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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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PR0537369
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COMPLIANCE INFO
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Entry Properties
Last modified
3/8/2024 12:05:42 PM
Creation date
4/25/2023 12:32:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537369
PE
4110
FACILITY_ID
FA0021473
FACILITY_NAME
CANVAS TATTOO (MICHAEL WRIGHT)
STREET_NUMBER
304
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13708003
CURRENT_STATUS
02
SITE_LOCATION
304 W HARDING WAY STE B
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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SAN'd�AQIfiI Q`CTNTY ENVIRONMENTAL HEALTIH�EPARTMENT <br /> a <br /> 1$G8 E.klaeW t AVe. s Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> 41 • r , <br /> Donna Heran,R.E.H.S.,Director <br /> aa�+ <br /> ENVIRONMENTAL HEALTH p W F <br /> x PERMIT TO OPERATE 4110 BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022886 for Record ID# PR0537369 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> `C k <br /> t �cr <br /> a <br /> �• sr.�^fJ qh. <br /> Z <br /> TA <br /> h <br /> Ise r <br /> 4 <br /> , d 1 - <br /> f f <br /> 2 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br />�s and may be SUSPENDED or REVOKED for cause. <br />� y f PERMIT(s)Valid only for: WRIGHT, MICHAEL B <br /> a DBA: CANVAS TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON PREMISES <br /> Facility ID FA0021473 <br /> Regulated Facility: CANVAS TATTOO (MICHAEL WRIGHT) <br /> 304 W HARDING WAY# B Account ID <br /> AR0038864 <br /> S <br /> Issued 10/16/2012 <br /> TOCKTON CA 95204 <br /> Boring Address ATTN : WRIGHT, MICHAEL B <br /> CANVAS TATTOO (MICHAEL WRIGHT) <br /> 304 W HARDING WAY ` <br /> ' STOCKTON CA 95204 � .� <br /> 4z r"r "Ot <br /> 3 <br /> r <br />
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