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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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PR0542031
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COMPLIANCE INFO
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Entry Properties
Last modified
7/25/2023 9:54:31 AM
Creation date
4/4/2023 8:42:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542031
PE
4110
FACILITY_ID
FA0024125
FACILITY_NAME
DEATH RAY TATTOO (GOFF, KINDRA)
STREET_NUMBER
181
Direction
S
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
02
SITE_LOCATION
181 S UNION RD STE 105
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUOOUNTY ENVIRONMENTAL HEALAEPARTMENT <br /> 1868.E.Hazelton Ave. • Stockton,CA 95705-6232 *.Phone(209)468-3420 <br /> ' Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE = 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0025737 for Record ID#PR0542031 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMITS.TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GOFF, KINDRA <br /> DBA: ONE SIXTEEN TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ONE SIXTEEN TATTOO (GOFF, KINDRA) FacilityiD FA0024126 <br /> 181 S UNION RD* 105 Account ID AR0044840 <br /> MANTECA CA 95337 issued 5/1/2019 <br /> Billing Address: ATTN : GOFF, KINDRA <br /> ONE SIXTEEN TATTOO <br /> 1625 DANIELS ST <br /> MANTECA CA 95337 <br /> 7o2zrpt <br />
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