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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0541656
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Entry Properties
Last modified
9/1/2023 4:45:12 PM
Creation date
7/13/2023 3:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0541656
PE
4120
FACILITY_ID
FA0023874
FACILITY_NAME
FLAWLOUS (DEGENSTEIN, PAULA KELI)
STREET_NUMBER
806
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
806 W LODI AVE
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQU� COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E . Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Linda Thrkatte, R.E.H. S ., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4121 - BODY ART FACILITY-STERILIZATION <br /> Permit ID # PT0025519 for Record ID # PRO541666 <br /> Valid From 2/21 /2017 To 6/30/2017 <br /> PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br /> Permit ID * PT0025520 for Record ID # PR0541657 <br /> Valid From 2/21 /2017 To 6/30/2017 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: DEGENSTEIN , PAULA KELI <br /> DBA: FLAWLOUS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON. THE PREMISES <br /> Regulated Facility: FLAWLOUS Facility ID FA0023874 <br /> 806 W LODI AVE Account ID AR0044272 <br /> LODI CA 95240 Issued 2/24/2017 <br /> Billing Address : ATTN : DEGENSTEIN , PAULA KELI <br /> FLAWLOUS <br /> 235 WINDRUSH WAY <br /> LODI CA 95242 <br /> 7027.rpt <br />
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