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12. What is the depth to groundwater? fifty feet <br /> Describe the source of information: local ground water wells <br /> 13. Are there any water wells an this parcel or adjacent properties? YES [I NO[A <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well 2000 fL <br /> Private Well 1000 ft <br /> Irrigation Well " it. <br /> Monitoring Well 1500 fL <br /> Other " fL <br /> 14 Will the tanks)pending closure be replaced with an aboveground or underground storage tank(s)?YES[)NOk). <br /> 15. Indicate the responsible party to be billed for additional PNS-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 aclmowledge <br /> this responsibility for the billing by signature and date below. <br /> Name ethel silveria — property owner <br /> Mailing Address 1933 Hiawatha Avenue stockton rA es7ns <br /> Day Phone Number(209 ) 467-8320 <br /> Ignature Title Hate <br /> EH 23 046(Revised 08/13/99) Page 6 <br />