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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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19697
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1600 - Food Program
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PR0548525
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/26/2023 8:49:18 AM
Creation date
9/12/2023 3:34:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548525
PE
1624
FACILITY_ID
FA0027735
FACILITY_NAME
TAQUERIA LA MEXICANA
STREET_NUMBER
19697
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
19697 S MOUNTAIN HOUSE PKWY
QC Status
Approved
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SJGOV\lsauers1
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: 647020 <br /> 31 E CHANNEL ST Receipt Number: 2786039 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON,CA 95202 Copies Mailed Date: March 27, 2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON RECEI I/ ,� <br /> First Owner: M& V MEXICAN FOOD INC <br /> Name of Business: MAR 3 <br /> Location of Business: 19697 S MOUNTAIN HOUSE PKWY I...\Ila <br /> MOUNTAIN HOUSE,CA 95391 q08140.i1y'j�J <br /> County: SAN JOAQUIN , <br /> Is Premises inside city limits? Yes Census Tract: 0052.22 <br /> Mailing Address:(If different 456 BORGES CT <br /> from TRACY,CA 95377 <br /> premises address) <br /> Type of license(s): 41 Dropping Partner: Yes_ No <br /> Transferor's license/name: <br /> License Type Transaction Type Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eatina P ORI Y <br /> License Type Transaction Description Fee Code Dun Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 03/23/23 $990.00 <br /> 41-On-Sale Beer And Wine-Eat ANNUAL FEE NA 0 03/23/23 $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: March 23,2023 <br /> Applicant Name(s) <br /> M&V MEXICAN FOOD INC <br /> a g e r cl Lrn Z e x C_ex' <br /> SCZ (2� 006k02 <br /> Zct`r\ '\ e1 Me�ec\� <br /> Z ° e - 3933 <br /> 0 "5 � '�) s2S <br /> S <br />
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