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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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PR0162223
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/17/2022 8:47:22 AM
Creation date
10/18/2022 3:36:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0162223
PE
1617
FACILITY_ID
FA0002570
FACILITY_NAME
QUIK STOP MARKET #550144
STREET_NUMBER
7272
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
094-040-13
CURRENT_STATUS
01
SITE_LOCATION
7272 WEST LN
P_LOCATION
01
P_DISTRICT
002
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 LICENSE(S) <br /> ABC 211 (6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 640370 <br /> 31 E CHANNEL ST Receipt Number: 2741853 <br /> ROOM 168 Geographical Code: 3905 <br /> STOCKTON,CA 95202 Copies Mailed Date: August 11,2022 <br /> (209) 948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON R L C E I VI",I) <br /> First Owner: QUIK STOP MARKETS INC <br /> Name of Business: QUIK STOP MARKET#550144 AUG } 5 202? <br /> Location of Business: 7272 WEST LN <br /> STOCKTON, CA 95210 LNIVIRONNIF-' I U III \I 111 <br /> County: SAN JOAQUIN D 1.1 \R l Nil N I <br /> Is Premises inside city limits? Yes Census Tract: 0034.10 <br /> Mailing Address:(If different 165 FLANDERS RD <br /> from WESTBOROUGH,MA 01581 <br /> premises address) <br /> Type of license(s): 20 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 435376 / QUIK STOP MARKETS INC <br /> License Tyne Transaction TUe Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine FID Y <br /> License Type Transaction Description Fee Code Dun Date Fee <br /> Application Fee FIDUCIARY TRANSFER NA 0 08/11/22 $105.00 <br /> Total $105.00 <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 11,2022 <br /> Applicant Name(s) <br /> QUIK STOP MARKETS INC <br /> BALSUN HOLDINGS,INC. <br />
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