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AUG 26 1997 <br /> NVIRONMENTAL HEALTH <br /> 12. What is the depth to groundwater? Approximately 6O— eel he l it '1\A�Tt-'-%Rr\ACES <br /> Describe the source of information: <br /> Lines of equal depth of water wells — Fall 1993 published by <br /> the San Joaquin County FLood Control & Watpr Cons n; gt <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [ ] NO [x[ <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well ft <br /> Irrigation Well fL <br /> Monitoring Well ft. <br /> Other ft. <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES( J N%] <br /> 15. Indicate the responsible party to be billed for additional PISS-ELD 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 City of Stockton — Puhlir Works inept r/n rpnr rh <br /> Mailing Address 425 North F1 Dnradn gtrpet.. Thir(] Pl cr kl; „ 95202 <br /> Day Phone Number ( 947 8d11 - <br /> `0/7 <br /> Signature "Title Date' <br /> EH 23 0=6 (Revised 7/10i96) Page 6 <br />