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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LOUISE
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410
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1600 - Food Program
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PR2500868
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
1/7/2026 10:00:38 AM
Creation date
1/7/2026 9:59:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR2500868
PE
1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP
FACILITY_ID
FA0005271
FACILITY_NAME
MAVERIK INC #756
STREET_NUMBER
410
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
410 E LOUISE AVE LATHROP 95330
Tags
EHD - Public
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State of California <br />DISTRICT SERVING LOCATION: LODI <br />First Owner: <br />Name of Business:MAVERIK STORES, INC. <br />Location of Business: <br />Census Tract:0051.19 <br />Dropping Partner:NoYes20 <br />Secondary LT And Couni <br />Total Sl.595.00 <br />County of SAN JOAQUIN Date: June 4. 2025STATE OF CALIFORNIA <br />Applicant Name(s) <br />MAVERIK INC. WHICH WILL DO BUSINESS IN CALIFORNIA AS MAVERIK STORES, INC. <br />Type of license(s): <br />Transferor's license/name: <br />County <br />Is Premises inside city limits <br />Mailing Address:(If different <br />from <br />premises address) <br />Transaction Type <br />ORI <br />'Transaction Description <br />ADD PRIMARY LICENSE TYPE <br />ANNUAL FEE <br />410 E LOUISE AVE <br />LATHROP, CA 95330 <br />185 S STATE ST <br />STE 800 <br />SALT LAKE CITY , UT 84111 <br />Pup <br />0 <br />0 <br />License Type <br />20 - Off-Sale Beer And Wine <br />License Type <br />Application Fee <br />20 - Off-Sale Beer And Wine <br />Fee <br />$1,105.00 <br />$490.00 <br />TO: Department of Alcoholic Beverage Control <br />3021 REYNOLDS RANCH PKWY <br />STE 150 <br />LODI, CA 95240 <br />(209)371-6761 <br />SAN JOAQUIN <br />Yes <br />‘ Department of Alcoholic Beverage Control <br />APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br />ABC 211 (6/99) <br />Date <br />06/04/25 <br />06/04/25 <br />Fee Code <br />NA <br />NA <br />Master <br />Y <br />MAVERIK INC. WHICH WILL DO BUSINESS IN CALIFORNIA <br />AS MAVERIK STORES, INC. <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: 669605 <br />Receipt Number: 3007370 <br />Geographical Code: 3907 <br />Copies Mailed Date: June 4, 2025 <br />Issued Date:
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