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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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PR0536968
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COMPLIANCE INFO
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Entry Properties
Last modified
5/25/2023 12:24:30 PM
Creation date
5/25/2023 12:11:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0536968
PE
4120
FACILITY_ID
FA0021227
FACILITY_NAME
ALL ABOUT YOU SCAR TREATMENT
STREET_NUMBER
425
Direction
E
STREET_NAME
CENTER
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309415
CURRENT_STATUS
02
SITE_LOCATION
425 E CENTER ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0536968_425 E CENTER_.tif
Tags
EHD - Public
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SAN JOAQUIlV OUNTYENVIRONMENTAL`MAILT DEPARTMENT <br /> 1868 E.Hazelton Ave.'s Stockton,-CA 95205-6232 !.Phone(209)`4 $-3420 <br /> Donna Heran•,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0022584 for Record ID# PRO536968 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> 3 PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> x Permit 1D# PT0022585 for Record ID# PR0536969 <br /> . Valid From 7/1/2013 To 6/30/2014 <br /> u <br /> 3 <br /> 7. <br /> r <br /> r <br />�e s <br /> w�G r <br /> x <br /> *' PERMITS TO OPERATE are NOT TRANSFERABLE <br /> $: and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KOHL, SHELLEY M <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated acuity: ALL ABOUT YOU SCAR TREATMENT Facility I° FA0021227 <br /> Account ID AR0038337 <br /> 425 E CENTER ST <br /> issued 6/4/2013 <br /> MANTECA CA 95336 <br /> g . <br /> Billing Address: ATTN : KOHL, SHELLEY M <br /> ALL ABOUT YOU SCAR TREATMENT <br /> 1685 STANLEY DR <br /> RIPON CA 95366 <br />
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