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- Post-It'"brand fax transmittal memo 7671 #of p�nes <br /> From <br /> Co. <br /> Dept. Phone# (] <br /> Fax# • 1539 Fax# <br /> 46B.44[ State of California <br /> Department of Witter Resources <br /> Central district <br /> 3251 S Street <br /> Sacramento. CA 95816.7017 <br /> WELL DRILLEWS REPORTS <br /> INSPEGTiON RI=QUEST AND AGREEMENT• <br /> Project P,,, Jr <br /> Location: 2'4V <br /> (a x---5 <br /> County= �,}`" XyN Contract!Number: <br /> Request is made pursuant to Section 13751 of the Califomia Water Code for permission to <br /> Inspect or copy Water Well Dril[Ws reports which are on file in your office. <br /> In accordance with the requirements of Section 13752 of the Water Code, it is stipulated and <br /> agreed that such reports, or any copy or copies made thereof, will not be made available for <br /> inspection by the public but will be used solely by this governmental agency for making studies. <br /> If copies are made or taken, each copy will be stamped "CONFIDENTIA12 or"FOR OFFICIAL <br /> USE ONLY' and will be kept in a restricted file, access to which is limited to the staff of this <br /> governmental agency or to its contracted agents. Any copies furnished to contracted agents <br /> must be returned to the Department of Water Resources, Central District upon completion of <br /> work by the contracted agent. <br /> No information contained in these reports can be disseminated or published without the written <br /> permission of the owner of the well, <br /> �l c��111r'V �lrll7� <br /> Pacific Enyirynmentnal Croup _ l t_7w <br /> Contnicted Agent GOMMgya W Agency <br /> 2025 Gatewa Pl. Ste. 440 / t�. %e .. <br /> Address Address ' <br /> San Jose California 35110 JM40,A,1 <br /> Cfly'.State.&Zip Code city,Stata,F.Tp code <br /> By 13y —�— <br /> Qfficer � <br /> Taft <br /> rm <br /> Tekephone Tekvhone <br /> -7 "3-13 h 4 5 q R <br /> att opt! <br /> {For Dapartnnenla€information: copies seat �) <br /> SD370B481F�RN►.DOC <br /> 170/Z0-8 ZTZ# b9:0T 90-S0`96GT ° Waal <br />