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4100 – Safe Body Art
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PR0541162
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COMPLIANCE INFO
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Entry Properties
Last modified
5/5/2023 1:08:17 PM
Creation date
5/5/2023 11:08:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541162
PE
4110
FACILITY_ID
FA0023572
FACILITY_NAME
LIVING WATER STUDIOS (LEACH, JACQUELINE)
STREET_NUMBER
210
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
210 N MAIN ST
P_LOCATION
04
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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SAN JOA C OUNTY ENVIRONMENTAL HE iEPARTMENT <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 />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: LEACH, JACQUELINE <br />DBA: LIVING WATER STUDIOS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LIVING WATER STUDIOS (LEACH, JACQUELI Facility ID FA0023572 <br />210 N MAIN ST Account ID AR0043517 <br />MANTECA CA 95336 Issued 7/26/2016 <br />BiiiingAddress: ATTN : LEACH, JACQUELINE <br />LIVING WATER STUDIOS' <br />760 QUAKER RIDGE CT <br />LATHROP CA 95330 <br />7027.rpt <br />
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