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COMPLIANCE INFO_VICTOR LARA
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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4100 – Safe Body Art
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PR0537130
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COMPLIANCE INFO_VICTOR LARA
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Entry Properties
Last modified
6/4/2024 11:27:50 AM
Creation date
7/3/2020 10:15:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537130
PE
4121
FACILITY_ID
FA0021313
FACILITY_NAME
TRUE CLASSIC TATTOO (LARA, VICTOR R)
STREET_NUMBER
423
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13924018
CURRENT_STATUS
01
SITE_LOCATION
423 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537130_423 E MINER_.tif
Tags
EHD - Public
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v� <br /> /e°�•"• co Body Art Inspection Report Date(MM/DD/YY) 31 3 <br /> County of San Joaquin County,Environmental Health Department P20S3'�130 <br /> < Permit Number <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 w%vw.sigov.org/ehd t(��1 <br /> Permit Type <br /> Facility Name Address City Zip Code CT <br /> Trtl►c,G�,SSicTGWM 1.133 E Miner � . Skot�•0n aSIPL SLt,��� J14 n <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> V;v�or �wrw RAu �, <br /> *. . _. _ <br /> 35. Plan Review ❑ <br /> 36 Permits Obtained&Available' ❑ <br /> 37. Impoundment ❑ <br /> 7 <br /> 38. Hearing Scheduled ❑ <br /> 39. Closure' ❑ <br /> Items marked with an asteriskMy also haves ecific requirements for temporary events <br /> - k J"'tb"'IY�iA�i,.'�iC k3C£F <br /> REG#' .. PRACTITIONERIARTIST NAME ; REG# PRACTRIONERIARTIST NAME <br /> PRos3�1�1 yi o r s 3 %Q I <br /> `�..< OBSERVATIONS'AND CORREC <br /> TIVEACTIONS <br /> g3a► u MS A10+ 1�' rQc. 14-o L,r i <br /> Iv S � T►'1� er 1T '1S til r t&tUJS •1LL J a <br /> 11 e..0 d S 1 l �' a c, 0 uC t. 0.vc, o <br /> OTC <br /> y y I 1 3 t L r i r% fa �-- <br /> w� '[ • to 'G c 4 n fill �t <br /> 11131 •. 0 , 's i nvol ca-. ql <br /> s 1 0 S 1A a c�-uf ter. <br /> pil hve, co-, 'pzAi w6 f T I S t7 b o S�•cri�i i <br /> 2 1A <br /> ff'i Matt u,n4l <br /> 1'7 I 1 1 q�l is u'?\+-IA ' 'ttinh n- Qi► G for <br /> a lu�l� if1 ru1 �c,r S n C 1tK in <br /> Received by(Print) Received by(Signature): Phone: �Le ��S ` <br /> Specialist(Print): Specialist(Signature): Phone: <br /> ❑ This report is an Official Notice of Violation.Corrections must be completed in the time specified. <br /> A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. Reinspection Date(on or about) <br /> Page of 3 <br />
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