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Project: <br />Location <br />County: <br />},'-WELL DRILLERS REPORTS <br />INSPL�TION REQUEST AND AGREEMENT <br />S't'oc4c-i o <br />State of California <br />Department of Water Resources <br />Central District <br />3251 S Street <br />Sacramento, CA 95816-7017' <br />Contract Number: 2 070-Z <br />Date: It -9-90 <br />Request is made for permission to inspect or copy Water Well <br />Drillers Reports made pursuant to Section 13751 of the Cali- <br />fornia Water Code, copies of which are on file in your office. <br />In consideration of such permission, it is stipulated and <br />agreed that such reports,�or any copy or copies made thereof, <br />will not be made available for inspection by the public but <br />will be used solely by this governmental agency for making <br />studies, in accordance with the requirements of Section 13752 <br />of the Water Code. If copies are made or taken, each copy <br />will be stamped "CONFIDENTIAL" or "FOR OFFICIAL USE ONLY" and <br />will be kept in a restricted file, access to which is limited <br />to the staff of this agency or to its professional consultants. <br />Any copies furnished to consultants will be returned to this <br />agency upon completion of work by the consultant. <br />No information contained in these reports can be published <br />without the written permission of the owner of the well. <br />Ander-5or 6o. Soao�u'tn Co . L.ocal iieaiih D;s4 <br />Consultant /Go ernmental Agency <br />Address Address <br />R05e_vi)le— CA. g5(oZ8 Dcc/7, <br />Z1 <br />City, State & zip Code CityEate, & p;.coc�e/,' <br />By B <br />Officer Xx Officer <br />T'tle title° <br />(`"U),`(8(p <br />Telephone Telephone <br />(For Departmental Information: copies sent <br />