Laserfiche WebLink
In <br />4) <br />What Is the depth to groundwater? <br />Describe the source of Information: <br />Are there any water wells on this parcel or adjacent properties? <br />TYPE OF WELI; 4 <br />DISTANCV TO TANKS(S) <br />Public Well <br />fl. <br />Private Well <br />ft. <br />Irrigation Well <br />d aft. <br />Monitoring Well <br />ft. <br />Other <br />ft. <br />s <br />YES , NO [ ] <br />Will the tank(s) pending closure be replaced with an aboveground or undergranod storage lank(s)? YES[ ] NO[ ] <br />Indicate the responsible party to be billed for additional PIIS-EIID staff time expended beyond 3 hour minimum <br />permit pnyment per tank. If the party designated sbelow 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 The Port of Stockton <br />Mailing Address 2201 W. Washington St., Stockton, CA 95203 <br />Day Phone Number ( 209 946-0246 <br />Zt� <br />Slgnatur Title Date <br />Ell 23 046 (Revised 9111196) Page 6 <br />