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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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PR0538063
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COMPLIANCE INFO
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Last modified
5/1/2023 2:48:53 PM
Creation date
5/1/2023 10:14:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538063
PE
4110
FACILITY_ID
FA0021984
FACILITY_NAME
BLUE MOON TATTOO & PIERCING (LANGLEY, JAMES)
STREET_NUMBER
2306
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95377
APN
23346002
CURRENT_STATUS
02
SITE_LOCATION
2306 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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M. <br /> SAN JOAQ*COUNTY ENVIRONMENTAL HE rI DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton CA 95205-6232 • Phone(209)468-3420 <br />'�s i .q' ..a`tc ' ;i e` �K cfi .t. ��+ '• sye r 3.,ri sG <br /> r "t Linda Turkatte,R.E.H.S.,Directors <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023492 for Record ID# PR0538063 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> ME d . <br /> a � <br /> r llf <br /> . <br /> sa zd � rN ry, <br /> fi a sA N, <br /> < xa + £ <br /> MR <br /> y <br /> "W�" a , <br />+ w+ s MAa <br /> Afa- <br /> frN � <br /> E * x2i Z <br /> ff <br /> T Y <br /> a <br /> r r� <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LANGLEY, JAMES M <br /> DBA: BLUE MOON TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLUE MOON TATTOO & PIERCING (LANGLE` Facility ID FA0021984 <br /> 2306 EAST ST Account lD AR0040086 <br /> TRACY CA' 95377 iFz :" Issued 6/10/2015 <br /> � s <br /> Bitting Address ATTN : LANGLEY, JAMES ' r <br /> BLUE MOON TATTOO & PIERCING <br /> 3203 HONEYDEW CT <br /> TRACY CA 953773` 0�" ^ <br /> 3 <br /> 7027.rpt r <br /> ri <br /> a <br />
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