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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PESCADERO
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1005
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1600 - Food Program
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PR0541184
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
8/30/2022 11:40:08 AM
Creation date
2/24/2022 3:17:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0541184
PE
1621
FACILITY_ID
FA0023585
FACILITY_NAME
TRACY SPORT BAR
STREET_NUMBER
1005
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
1005 E PESCADERO AVE #109
P_LOCATION
03
QC Status
Approved
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SJGOV\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: 625665 <br /> 31 E CHANNEL ST Receipt Number: 2667242 <br /> ROOM 168 Geographical Code: 3906 <br /> STOCKTON, CA 95202 Copies Mailed Date: April 16,2021 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: TOVAR PATERNINA,KARENT V14� <br /> Name of Business: TRACY SPORTS BAR l� <br /> a � <br /> Location of Business: 1005 E PESCADERO AVE <br /> STE 2021 <br /> TRACY,CA 95304 APR 1 <br /> EN <br /> County: SAN JOAQUIN PER �1 NTq£ HE4t <br /> Is Premises inside city limits? Yes Census Tractr'SER)oM OZTN <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 48 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 589366 / BERLIZ INC <br /> License Type Transaction Type Master Secondary LT And Count <br /> 48-On-Sale General Public Premises PER Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 04/16/21 $1,250.00 <br /> Application Fee STATE FINGERPRINTS NA 1 04/16/21 $39.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 1 04/16/21 $24.00 <br /> 48-On-Sale General Public Prem ANNUAL FEE P40 0 04/16/21 $1,235.00 <br /> Total $2,548.00 <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 16,2021 <br /> Applicant Name(s) <br /> TOVAR PATERNINA,KARENT VIVIANA <br /> �A 2"2 <br /> S <br />
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