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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> WATER PROVISION DECLARATION <br /> Facility Business Name: Podesta Farms <br /> Facility Address: 8100 N. Podesta Lane Linden 95236 <br /> Street city Zip <br /> Facility Business Owner Name: Fred Podesta,Victor Podesta,&Tara Podesta Bryant Phone: (209) 887-3701 <br /> Property Owner Name: Fred Podesta,Victor Podesta,&Tara Podesta Bryant Phone:(209) 887-3701 <br /> Property Owner Address: 8000 N. Podesta Lane Linden 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):None <br /> 2. Number of employees at the facility per shift: Number of shifts: <br /> 3. Total number of employees, customers, and visitors at the facility per month, if variable: <br /> January 10 April 80 July 125 October 80 <br /> - - - - <br /> February 10 May 125 August 100 November I 10 i <br /> March 60— June- 125 September 100 Decembers 10 <br /> 4. Number of days that total number of customers, visitors and employees frequent the facility per month: <br /> January 20 Aprll 25 July 30 October 20 <br /> Febr20 May 30 August_ 30 Nove <br /> uary mber 20 <br /> March <br /> 20 June 30 September 30 December 20 <br /> 5. Number of yearlong residents: None <br /> 6. Number of residents per month, if variable:None <br /> rF <br /> anuaryApril I July October <br /> ebruary May August November <br /> arch i June Iseptember December <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: 06/29/2022 <br /> Si nature <br /> OC4 - `-�, <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 G9 468-3420 1 F 2.09 464-0138 1 www.sjcehd.com <br />