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12. What Is the depth to groundwater? Z(� <br /> Describe the source of buormatlon <br /> 54N JoAOum couNTY Ft-00 coNTROL MAP 993 <br /> 13. Are there any water wells on this parcel or adjacent properties? <br /> YES (] NO 4.}/ <br /> TYPE OF WELLS DISTANCE TO TANES(S) <br /> Public Well tL <br /> Private Well rL <br /> Irrigation Well M <br /> MoWtoring Well <br /> it <br /> Other M <br /> 14. Will the tankgs]pending closure be replaced with an aboveground�undergrou�rage tanks?YE /p <br /> ] �i�► f 1 <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 party must acknowledge <br /> this responsibility for the billing by signature and date below. <br /> Name VL-TR . MAR INC, <br /> Mailing Address 525 W. 7HtRD sT-. An/FORD 6A 93230 <br /> Day Phone Number 21 o f 1 513 3 3 23 5 <br /> Title Date <br /> EH 23 046 (Revised 10/19/98) <br /> Page 6 <br />