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12. What Is the depth to groundwater? Unknown by contractor <br /> Describe the source of information: <br /> 13. Are there any water wells on this parcel or adjacent properties? YES I I NON <br /> TYPE OF WELLS DISTANCE TO T.ANHS(S) <br /> Public Well ft. <br /> Private Well _i <br /> Irrigation Well I ft. <br /> Monitoring Well ft. <br /> Other rt. <br /> 14. Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)?YES(I NODI <br /> 15. indicate the responsible party to be billed for additional PHS-EHD staff time expended beyond 3 hour minimum permit payment <br /> per tank. If the party designated below is different than the permit applicant,e.g.property owner,the patty must acknowiedge <br /> this responsibility for the billing by signature and date below. <br /> Name James King Trust <br /> Mailing Address C/O Jim W. Love, Trustee , 4545 Georgetown P1. , Bldg. D <br /> 3toclrcon, Ca 952U7— <br /> Day Phone Number2( 09 ) 951-5001 <br /> EH 23 046 (Revised 08/13/99) Pa='' 6 <br />