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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0548549
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Entry Properties
Last modified
11/19/2024 10:19:14 AM
Creation date
8/11/2023 1:56:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0548549
PE
4110
FACILITY_ID
FA0027754
FACILITY_NAME
IN BLOOM TATTOO & PIERCING (DIGIALLONARDO, ZACHARY)
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
18 E ELEVENTH ST
P_LOCATION
03
QC Status
Approved
Scanner
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 # PT0029316 for Record ID # PR0548549 <br />Valid From 7/3/2023 To 6/30/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: DIGIALLONARDO, ZACHARY <br />DBA: IN BLOOM TATTOO & PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: IN BLOOM TATTOO & PIERCING (DIGIALLONARDO, ZACHARY) Facility ID FA0027754 <br />18 E ELEVENTH ST Account ID AR0053865 <br />TRACY CA 95376 Issued 7/11/2023 <br />Billing Address: ATTN : DIGIALLONARDO, ZACHARY <br />IN BLOOM TATTOO & PIERCING <br />2601 CRESTED BOBWHITE ST <br />TRACY CA 95355 <br />7027.rpt End of Report <br />
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