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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
Tags
EHD - Public
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�k e SAN JOAQti , COUNTY ENVIRONMENTAL HEAD'.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 /> Mfr .' PERMIT TO OPERATE 4110-BODY ART PRACTITIONER REGISTRATION <br /> r Permit ID# PT0023205 for Record ID# PR0537718 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0024880 for Record ID# PR0540472 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> +�� <br /> aC F fin:t Ih' <br /> a E. <br /> w , <br /> :y <br /> r <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> xa PERMIT(s)Valid only for: SHEA, THOMAS F <br /> p DBA: LIVING WATER STUDIOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> " Facility ID <br /> Regulated Facility: LIVING WATER STUDIOS (SHEA, THOMAS) FA0021737 <br /> 1371 E YOSEMITE AVE Account ID AR0039486 <br /> " MANTECA CA 95336 Issued 9/30/2015 <br /> Billing Address: ATTN : SHEA, THOMAS F <br /> LIVING WATER STUDIOS (SHEA, THOMAS <br /> 2044 LANDRETH PL <br /> t MANTECA CA 95336 <br /> y <br /> �,� 7 - . <br /> - i f.� { �J Y {any E.$ i . . Y <br /> ..��.�.. ,�:.r w.,,�,.�s.^�,E,_..,w.,d.��m.,,.a�-,�<au��,:�..�,�,...�,...�.�..---:.,..�s�..�.., � t� '�..�t���e�.m.�_�.. _ _. .. v, ... � ,.�� <br />
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