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Please provide all information requested; an incomplete application may delay approval <br /> kQ FACILITY INFORMATIO <br /> i <br /> Name of Facility: 7-ELEVEN#1040185 <br /> Street Address: 2115 WEST YOSEMITE AVENUE <br /> City: MANTECA Zip Code: 95337 <br /> `QfORMERNAM ILI <br /> N/A, VACANT LAND <br /> ā‘ BusjNFss_O Nā€ž <br /> Business Owner Name: (ANNIE) GURPREET SANDHU <br /> Home Address: <br /> Mailing Address: 2823 E. SUGARHILL TERRACE, DUBLIN CA 94568 <br /> Telephone Number: 925-785-2000 <br /> © ROPERS, M"' O MATZO <br /> Property Owner Name: (ANNIE) GURPREET SANDHU <br /> Home Address: <br /> Mailing Address: 2823 E. SUGARHILL TERRACE, DUBLIN CA 94568 <br /> Telephone Number: 925-785-2000 <br /> ā‘ CONTRACTOR INFORMATI <br /> Name of General Contractor: T.B.D. <br /> Mailing Address: <br /> Telephone Number: <br /> Contact Person on Site: <br /> Site Phone Number: <br /> Source of Facility Water Supply: CITY OF MANTECA-PUBLIC WORKS WATER DIVISION <br /> Backflow Protection: CITY OF MANTECA-PUBLIC WORKS WATER DIVISION <br /> System to be used for Liquid Waste Disposal (Sewage):CITY OF MANTECA-PUBLIC WORKS SEWER DIVISION <br /> Solid Waste Disposal to be provided: CITY OF MANTECA-PUBLIC WORKS SOLID WASTE DIVISION <br /> Grease Interceptor: N/A <br /> IQ <br /> FOOD INFORMATION_,,,..,:_ <br /> List food(s) to be served and/or provide menu: <br /> MENU ATTACHED. <br /> ,ā‘ OPERATIONAL INFORMATi <br /> Anticipated Business Hours: Open: SAM Close: 11PM <br /> Anticipated Number of Employees: 2 <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 8/01/16 <br />