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. i <br /> i <br /> t 2. What Is the depth to groundwater?. <br /> Describe the source of iufarmallastt <br /> I <br /> l3. Are liters any (rater wells on this parcel or adjacent properties? <br /> YES 1 NOR <br /> r <br /> h�f1fi DISTANtai TA TA KS(B)RIT fl.Wall ft. <br /> 14. Will the lank(s) pending closure be replaced with ars ■Msreg and or underground storage tank(s)? YES[ ) Nn[ I <br /> Is. Indicate Otte responsible party to be billed for additional Pill -hilt) staff tints expended heyond ] hour minlatuus <br /> permit payment per tank. if the party designated below Is d Reresll titan the permit appilcaut, e.g. property owner, <br /> the peril must acknowledge this responsibility for Else Millis by signature and data below. <br /> NameNORMAN W I GG I N S <br /> Mailing Address P• 0. Box 369, Clements, CA S5227 <br /> Day Phone Number 2(n9 --� 759-3400 <br /> i <br /> Signature [into <br /> Page 6 <br />