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8000-FM-OOGM0006 9/2012 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION OFFICE OF OIL AND GAS MANAGEMENT Site ID DEP USE ONLY Primary Facility ID eFACTS Client Bonded Well Yes No CERTIFICATE OF WELL PLUGGING Sub-facility ID Bond Agreement WELL INFORMATION Well Operator DEP ID Well API 37Address Well Farm Name - LAT State Phone Zip Project Number LONG City Well Serial NAD County Email Fax Municipality USGS 7. Approved Attainabl...
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