%20Log%20Report%20-%2000207620.htm (1 of 2)7I 112008 1:47:38 PM ] ; 00 N '-1 3 1: i : o S332 3 Ba E 3 ifzz i 55 Well Log Report- 00207620 :| ile : 8 238 AH First Bedrock Prairie Du Chien Group Last Strat Jordan Aquifer Prairie Du Chien-Jordan Depth to Bedrock 90 ft. County Well Index Online Report 4 i IE ily = 2 Elgg 3 PE SElEz: i3lSs SEE ils Plz z| 25EE 2 zy 27|so D D Abandoned Wells Does property have any not in use and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes D No Well Contractor Certification License Business Name 207620 Lie. Or Reg. No. Name of Driller I - Printed 6/15/2008 HE-01205-07 oO |g 23 2222.11887711 z : i 5 2 1i i 33x 3i 27 i !3 1z i !3 i i3 fi: stare 02822828 ~Vl rn I 0 N 00 N N file:///Ijil\1PCN! Working/A0081-100%20-%20PFC%20Foam/Reports/Appendix%20...ther/Flint%20Hills%20Pine%20Bend/Well%20Log%20Report%20-%2000207620.htm (2 of 2)7I 112008 1:47:38 PM 00 N 00 Well Log Report - 00236114 lMvfiinnneessotUanUianq3iuquee Bll Well NoNo. Coury Duos II 223366111144 II Qu~:u:d~atym Dakota C8oser Coates ~-==================~- QuadiD 88A TWWoewalalrsNhnaimpeeRangeDir Section Subsections vation Township Range Dir Section Subsections Elevation WS115 19 19 Ww 24 24 DCDDAD ElevationMethod DCDDAD Elevation Method MINNESOTA DAHEARLTKH or MINNESOTA DEPARTMENT OF Enobue ovens WWEELLLLRAAHENENCADDLOTBBRHOODRRIINNGG ReUEUcnppetddirayuvteeeDdDdatuaDetaeete 013205 04/22/2003 01/18/2005 MiMninnensesooRttaaESSCtuaustOutitRes.~DCChhaapptteerr Received Date won 1031 WelnDepth Well Depth Depth Depth CCnoommppileeteedd Date Date WWeellll CCoommppelteteedd |C(C8a5la9lecUffrtr.o7oSmm5mDDGiEEnMMSc{e iDrigllingft.Mtehtheoad ft. a) (USGS 7.5 min or equiv.) Drilling Fluid WWFareloltnl HtPyydatrnuufrFcatuctrueread?? 0 ver DYes 0 No DNo oe------ From Ft. to Ft. Use JCCoraiisnimnegT1Ty.yppee domJoint DDrriiveesShhooce?? 0D Yveers 0D NNoo Aber Above/ "Casing Diameter Below ft. Casing Diameter WWeeiigghhtt HFlolaeDDiiaammeetteerr CT Tm TET Open Hole Soren Screen Diameter SotGauze Diameter from ft. to ft. Slot/Gauze LLoennggithn SSeett BBoettwweeeenn GGeoeloologgicicaall MMataetreiraiall CCoolloorr HHaarrddnneessss 40 RTNIAES NO REMARKS From To From To Sewer Ted Static Water Level from De Messed n. from Date Measured TUNING LEVEL low Frere PUMPING LEVEL (below land surface) Asis brspump" gpm n. at1er hrs. pumping g.p.m. Well Head Compton Well Head Completion Pike dpe mamas Mel Pitless adapter manufacturer Model Dcuimgrowion 0 12in shove grade D Casing Protection D 12 in. above grade D1 Avira misomentsl Wellsad ois ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting norman. ell Goes? 01 Yer 0 No Grouting Information Well Grouted? DYes D No Laced Minos Geologie Located Minnesota Geological Sunes Survey Unique Number Unique Number Vericaion NA Verification N/A System UTM Nad, 2015. System UTM- Nad83, Zonel5, }deters Method Did ce 124000 oc Method Digitized- scale 1:24,000 or ar Ding 3h) larger (Digitizing Table) py DateN/A x. sys v: sss X: 496878 Y: 4954833 ere KoveSource a Commie Nearest Known Source of Contamination ion. ye - feet - direction _type Well dite pon competion) ves 01 No Well disinfected upon completion? D Yes D No Pump 01 Norlnlld Dut lod Pump D Not Installed Date Installed Memictuers ame Modeler P_ Volt Manufacturer's name Model number - LongoiphPioet __Copuin_gpri Type Meri Length ofdrop Pipe ft. Capacity g.p.m HP - Volts Type Material anne Well os Trey Rovry mo Tot ea Abandoned Wells Does pmpe1ty have any not in use and not sealed well or 0 ve ON (s)? D Yes D No Varance Was variance grated ros he MDH for swe 1 Variance Was a variance granted from the MDH for this well? D bee O no Yes D No MRC AB 0070.20 Wel 0B 20% GE Lo71208 L338 AL file:/i/II/MPCN!Working!A0081-1 00%20-%20PFC%20Fo...ine%20Bend/Well%20Log%20Report%20-%2000236114.htm (1 of 2)7/1/2008 1:47:38 PM 22222222.11887722 SSTTAATTEE0_208282222882299 Well Log Report - 00236114 First Bedrock ne a Last Strat Aquifer Depth to Bedrock ft County Wolo Gris Rapa County Well Index Online Report Well Contractor Certification 2Z3e61i1d4 I License RLL~iness Name Lie. Or Reg. No. Name of Driller Printed 6/15/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-l 00%20-%20PFC%20Fo... ine%20Bend/Well%20Log%20Report%20-%2000236114.htm (2 of 2)7/l/2008 I :47:38 PM 222222.118873 STATE_02822830 Well Log Report- 0021514'1 mtr ne sory pA 0 --_---- _Minnesota Unique Well No. 255145 a wGecg WELiLmAaNteDSDunOeRsNCGhoRiE0C0ORD Leh RSI 255145 Comity Quad Quad ID Dakota Inver Grove Heights 103D Mll\NESOTADEPARTMENT m HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 WAN obo Dept Compe Br Compe Well Name MGS-20 Tonnih RaDniegecteion SabctForsnesn won on on posing Township Range Dir Section Subsections Elevation SW 2 AID Hon Ned g Tomsc | Deed_-- 115 19 w 23 ADDD Elevation Method 866 ft. 7.5 minute topographic map (+!- 5 feet) Well Depth Depth Completed 50 ft. 50 ft. Drilling Method Power Auger Entry Date Update Date Received Date 04/22/2003 12/04/2006 Date Well Completed 05/26/1999 D1illing Fluid FmTIe -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Scientific Investigation Casing Type Below ft. Joint No Information Drive Shoe? DYes D No Casing Diameter Weight Hole Diameter Above/ cogswater Geological Material oR LochCn ATBISE TOPSOIL LOESS, GRAVELLY AT BASE MED SAND W/ SM GRANULES FEW SM PEB FAEM THONORES. FINE-MED SAND NO PEBBLES OiseSi SOUE GENRES 759 COARSE SAND SOME GRANULES SM. PEBB RASTER SRR ABOVE BUT MORE GRANULES SM PEBBLES Color Hardness Color Hardness --. NO Rf_"MARKS fm m re] Open Hole from ft. to ft. She To Screen Make Type From To OUmeter SoGauze From To oy 0 5 5 20 FE] 20 30 5 alee 30 42 a42 50 Diameter Slot/Gauze Static Water Level ft. trom Date Measured LLeennggtthh SSeett Baten Between |] PUMPING LEVEL (below land surface) A shop epee ft. after hrs. pumping g.p.m. [-- Well Head Completion Pe ss mal Nod Pitless adapter manufacturer Model Ong teen 0 12 sere D Casing Protection D 12 in. above grade IE tyne (mime WessnBois ONLY) D At-grade (Environmental Wells and Borings ONLY) "orutng ormaton We Gra? 0 Yor Oo Grouting Information Well Grouted? DYes D No Located Minnesota Geological se Survey Unique Number Vrfaton NA Unique Number Verification N/A Sym UTM Nab BS. System UTM- Nud83. Zonel5, shor Meter:; Method Digitization (Screen) - Map tony ( 1:24,000) Dac NA Date N;A sary vs ost: X: 495647 Y: 4955612 Lneseion First Bedmck Last Strat DeBpr Aquifer Depth to Bedrock 1ft. County Well Index Online Report RSC Nearest Known Source of Contamination a nv - feet - direction _type et anionompitont 0) ver 0 vo Well disinfected upon completion? D Yes D No ump C1 Neos tDuc ed Pmnp D Not Installed Date Installed Mannfacturer's name Model number - LeoghotdugP0e Coo sper Tie Mewid Length of drop Pipe _ft. Capacity _g.p.m HP - Volts Type Material banned Wiel Doe gery bs tine det id we? 01 Abandoned Wells Does property have any not in use and not sealed well(s)? D he Ow Yes D No Variance Was a variance granted from the MDH for this well? D No Well Contractor Certification icone Boe NL OrRes No. Nameof Dlr American Engineering Testing M0171 License Business Name Lie. Or Reg. No. Name of Driller Yes D 255145 I Printed 6/15/2008 HE-0 120 5-07 file://ilj!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/ ..20Pme%20Bend/Well%20Log%20Report%20-%2000255145.htm711/2008 1:47:37 PM 22222222.11887744 SSTTAATTEE__0022882222883311 Well Log Report- 00752110 775522111100 p --re. WELLeAsNDBSOeRINCGprRE1C1ORD Minnesota l!nique Well Nn. County Quad Quad ID Dakota Inver Grove Heights 103D MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD ftfinne.mta Statutes Chapter 1031 TAT RT Se Co Welll'\ame FLINT IIILLS RESOURCES "\10. 10 Tommi ae SconHeon 31. re Township Range Dir Section Subsections Elevation WS Wn ANDRA Eien rbot 23S | iy 115 19 w 24 AABDBA Elevation Method 912 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed 1013 ft. 1013 ft. Drilling Method ''" Rol"rv Entry Date Cpbueowe asi7907 Update Date Monee Received Date 06/27/2007 08/17/2007 Da Date Well Completed er 06/15/2007 Drilling Fluid "'"rater Well Hydrofractured? DYes D No From Ft. to Ft. coisas Geological Material SAND. GRAVEL. COBBLES Ss nmr FFo nIINNeEEsSSaAAnNNg DDo & GRA. VEL SAND & GRAVEUCLAY LAYERS Cor tarinrs Color Hardness BROWN SOFT Bom D1 BBF BRROOOWWMe NN l SSSOOOFFFTTT BROWN SOFT From To From To 0 55 Gh 75n55 o%.7858 88 90 poUse 1 Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? 0 Yes D [Commune No i Above/Below ft. Casing Diameter VeWeight eS Hole Diameter SAND GRAV. SANDSTONE. IN LIMESTONE. SHALE LAYERS sieE am SANDSTONE SANDSTONE & SHALE SANDSTONE SANDSTONE SANDSTONE &SHALE SANDSTONE &SHALE pried SANDSTONE &SHALE SHALE 2 swore SHALE & SANDSTONE REMARKS BRNIGRN MEDIUM 90 115 TAN/BRN MED-HRD 115 296 mmm, mom Ease TAN GREEN SOFT SOFT 296 300 300 302 TAN SOFT 302 330 GREEN MEDIUM 330 370 GREEN MED-HRD 370 405 GREEN MED-HRD 405 455 foe GREEN MED-HRD 455 523 GREEN MEDIUM 523 526 Gl BR GRN/TAN MEDIUM 526 577 24 1n. to 18 1n. to 123ft 754ft 97.62 lbs/ft 93.45 lbs/ft Open Hole Screen NO LA Diameter from 754 ft. to 1013 ft. Make Type SoCs Slot/Gauze Legh Length 24 in. to 23 in. to 123 ft 754 ft SSeett BBeettwmeeeenn SANDSTONE &SHALE GRN/TAN MEDIUM 577 597 SANDSTONE &SHALE SANDSTONE Soston SANDSTONE SHALE & SANDSTONE SHALE --- SHALE & SANDSTONE GRNITAN MEDIUM 597 607 TAN Wud wa TAN BROWN BROWN FE BE GREEN MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM 607 657 657 667 667 672 672 712 712 755 Static Water Level 347 ft. from Land surface Date Measured 06/15/2007 SANDSTONE SANDSTONE SANDSTONE W/LITTLE SHALE CHUNKS Sostne : SANDSTONE SEwes ones SANDSTONE W/SHALE LENSES pred SANDSTONE ieSHALE presi SANDSTONE SANDSTONE GREEN TAN GRY/GRN ow YELLOW TN YEUWHT ew YELLOW son BROWN YELLOW fri YEL/PNK MEDIUM MEDIUM MED-HRD xSOFT om MEDIUM SE SFT-MED D1 SOFT SFT-MED SOFT 755 790 PUMPII'\G LEVEL (below land surface) 790 800 fl. after 48 hrs. pumping g.p.m. 800 933 wm933 943 Sa 0[ees compen 943 955 Well Head Completion EO |RAEOD we 955 972 Pitless adapter manufacturer Model 5 3| cain 0 i ren 972 973 D Casing Protection D 12 in. above grade 973 985 J] [=PA 985 1005 D At-grade (Environmental Wells and Borings ONLY) SANDSTONE SHALE-RUST BRN&GRA Y YELLOW SFT-MED SOFT 1005 1012 1012 1013 ne T0T REMARKS M.G.S. "\10. 4713. GEOLOGICAL MAT. - 90-115' - SA'-JD GRAVEL. SANDSTONE & SHALE MIX, Grouting Information Well Grouted? Sena Const sce use rNCONSOLIDATED Grout Material Neat Cement Yes D No from to 754ft aye 48 yrds Sra mst Coby Located Minnesota Geological Survey rere vn Wii Unique Number Verification Information from owner System UTM- Nad83, Znnel5, Meters Sth Dn ee) 3 Method Digitization (Screen)- Map (1:24.000) geDate out 06/27/2007 X: 497044 Y: 4956249 A FCFiiurrtsttiBnBegedsdrrYoocecskk SSt.uPesteer Lee Cen freed Last Strat Pre-Croixan Regolith AAqquuiifeerr MAtt.SSiimmoonn Depth to Bedrock 90 ft. Cont WelInes oi Foro County Well Index Online Report |r Nearest Known Source of Contamination 200 feet L direction Volatile organic comJ2ounds type Well disinfeckd upon completion? 0 Yes D No Pump D Not Installed Date Installed inter Wolk Deerybe nr brett vo Longth of oppA s 1\1anufacturer's name Length of drop Pipe ft. Copocity gp Model number - Capacity g.p.m HTTyPypp-ee Mural Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0B Nxoo Variance Was a variance granted from the MDH for this well? D Well Contractor Certification aL TRAUT T. cebi me 1 0 metre License Business Name Lie. Or Reg. No. Name of Driller 7s210 752110 Yes 0 No Printed 6115/2008 IIL-01205-07 file://III/11PCA/!V.jorking/A0081-1 00%20-%20PFC%20Foam/. .. 20Pine%20Bend!Well%20Log%20Report%20-%2000752110.htm7/1/2008 1 47:39 PM 2222222.11887755 SSTTAATTEE__0022882222883322 Well Log Report- 00753537 MINNESOTA Mimcsoto Unie Wl Ye lvfinnesota Unique Well No. Coury Duets DHEEALITH MINNESOTA DEPARTMENT OF Enoue 120007 II 775533553377 II QQ~:uu:i~datyi loID1nv0av5eke)or,GtGarorovveeHHiegighhsts WWEELLLLRAAHENENCADDLOTBBRHOODRRIINNGG ReUEUcpnpetdirayvteeDbdDaataDectaete 12/03/2007 ~-==================~- QuadiD 103D RECORD inne STtoiat s Chapter Minnesota Statute.~ Chapter Received Date TWWoeawlalrsNhnaimpeeRange Dir Section Sunections Eeration orn 1031 ellnDepth Well Depth DDepeptthh CC"oommplpetaed Date Date WWaellll CCoommppelteteedd Township Range Dir Section Subsections Elevation US 15 Ww 13 DCBADA ElevationMethod 891 ft. o75 mmignke 7.5 minute nap Dring ithod ft. Drilling Method ft. 115 19 13 DCBABA Elevation Method topographic map (+/- 5 feet) Drilling Fluid WFWraeollnltHtPyydatrnufurFcatcutrueread?? 0 ver DYes 0 No DNo oeUse From Ft. to Ft. 1 JCCoraiisnimnegT1Ty.yppee domJoint DDrriiveesShhooce?? 0D Yveers 0D NNoo AAbboovvee!