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12. What is the depth to groundwater? <br /> V <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES � NO <br /> TYPE OF WELLS I DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well R <br /> Irrigation Well ft. <br /> Monitoring Well <br /> Other ft. <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ 1 NOW <br /> 15. Indicate the responsible party to be billed for additional PISS-EIID 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 owner, <br /> the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name GOLDEN WEST <br /> 567 EXCHANGE COURT <br /> Mailing Address UVERMORE, CA 94550 <br /> (510) 447-2484 FAX (510) 447-4145 <br /> may Phone Number <br /> Sign re Date <br /> Page 6 <br />