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12. What is the depth to groundwater? 3 0 ' <br /> Describe the source of Information: <br /> On—site monitor wells <br /> 13. Are there any water wells on this parcel or adjacent properties? YES (] NOM <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well tL <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well 50 ft. <br /> Other rL <br /> 14. Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)?YES)]NO(T <br /> 15. Indicate the responsible party to be billed for additional PHSSEHD 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 A. Teichert & Son, Inc. <br /> Mailing Address P.O. Box 15002 Sacramento, CA 95851 <br /> Day Phone Number( 916 ) 386-6916 <br /> Project Engineer 12-1-98 <br /> ffivMfordi This Date <br /> EH 23 046 (Revised 10/19/98) Page 6 <br />