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SU0014453
Environmental Health - Public
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FREWERT
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2600 - Land Use Program
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PA-2100226
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SU0014453
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Entry Properties
Last modified
4/25/2024 5:00:33 PM
Creation date
11/2/2021 10:12:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014453
PE
2687
FACILITY_NAME
PA-2100226
STREET_NUMBER
212
Direction
W
STREET_NAME
FREWERT
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
19123011, -12, -14
ENTERED_DATE
10/5/2021 12:00:00 AM
SITE_LOCATION
212 W FREWERT RD
RECEIVED_DATE
12/15/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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DocuSign Envelope ID:E3D5593F-5BC1-4D54-972C 'D1746EA12 <br /> SAN J O A Q U I N Environmental Health Department <br /> ---C O U T Y----...--- <br /> WATER PROVISION DECLARATION <br /> Facility Business Name: Railport Logistics Inc. /Ranjit Gill <br /> Facility Address: 150 and 212 Frewert Road Lathrop 95330 <br /> Street City Zip <br /> Facility Business Owner Name: Ranjit Gill Phone: (209)640-9078 <br /> Property Owner Name: Ranjit Gill Phone: (209)640-9078 <br /> Property Owner Address: 403 Riley Court Tracy 95377 <br /> Street City Zip <br /> WATER PROVISION INFORMATION <br /> 1. Number of houses, mobile homes, or other occupied buildings served by the water well(s): 1 <br /> 2. Number of employees at the facility per shift: 2 —Number of shifts: 1 <br /> 3. Total number of employees, customers, and visitors at the facility per month, if variable: <br /> January 100 April 100 July 100 October 100 <br /> February 100 May 100 August 100 November 100 <br /> March 100 June 100 September 100 December 100 <br /> 4. Number of days that total number of customers, visitors and employees frequent the facility per month: <br /> January 20 April 20 July 20 October 20 <br /> February 20 May 20 August 20 November 20 <br /> March 20 June 20 September 20 December 20 <br /> 5. Number of yearlong residents: <br /> 6. Number of residents per month, if variable: <br /> January April July October <br /> February May August November <br /> March June September December <br /> I declare under penalty of perjury that the statements on this application are correct to my knowledge. It is the <br /> owner's responsibility to notify this office if the water provision information of the facility changes. <br /> Docu^Signed by: <br /> Facility Business/Property Owner: f_rl-r G((� Date: 10/04/2021 <br /> —sSttgeae®s2aes... <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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