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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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THORNTON
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1600 - Food Program
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PR0160294
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Last modified
4/15/2020 11:41:22 AM
Creation date
4/15/2020 9:11:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0160294
PE
1615
FACILITY_ID
FA0002875
FACILITY_NAME
THORNTON RD MINI MARKET
STREET_NUMBER
9242
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
07245011
CURRENT_STATUS
01
SITE_LOCATION
9242 THORNTON RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Department of Alcoholic Beverage Control State of C21ifornia <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 614453 <br /> 31 E CHANNEL ST Receipt Number: 2622715 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON,CA 95202 Copies Mailed Date: January 24,2020 <br /> (209)948-7739 Issued Date: R C j V <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: MOHAMED,KHALIL FADHEL JAN 2 7 2CA <br /> Name of Business: THORNTON MINI MARKET& MORE I?N1'IR0NAIEN'1AL HEALTH <br /> Location of Business: 9242 THORNTON RD DEPARTMENT <br /> STOCKTON,CA 95209 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: 0032.08 <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: 553185 / HALVORSON,RONALD WILLIAM <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 D�tl�� Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 01/24/20 $335.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 01/24/20 $100.00 <br /> Application Fee STATE FINGERPRINTS NA 1 01/24/20 $39.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 1 01/24/20 $24.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 01/24/20 $400.00 <br /> Total $898.00 <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 24,2020 <br /> Applicant Name(s) <br /> MOHAMED,KHALIL FADHEL <br />
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