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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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PR0537414
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Entry Properties
Last modified
8/9/2024 10:50:33 AM
Creation date
4/27/2023 11:47:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING
RECORD_ID
PR0537414
PE
4110
FACILITY_ID
FA0021513
FACILITY_NAME
IN 2 SKIN TATTOO (VASQUEZ, PHILLIP)
STREET_NUMBER
2738
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12504002
CURRENT_STATUS
01
SITE_LOCATION
2738 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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x <br /> MAX °B' �Y_,". i 'v S k s`gjtVS <br /> SAN JOAQUI�iUNTY ENVIRONMENTAL HEALT EPARTMENT <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 /> �� , <br /> �' <br /> .I &;v`iax,•+ .F$,* ',',4 1h'r"Y.a'4ftSu'rvtt'" y� (a�wt , " <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> ._ ;.l <br /> Permit ID# PT0022927 for Record ID# PR0537414 <br /> Valid From 7/1/2014 To 6/30/2015 #; <br /> A �� <br /> WN <br /> t .w <br /> `a!, Y �+ J h # 8< p <br /> ,� ' st ✓� r °� �'s E^� "7:,r ' 'ti '' ..'''" ��' ,�.� -n <br /> 4 <br /> ! <br /> „y. <br /> i:' � <br /> yc <br /> DON2 '2re [ S r8 <br /> .� <br /> tq <br /> =3 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: VASQUEZ, PHILLIP <br /> DBA: IN 2 SKIN TATTTOO-VASQUEZ, PHILLIP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021513 <br /> Regulated Facility: PHILLIP) <br /> v IN 2 SKIN TATTOO (VASQUEZ, Account ID AR0038921 <br /> 2738 PACIFIC AVEq issued <br /> STOCKTON CA 95204 `�� 7 � 5123/2014 <br /> ycc ss4 y P 4 4 <br /> h 7 Pie.,y <br /> e tv ,^' ka <br /> .. tit x„T' <br /> Billing Address: ATTN : VASQUEZ, PHILLIP <br /> f- <br /> IN 2 SKIN TATTOO VASQUEZ, PHILLIP <br /> 905 COLD BROOK CT <br /> GALT CA 95632W V . <br /> ilt, I <br /> t <br />
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