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12. What is the depth to groundwater? Unknown by contractor <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES ( ( NO ($ <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other ft- <br /> 14. <br /> t14. Will the tanks) pending closure be replaced with an aboveground or underground storage tank(s)? YES( ( NO(A <br /> 15. Indicate the responsible party to be billed for additional PHS-EHD staff time expended beyond 3 hour minimum <br /> permit payment per tank If the party designated below is different than the permit applicant, a g. property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name Central California Traction Company <br /> Mailing Address 1645 Cherokee Rd. , Stockton , CA 95205 <br /> Day Phone Number ( 209 ) 466-6927 <br /> gnature Title Date <br /> EH 23 046 (Revised 9/11/96) Page 6 <br />