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12. <br />13. <br />Whitt Is the depth to groundwater? 40 to 50 feet <br />Describe the source of Information: City of Lodi water map <br />Are there any water wells on this parcel or adjacent properties? <br />TYPE, OF WFIA S <br />DISTANCE. TO TANKS(S) <br />Public Well <br />A. <br />Private Well <br />n• <br />Irrigation Well <br />ft. <br />Monitoring Well <br />ft. <br />Other <br />ff <br />.rr <br />YES I I NO 1)1 <br />14. Will the tnnk(s) pending closure he replaced with on aboveground or underground storage tank(s)? YES14 NO[ I <br />15. Indicate the responsible pnrly to be billed for additional PDS-EIID start 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 />true party must acknowledge this responsibility for lite 14111119 by slgnnture and date below. <br />Name TERESI TRUCKING, INC. <br />Mailing Address P. 0. Box 1270, Lodi, CA 95241-1270 <br />Day Phone Number ( 209 ) 368-2472 <br />Page 6 <br />Dale <br />