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. . 16711 / 2000 11 : 16 209467111 AGE STOCKTON _ PAGE 03/ 03 <br /> State of California <br /> Department of Water Resources <br /> Central District <br /> 3251 S Street <br /> Sacramento, CA 95516-7017 <br /> WELL DRILLERS REPORTS <br /> INSPECTION REQUEST AND AGREEMENT <br /> Project Pac ( F-c � ? r ! AC. <br /> Location: 3X41 rJo S "e S+ockA2n111LA 9StCL - 34aG <br /> Countv: a c rn Contract Number: 77" 03o [ <br /> Request is made pursuant to Section 13751 of the California Water Code for permission to inspect or copy <br /> Water Well Drillex' s Reports which are on file in your office. <br /> lit accordance Muth the requirements of Section 13752 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 will <br /> be used solely by this governmental agency for making studies. If copies are made or taken, each copy axll <br /> be stamped "CONFIDENTIAL" or "FOR OFFICE USE ONLY ' and will be kept in a restricted file; access <br /> to which is limited to the staff of this governmental agency or to its contracted agents . Any copies furnished <br /> to contracted agents must be returned to the Department of Water Resources, Central District upon completion <br /> of work by the contracted agent . <br /> No information contained in these reports can be disseminated or published without the written percussion of <br /> the otyt�ater of the to ell. <br /> Ah'u�n " j Geoh � : ra rnewbwl 5' �L /�� 1 1 « l�z�Cl- yn <br /> Contracted Agent Governmental Agency <br /> yX5 111 or tk w /Son G>a7i 3aK E - L,> e L Cr <br /> Address Address <br /> g 5dv �LAv,, , (A- <br /> /,,/p ity, State, & Zip Code City, State, Zip Code <br /> BIT / ' � e 'o BY ae7l� G <br /> Officer Officer <br /> Title Title <br /> (a09 ) 'slo- 7 - /4 U& (moi ) Y( f_� .--(( YC) <br /> Telephone Telephone <br /> /L .00 1 it — o o <br /> Date Date <br /> (For )?vp=nanw Information: Copies scot ) <br />