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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0543585
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2023 2:46:00 PM
Creation date
7/3/2020 10:15:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543585
PE
4121
FACILITY_ID
FA0021614
FACILITY_NAME
BLACK ROSE TATTOO PARLOR, THE (VASQUEZ, SAMUEL)
STREET_NUMBER
237
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
237 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0543585_237 E MINER_.tif
Tags
EHD - Public
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Mithra Art 05/24/17 <br /> Invoice for#7057 JOSE <br /> 3018 Durfee Ave Unit C <br /> EI Monte CA 91732 <br /> United States <br /> Item Details <br /> Quantity Item Price <br /> VW-X $250.00 <br /> $250.00 <br /> G Piz® <br /> BT $300.00 <br /> -1 $375.00 <br /> f4kX $375.00 <br /> x T $250.00 <br /> $250.00 <br /> $375.00 <br /> G-4 $250.00 <br /> $150.00 <br /> Payment Details <br /> Subtotal price: $3,265.00 <br /> Total tax $0.00 <br /> Shipping/Handling: <br /> Total price: , <br /> Shipping Details <br /> JOSE <br /> BLACK ROSE TATTOO <br /> 237 E MINER AVE <br /> STOCKTON CA 95205 <br /> United States <br /> If you have any questions, please call 1-800-820-7550 or send an email to <br /> m ith ratattooca(a_q mail.com <br />
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