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12. What is the depth to groundwater? A <br /> Describe the source of information <br /> 13. Are there any water webs on this parcel or adjacent properties? YOes? [[ <br /> TYPE OF WELLS DISTANCE TO TXHES(S) <br /> Public Well I rL <br /> ft <br /> Private Well <br /> Irrigation Well I ft. <br /> Monitoring Well <br /> ft0 <br /> Other <br /> i <br /> 14. W-111thetanks)pending closure be replaced with an aboveground or under;round storage tank(s)?YES[[NO[ <br /> 15. Indicate the responsible party to be billed for additional PHS-EHD staff time expended beyond 3 hour minimum permit paftneat <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 /> .P . Safeway , Inc. <br /> Name 1 <br /> . Mailing Address 5918 Stenerid e Rd. Pleasant CA 94588 <br /> a ' <br /> ( 467-2068 <br /> Ir/l�\�1 gap Phone: ber(_� <br /> 1 1 LD hlsLxLfAAIi ,n., 0 - ZI -03 <br /> Signature Title Date <br /> EH 1-3 046 (Revised 08/13/99) Page 6 <br />