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Please provide all information requested; an incomplete application may delay approval <br /> Name of Facility: Dent Elementary School-Building C and E <br /> Street Address: 1998 Yosemite Ave. <br /> City: Escalon Zip Code: 95320 <br /> Business Owner Name: Escalon Unified School District <br /> Home Address: 1528 Yosemite Ave, Escalon <br /> Mailing Address: <br /> Telephone Number: 209-838-3165 <br /> Property Owner Name: <br /> Home Address: <br /> Mailing Address: <br /> Telephone Number: <br /> Name of General Contractor: <br /> Mailing Address: <br /> Telephone Number: <br /> Contact Person on Site: <br /> Site Phone Number: <br /> Source of Facility Water Supply: City of Escalon <br /> Backflow Protection: Yes <br /> System to be used for Liquid Waste Disposal (Sewage): City of Escalon <br /> Solid Waste Disposal to be provided: Yes <br /> Grease Interceptor: Existing -at each building <br /> List food(s) to be served and/or provide menu: <br /> Breakfast and lunch menu attached <br /> Anticipated Business Hours: Open: 5:00 AM Close: 1:30 PM <br /> Anticipated Number of Employees: 5 <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 7/5/17 <br />