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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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1600 - Food Program
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PR0163026
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COMPLIANCE INFO_2021
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Last modified
11/23/2021 1:59:32 PM
Creation date
7/29/2021 11:56:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0163026
PE
1624
FACILITY_ID
FA0001071
FACILITY_NAME
MARISCOS PABLO
STREET_NUMBER
1036
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14715310
CURRENT_STATUS
01
SITE_LOCATION
1036 S CENTER ST #C
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: 632521 <br /> 3I E CHANNEL ST Receipt Number: 2690730 <br /> ROOM 168 Geographical Code: 3905 <br /> STOCKTON, CA 95202 Copies Mailed Date: October 21,2021 <br /> (209) 948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> RECEIVED <br /> First Owner: GAMA,JUANA OCT z 5 21-71 <br /> Name of Business: MARISCOS PABLO <br /> Location of Business: 1036 S CENTER ST 1 NN'IRONMENTAL 11EAU'II <br /> STEC 1)1' PA10-11ENT <br /> STOCKTON,CA 95206 <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): 41 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: 612626 / GUIDOSFLORES, SANTOS GLADIS <br /> License Type Transaction Tyne Master Secondary LT And Count <br /> 41-On-Sale Beer And Wine-Eating P PER Y <br /> License Type Transaction Description Fee Code Dup Date Fee <br /> Application Fee STATE FINGERPRINTS NA 2 10/21/21 $78.00 <br /> Application Fee PERSON TO PERSON TRF NA 0 10/21121 $335.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 10/21/21 $48.00 <br /> Application Fee ISSUE TEMPORARY PERMIT NA 1 10/21/21 $100.00 <br /> 41-On-Sale Beer And Wine-Eat ANNUAL FEE NA 0 10/21/21 $455.00 <br /> Total $1,016.00 <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: October 2I, 2021 <br /> Applicant Name(s) <br /> GAMA,]DANA <br />
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