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WELL NUMBER: / <br /> OWNER: <br /> DATE: i <br /> • QUAD MAP: �. C G✓ s 1 E <br /> USE OF WATER: S,I,H,M9,U, L3 S Cag <br /> � <br /> TOPO SETTING: &H, <br /> � P <br /> LIFT, Motor 71?E oY CrrT- c _ orHE 2- <br /> Serial f <br /> HP <br /> Pum <br /> P <br /> SERIAL f <br /> Power; ,D.N,Wp _ <br /> Meter. n ABV LSD <br /> Meas. Pt. TOC BLW <br /> Fli Li Ho e, Pipe, Etc. Height ABV 3. <br /> P.B. f BLW <br /> Pipe, Hole, Slot, Etc. Side Height <br /> WATER LEVEL: Hold REMARKS: <br /> _ f <br /> — Cert <br /> +' MP <br /> W.L. - <br /> DI SCH. TO <br /> DISCHARGE: <br /> Size Distance Direction <br /> • <br /> l�7 <br /> SAMPLE SITE: <br /> ROAD LOG: <br /> L <br />