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Cq�WATER VK4'"" CO. <br />DATE <br />DRILLER -- <br />NAME <br />LOCATION <br />CROSS STREET _ <br />—/f <br />BORE DIAMETER/ <br />WELL DIAMETER <br />WELL DEPTH 360 <br />/ <br />CASING: PVC OR STEEL <br />GAUGE R 7 <br />SLOT SIZE • 0 0' <br />GRAVEL PACK TYPEg <br />SEAL DEPTH ET TYPEZC" _ <br />, <br />PERFS 3c� �zv3y°-36-0- <br />OLD WELL DESTROYED? YES OR NO <br />IF YES, FILL OUT JOBBER, PLEASE <br />