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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LINCOLN CENTER
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423
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4100 – Safe Body Art
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PR0537430
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COMPLIANCE INFO
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Entry Properties
Last modified
5/21/2024 3:54:42 PM
Creation date
7/3/2020 10:13:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537430
PE
4120
FACILITY_ID
FA0021526
FACILITY_NAME
ELEVATE SKINCARE & SPA (MILLER, NUBE)
STREET_NUMBER
423
Direction
N
STREET_NAME
LINCOLN CENTER
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
423 N LINCOLN CENTER DR
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0537430_423 N LINCOLN CENTER_.tif
Tags
EHD - Public
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SAN JOAQUWOUNTY ENVIRONMENTAL HEALI&EPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0022949 for Record ID#PR0537430 <br /> Valid From 9/3/2019 To 6/30/2020 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0025663 for Record ID#PR0541907 <br /> Valid From 9/3/2019 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: THOMPSON, KYMBERLEIGH <br /> DBA: ELEVATE SKINCARE&SPA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ELEVATE SKINCARE&SPA(THOMPSON, KY Facilityio FA0021526 <br /> 423 N LINCOLN CENTER DR Account ID AR0038945 <br /> STOCKTON CA 95207 issued 9/24/2019 <br /> Billing Address: ATTN THOMPSON, KYM <br /> ELEVATE SKINCARE&SPA(THOMPSON, KYM) <br /> 423 N LINCOLN CENTER DR <br /> STOCKTON CA 95207 <br /> 7027.rpt <br />
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