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Please provide all information requested; an incomplete application may delay approval <br /> Name of Facility: Edgewood Commercial Center/Valley Fuels, Inc. <br /> Street Address: 4600 S. Corral Hollow Road <br /> City: Tracy, CA Zip Code: 95376 <br /> ❑ FORMER NAME OF FACILITY <br /> N/A <br /> ❑ BUSINESS OWNER INFORMATION <br /> Business Owner Name: Harpreet Singh &Varinder Pal Singh <br /> Home Address: <br /> Mailing Address: 15 E. Grantline Road, Tracy, CA 95304 <br /> Telephone Number: (209) 676-0916 <br /> ❑ PROPERTY OWNER INFORMATION Ah <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: (Not selected as of this application) <br /> Mailing Address: <br /> Telephone Number: <br /> Contact Person on Site: <br /> Site Phone Number: <br /> is= For— --IV <br /> Source of Facility Water Supply: City of Tracy <br /> Backflow Protection: To be installed per City of Tracy standards <br /> System to be used for Liquid Waste Disposal (Sewage): City of Tracy <br /> Solid Waste Disposal to be provided: Tracy Delta Disposal <br /> Grease Interceptor: N/R <br /> ❑ FOOD INFORMATION - <br /> List food(s) to be served and/or provide menu: No foods are prepared and served; All self-service and/or pre- <br /> packaged food /beverage products for retail purchase <br /> ❑ OPERATIONAL INFORMATION <br /> Anticipated Business Hours. Open: 24 hours Close: <br /> Anticipated Number of Employees: 5 <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 7/5/17 <br />