/ "Casing Diameter Below ft. Casing Diameter Wg Weight ToHloleeDDiaiammeteeterr CT Tn TET Open Hole Tr Screen Dlametsr SiotGas Diameter from ft. to ft. Slot/Gauze LLeonnggthh SSeettBBeettwveeeenn GeGoleoogloigciacallMMataetreiraiall CCoolloorr HHaarrddnneessss vo REaanKs NO REMARKS From To From To SeweTer Static Water Level I om Doe Mesut n. from Date Measured FUMING LEVEL (elon rd ervey PUMPING LEVEL (below land surface) ater bx pang" 30m n. at1er hrs. pumping g.p.m. Well HeaCompletion Well Head Completion Pike dpe mamas Mel Pitless adapter manufacturer Model Dl casing Pocsion 01 1210 above rae D Casing Protection D 12 in. above grade CI re momen Welsad rings ONLY) D At-grade (Environmental Wells and Borings ONLY) Grouting norman. ell Goes? 0 Yer 0 No Grouting Information Well Grouted? DYes D No Laced Mics Geologie Located Minnesota Geological Sunes Survey Unique Number Unique Number Veration So Ps Verification Site Plan Sytem CT-N. 20015. System UTM- Nad83, Zonel5, }deters Method Dizon(crn) Mp Method Digitization (Screen)- Map aon (1 :24,000) RRDate 12/03/2007 3. sy x: wsenas X: 496629 Y: 4956749 Nore Sour oF Commies Nearest Known Source of Contamination or, - feet - direction _type Wolpondcomps ton 0 ves 01 Mo Well disinfected upon completion? D Yes D No Purp 0) Natale Doi led Pump D Not Installed Date Installed Namiscurs ame Mole maber IP Volt Manufacturer's name Model number - Longhof imple _t_Copociy gp Type Mel Length ofdrop Pipe n. Capacity g.p.m HP - Volts Type Material anne Well osTope Yo ry mo oT ot ea Abandoned Wells Does pmpe1ty have any not in use and not sealed well or 0 ve ON (s)? D Yes D No Vartan Wes svat grants he DH fort? 1 Variance Was a variance granted from the MDH for this well? D bee O wo Yes D No file:/i/MRCII/MPCN!Working! ABA0081- 00710. 100%20-%20PFC%20Fo...ine 20%20BendWel/Well%20Log% Report 20Report 20%%20-%035Lo 2000753537.htm (1 o71208 f2)7/li2008 1: L03747:37 PAML 22222222.11887766 SSTTAATTEE0_208228222883333 Well Log Report- 00753537 First Bedrock i a Last Strat Aquifer Depth to Bedrock ft our Wa nox oni Raps County Well Index Online Report Well Contractor Certification License RLL~iness Name Lie. Or Reg. No. Name of Driller T3537 I 753537 Printed 6/15/2008 HE-01205-07 file:/i/II/MPCN!Working!A0081-100%20-%20PFC%20Fo... ine%20Bend/Well%20Log%20Report%20-%2000753537.htm (2 of2)7/li2008 1:47:37 PM 222222.118877 STATE_02822834 SSiitteoNNaammee:: FFiirree DDeeppaarrttmmeenntt,: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY MMaarraatthhoonn RReeffiinneerryy SMMiaarrPaaattuhhloonnPaRRrekef,fiinnWeeNrryy DDeeppaarrttmmeenntt St. Paul Park, MN SSG5tte1v-ee45CC8r.riis6sp4p,6, 1DDeeppuuttyy FFiirre CChhiieeff scisp@maraihonoiicom 651-458-6461 slcrisp@marathonoil.com Training Location: Training Location: Foam tani roquency: TTyyppee ooff ffooaamm uusseedd iinn ttrraaiinniinngg:: Foam training frequency: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: SSppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurtfaaccee wwaatteerr: NNeeaarreesstt wweettllaanndd:: KKaarrsstt AArreeaa:: NNeeaarreesstt wwaatteerr wweelll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: Refinery fr training grounds. Refinery fire training grounds. Semanal SSwwiitcchheedd ffroomm 33MM ttoo nul Ansul TThhuunnddeerrssttoorrmm AARR--AAFFFFFF ffooaamm iinn -2000. Semi-Annually 55001to0110000 ggaalllloonnss Tooththee ggrroouunndd aanndd ttoo aann oonn--ssiittee sep. septic. UUssee -~225500 ggaalllloonn ffooaamm ffoorr trraaiinniinngg;; nnoonn--trrianiniinngg am foam uussee vvaarriieess.. MMiissssiisssiipoppi RRiivveer aaddjjaacceenntt 0to tthheo wweesstt AAddijaacceenntt tootthhee ssoouutthh SSiittee aappppeeaarrss ttoo bbee llooccaatteedd iinn aann aaccitivvee kkaarrsstt aarreeaa oOnnsstitee 111/221to0 11 mmiilee ecaasstt 3F0y 22222222..11887788 SSTTAATTEE__0022882222883355 MMAARRAATTHHOONN PPEETTRROOLLEEUUMM RREEFFIINNEERRYY CCWWII WWeellll MMaapp LL) ioe oie 0 WET ERIERE0J] TUo T Ei oFrReN \ La esi1 JOaNe LEaL BteUnE EBERE c E R TE E A RN A EWY ileE SARCRGEErliSeees dad UE LNG ANNRn Y 1 Ro5d EsennEaA: ff e lige .y#0 AAEa R RBWRRes RUm Np ensienV tteod Bnm E eR el i n 1 LE tT y RANGEvf hPadeis e HEE Te Fh emer COANRRT Thar T0000 il LUNAR ao fis {i pf1830 ae Pa IG Re (amr seesamea f21enid 4wb1ASTITEA NS RPS VR 4 Pa TT ae ESN Valme em T TTsTsR ee Sl Spake dli |Uf LoeNE Lad |ihry ln rer NY gL i | WE e EERE] eo IWN N BLE etl ih Sort I JL Specabwen'i| EATEE RTECS NN ne Tn peal on rmmtormevtimpspcopie | (SE RAUIE PARK Li 222222.118879 STATE_02822836 MMaraartahthononReRfeinfienrey WWhahta't'ss IInnMMyNeighbborohrohodoMoMaday A HE i i RFTR T lL % i 1 mi 2 of Berne EmGd | ASEA ofor LEE Fortra\nL [il Lia i ---- ; i o7 l , A itH i T E| TTTREHRDN, ; | BE ENN i ales Nh $3 | Tr tmJ r=em Disclaimer: :tvlap and site infonnation is believed to be accurate but accuracy is not guaranteed. No portion C S REE TE ST IS L S I NS| |tunpeomisaBumps of the infonnation should be considered to be, or used as, a legal document. The infonnation is provided subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost >Sraommapnswa MPCA that may arise from the use ofthis data. Sites D~n.Mc:l matt~ &u~~rkl M hm~ St"IKIW.W IJn~ml!bd Dun1J15 NFRAP maw ~~,..rill C:~RCL!fi. o f't\Je:nl SuptrfUnd @Minnesota Pollution Control Agency !iune: Cboocl L.cmcHUI5! * m vsa Vo!Unllr~ l'rW'I191'11:11'i & Cb!lrwJ!o Jet... ..t. ltCRA UD f'lt:ill:l~ mrceam ts ~M Jrw-ut-kor-111& ClfiiiW~ ""- aum ~nw111 222222.118880 STATE_02822837  2 3 iTioo [|FPtRls EWwL | FA g i = 5 5 a bog 5 - Marathon Refinery St Paul Park Wetland Map 8 wsron 1 Tsim J! 2222.1881 al h 7 (SH JEL gl TE Te EE : ~ ~ <!,(, 0 z Legend .0Ohlo_wet_scan D1 Out of range ;/'/ Interstate Major Roads 1iit I R [A AtiE i db flaring Fo fog ag(rio Yo------| wor Hi | ~ LL ..~..................~... ~~~~.r~~~.~;~~~'~ ~; ......... '~~.G~~" I~ 6 z 7 waren Other Road ;/'/ Interstate .;./ State highway .;./ US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater rohuas ~ Estuarine and Marine Wetland Freshwater Emergent Wetland f TL " pe| --8-- Toren Freshwater Forested/Shrub Wetland Freshwater Pond wan :!::: Lake ~ Othet .b. Riv~rine 0 z Lower 48 Available Wetland Data BE Non-Digital Digital No Data Scan q$ ti NHD Streams " Counties 1OOK wonn 2 ean |3gE ~ States 1DOK ~ &, 0 South America 0 EE] 3: 93-0-40W 3 ,(, 93~-~0--2-0-w---------------9-3--0~-0~w---------------9-2--5-9~-4-0-w--------------9-2--5~9--2-0-w-----~------_.z0 u North America nPl2 | tH i $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 !: Map center: 44 50' 59" N, 92 59' 56" W 8 Scale: 1:17,533 N 00 N N 00 w 00 . Well Log Report- 00104233 EE104233] om Shain A1innesnta Unique Well No. 104233 County Quad Quad ID Washington St Paul Park 102C Well Name QUADE TRUCKING WELL N0.2 Townlrlp Range Dir Section Subsections Elevation 27 22 w 1 BDDCAD Elevation Method "WELLAND BORING RECOa RD Tense oun MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter 1031 Well Depth Depth Completed Entry Date Update Date Received Date 03/01/1989 01/18/1996 Date Well Completed 749 ft. 7.5 minute topographic map (+1- 5 feet) 260ft. 260ft. 10/19!1977 w I T Drilling Method Non-specified Rotary Drilling Fhrld -- Well Ilydrofractured? DYes D :\lo From Ft. to Ft. EE 0 Use Domestic Casing Type Sled (black or low carbon) Joint Welded Drive Shoe? No Above/Below l ft. Casing Diameter Weight Hole Diameter Yes D 4 in. to 232 It lbs/ft Will Adress Well Address ay 61 HY ST PAUL PARK lv1N es Geological Material GRAVEL = LIME ROCK SANDROCK oan Color Hardness BROWN YELLOW GRAY om HARD MEDIUM 1From 0 :6180 OTScrpreeenennHt1o\ol0e Make from232 :VIake ft. TToytpopee 2GO ft. Diameter Slot/Gauze To 6 2216800- = Static Water Level 60 ft. from Land surface Date Measured Length 10/19/1977 Set Between PLMPING LEVEL (below land surface) 60 ft. after hrs. pumping 15 g. p.m. REMARKS [ELEC-- WELL AT RED DOG ACODANCE. bets, Located Minnesota Geological Survey Sulu Saee Unique Number Verification Information from owner System UTM- Nad83. Zone 15. Meters Well Head Completion ttm Method Digitized - scale I :24,000 or larger Pitless adapter manufacturer Model DDcuCiasningg mPortotseccitioonn D0 11220inm.sahboonvee grraaddee: rng atria Geetr @ ver DN D00 AAt-tgraede m(EnvvironimeontalWnWelelmllss naenddBBenoirniniggss OaONNLLdYY)) Grouting Information Well Grouted? 0 Yes D No (Digitizing Table) DDaatteeNN/AA X: 500346 Y: 4966888 NNeeaarreesstt KKniowon SSourace oofufCConor tnatmaimeniantaistoion.n Tr 08CE .~ill_feet Yf_direction SeQtic tank/drain field type Well disinfected upon completion? D Yes D No Pump Not Installed Date Installed 08/11/1977 Manufacturer's name FAIRBANKS Model number 4C75ll _ HP 0.75 Volts 230 Length of drop Pipe lQLft. Capacity li_g.p.m Type Submersible Material Galvanized AAbbaannddoonneedd WWeelllks DDiosess pprrooppeerrttyy hhavvee aannyy nnottiinn ussee aanodd nnoottsseeaeledd wweetlls(s))?? D0) Yfees OD Nxo First Bedmck Prairie Du Chien Group Last Strat Jordan County Well Index Online Report Aquifer Jordan Depth to Bedrock 6 ft. Variance Was a variance granted from the \-!DH for this well? D Well Contractor Certification Maher Well Co. 03 License Business Nmne 104233 19301 RANISATE J. Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/2912008 HE-01205-07 file:llil[!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R.. hon%20Refineryf'.Nell%20Log%20Report%20-%2000104233 htm71112008 1:50:04 PM 2222..11888822 STATE_02822839 Well Log Report- 00104234 A 1 i n n e s 104234 ota Unique W 104234 e l l N o . County Quad Quad ID Sn Washington St Paul Park l02C WELL AND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 031 frosted Entry Date Update Date 03/01/1989 01/18/1996 Received Date Well Name WAREHOUSE NO. 1 Township Range Dir Section Subsections Elevation 27 22 w 1 CAAAB Elevation Method 751 ft. 7.5 minute topographic map(+/- 5 feet) Wisse Well Address 61 HY ST PAUL PARK MN Shere Geological Material SAND & GRAVEL LIME ROCK SANDROCK Sh Color BROWN YELLOW GRAY Hardness HARD MEDIUM Tm % From To 0 10 10 170 170 240 Well Depth Depth Completed Date Well Completed 240ft. 240ft. 10/2511977 T I r Dtilling Method Drilling Fluid -- Rntm-v Well Hydrofracturcd? DYes D No From Ft. to Ft. Use Domestic Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below 1 ft. 0 Yes D Casing Diameter Weight Hole Diameter 4 ln. to 199 ft lbs/ft Open Hole from 199 ft. to 240 ft. Screen NO Make Type Diameter Slot/Gauze ww wee Length Set Between Static Water Level 60 ft from I .and surface Date Measured PI:MPING LEVEL (below land surface) 60 ft after hrs. pumping 15 g.p.m. 10/25!1977 NO REMARKS Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D00 At-pgrraodse ((EnmvirovnmientnalWWaolellelssaanmnddBnBroirnninggsssOONaNLLlYY)) Grouting Information Well Grouted? 0 Yes D No rrad M--s Gots Located Minnesota Geological Survey Unique Number Verification Information from owner System UTM- N ad83, Zonel5, }'vfeters StDt 400 Method Digitized - scale 1:24,000 or larger (Digitizing Table) DateN/A X: 500375 Y: 4966823 ee Grout Material r~eat Cement from 0 to Nearest Known Source of Contamination lill_feet ~direction SeQtic tank/drain field type Well disinfected upon completion? D Yes D 179 ft No Pump 0 1\ot Installed Date Installed 11/11/1977 Manufacturer's name FAIRBANKS Model number 4C10014 Length of drop Pipe lQLft. Capacity !.i_g.p.m Type Submersible Material Galvanized 2.3 yrds HPl_ Volts 230 Abandoned Wells Does properly have any nul in use and nul sealed well(s)? D Yeos OD 1N\oo First Bedrock Prairie Du Chien Group Last Strat Jordan County Well Index Online Report Aquifer .Jordan Depth to Bedrock 10 ft. Variance Was a variance granted from the MDH for this well? D Well Contractor Certification ios Maher Well Co. License Business N arne 104234 19301 RANISA'l'E J. Lie. Or Reg. No. Name of Driller I Yes D No Pnnted 6/29/2008 HE-01205-07 file:i/!l[/MPCA/1Workmg/A0081-100%20-%20PFC%20Foam/R...hon%20Refmery/Well%20Log%20Report%20-%2000104234.htm7/l/2008 1:51:30 PM 2222222.11883 STATE_02822840 5: EEL|: L?E llainzle] E E252 o [2 |2..]] 3 fi: Elle [ges a EE) lee |] 2 [55 )E IE =5 2 |: 22 FO [E]lz 23] EI xxl 2 E E2dElsE i:733E5e. [|sf HEH HL BO H 2 HHE G2 EoEldR- 2 Hd : Lif 33 | 8d 5I:H :1 SdEEi| gs8 BRE HHT 888[5 2 2 S38) 2 iELi) HEH3R x Well Log Report- 00208415 Minnesota Unique Well No. 11 2os41s 11 lel Pz County Quad Quad ID Washington Inver Grove Heights 103D MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minne,mta Statute.~ Chapter 1031 Entry Date Update Date Received Date 03/01/1989 09/09/2002 EEEz.. Well Name NORTHWEST REFINERY 9 Township Range Dir Section Subsections Elevation 27 22 w CCCDCB Elevation Method 723 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth 260 ft. Depth Completed 249ft. Date Well Completed 01/08/1969 $253 BapiEsiEbiiibEis.)y IRE3 coB3ges Well Address ST PAUL PARK MN Geological Material BLACK DIRT LIMEROCK LIMEROCK LIMESTONE LIMESTONE LIMESTONE JORDAN SANDSTONE SAND SHALE t PIsi 33d iz 333. Color BLACK GREEN GRAY GRAY 3x Hardness M.HARD SOFT HARD SOFT SOFT MEDIUM 5 HI H8.gTyid .x82RE888 2..xEE0888 From 0 4 74 100 147 152 165 215 243 Drilling Fluid Well Hydrnfractured? D Yes D No Prom Pt. to H. Use Domeslic 3 HA Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D No Above/Below 0 ft. D Yes Casing Diameter Weight Hole Diameter 4 in. to 180 ft. lbs/ft. 8 in. to 180 It 4 in. to 260 ft. Open Hole from 180 ft. to 24 9 ft. To Screen NO Make Type 4 74 Diameter 100 Slot/Gauze Length 147 152 165 215 Static Water Level 243 30 ft. from Land surface Date Measured 01/08/1969 260 PUMPING LEVEL (below land surface) 70 ft. after hrs. pumping 35 g. p.m. Set Between : 13 ls : 5| = NHe r& 3ElzYeEe 22=4d2s) Ed oy: ie ei. os BSEEE E3EEdE |5F E )F E &ERLZ:E lzYE |H2E 2E 0R 0]& E2a:: REMARKS M.G.S. NO. 521. OLDER P.A. NO. 68-1472. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D At-grade (Environmental Wells and Dorings ONLY) slo Grouting Information Well Grouted? 0 Yes D No 222222.118884 z Piooi: S3HsoEtaE 2H5E5 1 |i Ji. 3 Fl: B i203 bazE3P2E CF1 3E2s2 sf3Ei8EF 2& stare 2822841 LE oi Cd Eff Eq: 2 HE AEIE HiE,i 1 79 2 2 23,8 4 3 ii; ~ D D Located Minnesola Geological Survey Method Digitized- scale 1:24,000 or larger g ' EFi oL(| (Digitizing Table) Nearest Known Source of Contamination Vl Unique Number Verification Tnfonnation DateN/A _feet _direction _type from owner rn System UTM- Nad83, Zonel5, Meters X: 499782 Y: 4966104 I 0 Well disinfected Ltpon completion? Yes No N 00 N i i3 N 3 file:/!