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07/25/2802 09:54 2094671118 AGE STOCKTON PAGE 02 <br /> NNW <br /> State of California <br /> Department of Water Resources <br /> Central District <br /> 3251 S Street <br /> S acxamento, CA 95816-7017 <br /> WELL DRILLER'S REPORTS <br /> INSPECTION REQUEST AND AGREEMENT <br /> Project: Lt eon, <br /> Location: 69 Ott W <br /> County: Contract Number: <br /> Request is made Pursuant to Section 13751 of the California Water Code for permission to inspect or copy <br /> Wates Well Driller's Reports which are on file in your office, <br /> 1n accordance�x!th the requirements of Section 13732 of the Water Code, it is stipulated and agreed that such <br /> reports, or any copy or copies made thereof,will not be made available for inspection by the public but will <br /> be used solely by this governmental agency for making studies. if copies are made or taken; each copy vtill <br /> be stamped"COIVFTDENTL&L"or"FOR OFFICE USE ONLY"and xvill be kept in a restricted file, access <br /> to which is limited to the staff of this gover=enml agency or to its contracted agents. Any copies furnished <br /> to contracted agents must be returned to the Department of Water Resources, Central District upon caznpletiou <br /> of work by the contracted agent. <br /> No information contained in these reports can be disseminated or published without the vnittest permission of <br /> the owner of the vvell_ <br /> ►1�� ,� (rte. 5 <br /> Contracted Agent Gove ental Agency <br /> Address Address G, <br /> Sr4Cx.1` vL � 9SSCS CL-6/\ <br /> II j City, State,&Zip Code -City, State,Zip Code <br /> By 1 <br /> Officer Cer <br /> Tit]e - 'Bile <br /> G r - /6b <br /> Telephone Telephone <br /> Date Date <br /> (For DL?slunft"Infonaation, _---_.c0ocs sent - ) <br />