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Department of Alcoholic Beverage Control State of California <br />'APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br />ASC 211 (6/99) <br />TO: Department of Alcoholic Beverage Control File Number: 643036 <br />31 E CHANNEL ST Receipt Number: 2755154 <br />ROOM 168 Geographical Code: 3906 <br />STOCKTON, CA 95202 Copies Mailed Date: October 10, 2022 <br />(209) 948-7739 Issued Date: <br />DISTRICT SERVING LOCATION: STOCKTON <br />First Owner: H&S ENERGY PRODUCTS, LLC <br />Name of Business <br />Location of Business: <br />County: <br />3940 N TRACY BLVD <br />TRACY, CA 95304 <br />SAN JOAQUIN <br />Is Premises inside city limits? Yes Census Tract: 0052.06 <br />Mailing Address:(If different 2844 N SANTIAGO BLVD <br />from ORANGE, CA 92867 <br />premises address) <br />Type of license(s): 21 Dropping Partner: Yes_ No_ <br />Transferor's license/name: 637720 / JUTLA, DAVINDER KAUR <br />License Tyne Transaction Tyne Master Secondary LT And Count <br />21 - Off -Sale General PER Y <br />License Tyne <br />Transaction Description <br />Fee Code <br />Dun Date <br />Fee <br />Application Fee <br />PERSON TO PERSON TRF <br />NA <br />0 10/10/22 <br />$1,305.00 <br />Application Fee <br />ISSUE TEMPORARY PERMIT <br />NA <br />1 10/10/22 <br />$100.00 <br />21 -Off -Sale General <br />ANNUALFEE <br />NA <br />0 10/10/22 <br />$849.00 <br />Total $2,254.00 <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 />STATE OF CALIFORNIA <br />Applicant Name(s) <br />County of SAN JOAQUIN <br />H&S ENERGY PRODUCTS, LLC <br />P( 5C>S�0� <br />f-lc� o0o a O'S -:t <br />Date: October 10, 2022 <br />