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12. What is the depth to groundwater? <br /> Unknown <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? Unknown YES [ ] NO [ <br /> TYPE OF WENS DISTANCE TO TANKS(S) <br /> Public Well It. <br /> PrivateWell (- <br /> Irrigation Well 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)? YESU NO[ 1 <br /> 15. Indicate the responsible party to be billed for additional PIIS-EIID 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 owner, <br /> the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name TY11 MFHRTnl( FR mnrcmRr rrmnt, Tn r <br /> Mailing Address 1820 Bidwell Street, Red Bluff, CA 96080 <br /> Day Phone Number ( 916 ) 527-5014 <br /> 4/l/94 <br /> .44; <br /> Signature Date <br /> Page 6 <br />