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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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118
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4100 – Safe Body Art
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PR0537419
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COMPLIANCE INFO
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Entry Properties
Last modified
6/7/2023 4:27:25 PM
Creation date
5/12/2023 2:19:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537419
PE
4110
FACILITY_ID
FA0024304
FACILITY_NAME
GYPSY SOUL TATTOO (HOLGUIN, JOHN)
STREET_NUMBER
118
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
118 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIN OUNTY ENVIRONMENTAL HEALTH IIEPARTMENT <br />1 <br />I f Prt <br />�r <br />1868 E. Hazelton Ave. •Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director, <br />M `';W <br />,s <br />t <br />ENVIRONMENTAL HEALTH <br />�y <br />.. 1 <br />Si <c <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0022933 for Record ID # PR0537419 <br />y}�, <br />Valid From 7/1/2012 To 6/30/20134 <br />PERMIT TO OPERATE - 4121- BODY ART FACILITY -STERILIZATION <br />Permit ID # PT0022935 for Record ID # PR0537420 <br />Valid From 7/1/2012 To 6/30/2013 <br />;r <br />PERMIT(s) Valid only for: HOLGUIN, JOHN JR <br />Facility ID FA0021518 <br />Account ID AR0038932 <br />Issued 10/16/2012 <br />t <br />PERMIT(s) Valid only for: HOLGUIN, JOHN JR <br />Facility ID FA0021518 <br />Account ID AR0038932 <br />Issued 10/16/2012 <br />
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