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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
9/10/2025 9:01:55 AM
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
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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State of California <br />DISTRICT SERVING LOCATION: LODI <br />First Owner:ALMHN, SAM ADEL MOHAMMED <br />Name of Business: <br />Location of Business: <br />SAN JOAQUIN <br />Census Tract:0011.02No <br />Dropping Partner:Yes No21 <br />611564 / MEHER STORES INC <br />Secondary LT And Count <br />$2,798.00Total <br />Date: August 18, 2025County of SAN JOAQUINSTATE OF CALIFORNIA <br />Applicant Name(s) <br />ALMHN, SAM ADEL MOHAMMED <br />NASSER, ABDELRAHMAN <br />ALMHN, WAFI MOHAMMED AHME <br />Transaction Description <br />ISSUE TEMPORARY PERMIT <br />PERSON TO PERSON TRI- <br />FEDERAL FINGERPRINTS <br />STATE FINGERPRINTS <br />ANNUAL FEE <br />1869-75 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />Pup <br />I <br />0 <br />3 <br />3 <br />0 <br />Date <br />08/18/25 <br />08/18/25 <br />08/18/25 <br />08/18/25 <br />08/18/25 <br />Fee <br />$100.00 <br />SI.525.00 <br />$72.00 <br />$117.00 <br />$984.00 <br />County <br />1s Premises inside city limits <br />Mailing Address:(If different <br />from <br />premises address) <br />Type of license(s): <br />Transferor's license/name: <br />License Tvpe <br />21 - Off-Salc General <br />Department of Alcoholic Beverage Control <br />APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br />ABC 211 (6/99) <br />TO:Department of Alcoholic Beverage Control <br />3021 REYNOLDS RANCH PKWY <br />STE 150 <br />LODI, CA 95240 <br />(209)371-6761 <br />License Tvpe <br />Application Fee <br />Application Fee <br />Application Fee <br />Application Fee <br />21 - Off-Sale General <br />Fee Code <br />NA <br />NA <br />NA <br />NA <br />NA <br />Master <br />Y <br />Transaction Tvpe <br />PER <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 />File Number: 671444 <br />Receipt Number: 3031137 <br />Geographical Code: 3900 <br />Copies Mailed Date: August 18, 2025 <br />Issued Date:
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