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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0543461
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BILLING/PERMITS
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Entry Properties
Last modified
11/19/2024 10:19:14 AM
Creation date
5/1/2023 2:58:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0543461
PE
4110
FACILITY_ID
FA0024667
FACILITY_NAME
IN BLOOM TATTOO & PIERCING STUDIO (UNDERWOOD, KIARA)
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
18 E ELEVENTH ST STE B
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Linda Turkatte, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br /> Permit ID # PT0026147 for Record ID # PR0543461 <br /> Valid From 7/1 /2020 To 6/30/2021 <br /> PERMITS TO OPERATE we NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: GUERRERO, KIARA <br /> DBA: BLUE MOON TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLUE MOON TATTOO & PIERCING (GUERREI Facility ID FA0024667 <br /> 2306 EAST ST Account ID AR0046128 <br /> TRACY CA 95376 Issued 8/12/2020 <br /> Billing Address: ATTN : GUERRERO , KIARA <br /> BLUE MOON TATTOO & PIERCING <br /> 634 SCOOTER WAY <br /> STOCKTON CA 95209 <br /> 702zrmc <br />
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