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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0538020
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COMPLIANCE INFO_2021
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Last modified
3/31/2022 4:30:13 PM
Creation date
3/31/2021 1:55:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0538020
PE
1624
FACILITY_ID
FA0021955
FACILITY_NAME
IBIZA
STREET_NUMBER
2113
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11336304
CURRENT_STATUS
01
SITE_LOCATION
2113 PACIFIC AVE C
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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PR o538aao <br /> Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ��} 6,02 /q55 <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 620850 <br /> 31 E CHANNEL ST Receipt Number: 2664533 <br /> ROOM 168 Geographical Code: 3905 <br /> STOCKTON, CA 95202 Copies Mailed Date: March 12,2021 <br /> (209) 948-7739 Issued Date: R E C EE I@'14 0 E <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: ZARATE ENTERPRISES,INC. MAR 15 2021 <br /> Name of Business: IBIZA <br /> Location of Business: 2113 PACIFIC AVE ENVIRONMENTAL HEALTH <br /> STOCKTON,CA 95204-5329 PERMMSERVICES <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0012.00 <br /> Mailing Address:(If different 2182 CABANA LN <br /> from TRACY,CA 95377 <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes_ No <br /> Transferor's license/name: <br /> License Type Transaction TyT7e Master Secondary LT And Count <br /> 47-On-Sale General Eating Place ORI Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 09/28/20 $15,835.00 <br /> 47-On-Sale General Eating Place ANNUALFEE P40 0 03/12/21 $1,235.00 <br /> Total $17,070.00 <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: September 28, 2020 <br /> Applicant Name(s) <br /> ZARATE ENTERPRISES,INC. <br />
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