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Please provide all informlen requested; an incomplete apl, ation may delay approval <br /> ❑ FACILITY INFORMATION <br /> Name of Facility: Walgreens Store #13984 <br /> Street Address: 1528 E. Fremont Street <br /> City: Stockton, CA. Zip Code: 95203 <br /> ❑ FORMER NAME OF FACILITY <br /> ❑ BUSINESS OWNER INFORMATION <br /> Business Owner Name: Walgreens Company <br /> Home Address: <br /> Mailing Address: 106 Wilmot Rd. MS#1640, Deerfield, IL 60015 <br /> Telephone Number: (847) 315-5169 <br /> ❑ PROPERTY OWNER INFORMATION <br /> Property Owner Name: Terraco, Inc. <br /> Home Address: <br /> Mailing Address: 3201 Old Glenview Road Suite 300, Wilmette, IL 60091 <br /> Telephone Number: (847) 275-7074 <br /> ❑ CONTRACTOR INFORMATION <br /> Name of General Contractor: Not Selected <br /> Mailing Address: <br /> Telephone Number: <br /> Contact Person on Site: <br /> Site Phone Number: <br /> ❑ UTILITIES <br /> Source of Facility Water Supply: City of Stockton <br /> Backflow Protection: Yes, see Civil drawings <br /> System to be used for Liquid Waste Disposal (Sewage): City of Stockton <br /> Solid Waste Disposal to be provided: City of Stockton <br /> Grease Interceptor: Not Applicable <br /> ❑ FOOD INFORMATION _ <br /> List food(s) to be served and/or provide menu: Prepackaged items only <br /> ❑ OPERATIONAL INFORMATION <br /> Anticipated Business Hours: Open: 8:00 am Close: 10:00 pm <br /> Anticipated Number of Employees: 8 employees maximum per shift <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 12-27-2011 <br />