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i <br /> lZ, What Is the depth to groundwater? 40 to 50 feet <br /> Describe the source of information: City of Lodi water map 1t <br /> 13. Are there any water wells on this parcel or adjacent properties? <br /> YES [ ] NO I7j <br /> TYPE OF WF.I,I S DISTANCE;TO TANKS(S) <br /> puhtic Well <br /> private Well n' <br /> Irrigation Well ft. �! <br /> Monitoring Well <br /> ft. ' <br /> Other Il <br />' NO[ 1 <br /> 14. <br /> Will tile tank(s) pending closure be replaced will% an aboveground oriundergiround storage tanks}? Yl~SIX] <br /> 15. Indicate the responsible party to he hilted for oddHlonai PlI C { staff hantime tl c perpended mlt applicant,beyond e.g. property owner, <br /> 3 hour minimum <br /> permit payment per tank. If the party designated below Is different <br /> the party must acknowledge this responsibility for the 1{111119 by slgnAtore and date below. <br /> Name <br /> TERESI TRUCKING, INC. <br /> Mailing Address P. 0. Box 1270, Lodi , CA 95241-1270 <br /> Day phone Number ( 209 368-2472 <br /> Date <br /> Signature <br /> Y <br /> page 6 <br />