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1138
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4100 – Safe Body Art
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PR0546901
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COMPLIANCE INFO
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Entry Properties
Last modified
3/5/2025 3:49:54 PM
Creation date
5/16/2023 11:58:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546901
PE
4120
FACILITY_ID
FA0026577
FACILITY_NAME
LUCKY YOU TATTOO (MENDOZA, ESAU)
STREET_NUMBER
1138
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1138 N MAIN ST
P_LOCATION
04
QC Status
Pending
Scanner
SJGOV\cfield
Tags
EHD - Public
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\� CX avv'I - SOANA146", / � <br /> ce� <br /> +OAA-40-c-) C ' ell wo\�O�vo "62'� <br /> ccs� C),o\/0 <br /> yN, kV\AIA(2- <br /> Ok.,01_\ tD <br /> C,/ <br /> Stale of California <br /> County of San Joaquin RECEIVED <br /> Subscribed ana sworn to for affirme befo me on <br /> .. ),2 <br /> thi!,�Abtay or Ic z 0 <br /> by, u T-IthU;, OCT 16 2014 <br /> orovea!o me on the basis of satisfactory <br /> evidence to be ina person(s)who appearo Debre me. EWRONMENTAL HEALTH <br /> ,(seal) Signature—. PERMITISERVICES <br /> 0 <br /> e, MANDEEP BHULLERk7 <br /> 0 COMM.#20 68B2 <br /> ' <br /> NOTARY PUBLIC CALIFORNIA <br /> SAN JOAQUIN COUNTY <br /> COMM.EXPIRES AUG 15,2016 <br />
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