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state of California <br /> CIepartment of Water Resources <br /> Central District <br /> 8251 a street <br /> saersMento, CA 95816.7017 <br /> t <br /> WELL DRILLER'.•' REPORTS . <br /> INSPECTION REQUEST ALIO AGREEMENT <br /> Project ,5 C, -TP A C Y <br /> Location: 10 EA51- 12YK - <br /> county: SAo ka of i1 <br /> - �_ Contract Number, <br /> Request is made pursuant to SEiction 13751 of the Califomis Water Code f)r permission to <br /> inspect or copy Water Well Driller's Reports which ate on file In your office. <br /> In accordance with the restulremc rets of Section 13752 of the Water Code, it i s stipulated and <br /> agreed that such reports, or any copy or copies made thereof, wiN not be reit de available for <br /> in pection by the public but will be used solely by this governmental ape ncy for making <br /> Shx"e. If Copies are made or tvilimn, each copy wig be stamped "CONFIDENTIAL" or "FOR <br /> OFFICIAL USE ONLY'and will bEi IWO in a restricted file, access to which is Iirilted to the staff <br /> Of this gover rental agency or to Its contracted agents. Any copies furnishcd to contracted <br /> agents must be returned to th-ii Department of Water Resources, Centr W District upon <br /> Completion of work by the controexid agent <br /> No information contained in these reports can be disseminated or published wi;hout the written <br /> permission of the owner,of the we 1, <br /> D' <br /> r, ontractedAgent _ "— Uz� ' <br /> 46vernmental Agsnc y <br /> OOMS,_ <br /> Conconx) Ch qq Ares: Lam' <br /> city.State, a.Ztp Coe <br /> city.Stats, p Ca ti <br /> ey �$ DI W A C��o By i�� <br /> °V otkw <br /> T-A SK MAnA 6:7 R .ems. <br /> Tile -- Title <br /> 3-Z(? 'O�a7 Telephone--' <br /> oete <br /> Z00121 I v a YVHS 2SCZ9599T6T Iva VT:90 Iua t0/TZ/co <br />