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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ALDER
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147
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4100 – Safe Body Art
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PR0547412
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COMPLIANCE INFO
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Entry Properties
Last modified
7/6/2023 9:10:39 AM
Creation date
6/27/2023 9:15:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547412
PE
4110
FACILITY_ID
FA0026953
FACILITY_NAME
PRETTY OBSESSED BOUTIQUE (CORNWELL, CHELSEA)
STREET_NUMBER
147
Direction
W
STREET_NAME
ALDER
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
147 W ALDER ST
P_LOCATION
01
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 />Jaspt Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0028442 for Record ID # PR0547412 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: CORNWELL, CHELSEA <br />DBA: TOP INK SMP <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />PRETTY OBSESSED BOUTIQUE (CORNWELL, CHELSEA) Facility ID FA0026953 <br />2353 PACIFIC AVE#A ^�^^tio AR0051562 <br />STOCKTON CA 95204 ssued 5110/2022 <br />Billing <br />Address: ATTN : CORNWELL, CHELSEA <br />PRETTY OBSESSED BOUTIQUE <br />17 W MENDOCINO AVE <br />STOCKTON CA 95204 <br />7027.rpt End of Report <br />
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