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lui/��� _ <br /> I <br /> SAN JOAOUIN Environmental Health Department <br /> - COUNTY <br /> WATER PROVISION DECLARATION <br /> Facility BUBineSS Nama: ATSaT Cell Site Refg CVL00841/Delia College(unmanned Telecom facility) <br /> Facility Address: 99 Frontage Rd, Manteca, CA 95336 <br /> sheet cab P <br /> Facility Business Owner Name' New Lingular Wireless PCS, LLC dba ATg.T Mobility <br /> Property Owner Nama: San Joaquin Delta Junior College district Phone-209 954 5151 ext 5835 <br /> Property Owner Address: 5151 Pacific Avenue Stockton CA 95207 <br /> street cny nP <br /> WATER PROVISION INFORMATION <br /> 1. Number of housea,mobile homes, or other occupied buildings served by the water wall(s): <br /> N/A unmanned Telecom facility/cell site <br /> 2. Number of employees at the facility par shift: Number of shifts: <br /> N/A unmanned Telecom facility/cell site <br />� 3. Total number of employees,customers,and visitors at the facility par month, iF variable: <br /> January April JUIY Oe[ebar <br /> Fabmary May Augual Nevambar <br /> March Juna Saplambar December - <br /> 4. Number of days that total number of customers,visitors and employees frequent the facility par month: <br /> January April JuIY Octobv <br /> February May Augual November , <br /> Marob Juna 8aptamber December <br /> 5. Number of yearlong residents: <br /> 6. Number of residents par month, if variable: <br /> January April July Oolebar <br /> February May Auguat Nevambar <br /> Mercb Juna September December <br /> /dec/era under peva/ty of per/ury that the statements on thfs app/icer/on are correct to my Know/edge. /t/s the <br /> owner's responsibi/ity tc notify this nnoffice if the water provision information of the fact/ity changes_ <br /> Facility Business/Property Owner: t� �rtad (ATR<T Agent) Data: 10/11/2022 <br /> s�a�ete.e <br /> 1866 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 www-sjcettd.com <br />