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nk,\L <br /> 12. What is the depth to groundwater? Unknown <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? Unknown at this time M l NO[) <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well 11. <br /> Private Well tt _ <br /> Irrigation Well ft. <br /> Mouitoring Well it <br /> Other it. <br /> 14. Will the tank(s)pending closure be replaced with an aboveground or underground storage tana(s)?YES()NOh) <br /> 15. indicate the responsible party to be billed for additional PHS EHD staff time expended beyond 3 hour minlmm permit payment <br /> per mak. If the party designated below Is different than the permit applicant,e.g.property owner,the party must aclmowledge <br /> this responsibility for the billing by signature and date below. <br /> Name Ramcon Engineering&Environmental Contracting,Inc. <br /> Mailing Address PO Box 1026,West Sacto,CA 95691 <br /> Day Phone Number( 916 ) 372-7535 <br /> 4yzOperations Manager 1/29/03 <br /> stualon Title Date <br /> EH 23 046(Revised 08/13/99) Page 6 <br />