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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161131
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/15/2023 2:17:01 PM
Creation date
9/12/2023 9:12:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0161131
PE
1625
FACILITY_ID
FA0003096
FACILITY_NAME
WHITE PEONY RESTAURANT
STREET_NUMBER
2501
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21420053
CURRENT_STATUS
01
SITE_LOCATION
2501 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 651284 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2829161 <br /> STE 150 Geographical Code: 3906 <br /> LODI,CA 95240 Copies Mailed Date: August 31,2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: WHITE PEONY INC <br /> Name of Business: WHITE PEONY RESTAURANT <br /> Location of Business: 2501 N TRACY BLVD <br /> TRACY,CA 95376 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0053.12 <br /> Mailing Address:(If different 6790 PASEO CATALINA <br /> from PLEASANTON,CA 94566 <br /> premises address) <br /> Type of license(s): 41 Dropping Partner: Yes_ No <br /> Transferor's license/name: 577784 / GAO,DONG QIANG DON <br /> License Tyne Transaction Tyne Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eating PER Y <br /> License Tyne Transaction Description Fee Code Dup Date Fee <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 08/30/23 $100.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 08/30/23 $365.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 08/30/23 $48.00 <br /> Application Fee STATE FINGERPRINTS NA 2 08/30/23 $78.00 <br /> 41-On-Sale Beer And Wine-Ea ANNUAL FEE NA 0 08/30/23 $495.00 <br /> Total $1,086.00 <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: August 30,2023 <br /> Applicant Name(s) <br /> WHITE PEONY INC <br /> N2 0 \ �c � RECEIVED <br /> SEP 0 5 2023 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />
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