Laserfiche WebLink
At'R 10 '01 09:20 FROM: T-800 P.02/02 F-013 � <br /> State of CalaM'In <br /> Department of Wal <br /> Resowvas <br /> Cor{trtll� at <br /> 32611 S 8 <br /> 6aammsfrtd,CA 0621&7017 <br /> 5 REPORTS <br /> INSPECTION REQUESY AND AGREEMENT <br /> County: SanJoPt urh cat4# ContmctNumber. <br /> Request is made pursuant to Section 13761 of Me Califcmia Water Cotio for permisriott to <br /> inspector copy Water Well Oriiier's Reports whWi are on Me in your office. <br /> In aacordarim'With the-requirements of Section 13752 ref the Water Code, It is stipulated Ond <br /> agroad that such reports, or any copy or copies qeds thereof, will not be made aveiianle for <br /> Inspection by the public but Wi71 be used ao yV US governmental agency for making <br /> studies. if copies are made or taken, each cc y Wil be stamped "CONFiDENTIAV.or"FOR <br /> OFFICIAL USE ONLY" and Wit be kept in a res cted file, access to which is limited to the staff <br /> of this govermental agency or to Its comtracted scents. Any copies furnished to c„ontraded. <br /> agents must be returned to the Department of Water Resources. Central District upon <br /> aomplwdon of work by tt'w aaritmead agent. <br /> No Information eontain4d In these reports can be diacaminated or publIshed without the written <br /> permission of the awrior of the well. <br /> Coat wed Apant d&ernmeritai Aoaricy <br /> y►14 4-4 ,�o 4 �.w�bP.✓ s�. ���-�'�dam,. <br /> Addrra; ` AQdress <br /> -}� A M J', r C. -' j 4 ro IS ac h C-P� R 5 a <br /> city,state.d.Ylp Code city,smile a zip Code <br /> Ey Cmo t-C-0 M By <br /> Officer Q omwr <br /> Title �a <br /> Tempnons ToloPme <br /> 4- ra ;,I .... 11010 1 .. <br /> oat* �""' Dote <br /> Poo-ir Pas Note 7871 <br /> (Far a ipwows al Infermew. top"sem�...� 7 4( �.am <br /> phwa# ,, <br /> alt N.,r a <br />