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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0542601
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COMPLIANCE INFO
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Entry Properties
Last modified
3/31/2023 9:49:47 AM
Creation date
3/30/2023 3:11:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542601
PE
4110
FACILITY_ID
FA0024503
FACILITY_NAME
MUDVILLE TAT2 STUDIO (MANOKOUN, DONNA)
STREET_NUMBER
127
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
127 W HARDING WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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j <br /> i <br /> SAN JOAQUAOUNTY ENVIRONMENTAL HEALIWEPARTMENT <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# PT0026015 for Record ID#PR0542601 <br /> Valid From 3/5/2018 To 6/30/2018 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MANOKOUN, DONNA <br /> DBA: MUDVILLE TATTOOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MUDVILLE TAT2 STUDIO (MANOKOUN, DONT Facility ID FA0024503 <br /> 127 W HARDING WAY Account ID AR0045747 <br /> STOCKTON CA 95204 issued 3/5/2018 <br /> Billing Address: ATTN : MANOKOUN, DONNA <br /> MUDVILLE TAT2 STUDIO <br /> 8651 SANTA PAULA WAY APT#1 <br /> STOCKTON CA 95210 <br /> 7027.rpt <br />
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