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U. What Is the depth to groundwater? unknown by contractor <br /> Describe the source of Information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES ( ( NO <br /> TYPE OF WEW S DISTANCE. TO TANKS(S) <br /> Public Well n• <br /> Private Well ft. ` <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> OtherIL <br /> ft. <br /> 14. Will the tanks) pending closure be replaced with an abovegrvund or underground storage tank(s)? YES( j NOK) <br /> IS. Indicate the responsible party to be billed for additional PIIS-EIID 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 date below. <br /> Name Van De Pol Enterprises <br /> Mailing 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 /> t <br /> Ell 23 046 (Revised 9/11/96) Page 6 <br />