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Form GW-2 Revised[removed]COMMONWEALTH OF VIRGINI A WATER WELL COMPLETION REPORT
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Document Date: 2012-05-17 23:30:01


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City

Richmond / /

Facility

Measurement Port / /

Holiday

Commonwealth Day / /

IndustryTerm

code/law requirements / State law / chemical analysis / /

Organization

Public Institution / Virginia State health Department / Virginia State Water Control board / /

Position

inspecting official / ft. Drilling Contractor / _____head / Driller / Well driller / /

ProvinceOrState

Virginia / /

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