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WdI Maw Seff-Orout Owilikation
Ovater: . New Well".--/:--------
hddrenI UZt1flRerair:
I hereby certifythatihe above infecund well was grouted in appearance b2 accordance with
all Cunt:VW&rales.
We Maar, Mar Y, kven g •
cafficate#: ?)iavo-A- Da* . .
Construction: Grout
Total Depth: <a)5- TN= Carne---r-*
Casing Type: \/1_4. Thickness: 1-nv_f d
Casing Dal& Deper_.
LUNA= (P.
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Wee Shoe:
GPM: