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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0546190
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Entry Properties
Last modified
1/28/2025 2:52:40 PM
Creation date
7/6/2023 10:20:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING
RECORD_ID
PR0546190
PE
4110
FACILITY_ID
FA0026139
FACILITY_NAME
BLUE MOON TATTOO & PIERCING (BERNAL, PINELA)
STREET_NUMBER
2306
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2306 EAST ST
P_LOCATION
03
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027631 for Record ID # PR0546190 <br />Valid From 711/2021 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BERNAL, PINELA <br />DBA: BLUE MOON TATTOO &PIERCING <br />THIS <br />FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />BLUE MOON TATTOO &PIERCING (BERNAL, PINELA) Facility ID FA0026139 <br />2306 EAST ST Account ID AR0049544 <br />TRACY, CA 95376 Issued 5/10/2021 <br />BillingAddress: ATTN : BERNAL, PINE <br />LA <br />BLUE MOON TATTOO &PIERCING <br />10346 RUDDER WAY <br />STOCKTON, CA 95209 <br />combinedryt - End o(report <br />
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