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Q-iality Well Drille-s <br />Contractors Lic, #468732 <br />260 AIR PARK RD. • ATWATER, CA 95301 <br />(209) 357-0675 <br />Work Order # 7Ye5 <br />S � <br />Order Date 3 -2 -1 Permit # �l <br />Owners Name & Mailing Address: L 6 "9- 2 C-4 e'5 � <br />Phone: <br />Pump Co.: <br />Service: " i<_ Start Dater" 2-1 Finish Date: 17 <br />Location: Y S�l�u �� Cross St: <br />%Rat Cg - <br />Casing Size: Type & Guage: Depth of Casing: <br />Per( Location: <br />Slot Size: <br />r <br />Depth of Hole: Hole Diameter: A2 Operator <br />Depth of Seal Material: <br />I,/ L<f ?24C �l <br />7341— 770 e_^WM cdMy <br />y6 <br />-00 729-'7�5 d <br />IM -6-Z& t�r �t4c, 1"7.Sd7�Y <br />fjw —:jJ7- '*^W" 04 <br />Quantity: <br />i r � <br />