/II/MPCA/!Working/A0081-l 00%20-%20PFC%20Foam!Reports/Appendix%2... and%200ther/Marathon%20Refinery/Well%20Log%20Report%20-%2000208415 .htm (I of 2)7il/2008 I: 51 :30 PM i i 00 .j:>. I-' : oO EEiSlEe 3 iH:Y i i E iHE& 1i :i r Well Log Report- 00208415 ii|8 5i37z2 248 Cuttings Yes First Bedrock Prairie Du Chien Group Last Strat StLawrence County Well Index Online Report Aquifer Jordan-St.Lawrence Depth to Bedrock 4 ft Zz |0O| A450 = He 2075 2 ig = PE" sigs [iE gd) wills [E2(2 EES BE EAE EEE 22 23] HEA Pump 0 Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPl_ Volts Type Submersible Material oaE |g i i Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Yes Well Contractor Certification D No Mccarthy Well Co. 27022 License Business Name Lie. Or Reg. No. Name of Driller 208415 I Printed 6/29/2008 HE-01205-07 i 222222.118885 i i 3 i ii i : i 1 i I 2i 3 g 3 }3{ i i 3 : [p-- ~Vl rn I 0 N 00 N N file:/1/II/MPCA/!W orking/A0081-I00%20-%20PFC%20Foam!Reports/Appendix%2... and%200ther/Marathon%20Refinery/Weli%20Log%20Report%20-%2000208415.htm (2 of 2)71112008 I :51:30 PM 00 _j:>. N Well Log Report- 00247169 Mme IN ey I'vfmnesota Unique Well No. TIE) | tmde 247169 County Quad Quad TD Tr Well Name NORTHWEST REFINERY 2 iwsgcneiu Washington Inver Grove Heights 1010 MNSOTADLPARINENTOPUALT MINNESOTA DEPARTMENT OF HEALTH WELLANDBORING RECORD WELL AND BORING RECORD Meteo Cpt 11 ,'lfinnesota Statutes Chapter 1031 aC Well Depth Depth Completed Ene 311152 Entry Date pao oii Update Date Wet Received Date 02/11/1992 04/15/1996 DANA Date Well Completed DROW DADC Blasted Township Range Dir Section Subsections Elevation 27 22 w 2 DADBDC Elevation Method 724 ft. 7.5 minute pcp | PRES topographic map (-/- wy5 feet) 100ft. -- Drilling Fluid EI E -- 100ft. 00/00/1944 Well Hydrofractured? DYes D No From Ft. to Ft. TJse Abandoned Status Sealed Oe Anet0o Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter Wethdaess Well Address TonsST PAUL PARK MN cog ater Geological Material NO RECORD Cour ness Color Hardness 4 in. to 72 ft lbs/ft 4 1n to 100 ft PEEmr Open Hole from 72 ft. to 100 ft. A Screen NO Make Type umes Sami Diameter Slot/Gauze Pom To From To Legh Sabon Length Set Between 0 100 I NO REMARKS Led Mies Gg mes Located Minnesota Geological Survey mre Unique Number Verification Information from owner System UT1vf- Nad83, Zonel5, Meters rMhsDn Ss Method Digitization (Screen)- Map (1:24.000) ue sass Date 02/13/2004 X: 499549 Y: 4966569 arSees First Bedrock Last Strat :\Jo Record pyi Aquifer Depth to Bedrock ll. County Well Index Online Report Static Water Level 50 Jl. from Land surface Date Measured 1944 PUMPING LEVEL (below land surface) vr ie coe mpein ota ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade DO i im etmia ts D At-grade (Environmental Wdls and Borings ONLY) crag ot etm? 0 Yr Grouting Information Well Grouted? DYes D No TS Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - HPQ_ Volts Length of drop Pipe ft Capacity g.p.m Type Material enWdal erty Wey rm tt ter OF Abandoned Wells Does property have any not in use and not sealed well(s)? D SO Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No emer Ls eYnNeg ne Well Contractor Certification Minnesota DeQartment of Health License Business Name MDH Lie Or Reg. :\Jo. Name of Driller 247169 I Printed 6/29/2008 HE-01205-07 file :i/IIIIMPCA/1 Working/A0081-l 00%20-%20PFC%20Foarn/R.. hon%20Refinery/Well%20Log%20Report%20-%2000247169.htrn 7il /2008 1:51 :28 PM 22222222..11888866 sStTaArTeE0_208282222884433 Well Log Report- 00247170 A1innesota Unique Well No. 247070] tions 247170 County Quad Quad ID TT Well Name NORTHWEST REFINERY 3 Tio rc Washington Inver Grove Heights 103D MINNESOTA DEPARTMENT OF HEALTH WEANDLBORL ING RECORD. WELL AND BORING RECORD pre Minnesota Statutes Chapter I 031 Cd Well Depth Depth Completed Entry Date Tene awe Update Date toa Received Date 02/11/1992 01/18/1996 Bar ACod Date Well Completed mr oan meen Township Range Dir Section Subsections Elevation 27 22 w 2 DADDDC Elevation Method Tose|E Ibtn e or 72G ft. 7.5 minute topographic map(+/- 5 feet) 250ft. Dtilling Method Cable Tool 250ft. 00/0011953 Drilling Fluid -- Well Hydrofracturcd? DYes D No From Ft. to Ft. Use Industrial wansstses Well Address casos na ST PAUL PARK MN Geological Material DRIFT SHAKOPEE JORDAN cor ones Color Hardness Casing Type Steel (black or low carbon) Joint Welded Drive Shoe? No Above/Below 1 ft. 0 Yes D aang Damen VD Casing Diameter Weight Hole Diameter wan wh mew mn 16 ln. to 53 ft lbs/ft 20 in. to 53 ft Gen oe wn man mh 12 in. to 110 ft lbs/ft 15 ln. to 250 ft Open Hole from 110 ft. to 250 ft. rum 70 Dames SoCal Screen NO Make Type Diameter From To Slot/Gauze Length 0 53 53 165 165 250 SetBetwen Set Between Static Water Level 64 ft from I .and surface Date Measured 1953 PI:MPING LEVEL (below land surface) [EC -- REMARKS KEYS REWORKED WELL IN AUGUST 1971. ft after hrs. pumping g. p.m. Wal Capen Well Head Completion Rimmer ett St Pitless adapter manufacturer Dummies O20 eink D Casing Protection D Model 12 in. above grade 0 vont mime mi 1 D At-grade (Environmental Wells and Borings ONLY) rutagintmation WitlGros? BE] Yo 1 50 Grouting Information Well Grouted? 0 Yes D No Coton: tices [EIN oom Grout Material r~eat Cement from 0 to 110 It 0 bags er Located Minnesota Geological Survey Unique Number Verilication Information trom owner System UTM- N ad83, Zonel5, A1eters Method Digitization (Screen)- Map ue avin (1:24.000) Date 02/1312004 X: 499633 Y: 4966450 SS TC Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump 0 1\ot Installed Date Installed 08/00/1971 piste om = Manufacturer's name PEERLESS Model number - HPQ_ Volts 440 Length of drop Pipe 200 ft. Capacity 1000 g.p.m Type Turbine Material Stee1 black or low carbon) oO Abandoned Wells Does properly have any not in use ami not sealed well(s)? D Yes D 1\o tars vn First Bedrock Prairie Last Strat Jordan Du Chien Group County Well Index Online Report Sin Aquifer Multiple Depth to Bedrock 53 8ft. Variance Was a variance grantcdfrom the MDH for this well? D Well Contractor Certification Keys Well Co. 62012 License Business N arne Lie. Or Reg. No. Name of Driller 247170 I Yes D No Pnnted 6/29/2008 HE-01205-07 file:il!li/MPCA/1Workmg/A0081-100%20-%20PFC%20Foam/R...hon%20Refmery/Well%20Log%20Report%20-%2000247170.htm7/l/2008 1:51 :31 PM 22222222.11888877 SsTTAaeT_E0_z02s82222884444 Well Log Report- 00247171 [2am] Minnesota llnique Well Nn. 247171 om County Quad Quad ID aii Washington Inver Grove Heights 103D "WELL AND BORINGRECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mi1t1tesota Statutes Chapter 1031 Ubu Entry Date Update Date Received Date ion 02/1111992 02/13/1992 Welll'\ame NORTHWEST REFINERY 4 Township Range Dir Section Subsections l1evation 27 22 w 2 DADADC Elevation Method 7n n. 7.5 minute topographic map (+I- 5 feet) oo Well Address ST PAUL PARK MN Well Depth Depth Completed Date Well Completed 260 ft. Drilling Method -- Drilling Fluid L I R -- 1 Use Industrial 260ft. 00/00/1953 Well Hydrofractured? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? DYes 00NsAiobAobovvee/Beelotwo008nft. Casing Diameter 16 1n. to 60ft Weight lbs/ft Hole Diameter 15 ln. to 260 ft Open Hole from 60 ft. to 260 ft. Screen NO Make Type Diameter Slot/Gauze Length Set Between Geological Material Ea NO RECORD Color oo Hardness From To 0 260 = oo = Static Water Level 59 ft. rom Land surface Date Measured PUMPII'\G LEVEL (below land surface) ft. after hrs. pumping g. p.m. 1953 NO REMARKS Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D03 AAtt-ggrraaddee (EnvioronmmenetalWWniellltsaandadBBoolrriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes 0No gieorermen Located Minnesota Geological Survey Unique Number Verification Information from o"\vner System UTM- Nad83, Zunel5, Meters SoMethod Digitization (Screen)- Map (1:24,000) Date 02/13/2004 X: 499643 Y: 4966583 First Bedrock Prairie Du Chien Group Last Strat No Record County Well Index Online Report Aquifer Multiple Depth to Bedrock ft. ---- Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D l\o Lora0 Cpe ya Pump D Not Installed Date Installed l\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m To win HPQ_ Volt' Type Material 0Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the :MDH for this well? D Yes D No Well Contractor Certification Minnesota DeQartment of Health MDH License Business Name Lie. Or Reg. No. Name of Driller 247171 I Printed 6/29/2008 HE-01205-07 file:IIIII/11PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R... hon%20Refinery;Well%20Log%20Report%20-%2000247171.htm7Jl/2008 1:51 30 PJ\1 22222..11888 STATE_02822845 Well Log Report- 00247172 224477117722 | me A1innesnta Unique Well No. County Quad Quad ID Tr Well Name NORTHWEST REFINERY 5 wdeiiss Washington Inver Grove Heights 103D WELLAND BORING RECORD MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD a PCa Minnesota Statutes Chapter 1031 Well Depth Depth Completed Cremeone Entry Date Update Date ita 02111/1992 03/14!1994 DWC Received Date Date Well Completed I Townlrlp Range Dir Section Subsections Elevation 27 22 w 1 CBCDCC Elevation Method 732 ft. 7.5 minute topographic map (+1- 5 feet) =E I r li 269ft. Drilling Method Cable Tool 260ft. 00/00!1953 Drilling Fhrld Well Ilydrofractured? DYes D :\lo -- From Ft. to Ft. Use Industrial rElou--ssi--s Well Address ST PAUL PARK lv1N Casing Type Sled (black or low carbon) Joint Welded Drive Shoe? 0 Yes D No Above/Below I ft. Cringe Wo Tor Ba Casing Diameter Weight Hole Diameter wan on oh han me 16 in. to 60 It lbs/ft 15 in. to 260 ft a Open Hole from GO ft. to 260 ft. Screen 1\0 :VIake Type Geological Material eecovees LllviEROCK WITH LARGE CREVICES Se SHALEY LIMEROCK ESing SANDROCK H. BLUE SHALE A~ID SA~IDROCK Color Hardness TrE al ERWwR om HARD From To 0 122 122 174 174 233 233 269 Diameter Slot/Gauze Length Static Water Level 62 ft. from Land surface Date Measured 1953 PLMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. Set Between NO REMARKS Well Head Completion Pitless adapter manufacturer Model Damron 0 120 vse D Casing Protection D 12 in. above grade 0 prt aman ate ming x) D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No -- ins Located Minnesota Geological Survey Unique Number Verification Information from owner Method Digitization (Screen)- Map (1:24.000) Date 02/B/2004 System UTM- Nad83, Zonel5, Meters X: 499797 Y: 4966450 First Redrock Prairie Du Chien Group iSoeelstosvgeihimenientl Last Strat Jordan-St.Lawrence ET County Well Index Online Report pe Aquifer Depth to iteees Multiple Bedrock 00 ft. RSC Nearest Known Source of Contanrlnation _feet - direction _type Well disinfected upon completion? D Yes D mi, Ww Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HPQ_ Type No Volts Material oO Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the 'v!DH for this well? D Well Contrador Certification Minnesota DeQarlmenl of Health 'v!DH mes nis ra No. er License Business Name Lie. Or Reg. 1\o. Name of Driller Sm I 247172 Yes D No Printed 6/29/2008 HE-01205-07 file:llili!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R.. hon%20Refineryf'.Nell%20Log%20Report%20-%2000247172 htm711 12008 1:50:06 PM 22222222.11888899 sSTTaArTeE__0022682222884466 Well Log Report- 00247173 [2mm] Minnesota llnique Well Nn. 247173 on County Quad Quad ID oii Washington Inver Grove Heights 103D "WELL AND BORINGRECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mi1t1tesota Statutes Chapter 1031 Uno Entry Date Update Date Received Date iain 02/1111992 01!18/1996 Welll'\ame NORTHWEST REFINERY 6 Township Range Dir Section Subsections l1evation 27 22 w 2 DDADCC Elevation Method nr n. 7.5 minute topographic map (+I- 5 feet) Well Depth Depth Completed Date Well Completed 173 ft. 173ft. 00/00/1956 F I T Drilling Method -Drilling Fluid -- Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 00NsAiobAobovvee/Beelotwo008nft. Casing Diameter Weight Hole Diameter 4 in. to 108ft lbslft 4 ln. to 173 ft DYes [WWeellnAaddidrcessss ST PAUL PARK MN Geological Material Soasesae NO RECORD SHAKOPEE JORDAN SANDSTONE Color Hardness NO REMARKS From FI0 108 155 Open Hole from 108 ft. to 173 ft. Screen NO Make Type Diameter To 108 155 173 Slot/Gauze Length Static Water Level 61 ft. rom Land surface Date Measured 1956 PUMPII'\G LEVEL (below land surface) ST su ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade D03 AAtt-ggrraaddee (EnvioronmmenetalWWniellltsaandadBBoolrriinnggss OONNLLYY)) Set Between Grouting Information Well Grouted? DYes 0No Reiam----r-- Located Minnesota Geological Survey Unique Number Verification Information from o"\vner System UTM- Nad83, Zunel5, Meters oe Method Digitization (Screen)- Map (1:24,000) Date 02/13/2004 X: 499584 Y: 4966259 First Bedrock Prairie Du Chien Group Last Strat Jordan County Well Index Online Report Aquifer Multiple Depth to Bedrock ft. rr Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D l\o Lora0 Cpe ya Pump D Not Installed Date Installed l\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m To win HPQ_ Volt' Type Material 0Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the :MDH for this well? D Yes D No Well Contractor Certification Minnesota DeQartment of Health MDH License Business Name Lie. Or Reg. No. Name of Driller 247173 I Printed 6/29/2008 HE-01205-07 file:IIIII/11PCA/!Working/A0081-l 00%20-%20PFC%20Foam/R... hon%20Refinery;Well%20Log%20Report%20-%2000247173.htm7Jl/2008 1:50 06 PJ\1 22222..11890 STATE_02822847 Well Log Report- 00247174 Mme IN ey I'vfmnesota Unique Well No. JATITE | tede 247174 County Quad Quad TD Tr Well Name NORTHWEST REFINERY 7 iwgcneiw Washington Inver Grove Heights 1010 MNSOTADLPARINENTOPUALT MINNESOTA DEPARTMENT OF HEALTH WELLANDBORING RECORD WELL AND BORING RECORD Meteo Cpt 11 ,'lfinnesota Statutes Chapter 1031 aC Well Depth Depth Completed Ene 313152 Entry Date tpiwowe oiiiiis Update Date Wet Received Date 02/13/1992 03114/1994 DANA Date Well Completed DROW Com Pesta Nad Township Range Dir Section Subsections Elevation 27 22 w 1 CBBCBB Elevation Method 735 ft. 7.5 minute pcp |PORES topographic map (-/- his5 feet) 216 ft. -- Drilling Fluid EI E -- 236ft. 00/00/1956 Well Hydrofractured? DYes D No From Ft. to Ft. TJse Industrial Oe Anet0o Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? D Yes D No Above/Below 0 ft. Casing Diameter Weight Hole Diameter Wethdaess Well Address TonsST PAUL PARK MN cog ater Geological Material NO RECORD Cour ness Color Hardness 4 in. to 180ft lbs/ft 4 1n to 236 ft PEEme Open Hole from 180 ft. to 236 ft. RST Screen NO Make Type umes Sami Diameter Slot/Gauze Pom To From To Legh Length Sabon Set Between 0 236 I NO REMARKS Led Mies Gg Smno es Located Minnesota Geological Survey mre Unique Number Verification Information from owner System UT1vf- Nad83, Zonel5, Meters iMhyDn Ss Method Digitization (Screen)- Map (1:24.000) ue czas Date 02/13/2004 X: 499689 Y: 4966712 arSees First Bedrock Last Strat :\lo Record i ot Aquifer Jordan Depth to Bedrock ll. County Well Index Online Report Static Water Level 48 Jl. from Land surface Date Measured 1956 PUMPING LEVEL (below land surface) vr ie coe mpein ota ft. after hrs. pumping g.p.m. Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade Dimi riesn sin D At-grade (Environmental Wdls and Borings ONLY) crag ot etm? 0 Yr Grouting Information Well Grouted? DYes D No TS Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Manufacturer's name Model number - HPQ_ Volts Length of drop Pipe ft Capacity g.p.m Type Material enWdal erty Wey rm tt ter OF Abandoned Wells Does property have any not in use and not sealed well(s)? D SO Yes D No Variance Was a variance granted from the MDH for this well? D Yes D No emer Ls eYnNeg ne Well Contractor Certification Minnesota DeQartment of Health License Business Name MDH Lie Or Reg. :\lo. Name of Driller 247174 I Printed 6/29/2008 HE-01205-07 file :i/II]/MPCA/1 Working/A0081-l 00%20-%20PFC%20Foarn/R.. hon%20Refinery/Well%20Log%20Report%20-%200024717 4.htrn 7il /2008 1:50:05 PM 22222222..11889911 sStTaArTeE0_208228222884488 Well Log Report- 00247175 Minnesota Unique Well No. C50] oF 247175 County Quad QuadiD TEI Well Name NORTHWEST REFINERY 8 5i Washington Inver Grove Heights 103D MI:'IINESOTA DEPARTMENT OF HEALTH WBoA WELL AND BORING RECORD Es Mimtesota Statute., Chapter 1031 Ey Well Depth Depth Completed men Entry Date Update Date 02/13/1992 01/18/1996 Received Date Date Well Completed Township Range Dir Section Subsections Ele,ation 27 22 w 2 DADDDD Elevation Method 727 ft. 7. 5 minute topographic map(-/- 5 feet) 257ft. . iirilii;,g M:~th;;<i c~t;i~:r;;;;i 257ft. 00/0011967 .... Drilling Fluid p I e -- Use Industrial Well Ilydrofractured? DYes D No Fmm Ft. to Ft. er ---------- Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0DNsoo AAbbnove/eRetlniw 0l00wft. EE HE Casing Diameter Weight Hole Diameter DYes Well Address 6 in. to 180ft lbs 1ft 6 in to 257 ft ST PAUL PARK MN sree Geological Material LIMEROCK SANDROCK = SANDROCK SANDROCK BLUE SHALE ST. LAWRENCE z=Color BROWN GRAY BLU/GRY Hardness ooFrom 0 183 216 230 248 i Open Hole Screen NO To Diameter 183 fmm 180 ft. to 257 ft. Make Type Slot/Gauze Length 216 230 248 257 Static Water Level 72 ft. from Land surface Date Measured 1967 PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. Well Head Completion RT Pitless adapter manufacturer SBurn S0 2 em D Casing Protection D Model 12 in. above grade Set Between NO REMARKS D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No on Located Minnesota Geological Survey Unique Nutnber Verification Infonnation from owner SystPm UTM- Nad83, Zan<>15. _lvf<>l<>rs BE Method Digitization (Screen)- Map (1:24.000) Date 02/13/2004 X: 499668 Y: 4966448 FFiisrstt Dededrroocckk PPriaircie DDeu CChhiieenn GGrroouupp. Last Strat Jordan-St.Lawrence County Well Index Online Report AAqquuiitfePrr MMiuiltpipllee Depth to Dedrock 0 ft. Grout Material Neat Cement from 0 to 180 It 0 re Nearest Kno\\'H Source of Contamination _feet - direction _type Well disinfected upon completion? D Ye' D No Pump D Not Installed Date Installed J\1anufacturer's name Model number - Lomi te Comin na Tt Naess Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes EeD No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Min-- nesot-- a DeQ-- artmc ent of-- Health hMDdH License Business Name Lie. Or Reg. No. Name of Driller 247175 I Yes D No Printed 6/29/2008 HE-01205-07 file:/I/II;'1-1PCA/! Working/A0081-1 00%20-%20PFC%20Foam/R. ..hon%20RefineryM'ell%20Log%20Report%20-%20002471 7S.htrn7/1 /2008 1:50:01 PM 22222.1188992 STATE_02822849 Well Log Report- 00247176 [29247711776 6] oEes Emwcomenes "WETLL ANADBORRINGERECORD ECorEe Di1Rin Minnesota Unique Well No. County Quad QuadiD Washington Inver Grove Heights 103D MI:'IINESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Mimtesota Statute., Chapter 1031 Entry Date Update Date Received Date 02/13/1992 01/18/1996 a rr Well Name NORTHWEST REFINERY 10 Township Range Dir Section Subsections Ele,ation wn own meme Sess |e -- 27 22 w 1 CBCABB Elevation Method 731 ft. 7. 5 minute topographic map(-/- 5 feet) Well Depth 263ft. . iirilii;,g M:~th;;<i c~t;i~:r;;;;i Depth Completed 263ft. Date Well Completed 00/0011972 .... Drilling Fluid = m I r -- Well Ilydrofractured? DYes D No From Ft. to Ft. Use Industrial - Well Address ST PAUL PARK MN Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? 0D0N5o0 AAbbnvveer/tReellnown 00 0ft. Casing Diameter Weight Hole Diameter 16 1n. to 120ft lbs /ft 15 in to 263 ft DYes Open Hole from 120 ft. to 263 ft. Screen NO Make Type =. Geological Material SAND AND Dl RT DOLOMITE ROCK JORDAN SAND ST. LAWRENCE SAND TET REMARKS FORMER PA NO. 72-0946. Trt Color Hardness From To 0 8 8 176 176 256 256 263 Diameter Slot/Gauze Length Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g. p.m. ME Well Head Completion Pitless adapter manufacturer Model resin tortion. Wart Over Ove D Casing Protection D 12 in. above grade IDE] AAt-ggrradae ((EnEvirmonmveintaslWWeolellmlssamannddcBBooroiritnnggsas OlNLYONLY)) Grouting Information Well Grouted? DYes D No Set Between m Lad Ne t Gogo ey Located Minnesota Geological Survey Unique Number Verification Information from owner System UTM- Nud83. Zunel5. _/'vfeters EtedDEainNey Method Digitization (Screen)- Map (1:24,000) Date 02/13/2004 X: 499783 Y: 4966625 First Dedrock Prairie Du Chien Group Last Strat StLawrence County Well Index Online Report AquifPr Multiple Depth to Dedrock 8 ft. peNearest Kno\\'D Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Leiiiep le Coyne Tipe Notes J\1anufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HPQ_ Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the MDH for this well? D Well Contractor Certification Minnesota DeQartment of Health MDH License Business Name Lie. Or Reg. No. Name of Driller 247176 I Yes D No Printed 6/29/2008 HE-01205-07 file:/I/II;'1-1PCA/! Working/AOOSl-1 00%20-%20PFC%20Foam/R. ..hon%20RefineryM'ell%20Log%20Report%20-%20002471 76.htrn7/1 /2008 1:50:05 PM 22222.1188993 STATE_02822850 Well Log Report- 00433290 His Ane KEN py Waking Minnesota Unique Well No. Coon 3, 433290 County Washington QQuuiadd SSitPbaulPPaakrk QuadiD 102C ---- WeD "'ame ASHLANDPETROLEUMMW-101 To'\\nship Range Dir Section Subsections Elevation 2T 7 R22 OwW I1 CCCODDDDAACC BElleevvaattioonn MMeetthhoodd MINSISOTADEPARINENT OF HEALTH MINNESOTA DEPARTMENT OF HEALTH TREES "WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 a Well Depth Depth Completed 745 ft. 53 ft. 7|.5 minuttseOtopP ograpEhic N map| itaNesp (+/- 5 feet) Drilling Fluid -- Retry 53 ft. ~ton; IWell Hydrofractured? From Ft. to Ft. Use Monitor well [ EE -- EUUpnpdtdraaytteeDDDaatatetee. Received Date ame 06/07/1993 01/18/1996 Date Well Completed 04/12/1989 DYes D No -- Well Address EE ST PAUL PARK MN Geological Material DRIFT, SAND & CLAY CLAY&GRAVEL LIMEROCK go Color [)LACK Hardness BROWN YEUTAN From 0 15 26 Casing Type Steel (black or low carbon) Joint Welded Dri,e Shoe? D Yes IZl No Above/Below 3 ft. Casing Diameter Weight Hole Diameter 8 in. to 14ft lbs/ft 4 in. to 28ft Open Hole from 28 ft. Screen NO Make to 53 ft. Type TTDiameter To 115 Slot/Gauze 26 53 ow lbs/ft Length Set Between Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. By Well Head Completion FOE Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade FELLER REMARKS M.G.S. NO. 3091. SNLocated Minnesota Geological Survey -- Method Digitization (Screen)- Map (1:24,000) rTte IomaTn VtIGrietT8 vIa OIe LL D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted" IZJ Yes D No Grout Matenal: Neat Cement from 0 to 28ft 13 bags Unique Number Verification Information from owner System UTJ'vf- Nad83, Zonel5, Meters Date 02/13/2004 X: 500039 Y: 4966117 NPart'st Known Sourt'e of Contamination _feet - direction _type Wdl disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Lengths Pe 1\1anufacturer's name Length of drop Pipe _ t l Coys Model numher - Capacity _g.p.m Toe HPQ_ Type irl Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No it Ser os Chin Gry, Silay Ye Cuttings Yes First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group Deptt 5 Aquifer Prairie Du Chien Group Depth to Bedrock 26 ft. County Well Index Online Report Variance Was a variance granted from the 1\IDH for this well? D Well Contractor Certification KKeeyns wWaetlll cr:oo. cnc Hone Names Orie No. omc tri License Business ~arne 6a2m01p2 SSAOMMPESOONN C. Lie. Or Reg. No. Name of Driller Sn I 433290 Yes D No Printed 6/29/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/R...hon%20Refinery/\Vell%20Log%20Report%20-%2000433290.htmi 11/2008 1:50:06 PM 222222.118894 STATE_02822851 Well Log Report- 00433291 Minnesota Unique Well No. Ci, 4332911 QCQuouiuadndty QuadiD IWInvaesnhrGiGnrgrovotovneHeHeeiiggrhhtts 103D m------ WeD "'ame ASHLANDPETROLEUMMW-102 DEERE "MWWINEENLLESLLOAATANNDDDEPBBAOORRRTIMINNENGGTRROEEFCCHOEOARRLDDTH Minnesota Statutes Chapter 1031 = -- Well Depth Depth Completed To'\\nship Range Dir Section Subsections Elevation 2T 7 R22 Ww T2 DDODDDDDOCCC EPelevvwattioonn MMeethdod | UI|id 725 ft. 7.5 minute topographic map (+/- 5 feet) 47ft. Drilling Fluid -- pid ay47ft. ~ton; IWell Hydrofractured? From Ft. to Ft. Use Monitor well EEEUUpnpdtdaraytteeDDDautaeete Received Date 000633//000676/2/12090090322 Date Well Completed 04/26/1989 DYes D No = Well Address SRP ST PAUL PARK MN 55071 or Geological Material DRIFT, SAND & CLAY LIMEROCK Color BLACK YEUTAN Hardness From 0 6 Casing Type Steel (black or low carbon) Joint Welded Dri,e Shoe? D Yes IZl No Above/Below 3 ft. Casing Diameter Weight Hole Diameter 8 in. to 13ft lbs/ft 4 in. to 22ft lbs/ft Open Hole from 22 ft. to 47 ft. Screen NO DDiiaammeetteerr Make Type `SSilootv/gGaauurez.e LLeennggithh SSeettBBeettwweeeenn To 6 47 Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. TITTY REMARKS M.G.S. NO. 2788. es 5 27-22-2 DDDDCC ELEV 725-+5 103-D Well Head Completion Pitless adapter manufacturer D Casing Protection D Model 12 in. above grade rte oman VtGret 8 va Oe D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted" IZJ Yes D No Grad Grout Matenal:NNoesat CCeommeentt ftroomn 006to 2221f8t 58.5 cbapgs ttn, Located Minnesota Geological Survey Unique Number Verification Information fsfroam aownneyr System UTJ'vf- Nad83, Zonel5, Meters Nod Doin sev Method Digitization (Screen) - Map (1:24,000) Date .02/13/2004 X: 499596 Y: 4966070 conte Cuttings Yes First Bedrock Prairie Du Chien Group Aquifer Prairie Dn Chien Group CounyWellnden Last Strat Prairie Du Chien County Well Index OnisReport Group Online Report Depth to Bedrock 6 ft. [SE de NPart'st Known Sourt'e of Contamination _feet - direction _type Wdl disinfected upon completion? D Yes D PPuummpp DOoNtot Installliedd DDaatteeInistaailloedd 1\1anufacturer's name Model numher - Length of drop Pipe _ tl Capacity _g.p.m HPQ_ Type No Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the 1\IDH for this well? D vac, guy Well Contractor Certification Keys Well r:o. 62012 SMR SAMPSON C. L i c e n s e 1 Business ~arne 433291 Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/29/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/R...hon%20Refinery/\Vell%20Log%20Report%20-%2000433291.htmi 11/2008 1:50:08 PM 2222..11889955 STATE_02822852 Well Log Report- 00433292 His Cone KEN py Wing Minnesota Unique Well No. Com 13, i 433292 County QQuuiadd QuadiD Washington Ilnovveerr GGrroovveeHHeiegighhtts 103D rR WeD "'ame ASHLANDPETROLEUMMW-103 MINSISOTADEPARINENT OF HEALTH MINNESOTA DEPARTMENT OF HEALTH TREES "WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 CC Well Depth Depth Completed To'\\nship Range Dir Section Subsections Elevation 2T 7 R22 OwW 1122 BBBEBBAADDAA FElleevaastion MMeetohodd 743 ft. 7|.5 pminsute tDopOogOraRphNic map| (+/- 5 