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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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PR0542169
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COMPLIANCE INFO
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Entry Properties
Last modified
4/4/2023 12:47:52 PM
Creation date
4/4/2023 9:45:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542169
PE
4110
FACILITY_ID
FA0024216
FACILITY_NAME
ONE SIXTEEN TATTOO (GONZALES, ANTHONY)
STREET_NUMBER
181
Direction
S
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
02
SITE_LOCATION
181 S UNION RD
P_LOCATION
04
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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STOCKTON, CA 95205. ,,,_ _ -� t ,}L $ `1 L-,/ Page 1 <br />"hones: (109) 468-3420 ` " jrtij <br />INVOICE Account iD AR0045047 <br />Fatality <br />'' A0024216 <br />r. <br />,. a- - Date Printed <br />r <br />aw-PjAm <br />IN0307372 —Date of invoice c 4/26/2018 <br />4/2612018 4110 00—DYART PRACTITIONER REGISTR% I <br />, amu. .....x. <br />I \j <br />1(��IlllllllllNlf1111111111111111111811�tRll[IIIIIIIIUII�IIN11111�111411�� <br />152.00 <br />�otal for this " � ' S 152�4� <br />y <br />
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