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12/18/98 FRI 09:31 FAX 5106096304 <br />12. What is the depth to groundwater? <br />Describe the source of Information: <br />RHL DESIGN GROUP <br />13. Are there any water wells on this parcel or adjacent properties? <br />TYPE OF WELLS <br />DISTANCE TO TANKS(S) <br />Publle Well <br />it. <br />Private Well I <br />it. <br />Irrigatlon Well <br />rt <br />Monitoring Well <br />it <br />Other <br />it. <br />�.. RRL PETALUMA <br />YES j j NO j <br />R007 <br />14 Will the tank(s) pending closure be replaced with an aboveground or underground storage taub(s)? YESI j NOK <br />15. Indicate the responsible party to be billed for additional PHS-EHD statI 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 patty must acknowledge <br />this responsibility for the billing by signature and date below. <br />Name <br />EQ"ILt:-M <br />F—n-'E2f �RISES <br />G ATTM'• <br />5R-r=TC "OQLAMD <br />MaDingAddress <br />O <br />16 0>C So80� <br />M ARTwrz <br />(A 945S•3 <br />Day Phone Number( 925 ) 15-7- 199 <br />i <br />/Y <br />Date <br />EH 23 046 (Revised 10/19/98) Page 6 <br />