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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0160447
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COMPLIANCE INFO_2023
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Last modified
12/15/2023 2:19:55 PM
Creation date
10/10/2023 4:19:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160447
PE
1624
FACILITY_ID
FA0001543
FACILITY_NAME
WINE WIZARD
STREET_NUMBER
2222
STREET_NAME
GRAND CANAL
STREET_TYPE
BLVD
City
STOCKTON
Zip
952076676
APN
11011005
CURRENT_STATUS
01
SITE_LOCATION
2222 GRAND CANAL BLVD 3-3
P_LOCATION
01
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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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: 650306 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2820050 <br /> STE 150 Geographical Code: 3905 <br /> LODI,CA 95240 Copies Mailed Date: July 24,2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: WINE WIZARDS LLC <br /> Name of Business: WINE WIZARDS <br /> Location of Business: 2222 GRAND CANAL BLVD <br /> SPC 3-3 <br /> STOCKTON,CA 95207-6647 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0031.15 <br /> Mailing Address:(If different 1919 GRAND CANAL BLVD <br /> from #A1 <br /> premises address) STOCKTON,CA 95207-8114 <br /> Type of license(s): 41 Dropping Partner: Yes_ No <br /> Transferor's license/name: 85238 / JOHANSEN,LARRY D <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 Dun Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 07/21/23 $365.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 07/21/23 $120.00 <br /> Application Fee STATE FINGERPRINTS NA 5 07/21/23 $195.00 <br /> 41-On-Sale Beer And Wine-Ea ANNUAL FEE NA 0 07/21/23 $495.00 <br /> Total $1,175.00 <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 21,2023 <br /> Applicant Name(s) <br /> WINE WIZARDS LLC <br /> RECEIVED <br /> JUL 2 7 2023 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />
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