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12. What is the depth to groundwater? N/A <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES ( [ NO [1( <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other ft. <br /> 14.N/A Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ J 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 GHH Engineering, Inc. <br /> Mailing Address 8084 Old Auburn Road Suite 1;, Citrus Heights, CA 95610 <br /> Day Phone Number ( 916 ) 723-7645 <br /> c <br /> - �#1� - k — <br /> esu l2-(o 11 <br /> Signatu a Tttle Date <br /> EH 23 046 (Revised 9/11/96) Page 6 <br />