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CITY OF SANTA ANA <br />WATER WELL, PUMP AND MOTOR REEHABI oITATION AND REPAIR SERVICES <br />Refe a co <br />Customer Name: California American Water Contact Individual: Matt Leasecici <br />Address:__ 511 Forest Lodge Rd. #lo0, <br />Pacific Grove CA 93950 <br />Phone Number: (216) 27-474o <br />Facsimile Number: <br />Contract Amount: , 197 882 Year: 2019 <br />Description of supplies, equipment, or services provided: <br />Crenshaw Well -Dual SwablDevelo meat, Furnish + Install <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDEREn MnNRKconwicn <br />