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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0546982
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COMPLIANCE INFO
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Entry Properties
Last modified
8/28/2023 2:34:22 PM
Creation date
7/18/2023 3:01:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546982
PE
4110
FACILITY_ID
FA0026621
FACILITY_NAME
PRETTY OBSESSED BOUTIQUE (LAL, NIKITA)
STREET_NUMBER
2341
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2341 PACIFIC AVE
P_LOCATION
01
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 - SODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0028122 for Record ID # PR0546982 <br />Valid From 6/10/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE - <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: LAL, NIKITA <br />DBA: PRETTY OBSESSED BOUTIQUE <br />TRIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TRE PREMISES <br />Regulated Facility: <br />PRETTY OBSESSED BOUTIQUE (LAL, NIKITA) Facility ID FA0026621 <br />2341 PACIFIC AVE Account�0 AR0050683 <br />STOCKTON CA 95204 ssued 6/11/2021 <br />BillingAddress: <br />ATTN : LAL, NIKITA <br />PRETTY OBSESSED BOUTIQUE <br />291 BRYANT COMMON APT 204 <br />FREMONT CA 94539 <br />7027.rpt End of Report <br />
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