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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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YOSEMITE
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4100 – Safe Body Art
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PR0546977
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COMPLIANCE INFO
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Entry Properties
Last modified
10/21/2025 12:13:38 PM
Creation date
6/7/2023 2:20:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546977
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0022860
FACILITY_NAME
PURE FORM GALLERY & TATTOO (EDGINGTON,WILLIAM)
STREET_NUMBER
213
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
213 W YOSEMITE AVE MANTECA 95336
Tags
EHD - Public
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Address: Pure Form Gallery & Tattoo Record ID: PR05336 <br />Date: 02-05-2025 Program: Body Art <br /> <br />Vicky Vang-Lee, REHS Page 2 of 8 <br />PHOTO 2: Repaired holes. Pending new paint finish. <br />
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