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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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8909
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4100 – Safe Body Art
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PR0538064
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COMPLIANCE INFO
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Entry Properties
Last modified
5/15/2023 1:09:36 PM
Creation date
4/27/2023 4:29:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538064
PE
4120
FACILITY_ID
FA0021985
FACILITY_NAME
GYPSY LANTERN TATTOO PARLOR (ELIEXSER OLAVARRIETA II)
STREET_NUMBER
8909
Direction
S
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
8909 S THORNTON RD #10
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0022932 for Record ID # PRO534890 <br />Valid From 7/1/2013 To 6/30/2014 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: OLAVARRIETA, ELIEXSER II <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES J <br />Regulated Facility: LUCKY YOU <br />181 ALAMEDA <br />MANTECA CA 95336 <br />Billing Address: ATTN : OLAVARRIETA, ELIEXSER II <br />LUCKY YOU <br />181 ALAMEDA <br />MANTECA CA 95336 <br />Facility ID 40 <br />Account ID AR0035666 <br />Issued 7/24/2013 <br />
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