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COMPLIANCE INFO_2025
Environmental Health - Public
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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
4/13/2026 11:42:54 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\jcastaneda
Supplemental fields
Site Address
410 E LOUISE AVE LATHROP 95330
Tags
EHD - Public
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bepartment of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br /> ABC 211(6199) <br /> TO:Department of Alcoholic Beverage Control File Number: 669605 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 3007370 <br /> STE 150 Geographical Code: 3907 <br /> LODI, CA 95240 Copies Mailed Date: June 4,2025 <br /> (209)371-6761 Issued Date: <br /> DISTRICT SERVING LOCATION: LODI <br /> First Owner: MAVERIK INC.WHICH WILL DO BUSINESS IN CALIFORNIA <br /> AS MAVERIK STORES,INC. <br /> Name of Business: MAVERIK STORES,INC. <br /> Location of Business: 410 E LOUISE AVE <br /> LATHROP,CA 95330 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 00-51.19 <br /> Mailing Address:(If different 185 S STATE ST <br /> from STE 800 <br /> premises address) SALT LAKE CITY,UT 84111 / <br /> Type of license(s): 20 Dropping Partner: Yes_ No `! <br /> Transferor's license/name: <br /> License Tyne Transaction lype Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine ORI Y <br /> License_Type Transaction Description Fee Code Duo Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 06/04/25 $1,105.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 06/04/25 $490.00 <br /> 'Dotal $1,595,00 <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: June 4, 2025 <br /> Applicant Name(s) <br /> MAVERIK INC.WHICH WILL DO BUSINESS IN CALIFORNIA AS MAVERIK STORES,INC. <br /> C'R25ON-Ao-� <br />
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