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N1o�Dam folf.droutCertification
ion
Owner New
I hereby certify that the above iced well was grouted in appearance in ac
coniance with
all County Well nh.
C)'1 �s� � S� • po L
Well DriIIei^_ 1" Zy'Zl(
DP
Construction: Grout:
Total Depth; 5°7Casing Type: `�► C�'�n°-( �
vC � - mi�U _
P .o
Casing Depth 1 a :_
y
Dive Shoe: .
GPM: Z