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` QUADRUPLICATE f , STATE OF CALIFORNIA :y, bo not fill:n .•
<br /> ` � i1N"of with 7HE RESOURCES,AGENCY .
<br /> } recs.q ora A ''No:"''.173124 '
<br /> k s DE PARTMEf�lT OF WATER RESOURCES
<br /> b n1 Ir�iieni N�`s• a* a `` WATER WELL DRILLERS REPORT f stats t�eltM1� tY , }
<br /> �fe,cnl Permit Ao or Date 85 A Ou,rr Nell t
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