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COMPLIANCE INFO
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4100 – Safe Body Art
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PR0543177
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COMPLIANCE INFO
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Entry Properties
Last modified
6/13/2023 3:49:32 PM
Creation date
6/13/2023 3:28:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543177
PE
4110
FACILITY_ID
FA0024625
FACILITY_NAME
SALON ALLURE & SPA (PERRAULT, TAYLOR)
STREET_NUMBER
702
STREET_NAME
PORTER
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
702 PORTER AVE STE J
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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r � <br /> SAN JOAQLOCOUNTY ENVIRONMENTAL HEAL DEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0026110 for Record ID#PR0543177 <br /> Valid From 5/1/2018 To 6/30/2019 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PERRAULT,TAYLOR <br /> DBA: THE FRECKLED ROSE TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: THE FRECKLED ROSE TATTOO (PERRAULT, Facility ID FA0024625 <br /> 1110 W KETTLEMAN LN Account ID AR0046013 <br /> LODI CA 95240 Issued 5/3/2018 <br /> Billing Address: ATTN : PERRAULT, TAYLOR <br /> THE FRECKLED ROSE TATTOO <br /> 6443 PINE MEADOW CIR <br /> STOCKTON CA 95219 <br /> 7027.rpt <br />
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