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Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0546212
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Last modified
6/20/2024 10:04:44 AM
Creation date
6/27/2023 8:44:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0546212
PE
4110
FACILITY_ID
FA0026157
FACILITY_NAME
LODI MICRO CLINIC (LOR, MAIKOSENG)
STREET_NUMBER
755
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
755 S FAIRMONT AVE STE C
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMIENTAL 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 />PERNIIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027642 for Record ID # PR0546212 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: LOR, MAIKOSENG <br />DBA: LODI MICRO CLINIC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />LODI <br />BillingAddress: <br />MICRO CLINIC (LOR, MAIKOSENG) <br />Facility ID <br />FA0026157 <br />755 S <br />FAIRMONTAVE # C <br />Account iD <br />gR0049598 <br />LODI <br />CA 95240 <br />issued <br />5/10/2022 <br />ATTN : LOR, MAIKOSENG <br />LODI MICRO CLINIC <br />1734 SILVERSHIRE DR <br />STOCKTON CA 95206 <br />7027.rpt End of Report <br />
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