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Please provide all information requested; an incomplete application may delay approval <br /> FACILITY INFORMATION <br /> Name of Facility: 7-Eleven Store#38153 <br /> Street Address: 121 S. Center Street <br /> City: Stockton, CA Zip Code: 95202 <br /> FORMER NAME OF FACILITY <br /> N/A <br /> BUSINESS OWNER INFORMATION <br /> Business Owner Name: 7-Eleven, Inc., c/o Aparna Joneja,Construction Manager <br /> Home Address: 4637 Chabot Drive, Suite 117, Pleasanton, CA 94588 <br /> Mailing Address: same <br /> Telephone Number: (925)353-7496 <br /> PROPERTY OWNER INFORMATION <br /> Property Owner Name: Same as Business Owner Above <br /> Home Address: <br /> Mailing Address: <br /> Telephone Number: <br /> CONTRACTOR INFORMATION <br /> Name of General Contractor: Smith Development&Construction Co. <br /> Mailing Address: 11281 Pyrites Way, Gold River, CA 95670 <br /> Telephone Number: (916)966-7325 <br /> Contact Person on Site: Jesse Kent <br /> Site Phone Number: (916)671-0438 <br /> UTILITIES <br /> Source of Facility Water Supply: City of Stockton <br /> Backflow Protection: apt /o r ,S�.c�( /o•a cax C, f?r I <br /> System to be used for Liquid Waste Disposal (Sewage): City of Stockton <br /> Solid Waste Disposal to be provided: City of Stockton <br /> Grease Interceptor: (o qv- (,-,pAr I I XI <br /> FOOD INFORMATION <br /> List food(s)to be served and/or provide menu: Menu provided as part of submittal. <br /> OPERATIONAL INFORMATION <br /> Anticipated Business Hours: Open: 24/7 Close: <br /> Anticipated Number of Employees: 8-10 employees <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 8/01/16 <br />