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BILLING
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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PR0547315
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BILLING
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Entry Properties
Last modified
1/28/2025 4:19:13 PM
Creation date
6/27/2023 9:27:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING
RECORD_ID
PR0547315
PE
4110 - BODY ART PRACTITIONER REGISTRATION
FACILITY_ID
FA0026881
FACILITY_NAME
PORT CITY INK (LUCERO, MARISSA)
STREET_NUMBER
505
Direction
W
STREET_NAME
SWAIN
STREET_TYPE
RD
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
SITE_LOCATION
1412 ROSEMARIE LN # 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 95205-6232 • Phone (209) 468-3420 <br /> Jasjit Kang, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMITTO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br /> Permit ID # PT0028362 for Record ID # PR0547315 <br /> Valid From 7/1 /2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: LUCERO, MARISSA <br /> DBA: IT'S JUST A POKE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: IT'S JUST A POKE (LUCERO , MARISSA) Facility to FA0026881 <br /> 239 N PILGRIM ST Accounti0 AR0051341 <br /> STOCKTON CA 95205 issued 5/10/2022 <br /> Billing Address: ATTN : LUCERO, MARISSA <br /> IT'S JUSTA POKE <br /> 2354 CALVERT ST <br /> STOCKTON CA 95210 <br /> 1021.rpt End of Report <br />
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