GW1--07300_Well Construction - GW1_20231109

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ala Agalftr'Tcat Delimit 1c. A. ;
,al rft+Ierlmental Plata olog► Mohutafttea Control O. O.
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it.f.4 IROOM Innitilnenindelonftftniontarsountdsordednonl Owns:
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a coot 0 a N $Q 8 ' 3 os v. - ------"' q-20 -2-7
6.lititrex)tdewdmaw e!'e3n+ttre!iaelCbnaaaNr Data
io Perma reds or Dff eat[tat
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+at Ms a repair tit anaxirtlagw!n ern+ or cr um?ts
No iWACaaC.91A0orMAArd1C47CA131DRWIC nermatetnirnArm ►nidirn
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male miler An renwhiasrav/M armrea eackofdds,(omi. 72.Sob aortal or eddidnandva ldelaibt•
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drifted; lan,anix I CiW4 k needed 1'adbieao TOTAL NUM tt n1 lls it
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9,11110 wadalle haw hind suttees l i•�S (R 1 S! egg*am vrllhin 30 days of eomp1Nlatt of well
irerMultlplawNtolB+aliddpttkl +enrtTtaprAt-34111Uliaantti@t111tttlbeIltltsAKliB; I; .
1n.Steen waferlev,el belay top attoning 2D ,(AFL) Division ofiilttnr ftclm ta.l�war.tloIl Presession llidt,
(K7rhh•h q'tldSNlM17B7XBlHg Ma-•^ l 1617littl SinksCelagl11dd" 27499-16“
11.ilutr.holedUlttrder: l� (In.)
For aetecN°A jVnllge 1n adegtiae to Se7%dieg flsatt b ltetiddteYe In?An
akave-also anWM me Genre*a ism+ il& Hags of a ettaletlan,of well
az pr,clr netuaa ensicactia,eto the folifIVA
ae. ;wan.aible,intolush,af.) j'
WATER sr.'PAivwSR.Ls cirtl,7r: MOM 7t Sankt o1Witter $lief bW £oT1t0I>i m.
Cy �I MI6 Due i tQi
13a.vleid(tg�. .t S __ RAM t Its For WeIor Sn t v& onwem:;to .,',I tonurtdtog/be Ann to
Us f thiftoi(cal above,also subuth.OM Of of Wu Om aSitbt 30 dnjs nF
all►.11biefccllm Inc Amine _ _ comp/aeon of well cm stmadon to the anew hnaltlt do nnment of the county
came emanvimed. I •
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Wall WSW Soil-firout Caftfficadon
Owner:
Repair'
Feast_
rhereby cat*that the above referemed wel saw grouted in appeal=ke vdth
all OmmtyWeitroies.
welt DrmarleatiaL
Califieatetiz 2-113- Datp Maud: q-is.-‘23
threauction: Groat:
Total Depth; ,t Type:Salle •
Casinirriam NC- Titaness: mi‘Vi
casingDeper 5Ip
Diamehmtoi7
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