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<br /> Dwijk,r'.C�;�y pTATE OF CALIFORNIA' L)v nn!/ill ht
<br /> r .rtt:r' L THE RESOURCES AGENCY pN (� (�']/�
<br /> 011PARTMENT OF WATER RESOURCES No. 1000 + 4
<br /> NVATE'R NVELL DRU.,LElk, MPORT sl.te Well N'n. .-,�__
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<br /> 00) WATER LEVEL51 T WELL DR1LL£R'S STATEnfENT:
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<br /> OWN 109 r.tv,v•,r, IF ADDITIONAL SPACE 19 NEEOED. USE NEXT CONSECUTIVELY NUMBEACD FORM
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