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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537394
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2023 2:44:59 PM
Creation date
6/15/2023 2:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537394
PE
4110
FACILITY_ID
FA0021495
FACILITY_NAME
BLACK ROSE TATTOO PARLOR (VILLA, HUGO)
STREET_NUMBER
237
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13914006
CURRENT_STATUS
02
SITE_LOCATION
237 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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i <br />SAN JOAQUIN COUNTY'ENVIRONMENTAL HEALT DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone.(209) 468-3420 <br />Linda Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4121- BODY ART FACILITY -STERILIZATION <br />Permit ID # PT0022910 for Record ID # PR0.537393 <br />Valid From 7/1/2015 To 6/30/2016 <br />PERMIT TO OPERATE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0022911 for Record ID # PR0537394 <br />Valid From 7/1/2015 To 6/30/2016 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: VILLA, HUGO <br />DBA: BLACK ROSE TATTOO PARLOR (HUGO VILLA) <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility:' BLACK -ROSE TATTOO PARLOR (HUGO VILL, Facility ID FA0021495 <br />237 E.MINER AVE <br />Account ID AR0038890 <br />STOCK -TON CA 95202 Issued 5/28/2015 <br />Billing Address: ATTN : VILLA, HUGO . <br />BLACK ROSE TATTOO PARLOR (HUGO VILLA) <br />237 E MINER AVE <br />STOCKTON CA 95202 <br />7027.rpt <br />
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