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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WEBER
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1600 - Food Program
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PR0160810
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COMPLIANCE INFO_2020
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Last modified
3/11/2021 9:04:49 AM
Creation date
11/5/2020 4:09:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0160810
PE
1625
FACILITY_ID
FA0002459
FACILITY_NAME
LA VACA EN BRASAS
STREET_NUMBER
445
Direction
W
STREET_NAME
WEBER
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13726012
CURRENT_STATUS
01
SITE_LOCATION
445 W WEBER AVE STE 122
P_LOCATION
01
P_DISTRICT
001
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(S) <br /> ABC 211(6/99) <br /> TO:Department of Alcoholic Beverage Control File Number: 618983 <br /> 31 E CHANNEL ST Receipt Number: 2647690 <br /> ROOM 168 Geographical Code: 3905 <br /> STOCKTON,CA 95202 Copies Mailed Date: August 25,2020 <br /> (209)948-7739 Issued Date: n !� <br /> DISTRICT SERVING LOCATION: STOCKTON FA 2q5 / <br /> First Owner: LA VACA EN BRASAS R C) <br /> Name of Business: <br /> Location of Business: 445 W WEBER AVE <br /> STE 122 <br /> STOCKTON,CA 95203 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0003.00 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 428684 / CHITIVA,CARLOS OBDULIO <br /> License Type Transaction Tyne Master Secondary LT And Count <br /> 47-On-Sale General Eating Place PER Y <br /> License Type Transaction Description Fee Code Duo Date Fee <br /> Application Fee PERSON TO PERSON TRF NA 0 08/25/20 $1,250.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 08/25/20 $100.00 <br /> Application Fee STATE FINGERPRINTS NA I 08/25/20 $39.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 1 08/25/20 $24.00 <br /> 47-On-Sale General Eating Placc ANNUAL FEE P40 0 08/25/20 $1,235.00 <br /> Total $2,648.00 <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 25,2020 <br /> Applicant Name(s) <br /> LA VACA EN BRASAS <br />
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