Laserfiche WebLink
SAN JOAQUIN <br />Environmental Health Department <br />COMMERCIAL CANNABIS LICENSE APPLICATION <br />Part A — License Type/Business Information <br />LEGAL BUSINESS NAME: <br />Greene Brothers Farm, Inc. <br />BUSINESS PHYSICAL ADDRESS: <br />12470 Locke Road. Ste. C <br />CITY: <br />Lockeford <br />STATE: <br />CA <br />ZIP CODE: <br />95237 <br />BUSINESS MAILING ADDRESS <br />7513 Girard Ave. Ste, 1315 <br />CITY: <br />La Jolla <br />STATE: <br />CA <br />ZIP CODE: <br />92037 <br />APPLICATION TYPE (One application required for each license) <br />❑ New Application <br />M Annual Renewal <br />❑ Change in Operations <br />❑ Change in License/Ownership <br />LICENSE TYPE (Check one) <br />Cultivation — any activity involving the planting, growing, harvesting, drying, curin radin , or trimming of cannabis. <br />❑ <br />Cultivator -Specialty Cottage - Indoor (Type 1C -Canopy up to 500 ft2) <br />PE 3410 <br />❑ <br />Cultivator -Specialty - Indoor (Type 1A -Canopy 500 ft2- 5,000 ft2) <br />PE 3411 <br />❑ <br />Cultivator -Small - Indoor (Type 2A -Canopy 5,001 ft2- 10,000 ft2) <br />PE 3412 <br />Cultivator -Medium - Indoor (Type 3A -Canopy 10,001 ft2- 22,000 ft2) <br />PE 3413 <br />❑ <br />Cultivator -Specialty Cottage - Mixed Light (Type 1 C -Canopy up to 2,500 ft2) <br />PE 3420 <br />❑ <br />Cultivator -Specialty - Mixed Light (Type 1 B -Canopy 2,501 ft2- 5,000 ft2) <br />PE 3421 <br />❑ <br />Cultivator -Small - Mixed Light (Type 1 B -Canopy 5,001 ft2- 10,000 ft2) <br />PE 3422 <br />❑ <br />Cultivator -Medium - Mixed Light (Type 313 -Canopy 10,001 ft2- 22,000 ft2) <br />PE 3423 <br />❑ <br />Processor <br />PE 3430 <br />❑ <br />Nursery (Type 4) clones, immature plants, seeds <br />PE 3435 <br />Distribution — the procurernent, sale, and transport of cannabis and cannabis products between licensees. <br />❑ <br />Distributor -wholesale (Type 11-Warehouse/Transport) <br />PE 3440 <br />❑ <br />Distributor -wholesale (Type 11 — Transport Only) <br />PE 3441 <br />❑ <br />Distributor -wholesale (Type 11 — Transport Only Self -Distribution) <br />PE 3442 <br />Manufacturing — the extraction process, infusion process, packaging and labeling processes; processing, preparing, holding, and storing <br />of cannabis products. Processing, re arin , holding, or storing of components and ingredients. <br />❑ <br />Manufacturer 1 -Nonvolatile Extraction (Type 6) Uses nonvolatile solvents only (Carbon dioxide, ethanol). <br />PE 3470 <br />❑ <br />Manufacturer 2 -Volatile Extraction (Type 7) Uses volatile solvents (propane, butane). <br />PE 3471 <br />❑ <br />Manufacturer -Shared Use <br />PE 3472 <br />Retailer — for the retail sale and delivery of cannabis or cannabis products to customers from a licensed premise. <br />❑ <br />Retailer -Non -Storefront Delivery (Type 9) <br />PE 3480 <br />❑ <br />Microbusiness (Type 12) 3 or More Different License Types (Select Types) <br />❑ Cultivation area <10,000 square feet ❑ Distributor ❑ Level 1 Manufacturer ❑ Non -Storefront Retailer <br />PE 3490 <br />❑ <br />Testing Laboratory (Type 8) <br />PE 3495 <br />SERVICE REQUEST ID: o FACILITY ID� <br />---- — — P� r� n ver <br />PROGRAM ELEMENT CODE _ PROGRAM RECORD ID: <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />