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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 650393 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2820862 <br /> STE 150 Geographical Code: 3905 <br /> LODI,CA 95240 Copies Mailed Date: July 26,2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: MA,XIUHONG <br /> Name of Business: NEW SHANGHAI RESTAURANT <br /> Location of Business: 6041 PACIFIC AVE <br /> STOCKTON,CA 95207 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0031.10 <br /> Mailing Address:(If different 6038 SAXTON CT <br /> from STOCKTON,CA 95212 <br /> premises address) <br /> Type of license(s): 41 Dropping Partner: Yes_ No <br /> Transferor's license/name: 634009 / LIU,YONG LIANG <br /> License Type Transaction Type Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eating PER y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee FEDERAL FINGERPRINTS NA 2 07/26/23 $48.00 <br /> Application Fee STATE FINGERPRINTS NA 2 07/26/23 $78.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 07/26/23 $100.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 07/26/23 $365.00 <br /> 41-On-Sale Beer And Wine-Ea ANNUAL FEE NA 0 07/26/23 $495.00 <br /> Total $1,086.00 <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: July 26,2023 <br /> Applicant Name(s) <br /> MA,XHMONG <br /> RECEIVED <br /> JUL 3 1 2023 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />