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CY-7/11/2000 18:38 20946717 AGE STOCKTON PAGE 02 <br /> 1✓ �..J <br /> State of Califortua <br /> Department of Water Resources <br /> Central District <br /> 3251 S Street <br /> Sacramento, CA 95816-7017 <br /> WELL DRILLER'S REPORTS a D <br /> INSPECTION REQUEST AND AGREEME <br /> Project. _ SyQA)s MAggiT <br /> Location: X05 ! OV"Tk yTtt STxLF"O"r,L.g77f,-E)P <br /> County: S;w SoA iPAJ 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«xth 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. If copies are made or taken, each copy will <br /> be stamped"CONFIDENTIAL"or"FOR OFFICE USE ONLY"and will be kept in a restricted file,access <br /> to wlrich 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 infomnation contained in these reports can be disseminated or published without the written permission of <br /> the owner of the well. AN JOAQOf J 6A AAy.-P hiL <br /> Aci ced GeoGiI/,Pv�lPWA-ttzic. s int✓w�w.rw.P..�frrI- <br /> ( /N 1 Hr1�¢c�, I-,1 geiryd, Setr✓ice s —6g&Yrh n,w sioy <br /> � I Contracted Agent Governmental Agency <br /> e <br /> 4005 N. hXlSo,,) Wv,. 304 L Wdeber ;; ThAA <br /> Address Address <br /> .sro cam, CR. 95 Zos SM97,J.4 CA, gs-zo 2 <br /> City, State, &Zip Code City, State,Zip Cade <br /> By6�93/=lrae��� 94 <br /> Officer fficer <br /> r <br /> S � gevlaF,rSid f <br /> Title Title <br /> (20) 00(9 L r 9� �ioS--?f- <br /> Telephone Telephone <br /> o7/il v 071600 <br /> ate _�rT Date <br /> (For Dcpartmcnta]IafMnaliorL Copia scot ) <br />