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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1600 - Food Program
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PR0516444
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/19/2022 12:53:13 PM
Creation date
2/17/2022 9:26:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0516444
PE
1624
FACILITY_ID
FA0012606
FACILITY_NAME
FONDITA MEXICAN RESTAURANT
STREET_NUMBER
2708
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12118026
CURRENT_STATUS
01
SITE_LOCATION
2708 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
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 LICENSES) <br /> ABC 211 (6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 643394 <br /> 31 E CHANNEL ST Receipt Number: 2757091 <br /> ROOM 168 Geographical Code: 3905 <br /> STOCKTON,CA 95202 Copies Mailed Date: October 18,2022 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: ALVARADO DIAZ,MARIA <br /> Name of Business: FONDITA MEXICAN RESTAURANT <br /> Location of Business: 2708 COUNTRY CLUB BLVD <br /> STOCKTON,CA 95204 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0010.00 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 41 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: <br /> License Tyne Transaction Type Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eating P ORI Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee STATE FINGERPRINTS NA 3 10/18/22 $117.00 <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 10/18/22 $945.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 3 10/18/22 $72.00 <br /> 41 -On-Sale Beer And Wine-Eat ANNUAL FEE NA 0 10/18/22 $475.00 <br /> Total $1,609.00 <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: October 18, 2022 <br /> Applicant Name(s) t <br /> ALVARADO DIAZ,MARIA <br /> GONZALEZ DE SANCHEZ,LILIA <br />
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