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COMPLIANCE INFO
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4100 – Safe Body Art
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PR0538139
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COMPLIANCE INFO
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Entry Properties
Last modified
6/7/2023 11:07:20 AM
Creation date
3/30/2023 1:38:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538139
PE
4110
FACILITY_ID
FA0022028
FACILITY_NAME
TELEIOS TATTOO (HOLCOMB, JOHN)
STREET_NUMBER
3414
STREET_NAME
DELAWARE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
3414 DELAWARE AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN J*L*COUNTY ENVIRONMENTAL 00011 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# PT0023570 for Record ID# PR0538139 <br /> Valid From 7/17/2015 To 6/30/2016 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HOLCOMB,JOHN M <br /> DBA: TELEIOS TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TELEIOS TATTOO (HOLCOMB,JOHN) Facility ID FA0022028 <br /> 3414 DELAWARE AVE Account ID AR0040160 <br /> STOCKTON CA 95204 Issued 7/23/2015 <br /> Billing Address: ATTN : HOLCOMB,JOHN <br /> TELEIOS TATTOO (HOLCOMB, JOHN) <br /> 3414 DELAWARE AVE <br /> STOCKTON CA 95204 <br /> 7027.rpt <br />
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