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B-29-1996 4= IdPM FROM AGE NC 209 956 0700 P <br /> CLJl1FtF1L DiSIIZIE ID=1.)-7600 AUG .20'96 34 No ,005 P.02 <br /> Mate at Catttamts <br /> Departrrisrd of Water Romra s <br /> Central Dhetst <br /> 32518 Soret <br /> Saaannereta.CA 0501&?017 <br /> WELL ORILLER'S REPORTS <br /> INSPECTION REOUESY AND AGREEMENT <br /> 1CA <br /> Location_ , g_4;� A4CI E A,K . 5 Ta t Kion <br /> County. N CO n Contact Number: <br /> Request Is made pursuant to Section 13751 of the California Water Code for prrrrrissfon to <br /> inspect or copy Watrar Wen Drillees Reports:wtfth are on lite in your office. <br /> In accordance with the requirements of Section 13752 of Ow Water Cods, it is stiWated and <br /> agreed that such reports, or any COPY of copirs made thereof, will not be made arveiJabig for <br /> inspection by the public but mai be used solely by this SovammenW a99M for making <br /> studies_ IT copies are made or taken, each copy wiA be stamped "CONMENTIAL"or"FOR <br /> OFFICIAL USE ONLY-and will be kept In a rostrk ted file, access tv wNch is Rmitsd to the staff <br /> of this 90MM44"al agency or to its contMeW agents. Any copies famished to contracted <br /> agents must be retumed to the Departfnent of Water Resources, Central District upon <br /> Completion of wv*by ft contraCQad agent. <br /> No information cvrdained in these reports Can be dlsserninated or pubiiahed without the written <br /> permission of Me owner of the welt. <br /> Ber 1 <br /> ConbWed Agent Gov-0 mn.ntai Agency <br /> Oivisiy► <br /> 03 <br /> W . NUA h Itis 'NoL4 e. wF P� . <br /> �I Addro$s Addr.us <br /> City. .&-Zip cess — CAr.stat@.a zip coat : <br /> BY 1"^ ca By <br /> oMie�r p� <br /> Lucio <br /> TRh TRIO <br /> i <br /> ZDt1 <br /> TeIgphorte <br /> Y.Iphortt <br /> 9 !� <br /> gift <br /> i <br />