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10/13/2004 14: 32 209-579-^ r101'ESTO ATC_ _W PAGE y02 <br /> ------------ <br /> State of Catlfarnie <br /> Depart "ofWat3rRswu= <br /> Cacdral pistrid <br /> 32516 Sired <br /> Sacamonw. CA 95att3.7o17 <br /> WELL ORW..ERrS REtiORTS <br /> INSPECTION REQUEST AND AGREEMF„NT <br /> lig ProjectG <br /> Location• 81,25 S o .T <br /> Vf �i' EG 20,tAan Z--Atef� c enl .r/ cAwP 9S.?3J <br /> County: SB —c,Rc�uen/ Cantrict Mumber. <br /> Request Is made pursuant to Section 13751 of the C2llfcmi8 Water Ccde for <br /> V IrtsFect cc copy Water Well Critteers Reports wCJch are an file in your office. permission to <br /> fn ac�rCancs with the nagUraments of Section 13752 ct the Water Code, it is stipulated and <br /> agreed that such reports, or any =;:y or Cies rttado thereof, will not be made available for <br /> in"CtIcn by the public but wiD be used seiely by this 20vOrMUM1 l agency for making. <br /> studies. If =pies aro rnada or taken, each copy will be stamped "CONfiiDENTIAcar 'FCR <br /> OF—riCIAL USE ONLY' and wril be kept in a ree4iCad file, ee_ess to which is ilmded to the staff <br /> of this gfermardal agency at to its s r„ad age Any =003 funnished to Connoted <br /> agents must be retumad to the DnPartrnent of Water up <br /> Rosour�s, Cantrat District on <br /> =mpiation of work btr� <br /> y the =ned agent <br /> No infamaticn contalnec in these reports =n be dsseminaied or publ►shed without the <br /> wrftiert <br /> permission of the owner of the wail. <br /> 7 G sC Ar .6 2�A ��A4rC <br /> .►aar..a � <br /> n es Fees �-� rg 9r3�� � i➢�i1t 951�0?�2�� <br /> C*Y. sic.. &Z'P coca cry, steer a Da Cos <br /> By gy w <br /> t7fltear �`"`�° <br /> Iwo <br /> Gtflcar <br /> 1G 5'79' 13.x/ t /Lill! 116 ��s�' <br /> T none ®O V' G Tawp <br /> none <br /> Qua pw <br /> (Ne awaw wro,"a inkoTmew canes want <br /> F'owt•It^hr/a`rd t/axtranamittai memo 767" <br /> aW. Vhwrt.r <br /> hw� 7^d_7 . n_ i ft'i, <br />