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12/08/2000 12:20 2094671118 AGE STOCKTON PAGE 02/02 <br /> State of California <br /> Department of Water Resources <br /> Central District <br /> 32S Street <br /> Sacramento, <br /> CA 95816-7017 F, <br /> WELL DRILLER'S REPORTS <br /> INSPECTION REQUEST AND AGREEMENT <br /> Project, -a S 4►S M C¢ 1 <br /> Location: S <br /> County: SAtn 'Znedi & N Contract Number: <br /> Request is made pursuant to Section 13751 of the California Water Code for permission to inspect or copy <br /> Water Well Driller's 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 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. I£copies are made or taken, each copy-Mll <br /> be stamped"CONFIDENTIAL"or"FOR OFFICE USB 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 inform ation contained in these reports can be disseminated or published vA ithout the written permission of <br /> the owner of the well. <br /> Contracted Agent Goveni nental Agency <br /> `bar Ii . WL01A ►�c�a, D� v�•G(/�601.. Wu.0 /fit <br /> Address Address <br /> 4ocX4%^ , Cly 4SZ01- 6*4t* ?S�z <br /> n City, State, &Zip Code City, Stat Zip Code <br /> �v Q&V 1+J Leve- -I—LW-4LOL <br /> Officer O cer <br /> r , Flo •s /1? is ¢p. <br /> Title q Title <br /> aoq) 467-LQo(. r2, 1k9-" -3 <br /> Telephone Telephone <br /> Au 08 -00 !L— 8--ay <br /> Date bate <br /> (For Depanmental Wormation: Copia sem ) <br />