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12. <br />What Is the depth to groundwater? ESTIMATED 75 FEET TO 125 FEET <br />Describe the sourceofinformation: LINES OF EQUAL DEPTH <br />13. Are there any water wells on this parcel or adjacent properties? YES [ j NO( j <br />NONE KNOWN <br />TYPE OP WELLS <br />DISTANCE TO TANKS(S) <br />Public Well <br />ft. <br />Private Well <br />fL <br />irrigation Well <br />ft. <br />Monitoring Well <br />tL <br />Other <br />rt <br />14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ j NII, <br />15. indicate the responsible party to be billed for additional PHS-EHD staff time expended beyond 3 hour minimum permit payment <br />per tank. If the party designated below is different than the permit applicant, e.g. property owner, the party must acknowledge <br />this responsibility for the billing by signature and date below. <br />Name JAGENDER SINGH <br />MalllngAddress 650 E. MINER AVENUE, STOCKTON, CALIFORNIA 95202 <br />Day Phone Number 2 0( 9 j 466 9082 <br />h <br />OW 3 �ZZ ln <br />SIS tle Date <br />EH 23 046 (Revised 10119198) Page 6 <br />