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Environmental Health - Public
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4100 – Safe Body Art
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PR0547823
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Last modified
8/8/2023 11:53:55 AM
Creation date
8/8/2023 11:10:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0547823
PE
4110
FACILITY_ID
FA0027249
FACILITY_NAME
UNION TATTOO (HICKMAN, JULIAN)
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
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 4110 - BODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0028747 for Record ID # PR0547823 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED ox REVOKED for cause. <br />PERMIT(s) Valid only for: HICKMAN, JULIAN <br />DBA: UNION TATTOO <br />THIS FORM MUST BE <br />Regulated Facii{ty: UNION TATTOO (HICKMAN, JULIAN) Facility ID FA0027249 <br />512 N UNION RD Account ID AR0052357 <br />MANTECA CA 95337 Issued 7/7/2022 <br />Billing Address: ATTN : HICKMAN, JULIAN <br />UNION TATTOO <br />1494 BROADWAY AVE <br />ATWATER CA 95301 <br />7027'rpt End of Report <br />
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