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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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PR0545002
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COMPLIANCE INFO
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Entry Properties
Last modified
4/6/2023 10:13:16 AM
Creation date
4/5/2023 12:39:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0545002
PE
4110
FACILITY_ID
FA0025601
FACILITY_NAME
UNION TATTOO (BLICKER, SHELBY)
STREET_NUMBER
512
Direction
N
STREET_NAME
UNION
City
MANTECA
Zip
95337-7325
CURRENT_STATUS
02
SITE_LOCATION
512 N UNION
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIWOUNTY ENVIRONMENTAL HEALTIODEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • 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#PT0027196 for. Record ID#PR0545002 <br /> Valid From 11/22/2019 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: BLICKER,SHELBY J <br /> DBA: UNION TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: UNION TATTOO Facility ID FA0025601 <br /> 512 N UNION Account ID AR0048406 <br /> MANTECA CA 95337 issued 11/26/2019 <br /> Billing Address: ATTN : BLICKER, SHELBY J <br /> UNION TATTOO <br /> 512 N UNION <br /> MANTECA CA 95337 <br /> 7o27.rpt <br />
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