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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161542
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:19:28 AM
Creation date
5/17/2019 2:48:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0161542
PE
1615
FACILITY_ID
FA0003233
FACILITY_NAME
BOBS MARKET
STREET_NUMBER
854
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406005
CURRENT_STATUS
01
SITE_LOCATION
854 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Department of Alcoholic Beverage Cor ' ,tate of California s 1 <br /> APPLICATION FOR ALCOHOx,. BEVERAGE LICENSES) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 519613 <br /> 31 E CHANNEL ST Receipt Number: 2100477 <br /> ROOM 168 Geographical Code: 3906 <br /> STOCKTON,CA 95202 Copies Mailed Date: March 5, 2012 ® , <br /> (209)948-7739 Issued Date: RECEIVED <br /> E® <br /> DISTRICT SERVING LOCATION: STOCKTON i C <br /> First Owner: SINGH,HARPREET 0 6 2012 <br /> Name of Business: BOBS MARKET <br /> Location of Business: 854 W 11TH ST ENVIRONMENTAL HEALTHPERMIT/SERVICES <br /> TRACY,CA 95376 <br /> County: SAN JOAQUIN <br /> Is Premise inside city limits? Yes Census Tract 0054.03 <br /> Mailing Address: <br /> (If different from <br /> premises address) <br /> Type of license(s): 21 {/ <br /> Transferor's license/name: 344568 / JUDGE,MAKHAN SINGH Dropping Partner: Yes No_T <br /> License Type Transaction Type Fee Type Master Dup Date Fee <br /> 21-Off-Sale General ANNUAL FEE NA Y 0 03/05/12 $582.00 <br /> 21-Off-Sale General PERSON-TO-PERSON TRANSFER NA Y 0 03/05/12 $1,250.00 <br /> Total $1,832.00 <br /> Have you ever been convicted of a felony? No <br /> Have you ever violated any provisions of the Alcoholic Beverage Control Act,or regulations of the <br /> Department pertaining to the Act? Yes <br /> Explain any"Yes"answer to the above questions on an attachment which shall be deemed part of this application. <br /> Applicant agrees(a)that any manager employed in an on-sale licensed premises will have all the qualifications of <br /> a licensee,and(b)that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic <br /> Beverage Control Act. <br /> STATE OF CALIFORNIA County of SAN JOAQUIN Date: March 5, 2012 <br /> Under penalty of perjury,each person whose signature appears below,certifies and says:(1) He is an applicant,or one of the applicants,or an executive officer <br /> of the applicant corporation,named in the foregoing application,duly authorized to make this application on its behalf;(2) that he has read the foregoing and <br /> knows the contents thereof and that each of the above statements therein made are true;(3) that no person other than the applicant or applicants has any direct <br /> or indirect interest in the applicant or applicant's business to be conducted under the license(s)for which this application is made;(4) that the transfer <br /> application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety(90)days preceding the day <br /> on which the transfer application is filed with the Department or to gain or establish a preference to or for any creditor or transferor or to defraud or injure any <br /> creditor of transferor;(5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting liability to the Department. <br /> Applicant Name(s) Applicant Signature(s) <br /> See 211 Signature Page <br /> SINGH,HARPREET <br /> SINGH,VARWDER PAL <br />
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