HomeMy WebLinkAboutWI0100642_Geothermal Well Construction Records_20220304Fab 1519 06:43p f leaiwatorWBl4iarlftlnia
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7.4Mtsr4repairtoanexloftwall, or No vv!v drtvrr,rnrviAoj,7 rsnpmntdiMmriaturifnxnra,e'Il,fa•s:,rrlxtfr,•(1)t anrknnwn r all.ian,rnm+7nn irt/n+madanmte/rsfa/aiu rbrr.,uiu.rc r,+Phr:
rs;7nfr render Alt m=rA%xvilan FirnR ifir 00a'IM-00mi. L•3_sm f"Aprsln or ttddltlartat wall dn+Dalla:
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R.Far Geopralie/Alf'Tar Qagnd-lamp GedberMAi W011s having ttic Motif'cnngtrur ian details• Ynit Mily Aieo attat:h additional palpes if TIMMM Y•
iatnatnicdan,anly I G,W-t is needed. I'ildimm TOTAL NUMBER pi+vr-11
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T f+ stthmit thfa amt within 90 Basra of catnpleAOn of well
9ratgl•well*FM Dow 1011d 8Nr•McR.AIMIM 14R.4t:.Qi44
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10.8totie Nittmrlt-vel below top of osiag:
DIVlslan of Oter Reeinttreta.lt+tiitumaNatw 1 rvs4 lJnit,
q Service Choler,lRojolli,XC370,10460
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Lt addition to rendiltg tlia th"to The tlddMa in 248
l 1.itanehnledlatnetere ftn•3 h" " subinii anG copy of thin form within 30 dtiys of ltompletifm of WellathOVd,nlso
l2.N1+r11 Conttrnellan MRINO l; ctina oration to the following
On.Filiaer,mt•,ent+k,oiract(meii,iKa,1oa Division at'T1'atrcT Rrao:,ttrtes,IJndctgltiund tljectlan CoArrol Program,
MKtWA'PFRfit.t(K1fW>ri.LSS1Nl1f:
1C,36rAAM wvteeCr;ntatr,l0ltlaigli.WC2709.1636
13q.Yirt4(Rpm) NOW Fir te4t: _ __._-T __ ,
21c.Rnr 1'!0ur1 Rasol+r&i®Imtla ig: In udctitlon to srsndl4g t}tc for Fir
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tilt: addMSS(c3) a6ftve_also subtttit.Ones copy of lhltr faun within.40 d '
t+n.lAkinfection type: Atnaimtz
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Crmpletion at'nctl cansttuc6on tw the cgintty health ticpntlnient of the county
wFrere conatnicrae.
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