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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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1600 - Food Program
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PR0522348
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COMPLIANCE INFO_2022
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Last modified
11/22/2022 3:49:13 PM
Creation date
11/1/2022 12:40:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0522348
PE
1615
FACILITY_ID
FA0015222
FACILITY_NAME
WR PURE WATER
STREET_NUMBER
3550
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
16422010
CURRENT_STATUS
01
SITE_LOCATION
3550 MANTHEY RD STE B
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: 640658 <br /> 31 E CHANNEL ST Receipt Number: 2743842 <br /> ROOM 168 Geographical Code: 3900 <br /> STOCKTON, CA 95202 Copies Mailed Date: August 24,2022 <br /> (209)948-7739 Issued Date: <br /> DISTRICT SERVING LOCATION: STOCKTON RECEIVED <br /> ? /'+ <br /> First Owner: EUNG, MENG CHHAYKOUNG , a E C E I V E D <br /> Name of Business: WR PURE WATER <br /> Location of Business: 3550 MANTHEY RD AUG 2 9 2022 <br /> STE B <br /> STOCKTON, CA 95206 ENVIRONMENTAL_ HEALTH <br /> County: SAN JOAQUIN ` ``'''' I SERVICES <br /> Is Premises inside city limits? No Census Tract: 0025.03 <br /> Mailing Address:(If different <br /> from <br /> premises address) <br /> Type of license(s): 20 Dropping Partner: Yes_ No_ <br /> Transferor's license/name: <br /> License Tyne Transaction Type Master Secondary IT And Count <br /> 20-Off-Sale Beer And Wine ORI Y <br /> License Type Transaction Description Fee Code Dun Date Fee <br /> Application Fee ADD PRIMARY LICENSE TYPE NA 0 08/24/22 $945.00 <br /> Application Fee STATE FINGERPRINTS NA 3 08/24/22 $117.00 <br /> Application Fee FEDERAL FINGERPRINTS NA 3 08/24/22 $72.00 <br /> 20-Off-Sale Beer And Wine ANNUAL FEE NA 0 08/24/22 $415.00 <br /> Total $1,549.00 <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 /> EUNG,MENG CHHAYKOUNG <br /> OM, BUNNYRATH <br /> O O l 5 2 Z 2 <br /> P (1- '5 22 3 '-I � <br /> coc- -1-\om 5rv,�, ,1 . corn <br /> b'-�4- b 2 -1 0 <br />
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