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COMPLIANCE INFO
EnvironmentalHealth
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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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PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be 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 />SAN JOA Q OUNTY ENVIRONMENTAL HEALT DEPARTMENT ; <br />`a <br />1.868 E. Hazelton Ave. • Stockton, CA 952.88,6232 •Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />� r <br />PERMIT TO OPERATE - 4121 -BODY ART FACILITY -STERILIZATION <br />"A <br />, <br />1 <br />Permit ID # PT0022910 for Record ID # PR0537393 <br />Valid From 711/2012 To 6/30/2013 <br />" ? <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit 1D# PT0022911 for Record ID # PR0537394 . - <br />' ' <br />Valid From 7/1/2012 To 6/30/2013 <br />R <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be 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 />
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