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12. What is the depth to groundwater? <br />8 to 10° <br />Describe the source of information <br />Cal Water Service Map <br />13. Are there any water wells on this parcel or adjacent properties? <br />El <br />TYPE OF WELLS <br />DISTANCE TO TANK(S) <br />Public Well <br />ft. <br />Private Well <br />ft. <br />Irrigation Well <br />ft. <br />Monitoring Well <br />ft. <br />Other <br />ft. <br />YES R ] NO [ ] <br />14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES [ ] NO [ ] Uk. <br />15. 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 Jim Thorne Oil Inc. <br />Mailing Address P.O. Box 357, Lodi, CIS 95241-0357 <br />Day Phone Number (209 ) 462-4581 <br />7/6/95 <br />Date <br />page 6 <br />