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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2738
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4100 – Safe Body Art
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PR0537416
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COMPLIANCE INFO
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Entry Properties
Last modified
4/27/2023 11:24:11 AM
Creation date
4/27/2023 10:29:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537416
PE
4110
FACILITY_ID
FA0021515
FACILITY_NAME
IN 2 SKIN (DA SILVA, PAULO)
STREET_NUMBER
2738
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12504002
CURRENT_STATUS
02
SITE_LOCATION
2738 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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�a SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT r <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />3v <br />Donna Heran,R.E.H.S., Director,£} <br />ENVIRONMENTAL HEALTH <br />F ¢� I � Ty .'. ;:. ,x^'., ,. 'C�`i"�V,• :,r l �+ , 'a�,s tw so§f';'t 1 baa. ;. <br />�. PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />a $ rj: <br />Permit ID # PT0022929 for Record ID # PR0537416 <br />Valid From 7/1/2012 To 6/30/2013 4:01 <br />r < 8 z 'a�t f e��s"7y` <br />h <br />axt 7 i yet rIT <br />,,'Al" �� # <br />T � y <br />'r�'s <br />� v � <br />ixt r {rYst m M€ f <br />ty`,§ <br />'� <br />i# c "F+.0 aAt( Y `#0 yi Aqi a 9 wf' <br />yiby.-Eq§ <br />3� i Jw'.�3d m., j�ti SLY,§>•``�3N'�"�'r 3`�.i €t, -. <br />;+ k� t gb t e�£M' t'd sem% $ <br />4 1 <br />i -ttr .F f a k e r M E X "�'44,� f �' rti'^ <br />r <br />,t <br />Qn I PERMITS TO OPERATE are NOT TRANSFERABLE;, `� F <br />*v„�;; and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: DA SILVA, PAULO# <br />DBA: IN 2 SKIN (DA SILVA, PAULO) rs <br />1 <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />s Y IN 2 SKIN (DA SILVA, PAULO)€ � <br />Facility to FA0021515 <br />Regulated Facility: <br />gx, ' "=v Account lD AR0038923 <br />2738 PACIFIC AVE ¢ <br />Issued <br />£k 10/16/2012 <br />x STOCKTON CA 95204 s � t <br />SS a_ <br />Billing Address: ATTN DA SILVA, PAULO�2 T <br />PAP, g IN 2 SKIN (DA SILVA, PAULO) <br />150 SPRUCE AVEx, <br />GALT CA 95632 <br />rrra�,•,r.«+.x d +": + *' Y air £ 1z <br />;I, <br />§ <br />€ <br />Y <br />
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