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�." JUN-20-2002 11:318 FROM: <br /> CENTRAL DISTRICT %j0:22 t•-(bUU Post4t°Fax Note ` _ 7671 Date Ll OZ01PaW <br /> To From <br /> Co./Dept. / Co. <br /> Phone# Phone# per_O <br /> Fax# <br /> DEPARTMENT OF WA URGE$ <br /> CENTRAL DISMICT NORTHERN DISTRICT SAW JOAQUIN DISTRICT SOUTHERN DISTRICT <br /> 3251 S SbvM 2440 Main Snroet 3374 East Sl Nift AMMO 770 FakTrx t Avanus <br /> Samuwft,CA 98818 Red fluff,CA 96080 Flame,CA 83726 111endafe,CA 91203 <br /> (916)227-7834 (5.70)57300 <br /> 810)543-4M <br /> (916)227.7800(F—) (530)529-7322(Fax) (5'550 23(M01(F-) (810 043-4t (Fax) <br /> WELL COMPLETION IEPORT RELEASE A¢RGRMENT-,AGENCY <br /> (CIovernment anti RegulatoryAgancJes and their Authorized Agents) <br /> WZ"S'lr #j OIL A S;w"otuG <br /> prof eCUCOn67tGt N0. _ ,�,f�A+t+ao CoimtY � 1� "Com.a}� ►a <br /> V-4.v ,p7.4" see s e� <br /> Township, Rte,and Section 2"yW,���-U- s�.�4 Radius 2�•«s <br /> (Must hidude entire study 6raa end a trap%d shows me area of Intan%t.) <br /> Under Caftmla Water Code Section 13752,the agency named Now requests perrNssion from <br /> Depwtrnent of Watar Resources to inspect or copy,or for our authorized agent nemed below to <br /> inspect or copy,Well Completion Reports Aced pursuant to Section 13751: to(check one): <br /> Make a study,or, <br /> Pwlbrm an environmental cleanup study associated with an unauthorized ra e6rSe of a <br /> cmtwnfnwt within a distance of 2 miles, <br /> in accordance with Section 13752,Information obtslned from these reports$heli be kept wnfidsrnlal <br /> and shall not be disseminstsd,published,or made available for InspeCdon by the public without <br /> wittien wft tmtion from the awner(s)of the well(s), The Infornmation shall be used only for the <br /> purpose of cenductlrog tit study, Copies obtained shall be stamped CONIPMENT1AL and shall be <br /> kept in a restricted file acx;mble only to agency stefl`or the authorized agent. <br /> Authorized Agent Gmmment o egulatory Agency <br /> Address Address <br /> LOP, CA �s ��� 5- 'oc,4o, CA 75202 <br /> City,Stats,and Zip Codee—� City,StvbC Ind Zip Code n <br /> Tme 14-0,94 wow <br /> Teienhone lZ•1l Telephone (all � � �_ 3 <br /> Fax ( M -343- cs $Z Fax Yq <br /> Date :T -o Z Date �(alle , Zdd Z <br /> 3=-t»ali M Kbr�r�IAniaA'•Gm� <br /> 6 June 2001 <br /> MAY-15-2002 WEE OS:20AM Zd! PAGE:3 <br />