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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2353
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4100 – Safe Body Art
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PR0544633
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COMPLIANCE INFO
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Entry Properties
Last modified
8/28/2023 2:24:16 PM
Creation date
3/31/2021 4:02:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544633
PE
4120
FACILITY_ID
FA0025372
FACILITY_NAME
PRETTY OBSESSED BOUTIQUE (PRECIADO, RAYNELLE)
STREET_NUMBER
2353
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204-5309
CURRENT_STATUS
02
SITE_LOCATION
2353 PACIFIC AVE STE A
P_LOCATION
01
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 952056232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0025569 for Record ID # PR0541731 <br />Valid From 7/1/2021 To 6/3012022 <br />PERMIT TO OPERATE - PE 4120 -BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0025990 for Record ID # PR0544633 <br />Valid From 7/1/2021 To 6/3012022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: PRECIADO, RAYNELLE <br />DB/+ PRETTY OBSESSED BOUTIQUE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: PRETTY OBSESSED BOUTIQUE (PRECIADO, RAYNELLE) Facility ID FA0025372 <br />2353 PACIFIC AVE #A I <br />Account ID AR0047794 <br />STOCKTON, CA 95207 Issued 5/10/2021 <br />ei <br />nmynddfess: ATTN : PRECIADO, RAYNELLE <br />PRETTY OBSESSED BOUTIQUE <br />14211 PINEWOOD DR <br />LATHROP, CA 95330 <br />oombinedTI End of report <br />
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