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COMPLIANCE INFO_INACT
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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PR0537532
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COMPLIANCE INFO_INACT
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Last modified
4/20/2023 12:46:07 PM
Creation date
4/5/2023 2:12:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537532
PE
4120
FACILITY_ID
FA0021603
FACILITY_NAME
WRONG SIDE OF THE TRACKS TATTOO (BROCKMAN, A)
STREET_NUMBER
512
Direction
N
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
02
SITE_LOCATION
512 N UNION RD
P_LOCATION
04
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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r <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTIT—iJEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420'.,' <br />Donna Heran, R.E.H.S., Director _'c+ <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0023046 for Record ID # PR0537531 <br />Valid From 711/2013 To 6/30/2014 <br />PERMIT TO OPERATE - 4121 - BODY ART FACILITY -STERILIZATION <br />Permit ID # PT0023047 for Record ID # PR0537532 <br />Valid From 71112013 To 6/3012014 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BROCKMAN, AARON <br />DBA: WRONG SIDE OF THE TRACKS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: WRONG SIDE OF THE TRACKS TATTOO (BR( Facility ID FA0021603 <br />Account ID AR0039141 <br />512 N UNION RD Issued 6/4/2013 <br />MANTECA CA 95337 <br />Billing Address: WRONG SIDE OF THE TRACKS TATTOO (BROCKMAN, A) <br />110 SEQUOIA <br />MANTECA CA 95337 <br />�f= <br />,t <br />f <br />I <br />l <br />i kr5i <br />n <br />r <br />si <br />t <br />_ <br />�r <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BROCKMAN, AARON <br />DBA: WRONG SIDE OF THE TRACKS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: WRONG SIDE OF THE TRACKS TATTOO (BR( Facility ID FA0021603 <br />Account ID AR0039141 <br />512 N UNION RD Issued 6/4/2013 <br />MANTECA CA 95337 <br />Billing Address: WRONG SIDE OF THE TRACKS TATTOO (BROCKMAN, A) <br />110 SEQUOIA <br />MANTECA CA 95337 <br />
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