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2. What is the depth to groundwater? <br /> approx. 30 - 35 feet <br /> Describe the source of information: <br /> water well <br /> 13. Are there any water wells on this parcel or adjacent properties? YES NO [ ] <br /> TYPE OF VVE S DLSTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well approx. 200 ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other ft. <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ NO[ ] <br /> 5. Indicate the responsible party to be billed for additional PHS-EHD 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 owner, <br /> the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name James Fisk, Owner, J & L Market <br /> Mailing Address 8115 South ElDorado Street, French Camp, California 95231 <br /> Day Phone Number ( 209 982 0897 <br /> Sign Date <br /> Page ej <br />