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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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4100 – Safe Body Art
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PR0537796
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:21:05 AM
Creation date
6/13/2023 10:06:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537796
PE
4110
FACILITY_ID
FA0021800
FACILITY_NAME
FOREVER YOURS TATTOO (GARCIA, MAURICE)
STREET_NUMBER
606
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23502302
CURRENT_STATUS
02
SITE_LOCATION
606 W 11TH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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t r t s. <br /> SAN JOAQU�T-COUNTY ENVIRONMENTAL HEALTH-DEPARTMENT <br /> rt ism E,Ilazelton Ave: •Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> K• 8 �' '� ` Donna Heran R.E.H.S: Director - <br /> � ]�I�iNI1�W�il�rl1 � <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023259 for Record ID# PR0537796 <br /> Valid From 6/3/2013 To 6/30/2014 <br /> t N <br /> IG <br /> y <br /> 4 <br /> ,N <br /> f� <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> 7 <br /> PERMIT(s)Valid only for: GARCIA, MAURICE R <br /> s DBA: FOREVER YOURS TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> a Facility ID FA0021800 <br /> Y Regulated Facility: FOREVER YOURS TATTOO (GARCIA, MAURI( Account ID AR0039650 <br /> } ti 606 W ELEVENTH ST Issued , <br /> TRACY CA 95376 6/7/2013 <br /> { Basing Address: ATTN : GARCIA, MAURICE <br /> FOREVER YOURS TATTOO (GARCIA, MAURICE) <br /> 695 HORSESHOE LOOP <br /> TRACY CA 95376 <br /> rf? _ <br /> <<.�.'M/, 1, y _ E i.r,_ r., n......Ta. aTit� . .. -.. ..... .�� ".�r.h,.4s .� e ...b✓. <br />
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