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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0547067
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Entry Properties
Last modified
7/27/2023 10:21:25 AM
Creation date
7/6/2023 9:24:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0547067
PE
4110
FACILITY_ID
FA0026687
FACILITY_NAME
REVIVE ME AESTHETICS (NGUYEN, MARY)
STREET_NUMBER
445
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
445 W BEVERLY PL
P_LOCATION
03
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 />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit 1D# PT0028176 for Record ID # PR0547067 <br />Valid From 1/5/2022 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED ox REVOKED for cause <br />PERMIT(s) Valid only for: NGUYEN, MARY <br />DBA: PEACHES AND CREAM SKIN CARE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: PEACHES AND CREAM SKIN CARE (NGUYEN, MARY) Facility io FA0026687 <br />902 CENTRALAVE # 5 account io AR0050822 <br />TRACY CA 95376 Issued 1/6/2022 <br />aimngaddre <br />ss: ATTN : NGUYEN, MARY <br />PEACHES AND CREAM SKIN CARE <br />2854 TWIN BRIDGES LN <br />STOCKTON CA 95212 <br />702zrot <br />End of Repoli <br />
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