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BILLING/PERMITS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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NINTH
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4100 – Safe Body Art
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PR0547037
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BILLING/PERMITS
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Entry Properties
Last modified
3/6/2025 9:05:29 AM
Creation date
8/7/2023 4:41:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0547037
PE
4110 - BODY ART PRACTITIONER REGISTRATION
FACILITY_ID
FA0026663
FACILITY_NAME
THE SPEAKEASY TATTOO (HIDALGO, BERNICE)
STREET_NUMBER
18
Direction
E
STREET_NAME
NINTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
Active, billable
SITE_LOCATION
245 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
18 E NINTH ST TRACY 95376
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 />PERNIIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0028155 for Record ID # PR0547037 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: HIDALGO, BERNICE <br />DBA: FLYING CROW TATTOO <br />TnIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TAE PREMISES <br />Regulated Facility: FLYING CROW TATTOO (HIDALGO, BERNICE) Facility <br />io FA0026663 <br />245 W YOSEMITE AVE Account ID AR0050779 <br />MANTECA CA 95336 issued 5/10/2022 <br />BillingAddress: <br />gTTN : HIDALGO, BERNICE <br />FLYING CROW TATTOO <br />16393 PONY EXPRESS WAY <br />LATHROP CA 95330 <br />702].rp, Entl of Report <br />
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