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4100 – Safe Body Art
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PR0547967
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BILLING/PERMITS
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Entry Properties
Last modified
2/29/2024 9:42:27 AM
Creation date
4/27/2023 1:37:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0547967
PE
4120
FACILITY_ID
FA0027346
FACILITY_NAME
DIVINE EYE TATTOO & PERMANENT COSMETICS (VASQUEZ, STEVIE)
STREET_NUMBER
24
Direction
W
STREET_NAME
ELM
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
24 W ELM ST
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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t <br /> SAN JOAQUI'OUNTY ENVIRONMENTAL HEALI*EPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 •Phone(209)468-3420 <br /> Linda Tutrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0025475 for Record ID# PR0541543 <br /> Valid From 1/5/2017 To 6130/2017 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: VASQUEZ, STEVIE R <br /> DBA: IN 2 SKIN TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: IN 2 SKIN TATTOO (VASQUEZ, STEVIE) Facility ID FA0023817 <br /> 2738 PACIFIC AVE Account ID AR0044122 <br /> STOCKTON CA 95204 Issued 1/6/2017 <br /> Billing Address: ATTN : VASQUEZ, STEVIE R <br /> IN 2 SKIN TATTOO & PIERCING <br /> 2738 PACIFIC AVE <br /> STOCKTON CA 95204 <br /> 7027.rpt <br />
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