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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2319
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1600 - Food Program
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PR0537622
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/14/2023 2:40:42 PM
Creation date
8/25/2023 4:13:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0537622
PE
1624
FACILITY_ID
FA0021666
FACILITY_NAME
CREPERIE LE POMPON
STREET_NUMBER
2319
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11335410
CURRENT_STATUS
01
SITE_LOCATION
2319 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\lsauers1
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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: 648691 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2803046 <br /> STE 150 Geographical Code: 3905 <br /> LODI,CA 95240 Copies Mailed Date: May 23,2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: FLORES,JUDITH <br /> Name of Business: CREPERM LE POMPON <br /> Location of Business: 2319 PACIFIC AVE <br /> STOCKTON,CA 95204 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0012.00 <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 Tvpe 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 ADD PRIMARY LICENSE TYPE NA 0 05/22/23 $990.00 <br /> 41-On-Sale Beer And Wine-Eat ANNUAL FEE NA 0 05/22/23 $495.00 <br /> Total $1,485.00 <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: May 22,2023 <br /> Applicant Name(s) <br /> FLORES,JUDITH <br /> GUIZAR,MANUEL JR <br />
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