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filar-04-03 04:14pm From-BROWN AND ' 'YH1.1. 916 635 BB05 T-665 P.002/002 F-620 <br /> S.01 S.01 <br /> STATE OF cALIFORNIA-THE RESOURCES AGENCY PETE wr=N, Gavemor <br /> DEPARTMENT OF WATER RESOURCES <br /> NORTHERN DISTRICT y <br /> 2410 MAIN STREET <br /> RED SLUFF CA 56080-2398 <br /> (SX) 529.7300 Release Of information <br /> Project: I j (1Get G Contract Number. <br /> Township, Range, Section_ I 6 <br /> County: Date_ <br /> Request is made for permission to inspect or copy Water Well Drillers Reports made <br /> pursuant to Section 13751 of the California Water Code, copies of which are on file in <br /> your office. <br /> In consideration of such permission, it is stipulated and agreed that such reports, or any <br /> copy or copies made thereof,will not be made available for inspection by the public but <br /> will be used solely by this governmental agency for making studies, in accordance with <br /> the requirements of Section 13752 of the Water Code If,copies are made or taken, <br /> each copy will be,stamped "CONFIDENTIAL" or "FOR OFFICIAL USE ONLY" and will <br /> be kept in a restricted file, access to which is limited to the staff of this agency or to its <br /> professional consultants. Upon completion of work, all copies furnished to consultants <br /> shall be destroyed or returned to the agency. <br /> 4 <br /> Consultant G94emmental Ag noy <br /> Address / Address <br /> Nsam <br /> City, State& Zip Code City,State& Zip Cade <br /> $If K L-46S <br /> O cert <br /> Title Title <br /> '51L Ss-1 S-Sk? V&e- -JW <br /> —� Telephone Telephone <br />