Gopuff Calls for Service

GLENDALE POLICE DEPARTMENT
Liquor Application Worksheet

Date: 05-24-22
License Type: Series 9 Liquor Store {All spirituous liquor)

Definition: Allows a spirituous liquor store retailer to sell all spirituous liquors, only in the original unbroken
package, to be taken away from the premises of the retailer and consumed off the premises. Delivery service is
allowed.

Application Type: Person and Location Transfer

Definition: The application process for conveying the ownership of a license from one person to another and
moving the license from one premises to another, all within the same county.

Business Name: gopuff
Business Address: 5950 W. Glendale Ave.

Applicant/s Information
Name: Lewkowitz, Andrea Dahiman
(Agent)
Name: Uishayev, Rafael
Name: Gola, Yakir Aaron
Name: Detmer, David Christopher

(Manager)
Background investigation of applicant/s completed.

Liquor Related
Vice Related
Drug Related
Fights / Assaults 2 2
Robberies
Burglary / Theft 2 1
911 calls
Trespassing 4 2
Accidents
Fraud / Forgery
Threats 1 4
Criminal damage
Other non-criminal* 16 8
Other criminal 1
Total calls for service 27 NIA 15

* Other non-criminal includes calls such as suspicious persons, juveniles disturbing and other information only reports that required Police
response or phone call.

GLENDALE POLICE DEPARTMENT
Liquor Application Worksheet
Page 2 of 2

Applicant Background Synopsis:

None of the listed applicant(s) have any known felony convictions within the past five years or any other
known criminal history that would lead to police department recommendation for denial.

Current License Holder:

Khalid, Mushtaq (Agent)
South Central Gill Inc. (Owner)

There are no known concerns with the current license holder.

Location History:

No significant Calls for Service history at this location.

Special Concerns:

None found

Background investigation complete:

Police Department recommendation has No Cause for Denial.

Date

Investigating Officer — M. Ervin [1 LLYN $-3)-22

CID Lieutenant or Commander

Deputy City Attorney 4.

Chief of Police or designee - bo ly- DW