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4100 – Safe Body Art
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PR0541158
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Entry Properties
Last modified
9/13/2024 2:54:34 PM
Creation date
4/6/2023 11:16:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0541158
PE
4120
FACILITY_ID
FA0023568
FACILITY_NAME
LIVING WATER STUDIOS (SHEA, THOMAS)
STREET_NUMBER
210
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
210 N MAIN ST
P_LOCATION
04
QC Status
Approved
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SJGOV\lsauers
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EHD - Public
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SAN JOAQL(RCOUNTY ENVIRONMENTAL <br /> HEALMDEPARTMENT <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#PT0023205 for Record ID#PR0537718 <br /> Valid From 4/14/2015 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PER Valid only for: SHEA,THOMAS F <br /> DBA: WRONG SIDE OF THE TRACKS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WRONG SIDE OF THE TRACKS (SHEA,THOMAS) Facility ID FA0021737 <br /> 512 N UNION RD Account ID AR0039486 <br /> MANTECA, CA 95336 issued 4/17/2015 <br /> Billing Address: ATTN : SHEA;THOMAS F <br /> WRONG SIDE OF THE TRACKS (SHEA, THOMAS) <br /> 1951 SCARBOROUGH DR APT 10 <br /> LODI, CA 95240 <br /> 7o2a.rpt <br />
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