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4100 – Safe Body Art
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PR0540884
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Entry Properties
Last modified
3/8/2024 1:24:02 PM
Creation date
3/30/2023 2:48:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0540884
PE
4120
FACILITY_ID
FA0021546
FACILITY_NAME
MUDVILLE TAT2 STUDIO (CHAVEZ, MANUEL)
STREET_NUMBER
127
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
12707032
CURRENT_STATUS
01
SITE_LOCATION
127 W HARDING WAY STE A
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN JOAQU*OUNTY ENVIRONMENTAL HEALAEPARTMENT <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)D#PT0022974 for Record ID# PR0537458 <br /> Valid From 7/1/2015 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: HURTADO, GUSTAVO <br /> DBA: FATZO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: <br /> FATZO (HURTADO, GUSTAVO) Facility ID FA0021546 <br /> 127 W HARDING WAY#B Account to AR0038993 <br /> STOCKTON CA 95204 issued 5/28/2015 <br /> Billing Address: ATTN : HURTADO, GUSTAVO <br /> FATZO (HURTADO, GUSTAVO) <br /> 9570 BANCROFT WAY <br /> STOCKTON CA 95209 <br /> 7027.rpt <br />
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