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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SWAIN
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4100 – Safe Body Art
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PR0543495
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BILLING
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Entry Properties
Last modified
1/28/2025 4:14:21 PM
Creation date
4/27/2023 12:32:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING
RECORD_ID
PR0543495
PE
4110 - BODY ART PRACTITIONER REGISTRATION
FACILITY_ID
FA0024691
FACILITY_NAME
PORT CITY INK (CASTILLO-ROCHA, ALEXIS)
STREET_NUMBER
505
Direction
W
STREET_NAME
SWAIN
STREET_TYPE
RD
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
SITE_LOCATION
1412 ROSEMARIE LN UNIT A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
505 W SWAIN RD STOCKTON 95207
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 952056232 • Phone (209) 4683420 <br />Jasjit Kane, R.E.HS., Director <br />ENVIRONMENTAL HEALTH <br />PER)OT TO OPERATE - PE 4110 - BODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0026161 for Record ID # PRO543495 <br />Valid From 71112023 To 6130/2024 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause <br />PERMIT(s) Valid only for: CASTILLO-ROCHA, ALEXIS <br />DBA: PORTCITYINK <br />THIS FORM MET HE DISPLAYED CONSPICUOUSLY ONTI E PREMISES <br />Regulated Faulty: PORT CITY INK (CASTILLO-ROCHA, ALEXIS) Fmiay to FA0024691 <br />1412 ROSEMARIE LN#A Acdountl0 AR0046216 <br />STOCKTON CA 95207 Issued 5125/2023 <br />6WIng Address ATTN: CASTILLO-ROCHA, ALEXIS <br />PORT CITY INK <br />742 PONCE DE LEON AVE #2 <br />STOCKTON CA 95210 <br />7027.Tt End of Repon <br />
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