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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WEBER
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742
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4100 – Safe Body Art
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PR0543940
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COMPLIANCE INFO
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Entry Properties
Last modified
4/18/2023 11:48:01 AM
Creation date
3/12/2021 11:40:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543940
PE
4121
FACILITY_ID
FA0024988
FACILITY_NAME
BLACK KOBRA (AZEVEDO, JEREMY)
STREET_NUMBER
742
Direction
E
STREET_NAME
WEBER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
742 E WEBER AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: AZEVEDO, JEREMY D <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLACK ROSE TATTOO (AZEVEDO, JEREMY [ Facility ID FA0021565 <br />Account ID AR0039037 <br />237 E MINERIssued 5/23/2014 <br />STOCKTON CA 95206 <br />Billing Address: ATTN : AZEVEDO, JEREMY D <br />BLACK ROSE TATTOO (AZEVEDO, JEREMY D) <br />1834 LUCERNE AVE <br />STOCKTON CA 95203 <br />
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