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12. what is the depth to groundwater? e6 -c) F- , <br />Describe the source of Information: <br />13. Are there any water wells on this parcel or adjacent properties? YES [ I NO [ I <br />14. will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ I NO[ I <br />15. Indicate the responsible party to be billed for additional EDD staff time expended 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 must acknowledge <br />this responsibility for the billing by signature and date below. <br />Name <-_ to Y VCA <br />Mailing Address <br />Day Phone Number(' X11 t-� 1p 6 S1 1 , <br />Signature Title Date <br />EH 23 046 (Revised 10/19/98) Page 6 <br />