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12. <br />13. <br />14. <br />What is the depth to groundwater? 12 FEET BELOW GRADE <br />Describe the source of information: <br />BRETT HUNTER, CHEVRON'S ENVIRONMENTAL PROJECT MANAGER <br />Are there any water wells on this parcel or adjacent properties? <br />TYPE OF WELLS I <br />DISTANCE TO TANKS(S) <br />Public Well <br />ft. <br />Private Well <br />ft. <br />Irrigation Well <br />ft. <br />Monitoring Well <br />NONE ft. <br />Other <br />ft. <br />YES [ ] NO r ] <br />Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ ] NO[ [ <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 <br />owner, the party must acknowledge this responsibility for the billing by signature and date below. <br />Name MUSCO EXCAVATORS, INC. <br />Mailing Address 2155 NYLA PLACE, SANTA ROSA, CA 95401 <br />Day Phone Number ( 707 ) 579-0250 <br />, PRESIDENT 7/13/98 <br />Signature Title Date <br />EH 23 046 (Revised 9/11/96) Page 6 <br />