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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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I
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INTERNATIONAL
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1124
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1600 - Food Program
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PR0548691
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
4/3/2025 2:16:45 PM
Creation date
4/3/2025 2:15:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0548691
PE
1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP
FACILITY_ID
FA0027447
FACILITY_NAME
MOUNTAIN HOUSE CHEVRON
STREET_NUMBER
1124
Direction
N
STREET_NAME
INTERNATIONAL
STREET_TYPE
PKWY
City
TRACY
Zip
95377
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
1124 N INTERNATIONAL PKWY TRACY 95377
Tags
EHD - Public
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Department of Alcoholic Beverage Control <br /> <br />State of California <br />APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br />ABC 211 (6/99) <br />TO: Department of Alcoholic Beverage Control <br />31 E CHANNEL ST <br />ROOM 168 <br />STOCKTON, CA 95202 <br />(209) 948-7739 <br />DISTRICT SERVING LOCATION: STOCKTON <br />First Owner: JANT, LLC <br />Name of Business: CHEVRON <br />File Number: 629952 <br />Receipt Number: 2683204 <br />Geographical Code: 3906 <br />Copies Mailed Date: September 13, 2021 <br />Issued Date: <br />Location of Business: NEC INTERNATIONAL PKWY & DAYLIGHT RD <br />TRACY, CA 95126 <br />, <br />County: SAN JOAQUIN <br />Is Premises inside city limits? Yes Census Tract: <br />Mailing Address:(If different 657 HORNING ST <br />from SAN JOSE, CA 95126 <br />premises address) <br />Type of license(s): 20 Dropping Partner: Yes No <br />Transferor's license/name: 592927 / GF BUELLTON GROUP, LLC <br />License Type Transaction Type Master Secondary LT And Count <br />20- Off-Sale Beer And Wine PERTRNI <br />License Type Transaction Description Fee Code Dup Date Fee <br />Application Fee DBL TRF: PREMISES AND PERSON NA 0 09/13/21 $905.00 <br />20- Off-Sale Beer And Wine ANNUAL FEE NA 0 09/13/21 $400.00 <br />Total $1,305.00 <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: September 13, 2021 <br />Applicant Name(s) <br />JANT, LLC <br />‘Q.J\JJ <br />s s Wy-N C <br />0)(.\ erNe <br />F <br />J <br />\Cc-- o's--ispckt
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