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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
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUI4k)UNTY ENVIRONMENTAL HEALT&PARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Linda Tnrkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0025801 for Record ID # PR0542169 <br />Valid From 8/28/2017 To 6/30/2018 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: GONZALES, ANTHONY <br />DBA: ONE SIXTEEN TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: ONE SIXTEEN TATTOO (GONZALES, ANTHOI Facility ID FA0024216 <br />181 S UNION RD Account ID AR0045047 <br />MANTECA CA 95337 issued 8/30/2017 <br />Billing Address: ATTN : GONZALES, ANTHONY <br />ONE SIXTEEN TATTOO <br />1713 BRANCHWOOD CR <br />MODESTO CA 95354 <br />7027.rpt <br />
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