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`''~~ Red Jacket <br />'ump Make _ <br />•~edby Gas HP <br />'umpSerialNo. 7 Maa-AS _ <br />Rotor Serial No. <br />)ate Installed Oct. 27. 1978 <br />'ump Intake Depth 28' <br />lemarks <br />TELL TEST DATA WITH PERMANENT PUMP <br />)ate Tested 10-27-78 _ <br />static Water Level Prior to Test _20 ~ - <br />_engthofTest 4 hrs. __ Hours <br />~ined yield (Metered) 8 GPM <br />'umping Water Level -28' <br />iemarks <br />CONTRACTORS STATEMENT <br />The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or <br />pump installation described hereon; that he has read the statement made hereon; knows the content <br />thereof, and that the same is true of his own knowledge. <br />MEREDITH DRI LING CO., INC. <br />Signature _.~~~~-~~s~eT~s'utr-, ~i Ce-Prey.- L'cense No. _ 1 87 <br />State of :.olorado, County of - v r _.__. SS <br />Subscribed and sworn tc before me this 1.Lh day of _ November , 19 78 . <br />. My Commission axpir6 . __- __ 3_ q_ 19 Z~. . <br />Notary P~;blic__ _ -___ <br />FUAM TU BE 41ADE OUT IN UUAORUPLICATE: WHITE FORM mom,. b. an original copy on bD1h ud„ antl ,igned. <br />WHIT( ;.NO GREEk rcwes r~us: be Ided .r:h the Sure Ergine.. PINK COVY n lo. d.e Owno. snd YE LLON' COPY n for tha Dnuer <br />