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12. <br />13 <br />What Is the depth to groundwater? <br />Deseribe the source of information: <br />Are there any water webs en this parcel or adjacent properties? <br />TYPE OF WELLS <br />DISTANCE TO TANKS(S) <br />Public Wen <br />ft <br />Privets Wen <br />hti tion Wel <br />It <br />Hong ring Wen <br />fL <br />Other <br />ft <br />1 �— <br />��i�� � <br />� Weer <br />YES H NO U <br />rAN95 RE MAIN <br />14.O Will the tanlQs) pending ciasure be replaced with an aboveground or tuWergrnmd storage ta3*W 7Eq j No[ I <br />is. Indicate the responsible patty to be WEe4 for a4dltlonal PSSEHD statt time expended beyond 3 boor mmtmam permit payment <br />per tank If the party designated below is different thaa the permit applicant e.g. property owner, the patty most aemawiedge <br />this respom ablity for the billing by signature and date below. <br />Name VLTRAMAR INC <br />MallingAddresa 525 v✓. TNIR9 Si HANroRD GA 93230 <br />DaY Phone Number( 559 583 3235 <br />EH 23 046 (Revised 10/19/98) <br />T1tie <br />(0 -7- <br />Date <br />Page o <br />