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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TRACY
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2189
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4100 – Safe Body Art
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PR0537534
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COMPLIANCE INFO
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Entry Properties
Last modified
4/6/2023 4:28:52 PM
Creation date
7/3/2020 10:15:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537534
PE
4121
FACILITY_ID
FA0021606
FACILITY_NAME
LIVING INK (EBRIHIMI, RAZER)
STREET_NUMBER
2189
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2189 N TRACY BLVD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537534_2189 N TRACY_.tif
Tags
EHD - Public
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PID')EPARTMENT <br /> SAN JOAQUIN.COUNTY ENVIRONMENTAL HEALT <br /> 1868 E.Hazelton Ave. a Stockton,,C-A. 5105-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023048 for Record ID# PR0537533 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> Permit ID# PT0023049 for Record ID# PR0537534 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> xt <br /> u <br /> e <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: EBRIHIMI, RAZER <br /> DBA: LIVING INK <br /> ES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021606 <br /> Regulated Facility: LIVING INK(EBRIHIMI, RAZER) Account ID AR0039144 <br /> 2189 N TRACY BLVD <br /> Issued 6/4/2013 <br /> TRACY CA 95376 <br /> Billing Address: ATTN : EBRIHIMI, RAZER <br /> LIVING INK (EBRIHIMI, RAZER) <br /> 2189 N TRACY BLVD <br /> TRACY CA 95376 <br /> t� <br />
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