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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2714
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4100 – Safe Body Art
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PR0526733
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COMPLIANCE INFO
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Entry Properties
Last modified
10/6/2023 5:11:43 PM
Creation date
7/3/2020 10:13:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0526733
PE
4120
FACILITY_ID
FA0018099
FACILITY_NAME
THE PIRATES LOUNGE TATTOO PARLOR (HOLCOMB, JOHN)
STREET_NUMBER
2714
STREET_NAME
COUNTRY CLUB
STREET_TYPE
DR
City
STOCKTON
Zip
95204
APN
23517511
CURRENT_STATUS
01
SITE_LOCATION
2714 COUNTRY CLUB DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\lsauers
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0526733_2714 COUNTRY CLUB_.tif
Tags
EHD - Public
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• C O n %im <br /> Pirate • • ' Save copy <br /> 1705 North Wells Ave. $84130.RYNO(7966) <br /> r;, ,cn� rynocare.com <br /> RYNOCARE <br /> No Fuel Surcharge Fee <br /> So Enriroamental Cost or Rccoscn Char%cs <br /> No Delivery Fee's <br /> No Stan Cp Cost's <br /> So Manifest Fees <br /> hd}signing below.I acknowkilge that I am Cw4umc7's authorized ofYicer tx agvnl and that I <br /> have the authority to!rind the Cuskmm to this Agnctricni.C us urttcr agm.c to he M)tund by the <br /> lemns and co"tio ns that appear in the'l cams and('onditions attached hereto and comply with <br /> R.n,,C are Waste Acceptance Policy,loth of which arc integral part%of this Agrmn>lnt. <br /> COMPANY: <br /> RYN(X'ARF Medical Waae l)isposal <br /> Dalcd•_. /"3�— Z 3 Signature: _ <br /> Prime Taky C W& <br /> Bale: RrgkorW Account MmmVr <br /> CUSTOMEA: <br /> the Pirate loungeTattoo <br /> Dated: <— ,1 -- Sig=DAe: _. <br /> Print: �d4k 7q!(�0 A <br /> Title:_{ 1 W V\ v <br /> 1705 North Welts Ave. 8tt4.130.RYNO(7966) 11350 ritfer Blvd. <br /> 1,ren Nv RR{! Sacramento,CA 9SS30 <br /> 1. Rnn"L f Medical Wnm services <br />
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