Laserfiche WebLink
i <br /> c 5310-PIG -21013p. 2 <br /> May 08 03 10: 32a GHNGINEERING <br /> state of California �.®_.�.•,�.om.s®. <br /> .,Oepe,tment of Water Resources <br /> Central 0istAct <br /> 3251 8 Street - <br /> Sacramento,CA 95ale-1017 <br /> WELL DRILLERS REPORTS e <br /> INSPECTION REQUEST AND AGREEMENT <br /> Projeee J A n AR 5erv;c e <br /> Locatlon: 4075 E?O' )'Wo S c(��ohf f �.._••.._.__�� <br /> County. 52vh JoZ 0 <br /> r4 Contract Nurnber.,_,--_ _ <br /> Request is made pursuant to Section 13751 of the Callfomia Watar :;ods, for pemiissior. to <br /> Inspector copy Water Well Odller's Reoorts which are an file in your office. <br /> In accordance with the requirements c f Sectlon 13752 of the Water Cade, it is elipulated and <br /> agreed that such reports, or any copy pr copies ode thereof, will not be made available for <br /> Inspection loy the public but wit; be used solely y this governmental :igonnr for making <br /> studies. If copies are made or taken, each copy 11 be stamped 'QONFh17EM IAL".or°FOR <br /> OFFICIAL USE ONLY"and wilt be:kepi in a restricted Ole, access to which t: Ilmtled to the staff <br /> of this govermental agency or to its <:ontracted'agents. Any copes !'urril MO. to contracted <br /> agents must be returned to the Department of Water Resources, C6ttral District, upon <br /> completion of work by the contracted se3ent. <br /> No information contained in these reports can be disseminated or ptbii:;hod without the written i <br /> permission of the owner of the well y <br /> NG N E�cr`rnPrrin4t I �c. n��rT:�'rl <br /> carntra�Ayant O2ernrharsal AEendy _ <br /> 1ir'(/Q(i I- '_.--, rbc OAK. ���ce- pc" _-- <br /> Addrasa Addrosa <br /> uvo c 9slpe3 rfA�Za2 <br /> City,state,SLp Coda Cay,Stine.8 21P Cdaa <br /> ey � By (e3v axt � _ <br /> Of6ear � otaoer <br /> 5emco r 2 t7 14 _ <br /> r,ua at. <br /> t-ay 1 1?V0- 3 I c da$ `(�03 3 --7- <br /> Talspnona 7/Mtpn/"na <br /> STSSIo`z <br /> Oslo IWO <br /> Poet •Fez Note 7671 0% i� pa V <br /> (Far Oepanmenlal lnrartNlPon: cagaa finl T <br /> Fr <br /> �" t 'tT111 CTR ',Y11h171 <br /> Tn" J enn, nN oC• hr nn Tt t ',n nnri,_ ,77•rtT <br />