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MAY 12 ' 98 08 : 44AN SMITH/ATC ASSOCIATES P . 2 <br />+I <br /> • WELL DRILLERS REPORTS <br /> INSPECTION_ REQUEST AND AGREEMENT <br /> hocaticn : �p � + ZVI <br /> County . _ .1 "IV Contract Number : <br /> Date : � lT ' s <br /> :State of California <br /> Department of Water Resources <br /> Cehtzal District <br /> 325 .1 S ' Street <br /> Sacramento , CA 95816 - 7017 <br /> R;tsggiest is made for permission to inspect or copy Water Well <br /> !Drillers Reports made pursuant to Section 13751 of the Cali - <br /> fornia Water Code , copies of which are on file in your office . <br /> _ ' in consideration of such permission , it is stipulated and <br /> ! agreed that such reports , kor 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 goveznmental agency for making <br /> studies , in accordance with the requirements of Section 1.3752 <br /> of the Water . 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 /> t •'i4 :. S ;l?.+� 'DAN C611AAM �Hh <br /> Consultant Governmental Agency <br /> i <br /> Address Address <br /> - city , State , & zip Code City , State {,, & Zip Code <br /> '. BY :lif°=t1u' rt,� 'awo r•iiu, «r <br /> Officer n Offic z <br /> _ : ,1}n,,�fT - <br /> Title ritle <br /> 46 > 03 � y <br /> Telephone —�elephone <br /> 6Fox Departmental Information : copies sent <br />