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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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PR0537425
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COMPLIANCE INFO
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Entry Properties
Last modified
5/12/2023 2:27:58 PM
Creation date
5/11/2023 12:12:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537425
PE
4110
FACILITY_ID
FA0021521
FACILITY_NAME
LUCKY YOU TATTOO (CODY YOUNG)
STREET_NUMBER
181
Direction
W
STREET_NAME
ALAMEDA
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21726020
CURRENT_STATUS
02
SITE_LOCATION
181 W ALAMEDA ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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.$SANJOAQUII�OUNTY ENVIRONMENTAL HEALT DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />r ft's: Donna Heran, R.E.H.S., Director <br />�x <br />r <br />ENVIRONMENTAL HEALTH <br />r <br />I <br />t <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />I <br />� <br />Permit ID # PT0022944 for Record ID # PRO537425 <br />Valid From 7/1/2013 To 6/30/2014 <br />�x <br />r <br />I <br />f, <br />9 t'ry <br />s� <br />� <br />G <br />r <br />L <br />1 <br />{ <br />W <br />i <br />f N <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />r PERMIT(s) Valid only for: YOUNG, CODY <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LUCKY YOU TATTOO (CODY YOUNG) Facility ID FA0021521Account ID AR0038935 <br />181 W ALAMEDA ST Issued 6/4/2013 <br />MANTECA CA 95336 " <br />Billing Address: LUCKY YOU TATTOO (CODY YOUNG) <br />181 W ALAMEDA ST: <br />MANTECA CA 95336 <br />
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