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OCT-25-2001 10:26 CAMBR I R 1707 935 6649 P.02/02 <br /> State of California <br /> DepartrnerRCentralcw�Dishid aler roes <br /> 32515 suast <br /> Saa'amrnl CA•95816-7017 <br /> WELL DRILLER'S REPORTS <br /> INSPEC'i70N REQUEST AND AGREEMENT <br /> of Y v Cr, S{� f tQ►'I <br /> Location: 613 C Ave ri u2. <br /> County: SAn qVA yl Contract Number: <br /> Request is evade pursuant to Section 13751 of the Catifomia Water Code for <br /> thsPeci or COPY Water Weil Crili Reports which are on file in your office. Permission to <br /> In accordance with the requirements of Section 13752 of the Water Code it <br /> available for <br /> it is stipulated and <br /> agreed that such reports, or any copy or copies made thereof, <br /> Inspection by the public but wilt be used solely by thiwill not bes Savemmerrtai agency for making <br /> studies. If Copies are made or taken, each COPY will be stamped "CONFIDENTIAL' or "FOR <br /> OFFICIAL USE ONLY"' and will be kept in a restricted file, access to which is limited to the staff <br /> of this govennental agency or to its contracted agents. Any ccpies furnished to contracted <br /> agents must be returned to the Department of Water Resources, Central District u <br /> comPleton of work by the contracted agent pen <br /> No information contained in these reports can be disseminates Or published without the written <br /> permissian of the owner of the well, <br /> L'&mieyria, [-v-Ivironyrt Seel JO Court <br /> CorAgent �Kvi y(7,tl 1 �r <br /> KraCedh <br /> 4ovemmenral Agency <br /> 'P a . ��x 259 304 E. Wtlaer <br /> C' Address 3mA <br /> Address <br /> 9,5471L, �rlock� <br /> --. .Cfi,;.State, B.Zip CcMe <br /> � <br /> ey <br /> er� ia iS� <br /> Title C <br /> �) 93� - 2� L/•/ r�aa <br /> Telephone ---1•!� <br /> Telephone "—"- <br /> 10 ( <br /> Date ! � <br /> ao . <br /> W°'m�tl°'t ti�aoPle+sea <br /> TOTAL P.M <br />