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BILLING/PERMITS_JESSE QUEZADA
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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7170
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4100 – Safe Body Art
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PR0537653
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BILLING/PERMITS_JESSE QUEZADA
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Entry Properties
Last modified
5/12/2023 3:25:45 PM
Creation date
3/17/2021 9:02:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0537653
PE
4110
FACILITY_ID
FA0021688
FACILITY_NAME
TALL TALES TATTOO (QUEZADA, JESSE)
STREET_NUMBER
7170
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
7170 WEST LN STE 4
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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F �> <br /> y` SAN JOAQUIN COUNTY ENVIRONMENTAL HEALT DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S., Director '`` ti <br /> �r <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION t <br /> til",t <br /> Permit ID# PT0023136 for Record ID# PRO537653 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> t <br /> Ij <br /> a <br /> A, tti �..i <br /> u <br /> J d <br /> . <br /> e S <br /> r fi k <br /> x,cJit <br /> � <br /> 3f <br /> 4 x <br /> r 4, <br /> �t, y y <br /> .d i <br /> :4 <br /> oJ , ¢hz <br /> & Aa <br /> az, <br /> t dbx,n"F <br /> ¢ J s t7 Q, t+ x wy <br /> F <br /> � 9 <br /> yt <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: QUEZADA,JESSE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021688 <br /> Regulated Facility: BLACK ROSE TATTOO (QUEZADA,JESSE) <br /> Account ID AR0039346 <br /> 237 E MINER AVE 4 <br /> STOCKTON CA 95202-2328w. Issued 6/4/201 <br /> ,- i Y <br /> ;r <br /> Billing Address: ATTN : QUEZADA, JESSE <br /> BLACK ROSE TATTOO (QUEZADA, JESSE) <br /> 334 E 21 ST ST <br /> TRACY CA 95376 <br /> s Ig3•x,fir <br />
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