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12. What is the depth to groundwater? &o 4. <br /> Describe�1somce of info on <br /> ' s• <br /> (,Its ot• �d. � 't0 W CO, I M W l , — MAf� tC!g 3 <br /> 13. Are there any water wells on this parcel or adjacent properties? YES (] NIX <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft <br /> Private Well ft <br /> Irrigation Well ft <br /> Monitoring well ft <br /> Other ft. <br /> 14 WIII the tank(s)pending closure be replaced with an aboveground or underground storage tant<(s)?YES[1 NO[1 <br /> 15. Indicate the responsible party to be billed for additional PRMBD staff time upended beyond 3 hour minimum permit payment <br /> per tank. If the party designated below is different than the permit applicant,e.g.property owner,the party mast aelmowledge <br /> this responsibility for the billing by signature and date below. <br /> Name j b Cit^ Ilit�(fib W e <br /> Mailing Address ZOt'06 C V fry �5Lu[vn a CA- <br /> Day Phone Number <br /> X <br /> Title Date <br /> EH 23 046(Revised 10/19/98) Page 6 <br />