Laserfiche WebLink
I I-"tj tl9:49 209-579-2225 MODESTO ATC PAGE 02 t <br /> CENTRAL DISTRICT :227-7600 MAY 26-19 8:53 N0 .002 P .01 <br /> Deporbmhtt of WtterAaosces <br /> Central Dabldt <br /> sZst a an.c <br /> Sacemanlo,CA 96611/4017 <br /> WELL DRILLERS REPORTS ' <br /> INSPECTION REQUEST AND AGREEMENT <br /> 'Location: T t N R 6E SF <br /> County: Convict Number, <br /> Rest Is made pursuant to Section 15751 of the Cdbmla Wear Code for permission to <br /> Inspect or copy water well Drillers Reports which ate on fie in your office. <br /> In acwrdanu with the VOWI ernents of Section 13752 of the Water Code. N is atipttlated and <br /> agreed that such reports, or any copy or cWu made thereof, will not be made evaiable tot <br /> Inspection by the public but wit be used solely by this governmental agency for making <br /> atUdlift If copies am made or taken, each copy Will be stamped "CONFIDENTIAL." or"FOR <br /> OFFICIAL USE ONLY"and will be kept in a restricted Nle,amass to Which is united to the staff <br /> Of this COvermental agency or to its contratded agents. Any COptea famished to contracted <br /> agena must ba MUM" to the Departmant of Wear RasoutCas, Central District upon <br /> completion of work by the contracted agant <br /> NO Information contained in!base reports can be disseminated or published without the wMten <br /> permisai0n of the O"or of the wan. <br /> AT(, S(Chj-) ff <br /> Conn cWd AWK ciw amm.Mal yanay <br /> tt►� bovu, V-16AVA 3OWe be r <br /> Aaeraaa AeOnu <br /> _fA otk"+to A 3s t sh C lcfo-n , CP ?SZo 2 <br /> cey afar e-uo cos. cry.mea a VP cos <br /> By �� Sy ��yV- (�IJM <br /> Qffkw O81oar <br /> flea Ta. <br /> zot s 71- urt c2°�1 �6� o33s <br /> ��O^a TaNprrona '— <br /> Dae paq <br /> try`apMd1"'r YMPn�On' —b "*'" Paetdt•Mand ax tranamltW memo 78711 orp"pp. <br /> Post-iY Fax Note 7671 Da1qq'/2f paots* <br /> To 1 From l <br /> Co./Dept �'�' Co. QT`S/E({fl ` •"7n/..T ,w. . <br /> Phone n Phone N <br /> Fax# �a zzz Fax" ' JUL 211999 <br /> 4 <br />