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DEC. -16' 96 (MON) 17: 19 UNOCAL C, NORTH RE TEL:510 27,_._,109 P. 003 <br /> FROM <br /> 1996.12-16 16:17 496S P,03i06 <br /> 12. What Is the depth to groundwatce, <br /> 9. if <br /> ov <br /> Describe the source of information: <br /> I3. Arc then any water wells an this parml or adJumnt properties? <br /> YF.S <br /> TYM OF WELLS I)WrANCE TO TA ,MM <br /> 1'ehlic We11 R <br /> Private Waft R <br /> Irrigation welt tt <br /> Mani taring Well ft. <br /> Other R <br /> 10. wilt the tank(s) pending closure he Leplaced with on abaveg<onud or ' l ' <br /> nmlehgoaad storage tank(s)? Y1;9{] NO� <br /> ]S. Indicate the responsible party to be billed for additional PIES-I= smfT tmc expended beyond 3 hour miNmnm <br /> Permit payment per tank. If the Party designated below Is different than the permit applicant; F-9, property owner, <br /> the party mast acknowledge tW respansibufty far the bWbeg by Signature and dote below. <br /> Name G <br /> F n <br /> Mailing Address �p7o(7 (,J cr, SG rCfifyD �� <br /> Day phone Number r J 2 _) — 'L <br /> 9tsnemn — <br /> Date <br /> Paec 6 <br />