feet) 57 ft. ietadNeo Drilling Fluid -- 57 ft. apciid Retry ~ton; IWell Hydrofractured? From Ft. to Ft. Use Monitor well [ EE -- EUUpnpdtdraaytteeDDDaatateete. Received Date ame 06/07/1993 01/18/1996 Date Well Completed 03/27/1989 DYes D No Casing Type Steel (black or low carbon) Joint Welded Dri,e Shoe? D Yes IZl No Above/Below 3 ft. io Well Address a ST PAUL PARK MN 55071 ore Geological Material DRIFT, SAND & CLAY LIMEROCK onColor BLACK YEUTAN waHardness mn From To 0 7 7 57 Casing Diameter 8 in. to 9ft 4 in. to 31 ft Open Hole from 31 ft. to 47 ft. Screen NO Make Type DDiiaammeetteerr SSilootv/GGaazueze Weight lbs/ft lbs/ft Hole Diameter LLeennggithh SSeettBBeettwweeeenn FELL REMARKS M.G.S. NO. 2860. Located Minnesota Geological Survey Unique Number Verification Information from owner System UTJ'vf- Nad83, Zonel5, Meters A, Method Digitization (Screen)- Map (1:24,000) Date 02/13/2004 X: 499874 Y: 4965974 Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. ER Well Head Completion FOE Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade rT te omaR n VtGriI et 8 va L Oe L D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted" IZJ Yes D No Grout Matenal: Neat Cement from 0 to 31 ft 20 bags NPart'st Known Sourt'e of Contamination _feet - direction _type Wdl disinfected upon completion? D Yes D No Pump D Not Installed Date Installed LodnygPeo 1\1anufacturer's name Length of drop Pipe _ tl Coty gps Model numher - Capacity _g.p.m Tre HPQ_ Type Nori Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No cote Cuttings Yes First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group Aquifer Prairie Du Chien Group Depth to Bedrock 7 ft. County Well Index Online Report Variance Was a variance granted from the 1\IDH for this well? D Well Contractor Certification ewace guy SME Keys Well r:o. 62012 SAMPSON C. License Business ~arne Lie. Or Reg. No. Name of Driller ED I 433292 Yes D No Printed 6/29/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/R...hon%20Refinery/\Vell%20Log%20Report%20-%2000433292.htmi 11/2008 1:50:07 PM 222222.118896 STATE_02822853 Well Log Report- 00433293 His Cone KEN py Wing Minnesota Unique Well No. Com 3, i 433293 County QQuuiadd QuadiD Washington Ilnovveerr GGrroovveeHHeiegighhtts 103D Tm WeD "'ame ASHLANDPETROLEUMMW-104 MINSISOTADEPARINENT OF HEALTH MINNESOTA DEPARTMENT OF HEALTH TREES "WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 CC Well Depth Depth Completed [ EE -- EUUpnpdtdraaytteeDDDaatateete. Received Date a0061n//1108i//11m9999e36 Date Well Completed To'\\nship Range Dir Section Subsections Elevation 2D7 RO22 Ww 122 BRBEBBBAARB BElleevaation MMeetohodd 733 ft. | OOO | 7.5 minute topographic map (+/- 5 feet) F h eIpeew eer 52 ft. iethadNesp Drilling Fluid -- Use Domestic 52 ft. Retry ~ton; 04/25/1989 Well Hydrofractured? DYes D No From Ft. to Ft. Casing Type Steel (black or low carbon) Joint Welded Dri,e Shoe? D Yes IZl No Above/Below 3 ft. io Well Address a ST PAUL PARK MN 55071 cnt Geological Material DRIFT, SAND AND CLAY LIMEROCK Color BLACK YEUTAN Hardness poFrom 0 2 Casing Diameter 8 in. to 9ft 4 in. to 27ft Open Hole from 27 ft. to 52 ft. Screen NO Make Type DDiiaammeetteerr SSilootv/GGaazueze Weight lbs/ft lbs/ft Hole Diameter LLeennggithh SSeettBBeettwweeeenn To 2 52 TIREMARKS M.G.S. NO. 2784. RU, Located Minnesota Geological Survey Method Digitization (Screen)- Map (1:24,000) Unique Number Verification Information from owner Date 02/13/2004 System UTJ'vf- Nad83, Zonel5, Meters X: 499762 Y: 4966028 Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. En Well Head Completion FOE Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade rToabIietTmtenLVTetTo R8 TIo 0I% D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted" IZJ Yes D No Grout Matenal: Neat Cement from 0 to 27ft NPart'st Known Sourt'e of Contamination _feet - direction _type Wdl disinfected upon completion? D Yes D No a11 5 bags Pump D Not Installed Date Installed LodnygPeo 1\1anufacturer's name Length of drop Pipe _ tl Coty gps Model numher - Capacity _g.p.m Tre HPQ_ Type Nori Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No SFCiuirtstiiBneggds rYoYceeks First Bedrock PPrriaivr i e DDuu CChhiieenn GGrroouupp. Last Strat Prairie Du Chien Group AAqquuiiffeerr PPrraaiirriiee DDuu CChhiieenn GGrroouupp Depth to Bedrock 2 ft. County Well Index Online Report Variance Was a variance granted from the 1\IDH for this well? D Well Contractor Certification as KKeeyns wWaetlll cr:oo. Co License Business ~arne 433293 6n20y12 SSAAMMPPSSOONN. a -C. Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/29/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/R...hon%20Refinery/\Vell%20Log%20Report%20-%2000433293.htmi 11/2008 1:50:09 PM 222222.118897 STATE_02822854 Well Log Report- 00433294 Minnesota Unique Well No. Csi, 433294 QCQuouiuadndty Sib Pak Washington StPaul Park QuadiD 102C m------ WeD "'ame ASHLANDPETROLEUMMW-105 PERRI "MWWINEENLLELSLOAATANNDDDEPBBAOORRRTIMINNEGNGTRROEEFCCHOEOARRLDDTH Minnesota Statutes Chapter 1031 wm Well Depth Depth Completed To'\\nship Range Dir Section Subsections Elevation 2T 7 R22 Ww LI CCDOCOCCDDAA PElleevvuattioonn MMeetdhodd |S U0 | i ei 745 ft. 7.5 minute topographic map (+/- 5 feet) 53 ft. Drilling Fluid -- pid ay53 ft. ~ton; IWell Hydrofractured? From Ft. to Ft. Use Monitor well EEUEUpnpdtdaraytteeDDDaatatetee Received Date 000611//101878/1/11999999366 Date Well Completed 04/1711989 DYes D No - Well Address SRP ST PAUL PARK MN 55071 re Geological Material DRIFT, SAND & CLAY LIMEROCK Color BLACK YEUTAN weeHardness Casing Type Steel (black or low carbon) Joint Welded No Above/Below 3 ft. Casing Diameter Weight 8 in. to 30ft lbs/ft Dri,e Shoe? D Hole Diameter Yes IZl From 0 1 Open Hole Screen NO DDiiaammeetteerr from 30 ft. to 53 ft. Make Type `SSilootv/gGaauurzee. To 1 53 LLeennggithh SSeettBBeettwweeeenn Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. rorssagre,_ TITY REMARKS M.G.S. NO. 2953. Located Minnesota Geological Survey Unique Number Verification Information from owner System UTJ'vf- Nad83, Zonel5, Meters {gS Method Digitization (Screen)- Map (1:24,000) Date 02/13/2004 X: 500158 Y: 4966070 Cuttings Yes Saig $e First Bedrock Prairie Du Chien Group I Last Strat Prairie Du Chien Group a Aquifer Prairie Du Chien Group Depth to Bedrock I ft. County Well Index Online Report Well Head Completion Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade rTteIomTan TVtGrTietI8 vTa OLe D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted" IZJ Yes D No Grout Matenal: Neat Cement from 0 to 28ft 14 bags NPart'st Known Sourt'e of Contamination _feet - direction _type Wdl disinfected upon completion? D Yes D No Lengths Pe Coys Pump D Not Installed Date Installed 1\1anufacturer's name Model numher - Length of drop Pipe _ tl Capacity _g.p.m Toe HPQ_ Type irl Volts Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the 1\IDH for this well? D Well Contractor Certification KKaeyns wWaeillcr:eo. 6a2m01p2 ------i License Business ~arne Lie. Or Reg. No. a I 433294 SSAOMMPESOONN C. Name of Driller Yes D No Printed 6/29/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/R...hon%20Refinery/\Vell%20Log%20Report%20-%2000433294.htmi 11/2008 1:50:08 PM 2222..11889988 STATE_02822855 Well Log Report- 00433295 His Cone KEN py Winn Minnesota Unique Well No. Cos 13, i 433295 County QQuuiadd QuadiD Washington Ilnovveerr GGrroovveeHHeiegighhtts 103D -- WeD "'ame ASHLAND PETROLEUM MW-204 MINSISOTADEPARINENT OF HEALTH MINNESOTA DEPARTMENT OF HEALTH TREES "WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 CC Well Depth Depth Completed [ EE -- EUUpnpdtdraaytteeDDDaatateete. Received Date a00s65o//10s062//o1290m90s35. Date Well Completed DW A este To'\\nship Range Dir Section Subsections Elevation 27 22 w 12 BBBBBA Elevation Method 729 ft. [te| eset 7.5 minute topographic map frI eee (+/- 5feet) 56 ft. Drilling Fluid -- 56 ft. ~ton; 05/15/1989 Well Hydrofractured? DYes D No From Ft. to Ft. Use Abandoned Status Sealed nn Well Address ap, ST PAUL PARK MN 55071 Geological Material DRIFT, SAND AND CLAY LIMEROCK LIMEROCK WITH SHALE LAYER Casing Type Steel (black or low carbon) Joint Welded No Above/Below 3 ft. Casing Diameter Weight 8 in. to 56ft lbs/ft Dri,e Shoe? D Hole Diameter Yes IZl grr Color OLACK Hardness From To 0 2 YEUTAN 2 53 53 56 TTOpen Hole Screen NO Diameter from 56 ft. to 56 ft. Make Type Slot/Gauze owLength Static Water Level ft. from Date Measured PUMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. By Well Head Completion FOE Pitless adapter manufacturer Model D Casing Protection D 12 in. above grade Set Between TERT REMARKS M.G.S. N0.3090. OOWRREIILGGLIIN\SJAAELLAULUSESDEE 1DD1OO-0--9-DD2OO00MM0EEBSSTYTII6CC2012 rngotrmaton VtGraet 8 va Oe D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted" IZJ Yes D No CrGorout tr Matenal: NNeseat CCoemmeentt wfroomr 0Oton5E6ft 35 tbaogps fLodaNirna GeogeSrey Located Minnesota Geological Survey Unique Number Verification Information from owner System UTitJ- Nad83, Zonel5, Meters LNd PASS Sp Method Digitization (Screen)- Map (1:24,000) Date 02/13/2004 X: 499729 Y: 4966030 FSCiuistlttianTgeysdrYYoceesk First Bedrock PPrraiirvie DDuu CChhiieenn GGrroouupp. Last Strat Prairie Du Chien Group AAqquuiiffeerr PPrraaiirriiee DDuu CChhiieenn GGrroouupp Depth to Bedrock 2 ft. County Well Index Online Report SC NPart'st Known Sourt'e of Contamination _feet - direction _type Well disinfected upon completion? D Yes D No Pump D Not Installed Date Installed Lengths Pe 1\1anufacturer's name Length of drop Pipe _ t l Coys Model numher - Capacity _g.p.m Toe HPQ_ Type irl Volts Material AbandonPd WPlls Does property have any not in use and not sealed well(s)? D Yes D No Variance Was a variance granted from the 1\IDH for this well? D Well Contractor Certification ms KKeeyns wWaenllcr:oo. Co License Business ~arne 433295 6a2n01y2 SSAAMMPPSSOONN. a -C. Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/29/2008 HE-01205-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/R...hon%20Refinery/\Vell%20Log%20Report%20-%2000433295.htmi 11/2008 1:50:06 PM 222222.118899 STATE_02822856 H1H%E iHlieEs i5 EET o2 2H7A2 84 S| 22 S13]EE1 Well Log Report - 00489225 lvfinnesota Unique Well No. 3 el 11 4s922s 11 p County Quad Quad ID Washington StPaul Park 102C | Well Name L-300 Township Range Dir Section Subsections Elevation gs ie 27 22 w 12 DDADCD Elevation Method 33 g5] - sEEEeZlil|:3532] gEei(z72 z55id 2 I | EEii 3 <HiE gi F8 i SEE 22 ] : MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD ]l,finnesota Statutes Chapter 1031 Entry Date Update Date Received Date 12/2111992 04/25/2007 744 ft. 7.5 minute topographic map (+/5 feet) Well Depth 50 ft. Drilling Method Rotary Depth Completed 50 ft. Date Well Completed 04/24/1992 Drilling Fluid -- Well Hydrofractured'! D Yes D No From Ft. to Ft. Hl 2 Use Abandoned Status Sealed [3 i PZ|3#l02|s% <l|a[5lFFE 223522 Casing Type Steel (black or low carbon) Joint No Infonnation Drive Shoe? 0 Yes D !No Above/Below 3 ft. Casing Diameter Weight Hole Diameter 12 in. to 4ft. lbs./ft. a3 6 in. to 25 ft. lbs./ft. Open Hole from25 ft. to 50 ft. Screen NO Make Type EE = FEL 54 ;|g el: Fe 15A3G2 2 E=R)-E|&"5 2 i 3 1 ike He ail lFE faissdL aFs3EI ,2igE |6fl:E3 2I ACHE R. oafc iiooll $5ac 323%= z:Pw Geological Material TOP SOIL GRAVEL LIMESTONE daz 532 : : Color BLACK BROWN TAN Hardness . J= From 0 1 4 5 Diameter Slot/Gauze Length To 1 4 50 Static Water Level 31 ft. from Land surface Date Measured 04/24/1992 PUMPING LEVEL (below land surface) 40 ft. after 1.25 hrs. pumping 10 g.p.m. Set Between RE11fARKS WELLL-300 WFLL SFALFD 11-09-2000 RY 62012 ORIGINAL USE MW- MONITOR WELL Well Head Completion Pitless adapter manufacturer Model 13 Lid D Casing Protection 0 12 in. above grade D At-grade (Enviromnental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No . Grout Material: Neat Cement from to 25 ft. 13 fizz Fxa=c52e 2 2222.1900 EEelcTaf H< FI52 E 4E2 EE 3H=/e2[oEI8EEE2 {3 pIAF EEeI2s2i gs I E 2 i2s:3 L2 2z g1Zi3Zdd: _ 3 s: d i EP i1;i; f2i3s% 32:2 srate_o2s22857 82)4,0o4n8g i524H2i379233 Es 22.005 2A:Eze Located Minnesota Department of Health Unique Number Verification N/A Method GPS SA Otf(avcragcd) DateN/A g Nearest Known Source of Contamination 2Q___feet Yi_direction SeJ2tiC tank/drain field type ~Vl System UT1'vf- Nad83. Zone15. Meters rn I 0 N 00 X: 500029 Y: 4965857 Well disinfected upon completion? D Yes 0 Pump D Not Installed Date Installed Manufacturer's name Model number - T.ength of drop Pipe ft Capacity g.p.m HP Type No Volts Material N 3 2 3 3 1 i i 5 3 N : : file:/i/11/MPCN!Working/i\0081-1 00o/o20-%20PFC%20Foam/Reports/Appendix%2... and%200ther/Marathon%20Refinery/Well%20Log%20Report%20-%2000489225.htm (1 of 2)7/1/2008 1:50:07 PM 4i 5 i i{ i3 00 Ul '-I 3 2 ! |f Well Log Report - 00489225 1igl|ef i:|% fteZl|sE hf38 LE First Bedrock Prairie Du Chien Group Last Strat Prame Du Ch1en Group Aquifer Prairie Du Chien Group Depth to Bedrock 4 ft. 5 County Well Index Online Report i EH] 2% iE Zo HE 1H0dEE4 2 2 0z 2 2 HileEE2 Sllgi 3 S$E1E35d8e HlEyrERicI|E i LE(Ek D 0 Abandoned Wells Does property have any not muse and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for tlus well? D Yes Well Contractor Certification D No Keys Well Co. 62012 SAl\IIPSON, ~ License Business Name Lie. Or Reg. No. Name of Driller 489225 I i: Printed 6/29/2008 IIE-01205-07 o |g 2222.11990011 i:f 3: 3! 