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4100 – Safe Body Art
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PR0537638
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Entry Properties
Last modified
6/4/2024 1:05:36 PM
Creation date
5/5/2023 10:31:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING
RECORD_ID
PR0537638
PE
4110
FACILITY_ID
FA0021679
FACILITY_NAME
LIVING WATER STUDIOS (PAK, SOPHOLLIE)
STREET_NUMBER
210
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
210 N MAIN ST
P_LOCATION
04
QC Status
Approved
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EHD - Public
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C)C1:�: <br /> c � ENVIRONMENTAL EALT E T <br /> t PERMIT HOLDER IS RESPONSIBLE FOR THIS <br /> 4 PERMIT: Renew on or before expiration date.If <br /> Permit Holder does not receive renewal notice present <br /> this Permit to the address below on or before the <br /> expiration date. Late payments are assessed penalty. <br /> PERMIT IS NOT TRANSFERABLE& <br /> MAY BE REVOKED FOR CAUSE Permit <br /> is void on change of owner. New owner <br /> PAK, SOPHOLLIE must apply and pay for permit(s) rior to <br /> 808 ASTOR DR operation or penalties will be assessed. <br /> STOCKTON, CA 95210 <br /> SANTA CLARA COU KITY-DEPARTMENT OF EEN.!rZONN:"EiVTAI H`:LT6 e <br /> 1555 BERGER DR, SUITE 300,SAN JOSE, CA 951122716 <br /> 408-918-3400 <br /> ENVIRONMENTAL HEALTH PERMIT <br /> REGULATED FACILITY: SOPHOLLIE PAK Facility ID: FA0275372 <br /> 30 N 3RD ST Account ID: AR1305118 <br /> SAN JOSE, CA 95112 Issued: 7/9/2014 <br /> OWNER NAME: PAK,SOPHOLLIE <br /> Permit# PT0483336 4710-BODY ART PRACTITIONER <br /> Program# PR0416121 SOPHOLLIE PAK(AMBITIOUS INK) <br /> Valid From 7/1/2014 to 6/30/2015 <br /> This permit is valid for practice in a permitted body art facility approved by this Department. In accordance with The <br /> Safe Body Art Act, California Health and Safety Code Section 119300 et seq, a body art practitioner with a valid <br /> registration/permit from Santa Clara County is allowed to practice at a permitted body art facility in any other <br /> jurisdiction within California for up to 5 consecutive days or 15 days total in a calendar year. It is the responsibility of <br /> the practitioner to demonstrate to the local enforcement agency that these timelines have not been exceeded. If the <br /> timelines are exceeded, the practitioner must obtain a valid permit in that jurisdiction. <br /> JIM BLAMEY,Director, Department of Environmental Health <br /> DISPLAY IN PUBLIC VIEW <br /> soot.rptt.o.l.os.00 <br />
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