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CO0055105 (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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4100 – Safe Body Art
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CO0055105 (2)
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Entry Properties
Last modified
11/19/2024 10:19:26 AM
Creation date
11/30/2022 1:24:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
RECORD_ID
CO0055105
PE
4100
FACILITY_NAME
INBLOOM STUDIO
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23517130
ENTERED_DATE
8/4/2022 12:00:00 AM
SITE_LOCATION
18 E. ELEVENTH ST # B
RECEIVED_DATE
8/4/2022 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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<br />TRACY C A <br />Think inside the Triangle" <br /> <br />TRACY <br />111(9 0 P N. <br />Guest <br />Find Account 9 Submit Payment 9 Receipt <br />Business License Online Payment <br />PRINT THIS PAGE FOR YOUR RECORD <br />Thank you for your payment <br />Payment Date: 8/4/2022 1:25:57 PM <br />Confirmation #: 069892 (3833866483) <br />at Home C' Report a Problem <br />Paying 06017776 <br />IN BLOOM <br />Account Information <br />Account # 06017776 <br />Expire Date 6/30/2023 <br />Name INBLOOM <br />Address 18 E 11TH ST STE B <br />City TRACY <br />Phone (209) 637-9764 <br />Summary <br />STD Input Balance Due <br />Employee Fee - Full time 2.00 $120.00 <br />State CASp Fee (AB1379) 1.00 $4.00 <br />Application Fee 1.00 $14.00 <br />Total Balance Due $138.00 <br />Payment Information <br />Credit Card # x8626 <br />Payment Amount <br /> $138.00 <br />Pwlered W HdV
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