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25567 N. Hwy 12 Record ID SR0075654 <br /> 10/*/16 <br /> PHOTO#1 <br /> MINIMUM tN nUUri HUVHIVI.0 IVU 1 IIrC 11cuutr1CU rvr-i IIVJrC\r 1 tuba - ri,.Grlac VI1LL %x-s-1 <br /> „t <br /> SIGNED._ ___._____-._ TITLE _ DATE <br /> r <br /> 'i <br /> S <br /> Y <br /> \ I V1, CI'll - <br /> DEPARRtMENT USE ONLY <br /> Application Accepted By Date _ Area <br /> Grout Inspection By Date ❑ SPECIAL V1 <br /> Pump Inspection By _ Date __. ❑ W AwER R <br /> Soil Boring Inspection By ^_ Date Constructed Well DE <br /> COMMENTS <br /> Michael F. Escotto, REHS <br />