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12. What is the depth to groundwater? <br /> Describe the source of Inrormatlon: <br /> yEs [A NO [ 1 <br /> t3. Are there any water wells on this parcel or adjacent properties? <br /> TYPE OF WELLS DISTANCE TO TANSs(s) <br /> Public Well <br /> it <br /> private Well 300 FL <br /> IrrigationWell n' <br /> Monitoring Well <br /> n. <br /> n. <br /> Other <br /> 14. Will the tank(s) pending closure be replaced with on aboveground or underground storage tank(s)? YES[ 1 NOJA <br /> oe <br /> 15. Indicate the responsible party to be billed inatedibelow istdiffeent hanstaff tthe perexpmit ed applicant, e.g. prbeyond 3 rp i� owner,mum <br /> g <br /> permit payment per tank. If the party g <br /> the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name Commercial Transferr Inc. <br /> Moiling Address P.O. Box 12004 , Fresno CA 93776 <br /> Day Phone.Number ( 209 ) 275-0444 <br /> Date <br /> signature <br /> Page 6 <br />