1 7i {i 3i i 3i i i i 31 i ; :i{ : :i : sate_o2s22858 ~Vl rn I 0 N 00 N N file:/i/IIfMPCN!Working/i\0081-1 00o/o20-%20PFC%20Foam/Reports/Appendix%2... and%200ther/Marathon%20Refinery/Well%20Log%20Report%20-%2000489225.htm (2 of 2)7/1/2008 I :50:07 PM 00 Ul 00 Well Log Report- 00489226 His Cae KEN py Woking Minnesota Unique Well No. Com 13, 489226 er WeD "'ame L-301 County Washington QQuuiadd SuSPtPaauullPPakrk QuadiD 102C Dn wn Ban Sent To'\\nship Range Dir Section Subsections Elevation 27 22 w 12 BABCDA Elevation Method MINSISOTADEPARINENT OF HEALTH MINNESOTA DEPARTMENT OF HEALTH TREES "WWEELLLL AANNDD BBOORRIINNGG RREECCOORRDD Minnesota Statutes Chapter 1031 rr Well Depth Depth Completed Serie | 751 ft. 7.S minute topographic map (+/- S feet) elso ft. Drilling Fluid -- iso ft. ; used IWell Hydrofractured? From Ft. to Ft. Use Abandoned Status Sealed [ EE -- EUUpnpdtdraaytteeDDDaatatetee. Received Date o0124v//2221S1s/21o0909m72 Date Well Completed 04/24/1992 DYes D No rs wee mp Casing Type Steel (black or low carbon) Joint Welded Dri,e Shoe? IZl Yes D No Above/Below 3 ft. Casing Diameter Weight Hole Diameter 12 1n. to 12ft lbs/ft TT6 in. to 25ft Open Hole from 2S ft. Screen NO Make to so ft. Type Diameter Slot/Gauze ow lbs/ft Length Set Between Geological Material TOPSOIL BROKEN LIMESTONE LIMESTONE Color BLACK YELLOW TAN Hardness From 0 3 12 To 3 12 50 Static Water Level 30 ft. from Land surface Date Measured PUMPING LEVEL (below land surface) 43 ft. after 1.2S hrs. pumping I 0 g. p.m. Ea Well Head Completion FOE Pitless adapter manufacturer Model 04/24/1992 D Casing Protection IZl 12 in. above grade REMARKS WELLL-301 -- ett WELL SEALED 11-09-2000 BY 62012 ORIGI\JAL USE MW- MONITOR WELL Located Minnesota Department of I Iealth Unique Number Verification N/A System UTJ'vf- Nad83, Zonel5, Meters stmt Method GPS SA Off (averaged) DateN/A X: S00179 Y: 4965890 D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted" IZJ Yes D No |Grout Matenal: Neat Cement from NPart'st Known Sourt'e of Contamination ~feet - direction Sewer type Wdl disinfected upon completion? D Yes D to 25ft No 21 yrds Pump D Not Installed Date Installed LodnygPeo 1\1anufacturer's name Length of drop Pipe _ tl Coty gps Model numher - Capacity _g.p.m ToHP - Type ri Volts Material AhandonPd Wells Does property have any not in use and not sealed well(s)? D Yes IZl No oid Ho First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group sq i henry Aquifer Prairie Du Chien Group Depth to Bedrock 3 ft. County Well Index Online Report Variance Was a variance granted from the 1\IDH for this well? D ewan ow Well Contractor Certification Keys Well r:o. 62012 SES SAMPSON C. License Business ~arne Lie. Or Reg. No. Name of Driller 489226 I Yes D No Printed 6/29/2008 HE-0120S-07 file: /IIIIJI'viPCAI! Working/A0081-1 00%20-%20PFC%20Foam/R...hon%20Refinery/\Vell%20Log%20Report%20-%2000489226.htmi 11/2008 1:50:05 PM 222222.119902 STATE_02822859 Well Log Report- 00505653 A1innesnta Unique Well No. [Comes] wm 505653 er -- WeliNarneWW-11 #265 County Quad Quad ID Sen Washington St Paul Park 102C Townlrlp Range Dir Section Subsections Elevation 27 22 w 1 CDDBBD Elevation Method MINNESOTA DEPARTMENT OF HEALTH WS un, 2m WELL AND BORING RECORD Minnesota Statutes Chapter 1031 ER TRAE Well Depth Depth Completed Entry Date Update Date Received Date 12/21/1992 04/25/2007 Date Well Completed 748 ft. 7.5 minute topographic map (+1- 5 feet) 226ft. 226ft. Drilling Method Cable Tool Drilling Fluid Water IWell Ilydrofractured? From Ft. to Ft. DYes 12/28!1989 D :\lo Use Abandoned Status Sealed Well Address say 400 5TH AV rvnJ cise Geological Material ar BROKEI'J LIMEROCK HARD LIMEROCK SANDSTONE SANDSTONE SANDSTONE caColor YELLOW onYELLOW YELLOW aYELLOW GRAY mows Hardness Casing Type Sled (black or low carbon) Joint Welded Drive Shoe? 0 Yes D Casing Daretr No Above/Below 2 ft. Casing Diameter VeoWeight HVootlee Beir Diameter 12 in. to 45 It 49.56 lbs/ft 6 in. to 201.8 It 18.97 lbs/ft ron woo From 0 iE 12 173 Loz 202 Open Hole Screen 1\0 To Diameter 12 173 202 220 soos from 201 ft. to 22G ft. :VIake Type Slot/Gauze 220 226 Static Water Level 50.6 ft. from Land surface Date Measured tonLength 12/28/1989 savor Set Between PLMPING LEVEL (below land surface) ft. after hrs. pumping g.p.m. oa REMARKS WELL 265 ORIGISNFAILW - MONITOR WELL WELL SEALED 04-06-2004 BY 34625 ORIGINAT. lJSE MW- MONITOR WELT. Well Head Completion Pitless adapter manufacturer Model DDO cCuassiinngg PPrrootteeccttiioonn @0 112 2in.aa1bboovme ggrr. aaddee: Grote orton WetlGesset? B ves LI D03 Att-rgraadee G(EnEvirmonmvenitaleWWeloelllssnsaanmddBBoeorriinnnggsstOONaNLLYlY)) Grouting Information Well Grouted? 0 Yes D No Gr ot Mare s otCome Grout Material l~eat Cement Grout Matenal l~eat Cement 2nsee from to 45 ft from to 201 ft a47 x 4.75 bags 7.25 bags Ege SabeoVorivanenseesg Located Minnesota Department of Health Unique Number Verification N/A System UTM- Nad83, Zone IS, Meters eh :VIethod Digitized- (Digitizing Table) DateN/A scale . 1:24.000 or larger X: 500320 Y: 49GG209 Ltsnrrt Jn First Bedrocl< Prairie Last Strat Jordan Du Chien Group County Well Index Online Report Depthto Bde 0 1. Aquifer Jordan Depth to Bedrock 0 ft. TErt gmp 0 ve Bo Nearest Known Source of Contamination _feet - direction _type Well disinfected upon completion? D Yes 0 No Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Volts Length of drop Pipe ft. Capacity _g.p.m Type Material S0E Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes No Variance Was a variance granted from the 'v!DH for this well? D Well Contrador Certification 505653 ico Dns Name Renner E.H. Well License Business Narne 505653 ti Or egNo. NaotmDriells 71015 LEDBETER. !L Lie. Or Reg. No. Name of Driller I Yes D No Printed 6/29/2008 HE-01205-07 file:llil[!MPCA/IWorking/A0081-l 00%20-%20PFC%20Foam/R.. hon%20Refineryf'.Nell%20Log%20Report%20-%2000505653 htm711 12008 1:50:07 PM 222222.119903 STATE_02822860 Well Log Report- 001)66472 [-- _Minnesota Unique Well No. 666472 J ad, h> t 666472 County Quad Quad ID Washington St Paul Park 102C STOTT Well Name CITY OF ST. PAUL PARK Tina ttc Heri Township Range Dir Section Subsections Elevation BBW 1 CANAD Habbo 27 22 w I CAACAD Elevation Method Vhs Well Address prHASTINGSAV ran ST PAUL PARK MN pm-- Geological Material a eatSILTY CLAY LIMESTONE coorColor SoDK. BRN aTAN Mess Hardness a Ml'IINESOTA DEPART-"lENT OJ<' HEALTH WELLANDBORING RECORD Liebe 080220 WELL AND BORING RECORD MitCho r1 Minnesota Statutes Chapter 1031 57 SiBo nooC paenrC 757 ft. Calc from DEM (SCAT Sir | PRES oe Fay - (USGS 7.5 min or equiv.J Well Depth 30ft. IJrillin!' IVIethod Depth Completed 30ft. Rotarv Entry Date Update Date Received Date 08/02/2006 I ]108/2004 Date Well Completed 10/27/2004 Drilling Fluid I LL -- Well Hydrofractured? DYes IZJ No from I't. to I't. Usc Monitor well CT SRToR To Ta Casing Type Steel (black or low carbon) Joint No Information Drive Shoe? ve D se set IZJ Yes D No Above/Below ft. Crna omer Vig WB w Casing Diameter Weight Hole Diameter Tee wn mein 4 in. to 9.5 ft. lbs.!ft. 12 in. to 5 ft. Sao8 in. to 9.5 ft. Open Hole from 9.5 ft. to 30 ft. ree Screen NO Make Type Dames SelGwze Lean Sabon Diameter pom To From To om0 7 Pk 7 30 Slot/Gauze Length Set Between NO REMARKS Lo st pti Located Minnesota Department of Health Coe emir eto 8 Unique 1\umber Verification N/A System UTM- Nad83, Z<mel5, Meters NaeetiGnSdSAO vee) Method GPS SA Off(averaged) Date 11/04/2004 X: 500368 Y: 4966699 aint pore First Bedrock Lets Dien Last Strat Aquifer Depth to Bedrock ft. TTT ST County Well Index Online Report Static Water Level 10.6 ft. from No Infom1ation Date Measured PUMPING LEVEL (below land surface) pr ta ft. after hrs. pnmping g.p.m. Welln Coton Well Head Completion ME Pitless adapter manufacturer Model 10/27/2004 DDO) CCaassiinngg PPrroowteecctiioonn 1D 1122min.. aabboovvee ggrraaddee I1ZDJ AAvt-ggrraaddee ((EEnmviisroonsmmcennatallWWeelllss aanndd BBoorninggss OONNLLYY)) Grouting Information Well Grouted? Gotan srt Grout Material: Neat Cement IZJ Yes D No [Or from to 9.5 ft. 6 bags Nearest Known Source of Contamination - feet - direction _type Well disinfected upon completion'! D Yes IZl No ST 0 Sn PPuummpp D0) NNoottlInnssatallileedd DDaattes IInnssttaalllleedd Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m a he HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes IZl No Variance Was a variance granted lrom the MDH for this well? No Well Contractor Certification Seow Me omsous Stevens Well Co. 86654 JOHNSON R. [ee rr License Business Name Lie. Or Reg. No. Name of Driller oi I 666472 D Yes IZl Printed 6/29/2008 HE-01205-07 file://il]/MPCA/1 Working/A0081-l 00%20-%20PFC%20Foam/R...hon%20Refinery;Well%20Log%20Report%20-%2000666472.htm711/2008 1:50 08 PM 22222..11904 sStTaArTeE__o0z2s8z222s86611 zz SssIf E25 [[2 ]E)Fkfiee ]?i = Bil H IeoEEfals EHc EliHan] [HslEi IF sEap5| 0 Eld lsFliEieee [BRFEsE sls: =E2] 2% 33]eldfs IRE3]: 3 :- FITS. LE: 2 HE ie |: F 2 S12: igs] g* i= : 53 Well Log Report- 00752321 lvfinnesotu Uniljue Well No. 11 752321 11 County Quad Quad ID Washington lnver Grove Heights 103D MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD 11-finnesota Statutes Chapter 1031 i Entry Date Update Date Received Date 01/25/2008 02/28/2008 Well Name MW-700A Township Range Dir Section Subsections Elevation 27 22 w 1 BCCAAA Elevation Method 152 732 ft. 7.5 minute topographic map (+/- 5 feet) Well Depth Depth Completed 60ft. 60ft. Drilling Method Non-specified Rotary 2 Date Well Completed 11108/2007 |: |]C i HF Drilling Fluid -- Use Monitor well Well Hydrofractured? DYes D No From Ft. to Ft. i Casing Type Steel (black or low carbon) Joint No Tnrormation Drive Shoe? ~o Above/Below ft. Casing Diameter Weight Hole Diameter 6 in. to 25.5 It lbs./ft 10 in. to 60 It DYes 0 = * zz 3i8e3 E32R7s g3a8d: 222222.119905 Well Address 2ND ST ST PAUL PARK MN 55071 Geological Material FILL DEBRIS LIMESTONE Color BLK/BRN YELLOW Hardness MEDIUM HARD . From 0 9 sos WH Open Hole from25.5 ft. to GO ft. Screen NO Make Type Diameter Slot/Gauze Length To 9 60 2 Static Water Level 47 t1. trom Land surtace Date Measured PUMPING LEVEL (below land surface) ft. at1er hrs. pumping g.p.m. 11/08/2007 . Set Between 3s 38E2HR Ad] ide A EFEL iid *=3E iid og: elEEEREoH D E1 FFIiReFczi s3fl z PECEERAZcIfCenA|Ed CE NO REMARKS Well Head Completion Pitless adapter manufacturer 0 Casing Protection Y D Model 12 in. above grade D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? 0 Yes D No p B33 oE ya ii Grout Material: Neat Cement from to 24 ft : 32 LfI z z| 23i%z 2f 2 i 1 i1i35;7 Located Milmesota Geological Survey Method Digitization (Screen)- Map (1 :24,000) : sl:39: EEE fhEeElPiRdE] [ifgroiigf S BU EdEA.L Unique Number Verification Info/GPS from data source Date 02/28/2008 Nearest Known Source of Contamination System UTM- Nud83, Zonel5, Meters X: 499873 Y: 4967016 - feet - direction _type ~ 0 Vl Well disinfected upon completion? D Yes No rn Pump D Not Installed Date Installed I 0 Manufacturer's name Model number - HP - Volts N 00 Length of drop Pipe _ft. Capacitv _g.p.m Type Material i5E1 N 3i i N 2: ? i: file:/iiii/MPCAI!Working/A0081-100%20-%20PFCo/o20Foarn/Reports/Appendix%2... and%200ther/Marathon%20Refinery/Well%20Log%20Report%20-%2000752321.htrn (1 of2)7/l/2008 1:50:05 PM i 00 0\ N 6 bags sare_oasase ii i % : HB 38 Well Log Report- 00752321 ifl 32332 BEH H .12|Z First Bedrock Prairie Du Chien Group Last Strat Prairie Du Chien Group i 2 23 Aquifer Prairie Du Chien Group Depth to Bedrock 9 ft County Well Index Online Report 52 5 i3 io i$Y1. 