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1 01 EAU" -21-M ; 7:ZZAM tYCON SA.Ctt.A)EN7O-3 I2094640I384 2/ 2 <br /> StAie 4�f�ftQQr'r1iA <br /> 1.}Y��IAgrlt�11Yeter(�OOQlir�a <br /> COIL"Distmet <br /> =1 6 Btrast <br /> Smommnto.CA-/salaro17. <br /> WELL DRILLE rS REPORTS <br /> INSPECTION REW EST AN D AGREEMENT <br /> Locattar,: ,tf1 s�.c. J�, �Q = CA <br /> Cnurlty: Baa--� Contract Number <br /> Request Is made pursuarA to SeCtIOn 13751 of the CaiifQmla Water Code fnr Permission to <br /> Inspect or copy Water Well prolees Rs'Poets whirr aro on lite in your ofNce. <br /> In aacnrdanCa with the roqutrements d Sec*M 13752 of the Water Code, it Ia sdpUtated a d <br /> agreed that such mports or any copy or copies made tihereol, will not be matte availaWs ror <br /> Inspection by the public but wil be used soiely by this gowmmeritat agency for making <br /> studies. If copies are made or taken, each copy will be stadtped "CONFIDENTIAL" or "FOR <br /> 0FRCiAL USE ONLV'and will be kept In a resbtcted Me,mesa to which is limited to the staff <br /> of this paverrnentai agency or to its cantracted agents. any =pies furnished to c onimeted <br /> sQents Must be reWmed to the Department of Water Resources, Cantrai ©istlict upon <br /> completion of wft by the contracted agent. <br /> No informatlon contained in these mporta c= be cbsominated or puNished without the written <br /> psrmissicn of the pvmer of the wait. <br /> Canov=ed Apart 6awrnrne f Agency <br /> :�153 <br /> A,ddrass Awrom <br /> t� y - n Cir g15zcI- C3,$ <br /> G$l.State.&, p code CRY.-Stats.&Zip Cods <br /> By By <br /> t�tflcsr offlow <br /> Tidy This, <br /> T+d+RAhona Trlepharna •---�-^--- <br /> t7ete <br />