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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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PR0160475
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
10/9/2024 10:56:10 AM
Creation date
11/15/2023 2:23:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160475
PE
1625
FACILITY_ID
FA0001540
FACILITY_NAME
ROUND TABLE PIZZA
STREET_NUMBER
2405
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11334038
CURRENT_STATUS
01
SITE_LOCATION
2405 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\ymoreno
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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: 652686 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2836437 <br /> STE 150 Geographical Code: 3905 <br /> LODI,CA 95240 Copies Mailed Date: October 2, 2023 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: RTP108 INC <br /> Name of Business: ROUND TABLE PIZZA 1326 <br /> Location of Business: 2405 PACIFIC AVE <br /> STOCKTON,CA 952044441 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0012.00 <br /> Mailing Address:(If different 3772 VERNAZZA CT <br /> from MANTECA,CA 95337-8475 <br /> premises address) <br /> Type of license(s): 41 Dropping Partner: Yes_ No <br /> Transferor's license/name: 146624 / PACIFIC PIZZA INC <br /> License Tyne Transaction Tvne Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eating PER Y <br /> License.ype Transaction Description Fee Code Dun Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 09/25/23 $365.00 <br /> 41-On-Sale Beer And Wine-Ea ANNUAL FEE NA 0 09/25/23 $495.00 <br /> Total $860.00 <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: September 25,2023 <br /> Applicant Name(s) <br /> RTP 108 INC <br /> RECEIVED <br /> OCT 0 6 2023 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />
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