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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0528382
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COMPLIANCE INFO
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Entry Properties
Last modified
5/1/2023 2:56:05 PM
Creation date
7/3/2020 10:15:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0528382
PE
4121
FACILITY_ID
FA0006378
FACILITY_NAME
BLUE MOON TATTOO & PIERCING (DHANOYA, AMANJIT)
STREET_NUMBER
2306
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23346002
CURRENT_STATUS
02
SITE_LOCATION
2306 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0528382_2306 EAST_.tif
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EHD - Public
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San Joaquin County <br /> Environmental Health Department DIRECTOR <br /> �•' =sof •9 Linda Turkatte, REHS <br /> 1868 East Hazelton Avenue <br /> :{ Stockton, California 95205-6232 F Robert McCOGRAM OOoRD/R COORDINATORS <br /> Jeff Carruesco,REHS, RDI <br /> cq • �;�° Website: www.sjgov.org/ehd Kasey Foley, REHS <br /> i F p R Adrienne Ellsaesser, REHS <br /> Phone: (209)468-3420 Rodney Estrada,REHS <br /> Fax: (209)464-0138 Willy Ng,REHS <br /> ADMINISTRATIVE HEARING AGREEMENT <br /> DATE: `7(G t N <br /> FACILITY: (�11vt�.c(>�,vn Tr 1,t.o0 P;efCr+fl� <br /> ADDRESS: 33bko ECA 9S311(o <br /> OWNER/OPERATOR: US�+m�r O� nrlo In' +�Mk�` dNUOMA(A, <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT REPRESENTATIVES: <br /> (ZA6--A mr c-k, \Ion , &r Cst )ilp CY)16- W,+h <br /> ,hereby, agree to have all violation(s)iidated �(p <br /> pertaining to the above referenced facility/premises corrected on or before g 1117 11� <br /> 139 <br /> (All re-inspections will be assessed at a rate of$AA.00 per hour). <br /> I further agree that said violations may be determined to the public health and/or safety and will prevent <br /> these violations from recurring. I understand that failure to comply with this agreement will result in <br /> further legal remedies. <br /> COMMENTS: <br /> 09hfl5 . CAnct Eric." (.,ballo UV--1, Wwt-.ir,. ;: ll uu� n fchis��ar}ivy_ All f,.4 <br /> f", <br /> PluG�lllyn•.fC MuS� YL f'��'1S"SW�. � � nfw(,�1t'��unv- IS {luE' I�TS�t,t�L,A�� 1� <br /> xAAA 11s= N1 A 1 )3 A <br /> av ofc. }e-4 � c Gss v. 'Ir4t rn w 4 ) <br /> 3 "J4 rni ' ,. 5�'�i ' t .,�t c, Ma A4 <br /> k " rn 6-1 <br /> Pr rie or's Signature <br /> PUBLIC/UNIT V I/i JNITV IFORMS/ADMINISTRATIVEHEARINGAGREEMENT <br />
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