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NOV 08 '95 02:08PM 2098 3509 P.2 <br /> r <br /> WELL DRILLERS REPORTS <br /> INSPECTICN REQUEST AND AGREEMENT <br /> Project: SklbLu-�0.1 <br /> Location: <br /> County= ? Contract Number- <br /> Date- <br /> State <br /> umber-Date:State of California <br /> Department of Water Resources <br /> Central District <br /> 3251 S Street <br /> Sacramento, CA 95816-7017 <br /> Request is made for permission to inspect or copy Water Well <br /> Drillers Reports made pursuant to Section 13751 of the Cali- <br /> fornia Water Cade, copies of which are on file in your office. <br /> In consideration of such permission, it is stipulated and <br /> agreed that such reports, ,or any, copy or copies made thereof, <br /> will not be made available for inspection by the public but <br /> will be used solely by this governmental agency for making <br /> studies, in accordance with the requirements of Section 13752 <br /> of the Plater Code. If copies are made .or taken, each copy <br /> will be stamped "CONFIDENTIAL" or "FOR OFFICIAL. USE ONLY" and <br /> will be kept in a restricted file, access to which is limited <br /> to the staff of this agency or to its professional consultants. <br /> Any copies furnished to consultants will be returned to this <br /> agency upon completion of work by the consultant. <br /> No information contained in these reports can be published <br /> without the written permission of the owner of the well. <br /> Srvti:}L; SAN JOAOUIN COUN'T'Y <br /> ConsultantMSION <br /> ENVIR <br /> 17.G:ds a"ersbt a_ 41 re v� POST OFFICE BOX 388 <br /> Address !;I'OCK I 0NA3MgN!A 9520t- <br /> 8388 <br /> tfA <br /> City, State, & Sip Code City, State, & Zip Code <br /> Officer Officer <br /> Title Title <br /> H ( <br /> Telephone Telephone <br /> (For Departmental Information: copies sent r -) <br />