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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CRISELDO MINA
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2250
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1600 - Food Program
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PR0545050
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
4/3/2020 1:46:46 PM
Creation date
3/31/2020 2:16:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0545050
PE
1618
FACILITY_ID
FA0025629
FACILITY_NAME
TRACY HILLS GENERAL STORE
STREET_NUMBER
2250
STREET_NAME
CRISELDO MINA
STREET_TYPE
AVE
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
2250 CRISELDO MINA AVE
P_LOCATION
03
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 LICENSE(S) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 614504 <br /> 31 E CHANNEL ST Receipt Number: 2623058 <br /> ROOM 168 Geographical Code: 3906 <br /> STOCKTON,CA 95202 Copies Mailed Date: January27,2020 <br /> (209)948-7739 Issued Date: RECEIVED <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: TRACY HILLS ENTERPRISES INC. JAN 2 9 2020 <br /> Name of Business: TRACY HILLS GENERAL STORE <br /> Location of Business: 2250 CRISELDO MINA WY ENVIRONMENTAL HEALTH <br /> TRACY,CA 95377 PERMIT/SERVICES <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0055.02 <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: <br /> License Type Transaction Type Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine ORI Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 01/27/20 $905.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 01/27/20 $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: January 27,2020 <br /> Applicant Name(s) <br /> TRACY HILLS ENTERPRISES INC. <br /> S <br />
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