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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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PR0543906
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COMPLIANCE INFO
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Entry Properties
Last modified
5/18/2023 2:16:39 PM
Creation date
4/25/2023 11:44:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543906
PE
4110
FACILITY_ID
FA0024966
FACILITY_NAME
CANVAS TATTOO (GARCIA, JOHN)
STREET_NUMBER
304
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
304 W HARDING WAY STE B
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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;r <br />Y �fi <br />r 'b: <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: GARCIA, JOHN J <br />DBA: FORSAKEN TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: FORSAKEN TATTOO (GARCIA, JOHN J) Facility ID FA0022735 <br />13463 HWY 88 Account ID AR0041648 <br />. <br />LOCKEFORD CA 95237 Issued 1/7/2015 <br />Billing Address: ATTN : GARCIA, JOHN J <br />FORSAKEN TATTOO (GARCIA, JOHN J) <br />1721 SWENSON CT <br />STOCKTON CA 95206 <br />' <br />SAN JOAQUIi UNTY ENVIRONMENTAL HEALTPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director" <br />ENVIRONMENTAL HEALTH <br />r <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0024458 for Record ID # PRO539735 <br />Valid From 1/6/2015 To 6/30/2015 <br />1 <br />;r <br />Y �fi <br />r 'b: <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: GARCIA, JOHN J <br />DBA: FORSAKEN TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: FORSAKEN TATTOO (GARCIA, JOHN J) Facility ID FA0022735 <br />13463 HWY 88 Account ID AR0041648 <br />. <br />LOCKEFORD CA 95237 Issued 1/7/2015 <br />Billing Address: ATTN : GARCIA, JOHN J <br />FORSAKEN TATTOO (GARCIA, JOHN J) <br />1721 SWENSON CT <br />STOCKTON CA 95206 <br />
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