GW1-2022-09785_Well Construction - GW1_20221027

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Form GU+-I NerdivArallan octinament of t t wwrliummi Qualltu-Division of Wx4r 12asmarcas Rovisod 2 22-2n16

Date.--!- a2 -22
Well Case: Weil#: anal- dog
o7O�t.D �v1v`�d��s
[Name: L-LC
Address:-5 to F/;� Vl;rei L4
Pump has been installed, well head ready for inspection.
Sign:
CUa ,-wvfe rr We,(.!. E:>rUd ^g
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