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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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4100 – Safe Body Art
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PR0540594
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Entry Properties
Last modified
1/28/2025 2:47:50 PM
Creation date
5/1/2023 3:58:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING
RECORD_ID
PR0540594
PE
4110
FACILITY_ID
FA0023220
FACILITY_NAME
IN BLOOM TATTOO & PIERCING STUDIO (THAW, KYLE)
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95377
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 JOAQU0OUNTY ENVIRONMENTAL HEALTSEPARTMENT <br /> 1868 E.Hazelton Ave..*Stockton,CA.95205-6232 a 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#PT0024919 for Record ID#PR0540594 <br /> Valid From 7/1/2019 To 6/3012020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s).Valid only for: THAW, KYLE <br /> DBA: BLUE MOON TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLUE MOON TATTOO (THAW, KYLE) Facility ID FA0023220 <br /> 2306 EAST ST Account iD AR0042695 <br /> TRACY CA 95377 issued 511/2019 <br /> Billing Address: ATTN : THAW, KYLE <br /> BLUE.MOON TATTOO <br /> 90 E GRANT LINE RD#3 <br /> TRACY CA 95376 <br /> 7o2zrpt <br />
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