Definition of tram. 1  1 : any of various vehicles: such asa : a carrier that travels on an overhead cable or railsb chiefly British : streetcarc : a boxlike wagon running on rails (as in a mine) 2  2 trams plural, chiefly British : a streetcar line.
The stamp is a hallmark and indicates it is made of 14 karat gold and the GCJ stands for 'George Carter Jessop'. Some of our pieces can have a Jessop's or GCJ stamp. Although there could be other makers who exist who also use GCJ.
The Joint Commission (TJC), formerly known as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is an independent, not-for-profit organization.JC is the nation's oldest and largest standards-setting and accrediting body in health care. Since 1951, the Joint Commission has maintained state-of-the-art standards that focus on improving the quality and safety of care provided by health care organizations.