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14 Wnatiathe depthtogroandwster? Unknown by Contractor <br /> Describe the scarce of tnformatlen: <br /> 15. Are there any water welts on this parcel or adjacent prepardes? YES U mull <br /> TYPE DF WELLS DISTANCE TO TANKS(S) <br /> Publle Well ft <br /> Pi <br /> vate Well 450 It. <br /> htl atlonWell ft. <br /> mnadtortn¢wen & <br /> Other I h• <br /> 14. rm the tangs)pending olesure be replaoed with an aboveground or underground stirage lauk(s)P YES)l NO( <br /> 15, indicate the respandble party to be billed for additional PHS-RHD staff time expanded beyond 3 hourminhdma permit payment <br /> per task. if the party doeignated below is different than the permlt appli=t,e.g.property owner,the party must acimowlcdee <br /> this responsibility for the billingby signatttro anfl data below. <br /> Lorraine Solari <br /> Name <br /> 13801 E. Eight Mile Rd. , Linden, CA 95236 <br /> Mailing mdreSa <br /> DayPhoaeNmaber( 209 1 931-1444 <br /> , Owner <br /> 1� a T1Le Dam <br /> EH n 046!Rev'scd 08i 13f99, PaSe 6 <br />