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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KASSON
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30000
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1600 - Food Program
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PR0549060
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
3/28/2025 11:06:55 AM
Creation date
3/28/2025 11:05:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0549060
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0028168
FACILITY_NAME
SJRC SPRING FLING CAR SHOW
STREET_NUMBER
30000
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
30000 KASSON RD TRACY 95304
Tags
EHD - Public
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)ral, <br />P•a,2 <br />J I A-I t OF CALIFORNIA <br />DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL DIAGitiN OF LICENSED PREMISES <br />APPLICANTIS1 <br />JP, yea, Clu b <br />TYPE OF LICENSE c <br />The Diagran below is a true and correct description of the entrances, exits, interior walls and exterior boundaries of 4-1- <br />the premises to be licensed, includingdinEnsions. <br />)IAGRAM: <br />riee t 1 c Q_ `0.- Crased <br />-e-x Zs el 2-At <br />Ch bkio vs€ crn 1/1.)6-• s <br />60,r kor,LJ <br />g a l ,h but-1 i-aXt <br />ari do° k )a Rci <br />Say, SJ'e2_01i) <br />PREMISES ADDRESS tStreet) <br />(City) <br />Tre <br />Pic-Nr,t€ I-124 <br />Dfon Oa 1-1 <br />LroD <br />tee <br />4c0.60 <br />Club Lis e_ <br />111111111111111 -- <br />. . • • • • • • <br />t is hereby declared that the above-described boundaries, entrances and planned operation (as indicated on the reverse <br />ide), will not be changed without first notifying and securing prior written approval of the Departmnt of Alcoholic <br />werege Control. I declare under Renalty of perjury that the foregoirpois true and correc . <br />te: J 3 /c <br />SIGNATURE <br />ice: <br />SIGNATURE <br />Special Instructions for Applicants for Public Premises Type Licenses <br />Your. signaiire above acknowledges that you are aware that in premises operated as a Public Premises no persons under 21 rs of age are to be allowed. A sign at least 7"x 11" stating "No Person Under 21 Allowed" must be posted near each entrance <br />at a prominent _place in the interior of the premises. <br />3 ARTmENT use only. <br />00 d eLcsini R/ Tie <br />Inspected on: 7 -30 -8C- <br />Certified correct:'' -- <br />C -257 -A (12-84)
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