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SR0083415_SSNL ADDENDUM
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SR0083415_SSNL ADDENDUM
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Last modified
2/24/2022 1:21:10 PM
Creation date
2/23/2022 5:06:40 PM
Metadata
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Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL ADDENDUM
RECORD_ID
SR0083415
PE
2602
FACILITY_NAME
88 MARKET & GRILL
STREET_NUMBER
21850
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02120024
ENTERED_DATE
3/16/2021 12:00:00 AM
SITE_LOCATION
21850 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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88 Market & Grill <br /> 21850 E Liberty Road <br /> Clements Ca. 95227 <br /> San Joaquin County <br /> Purpose of Change from State Small to TNC: <br /> The of purpose of these changes are requirements of San Joaquin County EH. <br /> On Permit BP-1905731 dated 12/11/2019 Appendix 7. <br /> Letter Dated 11/21/2018. <br /> Requirement B: Submit a small public water system preliminary technical report to State WRCB. <br /> Letter Dated 01/15/2020. <br /> Requirement 2: Submit a small public water system preliminary technical report to State WRCB. <br /> 2a: Show financial, managerial, and technical capability. (TMF) Appendix 2: <br /> The owners have no reason for this change other than to support Building Permit Application. <br /> Permit Application Scope: Install above ground fuel tank and fueling area canopies. <br /> Section I:Applicant General Information <br /> Applicant: Yasir (Steve) Khanshali <br /> Phone: 209-605-2370 <br /> Email: ooasis3@l;mail.com <br /> Engineering Consultant: Ken Kaestner <br /> Phone: 209-450-0085 <br /> Email: kkaestner@aol.com <br /> Previous Water System Application: None <br /> Legal Owner: 88 Market Investments LLC <br /> Yasir (Steve) Khanshali <br /> Section II: General Information Proposed Water System <br /> County: San Joaquin <br /> Address: 21850 Liberty Road <br /> Clements Ca. 95227 <br /> 1of5 <br /> Prepared By: <br /> Sam Hedge 209-006-6069 <br /> samhedge@caldsl.net <br />
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