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COMPLIANCE INFO_NAVA ROSAS YANELY
EnvironmentalHealth
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4100 – Safe Body Art
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PR0545055
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COMPLIANCE INFO_NAVA ROSAS YANELY
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Entry Properties
Last modified
7/5/2023 12:15:04 PM
Creation date
3/10/2023 1:55:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0545055
PE
4110
FACILITY_ID
FA0025630
FACILITY_NAME
XOCHICALCO TATTOOS & COSMETICS (NAVA ROSAS, YANELY)
STREET_NUMBER
5308
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5308 PACIFIC AVE STE 20A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUI04OUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> L' Linda Turkatte R.E.H.S. Director <br /> r f f <br />' �T { �; z <br /> ENVIRONMENTAL HEALTH �� �1,� <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0027222 for Record ID#PR0545055 °s <br /> Valid From 12/6/2019 To 6/30/2020 <br /> .p <br /> _ f f <br /> r g y <br /> k� <br /> u <br /> t h4r <br /> t <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: NAVA ROSAS, YANELY <br /> DBA: XOCHICALCO TATTOOS&COSMETICS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> �s y <br /> Regulated Facility: XOCHICALCO TATTOOS &.COSMETICS (NAV r Facility ID FA0025630 <br /> 5308 PACIFIC AVE#20A Account ID AR0048445 <br /> Issued <br /> STOCKTON CA 95207 12/11/2019 X' <br /> Biding Address: ATTN : NAVA ROSAS, YANELY ' <br /> XOCHICALCO TATTOOS&COSMETICS <br /> 1895 ACACIA ST <br /> STOCKTON CA 95203 <br /> 7027.rpt <br />
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