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4100 – Safe Body Art
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PR0537407
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Entry Properties
Last modified
9/20/2024 2:15:51 PM
Creation date
7/5/2023 2:05:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0537407
PE
4120
FACILITY_ID
FA0020796
FACILITY_NAME
LASH HOUSE BEAUTY (GONAZALEZ, ANA)
STREET_NUMBER
702
STREET_NAME
PORTER
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09771001
CURRENT_STATUS
01
SITE_LOCATION
702 PORTER AVE STE A
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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SAN JO�QOUNTY ENVIRONMENTAL$EAL' H DEPARTMENT <br /> 11361 E:Iia�iton�l'+e. 0 Stockton,CA 95205-6232 0 Prone (209)468-342.0 <br /> -]Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022179 for Record ID# PR0536197 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0022922 for Record ID# PR0537407 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> 4 f 4✓ <br /> i <br /> Y <br /> 2y <br /> t <br />, <br /> y <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> •' and may be SUSPENDED or REVOKED for cause. <br /> t PERMIT(s)Valid only for: LUNA SHIRLEY B <br /> T DBA: BELLA LUNA SALON ETC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0020796 <br /> Regulated Facility: BELLA LUNA SALON ETC <br /> Account to AR0037327 <br /> 702 PORTER AVE#A <br /> z STOCKTON CA 95207 issued 6/4/2013 <br /> S <br /> 3 Billing Address: ATTN : LUNA, SHIRLEY <br /> BELLA LUNA SALON ETC <br /> 23 EVERGREEN DR <br /> LODI CA 95242 <br />
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