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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LINCOLN
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845
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1600 - Food Program
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PR0160934
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/15/2023 2:16:25 PM
Creation date
3/15/2023 7:56:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160934
PE
1615
FACILITY_ID
FA0002833
FACILITY_NAME
BEN'S MARKET
STREET_NUMBER
845
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14705006
CURRENT_STATUS
01
SITE_LOCATION
845 S LINCOLN ST
P_LOCATION
01
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 654223 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2848037 <br /> STE 150 Geographical Code: 3905 <br /> LODI,CA 95240 Copies Mailed Date: November 3,2023 <br /> (209) 371-6761 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON RECEIVED <br /> First Owner: AMER,AZIZ SAEED <br /> Name of Business: BEN'S MARKET NOV 0 6 2023 <br /> Location of Business: 845 S LINCOLN ST <br /> STOCKTON,CA 95206 ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0003.00 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 20 Dropping Partner: Yes No <br /> Transferor's license/name: 634221 / SALEH,ADAM SAIF ALI <br /> License Tyne Transaction Type Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine PER Y <br /> License Tyne Transaction Description Fee Code Dup Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 11/03/23 $365.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 11/03/23 $100.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 11/03/23 $48.00 <br /> Application Fee STATE FINGERPRINTS NA 2 11/03/23 $78.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 11/03/23 $435.00 <br /> Total $1,026.00 <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: November 3,2023 <br /> Applicant Name(s) <br /> AMER,AZIZ SAEED <br />
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