My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_ROMALDO RODRIGUEZ
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
FAIRMONT
>
755
>
4100 – Safe Body Art
>
PR0542669
>
COMPLIANCE INFO_ROMALDO RODRIGUEZ
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/5/2023 10:01:01 AM
Creation date
3/22/2023 2:24:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542669
PE
4110
FACILITY_ID
FA0024548
FACILITY_NAME
LODI MICRO CLINIC (RODRIGUEZ, ROMALDO)
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
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
9
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SAN JOAQOUNTY ENVIRONMENTAL HEALAEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 a Phone(209)468-3420 <br /> rf Linda Turkatte,A.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0026062 for Record ID#PR0542669 <br /> .. Valid From 7/1/2019 To 6/30/2020 <br />} <br /> PERM1TS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: RODRIGUEZ, ROMALDO <br /> DBA: LODI MICRO CLINIC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI MICRO CLINIC (RODRIGUEZ, ROMALD( Facility ID FA0024548 <br /> 755 S FAIRMONT AVE#E-2 Account lD AR0045857 <br /> LODI CA 95240 issued 5/1/2019 <br /> Billing Address: ATTN RODRIGUEZ, ROMALDO <br /> LODI MICRO CLINIC. . <br /> 10883 E LIVE OAK RD <br /> LODI CA 95240 , <br /> Y 7o27.rpt <br /> A. <br /> •a <br /> t <br />
The URL can be used to link to this page
Your browser does not support the video tag.