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STATE OF CALIFORNIA - THE RESOURCES AGENCY ARNOLD SCHWARZENEGGER, Governor <br /> DEPARTMENT OF WATER RESOURCES <br /> I CENTRAL DISTRICT NORTHERN DISTRICT SAN JOAQUIN DISTRICT SOUTHERN DISTRICT <br /> 901 P Street 2440 Main Street 3374 E. Shields Ave Ste A7 770 Fairmont Avenue <br /> Sacramento, CA 95814 Red Bluff, CA 96080 Fresno, CA 93726 Glendale, CA 91203 <br /> (916) 651-0753 (530) 529-7300 (559) 230.3300 (818) 500-1645 ext. 233 <br /> (916) 651-0726 (Fax) (530) 529-7322 (Fax) (559) 230-3301 (Fax) (818) 543-4604 (Fax) <br /> WELL COMPLETION REPORT RELEASE AGREEMENT—AGENCY STUDY <br /> (Government Agencies and their Authorized Agents) <br /> Under California Water Code Section 13752 , the agency named below requests permission from <br /> Department of Water Resources to inspect or copy, or for our authorized agent named below to <br /> inspect or copy, Well Completion Reports filed pursuant to Section 13751 to make a study. <br /> In accordance with Section 13752, information obtained from these reports shall be kept <br /> confidential and shall not be disseminated , published , or made available for inspection by the <br /> public. The information shall be used only for the purpose of conducting the study. Copies <br /> obtained shall be stamped CONFIDENTIAL and shall be kept in a restricted file accessible only to <br /> agency staff or the authorized agent for this study. <br /> Project Name: Caltanks County: San Joaouin <br /> Street Address: 3105 South El Dorado Street City: Stockton <br /> Township, Range , and Section : 01N / 06E Sec 23 Radius: 2 , 000 - foot <br /> (Include entire study area and a map that shows the area of interest. ) <br /> SaYL JOaq v i n CovyJX 1 <br /> Western Resource Management ErlVirorlr�rrern+aI flealik DPOAYfMert <br /> Authorized Agent Company Name Government Agency Name <br /> P . O . sox 3241 �l 00 C . Main S + reof <br /> Address Address <br /> Yuba City , CA 95992 Sfoek + on . CA 952. 02 ' 3029 <br /> City, State, and Zip Code City, State, and Zip ode L <br /> ry <br /> Martin Wills Vi6 +nria Me, ( Ar + Ij <br /> Authorized Agent Name (please print) Agency Contact Name (please print) �- <br /> Signature: Signature <br /> Title: Project Geologist Title: SenierReni s=feyeJ Enyirnnrn . rL al <br /> Health loeeialis + <br /> Telephone : ( 530 ) 870 - 8177 Telephone : ( Z09 ) 46 8 - 9 1352 <br /> FAX: ( 530 ) 387 - 2300 FAX: ( 2D9 ) 4G S 3433 <br /> Date: January 23 , 2009 Date: Jaytivary 23 2009 <br /> E-mail: mwills@wrmenv . com E-mail: V M Cr a� s iseli , COm <br /> wer request-ageneystudy_20060706.doc 06 July 2006 <br />