Laserfiche WebLink
r►SUM AUE IVC 209 956 0700 P. 2 <br /> State of California <br /> Department of Water Resources <br /> Central District <br /> 3251 S Street <br /> Sacramento, CA 95816-7017 <br /> WELL DRILLER'S REPORTS <br /> INSPECTION REQUEST AND AGREEMENT <br /> proj= <br /> Location: 464If �A , <br /> County- San l"uin Contract Number- <br /> Rcquest 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 fife in your office. <br /> In accordance with the roquirv=nts 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 starrtp A"CONFIDENTIAL"or"FOR OFFICE USE ONLY"and will be kept in a restricted file,access <br /> to which is hmiwd to the staff of this govermmemtal agency or to its contracted agents. Any copies furnished <br /> to a mmc'Wd amts must be returned to the Department of Water Resources, Central District upon completion <br /> of work by the eonaractud agent. <br /> No infbm>tation contained in these reports can be disseminated or published without the written permission of <br /> the owner of the well, <br /> dvanced E rein nm n i Inc. Cnrrmt�PHS-EHD <br /> Contracted AgW Governmental Agency <br /> is?}WutNaKh Lade,#A _ --- 304 Fast Weber,3`4 FIM, <br /> Address Address <br /> Stpfts CA 22202 Stockton.CA 95202 <br /> City,State,&Zip Code City,State,Zip Code <br /> fft OfficK <br /> staff Geologist ,_T, �D r ��rJ s „ <br /> Title Title <br /> (209 1956-0264 4&8 - 0332 <br /> Telephone 'telephone <br /> Date Date <br /> (!'orDcpurtmranllutonnatim: --_Copse*wnt } <br />