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4100 – Safe Body Art
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PR0547166
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Last modified
8/8/2023 2:11:27 PM
Creation date
8/7/2023 4:42:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0547166
PE
4110
FACILITY_ID
FA0026766
FACILITY_NAME
LOST DREAMS TATTOOS & PIERCING (CABALLERO SOLIS, ERIKA)
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5920 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
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 />PERNIIT TO OPERATE - PE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ]D# PT0028248 for Record ID # PR0547166 <br />Valid From 7/1/2022 To 6/3012023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED fox cause <br />PERMIT(s) Valid only for: CABALLEROS SOLIS, ERIKA <br />DBA: MUDVILLE TAT2 STUDIO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MUDVILLE TAT2 <br />Bill <br />STUDIO (CABALLERO SOLIS, ERIKA) <br />Facility ID <br />FA0026766 <br />127 W HARDING <br />WAY <br />AccountlD <br />AR0051022 <br />STOCKTON CA <br />95204 <br />slued <br />5110/2022 <br />ing Address: ATTN : CABALLEROS SOLIS, ERIKA <br />MUDVILLE TAT2 STUDIO <br />9570 BANCROFT WAY <br />STOCKTON CA 95209 <br />7027 Tt End of Report <br />
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