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' � -_ SQNs� OQQU� IV Environmental Health Department <br /> ' COUNTY <br /> Gf{�OL,)C55 4fOws nA. _ <br /> WATER PROVISION DECLARATION <br /> Facility Business Name: <br /> Mahil Truck Parking <br /> Facility Address: 4750 E Mariposa Rd Stockton, CA 95215 <br /> 3L,BBL Glty 21P <br /> Facility Business Owner Nama: Lakhbir Singh Mahil phone- 209 406 1737 <br /> Property Owner Name: Lakhbir Singh Mahil Phone- 209 406 1731 <br /> Property Owner Address- 3338 Ruthertord Dr Stockton, CA 95212 <br /> SVeat GItY ZIP <br /> WATER PROVISION INFORMATION <br /> t. Number of houses, mobile homes, or other occupied buildings served by the water watl(s): t <br /> 3 7 <br /> 2. Number of employees at the facility par shift: Number of shifts: <br /> 3. Total number of employees, customers,and vlaltors at the facility par month, if variable: <br /> January 3 April 3 July 3 Omober 3 <br /> February 3 Mey 3 AuguN 3 Nowmbar 3 <br /> Mareb 3 June 3 September 3 Deeembsr 9 <br /> 4. Number of days that total number of customers,vlaltors and employees frequent the facility par month: <br /> January 3 April 3 JuIY 3 October 3 <br /> February 3 Mey 3 August 3 November 9 <br /> Merob 3 Juna 3 September 3 December 3 <br /> 5. Number of yearlong residents: <br /> 6. Number of rasldanis per month, if variable: <br /> January April July Omobsr <br /> FeMuery Mey August NowmbN <br /> MamJ, Juna aepwmMr December <br /> /dec/era under pena4y of parJury that the statements on this app/lcat/on are correct to my Know/edge. /t is the <br /> owner's rasponsibi/ity to notify this office Jf th��water provision infom+ation of the faci/ity changes. <br /> Facility Business/Property Owner. �/��/%^>ry�� Data: 9�foJ/3 <br /> 1868 E Hazelton Avenue Stockton, California 95205 i T 209 466-3420 i F 209 464-0138 i wwwsjcafttl.com <br />