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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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PR0539015
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COMPLIANCE INFO
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Last modified
11/19/2024 10:21:04 AM
Creation date
6/13/2023 1:18:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539015
PE
4120
FACILITY_ID
FA0021597
FACILITY_NAME
FOREVER YOURS TATTOO (HULLAR, JOHN J)
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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EHD - Public
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SAN JOAQUINOUNTY ENVIRONMENTAL HEALT*PARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 0.Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER,REGISTRATION <br /> Permit,ID#PT0023039 for Record ID.#.PR0537522 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID#PT0025954 .for Record ID#PR0542484 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and.may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HULLAR,JOHN <br /> DBA: FOREVER YOURS BODY ART <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FOREVER YOURS BODY ART(HULLER,JOHI Facility ID FA0024418 <br /> 3422 W HAMMER LN#M Account ID AR0045534 <br /> STOCKTON CA 95219 Issued 5/1/2019 <br /> Billing Address: ATTN : HULLAR, JOHN <br /> FOREVER YOURS.BODY.ART.. _ <br /> 80 PORTOLA WAY#102 <br /> TRACY CA 95376 <br /> 7027.rpt <br />
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