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1739H9-579-2225 _ MODESTO ATG PAGE 02 <br /> CENTRAL DISTRICT I ?27-760Q MFiY 2F 9 8:53 No ,4Q� P ,�3i <br /> If <br /> $we of womh <br /> Q t of Water R*rttrcr <br /> Contrayl Q1sM •` <br /> it $$Melt <br /> Sacmmestto,CA 06$16-7017 <br /> WELL,OR LLEWS YMIRTS <br /> INSPECTION REQUEST AND AGREEMENT <br /> ..W.�I��Illr ®Ir,�I IMIII I,�..r�l tiwAllaiMlAFar� i <br /> --A��IYrwrW,N,IPrwr�YWr I r�r�s+� I� ..r�lwr • I AI <br /> Ii <br /> d. nbo� �,1�v1 Cant It t Ntanbw: <br /> �C�+. _LL. Ilr.r�A+lrr+.�w�rwmr" . <br /> j <br /> Re est Is traaedo.pursuant to Semon 13751 of tho C;Nomla Water Code for permission to. <br /> Inspect or Py stir WeP Orilloes,Reports*blch alta an 410 to your offlocco.. <br /> Irt wwrdanceh the rogWreernonts of Section 13752 of V*'Water Colo it le atlpulateS and. <br /> squad tha such I arts, ar any ropy or coos made*OlvdA VIII not:..be made;;tva>dlstrie+tor <br /> Inspsedw by the pubic but will be used solely by this goro'l"Whri►ntall seem fof Malft <br /> studw. If coon ash made. a taken, each cM will be stamped "CONFIDENTIAV or"FOR <br /> OFFICIAL t,IaE Nt.Y"ar►d Will be ItApt In a rs tiled tlh.access*vvh1ch 611mil"to Staff � <br /> of this g ivennoi dAl.ftww y ear to.Its cahtr oted agents, Any coplos u ttshlird to csa <br /> agent s :niltst be returnOd: 6 tl'e 4p+�rtmwnt of Water 1 , � :�i3trlCf upon <br /> comP1040 of vork by the wntmcdad agent. <br /> No Irl0madoln•tontained In these repom con be dissomMnated or Ptb~withdut tl*w4tten <br /> p <br /> offt owner of th+s;w <br /> �� ��-5 4 C�C�. + �trt..t, _ �a���C�' trtr -a'�o� v��• <br /> li■■ rfIACPr��lllilw. ��IIMri�wA�ldll�sl�rn�Irr�.r•rI�IMrI��1A7P1,n1��: <br /> ll CG*IcW AQOM ;6 GOw!+tit+u Entad Agency <br /> . ... 3irll�a.wil�PVil '-PA 1�1411i: <br /> A. ddrawi; AaaMrr <br /> city,SM&l'A.,Zip r,,awe CRY,stm&Zip Coessy <br /> By <br /> 1 <br /> ern innlrAPUrrrr�rrir�wrrr�P IururrrrrrirlPr^ +rlPiY� IFlYYrrrw w,Ml I�..�rr — �Inl��r•r� <br /> C}flls it ' t lkw <br /> r: <br />'' P�IIA irYW�111�1�PW5yilrrlWiMv r■ r��r,.�r� <br /> Two, if TWO <br /> 1� <br /> - > <br /> rrr.�++w�w�rWArr•I iiAfMMA Ire <br /> i1 T�Igpa+M <br /> (rte /6o, <br /> Ywrl,Yir�w�i t Y$}4 r �I !11 Irnr rr Ml�wtlrY�w �irHPYllllllrllil`AA 1, VaNf ■■ I— 1 <br /> tl�aar �srtrr+amtM��: tl0 — Post-tt"`bra <br /> brand#ax tranamtttal ma ma 791 ro orp <br /> .a <br /> Co. i cow- <br /> 1 A <br /> 1 <br />