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4-06-1998 8:57AM FROM TAIT SACRAMENTO 916 635 2606 • <br /> P Y. <br /> • <br /> IL What iS the depth to groundwater? <br /> Describe the source of information. <br /> 13. Are them any water weAs on this parcel or adjacent properties' YES [ J <br /> NO <br /> TYPE OF WELLS DISTANCE TO TANSRS <br /> Public Well <br /> Private Well ft' <br /> Irrigation Well IL <br /> Monitoring Well ft. <br /> Other <br /> 14. Will the tanks) pending closure be replaced with an aWyeground or mWergreand, storage tank(%)? YES[ J N4 <br /> 15. Indicate the responsible party to be billed for additional PAS-EFDI 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 <br /> owner, the party most aclmowiedge this responsibility for the billing by signature and date belOW, <br /> Name 5 C c�A IJ�1 <br /> Mailing Address // 28 <br /> Day Phone Number7(._.c'�._> <br /> -gyl pro !c'{' UY 'cr ✓ "7 '.s /�� <br /> Signature Titl Date <br /> EH 23 046 (Revised 9/11/96) Page 6 <br />