Header

Site Name

Well Name:

Owner:

Elevation:

USGS Site ID:

Well Log(s):

Depth:

Measuring Point:

Perforations From:

Perforations To:

Latitude (Decimal Degrees NAD 83):

Longtitude (Decimal Degrees NAD 83):

Location Accuracy:

Status:

Permit Number:

Measurement Data
	Measure Date	Depth To Water	Water Surface Elevation	Method	Comments
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