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CENTRAL DISTRICT ID :9163227184 LJL 01 '94 9 :49 Plo .003 P .01 <br /> r <br /> $TATE OF CAUFOR►dIA--THE RESOURCES AGENCY OTE VAWK Gamnpr <br /> DEPARTMENT OF WATER RESOURCES <br /> CENTRAL DISTRICT <br /> 3251 S STREET <br /> SACRAMENTO,CA 958)6.7017 <br /> O <br /> JUL 0 1 1994 <br /> Requester: <br /> ENVIRONMENTqL HEALTH <br /> PERMIT/SERVICES <br /> Section 13762 of the California Water Code restricts use of the confidential <br /> water well driller's reports to governmental agencies for the singular purpose of <br /> performing studies. Before reports can be released, the Department of Water <br /> Resources requires an "Inspection Request and Agreement" form be filed with <br /> the appropriate District Office. The form must be signed by a representative of <br /> the governmental agency performing the study and by the contracted agent, if <br /> any, responsible for conducting the study. <br /> Three copies of the "Inspection Request and Agreement" form are enclosed. <br /> Please have responsible individuals from the governmental agency and the <br /> contracted agent sign the forms, One copy Is for the agency, one is for the <br /> contracted agent, and the third is to be returned to the Department of Water <br /> Resources, Central District. <br /> If you have questions or need clarification of the forms, please contact the <br /> Central District, Well Log Program Unit at(916) 322-7171. <br /> Thank you for your cooperation. <br /> Post-it'"'bled fax transmittal memo 7671 Cuf pa9*9► <br /> T°/�fMel,�l �Gc- ire#" Mci <br /> Dept. r <br /> Phoma <br /> FOX <br />