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Please provide all information requested; an incomplete application may delay approval <br />Name of Facility: ARCO AM/PM Cherokee and Newton <br />Street Address: 3511 Cherokee Road <br />City: Stockton <br />FORMER NAME OF FACILITY ; <br />N/A <br />BUSINE' OWNER INFORMATIOht <br />Business Owner Name: Adel fos Partners -contact Richard Sarris <br />Home Address: <br />Mailing Address: 13899 De Vries Road, Lodi, CA 95242 <br />Telephone Number: (209) 986-3085 <br />PROPERTY OWNER INFORMATION <br />Property Owner Name: Same as Business Owner <br />Home Address: <br />Mailing Address: <br />Telephone Number: <br />Name of General Contractor: TBD <br />Mailing Address: <br />Telephone Number: <br />Contact Person on Site: <br />Site Phone Number: <br />❑ UTILITIES <br />Source of Facility Water Supply: California Water Service <br />Backflow Protection: Yes <br />System to be used for Liquid Waste Disposal (Sewage): S <br />Solid Waste Disposal to be provided: Cal -Waste, Lodi, CA <br />Grease Interceptor: Yes <br />❑ FOOD INFORMATION <br />List food(s) to be served and/or provide menu: 4 <br />See attached menu <br />ME M <br />Anticipated Business Hours: Open: 14 Hours Close: <br />Anticipated Number of Employees: 10-15 <br />Zip Code: 95205 <br />oval SR0077963, 9/22/17 <br />EHD 16-01 4 PLAN CHECK GUIDE <br />8/01/16 <br />