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BILLING/PERMITS_MARK ESCALANTE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0539819
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BILLING/PERMITS_MARK ESCALANTE
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Entry Properties
Last modified
2/6/2024 4:27:59 PM
Creation date
3/15/2021 8:37:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0539819
PE
4110
FACILITY_ID
FA0022777
FACILITY_NAME
TALL TALES TATTOO (ESCALANTE, MARK A)
STREET_NUMBER
7170
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
7170 WEST LN STE 4
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIdOUNTY ENVIRONMENTAL HEAIAEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda rurkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0024509 for Record ID#PR0539819 <br /> Valid From 7/1/2018 To 6/30/2019 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ESCALANTE, MARK A <br /> DBA: BLACK ROSE TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO PARLOR(ESCALANTI Facility ID FA0022777 <br /> 237 E MINER AVE AccountlD AR0041742 <br /> STOCKTON CA 95202 Issued 7/25/2018 <br /> Billing Address: ATTN : ESCALANTE, MARK A <br /> BLACK ROSE TATTOO PARLOR <br /> 205 E LA MESA AVE <br /> STOCKTON CA 95207 <br /> 7027.rpt <br />
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