4.8 2EEFEEl 2R7: H SEEE R2 FHREHEEEERRE EP EC 2 |g D 0 Abandoned Wells Does property have any not muse and not sealed well(s)? Yes ~0 Variance Was a variance granted from the MDH for this well? D Yes 0 No Well Contractor Certification Thein Well Co. Inc. 1337 WINTHEK M_ License Business Name Lie. Or Reg. No. Name of Driller 752321 I IE i Printed 6/29/2008 HE-01205-07 0 |g| 2w2a22n.1e90s6 2 : :i 3i i:: i i i$ :ii 7 33 13 i i ? : i3 ii stare 02822863 ~Vl rn I 0 N 00 N N file:/i!IIfMPCAI!Working/A0081-I00%20-%20PFCo/o20Foarn/Reports/Appendix%2... and%200ther/Marathon%20Refinery/Well%20Log%20Report%20-%2000752321.htrn (2 of2)7/l/2008 1:50:05 PM 00 0"'1 w SSiittee NNaammee:: FiFriree DDeeppaarrttmmeenntt:: SSiittee CCoonnttaacctt:: SSIITTEE SSUUMMMMAARRYY FoFromrmeerrWWierennsshhaalllRRefeifinneerryy FHWFHoiioirgegrmhnmheswwehraaraWyyWlr,11erenMsnNhsahlalll RReeffiinneerryy Wrenshall, MN 2IInn1ff8oo-rrm3m8aa4tt-iioo4nn67pp0rroovviiddeedd bbyy WWrreennsshhaallll FFiirree CChhiieeff NNiicckk SShhaannddee ww2r1ree8nn-3ss8hh4aa-lll4fii6rre7e@0@aaooll.ccoomm TTrraaiinniinngg LLooccaattiioonn:: TTyyppee ooffffooaamm uusseedd iinn ttrraaiinniinngg:: FFooaamm ttrraaiinniinngg ffrreeqquueennccyy:: FFooaamm uusseeppeerrttrraaiinniinngg eevveenntt: S`Sppeenntt ffooaamm ddeessttiinnaattiioonn:: AAnnnnuuaall ffooaamm uussee:: NNeeaarreesstt ssuurrffaaccee wwaateter:r: NNeeaarreesstt wweettllaanndd:: NNeeaarreesstt wwaatteerr wweellll:: NNeeaarreesstt WWeellllhheeaadd PPrrootteeccttiioonn AArreeaa:: SSIITTEE RRAANNKKIINNGG:: OaOnnn-d-ssifititeerefttriaagihinntiiinnngggewwqiiulthihpfmfoeoaanmmt.,. PPaeenrrdMMtrhr..eSSWhhraaendndseeh,,arrleeffFiininreeerryyDehhpaaaddrtffomoaeamnmt afrreinersdsepfpiofogirnhnetddefreiegsdd.hbtttiounotgffiairreelessqs.o.uiRRptemefifieiznnneeetr,dryyacaanippdtyppatfahrrreeeenWntdtlelrypyeanhhrsaathmddeassnlloto.FmmireeettrDraaeiinpneaeddrtment firefighters, but also utilized city fire department. UUnnkknnoowwnn,, 33MM ffooaamm uussee aassssuummeedd UUnnkknnoowwnn UUnnkknnoowwnn UUnnkknnoowwnn UUnnkknnoowwnn UmUninlnneaatmmoeetdhdpepoeoannsddt oonn ssiitee;; uunnnnaammeedd ssttrreeaammss aapppprrooxxiimmaatteellyy 11//44 mile to the east Oonn ssiitee oOnnsisittee 11//44 t1o0 111/22 mmlilee ssoouutthh 22(a5nking assumes historic maxima useof 3M foam i training) (ranking assumes historic maximal use of 3M foam in training) 22222222..11990077 SSTTAATTEE__0022882222886644 IPHER WWRREENNSSHHAALLLL FFOORRMMEERR RREEFFIINNEERRYY CCWWII WWeellll MMaapp EE GY RT, RA Te IE le sE lask h alra Aa EG a a | Fo oN T PREEEE ON4AER UaNl] IemeaN h IaE EBSREGRR E TI E Rdn SARL deae. i Elim e g| oTrUoAptNedI EEE E lE aa HEN 5 Weft ara E2RoImSEbsf ST8ekFdTeSEatNSRetS Ies SYIeTlE E sanE eea Erne Th Semen RE SRE Gl WaSe 7. Ly a' shill' WN Neb EaER RA eamTE Ty Phe TLALBRe eeE eA tE0 Egle JL ear elgm Ly Sigaeirs 7 of RNR pe SST - ef RE EI cbh Thi lh who BE eProtectiontt ale eT sie Sw [pd A A cores MRS re ee | St par) agg OF EE a A oem 222222.119908 sour sass STATE_02822865 | FFoorrmmeerr WWrreennsshhaallllReRfeifnineerryy WWhhata't'ss IInn MMyy NNeeiigghhbboorrhhoooodd | | Eo | | || 3 | or aisgipdl ; | }% SITES | 4 | WN ow || er s i h =3 |w Soria - ; er | I; 8 { 1 eb I Si ~It. | SateiSopert Df'IW<I bm SiuJKtrkui\i | Pema toiawasts |RSS Disclaimer: :tvlap and site infonnation is believed of the infonnation should be considered to be, or IIR to be accurate but accuracy is used as, a legal document. Th EST not guaranteed. No portion e infonnation is provided | LL en | m WRAP subject to tbe express condition that tbe user knowingly waives any and all claims for damages agaiost | ate Suparunt MPCA that may arise from the use of this data. h:mb\1 !iolkl/am vJ.e!slne~mmii!tU\eialDDuuniJpICeil iii'RAI" rfma: Nl.l~rfil nil | o cman ;;mcLm | Poesuprin c r.dtnllu~rfuncl !itlbJ '"t.:Jroo\J LIMIU~ ||| @Minnssota Pollution Control Agencv A ReC SrRaAsTIGeFa acn ies .... VoO"ltnllllr~t l'wifiHI~I:>Iri &C~mrw~ ~teM 1Hi r11.:;.ill!k% | RERAmsstioaion Charan ltCRA. ~~koon& Clil:mrw, l 4sw sss: A.Stm:~IIWIII 22222222.11990099 SSTTATAETE0_208282222886666 =3 HE =z & 2| +Sr d. l Kirad 1 PU i1til1}I i TTI 3 id || Hd ERRhe mn le 21. | ~~ 2El3i. NN ,Lf LBElVaEEs e Je| e g e L)y e aoo ,f(fe weVtEJi . 8i E5 Wrenshall Former Refinery Wetland Map -- - . - -- -- -- -- -- - i 9i w 92-22-30 w 0> .J,.. 0 z 222222.119910 oi|d wm~ ,IA~~.........................................................................................,............................................,"~~":;., ..........................................................................................................................................................................................................................................!................................................................J~ 0 z ` i =p 1 Hey PRpla \ i : 14~~~o '' m ~ 6wz 1le> 3 le = cE w =F Lo 4 `8 wLol | 7 a 9wi ..~.~~~""'"'''""''"''"""''"""'"''""""'"'"""''"'"'''"'""'''"""'"''"'"''"''''"'"''''"""''''""'']"'"'"''"''"""''"""'''"""'"'""'""'"''"''"''"""'"""'1~ 0 z 1 Rie r~d,+ wm~ ..il~ 0 z Le9 5 @: g iy cz 4 Eg | wm~ .oz~.~~~~&.....................~*"'~~........,................................................................c~~~.................................................................................l~ 6 z Legend ;;' Interstate Major Roads Other Road ;;' Interstate ,..v State highway ~US highway Roads Cities r USGS Quad Index 24K Lower 48 Wetland Polygons Ill Estuarine and Marine Deepwater Estuarine and Marine Wetland Freshwater Emergent Wetl1:md 111 FrAshwater Forested/Shrub Wetland Freshwater Pond Lake Othor Riverine Lower 48 Available Wetland Data Non-Digital Digital No Data Scan NHD Streams Counties 1OOK States 100K o South America o North America Tal A Ba: is og |B n fe F EERE ||5 Hog i iHH3 w w w w 92-24-30 92-24-0W 92-23-30 92-23-0 92-22-30 fa |] i5 $ Vl This map is a user generated static output from an Internet mapping site and is for general reference only. Data layers that appear on this map may or may not be accurate, current, or ~rn otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION. I 0 H5 g Map center: 46 37' 45" N, 92 23' 19" W g a Scale: 1:24,584 N 00 N N 00 0"1 '-I srate_o2s22867 Well Log Report- 00161375 [ te375 A1innesnta Unique Well 161375 N Jn. om County Quad Quad ID il Carlton Cloquet 224B "WELL AND BORING RECORD. MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING RECORD Minnesota Statutes Chapter I 031 ror Entry Date Update Date Received Date 08/14/1991 06/0512006 Well Name 7:TERARTH, DOANE Townhip Range Dir Section Subsections Elevation 48 lG w 20 ABCABC Elevation Method Well Address 1062 ft. 7.5 minute topographic map(+/- 5 feet) Well Depth Depth Completed Date Well Completed = eI e 119ft. Drilling Method Cable Tool 119ft. Drilling Fluid -- EUTse Domestic Well Hydrofractured? From Ft. to Ft. DYes 07/00!1981 D No -- Casing Type Steel (black or low carbon) Joint TI1readed Drive Shoe? IZI Yes D 1\o Above/Below 1 ft. Casing Diameter Weight Hole Diameter 4 in. to 115 ft 11 lbs/ft WWRREEMNSSHHAALLLLMrvNiNS5S5I7S9!7 Sener! Geological Material GRAVEL CLAY SAND STREAKS OF CLAY & SAND CLAY SAND Sn Color BROWN BROWN BROWN BROWN BROWN BROWN WEI Hardness SOFT From To 0 18 SOFT 18 37 SOFT 37 77 SOFT 77 82 SOFT 82 113 SOFT 113 119 Open Hole from ft. to ft. Lowe Screen YES Diameter 4 sovowne Make JOIINSON Slot/Gauze 12 Lean srButwen Type stainless steel Length Set Between 4 115 ft and 119 It Static Water Level 85 fl. from Land surface Dale Measured PI:MPING LEVEL (below land surface) 85 ft. after 1 hrs. pumping 6 g.p.m. 07/26/1981 NO REMARKS Well Head Completion Pitless adapter manufacturer Model D Casing Protection IZI 12 in. above grade 0D0 Atg-grraaddee((EonvviironnmoennmtanlWWtelaellllss aanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? IZI Yes D No ocdCoton Cy SHUT Located Carlton Cty. Soil & Water Cons. Dist. pg itSm st M1240 Method Digilizalion (Screen)- Map (1:24,000) Unique Number Verification N/A System UTM- Nad/!3, Lnnel5, Meters Date 04/2612005 X: 546366 Y: 5164461 Nearest Known Source of Contamination .!.QQ_feet L direction SeQtic tank/drain field type WWelelll ddisisnfeictednuppeoonnsccooeminpplleettiioodnn?? EIZJI Yveess D0 NNoo er totton First Bedrock Last Strat Sand-brown Dein Aquifer Quat. Buried Artes. Aquifer Depth to Bedrock ft. Pmup D 1\ot Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D Yes D No Variance Was a variance granted trom the MUH for this well'! D Yes Well Contractor Certification D 1\o i i ome Og me rte Schwock Well Co. License Business Narne 09116 NEGAARD, _12_ Lie. Or Reg. No. Name of Driller County Well Index Online Report 161375 I Pnnted 6/29/2008 HE-01205-07 file:lliliiMPCA/1Workmg1A0081-1 00%20-%20PFC%20F oam/R ..all%20Refinery/Well%20Log%20Report%20-%2000161375.htm711/2008 I :53: II PM 2222.11991111 STATE_02822868 Well Log Report- 00229077 Minnesota Unique Well No. 220077 | Gowam II 229077 County Quad Quad ID core Carlton Cloquet 224B WAN CORO RRRROT Well Name CONOCO REFINERY N0.1 omn Di Seci onSusen Bests Township Range Dir Section Subsections Elevation BW ADDIOD BeamMhibed 48 16 w 20 ADDBDD Elevation Method MINNESOTA DEPARTMENT OF HEALTH WELL AND BORING Unweoue B10 WELL AND BORING RECORD Reon Due RECORD neato See Cuter 131 Minne~ota Statute~ Chapter 1031 Entry Date Update Date Received Date 08/14!1991 02113/2008 on Woenb DepiCyoie Dor Come 1046 ft. 7.5 minute pagan |DPE Sb topographic map Well Depth 151 ft. Drilling Method -- Depth Completed 151 ft. Date Well Completed 10/1511952 (+/- 5 feet) Dron] Drilling Fluid -- Iwertarteamr 0 ve Ove Well Hydrofractured? DYes DNo Tn vw Ty from ft. to ft. ILUse Industrial Cone ty Jo vento Doves? Ove Casing Type Joint No Information Drive Shoe? Nn 1 No Above/Below ft. DYes D Casing Diameter Weight Hole Diameter ecto aris Geological Material EyFILL GayCLAY GNcuessouers CLAY, GRAVEL & BOULDERS praia DRY SAND & GRAVEL CARDTOES DRY MED TO FINE SAND Sorc SANDY CLAY Cle sot cane. CLEAN SAND &GRAVEL FEDCLAY2GRAEL RED CLAY & GRAVEL Color Hartnoss Color Hardness reRED ro rants NO REMARKS From To From To 0" 3 0 3 Soa 3 28 8 28 40 D5 40 57 goa 57 81 8 81 111 FHI111 130 15 130 151 Open Hole from ft. to ft. ST Screen Make Type lomo Souomze Diameter Slot/Gauze Longin etBetween Length Set Between rm Static Water Level Fon 96 ft. from Land surface Date Measured FLER VELfeb nG ia) PUMPING LEVEL (below land surface) 10/00/1952 WDoisHehws Commplaetsiotn s Hod 124ft. atl:er 24 hrs. pumping 600 g.p.m. Well Head Completion Pitless adapter manufacturer Model DOI cCaassiinngg PPrrootteeccttiioonn 0D 1122inin.. aabboovvee ggrraaddee 0 tne mons Wel nd cigs ONY) D At-grade (Environmental Wells and Borings ONLY) Grvating woman WehGroaeer 1 ver Lv Grouting Information Well Grouted? DYes 0No Located Minnesota Geological sanSurvey [a Unique Number Votiston Ones roicin Verification Other, note in os remarks HAI System UT1\I- Nad83, Zonel5, }vfelers ii Method Digitization (Screen) - Map (1 24,000) Date 801207 000 A Date 08/01/2007 X: 546968 Y: 5164028 Lu it thy sil FiFrisrtstBBeeddrroocckk Last Strat Pebbly sand/sill/day-red Dope Bk, Aqquuiitfeer Depth to Bedrock ft. County Well Index Online Report SC Nearest Known Source of Contamination Ra - feet _direction _type welds on onptior_ 0 vee Well disinfected upon completion? D Yes 0 no D No Pump D Not Installed Date Installed Manufacturer's name Model number - HP - Volts Rhandoned Wel Doc Length of drop Pipe ft. Abandoned Wells Docs opty Tove ry STs Capacity _g. p.m Type property have any not in usc 70 ed Material and not scaled lly wcll(s)? Vere Ws net om te rot? 0 Yo 0D Yvees OD NNoo Varianct.' Was a variance granted from the MDH for this well? D Yes 0D Nxoo iBorgrornCsamnas)e OaRosge. No Nao Dik Well Contractor Certification Bergerson-Caswell 27058 Li(;ense Business Name Li(;. Or Reg. No. Name of Driller 229077 I Printed 612912008 HE-0 1205-07 ARCA ing 103 Cm. ts 1SET 0 SHS file:///II/1\!PCA!!WorkingiA0081-100%20-%20PFC%20FoamiR...all%20Refinery/Well%20Log%20Report%20-%2000229077.htm7/112008 1:53: 11 PM 222222.119912 STSATATTEE0_208282222886699 Well Log Report- 00233034 233034 i~::~ty Minnesota Unique Well No. II II 233034 I.!:.=========::::!.J. Quad ID Chae Carlton Cloquet 224B Well Narne CONOCO REFINERY N0.2 S06 N20 ADDICD EleionMthod Township Range Dir Section Subsections Elevation 48 16 w 20 ADDBCD Elevation Method MINNESOTA DEPARTMENT WWEELLLLOAAFNHNDEDABLBTOOHRRIINNGG RECORD _Minne.mta Statutes Chapter 1031 Uiueoue Entry Date Update Date Received Date 13132008 08/14/1991 02/13/2008 Well Depth tomatmeep | DFE Method = 1046 ft. 7.5 minute topographic map 150 ft. Drilling Method -- (+/- 5 feet) Depth Completed 150ft. Date Well Completed 10/00/1952 Drilling Fluid -- Wweenll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D NNoo From FL. to Ft Use Industrial CaCsaisinngg TTyyppee JJooiinntt NNoo IInnffoorrmmataitioonn. DDrriivvee SShhooee?? No Above/Below ft. DOJYYeess DOJ Casing Diameter Weight Hole Diameter Sie Geological Material CLAY CLAY & GRAVEL SAND, GRAVEL & BOULDERS DRY MED TO FINE SAND COARSE SAND COARSE SAND & GRAVEL SAND, GRAVEL & STONE SoxColor Hardness RED HO REE NO RElv!ARKS Open Hole from ft. to ft. fom 1 |oimeter SouGmze From To 0 12 Screen Make Type Diameter Slot/Gauze LLeennggtthh SSeettBBeettwweeeenn 12 25 25 67 67 88 88 130 130 143 Static Water Level 143 150 98 ft. from Land surface Date Measured 10/00/1952 PUMPING LEVEL (below land surface) 123 ft. after 24 hrs. pumping 600 g.p.m. Well Head Completion Pitless adapter manufacturer Model DDO Ccaassiinngg PPrrootteeccttiioonn D0 1122 iinn..aabboovveeggrraaddee Growing norman. Well rose" 0 Yer 0No. 0D AAtt-ggrraaddee ((EEnnvviirroonnmmeennttaall WWelelllssaanndd BBoorriinnggss OONNLLYY)) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unique Number rel Verification Other, note in remarks System UTM- Nad83. Zonel5. lM>e.t1eertesrs Method Digitization (Screen) - Map (1:24,000) Date 08/01/2007 RXX: 5s4h6o90t2 Y: 5S1o6l40o3s3 First Bedrock Last Strat Sand & larger Aquifer Depth to Bedrock ft. County Well Index Online Report Nearest Known Source of Contamination Weol pncomps etion 0 ver - feet - direction _type Well disinfected upon completion? D Yes D Nvoo PPuummpp [DJ NNoottiInnssstallileedd DDuatteeInInststaalllleedd Manufacturer's name Model number - Length of drop Pipe ft. Capacity g.p.m HP - Volts Type Material Abandoned Wells Does property have any not in use and not sealed well (so)r? D0 Yvees OD NNoo VVaarriiaannccee WWaass aa vvaarriiaannccee ggrraanntteeddffrroommtthhee MMODHHffoorr tthiiss wweelltl?? [DJ YYeess. 0D NNoo Well Contractor Certification Bergerson-Caswell 27058 License Business Name Lie. Or Reg. No. Name of Driller 233034 Printed 6/29/2008 HE-01205-07 file:/I!IIfl\1PCN!Working/i\0081-1 00o/o20-%20PFC%20Foa...%20Refinery/Well%20Log%20Reporto/o20-%2000233034.htm (I of 2)7/1/2008 I :53:10 PM 22222.1199113 STATE_02822870 WegRoe czsss. Well Log Report- 00233034 1 ing ORL 007255 00.0 el OL Ret 2402bm 5Lo 70125508 510A file:/IIII/l\1PCN!Working/i\0081-1 00o/o20-%20PFC%20Foa...