Laserfiche WebLink
AUG--04-2003 09:39 :CAMBR I A 17.0__7 935.' 6649 P.02/02 <br /> Yom. of Calllo� '-' <br /> CIO Dtstdr# -• <br /> SamMto,CA =16-701? <br /> WELL aRILLER'S REPORTS <br /> INSPECTION REQUEST AND AGREEMENT - <br /> Loc�ton: fy+Q r +mac a oA.-owl <br /> �c <br /> County: .,,., ._ a 4 :.,—-- Gantraot fqumbw <br /> Request is mettle p==4 to Ssc&m 13751 of the Cdk mia Water Code forl <br /> Inspsa or copy Water Welt Ddkes Reports W tdz am on flo in � to <br /> In dmm"dares Ift the Section 137W of thO Water COdo, R is rated grid <br /> agreed that such re <br /> of <br /> e:a <br /> *Mpy0*08 made#hef�of, Willtt�#be�ruede jnmWq for <br /> i+ Ramon by the putt but wilt ba u so" by to VwvV"U'qKftl agency.for <br /> swdies. If copies are made or taken, each copy wilt be stamped 'C,ONIRDENT AV.or"IrOR <br /> OFFICIAL USE ONLY'and wilt be kept In s resbictod Ile, access to which IS ft/ted to the stat <br /> of this 9" mental agency or to its contracted idents. Arty 00e2 tumlatted t0�coftdcted <br /> 40wft must be returned to the Department. of Water Re:ounw, Cetst l Dtsti�ic ups <br /> Completion of work by the corttrltcted agent, <br /> No ksfomnation ccntw;r d In these reports can be dinemkuded or publ9nd without the written <br /> pm mWdon of a" Omer of the wag, <br /> AgqnC1 <br /> - <br /> I� Amus <br /> Ja o^r� C-i lse7 <br /> i Clay. Cad. <br /> On M46 a zip cava ; <br /> E B g2efn� . <br /> f. Olricar �� <br /> na. r6ta <br /> a> rsr�prrona - <br /> L5Date y <br /> (Fa VmV*mntd Mdgap r,,..�.�i �.,......t <br /> TOTAL P.02 <br />