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12. What is the depth to groundwater? <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES dd NO I I <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> L4 Private Well,, ,/nniuble ft• l, lotl-edon SJeePlaA <br /> Irrigation Well ft. <br /> LA Monitoring Well e I F ft. PIG k-teol 011 A si+e p lay <br /> Other ft. <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ I NON <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, e.g. property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name Newark Sierra Paperboard Mill <br /> Mailing Address 800 West Church Street, Stockton, CA 95203 <br /> Day Phone Number ( 209 ) 469-7088 <br /> Signature Title Date <br /> EH 23 046 (Revised 9/11/96) Page 6 <br />