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Please provide all information requested; an incomplete application may delay approval <br />❑ FA.C—ILITY INFORMATIgIJ <br />Name of Facility: i -Eleven <br />Street Address: 1829 North Wilson Way <br />City: Stockton Zip Code: 95205 <br />❑ FORMER NAME OF FACILI <br />❑ BUSINESS OWNER INFORMATION <br />Business Owner Name: sunn :n pro rnr n,<r <br />Home Address: <br />Mailing Address: <br />Telephone Number: <br />Ll PROPERTY OWNER INFORMATION <br />Property Owner Name: Gu enhcim Development Services LLC. <br />Home Address: <br />Mailing Address: 3000 Internet Blvd., Suite 570 Frisco TX 75034 <br />Telephone Number: 916-357-6550 <br />❑ CONTRACTOR INFORMATIO ` <br />Name of General Contractor: To be det,nnined following bid <br />Mailing Address: <br />Telephone Number: <br />Contact Person on Site: <br />Site Phone Number: <br />❑ UTILITIES <br />Source of Facility Water Supply: California Water District <br />Backflow Protection: None <br />System to be used for Liquid Waste Disposal (Sewage): Existing Sanitary Sewer Stub to public main <br />Solid Waste Disposal to be provided: Yes - trash enclosure with SSCO and 320 -gallon Grease Interceptor <br />Grease Interceptor: Two (2) - 750 -Ballon for C -Store and 320 -Gallon for Trash Enclosure <br />❑ FOOD INFORMATIO <br />List food(s) to be served and/or provide menu: SCC enclosed menu <br />❑ OPE ONAL INFORMATION <br />Anticipated Business Hours: Open:_a hour. Close: <br />Anticipated Number of Employees: 10-15 <br />EHn 16-01 4 PLAN CHECK GUIDE <br />7/5117 <br />