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Please provide all information requested; an incomplete application may delay approval <br /> ❑ FACILITY INFORMATION <br /> Name of Facility: FAST LANE CENTRAL VALLEY <br /> Street Address: 116 Roth Rd <br /> City: Lathrop Zip Code: 95330 <br /> ❑ FORMER NAME OF FACILITY <br /> FAST LANE CENTRAL VALLEY <br /> ❑ BUSINESS OWNER INFORMATION <br /> Business Owner Name: B & G Group / Mr. Hardeep Gill <br /> Home Address: <br /> Mailing Address: 111 Healdsburg Ave., Healdsbur , CA 95448 <br /> Telephone Number: 707-431-3510 <br /> ❑ PROPERTY OWNER INFORMATION <br /> Property Owner Name: Same as Business Owner <br /> Home Address: <br /> Mailing Address: <br /> Telephone Number: <br /> ❑ CONTRACTOR INFORMATION <br /> Name of General Contractor: T.B.D. <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 Lathrop <br /> Backflow Protection: Existing 2" <br /> System to be used for Liquid Waste Disposal (Sewage):On site septic tank <br /> Solid Waste Disposal to be provided:Republic Services <br /> Grease Interceptor: Existing 1200 Gallon <br /> ❑ FOOD INFORMATION <br /> List food(s) to be served and/or provide menu: See attached menu. In addition made to order and grab and go <br /> pizza will be sold. Self serve hotdogs on a roller. <br /> ❑ OPERATIONAL INFORMATION <br /> Anticipated Business Hours: Open: 24 hours Close: <br /> Anticipated Number of Employees:15 <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 7/5/17 <br />