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11/12/2003 17:37 20946'-"-18 AGE STOCKTON PAGE 02/02 <br /> STATE OG, IFO NOWL E 9£9 MCFS ACENCI <br /> rA4Y WVI.9.d4„p� <br /> DEPARTMENT OF WATER RESOURCES <br /> SAN JOAQUINOISTRICT <br /> 3374 P_ 81 Shl0de AVM,,o <br /> Frna CA. 93729-x913 <br /> (559)44$5443 <br /> Release of Information <br /> Consultant <br /> Project: &Uldvstj 4A6 Contract Number- <br /> Township, Range, Section IS! Co„n{r X C lvaQ <br /> County: So,n .)«. _ _ Date: l~ ( 0 o3 <br /> Request is made for permission to Inspect or Copy Water Well Drillers Reports made pursuant <br /> to Section 13751 of the California Water Code, copies of which are on file in your office. <br /> In consideration of such permission, it is stipulated and agreed that such reports, or any copy or <br /> copies made thereof, will not be made available for inspection by the public but will be used <br /> solely by this governmental agency for making studies, in accordance with the requirements of <br /> Section 13752 of <br /> CONFIDENTIAL"or FORrCode. If copies <br /> are O FICIAL USEONLY'a and wide or ll be each copy will be stamped a restricted file, access to <br /> which is limited to the staff of this agency or to its professional consultants. Upon completion of <br /> work, all copies furnished to consultants shall be returned to this agency. <br /> AdYgtice Geo V;i ron th -AArc <br /> ConsP—Auultant <br /> g37ovemmental Agency <br /> Address Sebe+- A e- 34 qtr <br /> Address <br /> S+�K+oma, A q5a 1,5 _ 54cir- r c A gSao z <br /> City, State&Zip Cade aC'ty, State &zip Code <br /> By B <br /> officer y <br /> Officer <br /> C S M. ller e.4 Fpr AG£ /41 Tn Furnas <br /> Title K S <br /> rtle <br /> aoy yc - <br /> T ioao�- y�8 Sys <br /> Telephone e <br /> Telephone <br />