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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160902
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
5/13/2021 4:35:54 PM
Creation date
4/3/2019 4:05:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0160902
PE
1615
FACILITY_ID
FA0001818
FACILITY_NAME
BULLFROG LANDING MARINA
STREET_NUMBER
17251
STREET_NAME
BACON ISLAND
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
12917003
CURRENT_STATUS
01
SITE_LOCATION
17251 BACON ISLAND RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 608672 <br /> 31 E CHANNEL ST Receipt Number: 2589795 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: August 8,2019 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: LE,TIFFANY THUY <br /> Name of Business: BULLFROG LANDING& MARINA <br /> Location of Business: 17251 BACON ISLAND RD <br /> STOCKTON,CA 95219 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? No Census Tract: 0039.00 <br /> Mailing Address:(If different 211 VISTA CREEK CIR <br /> from SACRAMENTO,CA 95835 <br /> premises address) <br /> Type of license(s): 20 Dropping Partner: Yes_ No <br /> Transferor's license/name: 555666 / DELTA SKI BEACH,INC. <br /> License Tyne Transaction Type Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine PER Y <br /> License Type Transaction Description Fee Code DuR Date Fee <br /> Application Fee STATE FINGERPRINTS NA 2 08/08/19 $78.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 08/08/19 $100.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 08/08/19 $335.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 08/08/19 $48.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 08/08/19 $296.00 <br /> Total $857.00 <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 8,2019 <br /> Applicant Name(s) <br /> LE,TIFFANY THUY <br /> LY,TODD VINH <br />
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