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ftwMML <br /> Stag Gr oollf"6 <br /> Dtp,et "M bFWsarResourgas <br /> co"I Die" <br /> i$Street .. <br /> StaramOdto,CA-086ww <br /> WELL CRILLER`S RIeRDRTS <br /> INSPEMON itEMEST AND AGREEMENT � <br /> Lace6on: 4110 <br /> county;�'' Contract Hurnber: <br /> Request Is made pursuant to 8ec9on 137S'I of the CalNOMIa Witter CW2 fpe nlaal <br /> or Dn to <br /> hape0t or COPY Water Well Ddllses Reports VMlr h art an flis in Your office. <br /> to " +Snot with the MQuiremant" of S WDn 13752 or the Water fir, it is Stipulated and <br /> agreed that Such Mporta, or any copy or es made thereof, will not be made ailabta for <br /> Inapeakn by the public but wilt be used iolslY by this pavarnmGntaf aUanoy VO making <br /> etudlis. N Ctlplaa are made or taken. each GM wlA be stamped `CONFIDENTKLo or`AOR <br /> GFFIO"KL t;J±&W ONLr-soerwllf tie kept In S testrided file, amass to whlalt is limited to U* atarf <br /> 4f thli Uovarm4ntel aQeney or to Its obttitraoted agents. My copies fUffilsbod to rarcta ed <br /> Uient# must_ bol rrjM �a1! c+t IcUawr 6�rc +r4c, Floris . <br /> Completion nr wttrk t%y trur rnnir�r.tart moon(. <br /> 0in15ui$hilT,sW m- <br /> Permission of ft owner of the wall. ���ma wren <br /> r aje- 1,16A !�evvlzeA <br /> j#a'YV)#7 j5VA441 <br /> ftdkiA ofto'k4y <br /> COMMIN Agonfo ma Apt <br /> ay <br /> Addiresr Addams <br /> 64 <br /> t#tt•, .Zip tj& 104Y.-'stats, <br /> aZIP Coad <br /> 13Y BY <br /> *00 <br /> MWIVCMA1141jr5 RomeW4 <br /> S <br /> " tai. r►9+C�w" <br /> 't rlti. . <br /> fSimi , f7$ <br /> a*phono rtiep onr <br /> a <br /> or a.a,hmrnpr wrtenn+aon: _ gop" <br />