GW1-2021-03763_Well Construction - GW1_20210823

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11-Boreholediameter• I ° fin•) 2th ra aMednn WCitA; Lt addition to Handing the lban to the alddrom in 24n
n»ove,91ao submit one:copy of this form within 30 days of comidedem of well
IZ\Yeti em"rawam mMilod: V ' 1� r-- an steuetion to the failnwing:
t i (Wgc,mvary.Cubic,dnat push,etc.) Division 01,Wstt r Rumirem Underground tnfft:tlOA COatt'01 Program.
110R WA7'F.R i.'1.'PPt X WB1.L..S fllvLXc I63ti Maii Servltx Getter,iRalCiglr�t+iC 27�'t636
_ •., . �-__,t&faitsMloe W W In addition to ee:ntmt8 the fmm to
13a.Yield(gpal) MrthtW Of rest: _. �Addtg(cs) abovq ttiso submit Ono Copp of this form within 30 days Of
completion of well eansnuction to the count)hsam d�epamacm of the cnum
1 ih.Ulsinfecttnrt type; AnaOtroC completionwt»Constructed,
Prom GW-1 Nerlh�5mnlimr%�nPnnmoM of tinvlydnmunutl Q+mtlep-rltvisam otCVaret Rotattreas
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