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12. What is the depth to fgrouu�ndwattteern? 40 ' <br /> 40 ' WELL' Tib NhBV�KeBFtnP{TB "E Y <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [ NO [ [ <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well IL <br /> Private Well fL <br /> Irrigation Well 40 ft. <br /> Monitoring Well ft <br /> Other ft. <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 party designated below is different than the permit applicant, e.g. property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name RICHARD 0. BYWATER <br /> Mailing Address 3132 FARMINGTON ROAD STOCKTON, CA 95205 <br /> Day Phone Number ( 209 )942-3131 <br /> Si nature Title Date <br /> EH 23 046 (Revised 9/11/96) Page 6 <br />