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20 Bairmani ollatt TiUl laaM 12" abtnra ground
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Ctoot mat mat_______________
^ Mahural eta^lefill
. from to p 111 1 A. m. t(Ea_*_pi
U. NEAREST SOURCES OF K>SS»LC CONTAMINATION
_______feet _______dinrtion . .■nrp»
Wall diamlKtcd upon camplHianf ftYca O No
IS PUMP
Date inatalM.J4us-ex -ONolinatalhd
Manufacturer a name —
Modal numter------------
Length of drop pipr__105 pit
-----Hif 1^. VoRa 23tl
capacity------24--------------giam.
Maimal <d drop pipr 1* CfalVi
Type l^utxneruMa X3 US Turlmir SO Rtoprocating
ilOIrl dCmtrifgal to--------------------------------------
16 EXISTING WEIXS
Umiaed ovU un pruptny’ □ Yr« 4|o
.Abandoned □ Prtmacant 0 Tmiprury Q .Not valnd
IM. WATER WEUCt)NTKAC1URS:ErriF«CAriON
Ttiia wall «aa dnIM under my iunidictiap and ilut rtpart M true to the heat of my
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LOCAL COPY 435438
Author Hd Repeerratative
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