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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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PR0540208
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COMPLIANCE INFO
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Last modified
5/1/2023 2:35:23 PM
Creation date
5/1/2023 11:45:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0540208
PE
4110
FACILITY_ID
FA0022988
FACILITY_NAME
BLUE MOON TATTOO (KAKU, GLORIA)
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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SAN JO,$ COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />LindaTurkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0024751 for Record ID # PR0540208 <br />Valid From 6/12/2015 To 6/30/2016 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: KAKU, GLORIA <br />DBA: BLUE MOON TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLUE MOON TATTOO (KAKU, GLORIA) Facility ID FA0022988 <br />2306 EAST ST /account ID AR0042166 <br />TRACY CA 95377 issued 6/16/2015 <br />Billing Address: ATTN : KAKU, GLORIA <br />BLUE MOON TATTOO (KAKU, GLORIA) <br />1837 MARKSTON RD <br />SACRAMENTO CA 95825 <br />7020.rpt <br />
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