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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160960
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COMPLIANCE INFO_2022
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Last modified
3/1/2023 1:16:14 PM
Creation date
6/7/2022 9:38:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160960
PE
1619
FACILITY_ID
FA0002617
FACILITY_NAME
S-Mart #91
STREET_NUMBER
7506
STREET_NAME
PACIFIC
STREET_TYPE
Ave
City
Stockton
Zip
95207
APN
081-500-240-000
CURRENT_STATUS
01
SITE_LOCATION
7506 Pacific Ave
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Department of Alcoholic Beverage Control State of California <br />APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br />TO -.Department ofAlcoholic Beverage Control File Number: 643061 <br />31 E CHANNEL ST Receipt Number: 2755446 <br />ROOM 168 Geographical Code: 3905 <br />STOCKTON, CA 95202 Copies Mailed Date: 9etebea-d-e, 40,u Dec . ( U, aO ✓-a <br />(209) 948-7739 Issued Date: <br />DISTRICT SERVING LOCATION: STOCKTON <br />First Owner: SAVE MART SUPERMARKETS LLC <br />Name of Business: SAVE MART 91 <br />Location of Business: <br />7506 PACIFIC AVE <br />Master <br />Y <br />STOCKTON, CA 95207-1929 <br />County: <br />SAN JOAQUIN <br />Is Premises inside city limits? <br />Yes Census Tract: 0033.07 <br />Mailing Address:(If different <br />PO BOX 4664 <br />from <br />MODESTO, CA 953524664 <br />premises address) <br />NA <br />Type of license(s): <br />21 Dropping Partner: Yes_ No_ <br />Transferor's license/name: <br />401214 / SAVE MART SUPERMARKETS <br />License Type <br />21 - Off -Sale General <br />Transaction Tyne <br />PER <br />Master <br />Y <br />Secondary <br />LT And Count <br />License Tvoe <br />Transaction Description <br />Fee Code <br />Dun <br />Date <br />Fee <br />Application Fee <br />PERSON TO PERSON TRF <br />NA <br />0 <br />10/1022 <br />$1,305.00 <br />Application Fee <br />ISSUE TEMPORARY PERMIT <br />NA <br />1 <br />10/1122 <br />$100.00 <br />21 -Off -Sale Gomm] <br />ANNUALFEE <br />NA <br />0 <br />10/1022 <br />$849.00 <br />Total <br />$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? No <br />- _ STATF.OFCALIEORNIA_ - County-of-SANJOAQUIN----- - Date:—October-10r2022- <br />Applicant Name(s) <br />SAVE MART SUPERMARKETS LLC <br />
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