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COMPLIANCE INFO_INA
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0536981
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COMPLIANCE INFO_INA
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Entry Properties
Last modified
5/5/2023 3:29:45 PM
Creation date
5/5/2023 2:25:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0536981
PE
4110
FACILITY_ID
FA0021233
FACILITY_NAME
TOBACCO CITY (KAO SAECHAO)
STREET_NUMBER
550
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04745018
CURRENT_STATUS
02
SITE_LOCATION
550 S CHEROKEE LN STE G
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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- <br /> �"5 <br /> .'. <br /> 'yS.��".'L �y` ak`f€" KA ,�, j "$ S'I { •1 ^� 1 Y7 <br /> SAN JOAQUEMPOUNTY ENVIRONMENTAL HEALT _ EPARTMENTa y : <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director ro <br /> t` ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE — 4110—BODY ART PRACTITIONER REGISTRATION d � °� ' ` <br /> r , M Permit ID# PT0022594 for Record ID# PR0536981 <br /> Valid From 7/1/2014 To 6/30/2015a <br /> .' n ° ` 'Jt ',�r'��' '+ysa'§`-u*" d <br /> x R 's r : <br /> a <br /> i1y <br /> na� e,� 1- <br /> 4•as',e' - # '' §§ `;'s iia .y�- -.- x 5 - -r .y* s f r, yfi r ti# <br /> r <br /> r"c y r yy X t# t ?K <br /> 7 s <br /> 2, <br /> ;` ad^�r 'r 1 t 3,G}'y, �� ,fie,f•a a'-r t ' �"�fi <br /> �4 i <br /> a q } c c <br /> t `�'. <br /> Pq, ^'-A vt r J11,yy <br /> c <br /> 4f <br /> 6 h <br /> � <br /> a" <br /> lt t v „ak a. <br /> �''�d i' t xr r a" 1'r• >� '�° R'�"'"'',� �'�; > s �.tS''� fi r 3 r n+ t � .�"� <br /> 4 <br /> f S <br /> fkt r ` s' <br /> xs"Y <br /> -W <br /> `^,sx 41; ' <br /> 5X. <br /> ¢;� z � x s �r �d r"�r'it., �,�✓��,��' �' � '?$ �� rt � � ,�;,� ` rpt � Y 4 <br /> V S 3 tti 7 ,u s hie <br /> k�, <br /> 4z 9r: <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SAECHAO, KAO <br /> DBA: TOBACCO CITY <br /> ,.y � r'aR/�� � .,. `v r=��p rj�tr-:�?�,,k;�'•Y�a�°�i,„t, ��`E9&" ,'�`r ..4,..x, �a+�x4 wr���,�sl� ��F ��a,tae"#�S� f��r��yy.,, r��r���`'"{i '' ��,��rl�j"i,°y .e o <br /> ra <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021233 <br /> Regulated Facility: TOBACCO CITY(KAO SAECHAO) £ ' <br /> Account ID AR0038346. � <br /> 550 S CHEROKEE LN <br /> LODI CA 95240 � � � issued 5/23/2014 <br /> �� x��Y <br /> Billing Address: ATTN : SAECHAO, <br /> TOBACCO CITY(KAO SAECHAO) <br /> 550 S CHEROKEE LN STE G F <br /> LODI CA 95240 <br />
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