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SAN lOAQUIN Environmental Health ®apartment <br /> i=GUNTY <br /> -.. . , ,.. _. r._. . <br /> WATER PROVISION DECLARATION <br /> Facility Business Name: Railport Logistics Ina./Raniit GIII <br /> Facility Adorass: 160 and 2'12 Frawart Roed thro 96330 <br /> swe� cny <br /> Facility Business Owner Name: Ranjit Gtll Phone:_t209)640-9076 <br /> Property Owner N8ma: Raniff G111 Phones' (209)640-9078 <br /> Property Owner Aodrass: 403 Riley Court Traey 95377 <br /> swm cm. aD <br /> WATER PROVISION INFORMATION <br /> 1- Number of houses, mobile homes, or other occupied buildings served by the water wall(s): 1 <br /> 2. Number of employees at the facility par shift- 2 Number of shifts: 1 <br /> 3. Total number of employees, Dustomara,and visitors at the facility per month, If variable: <br /> ranuary 100 Apxl 700 rely oeeobW <br /> Fabnury 'IOU May 12)0 August NaYambw <br /> Mamb 1UU Jona 1UU 80ptambw December <br /> 4. Number of Jaya that total number of cuatomera,vlaltora and employees frequent the facility per month: <br /> January gprll Juty Outobv 2U <br /> FMmary 'Ja MaY 20 August November 20 <br /> Marob 20 Junes 9aptambar DanOmbar jO <br /> 5- Number of yearlong residents: o <br /> 6. Number of residents par month, if variable: <br /> January April JUIY Oetobar <br /> Fabruvy Nay August NOvambar <br /> I Ma[,•J, I I Jun I �Bapbmbar � Owembar <br /> /dec/era under pane/ly of paryury that the statements pn this app/kation era correct to my Know/edge- /t is the <br /> owner's rasponslbility to noti/y this o/fice!f the wate�r—prow^ision,�in^formation o!the favi/ity changes. <br /> Fa�ci•lit�y Business/Property Owner: � w^,�.��';���Zl v"- Data: b2-2� �'�Y- <br /> �IAJ1cNy1 vi�RyiFL G7i Lf.- X .'i as ���i?-r <br /> �t1t-,iti'1 K o.ltu'�.--�ti� E'- cf�l�.t 1[a.-� os 1� 1 zcrz z(_� ', <br /> 1 B66 E. ezalton Avenue I Stockton,California 95205 I T 209 468-3420 I F 209 464-0138 I www-sjcand.com <br /> IE A.h wtD£K`�Nt l ire ��„`_�(���-w,1G(�`._ �(s. (.z •2- <br />