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4100 – Safe Body Art
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PR0523952
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Entry Properties
Last modified
10/8/2024 9:44:40 AM
Creation date
4/25/2023 3:04:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0523952
PE
4121
FACILITY_ID
FA0014791
FACILITY_NAME
CANVAS TATTOO (MELISSA SANTOS)
STREET_NUMBER
304
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13708003
CURRENT_STATUS
01
SITE_LOCATION
304 W HARDING WAY STE B
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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` t <br /> { SAN JOAQUPi tUNTY ENVIRONMENTAL HEALPAR'TMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH P . <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0016322 for Record ID# PR0523951 - <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> Permit ID# PT0016323 for Record ID# PR0523952 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SANTOS, MELISSA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0014791 <br /> Regulated Facility: CANVAS TATTOO (MELISSA SANTOS) Account ID AR0025195 <br /> 304 W HARDING WAY# B Issued 5/23/2014 <br /> STOCKTON CA 95204 <br /> ATTN : SANTOS, MELISSA <br /> CANVAS TATTOO (MELISSA SANTOS) <br /> 9306 LANDSDOWNE DR <br /> STOCKTON CA 95210 <br /> n <br />
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