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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160477
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COMPLIANCE INFO_2024
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Last modified
5/3/2024 2:11:35 PM
Creation date
2/6/2024 11:21:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0160477
PE
1625
FACILITY_ID
FA0001949
FACILITY_NAME
SAKURA HIBACHI CATERING
STREET_NUMBER
1904
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12702026
CURRENT_STATUS
01
SITE_LOCATION
1904 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 <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 657349 <br /> 3021 REYNOLDS RANCH PKWY Receipt Number: 2877678 <br /> STE 150 Geographical Code: 3905 <br /> LODI, CA 95240 Copies Mailed Date: March 15,2024 <br /> (209)371-6761 Issued Date: <br /> DISTRICT SERVING LOCATION: LODI <br /> First Owner: SAKURA HIBACHI CATERING,INC <br /> Name of Business: SAKURA HIBACHI CATERING <br /> Location of Business: 1904 PACIFIC AVE <br /> STOCKTON,CA 95204 <br /> County SAN JOAQUIN <br /> Is Premises inside city limits Yes Census Tract: 0013.00 <br /> Mailing Address:(If different 1039 HACIENDA AVE <br /> from MANTECA,CA 95336-3348 <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 631081 / NGUYEN,BINH LUU <br /> License Tyne Transaction Type Master Secondary LT And Count <br /> 47-On-Sale General Eating Place FID Y <br /> License Tyne Transaction Description Fee Code Dup Date Fee <br /> Application Fee FIDUCIARY TRANSFER NA 0 03/15/24 $120.00 <br /> Total $120.00 <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 15,2024 <br /> Applicant Name(s) <br /> SAKURA HIBACHI CATERING,INC <br /> RECEIVED <br /> MAR 2 2 2024 <br /> ENVIRONb'IENTAL HEALTH <br /> DEPARTMENT <br />
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