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				  | Application: G 11910   | 
			 
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					 |   | Staff Person Responsible: no caseworker currently assigned | 
				 
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					 |   | Received: 2/26/1990 | 
				 
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					 |   | Signature: 3/9/1990 | 
				 
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 | Final Proof | 3/9/1990 |   |   |  | CBU Received | 9/23/1996 |   | W RICHARD VERBOORT |  | Pump Test Received | 9/11/2009 | Exempted | HERBERT MOSGAR |  | Certificate Issued | 8/19/2010 |   | JERRY GAINEY |  
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					 |   | Staff Person Responsible: no caseworker currently assigned | 
				 
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					 |   | Signature: 8/19/2010 | 
				 
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					 |   | Type: Original  | 
				 
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				  | Status: Non-Cancelled | 
			 
		 
			
				  | County: Yamhill | 
			 
		 
			
				  | Basin: Willamette | 
			 
		 
			
				  | File Folder Location: Salem | 
			 
		 
			
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 | Data Tech Review (Certificates Only) |   | 8/2/2010 |   |   |  
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						 |  |   | Name: WELL 1 | 
					 
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						 |  |   | T-R-S-QQ: 3.00S-3.00W-28-NW SE | 
					 
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						 |  |   | | Location Description: 1888 FEET NORTH AND 1679 FEET WEST FROM SE CORNER, SECTION 28 |  |  
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					 |   | POD Rate | 
				 
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 | 4/14/1989 | 0.076 | 0.076 |   |   |   | 1/80 | 2.50000 | 3/1 | 10/31 |   |  
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						 |  |   | Name: WELL 4 | 
					 
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						 |  |   | T-R-S-QQ: 3.00S-3.00W-28-SE NE | 
					 
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						 |  |   | | Location Description: 2805 FEET NORTH AND 1030 FEET WEST FROM SE CORNER, SECTION 28 |  |  
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					 |   | POD Rate | 
				 
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 | 2/26/1990 | 0.067 | 0.067 |   |   |   | 1/80 | 2.50000 | 3/1 | 10/31 |   |  
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						 |  |   | Name: WELL 3 | 
					 
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						 |  |   | T-R-S-QQ: 3.00S-3.00W-33-NW NE; DLC: 55 | 
					 
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						 |  |   | | Location Description: 300 FEET SOUTH AND 1635 FEET WEST FROM SE CORNER, SECTION 28 |  |  
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 | 2/26/1990 | 0.058 | 0.058 |   |   |   | 1/80 | 2.50000 | 3/1 | 10/31 |   |  
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						 |  |   | Name: WELL 2 | 
					 
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						 |  |   | T-R-S-QQ: 3.00S-3.00W-28-SE SW; Lot: 2 | 
					 
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						 |  |   | | Location Description: 1240 FEET NORTH AND 3230 FEET WEST FROM SE CORNER, SECTION 28 |  |  
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 | 2/26/1990 | 0.02 | 0.02 |   |   |   | 1/80 | 2.50000 | 3/1 | 10/31 |   |  
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