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12. What is the depth to groundwaterl <br /> Approximately 40 feet. <br /> Describe the source of information: <br /> 1989 SJCO Flood Control and Water Conservation District map. <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [ ] NO [ J <br /> No wells at site - unaware of wells on adjacent properties <br /> TYPE OF WE[7S DISTANCE TO TANKS(S) <br /> Public Well ft <br /> Private Well it. <br /> Irrigation Well ft. <br /> Monitoring Well it. <br /> Other R <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ ] NO ] <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 patty designated below is different than the permit applicant, e.g. property owner, <br /> the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name Mr. Den Ueda <br /> Mailing Address 308 S . E1Dorado Street, Stockton, CA 95203 <br /> Day Phone Number ( 209 462-1262 <br /> Signature Date <br /> Page 6 <br />