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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 614372 <br /> 31 E CHANNEL ST Receipt Number: 2622167 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: January 22,2020 <br /> (209)948-7739 Issued Date: RECEIVED <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: MUTHANNA,AHMED M JAN 2 4 2020 <br /> Name of Business: <br /> Location of Business: 1856 COUNTRY CLUB BLVD ENVIRONMENTAL hi E A LT N <br /> STOCKTON,CA 95204-4919 PERMIT/SERVICES <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: 0011.02 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 20 Dropping Partner: Yes_ No <br /> Transferor's license/name: 586967 / BRAR,JAGRAJ S <br /> License Type Transaction Type Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine PER Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee STATE FINGERPRINTS NA 2 01/22/20 $78.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 01/22/20 $100.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 01/22/20 $335.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 01/22/20 $48.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 01/22/20 $400.00 <br /> Total $961.00 <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? No <br /> STATE OF CALIFORNIA County of SAN JOAQUIN Date: January 22,2020 <br /> Applicant Name(s) <br /> MUTHANNA,AHMED M <br />