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07/25/2000 12:48 2094671..*` AGE STOCKTON PAGE 02 <br /> State of California <br /> Department of Water Resources <br /> Central District <br /> 3251 S Street <br /> Sacramento, CA 95816-7017 <br /> WELL DRILLER'S REPORTS <br /> INSPECTION REQUEST AND AGREEMENT <br /> Proj ld+ U + vt✓ <br /> County: Sp n 3"oA v "n Contract Number: <br /> Request is made pursuant to Section 13 75 1 of the California\Fater Code for pemtission to inspect or copy <br /> NA'ater Nvell Driller's Reports which are on file i7 Four office. <br /> In accordance%%-th the requirement of Section 137-5-1 of the Water Code, it is stipulated and agreed that Such <br /> reports, or any copy or copies made thereof will not be made available for inspection by the public but v6ll <br /> be used solely by this goVernmemal agency for.::'king studies. If copies we made or izken, each copy»ill <br /> be manped"CONFIDENTIAL-or"FOR OFFICE USE ONLY`and.rill be kept in a restricted file, access <br /> to v hich is limited to the staff of this governmemal agency or to its contracted agents. Any copies f mr shed <br /> to contracted agents must be returned to the Depw-mens ofNVatcr Resources, Central District vpon completion <br /> of work by the contracted agent. <br /> No infonnttion conuined in these reports cin be dissenunated or published N%ithout the% rinen pennission of <br /> the owner of the well. <br /> V iu it G I�, �r I �•��� <br /> ane a Ir dv;n�► <br /> Contracted Agent Aovcmrne.mml Agency <br /> 001' AL cam; c.�� 304- e. 44p. oe . <br /> Address Address <br /> City, State, &Zip Code City, Stom, ip Code . <br /> Ev M i a n A <br /> Officer Offic <br /> olo '-E/. a 19"%o <br /> Title Titic <br /> gaol, U/7-mq�; � �f 6�• 3�s¢ <br /> Telephone Telephone <br /> Date e <br /> (To Dep;r6maral W&--xniow Ccpim sera ) <br />