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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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13500
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4100 – Safe Body Art
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PR0540070
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:08 AM
Creation date
5/18/2023 2:44:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0540070
PE
4110
FACILITY_ID
FA0022908
FACILITY_NAME
FORSAKEN TATTOO (ESTRADA, JAROD)
STREET_NUMBER
13500
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
13500 HWY 88
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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7-7717— <br />SAN JOAQL?!COUNTY ENVIRONMENTAL HEALVI DEPARTMENT <br />1868 E. Hazelton Ave. 0Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />I <br />Linda Turkatte, R.E.H.S., Director <br />I� ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0024671 for Record ID # PR0540070 <br />Valid From 7/1/2016 To 6/30/2017 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: ESTRADA, JAROD M <br />DBA: FORSAKEN TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: FORSAKEN TATTOO (ESTRADA, JAROD) Facility ID FA0022908 <br />13500 HWY 88 Account ID AR0042008 <br />LOCKEFORD CA 95237 Issued 5/27/2016 <br />Billing Address: ATTN : ESTRADA, JAROD <br />FORSAKEN TATTOO (ESTRADA, JAROD) <br />20326 E BRANDT RD <br />LODI CA 95240 <br />7027.rpt <br />
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