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4100 – Safe Body Art
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PR0544790
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BILLING/PERMITS
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Entry Properties
Last modified
9/13/2024 12:11:50 PM
Creation date
2/17/2021 11:47:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0544790
PE
4120
FACILITY_ID
FA0025460
FACILITY_NAME
SALON DE BELLEZZA (TY, LORLIE)
STREET_NUMBER
5940
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5940 PACIFIC AVE STE C
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\lsauers
Tags
EHD - Public
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,p,-v ''z'a'�^S^ ac[' .. __.—.- zT aF.-r >-s- :�- ..;����..-. ,... ..v. . ,. .."3rna^-x-�'r^?-'C' _ _ -+ n^^-..+r•'. ^t <br /> SAN JOAQVCOUNTY ENVIRONMENTAL IREALODEPARTMENT <br /> 1868 E.Hazelton Ave. 0 Stockton,CA 95205-6232 •Phone(209)468-3420 <br /> Linda Thrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID#PT0027057 for Record ID#PR0544790 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0027058 for Record ID#PR0544791 <br /> Valid From 7/1/2019 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: TY, LORLIE <br /> DBA: SALON DE BELLEZZA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SALON DE BELLEZZA(TY, LORLIE) Facility ID FA0025460 <br /> 5940 PACIFIC AVE#C Account ID.AR0048049 <br /> STOCKTON CA 95207 Issued 8/30/2019 <br /> Billing Address: ATTN : TY, LORLIE <br /> SALON DE BELLEZZA <br /> 5940 PACIFIC AVE STE C <br /> STOCKTON CA 95207 <br /> 7ozzrpc <br />
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