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12. What is the depth to groundwater? Qaj-rr t SD <br />Describe the source of Information: <br />13. Are there any water wells on this parcel or adjacent properties? YE �NO [ ] <br />TYPE OF WELLS <br />DISTANCE. TO TANKS(S) <br />Public Well <br />ft <br />Private Well <br />Irrigation Well <br />n, <br />Monitoring Well <br />R. <br />Other <br />n, <br />14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ I NO[ ] <br />15. Indicate the responsible party to he billed for additional PIIS-EIID staff time expended beyond 3 hour minimum <br />permit payment per tank. If the party designated below is different than tate permit upplicant, e.g. property owner, <br />the party must acknowledge this responsibility for the billing by signature and date below. <br />Name NGAC K Pump <br />Malling Address 4-5500 E, FRem )E\I7 'S -roc K I oiJ cA q 5 Z/ `j <br />Day Phone Number ( 209 ) 948 — 881 -7 <br />Page 6 <br />9-2-9-7 <br />Date <br />