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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0163391
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/28/2022 12:59:12 PM
Creation date
8/15/2022 8:57:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0163391
PE
1618
FACILITY_ID
FA0003058
FACILITY_NAME
H & S ENERGY PRODUCTS LLC #3083
STREET_NUMBER
3775
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21217028
CURRENT_STATUS
01
SITE_LOCATION
3775 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Department of Alcoholic Beverage Control State of California <br />.APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES) <br />ABC 211 (6/99) <br />TO: Department of Alcoholic Beverage Control File Number: 643024 <br />31 E CHANNEL ST Receipt Number: 2755136 <br />ROOM 168 Geographical Code: 3906 <br />STOCKTON, CA 95202 Copies Mailed Date: October 10, 2022 <br />(209) 948-7739 Issued Date: <br />DISTRICT SERVING LOCATION: <br />First Owner: <br />Name of Business: <br />Location of Business: <br />County: <br />Is 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 />H&S ENERGY PRODUCTS, LLC <br />3775 N TRACY BLVD <br />TRACY, CA 95304 <br />SAN JOAQUIN <br />Yes Census Tract: 0052.25 <br />2844 N SANTIAGO BLVD <br />ORANGE, CA 92867 <br />21 Dropping Partner: Yes_ No_ <br />637721 / JUTLA, DAVINDER KAUR <br />License Tyne Transaction Type Master Secondary LT And Count <br />21 - Off -Sale General PER Y <br />License Type <br />Transaction Description <br />Fee Code <br />DuP Date <br />Fee <br />Application Fee <br />PERSON TO PERSON TRF <br />NA <br />0 10/10/22 <br />$1,305.00 <br />Application Fee <br />ISSUE TEMPORARY PERMIT <br />NA <br />1 10/10/22 <br />$100.00 <br />21 -Off -Sale General <br />ANNUALFEE <br />NA <br />0 10/10/22 <br />$849.00 <br />Total $2,254.00 <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 <br />Applicant Name(s) <br />County of SAN JOAQUIN <br />H&S ENERGY PRODUCTS, LLC <br />Date: October 10, 2022 <br />
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