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WORK PLANS
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EHD Program Facility Records by Street Name
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GOLDEN VALLEY
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16576
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1600 - Food Program
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PR0548169
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Entry Properties
Last modified
1/31/2023 12:45:41 PM
Creation date
1/31/2023 12:43:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
WORK PLANS
RECORD_ID
PR0548169
PE
1619
FACILITY_ID
FA0027486
FACILITY_NAME
SPROUTS FARMERS MARKET
STREET_NUMBER
16576
STREET_NAME
GOLDEN VALLEY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16576 GOLDEN VALLEY PKWY
P_LOCATION
07
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Please provide all information requested; an incomplete application may delay approval <br />❑ FACILITY INEORMATIO,.. . <br />Name of Facility: SPROUTS FARMERS MARKEI <br />Street Address: 16576 GOLDEN VALLEY PARKWAY <br />City: LATHROP Zip Code: 95330 <br />❑ FORMER NAME OF FACILITY <br />❑ BUSINESS OWNER INFORMATION' <br />Business Owner Name: KEEVIN SIMPSON <br />Home Address: NIA <br />Mailing Address: 5455 EAST HIGH STREET, SUITE 111, PHOENIX, AZ 85054 <br />Telephone Number: (312) 956-4092 Email: LRE@Lampertgroup.build <br />PROPERTY OWNER INFORMATION <br />Property Owner Name: WATT McKEE, LLC (MEGAN SAMPLES SMITH) <br />Home Address: N/A <br />Mailing Address:2716 OCEAN PARK BOULEVARD #3020, SANTA MONICA, CA 90405 <br />Telephone Number: <br />❑ CONTRACTOR <br />Name of General Contractor: SAVANT CONSTRUCTION, INC. <br />Mailing Address: 13830 MOUNTAIN AVE., CHINO, CA 91710 <br />Telephone Number: <br />Contact Person on Site: MIKE SCHULTZ (SUPERINTENDENT) <br />Site Phone Number: 909-203-2013 <br />❑ (1 : :IES -_ <br />Source of Facility Water Supply: City of Lathrop Water Service <br />Backflow Protection: 2" Reduced Pressure Backflow Preventers Per City Standards <br />System to be used for Liquid Waste Disposal (Sewage): City of Lathrop Sanitary Service <br />Solid Waste Disposal to be provided: Compactor <br />Grease Interceptor: Schier Hydromechanical Grease Interceptor GB -250 - 100GPM Flow capacity/18951bs Grease Capacity <br />❑ FOOD INFORMATION <br />List food(s) to be served and/or provide menu: SEE ATTACHED MENU <br />❑ OPERATIO h TIO <br />Anticipated Business Hours: Open: 7:00 AM Close: 10:00 PM <br />Anticipated Number of Employees: 120 <br />EHD 16-01 4 PLAN CHECK GUIDE <br />715/17 <br />
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