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SR0087001
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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SR0087001
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Entry Properties
Last modified
9/1/2023 11:28:31 AM
Creation date
9/1/2023 9:50:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0087001
PE
4103
FACILITY_NAME
MY SALON SUITES
STREET_NUMBER
5759
STREET_NAME
PACIFIC
City
STOCKTON
Zip
95207
ENTERED_DATE
7/27/2023 12:00:00 AM
SITE_LOCATION
5759 PACIFIC B145
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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' Credit Card (AMEX) ************ <br />1011 <br />Expiration <br />Transaction Type <br />Purchase <br />Bill To <br />Jennifer Bou <br />4011 Amelia Dr, Stockton, CA, 95205, US <br />Payment Towards <br />Payment Towards <br />Amount <br />Site Address <br />Invoice Number <br />Account Number <br />Business Name <br />Phone Number <br />Charge Information <br />Agency Amount <br />Other - Inspections, Misc <br />$162.00 <br />5759 Pacific Ave. Suite <br />13145 <br />Adorn Beauty Ink <br />2093263940 <br />(ti r,o nn <br />
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