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Please provide all information requested; an incomplete application may delay approval <br /> ❑ FACILITY INFORMATION <br /> Name of Facility: STAGG HIGH SCHOOL KITCHEN <br /> Street Address: 1621 BROOKSIDE RD. <br /> City: STOCKTON Zip Code: 95207 <br /> ❑ FORMER NAME OF FACILITY <br /> STAGG HIGH SCHOOL KITCHEN <br /> ❑ BUSINESS OWNER INFORMATION <br /> Business Owner Name: STOCKTON UNIFIED SCHOOL DISCTRICT <br /> Home Address: <br /> Mailing Address: 1944 EL PINAL DRIVE, STOCKTON, CA 95205 <br /> Telephone Number: (209) 933-7045 <br /> ❑ PROPERTY OWNER INFORMATION <br /> Property Owner Name: STOCKTON UNIFIED SCHOOL DISCTRICT <br /> Home Address: <br /> Mailing Address: 1944 EL PINAL DRIVE, STOCKTON, CA 95205 <br /> Telephone Number: (209) 933-7045 <br /> ❑ CONTRACTOR INFORMATION <br /> Name of General Contractor: ACME CONSTRUCTION COMPANY INC. <br /> Mailing Address: 1565 CUMMINS DRIVE, MODESTO, CA 95358 <br /> Telephone Number: (209)-523-2674 <br /> Contact Person on Site: <br /> Site Phone Number: <br /> ❑ UTILITIES <br /> Source of Facility Water Supply: <br /> Backflow Protection: <br /> System to be used for Liquid Waste Disposal (Sewage): <br /> Solid Waste Disposal to be provided: <br /> Grease Interceptor: <br /> ❑ FOOD INFORMATION <br /> List food(s) to be served and/or provide menu: HIGH SCHOOL NUTRITION PROGRAM - <br /> MENU VARIES DAY-TO-DAY <br /> ❑ OPERATIONAL INFORMATION <br /> Anticipated Business Hours: Open: 6:00 AM Close: 4:00 PM <br /> Anticipated Number of Employees: 22 <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 7/5/17 <br />