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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: 649789 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2816058 <br /> STE 150 Geographical Code: 3905 <br /> LODI,CA 95240 Copies Mailed Date: July 6,2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: PBHS INC <br /> Name of Business: SK MART GROCERY <br /> Location of Business: 3538 S MANTHEY RD <br /> STE A <br /> STOCKTON,CA 95206 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0038.07 <br /> Mailing Address:(If different 4205 BOO LANE <br /> from STOCKTON,CA 95206 <br /> premises address) <br /> Type of license(s): 21 Dropping Partner: Yes_ No <br /> Transferor's license/name: 525815 / KAINTH,JYOTI <br /> License Tyne Transaction Tvne Master Secondary LT And Count <br /> License Type Transaction Description Fee Code Dun Date Fee <br /> Total <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 3,2023 <br /> Applicant Name(s) <br /> 0 <br /> 0o 2- 0\ 1 .1 <br /> _ oRECEIVED <br /> 2o� - q 3 3- Jh <br /> 2JUL 10 2023 <br /> ENVIRONMENTAL HEALTH <br /> CPERMIT/SERVICES <br /> C <br />