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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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18783
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1600 - Food Program
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PR0161731
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/20/2024 9:21:36 AM
Creation date
6/21/2022 7:41:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0161731
PE
1623
FACILITY_ID
FA0000261
FACILITY_NAME
OLD CORNER SALOON
STREET_NUMBER
18783
Direction
E
STREET_NAME
STATE ROUTE 88
City
CLEMENTS
Zip
95227
APN
01924019
CURRENT_STATUS
01
SITE_LOCATION
18783 E HWY 88
P_LOCATION
99
P_DISTRICT
004
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: 633296 <br /> 31 E CHANNEL ST Receipt Number: 2695390 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: November 22,2021 <br /> (209) 948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON / 11` <br /> First Owner: KAG LLC t`E I V D <br /> Name of Business: OLD CORNER SALOON <br /> Location of Business: 18783 E HWY 88 NOV 2 4 2021 <br /> CLEMENTS,CA 95227 <br /> �,, �, ';7,;; I-I[ALTH <br /> County: SAN JOAQUIN L i 1,6L %V I C C S <br /> Is Premises inside city limits? No Census Tract: 0047.03 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 48, 58 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 428019 / ANDERSON,TODD MARVIN <br /> License Tyne Transaction Tyne Master Secondary LT And Count <br /> 48-On-Sale General Public Premises PER Y 58[11 <br /> 58-Caterer Permit PER N <br /> License Tyne Transaction Description Fee Code Dup Date Fee <br /> Application Fee STATE FINGERPRINTS NA 1 11/22/21 $39.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 11/22/21 $1,250.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 1 11/22/21 $24.00 <br /> 58-Caterer Permit ANNUAL FEE NA 1 11/22/21 $230.00 <br /> 48-On-Sale General Public Prem ANNUALFEE Po 0 11/22/21 $790.00 <br /> Total $2,333.00 <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: November 22,2021 <br /> Applicant Name(s) <br /> KAG LLC <br /> G <br />
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