%20Refinery/Well%20Log%20Reporto/o20-%2000233034.htm (2 of 2)7/1/2008 I :53:10 PM 22222222.11991144 SSTTAATTEE0_208282222887711 Well Log Report- 00233035 PEMipnnensota UCnioqude WeEllRNSo. II 233035 233035 Guin QCCououiundnttyy Quad Quad ID 520CCCalarorlqlttuooennt Cloquet 224B ToRiaeRaCnORDOi SRFtRn SbeOtoSnsFevatan Well Name CONOC REFINERY N0.3 Township Range Dir S!'ction Subsections Elevation 448 1616 Ww 2200 AADDCCEBDDBB EElelevvaattiioonn MMeetthhoodd won 1046 ft. IT t7to.o5ppoomggrrinaappuhhteiicc (+/- 5 feet) MINNESOTA DEPARTMENT MINNESOTA DEPARTMENT WWEELLLLOOAAFF NNHHEEDDAALLBBTTOOHHRRIINNGG RECORD Reedbus RECORD inst sues haps 1031 11finnesota Statutes Chapter 1031 EUEnpntdtraryyteDDaDattueee Update Date Received Date 000828/111344/21109909118 02/13/2008 Welbog DepCompiara Bat Wel Compe Well Depth Depth Completed Date Well Completed on on Joss 150 ft. 150 ft. 10!00!1952 mmaapp | DDeriillinneg MMeetthhoodd CCaabble TTooooll DrDirlillliinngg FFlluuiidd [Emr-- -Use Industrial IPoni to WWelelll HHyyddrrooffrraaccttuurreedd?? 0DYveess 0D NNoo From Ft. to Ft. Casing Type Joint No Information Drive Shoe? DYes D CasingDiameter No Above/Below ft. Casing Diameter Weigh For Glmaer Weight Hole Diameter Setegca aera Geological Material aCLAY arCLAY Stray SANDY CLAY rr DIRTY SAND & GRAVEL SaosoaRe SAND & GRAVEL Sho Gane car SAND & GRAVEL, CLAY Color Color Eo YELLOW seBLUE Enon BROWN HHaarrddnneessss NO REJ'vJARKS From To From To om. 0 8 Sols 8 45 box 45 75 5s 75 85 FR 85 138 Bo138 150 ---- a ---- Open Hole from fl. to 11. So To Screen Make Type [oameer Sovomse Length Setbeveen Diameter Slot/Gauze Length Set Between Static Water Level [OP iLota Meret 101952 91 ft. from Land surface Date Measured 10;00/1952 PUMPING LEVEL (below land surface) TL er 24 ping 90 pn 114 ft. after 24 hrs. pumping 600 g.p.m. Well Hed Complete Well Head Completion Pitless adapter manufacturer Model 0 vt iment Wl nd His ONLY) DDlcaCsaisinngg PPrrootteeccttiioonn D0 1122i.n. aabboovvee ggrraaddee: D At-grade (Environmental Wells and Borings ONLY) Grouting Information Well Grouted? DYes D No Located Minnesota Geological Survey Unig Number fp. Unique Number Version Orson Dat 080127 Verification Other, note in remarks ee Sf el net System UTM- Nad83, Zone15, }vfeters Method Digitization (Screen) -Map (1 24,000) Date 08/01/2007 X: 546739 Y: 5164055 rl Nearest Known Source of Contamination Sr a woe - fed _direction _type wat tinaapnciompsieiton 0 ver Well disinfected upon completion? D Yes 0D Nnoo Pump D Not Installed Date Installed Manufacturer's name Model number - Length of drop Pipe ft. Capacity _g.p.m HP - Volts Type Material Abandon.-d W.-lls Does property have any not in use and not sealed well(s)? D Yes D No FtBerk ate First Bedrock LeSie Pay sy Sipe Brock Last Strat Pebbly sand/silt/day Aquifer D.-pth to Bedrock ft. Sry torr es County Well Index Online Report VVaarriiaannccee WWaassaavvaasriisannccee ggrraanntetedd ffrroomm tthheeMMDDHHffoorrtthhiiss wweellll?? [DJ Yeess 0 x D No eT Gor Cr W.-ll Contractor C.-rtification lca 218 Bergerson-Caswell 27058 | ee ion Names Oe No Noofmis Li(;ense Business Name Li(;. Or Reg. No. Name ofDriller ss I 233035 Printed 6/29/2008 HE-01205-07 ACA AIO iy faa05 SSS 150 file:/I/III1\1PCA/! Working/A0081-100%20-%20PFC%20FoamiR. ..all%20Refinery/Well%20Log%20Report%20-%2000233035 .htm711/2008 1:53:10 PM STSATATTEE0_208282222887722 222222.119915 Well Log Report- 00501972 _MMiminenreosottoa UUnniiqsue WKellNNo. 501972] Govueam SChnoe 501972 CGooumn1ttyy Quad Quad ID CCaarrlttoonn Cloquet 224B TTT Well Name CONOCO. INC. Tommi ans itr bcm Fein Township Range Dir Section Subsections Elevation www Boston hl 48 16 w 17 Elevation Method MMIINNN'lEESSOOTTAA DDEEPPAARRTTMMEENNTT OOFF HHEEAALLTTHH WELL AND BORING RECORD WELL AND BORING RECORD onceSas Ctr 151 Minnesota Statutes Chapter 1031 150 Aee T DrC n 1050 ft. Calc from DEM (S07mr | PO thd iy (USGS 7.5 minor Well Depth Depth Completed 110ft. 106.5 ft. .o~illiiig M~th~. N~~~~P~~{~~~d R.~t;:;y . EEnnttrryy DDaatete. Upiseiue 1115307 Lpdate Date Wend Received Date 0088!11441/1999911 ll/15/2007 DACNo A Date Well Completed JE 04/28!1989 .... equiv.) TrDrilling Fluid pinBentonite ISatter Ovo D ve Well Hydrofractnred? DYes D No Feta From Ft. to Ft. ess ery [VWiedllsAddadrsesss WRENSHALL REFINERY frien WRENSHALL MN ottvw Geological Material Toss TOP SOIL swovcusy SANDY CLAY aCLAY Soeur SANDY CLAY anCLAY son BOULDER aCLAY SorSAND (SILTY) anon CLAY (SANDY) Sevier SAND (FIRM) wSoomewanes SAND-FINE W/ CLAY LENSES SAND PET SAND FINE-SILTY MonEvIwoms SAND-FINE W/ CLAY LENSES Some SAND FINE preity SANDY CLAY Gor tatmess rom To|CeoSiainr0gmeTynDparemSneestch2io1r.ow cateVr) eJoin WeTdad eDriaveanrShoe? D1Yc Color FETA DK.BRN om Meow 1 [ame sn Bm she wre BROWN Som bebo [T mm mTTT] BROWN Gow MD fT [Se NOT Re GRY/BRN EI GRAY Som UD 4 8 [owes Sets Log Sesewen BROWN ri t TE sv BROWN Wom wom 8 BROWN Wom wom 6 8 BROWN Bom bom 6 ow BROWN Bpoomm bMenME8 ow [LSewe BROWN arte Duc ors oxi BROWN Som BE [re ---- BROWN bom wo BROWN rrr BROWN Tom aw | pcm BROWN Hardness SOFT MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM MEDIUM SOFT SOFT SOFT SOFT MEDIUM Use Monitor well Casing TTyype pe SStteeell((Hbolacckkoorr lloowwccaarrbbooen))JoJionintWt eWlelded Dirivvee SShhooee?? DYeress IZI No Above/Below 2 ft. From To 0 1 1 8 8 12 12 17 17 38 38 40 40 45 45 60 Casing Diameter 8 in. to 40 ft 4 in. to 89 ft. Open Hole from ft. to ft. Screen YES Make JOHNSON Weight lbs./ft lbs./ft. Hole Diameter 15 in. to 40 ft. 8 in. to 107 ft. Type stainless steel Diameter 4 Slot/Gauze 12 Length 17.5 Set Between 89 ft. and 106.5 ft. 60 63 63 80 80 85 Static Water Level 85 92 96 ft. from Land surface Date Measured 04/28/1989 92 100 PUMPING LEVEL (below land surface) 100 105 ft. after hrs. pumping g.p.m. 105 109 109 110 Well Head Completion STEEL GARD FOSS SET142 0F CONCRETE STEL Lock Covi | REMARKS 3 STEEL GAURD POSTS SET IN 2' OF CONCRETE. STEEL LOCKING COVER Pitless adapter manufacturer Model Ouest 8 12m sve oe D Casing Protection IZI 12 in. above grade 0 ste Emaem thmts 1) D At-grade (Environmental Wells and Borings ONLY) eines Was BI Ys TT Grouting Information Well Grouted? IZI Yes D No OVER 8" -SURFACE GGorooutMMoatteerial: NNteatCCoermoentt ffroomm Wto E80Rft. 00.88 yyredss. LLooccaatteedd CCaarrlltionnCCryty..SSaolil && WWeaeterr CCoonnss.. Dist UreNmVthcstoNnA Unique 1'\umber Verification N/A Sm UTM Sak lS System UTM- Nad83, Zonel5. Meters .\\-pIietphoogd GGPrS DDiiffrercenstilalyly oCroorrceectde|d Due NA DateN/A Ne S46 Ys Shot X: 546746 Y: 5164301 Nearest Known Source of Contamination Q_feet - direction Volatile organic compounds aIZI Well disinfected upon completion? Yes idtype D No PPuummpp DC] NNoott Innssstallleedd DDaattee Insstlaleledd0044./2277./11998899 Manufacturer's name GRUNDFOS S.S. & TEFLON _ HP Qj_ Volts 230 TenstoeSIap Com10igpnm TisSmit Mac Lengtlt ofdrop Pipe I05 ft. Capacity 10 g.p.m Model number 2-SPI 0 Type Submersible Material andnsd Wels Drs res eve etn amd st into? 01 Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes IZI No VVaarriiaannccee WWaassaa vvaariraniceeggraranntteeddffrroomm tthhee MMDDHH ffocrhthiiss wweelll?? 0D Yveess 0D No ite sa First Bedrock Lott ly snttnn Dp ok Last Strat Clay & sand-brown Aquifer Depth to Bedrock ft. County Well Index OiineReport County Well Index Online Report Well Contractor Certification tin Fi N`MoshortSltt aSrtar DDrrililin<> 4o95a88 DDAAVVIIDDSSOONN, Zc_ hice Bsn mei Re NoNomsofbrtc License Business Name Lie. Or Reg. No. Name of Driller 01972 I 501972 zs Printed 6/29/2008 HE-01205-07 file://ili!MPCA/IWorkingiA0081-l 00%20-%20PFC%20Foam1R .. all%20Refinery;Well%20Log%20Report%20-%2000501972.htm711 /2008 1:53 10 PM 222222.119916 STSATATTEE0_208282222887733 Well T"og Report- 00470694 470694 !Minnesota Unique Well No. 470694 ui' County Quad QuadiD Clog Carlton Cloquet 224R Welll'\ame CONOCO INC Township Range Dh Section Subsections Elevation 48 16 w 17 Elevation Method Well Address WRENSHALL REFINERY -MN Geological Material Geological Material CLAY SAND Savsmostons CLAY SAND STREAKS goCLAY SOFT SAND CLAY ZCLAY SAND Semone SOFT SANDY CLAY SAND Color Hardness. Color Hardness MINNESOTA DEPARTMENT OF WWEELLLL AHAENNADDLTBBHOORRIINNGG RECORD 11Jinnesota Statutes Chapter 1031 Updebue Entry Date Update Date Received Date 11s20n 10/0111992 11115/2007 1051 ft. Cak from DEM (USGS 7.5 min or equiv.) Well Depth liS ft. Drilling Method Drilling Fluid Bentonite Depth Completed 112ft. Rotary Date Well Completed 0911211990 IWe-ll Hydrofracturc-d? DYes D No From Ft. to Ft. Lse Monitor well Casing Type Steel (black or low carbon) .Joint Welded Drive Shoe? D Yes 0No Ahove/Reiow 1.9 ft. Casing Diameter Weight Hole Diameter 8 in. to 37.5 ft. 4hinw. to w92i.3 nft. [---- From To Open Hole from tl to ft. 0 6 Screen YES ~lake JOHNSON I6 7 Diameter orn v 7 14 4 Ld14 36 Slot/Gauze 10 i rer 36 38 lbs./ft. 14 in. to 37.5 ft. blbss./ft I7.88ainn. to 11122Hft. Type stainless steel uotwie Length 20 Set Between 92 ft. and 112 ft. zon 38 43 43 72 72 80 80 115 Static Water Level 97 ft. from Land surface Date Measured 09117/1990 PUMPIJ'\G LEVEL (below land surface) ft. after hrs. pumping g. p.m. [TN NU REMARKS Well Head Completion Pitless adapter mauufadurer Model GT routog tormatonT . Wet Groses? L 0 ves CI ve ODJCCasasiinngg PPrrootteeccttiioonn 0 1122inin..aabboovvee ggrraaddee D3 AAvt-ggrraaddee (Eavnivnircoanmmeennttsadl WWeelllssaanndd BBorriingns OgNsLYONLY ) Grouting Information Well Grouted? 0 Yes D No Grout Material: Neat Cement from to 88 ft. T,ocated Carlton Cty. Soil & Water Cons. Dist. Method GPS Differentially Corrected Unique Number Verification N/A System UTM- Nad83, Zonel5. Meters Date N!A X: 546670 Y: 5164335 .\"earest Known Source of Contamination - feet - direction _type WWelelll ddisiinfsectiedunuppfoonnoccoomcmplpieletstiioodnn?? D[J Yvees DOJ Nwoo PPuummpp 0D] NNoottlnInssttaalllleodd DDaattee IInnsstaalllleodd 9092/02109/19909.0 Manufacturer's name GRUNDFOS Model number 1687 _ HP 0.75 Volts 230 TLTieynppgeethSSouubbf mmdereonrpisibPblilepee lMM..alat.Lteerl_rii_aafllt. or Capacity .l1__g.p.rn Abandoned Wells Docs property have any not in usc and not scaled wcll(s)? D0 Yveos 0 NNoo First Bedrock Last Stnt Sand Aquifer Depth to Bedrock ft. Variance Was a vmiance granted limn the MDH for this well? D No Well Contractor Certification North Star Drilling 49588 BACKOWSKL M. License Business Name Lie. Or Reg. No. Name of Driller Yes D County Well Index Online Report 470694 I Printed 6/29/2008 IIE-0 1205-07 flle:///IJIMPCA/! Working/A0081-100%20-%20PFC%20Foam!R...all%20Refinery/Well%20Log%20Report%20-%2000470694.htm7/1/2008 1:53:11 PM 2222222.11991177 STATE_02822874 Well Log Report- 00518275 A1innesnta Unique Well No. 518275 | itewe Sen 518275 County Quad Quad ID mT Well Name GROVER, RRUCE D. Carlton Wrenshall 224C ow oy Temi Townlrlp Range Dir Section Subsections Elevation 48 16 w 20 DDBCBD Elevation Method MINNESOTA DEPARTMENT OF HEALTH "WELL AND BORING RECORD WELL AND BORING RECORD ine Stes opr 11 Minnesota Statutes Chapter 1031 RC Well Depth Depth Completed Entry Date Cries en Update Date Wei oe Received Date 03/12/1993 06/05/2006 PC Date Well Completed isos 1058 ft. 7.5 minute topographic map (+I- 5 feet) 90ft. |i cer i Drilling Method Cable Tool 90ft. 01/20!1993 EIfe Drilling Fhrld Well Ilydrofractured? DYes D :\lo -- From Ft. to Ft. Use Domestic Cone Tre Sd ik ec ot eid oven Be Casing Type Sled (black or low carbon) Joint Threaded Drive Shoe? 0 wotiton D 1\o Above/Below ft. 0 Yes Casing Diameter Weight Hole Diameter Rasim Well Address 599 ALLEI~ DR WRE~JSHILL MN 55797 Geological Material Crovin SANDY CLAY CLAY Socar SAND CLAY SAND FINE Color Som BROWN BROWN Som GAY BROWN GRAY BROWN 5 in to 86 ft 15 lbs/ft Hardness GID SOFT SOFT on PI SSSOOOFFFTTT From 0 8 24 38 SOFT 80 Open Hole from ft. to ft. Screen YES [ow To Diameter 8 3 24 Make COOK Type stainless steel some Slot/Gauze 10 ugh Length 4 sBewen Set Between 86 It and 90 f1 38 80 90 Static Water Level 64 ft from Land surface Date Measured 12/04/1992 PI:MPING LEVEL (below land surface) 75 ft. after 2 hrs. pumping 10 g. p.m. Well Head Completion Pin pc mimobes MONITOR Modi SLSV Pitless adapter manufacturer .\WNITOR Model Damron B 120 sven D Casing Protection 0 12 in. above grade 8PL5V ID t e iam Neth min 30.5) D At-grade (Environmental Wells and Dorings ONLY) ---- REMARKS 3 BAGS BENTONITE AROCND CASING WHILE DRILL!!\G. Lat Cabs SHANA Located Carlton Cty. Soil & Water Cons. Dist. ae Nm Vernon 5 Unique Number Verification N/A 4p Din Sse 13000) Method Digitization (Screen)- Map (1:24.000) Dt 435305 Date 04/26/2005 Cravteg etornaton WetiGrt? BE] Yeo Grouting Information Well Grouted? 0 Yes Gost Bee fo Grout Material Benton1te from i Nearest Known Source of Contamination Ee D No to It System UTM- Nad83, Zonel5, Meters X: 546696 Y: 5163358 2Q_feet l:i_direction S~tic tank/drain field type ott go copi 8 ve 0 x0 Well disinfected upon completion? 0 Yes D No unr 0 xs Dc pga Pump D Not Installed Date Installed 01/05/1993 Net IOI. ok rr 01320 Manufacturer's name AERMOTOR Model number SD12-50 _ HP Q,j_ Volts 230 Length of drop Pipe 75 ft. Capacity 10 g.p.m Type Submersible som 3 bags Material Abandoned Wells Does property have any not in use and not sealed well(s)? D Yes 0 No [rpeepsepTR First Bedrock Last Strat Sand-brown r Eo e ri Aquifer Quat. Buried Artes. Depth to Bedrock ft. Aquifer County Well Index Online Report Variance Was a variance granted from the :v!DH for this well? D Well Contractor Certification oe iene ti ore No Numer mi Klavu Well Drilling License Business Name 09650 KLAVU.E. Lie Or Reg. No. Name of Driller 518275 I Yes D No Printed 6/29/2008 HE-01205-07 fi1e:ll!l[!MPCA/1Working/A0081-100%20-%20PFC%20Foam/R.. ali%20Refinery:Well%20Log%20Report%20-%2000518275.htm7!1/2008 1:53:11 PM 22222222..11991188 STSTAATTEE0_208282222887755