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4100 – Safe Body Art
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PR0538823
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Entry Properties
Last modified
5/16/2023 4:26:13 PM
Creation date
3/17/2021 9:37:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
RECORD_ID
PR0538823
PE
4110
FACILITY_ID
FA0022298
FACILITY_NAME
TALL TALES TATTOO (JIMENEZ, ERICK D)
STREET_NUMBER
7170
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
12802001
CURRENT_STATUS
01
SITE_LOCATION
7170 WEST LN STE 4
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN JOAQOCOUNTY ENVIRONMENTAL HEA DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 ♦Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY-ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0024001 for' Record ID# PR0538823 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> * * * D U P L I C A T E <br /> 1: <br /> t <br /> ft . <br /> r <br /> 3 <br /> { <br /> y5 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JIMENEZ, ERICK D <br /> DBA: LUCKY YOU TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LUCKY YOU TATTOO (JIMENEZ, ERICK D) Facility ID FA0022298 <br /> 181 W ALAMEDA ST Account ID AR0040696 <br /> MANTECA CA 95336 issued 11/16/2015 <br /> Billing Address: ATTN : JIMENEZ, ERICK D <br /> LUCKY YOU TATTOO (JIMENEZ, ERICK D) <br /> 3749 ESTATE DR <br /> STOCKTON CA 95209 <br /> 7027.rpt <br /> e r., <br />
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