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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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3422
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4100 – Safe Body Art
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PR0547968
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COMPLIANCE INFO
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Entry Properties
Last modified
3/8/2024 11:43:45 AM
Creation date
3/5/2024 9:12:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547968
PE
4110
FACILITY_ID
FA0027347
FACILITY_NAME
DREAMSCAPE BROWS (ARROYO-FLORES, ESTEPHANIE)
STREET_NUMBER
3422
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95219
CURRENT_STATUS
02
SITE_LOCATION
3422 W HAMMER LN UNIT F
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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San Joaquin County 1868 East Hazelton Avenue <br />Stockton, CA 95205 <br />is Environmental Health De03a Department Tel: (209) 468-3420 <br />Fax: (209) 464-0138 <br />BODY ART FACILITY AND PRACTITIONER REGISTRATION/ , <br />MECHANICAL STUD AND CLASP EAR PIERCING NOTIFICATION <br />I. PROCEDURES TO BE PERFORMED: Check all that apply (see back for definitions) <br />Tattooing Body Piercing Mechanical Stud and Clasp Ear Piercing <br />ED Branding Permanent Cosmetics <br />II. REQUIRED REGISTRATION, PERMIT, OR NOTIFICATION FEES: Check all that apply. <br />1�Annual Body Art Practitioner Registration 3®Mechanical Stud and Clasp Ear Piercing Notification <br />2®Annual Body Art Facility Permit <br />III. APPLICANT INFORMATION: t <br />NAME: S\ Phone:�ZO <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> \ <br />
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