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i <br /> Who Is Ilia depth to groterrdwrtler? / 0 <br /> Describe lite source of Itrfortnngout f <br /> I Are lhrte rrny +tnler +telly on !ills pnrcel or n(Uncerel properties? YES { ] NO <br /> 7 Trf; ()F WFLI 9 [1�)15f ANCC:-10 TANRS(8) <br /> riame well n <br /> ' l'rlvnle Well fl <br /> Irrigntla+t Well 11 <br /> ' Moerllor111g Well Ft <br /> !Niter fl <br /> ! <br /> Will lire Intik(N) petrellttg closure be replaced with nit 91mvegrnnud or underground slornge Intrk(s)l YM j NU[ ] <br /> 0 <br /> ! Indlcnte ilia rrtpnnslble pnrly to be billed for ndtllllonnl 1'115 l;lil) slnff line expended bryond 3 hour minhttum l <br /> prrmll pnytner+t per Innk If !hr• party tlestgnnlcd bphr+r is dUferettl lhnre lha permit nppllcnetlr e g properly o+vuerr, <br /> liter pntly ntnsl ncknonledge lhli retpnn5lblilly for lite bllling by 11gun(tite and dnle belott. <br /> Nitrite LOUIS E SHONEFF <br /> Alnlling Address 1401 W F'REMONT STREET STOCKTON CA 95203 <br /> ' Uny 11hotte Number ( 209, } 466-0131 <br /> �t � ✓1�'7c ' <br /> 5/9/94 <br /> I mitre Unle <br /> rage 6 <br />