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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537584
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COMPLIANCE INFO
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Last modified
5/25/2023 1:37:15 PM
Creation date
5/25/2023 1:21:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537584
PE
4120
FACILITY_ID
FA0021637
FACILITY_NAME
GRAPE CITY TATTOOS (DIAZ, JOSE A)
STREET_NUMBER
830
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04731201
CURRENT_STATUS
02
SITE_LOCATION
830 S CENTRAL AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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/¢a�lr;,co Body Art Inspection Report Date(MNUDD/YY) —® _ <br /> County of San Joaquin County,Environmental Health Department Permit Number <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.siaov.oro/ehd Permit Type Lt <br /> pR� <br /> Facility Name Address City Zip Code CT <br /> Permit/Registration H Ider Name Permit Exp.Date Total Time Inspection Type <br /> tct 2,L A <br /> s"r;,.,,n.� ars �z g steer-'"-,3r`" :' k;: -,3 } 'tz»NY *;�vt r ^' (~j:'� .-,tom. ,,m .u, <br /> 3v x 4 2 .. _, "roc.i;,.::.,. ...,.$�, `l-.z�s ',`'. �,.,.;x ,�,. . �.; t ...-:6 fiTr"'`Y,4.� 4��1�°` , <br /> �, �0"SSEf1A1`IQN&ANDC012RECTN /GT�t� N� � , <br /> *.t, ># ffl, .a'x ,..,�... ?. .. z.., <br /> a... <br /> 1-7 -� <br /> l ! <br /> I,-,— vn/1 <br /> c <br /> '-Svl K + <br /> im jr40 r <br /> L <br /> i <br /> V r <br /> 5 <br /> �J r v <br /> 140 <br /> �j S <br /> M <br /> Received by(P(nt): Received by(Signature): Phone: <br /> Specialist(Signature): Phone: <br /> Specialist(Print) ( 9 <br /> This report is an Official Notice of Violation.Corrections must be completed in the time specified. <br /> A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. Reinspection Date(on or about) <br /> PaGe Zof <br />
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