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4100 – Safe Body Art
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PR0544658
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COMPLIANCE INFO
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Last modified
4/5/2023 12:32:14 PM
Creation date
4/4/2023 4:32:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544658
PE
4110
FACILITY_ID
FA0025383
FACILITY_NAME
ONE TIME TATTOO STUDIO (FUENTES, JOSE)
STREET_NUMBER
1818
STREET_NAME
LUCERNE
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
1818 LUCERNE AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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7771SAN JOAOIN COUNTY ENVIRONMENTAL H 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#PT0026999 for Record ID#PR0544658 <br /> Valid From 7/12/2019 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FUENTES GARCIA,JOSE LUIS <br /> DBA: ONE TIME TATTOO STUDIO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ONE TIME TATTOO STUDIO (FUENTES,JOSE Facility ID FA0025383 <br /> 1818 LUCERNE AVE Account ID AR0047817 <br /> STOCKTON CA 95203 Issued 7/15/2019 <br /> Billing Address: ATTN : FUENTES GARCIA, JOSE LUIS <br /> ONE TIME TATTOO STUDIO <br /> 225 W EATON AVE#20 <br /> TRACY CA 95376 <br /> 7oz7.rpt <br />
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