GW1-2021-03596_Well Construction - GW1_20210823

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8-rnr t;anpI"ItIm IPy'or nosed-Lanp Geolbarrmll Welts havinq the same vAll may"so l►te tmck of this page to pmvldo additional well site 4eWh or well
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1•i+rat,danlrMo11�1;nn11A:pmr jl�pxrnnr tiu :-3(glJryo mrd @MR7 —(fit 744. mar_All Milk, submit this faun w"Ilin 36 days of complethm of well
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IIOR WgTrR 3t-'PMV WRIJA ONLY: -- I)IvAlon Of Water lRraaumes.Undctgrnnnd Injection Control PI'aMm.
16311 Mail Saiwlet Centnr itlhtieip,WC R7jpg4 1636
134.Yield(RPM) L ` Method of leo _ x+tc.For Water Queeiv&itaieeil—Wilffr in addition to.wding the Rtmt to
the nddress(es) nbnve, also submit lure'COPY r3A,t)►stnferuon type: Amn,mt pY of tBls fbtm q9�M 3A days nF
completion of Well ctumut don w the'"Illy hCatth dgtartnwnl of tht:amply
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