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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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1600 - Food Program
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PR0516780
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COMPLIANCE INFO_2022
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Last modified
12/13/2022 3:25:31 PM
Creation date
1/25/2022 4:38:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0516780
PE
1625
FACILITY_ID
FA0012798
FACILITY_NAME
TAQUERIA EL GRULLENSE
STREET_NUMBER
2205
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11911017
CURRENT_STATUS
01
SITE_LOCATION
2205 E WATERLOO RD
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: 640671 <br /> 31 E CHANNEL ST Receipt Number: 2743933 <br /> ROOM 168 Geographical Code: 3905 <br /> STOCKTON, CA 95202 Copies Mailed Date: August 24,2022 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON <br /> First Owner: RASIL G,INC. <br /> Name of Business: TAQUERIA EL GRULLENSE <br /> Location of Business: 2205 E WATERLOO RD <br /> STOCKTON,CA 95206 <br /> County: SAN JOAQUIN <br /> Is Premises inside city limits? Yes Census Tract: 0016.00 <br /> Mailing Address:(If different 1331 S WILSON WY <br /> from STOCKTON, CA 95205 <br /> premises address) <br /> Type of license(s): 47 Dropping Partner: Yes_ No <br /> Transferor's license/name: 319316 / GUERRERO, RAMON <br /> License Tyne Transaction Type Master Secondary LT And Count <br /> 47-On-Sale General Eating Place PER/PRM Y <br /> License Tyne Transaction Description Fee Code Dun Date Fee <br /> Application Fee STATE FINGERPRINTS NA 2 08/24/22 $78.00 <br /> Application Fee DBL TRF:PREMISES AND PERSON NA 0 08/24/22 $1,305.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 2 08/24/22 $48.00 <br /> 47-On-Sale General Eating Placa ANNUALFEE P40 0 08/24/22 $1,290.00 <br /> Total $2,721.00 <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 24,2022 <br /> Applicant Name(s) <br /> RASIL G,INC. <br />
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