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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1875
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1600 - Food Program
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PR0160600
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
12/10/2025 4:34:36 PM
Creation date
3/24/2025 9:20:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0160600
PE
1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP
FACILITY_ID
FA0001930
FACILITY_NAME
COUNTRY CLUB MARKET & LIQUOR
STREET_NUMBER
1875
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12318216
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1875 COUNTRY CLUB BLVD STOCKTON 95204
Tags
EHD - Public
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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br /> ABC 211(6199) <br /> TO:Department of Alcoholic Beverage Control File Number: 671444 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 3031137 <br /> STE 150 Geographical Code: 3900 <br /> LODI,CA 95240 Copies Mailed Date: August 18,20x5 <br /> (209) 371-6761 Issued Date: <br /> DISTRICT SERVING LOCATION: LODI <br /> First Owner: ALMHN,SAM ADEL MOHAMMED <br /> Name of Business: <br /> Location of Business: 1869-75 COUNTRY CLUB BLVD <br /> STOCKTON,CA 95204 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits No Census Tract: 0011,02 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Dropping Partner: Yes No <br /> Type of license(s): 21 � <br /> Transferor's license/name: 611564 / MEHER STORES INC <br /> License Ty oe Transaction Tyne Master econda I.T And Count <br /> 21-Off-Sale General PER Y <br /> License Type Transaction Description Fee Code Qua Date Fee <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 08/18/25 $100.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 08/18/25 $1,525.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 3 08/18/25 $72.00 <br /> Application Fee STATE FINGERPRINTS NA 3 08/18/25 $117.00 <br /> 21-Off-Sale General ANNUAL FEE NA 0 08/18/25 $984.00 <br /> Total $2,798.00 <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: August 18, 2025 <br /> Applicant Name(s) <br /> ALMHN,SAM ADEL MOHAMMED <br /> NASSER.ABDELRAHMAN <br /> ALNIFIN,WAFT MOHAMMED AHME <br />
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