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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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NAGLEE
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3200
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4100 – Safe Body Art
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PR0539627
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COMPLIANCE INFO
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Entry Properties
Last modified
4/4/2023 2:09:45 PM
Creation date
7/3/2020 10:15:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539627
PE
4121
FACILITY_ID
FA0022679
FACILITY_NAME
LOTUS PIERCING & TATTOOING (PATEL, YOGESH)
STREET_NUMBER
3200
Direction
N
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
3200 N NAGLEE RD STE 116
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0539627_3200 N NAGLEE_.tif
Tags
EHD - Public
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SAN JOAQUIN OUNTY ENVIRONMENTAL REALTIREPARTMENT - <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> ¢{ PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> $_>. .. Permit ID# PT0024380 for Record ID# PR0539627 <br /> Valid From 11/19/2014 To 6/30/2015 <br /> • <br /> 3 <br /> 4 <br /> i-'.. - ' M��S�_e?- •'�eanti�Sy7�4'.'a�r". spa'*...�: -tie .t• ;'`" t.a <br /> rte_.___ _: . <. .ffi. .,,>x .,arr,ri�r �. ,- � tx :v++Ya„:cw re' u•�»�K�x <br /> ,•fv psat.-Yn � -v rWerM1va,.1 .4:. .., 'T ag'a."e'y---t- JWG, A11•.CTy s{'k'^"t.`e�'['T"$"�< "8" `+� <br /> ip <br /> r„w ib,lr s ia.�rix t€cx Fx ticX�.rrxvv�l� Yi w. rs swr <br /> f PERMITS TO OPERATE are NOT TRANSFERABLE <br /> -° - - and may be SUSPENDED or REVOKED for cause. <br /> ” PERMIT(s)Valid only for: PATEL YOGESH <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Faculty, LOTUS PIERCING &TATTOOING (PATEL, YO( - ' Facility ID FA0022679 <br /> 3200 N NAGLEE RD 116 Account ID AR0041520 <br /> d <br /> � issue 11/26/2014 <br /> TRACY CA 95304 <br /> i Billing Address: ATTN : PATEL;YOGESH < <br /> LOTUS PIERCING &TATTOOING (PATEL, YOGESH) ' <br /> X780 OAK GROVE RD D320 <br /> QONCORD CA 94518 r <br /> Y . <br /> ;y, <br />
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