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PUMP INSTALLATION RE,~ .3T <br />P p Make r:nnl da <br />Q1. h+lnncl hl P <br />Powered by r 1 Prt.ri ni t.~ HP ~_ <br />Pump Serial No. =~~~~~~ <br />Motor Serial No. <br />Date Installed 10-4-77 <br />Pump Intake Depth 410' <br />Remarks <br /> <br />_.._ i <br />II i <br /> .. <br />i <br />WELL TEST DATA WITH PERMANENT PUMP <br />Date Tested 10-4-77 <br />Static Water Level Prior to Test 10' <br />•th of Test 2 Hours <br />Sustained yield (Metered) ZO GPM <br />Pumping Water Level z' <br />Remarks <br />., <br />z <br />f- <br />a <br />w <br />0 <br />~s~ <br /> <br />J~ \ ~ <br /> <br />;.. '~ <br />r. ~~~ <br /> W <br />-~.. ~' <br />WATER <br />3 J <br /> w <br />> W 7gBLE <br />v> <br /> W F W <br /> ~ a~ <br /> ~ <br /> ¢ <br />• w <br />~. <br /> <br /><~. ~ , , <br />z <br /> <br />r,~ a <br />Z ; <br /> I <br /> ~ . '~' <br /> <br />.. , <br /> ~ <br />.r <br /> ~,. <br />'~ '~~ <br />CONE OF <br /> '!' DEPRESSION <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 tr~~s me is true of his own knowledge. <br />Signature License No. ~_ <br />State of Colored ounty of SS <br />Subscribed and sworn to before me this Lz day of ~~ 19 7_ Z. <br />My Commission expires: ~~+~ ~G 19 ~~ <br />Notary Public <br />FOR1.1 TO BE MA OUT IN pUADR UPCICATE WNIY rORM mutt W to oily ~n~l tovv on OoI~ t~0et •na t,Qn~O. <br />WHITE AND GREEN too~~I murt be IJttl n~In rn< Su1e Engmee~ FINK COPY n fot tM Ownu •na vEl L0T1 COPY .t b• IM Dnu~, <br />