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COMPLIANCE INFO_TERI EISERT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FAIRMONT
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4100 – Safe Body Art
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PR0538733
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COMPLIANCE INFO_TERI EISERT
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Entry Properties
Last modified
7/5/2023 10:00:05 AM
Creation date
3/22/2023 2:18:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538733
PE
4110
FACILITY_ID
FA0025583
FACILITY_NAME
LODI MICRO CLINIC (EISERT, TERI)
STREET_NUMBER
755
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
755 S FAIRMONT AVE STE C
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
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EHD - Public
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SAN JOAQU*OUNTY ENVIRONMENTAL HEALIWEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0023949 for Record ID#PR0538733 <br /> Valid From 11/4/2019 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: EISERT,TERI L <br /> DBA: LODI MICRO CLINIC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI MICRO CLINIC(EISERT, TERI) Facility ID FA0025583 <br /> 755 S FAIRMONT AVE#C Account ID AR0048325 <br /> LODI CA 95240 Issued 11/8/2019 <br /> Billing Address: ATTN : EISERT, TERI <br /> LODI MICRO CLINIC <br /> 755 S FAIRMONT AVE STE C <br /> LODI CA 95240 <br /> 7o27.rpt <br />
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