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4100 – Safe Body Art
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PR0515394
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Last modified
2/27/2024 2:48:15 PM
Creation date
3/13/2023 2:29:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0515394
PE
4120
FACILITY_ID
FA0012119
FACILITY_NAME
12 MONKEYS TATTOO STUDIO (HIGHLAND, JON)
STREET_NUMBER
911
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23505611
CURRENT_STATUS
01
SITE_LOCATION
911 CENTRAL AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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7 ` 7 <br /> n SAN JOAQ UTi�iA�ROUNTY ENVIRONMENTAL HEALTH DF ' �' ' ' <br /> a <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)4b&34;111' h <br /> - Donna Heran,R.E.H.S.,Director <br /> F f <br /> fi <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> =,a <br /> Permit ID# PT0010845 for Record ID# PR0515393 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0010846 for Record ID# PR0515394 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> r <br />• - .' _. .' � rad <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HIGHLAND,JON E <br /> DBA: 12 MONKEYS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 12 MONKEYS TATTOO STUDIO Facility lD FA0012119 <br /> 911 CENTRAL AVE Account iD AR0019433 <br /> TRACY CA 95376 Issued 6/4/2013 <br /> Billing Address: ATTN : JON HIGHLAND <br /> 12 MONKEYS TATTOO STUDIO <br /> 878 KATRINA ST <br /> LIVERMORE CA 94550 <br />
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