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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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2888
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1600 - Food Program
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PR0540383
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COMPLIANCE INFO
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Entry Properties
Last modified
5/5/2020 2:58:39 PM
Creation date
2/15/2019 2:14:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0540383
PE
1618
FACILITY_ID
FA0023035
FACILITY_NAME
99 CENTS ONLY STORES #433
STREET_NUMBER
2888
Direction
W
STREET_NAME
GRANT LINE
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2888 W GRANT LINE
P_LOCATION
03
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Please provide all information requested; an incomplete application may delay approval <br /> ❑ FACILITY INFORMATION <br /> Name of Facility: 990 Only Stores <br /> Street Address: 2888 Grant Line Rd <br /> City: Tracy, CA Zip Code: 95304 <br /> ❑ FORMER NAME OF FACILITY <br /> Petco <br /> ❑ BUSINESS OWNER INFORMATION <br /> Business Owner Name: 990 Only Stores Mike Zavilla <br /> Home Address: N/A <br /> Mailing Address: 4000 Union Pacific Ave, Commerce, CA 90023 <br /> Telephone Number: 213.308.2404 <br /> ❑ PROPERTY OWNER INFORMATION <br /> Property Owner Name: Plaza Four PTP <br /> Home Address: N/A <br /> Mailing Address: 1470 Maria Lane, #10 1 , Walnut Creek, CA 94596 <br /> Telephone Number: N/A <br /> ❑ CONTRACTOR INFORMATION <br /> Name of General Contractor:To Be Determined <br /> Mailing Address: <br /> Telephone Number: <br /> Contact Person on Site: <br /> Site Phone Number: <br /> ❑ UTILITIES <br /> Source of Facility Water Supply: City of Trac <br /> Backflow Protection: Provided upstream from potential contamination. RE: Plumbing dw s. <br /> System to be used for Liquid Waste Disposal (Sewage): City of Trac - 8" Main @ Rear of Building <br /> Solid Waste Disposal to be provided: Tracy Disposal Service Co. - Existing Dum sters <br /> Grease Interceptor: N/A <br /> ❑ FOOD INFORMATION <br /> List food(s) to be served and/or provide menu: All food is prepackaged. <br /> ❑ OPERATIONAL INFORMATION <br /> Anticipated Business Hours: Open: 8:00a Close: 9:001D <br /> Anticipated Number of Employees: Approximately 25 workers <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 8/1/14 <br />
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