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wasttuction,,aoly 1 GW-1 is needed.Indicdte TOTAL NUMBER ofwella (add'See Ovee&Rtmiadcs Box}.You may also attach adOmW pages ifnecemy.
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10.Static water level below top of eubW (a 24a.For All Wells Ong'mal£omt to Dzmm of WaterRasmees (DWR).
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11.Borehole diameter. �o / {m.) 24L For Injection Wells:Copy to DWR.LTadagtamd lWeeti6a Coattol(1UC)
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FOR WATER SUPPLY WELLS ONLY: ,
24d.For Water Wells mvduci over 10 000 GM.Cogtd.DVIX CMA
13a.Yield(Zpna) 7 Method of test Pffmzt Pmgtam,1611 MSC,RWei C 9 1 11
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