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Environmental Health - Public
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4100 – Safe Body Art
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PR0547971
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Entry Properties
Last modified
3/5/2025 4:11:17 PM
Creation date
7/28/2023 11:03:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0547971
PE
4110
FACILITY_ID
FA0027350
FACILITY_NAME
UNION TATTOO (ANDERSON, PHILLIP)
STREET_NUMBER
512
Direction
N
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
512 N UNION RD
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232• Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S_, Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 411.0-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0028866 for Record ID#PR0547971 <br /> Valid From 71112023 To 6/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ANDERSON, PHILLIP <br /> DBA: UNION TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regwated Facility: UNION TATTOO (ANDERSON, PHILLIP) Facility ID FA0027350 <br /> 512 N UNION RD Account ID AR0052685 <br /> MANTECA CA 95337 issued 5125/2023 <br /> BiiiingAaaress: ATTN : ANDERSON, PHILLIP <br /> UNION TATTOO <br /> 17457 NIGHTSHORE DR <br /> LATHROP CA 95330 <br /> 7027.rp1 End of Report <br />
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