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s' <br /> i <br /> �. Type - Imo, 3_t _ _N_-_._.- <br /> Pow-red by HP <br /> � f <br /> Pu►np Serial No. ►, k <br /> Motor Sciial No. �,4; I's�E <br /> Dale Installed <br /> u: <br /> Pump Intake Depth - <br /> 13Cmc3rks <br /> e !, <br /> w' C� <br /> I <br /> WELL TEST DATA WITH PERMANENT PLIMP a! 01 N; <br /> Date Tested .-- _ _-_.-. -_ a M 4. ` <br /> _tatic Water Level Prior to Test 0 U <br /> Length of Test ._--- _-_ Hours i =4 <br /> Sustained yield (Metered) ___ _-_. . GPM <br /> ,r <br /> Pumping Water LevelRemarks <br /> .—_-- _ _ -_-_---___-- -•-- � . <br /> 'Fy <br /> 's <br /> COnTnACTORS STATEMENT <br /> The utrdersignod,being duly sworn upon oath, deposes and says that he is the contr,?rTnr of thr> Nw` <br /> <, purrr7 inst,",lit,on d-oiled herran; that lie has read the start-',meat war!,, hereon; kf- V" <br /> tltt;rLnf, ar)(1 th-it tlf— ",Its is true of i'is own knowledge. <br /> S"I'naturt; <br /> a<:� its.Lii r2t1 (t( <br /> ratite of Color:, 1r), Coilmy+of � >"_._. _ SS <br /> Sr�l�zcr k3 e!a..'d . .,^rr, to 4:..A..: , this ��._ daa;� of HAY , t��3 <br /> ;,t iF y Crr,r �yso-�,'r t>�tFreas: I?"ret 13 1 74_. <br /> •;,� 4=i�tar-y i aihl�R; ��La�.�... ,�.,. -�- r�.,.,�'9a..�„ y _ <br /> E�twst>�,,�a#'A�as ,S.•T�3E+�4'dI <br />