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z <br /> ENT BY:9163622318-Sacra. , CA 4- 1 4.-55PM' ;RADIAN INTERNATIWhI- 20946834334 2/ 2 <br /> �r <br /> .. P@-ff=Wq.SON,{�peamar <br /> 6TAm OF CALIFORNL4-TWE rw$ounn AOENCV <br /> DEPARTMENT OF WATER RESOURCES ' <br /> NORTHERN DIMICT <br /> 2440 MAIN STREET n <br /> RED 91-UFF CA 9609&zJ" Release of l information <br /> (9184 529.7300 , <br /> Pro ect: i &51 I- iut Contract Number: <br /> f <br /> Township, Range, Section: <br /> County:, A M —�t71��1v�7w Date, 1 S� <br /> i <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, itis stipulated and agreed that such reports,or any <br /> copy or copies made thereof,will not be rn6de 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 /> PV 1?'L- r c: flc'� I S�-I/r e <br /> 06 Q u P til �vI TY <br /> Consultant Governmental Agency <br /> c� <br /> L.<5 b 6J,7;9c , <br /> Address 's 7—f Address <br /> City,Stais&zip Code City, State&Zip Code <br /> By By <br /> Offrcar Officer <br /> Title Titl <br /> Telephone Telephone <br /> i <br /> i <br />