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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
Scanner
SJGOV\cfield
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EHD - Public
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w. <br /> d 'SAN J©AQUINUNTY ENV0NMENTAL HEALTA <br /> II2PARTMENT <br /> { 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 a.Phone (209)468-3420 <br /> Donna.IIeran,RI.H.S:,Director <br />� z <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022179 for Record ID# PR0536197 <br />'$ Valid From 7/1/2014 To 6/30/2015 <br /> xz PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0022922 for Record ID# PR0537407 - <br />��� - Valid From 7/1/2014 To 6/30/2015 <br /> s. <br /> d <br /> a <br /> s <br />! f <br /> by <br /> G <br /> h <br /> x: <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> f PERMIT(s)Valid only for: LUNA,SHIRLEY B <br /> DBA: BELLA LUNA SALON ETC <br /> ff <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />„ Facility ID FA0020796 <br /> a+ TM Regulated Facility: BELLA LUNA SALON ETC Account ID AR0037327 <br /> 702 PORTER AVE#A Issued <br /> k y s STOCKTON CA 95207 5/23/2014 <br /> k' t <br /> Billing Address: SHIRLEY <br /> ATTN : LUNA, <br /> BELLA LUNA SALON ETC <br />� P 23 EVERGREEN DR <br /> ` LODI CA 95242 > <br /> x <br /> s <br />
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