GW1--03152_Well Construction - GW1_20240524

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Well Driller Self-ergot Certification
owner: .I S New WM: V
Add IS
R ,3j24- Oao2
I hereby ceitify that the above referenced well was grouted in app a anoe In accordance with
all County Well rules.
weld Driller: r Signed:
C : ZLC) -A
Construction: G :
Total Depth; - O Type: (tm
Casing �,G Thies: _ � ��Y 1(1
C ng ,: D Depth: 20
Diameter: .2'1 S
Weight/Thick: ,
Drive Shoe:
GPM: L-r