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Now . Of <br /> 12. What is the depth to groundwater? APPROXIMATELY TWENTY FEET <br /> Describe the source of information: <br /> PROPERTY OWNER <br /> 13. Are there any water wells on this parcel or adjacent properties? YES j l NOW NONE KNOWN <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well it <br /> Private Well fL <br /> Irrigation Well fL <br /> Monitoring Well n- <br /> Other it. <br /> 14. Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)?YES(j N* <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 /> R. ROY FOWLER <br /> Name <br /> Mailing Address 405 N. EDISON STREET, STOCKTON, CA 95203 <br /> Day Pbone Number( 209 ) 948 4036 <br /> A3 411'� <br /> Stgnamro <br /> T ' O Cf Q-p <br /> atA <br /> NOTE: <br /> UNDERGROUND SERVICE ALERT (USA) TO BE NOTIFIED AT LEAST 48 HOURS PRIOR TO <br /> ANY EXCAVATION AS IS REQUIRED BY LAW--,--,—, <br /> EH 23 046(Revised 10/19/98) Page 6 <br />