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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0542033
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BILLING/PERMITS
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Entry Properties
Last modified
7/13/2023 10:05:39 AM
Creation date
3/6/2023 10:04:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0542033
PE
4120
FACILITY_ID
FA0024127
FACILITY_NAME
LUMIERE SPA (CARRANZA, GEORGINA)
STREET_NUMBER
15
Direction
W
STREET_NAME
OAK
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
15 W OAK ST
P_LOCATION
02
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 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4120 -BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0025739 for Record ID # PR0542033 <br />Valid From 7/112021 To 6/30/2022 <br />PERMIT TO OPERATE - PE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027493 for Record ID # PR0545888 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: ANAYA, GEORGINA <br />DBA: LUMIERE SPA <br />THIS FORM MUST BE <br />DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility <br />: LUMIERE SPA (ANAYA, GEORGINA) Facility ID FA0024127 <br />15 W OAK ST Account ID AR0044842 <br />LODI, CA 95240 Issued 5/10/2021 <br />Billing <br />Address: ATTN :ANAYA, GEORGINA <br />LUMIERE SPA <br />15 W OAK ST <br />LODI, CA 95240 <br />oombinedrpt End of report <br />
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