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Environmental Health - Public
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EHD Program Facility Records by Street Name
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DANIELS
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1904
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1600 - Food Program
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PR0542990
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Entry Properties
Last modified
9/13/2022 10:51:24 AM
Creation date
4/10/2020 1:06:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
WORK PLANS
RECORD_ID
PR0542990
PE
1617
FACILITY_ID
FA0024595
FACILITY_NAME
ARCO AM PM #83831
STREET_NUMBER
1904
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1904 DANIELS ST
P_LOCATION
04
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 INFORMA l _ <br /> Name of Facility: ARCO AM/PM Manteca <br /> Street Address: 1904 Daniels Street <br /> City: Manteca, CA Zip Code: 95655 <br /> JP FORMER NAME OF FACILITY <br /> N/A <br /> ESS OWNER INFORMATION <br /> Business Owner Name: Manteca Petroleum, Inc. - Ranjeet Singh <br /> Home Address: <br /> Mailing Address: 3115 Cynthia Court,Tracy, CA 95377 <br /> Telephone Number: <br /> ❑ PROPERTY OWNER INFORMATION <br /> Property Owner Name: Same as business <br /> Home Address: owner <br /> Mailing Address: <br /> Telephone Number: <br /> ONT MATT . _ <br /> Name of General Contractor: TBD <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 Manteca <br /> Backflow Protection: Per City of Manteca Standard Drawing W-16 <br /> System to be used for Liquid Waste Disposal (Sewage): City of Manteca <br /> Solid Waste Disposal to be provided: City of Manteca <br /> Grease Interceptor: 750 gallon <br /> FOOD INFORMATION <br /> List food(s) to be served and/or provide menu: <br /> See attached <br /> ❑ OPERATIONAL INFORMATION _ <br /> Anticipated Business Hours: Open: 24 hours Close: <br /> Anticipated Number of Employees: <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 8/1/14 <br />
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