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4100 – Safe Body Art
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PR0537477
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COMPLIANCE INFO
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Last modified
11/19/2024 10:19:27 AM
Creation date
3/17/2021 2:24:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537477
PE
4110
FACILITY_ID
FA0021559
FACILITY_NAME
SECRET SIDEWALK TATTOO (GARCIA, JOSE JR)
STREET_NUMBER
8
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23505516
CURRENT_STATUS
02
SITE_LOCATION
8 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> w ... 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> p i A <br /> Kzvl <br /> s <br /> r ar <br /> Permit ID# PT0022996 for Record ID# PR0537477 ^, <br /> im 'A a z _ t <br /> . u Valid From 71112012 To 6/30/2013 <br /> 7 <br /> 4 , <br /> } f, �� ,ausNx <br /> X"i'q' <br /> t' <br />—7-4, <br /> r t <br /> 1 3` <br /> 32, <br /> 7 <br /> 5.:, f <br /> t,. +.. <br /> qfz <br /> wa•"y+� -� f �r <br /> z <br /> �w !�VW <br /> F <br /> a z� "r, s- <br /> , <br /> IWAII <br /> k x Hr� <br /> +4. <br /> ¢ r <br /> 4+•y „a,. �, 5 :� � s d t! y .r F a:�f ..,„ i= X ir'2'��` a✓7 �'�' Ja <br /> u <br /> r t✓i <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: SECRET SIDEWALK TATTOO (JOSE PACO GARCIA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SECRET SIDEWALK TATTOO (JOSE PACO F , Facility ID FA0021559Account ID AR0039031 <br /> 6 W ELEVENTH ST <br /> TRACY CA 95376 Issued 10/24/2012 <br /> Billing Address: ATTN : GARCIA, JOSE PACO F <br /> SECRET SIDEWALK TATTOO (JOSE PACO F GARCIA) <br /> 6 W ELEVENTH ST <br /> TRACY CA 95376 <br />
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