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STATE OF CALIFORNIA-THE RESOURCES AGENCY ARNOLD SCHWARZENEGGER Governor <br /> DEPARTMENT OF WATER RESOURCES <br /> CENTRAL DISTRICT NORTHERN DISTRICT SAN JOAQUIN DISTRICT SOUTHERN DISTRICT <br /> 3251 S Street 2440 Main Street 3374 East Shields Avenue 770 Fairmont Avenue <br /> Sacramento, CA 95816 Red Bluff, CA 96080 Fresno, CA 93726 Glendale, CA 91203 <br /> (916)227-7632 (530)529-7300 (559)230-3300 (818)543-4600 <br /> (916)227-7600(Fax) (530)529-7322(Fax) (559)230-3301 (Fax) (818)543-4604(Fax) <br /> WELL COMPLETION REPORT RELEASE AGREEMENT--AGENCY <br /> (Government and Regulatory Agencies and their Authorized Agents) <br /> Project/Contract No. Tracy Ag. San Joaquin County <br /> 503 E. 10th Street, Tracy, CA <br /> Township, Range, and Section_ 2 . 000-foot Radius <br /> (Must include entire study area and a map that shows the area of interest.) <br /> Under California Water Code Section 13752, the agency named below requests permission from <br /> Department of Water Resources to inspect or copy, or for our authorized agent named below to <br /> inspect or copy, Well Completion Reports filed pursuant to Section 13751 to (check one): <br /> FTI Make a study, or, <br /> F-1 Perform an environmental cleanup study associated with an unauthorized release of a <br /> contaminant within a distance of 2 miles. <br /> In accordance with Section 13752, information obtained from these reports shall be kept <br /> confidential and shall not be disseminated, published, or made available for inspection by the public <br /> without written authorization from the owner(s) of the well(s). The information shall be used only for <br /> the purpose of conducting the study. Copies obtained shall be stamped CONFIDENTIAL and shall <br /> be kept in a restricted file accessible only to agency staff or the authorized agent. <br /> Martin Wills SChk.7GA�l�tlh ( eOvn <br /> Western Resource Management l <br /> t <br /> Authorized Agent Government or Regulatory Agency <br /> P a Rnx R g I R — GU IAA r L" S41-e' - <br /> Address Address <br /> Citrus Heights, CA 95621 C <br /> ,,kCXp <br /> City, State, and Zip Code City, State, and Zip Code <br /> Signature _ Signature C= ' rey'e <br /> Title project Geologist Title S4wcn a e--(45 <br /> Telephone (91G )722-176o Telephone 2[ )Fax ( 916) 313-3439 Fax (20. L('6$ _g Y3 3 <br /> Date July 30- 2008 Date <br /> E-mail mwi11sWwe5ternresourcem9mt.com E-mail C�Lt tea 14 S i e F1 j-'n&s4k <br /> 6 June 2001 <br />