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OCT-30-2003 13 : 39 `'AMBPIA 1707 935 6649 P . 02/02 <br /> 4tw or a mamu <br /> Depwonea Of Water Rawurces <br /> CaftDWMa <br /> D251 S street <br /> Sscmmerdo, CA 85816=7017 <br /> WELL. DPJLLEA'S REPORTS <br /> INSPEC71ON REQUEST AND AGREEMENT <br /> Project Well SuYVeM <br /> Larsttiore aS7S C. Uutl Club 10141ev6rcl SJ0CK V,".._ <br /> County: San 7so d.. p LA k h Contract Number. u 5� b 76 3 <br /> Request is made purst;ant to Section 13757 Of the California Water Code for parmisaion to <br /> inspect or copy Water Wed DdWs Reports vA** are on iia in your offtcs. <br /> In accordirnee with the requirements of $*Won 13752 of the Water Code; it is stipulated and <br /> agreed that such reports, or any copy or copies made OW90, will not be made available for <br /> inspection by the public but wit be used solely by this governmental agency for making . <br /> Studies, tf capleS ate made or taken, each copy will be stamped "CONFIDENTIAL" or "FOR <br /> OFFICIAL USE ONLY" and Veal be kept in a restricted Fite, access to which is limited to the atatf <br /> of this govermental agency or to its contracted agents. Any Copies furnished to contracted <br /> agents must be returned to the Department of Water Resources, Central District upon <br /> completion of work by the contracted agent. <br /> No information contained in these reports can be disseminated or published without the written <br /> permission of the owner of the well <br /> Cambria �nVi �Dn �vlevl -�j � � max. [�*� Wil] <br /> Gordma" A V4 0 emmeMel ABenc <br /> Zl b Per ILL O ; S4yQ2 <br /> i Addrpe A�Odnea <br /> 45 *+7 (o <br /> f Gtr. stab 'A p Coo. illy, Glatt a Tip Cade <br /> Sy SI�Sr�yi Luyasy WiG-"4- By <br /> Deicer Ofter <br /> TWO <br /> 76 w3'3 237 <br /> rdephw,e rgep�wn. ' <br /> ci bQV 3d 2Lo03 Date <br /> TOTAL <br /> D <br /> (Farp.�p�rlelk�hem.lin"' .,--^-cap�we'n�..� <br /> e D <br /> TOTAL P . 02 <br />