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M i <br /> ` �_ <br /> Well Number: <br /> Date: (a <br /> Owner: C'� <br /> Address: �) <br /> Y J <br /> Tel. Number: <br /> Quad. Map: D <br /> , <br /> Topo. Setting: <br /> Altitude L.S.D.: <br /> Use of dater: V,� <br /> Lift Type: <br /> Mgfr. of Motor: <br /> Serial No. of Motor: # <br /> �lk <br /> }horsepower: <br /> e _ � <br /> Type of Power: t �� <br /> �J <br /> Meter No.: <br /> Y <br /> Pump Data: <br /> i �r <br /> Mgfr. of Pump: <br /> Serial No. of Pump: <br /> Discharge: <br /> Other Numbers: <br /> n <br /> Measuring Point: , <br /> i <br /> Water Level : <br /> # Site Status: <br /> Permission Granted: <br /> Remarks: <br />