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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1600 - Food Program
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PR0162336
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/19/2024 10:19:34 AM
Creation date
2/17/2021 8:15:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0162336
PE
1615
FACILITY_ID
FA0006388
FACILITY_NAME
CENTRAL GAS TRACY
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
01
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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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: 625335 <br /> 31 E CHANNEL ST Receipt Number: 2666401 <br /> ROOM 168 Geographical Code: 390U ' ^a <br /> STOCKTON,CA 95202 Copies Mailed Date: April 6r <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON HDR O 8 2021 <br /> First Owner: 11TH STREET PETROLEUM INC ENVIRONMENTAL HEALTH <br /> Name of Business: 11TH ST PETROLEUM INC PERMIT/SERVICES <br /> Location of Business: 950 W 11TH ST <br /> TRACY,CA 95376 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0054.03 <br /> Mailing Address:(If different 510 MYRTLE AVE <br /> from SOUTH SAN FRANCISCO,CA 94080 <br /> premises address) <br /> Type of license(s): 20 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 409546 / PATEL,MAHESH KANJI <br /> License Type Transaction Type Master Secondary LT And Count <br /> 20-Off-Sale Beer And Wine PER Y <br /> License Type Transaction Description Fee Code Dun Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 04/06/21 $335.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 04/06/21 $400.00 <br /> Total $735.00 <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: April 6,2021 <br /> Applicant Name(s) <br /> 11TH STREET PETROLEUM INC <br />
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