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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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LUCILE
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1955
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4100 – Safe Body Art
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PR0546593
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COMPLIANCE INFO
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Entry Properties
Last modified
12/26/2024 9:42:39 AM
Creation date
6/27/2023 9:55:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546593
PE
4110
FACILITY_ID
FA0026432
FACILITY_NAME
AESTHETICS LASH INK (BURKS, ALEXIS)
STREET_NUMBER
1955
STREET_NAME
LUCILE
STREET_TYPE
AVE
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
1955 LUCILE AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\cfield
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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 # PT0027898 for Record ID # PR0546593 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause.— <br />PERM IT(s) <br />ause.PERMIT(s) Valid only for: <br />BURKS, ALEXIS <br />DBA: ALEXIS BURKS <br />TRIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TAE PREMISES <br />Regulated Facility: AESTHETICS LASH INK (BURKS, ALEXIS) Facility ID FA0026432 <br />1955 L"Cl <br />LEAVE AccountlD AR0050284 <br />STOCKTON, CA 95209 Issued 5/10/2021 <br />Billing <br />Address: ATTN : BURKS,-ALEXIS <br />AESTHETICS LASH INK <br />10367 NATIONS CIR <br />STOCKTON, CA 95209 <br />combinedrpf End of report <br />
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