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Well Drliler Self-SM"t Ce*'W *D
Owner. e L 06S'CtL UdNemrWel
Adams �n D�e �'.
i 1lereby c.;eactify thatthe alx�ivf ced weU mwq groute-d in appeamce irx a=danoe vAth
all Colmly weR rdes.
Siped:
Well per_
Ca ltficate#:. � ' ------- DW.Gro �
Constxucdorr
TypCadne: Y
g VC, Tl�ir O
Caimg Depth: Dept
Diameter- 'u 115
Wd&tfThUc-
Drive shoe: