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06/20/2001 11:51 209-579-P?25 MODESTO ATC PAGE 02 <br /> Site of Caurbaft <br /> DePameat of WatorResources <br /> central Dlswct <br /> 32518 street <br /> Sacrameob.CA 9W11f-7017 <br /> WELL DFULL ER'S REPORTS <br /> INSPECTION REQUEST AND AGREEMENT <br /> Project: 5 =rr A Ck CA "�i o <br /> Location: Z t S <br /> rt , <br /> County; SO'v\ T0 c, Contract Number. <br /> Request is made pursuant to Section 13751 of the California Water Code for permission to <br /> inspect or copy Water Well Ord'er's Reports which ars on file in your office. <br /> In accordance with the requirements of Section 13732 Of the Water Code, it Is stipulated and <br /> agreed that such reports, or any copy or W0109 made thereof, will not be made available for <br /> inspection by the public but will be used solely by this governmental <br /> agency aking . <br /> studies. If copies are made or taken, each copy will be stamped "CONFI ENTIAL"ror"FOR <br /> OFFICIAL USE ONLY" and will be kept in a restricted file, access to which is limited to the staff <br /> of this govermentsl agency or to its contracted agents. Any copies furnished to contracted <br /> agents must be retumed to the Department of Water Resources, Central District upon <br /> completion of work by the Contracted agent <br /> No Information contained in these reports can be disseminated or published without the written <br /> permission of the owner of the wren, <br /> SG n J o c;_ u n ' h <br /> Contriaed Ag9M <br /> Covsrnrn tar Agency <br /> Addrns S a y L c,J e �.r 3 /,J <br /> Adonis <br /> C , stem �p tea. �C� <br /> City, Stab. zm coos <br /> By 6y <br /> Officer <br /> TIUa <br /> Telephone ( W - 3 <br /> Tal. <br /> p Taispnona <br /> ��ar 6� <br /> Cate Dots ' <br /> (For o•awc Twwft rat Cop"aam Post-it'd brand tax transmittal memo 1671 d orp.o•.► <br /> Fro <br /> Dept !� <br /> xx nye �— _ _ e..• <br />