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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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PR0160477
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/30/2021 3:08:27 PM
Creation date
8/17/2021 12:01:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160477
PE
1624
FACILITY_ID
FA0001949
FACILITY_NAME
SAIGON RESTAURANT
STREET_NUMBER
1904
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12702026
CURRENT_STATUS
02
SITE_LOCATION
1904 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Department of Alcoholic Beverage Control State of California h <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) Pp DI10ay�7 <br /> ABC 211 TO:Department of Alcoholic Beverage Control File Number: 631081 6001W9 <br /> 31 E CHANNEL ST Receipt Number: 2685821 <br /> ROOM 168 Geographical Code: 3905 <br /> STOCKTON, CA 95202 Copies Mailed Date: October 29,2021 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: NGUYEN,BINH LUU <br /> Name of Business: SAKURA HIBACHI CATERING 4 2021 <br /> Location of Business: 1904 PACIFIC AVE <br /> STOCKTON,CA 95204 _ I rriC L, I . ,,1 I t H <br /> County: SAN JOAQUIN E' " �iSFVLV�r L_S <br /> Is Premises inside city limits? Yes Census Tract: 0013.00 <br /> Mailing Address:(If different 7323 KELLEY DR <br /> from STOCKTON, CA 95207 <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: <br /> License Type Transaction Type 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 09/27/21 $15,835.00 <br /> 47-On-Sale General Eating Place ANNUAL FEE P40 0 10/29/21 $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 27,2021 <br /> Applicant Name(s) <br /> NGUYEN,BINH LUU <br />
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