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Obi <br /> 12. What is tlu,�Je:itii to gmundw•ater? Approxitmitcly 2(x►feet <br /> Aren. <br /> I)ess-tihe m <br /> the source of inforationt' <br /> : ro ll"t.c; crr d rt t in Rentrriiu/lmewit�enion of the Hieb Ernlnciti•ec Prncecs .> <br /> ►cK)tt1f("S) �!c►2(► L%sumrlian7edinAnnendixA. <br /> 13. Ann there arty water wells on dtis parcel or adjacent Properties? YES [X ] NO[ ] <br /> TYPE OF WELLS DISTMEroNK <br /> Public Well <br /> LLNL Water Su Iv Well Irrigation Well <br /> Monitorine Well <br /> 011ier <br /> 14. Will ti►e tank(s) pendingclosure he replaced with an alu»•eground or underground storage tank(s)?ES (X ] NO [ ] <br /> 15. Indicate die responsible Party to be billed for additional PHS-EHD staff time expended beyond 3 itour minimum permit <br /> payment per tank. If the party designated below is different than the permit applicant.e.g.property owner,the party must <br /> acknowledge his responsibility for the billing by signature and date below. <br /> Name Lawmnct Liv•rnux•National Laboratory <br /> Mailine Address 7(XX)Fast Avenue P O Box 808.Livermore ('A 9455() <br /> Day Phone Number 5 10 423-6577 <br /> Signature Da1e <br /> 6 <br />