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Click ‘Get Form’ to open the tdlr a004wwd in the editor.
Begin by filling out the Owner Information section. Enter the owner's name, address, city, state, and zip code. Ensure accuracy as this information is crucial for identification.
Next, provide the Well Location details. Specify the county and enter the Owner's Well Number along with the type of well (Water, Monitor, Injection, or De-Watering).
In the Historical Data section, input details about the driller and drilling license number. Also, indicate the diameter of the hole and total depth of the well.
For Current Plugging Data, enter the date when the well was plugged. Check off all applicable methods used for plugging operations.
Complete Casing and Cementing Data by detailing casing dimensions and cement placement specifics. Be thorough to avoid delays in processing.
Finally, certify your work by signing in the designated area and providing your printed name and address. Ensure all fields are completed before submission.
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