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. STATE WELL REPORT.4V1/County: Permit#: Driller:_It IJ.v/JueC4L4 Well#:MississippiDepartment of Environmental Quality Office of Land and Water Resources P.O. Box 2309 Jackson, MS 392252309f\”\'lre1J,Date

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Information such as soil types, geological formations, hazard assessments, land use, and environmental impacts must be reported on viewer - environmental geology.

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