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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> Greotness grows here . <br /> WATER PROVISION DECLARATION <br /> Facility Business Name : North Central Valley Energy Storage , LLC <br /> Facility Address : 23670 E . Flood Road , Linden , CA <br /> Street City Zip <br /> Facility Business Owner Name : NextEra Energy Resources Phone : 561 - 694 - 3795 <br /> Property Owner Name : William Earl , Jr . and Marilyn Lucille Van Tassel Phone : 20MO7 - 0037 <br /> Property Owner Address : P . O . Box 683 , Linden , CA 95236 <br /> Street City Zip <br /> WATER PROVISION INFORMATION <br /> 1 . Number of houses , mobile homes , or other occupied buildings served by the water well ( s ) : 0 <br /> 2 . Number of employees at the facility per shift . 3 Number of shifts : <br /> 3 . Total number of employees , customers , and visitors at the facility per month , if variable : <br /> January April July October <br /> February May August November <br /> March June September December <br /> 4 . Number of days that total number of customers , visitors and employees frequent the facility per month : <br /> January April July October <br /> February May August November <br /> March June September December <br /> 5 . Number of yearlong residents : 0 <br /> 6 . Number of residents per month , if variable : <br /> January 0 April 0 July 0 October 0 <br /> February 0 May 0 August 0 November 0 <br /> March 0 June 0 September 0 December 0 <br /> I declare under penalty of perjury that the statements on this application are correct to my knowledge . It is the <br /> owner 's responsibility to notify this office if the water provision information of the facility changes . <br /> Facility Business/ Property Owner : Date : 04 / 26 /2 <br /> Signature <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 - 3420 1 F 209 464 - 0138 1 www . sjcehd . com <br />