GW1-2022-07667_Well Construction - GW1_20220818

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WELL CONSTRUCTION RECORD (GW-1) For fillernill Use Only:
1.Well Contractor Information:
1,R If�kuvvlicls'710
TO
2.Well Construction Permit#:
3.Well Ilse(check well lisc):
MSCREEN
I PRO'N IRf 1 11
Q IV —
18.GROUT
FROM If)
Non-Wager Suplil) Well: 7—
Injection Well:
Dslibsitlell- III
Sit,Well Location: C�
v we
9.Total well depth liclow land surface; (I 24a. Fill, All Wells: S11111111; IhI S tonli v�lllllll 30 day, of "'imilh-twn l! "Noi
Ill.Static%%ater level belfm fol)ofeas I ft.) Di%,i silo if If Water Rest flu rces.I If Gwinat ion Its . g Unit.
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I�12�Yield(UPITI) Method of test: 24c. For Water SIIPIJIY& Inmection Wells: III addition It,wilifill'!111', 1-01111 111
**ipm.w of well "_, ~~.. .`—..~.' of,'- Col_-ttv
where ww"=*"� /
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