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12. What Is the depth to groundwater? unknown by contractor <br /> Describe the source of Information.- <br /> 13. <br /> nformation:13. Are there any water wells on this parcel or adjacent properties? YES NO <br /> f <br /> OF WFLI S DISTANCE, TO TANKS(S) <br /> Wene Well n. <br /> ion Well ft. <br /> Monitoring Well fl. <br /> Other fl. <br /> 14. Will the lank(s) pending closure be replaced with an aboveground or underground storage lank(s)? YESI I NOICI <br /> 15. Indicate the responsible party to be billed for additional PIIS-El1D 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 must acknowledge this responsibility for the billing by signature and dale below. <br /> Name Van De Pol Enterprises <br /> Malting Address P.O. Box 1107 , Stockton, CA 95201-1107 <br /> Day Phone Number ( 209 ) 466-5921 <br /> �)c <br /> partner _9/15/98 <br /> Signature, Title Date <br /> Ell 23 046 (Revised 9/11/96) Page 6 <br />